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10 Cards in this Set
- Front
- Back
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The Psycho-Social History Content
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Age
Home Life Education Occupation SES/Financial Stress Family History Social History Sexual History Habits (past & current) Religious/Cultural Preferences Support System Mental Status Exam |
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Freud: Life Force vs. Death Instinct
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Life Force
-leads to healthy habits -health promotion & disease prevention Death Instinct -leads to destructive habits -lack of cooperation with treatment |
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PSYCHOSOCIAL DEVELOPMENT
Stage I: |
Trust vs. Mistrust
Birth - Age 1 Can I trust Life? Clinical Application: -trust in health/health care practitioner |
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PSYCHOSOCIAL DEVELOPMENT
Stage II: |
Autonomy vs. Shame/Doubt
Ages 1-2 Can I trust that I can control my body? Clinical Application: -Toilet training(don't shame) -Depression/Anxiety -Eating Disorders -Trust in treatment process & body’s healing ability |
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PSYCHOSOCIAL DEVELOPMENT
Stage III: |
Initiative vs. Guilt
Ages 2-6 Can I trust in my own thoughts/ideas? Clinical Application: -Illness not child’s fault (not bad) -Lack initiative to make appointment until absolutely necessary -Lack initiative to change lifestyle |
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PSYCHOSOCIAL DEVELOPMENT
Stage IV: |
Stage IV: Industry vs. Inferiority
Ages 6-12 Can I trust in my social skills? Clinical Application: Social Anxiety -Patients may lack social skills -Directive interviewing |
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PSYCHOSOCIAL DEVELOPMENT
Stage V: |
Identity vs. Role Confusion
Ages 12-Young Adult/Early 30s Can I adjust to change? Can I make my life roles work/fit? Clinical Application: -Sick role/Secondary gains -Illness/injury damaging to identity/sense of Self -Role of Culture |
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PSYCHOSOCIAL DEVELOPMENT
Stage VI: |
Intimacy vs. Isolation
Young Adult - 35/Mid-life Can I form true connections? (from behind external roles) Clinical Application: -Relationship Issues Support System |
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PSYCHOSOCIAL DEVELOPMENT
Stage VII: |
Generativity vs. Stagnation
Mid-life - Old Age Can I leave a true mark on the world? (“immortality project”) Clinical Application: -Retirement (meaning, depression, etc.) -Physical aging -Pending death can be motivational |
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PSYCHOSOCIAL DEVELOPMENT
Stage VII: |
Ego Integrity vs. Despair
Old Age - Just Before Death Can I trust death? Did I achieve true purpose in my life? Clinical Application: -Geriatric Medicine -Depression -End of Life Issues |
