Hysteria – a disorder typically characterized by Conscious perception – ideas that
paralysis or the improper functioning of certain parts of alternate easily betweein being conscious the body and preconscious are largely free from Catharsis – the process of removing hysterical anxiety symptoms through “talking them out” Unconscious – some never become - Freud gradually discovered free association which conscious because if we recognize them soon replaced hypnosis as his principal therapeutic as derivatives of the unconscious, we technique would experience increased levels of Wandering womb – uterus traveling throughout anxiety women’s bodies and causing varois parts to - Conscious malfunction. o Mental elements in awareness at any given The Case of Anna O – Breuer’s patient he spent many point in time hours treating for hysteria several years earlier o Two different directions: - Led to collaboration of Breuer and Freud in Perpetual conscious publishing cases of hysteria - Studies on Hysteria system – what we perceive Interpretation of Dreams – Freud’s greatest work through our sense organ LEVELS OF MENTAL LIFE enters into consciousness - Mental life divided into two levels, the From within the mental unconscious and the conscious structure – includes - Unconscious has two different levels: nonthreatening ideas from unconscious proper and preconscious the preconscious as well as - Both process and location menacing but well-disguised - Unconscious images from the o Contains all drives, urges, instincts that are unconscious beyond our awareness but that nevertheless PROVINCES OF THE MIND moticate most of our words, feelings, and - Id – das Es or “it” actions o Most primitive part o Explanation for the meaning behind dreams, o Has no contact with reality slips of the tongue, and certain kinds of o Sole function is to seek pleasure or “pleasure forgetting called repression principle” o Preventing anxiety-producing memories from o entering awareness - Ego – das Ich or “I” o Repression – forcing unwanted anxiety-ridden o Only region of mind in contact with reality experiences intto the unconscious as a o Reality principle defense against the pain of that anxiety o Becomes the decision-making or executive o Phylogenetic endowment – portion of our branch of personality unconscious originates from the experiences of - Superego – das Uber-Ich or “over-I” our early ancestors that have been passed on o Represents the moral and ideal aspects of to us through hundreds of generations of persinality repetition o Moralistic and idealistic principles - Preconscious o Has no contact with the outside world o Not conscious but can become conscious o Has 2 subsystems: either quite readily or with some difficulty Conscience – what we should not do Ego-ideal – what we should do Aggression, distraction, or Thanatos o Well developed superego acts to control Aim: return the organism to an sexual and aggressive impulses through inorganic state; self destruction repression o Originate from the id but they come under the o Guilt – result when the ego acts contrary to the control of ego moral standards of the superego o Impetus – amount of force the drive exerts o Feelings of inferiority – when ego cannot o Source – the region of the body in a state of meet the superego’s standards of perfection excitation or tension DYNAMICS OF PERSONALITY o Aim – to seek pleasure by removing that - Driving forces behind people’s actions excitation or reducing the tension - Drives – “Trieb” – constant motivational force o Object – person or thing that serves as means o Two major drives: through which the aim is satisfied Sex or Eros – libido (psychic energy) - Anxiety – felt, affective, unpleasant state aim: pleasure accompanied by a physical sensation that warns entire body is invested with libido the person against impending danger erogenous zones – genitals, mouth, o Id – neurotic anxiety – apprehension about anus an unknown danger can take many forms: o Superego – moral anxiety – stems from the o Narcissicm conflict betweein the ego and superego primary narcissism – o Outer world – realistic anxiety – closely infant’s libido invested related to fear; unpleasant, nonspecific feeling almost exclusively on their incolcing a possible danger own ego DEFENSE MECHANISMS secondary narcissism – - Ego’s mechanism to avoid dealing directly with adolescents redirect their sexual and aggressive implosives and to defend libido back to the ego and itself against the anxiety that accompanies them become preoccupied with - Repression – most basic and involved in each of personal appearance and the others; forcing threatening feelings to the other self interest unconscious o Love – when people invest their - Reaction formation – adopting a disguise that is livido on an object or person directly the opposite of its original form; obssessive other than themselves and compulsive form Aim-inhibited – original - Displacement – people redirect their unacceptable aim of reducing sexual urges onto a variety of people or objects so that the tension is inhibited or original impulse is disguised or concealed repressed; love felt for - Fixation – when the process of taking the next step family members becomes too anxiety provoking, ego may resort to o Sadism – need for sexual the strategy of remaining at the present, more pleasure by inflicting pain or comfy psychological stage humiliation on another person - Regression – reverting back to an earlier stage o Masochism – sexual pleasure during times of stress and anxiety from suffering pain and - Projection – when an internal impulse provokes humiliation inflicted either by too much anxiety, the ego may reduce that anxiety themselves or by others by attributing the unwanted impulse to an external Castration complex – castration object anxiety; fear of losing the penis o Paranoia – extreme type of projection; mental Female Oedipus complex – tranfer of disorder characterized by powerful delusions of sexual interest onto the father and jealousy and persecution developing hostility towards the mother - Introjection – people incorporate positive qualities Penis envy – powerful force in the of another person into their own ego formation of girls’ personality - Sublimation – repression of the genital aim of Eros - Followed by 6-7 year period of lantency – little or by substituting a cultural or social aim no sexual growth takes place STAGES OF DEVELOPMENT o Reinforced through constant suppression by - First 4-5 years of life (infantile stage) – most parents and teachers and by internal feelings crucial for personality formation of shame, guilt, and morality o Divided into three phases according to which - Puberty – genital stage – renaissance of sexual of the three primary erogenous zones is life undergoing the most salient development o Adolescents - give up autoeroticism; direct Oral phase – first organ to provide an their sexual energy toward another person infant with pleasure instead of toward themself Oral receptive phase - infants feel - Maturity – psychosexual development culmination no ambivalence toward the APPLICATION OF PSYCHOANALYTIC THEORY pleasureble object and needs are Free association – patients are required to verbalize usually satisfied with minimum every though that comes to their mind frustration and anxiety - Purpose: to arrive at the unconscious by starting Oral-sadistic period – bitng, cooing, with a present conscious idea and following it closing their mouth, smiling, crying; through a train of associations to wherever it leads example: thumb sucking – defense Transference – strong sexual or aggressive feelings, against anxiety that satisfies their positive or negative, that patients develop toward their sexual but not nutritional needs analyst during the course of treatment Anal phase Dream analysis – freud’s method of analyzing dreams; Early anal period – taking friendly dreams as manifestation of unconscious interest toward their feces - Manifest content – surface meaning or conscious o Anal character – people who description continue to receive erotic - Latent content – unconscious material satisfaction by keeping and - all dreams are wish fulfillments possessing objects and by - except for patients suffering from traumatic arranging them in an excessively experience – repetition compulsion neat and orderly fashion Freudian Slips – everyday slips of the tongue or pen, o Anal triad – orderliness, misreading, incorrect hearing, misplacing objects, and stinginess, obstinacy temporarily forgetting names or intentions are not Phallic Phase – genital area as the chance accidents but reveal a person’s unconscious leading erogenous zone intentions; “Fehlleistung” or faulty function; Male Oedipus complex – parapraxes identification with his father; later develops sexual desire for his mother; seeing father as rival for mother’s love
Malnutrition in Hospital Outpatients and Inpatients Prevalence Concurrent Validity and Ease of Use of The Malnutrition Universal Screening Tool Must For Adults