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10 Cards in this Set

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The Psycho-Social History Content
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
Freud: Life Force vs. Death Instinct
Life Force
-leads to healthy habits
-health promotion & disease prevention

Death Instinct
-leads to destructive habits
-lack of cooperation with treatment
PSYCHOSOCIAL DEVELOPMENT
Stage I:
Trust vs. Mistrust
Birth - Age 1
Can I trust Life?

Clinical Application:
-trust in health/health care practitioner
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
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
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
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
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
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
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