The document discusses Freud's concept of defence mechanisms, which are unconscious processes that protect against anxiety, shame, loss of self-esteem, and other uncomfortable feelings. Defence mechanisms are classified as either positive or negative. Positive defence mechanisms like sublimation, rationalization, and repression redirect uncomfortable feelings in socially acceptable ways. Negative defence mechanisms like projection, fantasy, and denial involve avoiding or distorting reality to avoid uncomfortable feelings. The document provides examples of different defence mechanisms and how they operate unconsciously to reduce psychological stress and tension.
The document discusses psychological defense mechanisms, which are unconscious ways of dealing with anxiety and stress by distorting one's perception of reality. It outlines several common defense mechanisms like denial, repression, and rationalization. It also discusses Anna Freud's classification of defense mechanisms into four levels - pathological, immature, neurotic, and mature - based on their adaptiveness and potential to cause problems. The healthy use of mature defenses like humor, anticipation, and sublimation can help integrate conflicting thoughts and emotions.
The document discusses various defense mechanisms used by the human psyche. It describes 10 ego defense mechanisms including repression, rationalization, and sublimation. It also discusses 10 bodily defense mechanisms like lymphocytes and the reticuloendothelial system. Finally, it outlines 10 positive defense mechanisms like compensation and sublimation and 10 negative mechanisms like suppression and projection.
The document defines and provides examples of various ego defense mechanisms, which are psychological protective devices used by the individual to avoid psychological dangers and distress. Some of the defense mechanisms discussed include compensation, displacement, denial, fixation, substitution, conversion, identification, introjection, reaction formation, transference, suppression, sublimation, repression, regression, rationalization, and projection. The document concludes by stating that understanding these defense mechanisms has applications in nursing.
This document defines and provides guidelines for patient admission, transfer, and discharge in a hospital setting. It outlines the purposes, principles, equipment, and procedures involved in each process to ensure continuity of care and optimal patient outcomes. Key steps include collecting patient information, assessing needs, communicating with providers and family, documenting care provided, and educating patients for continued recovery after leaving the hospital. The overall aim is to safely and smoothly transition patients between levels of care while maintaining quality standards.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
This document discusses the role of nurses in psychological testing. It defines psychological tests as standardized measures used by psychologists to assess behavior and help people understand themselves. Nurses should become familiar with psychological tests to enhance care at each stage of the nursing process. Tests help provide measurable treatment indicators. Nurses should clarify any patient doubts about tests and reassure them that tests are safe and observations confidential. Psychological tests provide additional data for nurses to plan patient care.
This document discusses the care of terminally ill patients. It defines hospice care and outlines some common signs that indicate a patient is approaching death, such as changes to their facial features, senses, breathing and skin. It also describes ways to provide psychological support to dying patients, including addressing their needs for security, hope and spiritual comfort. Finally, it offers guidance on symptom management and performing routine care procedures as a patient's condition declines.
The document discusses psychological defense mechanisms, which are unconscious ways of dealing with anxiety and stress by distorting one's perception of reality. It outlines several common defense mechanisms like denial, repression, and rationalization. It also discusses Anna Freud's classification of defense mechanisms into four levels - pathological, immature, neurotic, and mature - based on their adaptiveness and potential to cause problems. The healthy use of mature defenses like humor, anticipation, and sublimation can help integrate conflicting thoughts and emotions.
The document discusses various defense mechanisms used by the human psyche. It describes 10 ego defense mechanisms including repression, rationalization, and sublimation. It also discusses 10 bodily defense mechanisms like lymphocytes and the reticuloendothelial system. Finally, it outlines 10 positive defense mechanisms like compensation and sublimation and 10 negative mechanisms like suppression and projection.
The document defines and provides examples of various ego defense mechanisms, which are psychological protective devices used by the individual to avoid psychological dangers and distress. Some of the defense mechanisms discussed include compensation, displacement, denial, fixation, substitution, conversion, identification, introjection, reaction formation, transference, suppression, sublimation, repression, regression, rationalization, and projection. The document concludes by stating that understanding these defense mechanisms has applications in nursing.
This document defines and provides guidelines for patient admission, transfer, and discharge in a hospital setting. It outlines the purposes, principles, equipment, and procedures involved in each process to ensure continuity of care and optimal patient outcomes. Key steps include collecting patient information, assessing needs, communicating with providers and family, documenting care provided, and educating patients for continued recovery after leaving the hospital. The overall aim is to safely and smoothly transition patients between levels of care while maintaining quality standards.
The document discusses the discharge of patients from the hospital. It defines discharge as relieving a patient from the hospital setting after completing their initial treatment. There are two types of discharge: planned discharge after treatment is finished, and discharge against medical advice (DAMA). The steps for planned discharge include a doctor's order, completing paperwork, informing departments, and ensuring bills are paid. For DAMA, the patient must sign a consent form acknowledging they are leaving against advice. Nurses are responsible for preparing patients for discharge, assisting with the discharge process, and documenting discharge.
This document discusses the role of nurses in psychological testing. It defines psychological tests as standardized measures used by psychologists to assess behavior and help people understand themselves. Nurses should become familiar with psychological tests to enhance care at each stage of the nursing process. Tests help provide measurable treatment indicators. Nurses should clarify any patient doubts about tests and reassure them that tests are safe and observations confidential. Psychological tests provide additional data for nurses to plan patient care.
