Psychiatric Department
adult ?
Elementary differences
Child :
have the character of egocentricly, everything
evaluated by the child pursuant to importance
of himself
sexual apparatus hadnt been formed finely;
event that had the sexual character will be
interpreted as something that have the
pregenital character
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3.Childs personality s
influenced
by environmental factor; existence of the
change in environment or family will result
in child experienced a larger changes again
himself
4. Child express his feeling & fantasy
through games or by playing
5. If the obtained symptom come from
environment or family, the involved family
member better engaged
family
therapy or environmental manipulation
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emotional atmosphere
influence in
forming personality, especially below 5-6 years
old
2.Child step by step performs the forming of
personality to adult personality by elements
since he was born & environmental situation
plays a part in growth & maturation of later
personality
mental disorders
* Child & adolescent psychiatry
psychiatry
family
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Child Development
Born with intrinsic factor :ability & potency
boundary
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Jerschildt
Psycho affective Development
Stella Chess
Psychomotor Development
Kohlberg
Moral Development
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Conscious
attention cathexis
Preconscious
hypercathexis
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Preconscious
Unconscious
Conscious
elements
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CONSCIOUS
Id
SUPEREGO
CONSCIOUS
EGO
UNCONSCIOUS
UNCONSCIOUS
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SUPEREGO
EGO
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1.Id
reservoir of unorganized instinctual
drives
primary process thinking
pleasure principal
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2. Ego
spans all 3 topographical dimensions
of conscious, preconscious &
unconscious
Executive organ of the psyche &
controls motility, perception, contact
with reality
Reality principle
secondary
process thinking
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3. Superego
Moral conscience: ideals & values internalized
from parents
Children internalized parental values &
standards at 5-6 years old
Ego ideal : what a person should do &
shouldnt do
Through out the latency period , children
continue to build on early identifications
through air contact with admired figures,
formation of moral standards, aspirations &
ideals
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Stages of Psychosexual
Development
Oral stage : birth- 18 months
Anal stage : 18-36 months
Urethral stage
Phallic stage : 3-5 years
Latency stage : 5-6 years-11-13 years
Genital stage : 11-13 years-reaches young
adulthood
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Objectives
to establish
a trusting dependence on nursing & sustaining
objects
comfortable expression & gratification of oral
libidinal needs without excessive conflict or
ambivalence from oral sadistic wishes
Pathological traits : excessive optimism, narcissism,
pessimism, dependent, envy & jealousy
Character traits: capacities to
give & receive from others without dependence,
envy
rely on others with a sense of self-reliance & self
trust
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feces
Toilet training
Anal erotism : sexual pleasure in anal functioning:
retaining the precious feces & presenting them as a
precious gift to the parent
Ambivalence
Anal sadism : feces : powerful & destructive weapons
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Urethral Stage
stage
Urethral erotism : pleasure in urination &
retention
Pathological trait s : competitiveness,
ambition, development of penis envy
Character traits : budding gender identity &
subsequent identifications
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Character traits:
foundations for an emerging sense of sexual
identity, sense of curiosity without
embarrassment, initiative without guilt
Regulation of drive impulses & direction to
constructive end
Internal source of regulation is superego; based
on identifications derived primarily from
parental figures
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drive
Primarily homosexual affiliations for boys
& girls
Sublimation of libidinal & agressive
energies into learning, play activities,
exploring environment
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Objectives:
further integration of oedipal identification
consolidation of sex-role identity & sex roles
mastery skills
Character traits
Essential basis for a mature adult life of
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