Stages given by Sigmund Freud which explains the development of personality traits developed until 5 years of age.
It is important in case of psychological counseling of any patient and athlete.
Stages given by Sigmund Freud which explains the development of personality traits developed until 5 years of age.
It is important in case of psychological counseling of any patient and athlete.
An important presentation on personality development, one can improve his/her personality or present it as topic given in educational development courses.
Abortion and other Causes of Early Pregnancy Bleeding.pdfChantal Settley
Describe common causes of bleeding in early pregnancy.
Describe the clinical classifications of abortion, the legal aspects of abortion in Ethiopia, and the safe methods used in health facilities.
Identify the warning signs and the emergency treatment required before referral for early pregnancy bleeding.
Describe the features of woman-friendly comprehensive post-abortion care, including the post-abortion family planning service
List the advantages of regionalised perinatal care.
Describe the functioning of a perinatal-care clinic.
Communicate better with patients and colleagues.
Safely transfer a patient to hospital.
Determine the maternal mortality rate.
Medical problems during pregnancy, labour and the puerperium.pdfChantal Settley
Diagnose and manage cystitis.
Reduce the incidence of acute pyelonephritis in pregnancy.
Diagnose and manage acute pyelonephritis in pregnancy.
Diagnose and manage anaemia during pregnancy.
Identify patients who may possibly have heart valve disease.
Manage a patient with heart valve disease during labour and the puerperium.
Manage a patient with diabetes mellitus.
Explain the wider meaning of family planning.
Give contraceptive counselling.
List the efficiency, contraindications and side effects of the various contraceptive methods.
List the important health benefits of contraception.
Advise a postpartum patient on the most appropriate method of contraception.
Define the puerperium.
List the physical changes which occur during the puerperium.
Manage the normal puerperium.
Assess a patient at the 6-week postnatal visit.
Diagnose and manage the various causes of puerperal pyrexia.
Recognise the puerperal psychiatric disorders.
Diagnose and manage secondary postpartum haemorrhage.
Teach the patient the concept of ‘the mother as a monitor’.
Uterine contractions continue, although less frequently than in the second stage.
The uterus contracts and becomes smaller and, as a result, the placenta separates.
The placenta is squeezed out of the upper uterine segment into the lower uterine segment and vagina. The placenta is then delivered.
The contraction of the uterine muscle compresses the uterine blood vessels and this prevents bleeding. Thereafter, clotting (coagulation) takes place in the uterine blood vessels due to the normal clotting mechanism.
Identify the onset of the second stage of labour.
Decide when the patient should start to bear down.
Communicate effectively with the patient during labour.
Use the maternal effort to the best advantage when the patient bears down.
Make careful observations during the second stage of labour.
Assess the fetal condition during the time the patient bears down.
Accurately evaluate progress in the second stage of labour.
Manage a patient with a prolonged second stage of labour.
Diagnose and manage impacted shoulders.
Monitoring the condition of the fetus during the first stage of labour.pdfChantal Settley
Monitor the condition of the fetus during labour.
Record the findings on the partogram.
Understand the significance of the findings.
Understand the causes and signs of fetal distress.
Interpret the significance of different fetal heart rate patterns and meconium-stained liquor.
Manage any abnormalities which are detected.
1.1 Define and use correctly all of the key terms
1.2 Describe the signs of true labour and distinguish between true and false labour
1.3 Explain to the mother how to recognise the onset of true labour
1.4 Describe the characteristic features and mechanisms of the four stages of labour
1.5 Describe the seven cardinal movements made by the baby as it descends the birth canal in a normal labour
10.2 Preterm labour and preterm rupture of the membranes.pdfChantal Settley
Define preterm labour and preterm rupture of the membranes.
Understand why these conditions are very important.
Understand the role of infection in causing preterm labour and preterm rupture of the membranes.
List which patients are at increased risk of these conditions.
Understand what preventive measures should be taken.
Diagnose preterm labour and preterm rupture of the membranes.
Manage these conditions.
Understand why an antepartum haemorrhage should always be regarded as serious.
Provide the initial management of a patient presenting with an antepartum haemorrhage.
Understand that it is sometimes necessary to deliver the fetus as soon as possible, in order to save the life of the mother or infant.
Diagnose the cause of the bleeding from the history and examination of the patient.
Correctly manage each of the causes of antepartum haemorrhage.
Diagnose the cause of a blood-stained vaginal discharge and administer appropriate treatment.