This document discusses the care of terminally ill patients. It defines hospice care and outlines some common signs that indicate a patient is approaching death, such as changes to their facial features, senses, breathing and skin. It also describes ways to provide psychological support to dying patients, including addressing their needs for security, hope and spiritual comfort. Finally, it offers guidance on symptom management and performing routine care procedures as a patient's condition declines.
Defense mechanisms are the behaviors people use to separate themselves from unpleasant events, actions, or thoughts. These are unconscious strategies whereby people protect themselves from anxious thoughts or feelings
The document discusses the proper preparation of the surgical team to reduce microbial contamination. It outlines that surgical personnel should wear scrub clothes in the operating room and all sterile team members must perform a surgical hand scrub before entering. The objectives of the scrub include mechanical removal of dirt and oil, reducing transient bacteria, and lowering the skin's resident bacterial population. It also discusses the developments in surgical hand antisepsis, including no longer using scrub brushes, introducing alcohol rubs, and reducing the scrub duration. The document outlines proper gowning and gloving techniques which include closed, open, and assisted methods to ensure hands do not contact the gown or outside of gloves.
MENTAL HEALTH TEAM
Marudhar
Mental Health Nursing
Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental health team.
Psychiatric Nurse (CPN)
The registered nurse undergoes a general nursing & midwifery program or B.Sc nursing / post-basic B.Sc nursing program with added qualification such as diploma in psychiatric nursing, diploma in nursing administration etc.
This nurse is skilled in caring for the mentally ill, gives holistic care by assessing the patient’s mental, social, physical, psychological & spiritual needs, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open Universities.
Social Worker
The psychiatric social worker is a graduate in social work & post-graduate in psychiatric social work. She/he assesses the individual, the family & community support system, helps in discharge planning, counseling for job placement & is aware of the state laws & legal rights of the patient & protects these rights.
She/he is skilled in interview techniques & group dynamics.
Occupational Therapist (OT)
Occupational therapist goes through specialized training.
He /she has a pivotal role to play by using manual & creative techniques to assess the interpersonal responses of the patient.
Patients are helped to develop skill in the area of their choice & become economically independent.
They are helped to work in sheltered workshop.
Clinical Psychologist
The clinical psychologist holds a doctoral degree in clinical psychology & is registered with the clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets & evaluates the finding of these tests & implements a program of behaviour modification.
Psychiatric Nursing Aids/Attendants
They have high school training & are trained on the job.
They aid maintaining the therapeutic environment & provide care under supervision.
ECT technicians
They undergo training for 6-9 months.
Their function is to keep ready the ECT under the supervision of a psychiatrist or anesthetist.
Recreational Therapist
The recreational therapist plans activities to stimulate the patient’s muscle co-ordination, interpersonal relationship & socialization.
These approaches are need-based
Clergyman
These are religious persons who may be asked to come to the hospital unit once a week (depending on the patient’s religious faith) & have a spiritual talk with the patient.
Thank you
Role of patients care of adult and nursing care of ipd and opd for nursing st...Patel Dharmendra
The document discusses the roles of nurses, patients, and families in caring for adult patients. It states that families should understand the patient's disease and treatment, provide emotional support, assist the patient, and help create a supportive environment. Nurses educate patients and families, clarify any misunderstandings, and involve families in the care plan. Patients are active participants who provide information and make decisions about their care, and cooperate with treatment. Families and nurses both play important roles in caring for adult patients.
The document outlines and describes various ego defense mechanisms or mental mechanisms that individuals use to protect themselves from psychological dangers and distress. These mechanisms include repression, rationalization, intellectualization, compensation, substitution, sublimation, suppression, reaction formation, displacement, denial, isolation, projection, regression, conversion, and undoing. While well-adjusted individuals use these mechanisms sparingly, maladjusted individuals like psychotics and neurotics rely on them frequently and inappropriately. Examples are provided to illustrate how each mechanism functions.
Hot application involves applying heat to the body in either a dry or moist form at a temperature warmer than skin. Dry heat methods include poultices, diathermy, and aquathermia pads while moist heat includes whirlpool baths. Hot applications are used to decrease pain, promote circulation and healing, relax muscles, and relieve conditions like muscle spasms, arthritis, gout, and fatigue. Precautions include risks of burns, drying skin, impaired vascular supply, hypotension, and hyperthermia.
The document discusses counseling, including definitions, purposes, principles, types, and the counseling process. It defines counseling as a helping relationship where a counselor aids a client in resolving problems through consideration of the client's perspective. The purposes of counseling are to help individuals through crises, make wise choices, and improve self-understanding. Counseling principles include maintaining client confidentiality and dignity. Types of counseling discussed are directive, nondirective, and elective. The counseling process involves establishing rapport, assessment, goal-setting, intervention, and termination/follow-up.
Therapeutic nurse patient relationship in psychiatryVincent Ejakait
This document discusses the nurse-patient relationship and the different phases it progresses through. It outlines the pre-orientation, orientation, working, and termination phases. It also discusses transference and countertransference, as well as the importance of viewing the patient in a holistic, non-judgmental manner to build rapport and trust. Finally, it briefly touches on the concepts of mental hygiene, mental health maintenance, and rehabilitation as approaches to promoting mental health.
