Psychoanalysis - Topographical Theory of Mind - Psychiatry
Apr 28, 2023
Psychoanalysis is an essential part of understanding the human mind and its complexities. It helps in the assessment and treatment of various psychological and psychiatric disorders. It provides insights into the patient's psyche and helps psychiatrists gain insight into the patient's unconscious mind and past experiences, which can help develop an effective treatment plan.
In this blog we’ll cover the topographical theory of mind by Sigmund Freud and Delirium. Read on.
INTRODUCTION
Given by Sigmund Freud (Father of Psychoanalysis)
Childhood experiences and unconscious internal conflicts are responsible for development of psychiatric disorders.
TOPOGRAPHICAL THEORY OF MIND (ALSO GIVEN BY SIGMUND FREUD)
Three components of Mind
Conscious (All those things we are aware of)
Preconscious (Things that we can recall by putting some efforts)
Unconscious (Things that we cannot recall)
Proposed Ways by Sigmund Freud Of Moving Unconscious Things to Conscious Mind
Free association (Patient is asked to speak whatever is coming in his mind putting any filter)
Interpretation of dreams (Dreams are The Royal Road to the Unconscious)
Abreaction- Recall of memory with release of emotions - usually seen in psychoanalysis.
STRUCTURAL THEORY OF MIND- GIVEN BY SIGMUND FREUD
ID: Instincts, pleasure principle
Ego: Reality principle
Superego: Moral principle
Defense Mechanisms
These are mechanisms used by ego to prevent buildup of exercise anxiety. They are unconscious)
Displacement
Transfer of emotions from one individual to another (Primary defense mechanism used in Phobia)
Reaction Formation
Transforming an impulse into its exact opposite behavior. Eg. beating other couples on valentine day because girlfriend refuses to go with you
Isolation of Affect
Removing feeling association with a stressful event.
Undoing
An act to nullify the previous act
Aim Inhibition
Accepting partial fulfillment of desire. Student desires to become doctor but due to failed NEET attempt chooses to be vet- doctor.
All these defense mechanisms are used in the development of OCD.
PSYCHOSEXUAL STAGE OF DEVELOPMENT (SIGMUND FREUD)
Oral stage (0-1.5 years/18 months)
Anal stage (1.5 yrs. – 3 yrs.): Fixation at anal stage results in OCD according to Sigmund Freud.
Phallic Stage (3 yrs. – 5 yrs.)
Oedipus Complex: Male child develops sexual feeling towards the mother and develops aggression towards the father - this complex resolved when child makes the father as role model
Electra Complex (Same with female child)
Neurosis
Latent Stage (5-12 yrs) focused on learning and gaining skills
Genital Stage (12 years till young adulthood)
MENTAL HEALTH CARE ACT, 2017
Advanced Directive: Way he wishes to be treated/ not treated for a mental illness; in case he loses capacity to take mental health care decisions in future.
Nominated Representative: Assign a person for the responsibility to take care of yourself.
Ban on Direct ECT (No use of anesthesia and muscle relaxants), Govt. has banned all types of (direct, indirect) ECT in minors. Ban on ECT in minors (Can be done by taking permission from a Mental Health Review Board)
Ban on psychosurgery (Can be done by taking permission from a Mental health review board)
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