Define hypertension in pregnancy.
Give a simple classification of the hypertensive disorders of pregnancy.
Diagnose pre-eclampsia and chronic hypertension.
Explain why the hypertensive disorders of pregnancy must always be regarded as serious.
List which patients are at risk of developing pre-eclampsia.
List the complications of pre-eclampsia.
Differentiate pre-eclampsia from pre-eclampsia with severe features.
Give a practical guide to the management of pre-eclampsia.
Provide emergency management for eclampsia.
Manage gestational hypertension and chronic hypertension during pregnancy.
7.2 New Microsoft PowerPoint Presentation (2).pdfChantal Settley
Welcome the woman and ask her to sit near you and facing you.
Smile and make good eye contact with her.
Reassure her that you will always maintain her privacy and confidentiality
Without her permission, do not include a third person in the meeting.
Use simple non-medical language and terminologies throughout that she can understand, and check frequently that she has really understood.
Actively listen to her, using gestures and verbal communication to show her that you are paying attention to what she says.
Encourage her to ask questions, express her needs and concerns, and seek clarification of any information that she does not understand.
6.4 Assessment of fetal growth and condition during pregnancy.pdfChantal Settley
When you have completed this unit you should be able to:
• Assess normal fetal growth.
• List the causes of intra-uterine growth restriction.
• Understand the importance of measuring the symphysis-fundus height.
• Understand the clinical significance of fetal movements.
• Use a fetal-movement chart.
• Manage a patient with decreased fetal movements.
• Understand the value of antenatal fetal heart rate monitoring.
What possible complications to look for:
Antepartum haemorrhage
Pre-eclampsia
proteinuria and a rise in the blood pressure.
Cervical changes
Symphysis-fundus height measurement
below the 10th centile?
above the 90th centile?
To review and act on the results of the screening or special investigations done at the booking visit.
2. To perform the second assessment for risk factors.
If possible, all the results of the screening tests should be obtained at the first visit.
Assess normal fetal growth.
List the causes of intra-uterine growth restriction.
Understand the importance of measuring the symphysis-fundus height.
Understand the clinical significance of fetal movements.
Use a fetal-movement chart.
Manage a patient with decreased fetal movements.
Understand the value of antenatal fetal heart rate monitoring.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...
Erikson, freud, maslow.theories of development
1. Outcomes
• The student must be able to demonstrate
the ability to differentiate between the
various developmental stages. This
applies to the theories of:
Erikson (Stages of development)
Freud (Psycho sexual development)
Maslow (Hierarchy of needs)
Piaget (Cognitive theory of development)
Kohlberg (Moral development)
3. Erik Erikson
8 Stages of development theory
• A theory of development:
• Children’s abilities and behaviour change over time.
• Some changes are small and some dramatic.
• Continual process.
• Some theories emphasise that human development
takes place in stages.
• Not enough evidence to say which theory is correct.
• Agreement that development takes place continually.
• Thus the theories complement each other.
4. Erik Erikson
Stages of development theory
• Erik Erikson (1902-1994)- psychologist interested in
human development.
• Proposed that over a lifespan there are psychological
tasks that need to be undertaken (stage theory used as
framework for other theories).
• Many modern psychologists have been influenced by
Erikson’s work.
• He associated different chronological ages with
developmental tasks that are usually achieved at that
age.
• Described each as a psychological crisis which needs to
be resolved at each stage in order to move on
emotionally.
5. Erik Erikson
8 Stages of development theory
• BIRTH- 18 MONTHS- TRUST VS MISTRUST
• An infant is helpless.
• Dependent on others for his needs.
• During this stage, the infant learns whether the world in which he
lives can be trusted. When he is hungry and he cries, will he be fed?
When his bottoms are wet, will his diapers be changed? When he is
unwell or afraid, will he be comforted?
• If an infant's physical and emotional needs are met in a consistent
and caring way, he learns that his mother or caregiver can be
counted on and he develops an attitude of trust in people.
• If his needs are not met, an infant may become fearful and learns
not to trust the people around him.
6. Questions for discussion /
reflection
• In Singapore, some parents are leaving their babies in a
24-hour stay-in centre full-time for weeks or months; the
babies are looked after by trained nannies who are
rotated after three weeks to prevent babies from
becoming too attached to one person.
• What are some possible reasons why the centre does
not want a baby under its care to be attached to one
person (i.e., nanny)?
• Do you think it is good to prevent attachment? If yes,
why? If no, why not?