Nursing Care of patient while giving enema. Enemas are injections of fluids used to cleanse or stimulate the emptying of your bowel. This procedure has been used for years to treat constipation and similar issues. Constipation is a severe condition that slows down the movement of your stool. It also makes the stool hard and difficult to excrete. # Study Purpose # For nursing students
Steam inhalation involves inhaling warm, moist air to relieve symptoms of respiratory inflammation and congestion. It works by loosening secretions, relaxing muscles to reduce coughing, and moistening irritated airways. To perform steam inhalation, boil water and add medication like Vicks vaporub. Direct the steam into a tent made from an umbrella and sheet covering the patient, or have them sit near the boiling water. Treatment lasts 30 minutes to an hour twice a day. Burn risks and drafts should be avoided, and extra care taken with children.
This document provides information on the care of terminally ill and dying patients. It discusses concepts of loss, grief, and the grieving process. It describes the physical and psychosocial manifestations of approaching death. It outlines nursing care for dying patients, including meeting physical needs, providing spiritual support, and supporting families. Advanced care planning tools like living wills and healthcare proxies are explained. The document also covers post-mortem care including organ donation, medico-legal issues, autopsies, embalming, and physiological changes that occur after death.
The document provides information on the interpersonal model and behavioral model of mental health. It discusses the key assumptions, principles, techniques, and application of each model. The interpersonal model focuses on how social interactions and relationships influence personality development. It emphasizes anxiety, trust, and security. The behavioral model is based on learning theory and focuses on observable behaviors. It uses techniques like positive reinforcement, systematic desensitization, and assertiveness training to modify behaviors. Both models influence psychiatric nursing practice.
It is very useful for mental health nursing student...
Mental health assessment determine patient is experiencing abnormalities in thinking and reasoning ability, feelings or behavior....
The document discusses the principles of pre-operative and post-operative care. It describes the three phases of perioperative care - preoperative, intraoperative, and postoperative. The preoperative phase involves preparing the patient both physically and emotionally for surgery through education, nutritional management, hygiene, testing, and informed consent. The postoperative phase focuses on monitoring the patient, administering medications, maintaining hygiene and comfort, and teaching home care before discharge. The goal of perioperative care is to safely prepare, care for, and recover the patient before, during and after surgical intervention.
The document outlines 11 standards for psychiatric and mental health nursing. Standard I discusses applying relevant theories to explain phenomena and provide treatment bases. Standard II covers continuously collecting comprehensive data through assessments. Standard III involves utilizing nursing diagnoses and classifications to identify health issues. Standard IV requires developing individualized nursing care plans with goals and interventions.
The Ebola epidemic which has no existing cure warrants a unique approach from medicine; barrier nursing which emphasises control and prevention of further infection. For now, this method should be considered to gain control over the outbreak.
Individual therapy is a psychotherapy process where a trained therapist works one-on-one with a client to address problems, explore feelings and behaviors, and set personal goals. The document outlines several types of individual therapy including psychoanalysis, hypnosis, abreaction, reality therapy, and cognitive behavioral therapy. The goal of individual therapy is for clients to gain insight into themselves, develop coping strategies, rearrange priorities, and focus on their strengths and meaningful pursuits.
This document discusses the principles and guidelines for administering an enema. It covers anatomy, microbiology, chemistry, and physics considerations. It provides guidelines such as explaining the procedure to the patient, amounts of solution depending on factors like age, and governing the flow based on the height and size of tubes. The nursing responsibilities include checking orders, understanding different enema types, explaining the procedure, encouraging retention, and documenting results.
Perineal care involves washing the external genitalia and surrounding with soap and water or with water alone or in combination with any commercially prepared peri-wash.
This document discusses various ego defense mechanisms. It begins by defining defense mechanisms as unconscious processes that help resolve conflicts and reduce stress and anxiety. The document then classifies defense mechanisms as either positive or negative based on their effects. Several examples of both positive mechanisms like compensation, sublimation, and rationalization and negative mechanisms like suppression, projection and denial are described in detail. The document aims to explain how defense mechanisms help individuals cope with uncomfortable situations and protect their self-esteem.
This document discusses Sigmund Freud's concept of defence mechanisms, which are unconscious processes that protect a person's ego from anxiety, shame, loss of self-esteem or other uncomfortable feelings. Defence mechanisms operate at an unconscious level to resolve internal conflicts and reduce stress. They are classified as either positive or negative based on their effects. Positive mechanisms include compensation, sublimation and rationalization, while negative ones involve suppression, projection and fantasy. The document provides examples to illustrate common defence mechanisms.
Defense mechanisms are the behaviors people use to separate themselves from unpleasant events, actions, or thoughts. These are unconscious strategies whereby people protect themselves from anxious thoughts or feelings
The document discusses the proper preparation of the surgical team to reduce microbial contamination. It outlines that surgical personnel should wear scrub clothes in the operating room and all sterile team members must perform a surgical hand scrub before entering. The objectives of the scrub include mechanical removal of dirt and oil, reducing transient bacteria, and lowering the skin's resident bacterial population. It also discusses the developments in surgical hand antisepsis, including no longer using scrub brushes, introducing alcohol rubs, and reducing the scrub duration. The document outlines proper gowning and gloving techniques which include closed, open, and assisted methods to ensure hands do not contact the gown or outside of gloves.
MENTAL HEALTH TEAM
Marudhar
Mental Health Nursing
Psychiatrist
The psychiatrist is a doctor with post-graduation in psychiatry with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment & prevention of mental disorders, prescribe medicines & somatic therapy & function as a leader of the mental health team.
