It is proposed that when gone up against with unpleasant and excruciating circumstances or of profound sentiments originating from the id of which we might feel profoundly embarrassed, we put/push these "beyond reach" musings and thoughts into our subliminal trying to overlook about them as well as that we have ever experienced them.
The subliminal personality and its sentiments, thoughts and issues might surface when we are defied with a circumstance, which has similarity, maybe, to a past despondent and uncertain issue. This produces profound pain and now and then further improper conduct. This may show in straight to the point emotional instability gloom, uneasiness, dream and psychosis
5. 5
Valvetta Mcgee-hudson -Who
Has Mental Health
We all miss the mark to some degree.
Along these lines, backers of psychological
well-being trust that a wide scope of emotional
wellness administrations ought to be accessible
to all inclusive community, not simply truly
rationally sick.
6. Valvetta Mcgee-hudson -Mental
Illness
A mental disorder or condition
manifested by disorganization and
impairment of functions that arises
from various causes such as
psychological, neurobiological and
genetic factors.
7. 7
The Classification of Mental Illness:
The Neuroses
usually the patient retains insight and orientation; they
experience deep distress and may commit suicide as
depression
The Psychoses
(the patient is disorientated, deluded, and lacking in
insight) e.g. Schizophrenia, puerperal psychosis
The Dementias
Progressive deterioration with loss of recent memory and
deterioration of a normal personality,
They may be primary or more commonly secondary to
another condition e.g. alcohol, stroke
9. Classification of Mental Illnesses
The Diagnostic and Statistical Manual of
Mental Disorders, 4th Edition, Text Revision
(DSM-IV-TR).
Diagnostic criteria are listed for each of the
psychiatric disorders.
A multiaxial system- people are evaluated
from multiple aspects or points of function.
10. Population at Risk for Mental
Illness
1. Familiar or genetic predisposition to
mental illness
2. Poor access to health care
3. Misusing substance
4. Undergoing lifestyle changes
5. Victims of violence
6. Elderly poor
14. Psychiatric Nursing
Psychiatric nursing or mental health
nursing is the specialty of nursing that cares
for people of all ages with mental illness or
mental distress.
An interpersonal process that promotes
and maintains behavior that contributes to
integrated functioning
15. What do psychiatric nurses do?
Ensure safety and security
Care for biophysical needs
ADL’s
Nutrition, exercise
Medication management
Assist in creating a healthy social world
increase self-awareness by:
* Discussion,
*Experience
* Role play
17. Dynamics of Human Behavior
Behavior – the way an individual reacts to a certain
stimulus
Conflict – situation arising from the presence of two
opposing drives
Need - organismic condition that requires a certain
activity
Stress – life events in which a demanding situation
taxes a person’s resources as coping mechanisms
Adaptation – process of interacting with the
environment to maintain homeostatic equilibrium
Maladaptation – ineffective coping
18. Dynamics of Human Behavior
cont.
Personality – integration of systems and
habits representing an individuals
characteristic and adjustment to his
environment expressed through behavior
19. 19
Personality
Every person is
special
We all have distinctive
identities
My identity reflects
hereditary legacy and
Environment
20. 3 divisions of the mind
Conscious – focused on awareness
Subconscious – recalled at will
Unconscious – never recalled / largest part
Learning – change in behavior through – insight ,
relearning and remotivation
There are several well known factors which determine mental illness
Infections -Syphilis, HIV
Trauma-post head injury
Neoplasms-Brain tumours may present with personality change and mental distress
Genetics-Huntington’s chorea and dementia
Vascular-post stroke or intermittent arterial embolism
Drug abuse-Korsakoff’s psychosis in chronic alcoholics
but often there is no obvious cause
It is increasingly recognised that mental illness is a chronic and relapsing condition and that treatment may,in consequence be for months, years or even for life.
Previously many patients spent weary years in long-stay care-the mental asylums. They became institutionalised. There was no effective therapy and they were simply looked after in a simple routine, the worst of their symptoms often “burned out’ but by that time they had lost all contact with family, friends ,work etc.
Now many more patients can be cared for in the community after discharge from hospital. They may never need hospital admission or attend day hospital as part of therapy. Community care is expensive in the professional time and effort to look after patients in a social setting rather than an institution. There are more demands upon friends, family and social services but the results are much better. Long term medication, supervised therapy and intense rehabilitation all play their part.
Medication:Anti-depressants, anti-psychotics, anxiolytics, mood stabilisers
Electro-convulsive therapy (ECT)
Psychotherapy-individuala nd group,Psychoanalysis
Psychosurgery-Prefrontal leucotomy, temporal lobe surgery
Mental illness is preventable, mental illness can be effectively treated
The social networks are important in
Primary prevention;
Having a home, being married, having work, friends,beliefs
-a positive self image
Secondary prevention;
early diagnosis,effective treatment, community support
Tertiary prevention;
long term management and care in the community
Personality will be reflected in behaviour and predilection to a particular mental state.
E.g. Introvert/Extrovert
Practical men and Visionaries
Idle and industrious
Thinkers and Doers
It is possible to do a Personality inventory and classify human beings quite accurately into their predominant personality type and to predict their preferred mode of behaviour in a particular set of circumstances
Why do we behave as we do-the range of human behaviour from Ape to Angel?
Is this a consequence of our innate personality, the situation in which we are with its pressures for uniformity or expectation.(Doctors are expected to stay calm and assert authority in very frightening situations), or previous experience and our own free choice?
To what extent are we influenced by our subconscious mind and by the great stories, ideas and myths of the world? E.g. Good versus Evil
Sigmund Freud,(1856-1939) a man whose ideas still ring controversially and passionately round the world suggested that there are three components in our make -up.
The super-ego (The parent figure) the ideal behaviour we strive for, rational, kindly, moral,thoughtful, logical, just ,fair……..
The ego (The adult figure) reality, a bit messy, trying to make sense of things, sometimes doing evil by mistake when trying to do good, frail and making mistakes but trying again.
The Id (the child) the uncontrolled fun loving primitive, full of lusts and instincts, demanding instant gratification, selfish, poor attention span
It is postulated that when confronted with stressful and painful situations or of deep feelings coming from the id of which we may feel deeply ashamed, we place /push these “off limits” thoughts and ideas into our subconscious in an attempt to forget not only about them but also that we have ever experienced them.
The subconscious mind and its feelings, ideas and problems may surface when we are confronted with a situation, which has resemblance, perhaps, to a previous unhappy and unresolved problem. This produces deep distress and sometimes further inappropriate behaviour. This may manifest in frank mental illness-depression, anxiety, delusion and psychosis