7. • 18 MONTHS – 3 YEARS- AUTONOMY VS SHAME
• The toddler realizes that he is a separate person with his
own desires and abilities.
• He wants to do things for himself without help.
• This push for autonomy is enhanced by muscular
maturation as toddlers try to use their developing
muscles to walk, climb, hop and jump and to explore
their environment.
• Potentially, toddlers can get into dangerous situations. Therefore,
parents have to balance the opposing virtues of encouragement and
restraint. If a toddler's efforts to do things on his own were frustrated
by over-protective parents then he may not have many opportunities
to develop autonomy. On the other hand, if a toddler was harshly
criticized for "accidents" (e.g., wetting, soiling, spilling or breaking
things) then he may develop doubt about his own abilities to tackle
new challenges.
8. • 3-6 YEARS- INITIATIVE VS GUILT
• Increased muscular, mental and language abilities set
the stage for more activities and questions.
• Curiosity and openness to learning. The favourite word
of pre-schoolers is "why." Parents who take time to
answer their preschoolers' questions reinforce their
intellectual initiative. But parents who see their children's
questions as a nuisance may stifle their initiative and
cause them to be too dependent on others and to be
ashamed of themselves.
• Imaginative play is the basic activity of this stage. The
preschooler explores and reenacts the different roles
and activities of people, both real (home life) and fictional
(often based on television).
9. Questions for discussion/
Reflection
• What are your views about
children acting out cartoon or action character
Give reasons for your view.
• Does violence portrayed on television
influence the attitudes and behaviour of
children who watch it?
10. • 6- PUBERTY-INDUSTRY VS INFERIORITY
• At the school-going stage, the child's world extends beyond the
home to the school. The emphasis is on academic performance.
There is a movement from play to work. Earlier the child could play
at activities with little or no attention given to the quality of results.
Now, he needs to perform and produce good results!
• The child soon learns that he can win recognition from parents,
teachers and peers by being proficient in his school work. The
attitudes and opinions of others become important. The school plays
a major role in the resolution of the developmental crisis of initiative
versus inferiority.
• If children are praised for doing their best and encouraged to finish
tasks then work enjoyment and industry may result. Children's
efforts to master school work help them to grow and form a positive
self-concept ... a sense of who they are.
11. • ADOLESCENCE- IDENTITY VS ROLE
CONFUSION
• Identity crisis
• The task of a feeling of identity. Consists
of three components:
• 1) Who am I?
• 2) To which groups do I belong?
• 3) What do I wish to achieve?
12. • EARLY ADULTHOOD- INTIMACY VS
ISOLATION
• Existential Question: Can I Love?
• The Intimacy vs. Isolation conflict is emphasized
around the age of 30. Young adults are still
eager to blend their identities with friends.
Erikson believes we are sometimes isolated due
to intimacy. We are afraid of rejections such as
being turned down or our partners breaking up
with us. We are familiar with pain and to some of
us rejection is so painful that our egos cannot
bear it.
13. • MIDDLE ADULTHOOD- GENERATIVITY VS
STAGNATION
• Existential Question: Can I Make My Life Count?
• Generativity is the concern of guiding the next
generation. Socially-valued work and disciplines are
expressions of generativity.
• The adult stage of generativity has broad application to
family, relationships, work, and society. “Generativity,
then is primarily the concern in establishing and guiding
the next generation... the concept is meant to include...
productivity and creativity”.
14. • LATER YEARS- INTEGRITY VS DESPAIR
• Is it Okay to Have Been Me?
• As we grow older and become senior citizens we tend to
slow down our productivity and explore life as a retired
person. It is during this time that we contemplate our
accomplishments and are able to develop integrity if we
see ourselves as leading a successful life. If we see our
life as unproductive, or feel that we did not accomplish
our life goals, we become dissatisfied with life and
develop despair, often leading to depression and
hopelessness.
• People look back on their lives.
15. Erik Erikson’s Stage Theory
Table 2.1,page 30 in Middleton
• This theory shows how the developing person adjusts to new demands from
the environment and from people in his or her life:
Approximate Age Developmental Task Psychological
Crisis/Outcome
Birth to 18 months Attachment to a reliable
and caring care giver.
Success leads to trust in
others, a lack leads to
mistrust.
Trust vs Mistrust
18 months – 3 years Gaining basic self control
of self and environment
(e.g. toilet training).
Success leads to feelings
of autonomy and
independence, but failure
leads to shame and doubt.