Psychiatric Nurse (CPN)
The registered nurse undergoes a general nursing & midwifery program or B.Sc nursing / post-basic B.Sc nursing program with added qualification such as diploma in psychiatric nursing, diploma in nursing administration etc.
This nurse is skilled in caring for the mentally ill, gives holistic care by assessing the patient’s mental, social, physical, psychological & spiritual needs, making a nursing diagnosis, formulating, evaluating & rendering the appropriate nursing care.
She/he co-ordinates with the clinical nurse specialist in a community mental health setting.
She/he updates knowledge via continuing education, in- service education, workshops & courses conducted by open Universities.
Social Worker
The psychiatric social worker is a graduate in social work & post-graduate in psychiatric social work. She/he assesses the individual, the family & community support system, helps in discharge planning, counseling for job placement & is aware of the state laws & legal rights of the patient & protects these rights.
She/he is skilled in interview techniques & group dynamics.
Occupational Therapist (OT)
Occupational therapist goes through specialized training.
He /she has a pivotal role to play by using manual & creative techniques to assess the interpersonal responses of the patient.
Patients are helped to develop skill in the area of their choice & become economically independent.
They are helped to work in sheltered workshop.
Clinical Psychologist
The clinical psychologist holds a doctoral degree in clinical psychology & is registered with the clinical psychologist’s association.
She/he conducts psychological, diagnosis tests, interprets & evaluates the finding of these tests & implements a program of behaviour modification.
Psychiatric Nursing Aids/Attendants
They have high school training & are trained on the job.
They aid maintaining the therapeutic environment & provide care under supervision.
ECT technicians
They undergo training for 6-9 months.
Their function is to keep ready the ECT under the supervision of a psychiatrist or anesthetist.
Recreational Therapist
The recreational therapist plans activities to stimulate the patient’s muscle co-ordination, interpersonal relationship & socialization.
These approaches are need-based
Clergyman
These are religious persons who may be asked to come to the hospital unit once a week (depending on the patient’s religious faith) & have a spiritual talk with the patient.
Thank you
Role of patients care of adult and nursing care of ipd and opd for nursing st...Patel Dharmendra
The document discusses the roles of nurses, patients, and families in caring for adult patients. It states that families should understand the patient's disease and treatment, provide emotional support, assist the patient, and help create a supportive environment. Nurses educate patients and families, clarify any misunderstandings, and involve families in the care plan. Patients are active participants who provide information and make decisions about their care, and cooperate with treatment. Families and nurses both play important roles in caring for adult patients.
The document outlines and describes various ego defense mechanisms or mental mechanisms that individuals use to protect themselves from psychological dangers and distress. These mechanisms include repression, rationalization, intellectualization, compensation, substitution, sublimation, suppression, reaction formation, displacement, denial, isolation, projection, regression, conversion, and undoing. While well-adjusted individuals use these mechanisms sparingly, maladjusted individuals like psychotics and neurotics rely on them frequently and inappropriately. Examples are provided to illustrate how each mechanism functions.
Hot application involves applying heat to the body in either a dry or moist form at a temperature warmer than skin. Dry heat methods include poultices, diathermy, and aquathermia pads while moist heat includes whirlpool baths. Hot applications are used to decrease pain, promote circulation and healing, relax muscles, and relieve conditions like muscle spasms, arthritis, gout, and fatigue. Precautions include risks of burns, drying skin, impaired vascular supply, hypotension, and hyperthermia.
The document discusses counseling, including definitions, purposes, principles, types, and the counseling process. It defines counseling as a helping relationship where a counselor aids a client in resolving problems through consideration of the client's perspective. The purposes of counseling are to help individuals through crises, make wise choices, and improve self-understanding. Counseling principles include maintaining client confidentiality and dignity. Types of counseling discussed are directive, nondirective, and elective. The counseling process involves establishing rapport, assessment, goal-setting, intervention, and termination/follow-up.
Therapeutic nurse patient relationship in psychiatryVincent Ejakait
This document discusses the nurse-patient relationship and the different phases it progresses through. It outlines the pre-orientation, orientation, working, and termination phases. It also discusses transference and countertransference, as well as the importance of viewing the patient in a holistic, non-judgmental manner to build rapport and trust. Finally, it briefly touches on the concepts of mental hygiene, mental health maintenance, and rehabilitation as approaches to promoting mental health.
Nursing Care of patient while giving enema. Enemas are injections of fluids used to cleanse or stimulate the emptying of your bowel. This procedure has been used for years to treat constipation and similar issues. Constipation is a severe condition that slows down the movement of your stool. It also makes the stool hard and difficult to excrete. # Study Purpose # For nursing students
Steam inhalation involves inhaling warm, moist air to relieve symptoms of respiratory inflammation and congestion. It works by loosening secretions, relaxing muscles to reduce coughing, and moistening irritated airways. To perform steam inhalation, boil water and add medication like Vicks vaporub. Direct the steam into a tent made from an umbrella and sheet covering the patient, or have them sit near the boiling water. Treatment lasts 30 minutes to an hour twice a day. Burn risks and drafts should be avoided, and extra care taken with children.
