Conceptual Models in Psychiatric Nursing
Conceptual Model Concepts defined in the model Causes of mental illness Nursing activities based on model
Psychoanalytic All behavior has meaning Unconscious conflict Defense mechanisms
(Freud) Levels of consciousness Therapeutic alliance
Parts of the personality Focus: Past relationships Theories help to understand adult behavior
Therapeutic tools: r/t id, ego, superego and stages of
free association, dream analysis,
development and levels of consciousness
transference, defense
mechanisms
Psychosexual stages of
development ends at 21
Long term , reconstructive
Psychosocial stages of Patient may not fully resolve Knowledge of the tasks of each stage helps to
Psychosocial a maturational crisis better understand an individual
development
(Erikson) Patients may regress to an Understand regression during illness
“Normal” developmental crisis
earlier developmental stages
at each stage of development
during an illness (physical or
Stages of development continue psychiatric)
throughout the life span
Interpersonal Relationships and Specific problematic Nurse Patient Relationship
how it impacts behaviors come as a result of “Corrective emotional experience”
Interpersonal
self-esteem previous interpersonal “Therapeutic use of self”
(Sullivan, Peplau)
role transitions relationships Levels of anxiety and nursing actions
anxiety
Focus: Specific interpersonal
problems
A-1
Conceptual Model Concepts defined in the model Causes of mental illness Nursing activities based on model
Psychoanalytic All behavior has meaning Unconscious conflict Defense mechanisms
(Freud) Levels of consciousness Therapeutic alliance
Parts of the personality Focus: Past relationships Theories help to understand adult behavior
Therapeutic tools: r/t id, ego, superego and stages of
free association, dream analysis,
development and levels of consciousness
transference, defense
mechanisms
Psychosexual stages of
development ends at 21
Long term , reconstructive
Psychosocial stages of Patient may not fully resolve Knowledge of the tasks of each stage helps to
Psychosocial a maturational crisis better understand an individual
development
(Erikson) Patients may regress to an Understand regression during illness
“Normal” developmental crisis
earlier developmental stages
at each stage of development
during an illness (physical or
Stages of development continue psychiatric)
throughout the life span
Interpersonal Relationships and Specific problematic Nurse Patient Relationship
how it impacts behaviors come as a result of “Corrective emotional experience”
Interpersonal
self-esteem previous interpersonal “Therapeutic use of self”
(Sullivan, Peplau)
role transitions relationships Levels of anxiety and nursing actions
anxiety
Focus: Specific interpersonal
problems
A-1