Autonomy vs Shame
16. Erik Erikson’s Stage Theory
Table 2.1,page 30 continued
Approximate Age Developmental Task Psychological
Crisis/Outcome
3-6 years Becoming purposeful and
directive. Children begin to
exert control over the
environment. Success will
lead to a sense of purpose,
but trying too hard will lead
to disappointment and guilt
Initiative vs Guilt
6- puberty Coping with demands of
schooling and relationships.
Success leads to feelings of
competence, but failure
leads to feelings of
inferiority
Industry vs Inferiority
17. Erik Erikson’s Stage Theory
Table 2.1,page 30 continued
Approximate Age Developmental Task Psychological
Crisis/Outcome
Adolescence Making the transition from
child to adult; developing a
sense of self and personal
identity. Success leads one
to stay true to oneself, but
failure leads to confusion
about roles and a weak
sense of self
Identity vs Role Confusion
Early Adulthood Forming intimate and
lasting relationships.
Success leads to strong
relationships, but failure
leads to isolation and
loneliness
Intimacy vs Isolation
18. Erik Erikson’s Stage Theory
Table 2.1,page 30 continued
Approximate Age Developmental Task Psychological
Crisis/Outcome
Middle Adulthood Fulfilling life goals that
involve family, career and
society; being concerned
about leaving a lasting
legacy for future
generations. Success leads
to feelings of achievement,
but failure leads to feelings
of uselessness
Generativity vs Stagnation
Later Years Looking back over one’s life
and accepting its meaning.
Success leads to feelings of
fulfillment, while failure
leads to despair and regret
Integrity vs Despair
20. What is personality?
• Prominent characteristics
• Kind, patient, fun, honest, helpful
(examples)
• Note that people identify their positive
characteristics first
• Differences help define identities
• And helps us understand similarities and
differences
21. Psychodynamic Approaches
• Freud was the first born in his family and
treated with speciality like having his own
room to study
• Trained as a medical doctor
• Became interested in people with
emotional disturbances
• Believed it to be caused by psychological
conflicts
22. Psychodynamic Approaches
• Suggested 3 levels of awareness in
humans:
• - the conscious- includes one’s
awareness
• - the pre-conscious- memories, thoughts.
can be easily brought into consciousness
• - the unconscious- which Freud felt was
the largest part of the personality, but
difficult to access
23. Psychodynamic Approaches
• The unconscious contains painful desires
and thoughts that we do not want to let
into conscious awareness
• The goal of therapy is to bring this to
consciousness so it can be processed and
dealt with
• Freud suggested 3 imaginary structures or
dynamics within a person, each with a
function:
24. Psychodynamic Approaches
• 3 structures: id, ego, superego
• Id: the part we are born with, largely
unconscious and contains instincts and drives.
Operates according to the pleasure principle and
seeks immediate relief of tension.
• Ego: the rational part of our personality. It finds
socially acceptable ways to get needs met.
Operates on reality principle and controls the
instincts.
25. Psychodynamic Approaches
• Superego: develops out of the interaction
between children and their care givers. In this
process children learns about right and wrong,
develop a conscious. Rules become
internalised.
• Relationship between the personality structures:
The id provides the energy, the ego provides
control and the superego’s need to behave
correctly is being controlled by the ego.
• Defence Mechanisms- page 79
26. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Erikson’s theory considers the way the
environment (both the family and broader
society) impacts on the individual’s
development.
• Helps determine their personality.
• The psycho-sexual theory also has an impact on
the personality of an individual.
• Freud stressed that the most important time for
development was from birth to puberty.
27. Developmental Approaches
Freud’s Psycho-Sexual Theory
• He felt that after puberty, there was no
significant development- that the core of the
personality is formed by five years of age.
• Freud understood the personality as being like a
closed system, with psychic energy called libido
moving around in the system and being invested
in different body parts as development
proceeds.
28. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Freud believed that life was built on tension and
pleasure.
• He also believed that all tension was due to the
build up of libido (sexual energy) and that all
pleasure came from its discharge.
29. Developmental Approaches
Freud’s Psycho-Sexual Theory
• If there are ‘unresolved psychic conflicts’ during
development, some of the libido gets ‘left behind’ in that
body part and the person is seen as stuck at a particular
stage of development.
• As a person grows physically certain areas of their body
become important as sources of potential frustration,
pleasure or both.
• 4 stages plus an intermediate period.