This document provides information on the care of terminally ill and dying patients. It discusses concepts of loss, grief, and the grieving process. It describes the physical and psychosocial manifestations of approaching death. It outlines nursing care for dying patients, including meeting physical needs, providing spiritual support, and supporting families. Advanced care planning tools like living wills and healthcare proxies are explained. The document also covers post-mortem care including organ donation, medico-legal issues, autopsies, embalming, and physiological changes that occur after death.
The document provides information on the interpersonal model and behavioral model of mental health. It discusses the key assumptions, principles, techniques, and application of each model. The interpersonal model focuses on how social interactions and relationships influence personality development. It emphasizes anxiety, trust, and security. The behavioral model is based on learning theory and focuses on observable behaviors. It uses techniques like positive reinforcement, systematic desensitization, and assertiveness training to modify behaviors. Both models influence psychiatric nursing practice.
It is very useful for mental health nursing student...
Mental health assessment determine patient is experiencing abnormalities in thinking and reasoning ability, feelings or behavior....
The document discusses the principles of pre-operative and post-operative care. It describes the three phases of perioperative care - preoperative, intraoperative, and postoperative. The preoperative phase involves preparing the patient both physically and emotionally for surgery through education, nutritional management, hygiene, testing, and informed consent. The postoperative phase focuses on monitoring the patient, administering medications, maintaining hygiene and comfort, and teaching home care before discharge. The goal of perioperative care is to safely prepare, care for, and recover the patient before, during and after surgical intervention.
The document outlines 11 standards for psychiatric and mental health nursing. Standard I discusses applying relevant theories to explain phenomena and provide treatment bases. Standard II covers continuously collecting comprehensive data through assessments. Standard III involves utilizing nursing diagnoses and classifications to identify health issues. Standard IV requires developing individualized nursing care plans with goals and interventions.
The Ebola epidemic which has no existing cure warrants a unique approach from medicine; barrier nursing which emphasises control and prevention of further infection. For now, this method should be considered to gain control over the outbreak.
Individual therapy is a psychotherapy process where a trained therapist works one-on-one with a client to address problems, explore feelings and behaviors, and set personal goals. The document outlines several types of individual therapy including psychoanalysis, hypnosis, abreaction, reality therapy, and cognitive behavioral therapy. The goal of individual therapy is for clients to gain insight into themselves, develop coping strategies, rearrange priorities, and focus on their strengths and meaningful pursuits.
This document discusses the principles and guidelines for administering an enema. It covers anatomy, microbiology, chemistry, and physics considerations. It provides guidelines such as explaining the procedure to the patient, amounts of solution depending on factors like age, and governing the flow based on the height and size of tubes. The nursing responsibilities include checking orders, understanding different enema types, explaining the procedure, encouraging retention, and documenting results.
Perineal care involves washing the external genitalia and surrounding with soap and water or with water alone or in combination with any commercially prepared peri-wash.
This document discusses various ego defense mechanisms. It begins by defining defense mechanisms as unconscious processes that help resolve conflicts and reduce stress and anxiety. The document then classifies defense mechanisms as either positive or negative based on their effects. Several examples of both positive mechanisms like compensation, sublimation, and rationalization and negative mechanisms like suppression, projection and denial are described in detail. The document aims to explain how defense mechanisms help individuals cope with uncomfortable situations and protect their self-esteem.
This document discusses Sigmund Freud's concept of defence mechanisms, which are unconscious processes that protect a person's ego from anxiety, shame, loss of self-esteem or other uncomfortable feelings. Defence mechanisms operate at an unconscious level to resolve internal conflicts and reduce stress. They are classified as either positive or negative based on their effects. Positive mechanisms include compensation, sublimation and rationalization, while negative ones involve suppression, projection and fantasy. The document provides examples to illustrate common defence mechanisms.
This document discusses mental defence mechanisms, which Sigmund Freud proposed as unconscious processes that protect individuals from anxiety, shame, loss of self-esteem, and other uncomfortable feelings. Defence mechanisms operate unconsciously and can be positive or negative. Positive mechanisms include compensation, sublimation, and rationalization, while negative mechanisms include projection, regression, and denial. The document provides definitions and examples of various defence mechanisms.
This document discusses defense mechanisms, which are unconscious processes that help reduce anxiety and protect self-esteem. It provides definitions of defense mechanisms and lists some common examples, categorizing them as either positive/healthy or negative/unhealthy. Positive defenses include compensation, sublimation, and rationalization, while negative defenses include projection, fantasy, and dissociation. The document also discusses Freud's theory of how defense mechanisms help resolve conflicts between the id, ego, and superego to reduce tension and anxiety.
Sigmund Freud and his daughter Anna Freud outlined many of the common defense mechanisms. Defense mechanisms are unconscious coping strategies that protect individuals from anxiety and maintain self-image by blocking feelings, conflicts, and memories. Although they operate automatically, individuals are often unaware of their own use of defense mechanisms.
This document provides an overview of defence mechanisms, which are ways that individuals cope with problems, difficulties, or failure. Defence mechanisms help resolve conflicts and reduce stress and anxiety. They are divided into successful mechanisms like repression, rationalization, intellectualization, compensation, and sublimation, and unsuccessful mechanisms like suppression, reaction formation, displacement, denial, isolation, projection, regression, conversion, fantasy, and identification. Several defence mechanisms are defined and examples are given, such as a child repressing feelings of anger towards their mother after being punished. The implications of defence mechanisms on personality development and as unconscious psychological responses to protect individuals are also briefly discussed.
