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    NCM 117 Rle - Psychodynamic Therapy

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    Kate Angelique Rodriguez
    The document discusses the goals and factors involved in psychodynamic therapy. The goals are to provide a client-centered approach based on development, deepen understanding of a patient's history and how it relates to their current relationship with caregivers, and restore functioning by reducing anxiety and strengthening defenses. Predisposing factors include biological, environmental, and developmental influences. The document outlines theories of psychosocial, psychosexual, and cognitive development and how imbalances can weaken the ego and influence defense mechanisms. Precipitating factors and adaptive or maladaptive responses are also discussed.

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    NCM 117 Rle - Psychodynamic Therapy

    Uploaded by

    Kate Angelique Rodriguez
    89 views4 pages
    The document discusses the goals and factors involved in psychodynamic therapy. The goals are to provide a client-centered approach based on development, deepen understanding of a patient's history and how it relates to their current relationship with caregivers, and restore functioning by reducing anxiety and strengthening defenses. Predisposing factors include biological, environmental, and developmental influences. The document outlines theories of psychosocial, psychosexual, and cognitive development and how imbalances can weaken the ego and influence defense mechanisms. Precipitating factors and adaptive or maladaptive responses are also discussed.

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    NCM 117 RLE - PSYCHODYNAMIC THERAPY

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    The document discusses the goals and factors involved in psychodynamic therapy. The goals are to provide a client-centered approach based on development, deepen understanding of a patient's history and how it relates to their current relationship with caregivers, and restore functioning by reducing anxiety and strengthening defenses. Predisposing factors include biological, environmental, and developmental influences. The document outlines theories of psychosocial, psychosexual, and cognitive development and how imbalances can weaken the ego and influence defense mechanisms. Precipitating factors and adaptive or maladaptive responses are also discussed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    89 views4 pages

    NCM 117 Rle - Psychodynamic Therapy

    Uploaded by

    Kate Angelique Rodriguez
    The document discusses the goals and factors involved in psychodynamic therapy. The goals are to provide a client-centered approach based on development, deepen understanding of a patient's history and how it relates to their current relationship with caregivers, and restore functioning by reducing anxiety and strengthening defenses. Predisposing factors include biological, environmental, and developmental influences. The document outlines theories of psychosocial, psychosexual, and cognitive development and how imbalances can weaken the ego and influence defense mechanisms. Precipitating factors and adaptive or maladaptive responses are also discussed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    NCM 117 RLE - PSYCHODYNAMIC THERAPY

    Tuesday, 22 February 2022 7:29 am

    Psychodynamic Therapy Goals


    □ To provide choice of approach based on developmental considerations for clinical
    decision making -> important for us to provide active care to our client
    □ To deepen understanding about development and how the patient's history is re-
    enacted in the nurse-patient relationship -> history taking is vital for nursing and
    medical management
    □ To restore client's functioning, reducing anxiety, strengthening defenses, and more
    effective problem solving -> important to understand the person's dynamics for us
    to have the informed decisions about the treatment, development, anxiety,
    transference, countertransference, etc.
    *Psychodynamic therapy requires teaching and experience for us to attain the required
    competency

    Predisposing Factors

    Biological Factors - Body's physiologic processing


    ✓ Biochemical
    ✓ Age
    ✓ Gender
    ✓ Genetics
    ✓ Civil status
    ✓ Educational background

    Environmental Factors
    □ Extrinsic
    ➢ Sizable impact on person's health; affects medical decision making
    ✓ Socioeconomic
    ✓ Sociocultural
    ✓ Lifestyle (all aspects)
    □ Intrinsic
    ➢ Immediate members of the fam and significant others
    ✓ Relationship with Mother, Father, Siblings
    ✓ Relationship with Husband, Wife, Child

    Developmental Factors
    □ Psychosocial Theory
    ➢ Erik Erikson
    ➢ If people successfully deal w/ a conflict, they emerge from the stage with

    New Section 6 Page 1


    ➢ If people successfully deal w/ a conflict, they emerge from the stage with
    psychological strength that will serve them well for the rest of their lives
    □ Psychosexual Theory
    ➢ Sigmund Freud
    ➢ Freud believed that personality develops through a series of childhood stages in
    which the pleasure-seeking energies of the person will become focused on a certain
    erogenous area; erogenous areas consider the sensitive and most pleasurable area
    of the person
    □ Cognitive Developmental Theory
    ➢ Jean Piaget
    ➢ Suggests that children move through 4 different stages of mental development;
    focuses not only on the understanding how children acquire knowledge but also on
    understanding the nature of intelligence

    Imbalances, problems and concerns along the way / Disruption of the process and flow
    WEAKENED EGO

    As a direct and initial response, this will be used to protect the person's fragile ego
    PRIMARY APPRAISAL
    (EGO DEFENSE MECHANISM)

    Ego Defense Mechanisms


    □ Unconscious resources used by the ego to reduce the conflict between the ID and
    super ego
    □ Reflection on how an individual deals with conflict and stress

    ➢ Suppression
    ➢ Blackout
    ➢ Repression
    ➢ Denial
    ➢ Irritability
    ➢ Anger
    ➢ Sublimation

    New Section 6 Page 2


    ➢ Sublimation
    ➢ Projection
    ➢ Reaction formation
    ➢ Undoing
    ➢ Displacement
    ➢ Conversion
    ➢ Dissociation
    ➢ Identification
    ➢ Introjection
    ➢ Isolation
    ➢ Rationalization
    ➢ Regression

    PRECIPITATING FACTORS

    Noncompliance to medications
    Stressful life situations
    Conflict
    Crisis

    SECONDARY APPRAISAL
    □ Adaptive response
    ➢ Changes in the brain activity that are designed to maintain homeostasis and
    performance when possible
    ➢ Responses are individualized
    ✓ Verbalization of feelings
    ✓ Willingness to participate in medication regimen

    □ Maladaptive response
    ➢ Person cannot cope with their demands, crises and possibilities
    ➢ Maladaptive behaviors are those that stop the person from adapting to a new
    or difficult circumstance
    ➢ Start after a major life change, illness or traumatic event

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    ➢ Start after a major life change, illness or traumatic event
    ✓ Restlessness
    ✓ Hostility
    ✓ Depressed mood

    New Section 6 Page 4

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