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this is psych lesson 1 for pnu 128
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Lect # 1 Historical & Physiological Lect # 1 Historical & Physiological overview overview Videbeck chapters 1,2,3 & 4 Videbeck chapters 1,2,3 & 4
No universally accepted definitionNo universally accepted definition Depends on society and cultural normsDepends on society and cultural norms ex. killing in our country is not ex. killing in our country is not allowed unless sanctioned by the government allowed unless sanctioned by the government war, death penalty war, death penalty
Autonomous & independent as adultAutonomous & independent as adult Constant self-growth and strive for self -Constant self-growth and strive for self - actualization actualization Tolerate stress and ambiguities of life –Tolerate stress and ambiguities of life – how did Ihow did I get here? what am I doing here? where am I going ?get here? what am I doing here? where am I going? (^) Oriented to realityOriented to reality Self-esteem - aware of abilities and weaknessesSelf-esteem - aware of abilities and weaknesses and accept them and accept them able to interact with family and createable to interact with family and create friendships friendships
Prior to modern times (prior to 1790’s) mentally illPrior to modern times (prior to 1790’s) mentally ill treated were dehumanized thus treated with cruelty treated were dehumanized thus treated with cruelty & confinement & confinement Believed to be possessed or punished for sinsBelieved to be possessed or punished for sins ex. ex. Ship of fools Ship of fools burned at stake burned at stake used as attraction for fairs and circuses used as attraction for fairs and circuses
(^) When humans dehumanize other humans we can do whatWhen humans dehumanize other humans we can do what we want to them because our super-ego will not kick in. we want to them because our super-ego will not kick in. ex. Psyc pts were seen as sub-human allowing them to be ex. Psyc pts were seen as sub-human allowing them to be treated as animals treated as animals During war the enemy must be dehumanized so we During war the enemy must be dehumanized so we can kill and maim them without guilt can kill and maim them without guilt ex. Vietnamese were called “gooks” during Vietnam ex. Vietnamese were called “gooks” during Vietnam
(^) Come to therapeutic relationship with no prejudices orCome to therapeutic relationship with no prejudices or expectations of how you think the pt should beexpectations of how you think the pt should be (^) Respect client no matter what their HxRespect client no matter what their Hx (^) We are not neutral with our kids, we raise our kids to be who weWe are not neutral with our kids, we raise our kids to be who we would like them towould like them to (^) We assist pts to be who they want to be!! not what we want themWe assist pts to be who they want to be!! not what we want them to be,to be,^ unless they are going to harm themselves or othersunless they are going to harm themselves or others (^) Probably the most difficult concept in psychiatryProbably the most difficult concept in psychiatry
Demonstration that none of us are neutralDemonstration that none of us are neutral write down first thought that comes to mind write down first thought that comes to mind after I say two groups of words after I say two groups of words
PhysiologicalPhysiological – 0– 0 22 ,, HH 22 0, food, sleep0, food, sleep (^) SafetySafety - of body, health, family, property- of body, health, family, property Love/belongingLove/belonging – friendship, family, sexual– friendship, family, sexual intimacy intimacy EsteemEsteem – self- esteem, confidence, respect– self- esteem, confidence, respect from from othersothers Self-actualizationSelf-actualization – all above needs are met,– all above needs are met, person has reached their full potential, accepts an person has reached their full potential, accepts an imperfect world, most people never achieve this imperfect world, most people never achieve this
( (Irwin Yalom)Irwin Yalom) Education and learningEducation and learning Inspiration and hopeInspiration and hope SocializationSocialization Acceptance and belongingAcceptance and belonging Universality –Universality – one is not only one with problemone is not only one with problem Insight –Insight – into problems and how behaviorsinto problems and how behaviors effect otherseffect others
Insulin Coma therapyInsulin Coma therapy - rested the mind- rested the mind (^) Frontal lobotomiesFrontal lobotomies – drill or ice pick used to– drill or ice pick used to obliterate “aggressive drive” part of frontal lobe obliterate “aggressive drive” part of frontal lobe Hydro-therapyHydro-therapy – water or ice used to calm an– water or ice used to calm an agitated pt agitated pt ECTECT – Electro Convulsive Therapy electricity– Electro Convulsive Therapy electricity put into brain, people with sz disorders were put into brain, people with sz disorders were thought to have less psychosis currently used thought to have less psychosis currently used to treat depression to treat depression
(^) Meds worked wellMeds worked well (^) Psyc hospitals were expensivePsyc hospitals were expensive (^) Care in psyc hospitals was considered substandardCare in psyc hospitals was considered substandard (^) Pts d/c to community – with insufficient supportPts d/c to community – with insufficient support (^) other problems createdother problems created