This document discusses ego defense mechanisms, which are unconscious psychological responses that protect people from anxiety, threats to self-esteem, and difficult feelings or thoughts. It defines defense mechanisms and explains how they work according to Freudian psychoanalytic theory to help the ego manage conflicts between the id, superego, and reality. Different types of defense mechanisms are described, including adaptive mechanisms like repression and sublimation, and maladaptive mechanisms like denial and projection. Characteristics and examples of various defense mechanisms are provided.
REVIEW OF DEFENSE MECHANISMS IN PSYCHOLOGY/MENTAL HEALTH NURSING. Defense mechanisms are behaviors that people use to separate themselves from unpleasant events, actions, or thoughts.
1. repression
2. regression
3. projection
4. reaction formation,
5. sublimation
6. conversion
7. undoing
8. displacement
9. denial
10. Dissociation
11 Rationalization
12. Compensation
13. Intellectualization
- The idea of defense mechanisms comes from psychoanalytic theory, a psychological perspective of personality that sees personality as the interaction between three components: id, ego, and super-ego.
Defense mechanisms are methods used by the ego to protect itself from anxiety and maintain self-esteem. There are direct and indirect defense mechanisms. Direct mechanisms are used consciously like increasing efforts or compromising. Indirect mechanisms provide temporary adjustments unconsciously, like rationalization or projection. Defense mechanisms are classified as adaptive or maladaptive. Adaptive mechanisms like repression or sublimation enable resolution of conflicts while maladaptive ones like denial or regression do not solve problems. Moderately using defense mechanisms helps face difficulties but excessive reliance makes one unable to address issues directly. Personal and social adjustment requires satisfying needs, having realistic goals and flexibility to adapt to different environments.
The document discusses various defense mechanisms used by the ego to protect itself from anxiety and unconscious impulses. It categorizes defenses into narcissistic, immature, neurotic, and mature types. Narcissistic defenses include denial, distortion, and projection used by psychotic individuals. Immature defenses such as acting out, hypochondriasis, passive aggression, regression and somatization are used by adolescents and non-neurotic patients. Neurotic defenses like displacement, intellectualization, rationalization, reaction formation, and repression are used by patients with OCD and hysteria under stress. More mature defenses are altruism, humor, suppression, sublimation, and compensation.
This document discusses defense mechanisms, which are unconscious psychological strategies used to manage stress and anxiety. It defines defense mechanisms and explains that they can have healthy or unhealthy consequences depending on how frequently they are used. The document then classifies defense mechanisms into four levels - psychotic, immature, neurotic, and mature - and provides examples of specific defense mechanisms like rationalization, suppression, and identification. It notes that mature defenses lead to better adjustment as an adult while immature defenses can result in poorer health and adjustment. Both the advantages and disadvantages of using defense mechanisms are outlined.
Defense mechanisms help cope with personality imbalance and reduce stress, anxiety, and conflicts arising from tensions between the id, ego, and superego. The major defense mechanisms discussed are repression, suppression, reaction formation, rationalization, intellectualization, sublimation, regression, projection, displacement, and compensation. These unconscious processes help eliminate or reduce the severity of conflict situations by providing temporary relief until problems can be addressed more constructively.
This document defines and provides examples of various defence mechanisms. It categorizes defence mechanisms as either positive or negative. Positive mechanisms include compensation, substitution, sublimation, rationalization, repression, undoing, identification, transference, intellectualization, and introjection. Negative mechanisms include suppression, displacement, projection, regression, fixation, fantasy, reaction formation, conversion, dissociation, and denial. Each mechanism is an unconscious process that helps reduce anxiety, stress, conflicts or unacceptable feelings.
This document provides an overview of defense mechanisms, which are unconscious psychological strategies used to manage anxiety and protect the ego. It categorizes defenses as primitive, less primitive, or mature. Primitive defenses include denial, regression, acting out, dissociation, compartmentalization, projection, and reaction formation. Less primitive defenses involve repression, displacement, intellectualization, rationalization, and undoing. Mature defenses include sublimation, compensation, affiliation, self-assertion, altruism, and anticipation. Examples are given for each defense mechanism.
- Sigmund Freud first coined the term "defence mechanism" and proposed that the ego uses unconscious tactics to protect itself from anxiety. Anna Freud later expanded on her father's work and identified additional defence mechanisms.
- Defence mechanisms are unconscious coping strategies that the mind uses to reduce anxiety from unacceptable urges or impulses. Common mechanisms include rationalization, regression, sublimation, denial, projection, and repression.
- Freud classified defence mechanisms on a scale from primitive to mature based on their psychological complexity and ability to resolve conflicts adaptively. More primitive mechanisms are less adaptive while mature mechanisms tend to resolve issues in a healthier way.
Freud began investigating ego defense mechanisms in his early works. Anna Freud later provided more comprehensive descriptions of individual defense mechanisms in her landmark book. Defense mechanisms operate unconsciously to resolve conflicts and reduce anxiety when the id is in serious conflict with the ego and superego. They can be classified as either positive or negative depending on their results. Positive defenses include compensation, substitution, sublimation, rationalization, repression, undoing, identification, and intellectualization. Negative defenses include suppression, displacement, projection, regression, fixation, fantasy, reaction formation, conversion, dissociation, and denial.
