Professional Documents
Culture Documents
Serotonin
a neurotransmitter found only in the brain, is derived from tryptophan, a
dietary amino acid. The function of serotonin is mostly inhibitory, and it is
involved in the control of food intake, sleep and wakefulness,
temperature regulation, pain control, sexual behavior, and
regulation of emotions.
Histamine
the role of histamine in mental illness is under investigation.
It is involved in peripheral allergic responses, control of gastric secretions,
cardiac stimulation, and alertness.
Some psychotropic drugs block histamine, resulting in weight gain,
sedation, and hypertension.
Acetylcholine
is a neurotransmitter found in the brain, spinal cord, and peripheral
nervous system, particularly at the neuromuscular junction of skeletal
muscle.
It can be excitatory or inhibitory.
It is synthesized from dietary choline found in red meat and vegetables and
has been found to affect the sleep- wake cycle and to signal muscles
to become active.
Alzheimers disease have decreased acetylcholine- secreting
neurons, and people with myasthenia gravis ( a muscular disorder, causes
muscle weakness).
Glutamate
is an excitatory amino acid that at high level can have major neurotoxic
effects.
Glutamate has been implicated in the brain damage caused by stroke,
hypoglycemia, sustained hypoxia or ischemia, and some degenerative
diseases such as Huntingtons or Alzheimers.
Cognitive Framework
Focuses on distorted or negative thought pattern that lead to
maladaptive or symptomatic feelings and behaviors.
a. Distorted thinking leads to and perpetuates maladaptive behaviors.
b. Certain common thought patterns can be identified as misconceptions.
Patterns of thinking are learned, become automatic, and
significantly affect a persons feelings and behaviors.
The amount of perceived control over a situation affects how an
individual responds to stressors and problems.
Application to Nursing
1. The nurse assesses the clients thought patterns and identifies
misperceptions.
2. The nurse encourages the client to assume responsibility for his behaviors
and fosters awareness of the effect of negative thinking on feelings about
self-image.
3. The nurse uses cognitive techniques in intervention strategies.
COGNITIVE THEORY BY: JEAN PIAGET (1896-1980)
Explore how intelligence and cognitive functioning develop in
children.
He believed that human intelligence progresses through a series of
stages based on age, with the child at each successive stage
demonstrating a higher level of functioning than at previous stages
Piaget strongly believed that biologic changes and maturation were
responsible for cognitive development.
Cognitive Theory
does not specifically address mental illness and treatment, it has
various applications.
a. Understanding the way an individual thinks enables the nurse to
communicate in an age-appropriate manner.
b. Nursing interventions can be adapted to the individuals cognitive level.
The nurse can select teaching strategies according to the clients
age-appropriate cognitive processes.
Ex. The nurse can use dolls or toy medical equipment to try to
explain surgery to a pre-schooler who is about to undergo surgery.
( to relieve anxiety)
PIAGETS COGNITIVE THEORY:
1. Sensorimotor stage: BIRTH to 2 YEARS, The child develops a sense of
self as separate from environment and concept of object permanence; that
is tangible objects do not cease to exist just because they are out of sight.
He or she begins to form mental images.
2. Pre-operational stage : 2 to 6 years: The child develops the ability to
express self with language, understands the meaning of symbolic
gestures, and begins to classify objects.
Freud believed the SELF or EGO, uses ego defense mechanisms, which are
methods of attempting to protect self and cope w/ basic drives or
emotionally painful thoughts, feelings, or events.
COMMON DEFENSE MECHANISMS:
1. Repression =excluding emotionally painful or anxiety provoking
thoughts & feelings from conscious awareness.
Ex. A woman has no memory before age 7, when she removed from
abusive parents.
2. Projection = attributing ones own feelings or wishes (w/c are
unacceptable to oneself) to another person.
Ex. A frightened client lashes out (scolding) at the nurse, saying the
nurse is timid, fearful person and should not be in the role of nurse.
3. Reaction Formation= acting the opposite of what one thinks or
feels.
Ex. Woman who never wanted to have children becomes a supermom.
4. Displacement = ventilation of intense feelings toward persons
less threatening than the one who aroused those feelings.
Ex. Person who is mad at the boss yells at his or her spouse.
5. Identification = modeling actions and opinion of influential others
while searching for identity, or aspiring to reach a personal, social or
occupational goal.
Ex. Nursing student becoming a critical care nurse bec. This is the
specialty of a clinical instructor she admires.
6. Denial = failure to acknowledge an unbearable condition, failure
to admit the reality of a situation.
7. Undoing = exhibiting acceptable behaviour to make up for or negate
unacceptable behaviour.
Ex. Person who cheats on a spouse brings the spouse a bouquet of roses.
8. Sublimation = substituting a socially acceptable activity for an impulse
that is unacceptable.
Ex. Person who quit smoking sucks on hard candy when urge to smoke arises.
Cave's Eclectic Theory believes that both sexual and social stimuli are
responsible for the child's development. In the early years one learns about
his or her sexuality and how it relates to those around them. As sexual beings
we explore and experiment within our own social structures.
If children are not allowed to explore,
PSYCHOSPIRITUALITY
The word Psychiatric comes from two Greek words :
Psyche = Soul
Iateria = healing
Healing of the soul.
Psyche has a variety of meaning:
The breath of life
The seat of feelings and emotions
The part of humans that transcends the earthly
Spirituality = means the things beyond mere biologic existence.
spiritual concerns are considered when advanced directives and
quality of life issues are considered.
According to Jung (1980) = most people will agree, however, that
spirit means something not material, which gives life, dept, and
meaning to existence.