Theoretical Foundations of Nursing: Theorists

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ABRAHAM MASLOW SIGMUND FREUD

❖ “One of the goals of education should be to ❖ “One day, in retrospect, the years of struggles
teach that life is precious” will strike you as the most beautiful”
❖ Humanistic Psychology and for his famous ❖ Sigmund Freud's work and theories helped
Hierarchy of Needs shape our views of childhood, personality,
memory, sexuality, and therapy.
1. Physiological Needs
⋅ Food Freud's Major Theories
⋅ Water ⋅ However, his ideas have become interwoven
⋅ Breathing into the fabric of our culture, with terms such as
⋅ Homeostasis "Freudian slip", "repression", and "denial"
appearing regularly in everyday language.
2. Security and Safety Needs ⋅ He also proposed that personality was made up
⋅ Financial security of three key elements, the id, the ego, and the
⋅ Health and wellness superego.
⋅ Safety against accidents and injury ⋅ Psychoanalytic theory suggested that
personality is mostly established by the age of
3. Social Needs five. Early experiences play a large role in
⋅ Friendships personality development and continue to
⋅ Romantic attachments influence behaviour later in life.
⋅ Family
⋅ Social groups 1) The Oral Stage Age Range: Birth to 1
⋅ Community groups Year Erogenous Zone: Mouth
⋅ Churches and religious organizations ⋅ During the oral stage, the infant's primary
source of interaction occurs through the mouth,
4. Esteem Needs so the rooting and sucking reflex
⋅ At the fourth level in Maslow’s hierarchy is the ⋅ Tasting and sucking.
need for appreciation and respect. 2) The Anal Stage Age Range: 1 to 3 years
⋅ Increasingly important to gain the respect and Erogenous Zone: Bowel and Bladder
appreciation of others. People have a need to Control
accomplish things and then have their efforts ⋅ Primary focus of the libido was on controlling
recognized. bladder and bowel movements.
⋅ Toilet training--the child has to learn to control
5. Self-Actualization Needs his or her bodily needs. Developing this control
⋅ "What a man can be, he must be," Maslow leads to a sense of accomplishment and
explained, referring to the need people have to independence.
achieve their full potential as human beings. 3) The Phallic Stage Age Range: 3 to 6
⋅ "It may be loosely described as the full use and Years Erogenous Zone: Genitals
exploitation of talents, capabilities, ⋅ Primary focus of the libido is on the genitals. At
potentialities, etc. Such people seem to be this age, children also begin to discover the
fulfilling themselves and to be doing the best differences between males and females.
that they are capable of doing... They are ⋅ The Oedipus complex describes these feelings
people who have developed or are developing of wanting to possess the mother and the desire
to the full stature of which they capable.” to replace the father.
⋅ Electra complex has been used to describe a
similar set of feelings experienced by young
girls. (Penis Envy)
4) The Latent Period Age Range: 6 to
Puberty Erogenous Zone: Sexual
Feelings Are Inactive
⋅ Develops social skills, values and relationships
with peers and adults outside of the family.
5) The Genital Stage Age Range: Puberty f) Psychosocial Stage 6 Intimacy vs. Isolation
to Death Erogenous Zone: Maturing ⋅ Early adulthood when people are exploring
Sexual Interests personal relationships.
⋅ Individual develops a strong sexual interest in ⋅ Erikson believed that a strong sense of personal
the opposite sex. This stage begins during identity was important for developing intimate
puberty but last throughout the rest of a relationships. Studies have demonstrated that
person's life. those with a poor sense of self do tend to have
less committed relationships and are more likely
to suffer emotional isolation, loneliness, and
depression.
ERIK ERIKSON g) Psychosocial Stage 7 – Generativity vs.
❖ Identity crisis Stagnation
⋅ During adulthood, we continue to build our
Psychological Development lives, focusing on our career and family.
a) Psychosocial Stage 1 Trust vs. Mistrust ⋅ Those who are successful during this phase will
⋅ Birth and one year of age feel that they are contributing to the world by
⋅ Because an infant is utterly dependent, being active in their home and community.
developing trust is based on the dependability Those who fail to attain this skill will feel
and quality of the child's caregivers. unproductive and uninvolved in the world.
b) Psychosocial Stage 2 Autonomy vs. Shame and
Doubt
⋅ Early childhood
⋅ Focused on children developing a greater sense
of personal control.
⋅ At this point in development, children are just
starting Psychosocial Stage 8 Integrity vs.
Despair
c) Psychosocial Stage 3 Initiative vs. Guilt
⋅ The third stage of psychosocial development
takes place during the preschool years.
⋅ At this point in psychosocial development,
children begin to assert their power and control
over the world through directing play and other
social interactions.
⋅ Capable and able to lead others or guilt, self-
doubt, and lack of initiative.
d) Psychosocial Stage 4 Industry vs. Inferiority
⋅ Age 5 to 11.
⋅ Develop a sense of pride in their
accomplishments and abilities. Children who are
encouraged and commended by parents and
teachers develop a feeling of competence and
belief in their skills. Those who receive little or
no encouragement from parents, teachers, or
peers will doubt their abilities to be successful.
e) Psychosocial Stage 5 – Identity vs. Confusion
⋅ Turbulent teenage years.
⋅ Developing a sense of personal identity which
will continue to influence behaviour and
development for the rest of a person's life.
⋅ During adolescence, children explore their
independence and develop a sense of self.

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