Defense mechanisms are techniques used by individuals to reduce anxiety and resolve conflicts. They range from normal and successful mechanisms like repression and rationalization to less adaptive unsuccessful ones like denial and projection. Successful mechanisms help deal with reality while unsuccessful ones can create emotional problems if used excessively. Defense mechanisms originate from different developmental periods, and understanding them helps nurses support patients and their families cope with difficult diagnoses and end-of-life situations.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
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1. GOVT.COLLEGE OF NURSING,Jodhpur
SUBJECT - Advance Nursing Practice
Presentation on
DEFENCE MECHNISM
SUBMITTED TO:- SUBMITTED BY:-
MRS.SUMI MATHEW ASHISH KUMAR YADAV
HOD. OBG. M.SC.NURSINGP REVIOUS
GOVT.COLLEGE OF GCON,JODHPUR
JODHPUR
2. Defence mechanism
1. INTRODUCTION:-
Sigmund Freud in 1904 used this term “defence mechanism” to refer to the
unconscious process that defends or protects a person against anxiety, shame, loss of self
esteem, conflict or unacceptable feelings.
According to Freud,;-
when Id is in serious conflict with ego and superego, the individual suffer from tension or
anxiety.
Defence mechanism enables a person to resolve conflict and reduce the stress and
anxiety.
Usually all defence mechanisms are operated at unconscious level.
Most of defence mechanisms are self-deceptive in nature.
2. DEFINITION:-
Defence mechanism is a pattern of adjustment through which an individual relieves
anxiety caused by an uncomfortable situation that threaten self-esteem.
When these defence mechanisms are used moderately are harmless but excessive and
persistent defence use is harmful.
3. CLASSIFICATION OF DEFENCEMECHANISM:-
These defence mechanisms are classified according to its results-
Positive defence mechanism.
Negative defence mechanism.
3. POSITIVE DEFENCEMECHANISMS NEGATIVE DEFENCE MECHANISMS
1. Compensation
2. Substitution
3. Sublimation
4. Rationalization
5. Repression
6. Undoing
7. Identification
8. Transference
9. Intellectualization
10. Introjection
1. Suppression
2. Displacement
3. Projection
4. Regression
5. Fixation
6. Fantasy
7. Reactionformation
8. Conversion
9. Dissociation
10. Denial
POSITIVE DEFENCEMECHANISMS :-
some defence mechanisms have positive impact over relations or development of
person.
1. COMPENSATION:-
Compensation is a pattern by which tension or anxiety relieved by an individual make up
for personal weakness.
Eg.:-
A student who fails in his studies may compensate by becoming the college
champion in atheletics.
A girl, who cannot compete with her more beautiful sisters, may compensate by
studying hard and come 1st in her class.
2. SUBSTITUTION:-
It is a mechanism by which tension or anxiety reduced by replacing the unachievable
goal with achievable goal.
Eg:
A student who has not been able to get admission to the MBBS course may try to
substitute it with a course of physiotherapy or nursing.
A person aspire to become a national level cricket player and not selected. He
may substitue this goal by being a coach at college level.
4. 3. SUBLIMATION:-
It is a mechanism that causes channelization of socially unacceptable desires into
acceptable form. In this mechanism primitive impulses are transferred or directed to a
socially useful goal.
Eg:-
A teenage boy with strong competitive and aggressive feelings becomes a football
player.
A young man who has lost his lover may turn to write poetry about love.
A person who has aggressive feeling and cannot express in society can become a
soldier or boxer.
4. RATIONALIZATION:-
It is a defence mechanism in which an individual justifies his failures and socially
unacceptable feelings and behaviors by making excuses or formulate logical reasons /
socially approved reasons.
Eg: -
A husband does not enjoy the company of wife outside the the home and usually
leave his wife at home. He gives logic that his wife is social shy.
A girl fails to get admission for the nursing course may point out a number of
difficulties of nursing profession.
A person without a vehicle says that he does not want to risk his life by driving.
5. REPRESSION:-
Repression is a process of unconscious forgetfulness of our unpleasant experiences.
Repression is the involuntary bloking of unpleasant feelings and experiences from one’s
awareness.
6. UNDOING:-
Undoing is the act symbolically cancelling or reversing out a previous act which is
unaccetable.
Eg:-
A man is jealous of his good friend’s success but is unaware of his feeling of
jealousy.
A daughter shout at her father as there is no petrol in the car and is getting late for
office, brings a favourite film for her father to watch. This is an example of
undoing her behavior of shouting and then bringing a film.
5. 7. IDENTIFICATION:-
Through this process, an individual attempts to increase self worth by acquiring certain
attributes and characteristics of an another individual one admires. It plays a large part in
the development of personality. In this individual feels personal satisfaction in the
success and achievement of other group or person.
Eg:-
The young son of a famous civil rights worker adopts his father’s attitudes and
behavior with the intent of pursuing similar aspirations. An illiterate father often
takes his son’s higher education as his own achievement.
8. TRANSFERENCE:-
In transference, the image of one person is unconsciously identified with that of another.
Eg:-
A patient who is fond of his daughter finds the nurse of the same age and height
as his daughter. So he transfer his positive emotions to the nurse as his daughter.
It is also possible that if he dislikes his daughter he transfers his negative
emotions to the nurse by being rude, abusive, or aggressive without any cause.
9. INTELLECTUALIZATION:-
Intellectualization is an attempt to avoid expressing actual emotions associated with a
stressful situation by using the intellectual processes of logic, reasoning and analysis.