• Libido: sexual desire
30. Developmental Approaches
Freud’s Psycho-Sexual Theory
• The Oral stage (1st
phase)
• - 1st
stage
• - from birth to 18 months
• - libido is invested in the mouth
• - at this age, the mouth is used to eat with
• - also receive emotional nurturance from the mother
• -the mouth is also used to explore the world- putting all
kinds of things in their mouths
• - parents may try to stop this from happening
31. Developmental Approaches
Freud’s Psycho-Sexual Theory
• The Oral stage
• - oral activities thus
include feeding and biting
• - these form the basis for
character traits
• - this fixation can lead to
an oral dependence
• Dependent on others for
emotional and physical
needs
32. Developmental Approaches
Freud’s Psycho-Sexual Theory
• The Oral stage
• The oral aggressive person:
• - such a person can be gullible and commonly passive
• - also known to overeat and often smokes
• - on the other hand this may lead to an aggressive
person, who is often sarcastic and argumentative
33. Developmental Approaches
Freud’s Psycho-Sexual Theory
• The Anal stage (2nd
stage)
• - begins during the second year of life
• - the libido moves from the mouth to the anus
• - which then becomes the main source of
pleasure
• - and potential conflict
• - the beginning of toilet training represents the
first attempt to control the child’s impulses
34. Developmental Approaches
Freud’s Psycho-Sexual Theory
• The Anal stage
• - for the child, defecation can bring pleasure and/or pain
• - in that; the parents want to control the time and place this happens
• - children thus can either withhold or release their feces. This is
where potential conflict occurs
• - if not resolved, the child may develop either an anal-retentive
(when children retain feces) or an anal-expulsive personality
• - anal retentive people are commonly mean and controlling; they
may welcome pain
• - anal expulsive people (who does not successfully take control over
their sphincter) are hostile and explosive, messy, disorganised,
careless and enjoy giving pain
35. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Take a moment to think about yourself and
people you know. Can you identify elements of
the following personality? Write down the names
of the people you identify
• ORAL DEPENDENCE
• ORAL AGGRESSION
• ANAL RETENTIIVENESS
• ANAL EXPULSIVENESS
36. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Phallic stage (3rd
phase)
• - from 3-6 years of age
• - focused on the genitals which become the site for both
pleasure and conflict
• - children begin to explore their genitals. This is when
they discover the pleasure
• - may be scolded by care givers for it though it is a
natural behaviour
• - Greek tragedy- oedipus complex/electra complex
• - reflected in developmental stages
37. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Phallic stage
• - little boys may feel more fond of their mothers
• - may experience their fathers as competition
• - want the affection of their mothers
• - leads to conflicted feelings and guilt as boys do love their fathers
as well
• - is resolved by the boy identifying with his father and incorporating
the moral values of society
• - explains why individuals seek life partners who are similar to their
mothers/fathers
• - more applied to boys than girls (girls not applied to Freud’s theory
as e feels that girls did not develop such an superego as boys)
39. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Latency
• - period of quietness from age 7- puberty
• - when the child learns skills that are not related to
sexuality
• - this includes academic and sporting skills and peer
relations
41. Developmental Approaches
Freud’s Psycho-Sexual Theory
• Genital stage ( 4th
phase)
• - ‘rebirth’ of sexual drives
• - the same as in earlier childhood
• - sexual activity moves from being auto- erotic to seeking
gratification in relationships with others (of the opposite
sex)
• - leads to mature activity in sexual relationships and
general adult behaviour
• - the person now is able to love in a sexually approved
way and also to work productively in society
43. Humanist Approaches
• Maslow considered the father of
humanism.
• Interested in factors leading to personal
fulfilment and growth.
• Studied people who lived highly productive
lives.
• Believed that people are motivated to want
to live highly productive and happy lives.
44. Humanist Approaches
• People thus motivated to achieve needs.
• Lower needs must be satisfied before
progressing to next level…..DO YOU
AGREE???
46. References
• McLeod, S. A. (2008). Psychosexual Stages.
Retrieved from
http://www.simplypsychology.org/psychosexual.html
on 14 January 2015
• http://intropsych.mcmaster.ca/psych2b3/lectures/freu
. Retrieved on 14 January 2015
• Middleton, L. Nicholson, G. & O’Neill, V. Juta’s
Nursing Psychology. Applying Psychological
concepts to Nursing Practice.
• http://www.vtaide.com/blessing/ERIK1.htm.
• Marijose- PPP Template