10. INTROJECTION:-
In introjection the values and characteristics of significant persons are incorporated in
one’s personality.
Eg:-
A young professor receives a letter from his fiancee breaking off their
engagement. He shows no emotion when discussing this with his best friend.
Instead he analyzes his fiancee’s behavior and tries to reason why the relationship
failed
A women who likes to live in a simple way introjects in her the sophisticated
way, of living likes her husband.
NEGATIVE DEFENCE MECHANISMS:-
some defence mechanisms have negative impact over relations or development of
person.
6. 1. SUPPRESSION:-
Suppression is the voluntary blocking of unpleasant feelings and experiences from
one’s awareness to avoid discomfort and anxiety.
Eg:-
Student consciously decides not to think about her insult in examinations hall so
that he can study effectively.
A patient may refuse to consider his difficulties by saying that he does not want
to talk about it.
2. DISPLACEMENT:-
In this defence mechanism an unconsciously emotional feeling is transferred to person
or object who are less dangerous than those who initially aroused the emotion. An
individual who is using displacement is unaware of this at that time, but later he can
realize it.
Eg:-
A person who is angry with his boss but cannot show it for fear of losing the job
may fight with his wife on return from the office.
3. PROJECTION:-
Placing blame for own difficulties upon others. Here, others are seen as responsible for
own mistakes. One’s own unacceptable feelings and thoughts are expressed as they are
due to others.
Eg:-
A surgeon who did mistake in operation may insist that it happened because
theatre nurse and ward boy did their task badly.
A businessperson who values punctuality is late for a meeting and states , “sorry
I’m late. My assistant forgot to remind me of the time.
4. REGRESSION:-
Regression means an immature way of responding to a stress or go backwards. In this
the adult revert back to an earlier developmental level in order to deal with reality. An
individual does less mature form of behavior when faced with difficulties, where he
finds less conflict hence less anxiety. Adults too may regress to the oral stage of
development and suck their thumb when life gets stressful.
Eg:-
Nurse makes an error in giving medication and starts crying. A person who is
depressed may withdraw to his or her room, curl up in a fetal position on the
bed.
7. 5. FIXATION:-
Fixation refers to the point in the individual’s development at which certain aspects of
the emotional development do not advance.
6. FANTACY:-
Fantacy is used to gratify frustrated desires by imaginary achievements and wishful
thinking. The tendency of day dreaming is most common during adolescence.
Eg:-
Thumb sucking continuously till adult age. An unmarried, middle aged man still
depends on his mother to provide his basic needs.
A young boy who could not help his ailing father due to shortage of money, day
dreams that he has got lot of money from lottery ticket and his father, mother
and family members has best of the facilities for everything.
7. REACTION FORMATION:-
In this defence mechanism the unacceptable real feelings are repressed and acceptable
opposite feelings are expressed. It is defined as unconscious transformation of
unacceptable impulse into exactly opposite attitudes, impulse, feelings or behaviors.
Eg:-
Women who actually dislike her mother in law hide her feelings by being
always nice to her.
8. CONVERSION:-
In this pattern of defence mechanism strong emotional conflicts which are not
expressed are converted into physical symptoms. It has two benefit for person-
It resolves the conflict
It brings him a great deal of attention and sympathy.
Eg:-
A student nurse, who is very anxious about her examination, may develop a
headach.
9. DISSOCIATION:-
Dissociation is involuntary suppression of a mental function from rest of personality in
a manner that allows expression of forbidden unconscious impulse without having any
sense of responsibility for actions.
Eg:-
Partial amnesia.
8. 10. DENIAL:-
Any individual refuses to face the reality. It protect the individual from shock of reality.
Person unconsciously use this mechanism and this reaction is for sometime.
.Denial is quite harmless if practiced in moderation but can lead to serious difficulties
in health and life style if practiced in excess. EXAMPLE:- When some very near and
dear one die in the family. Some people say no, he is still alive.
conclusion:-
“defence mechanism” to refer to the unconscious process that defends or protects a
person against anxiety, shame, loss of self esteem, conflict or unacceptable feelings.
summary:-
defence mechnism is caseswhere people deal with difficult feelings by utilising them to
eliminate anxiety.
9. bibliography:-
1. Psychological Defenses from DSM-IV (see Repression), Virginia Commonwealth University.
Retrieved on December 12, 2014.
2. ^ Jump up to:a b Schacter, Gilbert, Wegner (2011), Psychology (2nd edition), Worth Publishers, p.
483
3. ^ Carlson, Neil R.. "Chapter 14." Psychology: the science of behaviour. Fourth Canadian Edition
ed. Toronto, Ont.: Pearson Education Canada Inc., 2010. 456. Print.
4. ^ McWilliams, Nancy (2011). Psychoanalytic Diagnosis: Understanding Personality Structure in the
Clinical Process, Second Edition. NewYork, NY: The Guilford Press. pp. 60, 63, 103. ISBN 978-
1609184940.
5. ^ Vaillant, George Eman (1992). Ego Mechanisms of Defense: A Guide for Clinicians and
Researchers. American Psychiatric Publishing. p. 238. ISBN 978-0-88048-404-6.
6. ^ Kramer, Ueli (June 2010). "Coping and defence mechanisms: What's the difference? - Second
act". Psychology and Psychotherapy: Theory, Research and Practice. 83 (Pt 2): 207–
221. doi:10.1348/147608309X475989. PMID 19883526.