정신간호학1 1차시 정신간호학의 기본개념과 이론_v1-2
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19c : , ,
- - mens, : psyche, : mind
spirit - spiritum( ) ex) schizophrenia - phrenon( )
hystery - hysteron( ) Platon Aristoteles -
, ( )
(psychiatric mental health nursing)
- , ,
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(ANA, 2000)
- (use of self)
- , (mental health nursing) (psychosocial nursing)
- (1995)
, - , , , , , , , , , , .
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(Marie Jahoda) 6
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1.
,
Maslow -
Rogers -
2. , , (self-actualization)
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2)
(Marie Jahoda) 6
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3. (integration)
(self-determination), , , , ,
4. (autonomy)
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(Marie Jahoda) 6
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5. (reality perception)
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6. (environmental mastery)
, ,
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, , ,
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. (APA, 1994)
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(developmental stages and norms)
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- (family life cycle), , 3 Erikson .
(cultural relativism) -
- (tolerance)
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, - (ethnocentrism)
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1 ,2 - 2 1 , - 1 2 , 5 3 ( )
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, (Clinical Nurse Specialist; CNS) (Nurse Practitioner; NP) .
= (Advanced Practice Registered Nurse-Psychiatric-Mental Health; APRN-PMH)
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Slavinsky
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Slavinsky
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2
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. . . , , , . . .
1990 (National Alliance for the Mental Ill; NAMI)
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1.
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- (evidence-based practice)
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- .(Sackett et al., 1996)
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- Stetler (1998) 4 .
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- (evidence-based practice)
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( ) (practice gudlines)
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(practice gudlines)
(clinical pathway)
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(practice gudlines)
(clinical algorithms)
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2.
1) (psychoanalytic model)
19 20 (Freud) ,
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2.
1) (psychoanalytic model)
(psychoanalytic therapeutic process)
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(free association) .
, .
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2) (interpersonal model)
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, (Evans, 1966)
(nursing as an interpersonal process) , . ,
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2.
2) (interpersonal model)
(psychological mothering)
(participant observer)"
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3) (social model)
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(1961)
(Myth of Mental Illness)
1 , 2 , 3 2 3 ,
1
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3) (social model)
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, (consultation)
1 , 2 , 3 1 2 3
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2.
4) (existential model)
(sartre), (Heidegger), (kierkegaard), (buber)
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(alienation) (self-im-posed restrictions) . .
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4) (existential model)
(appreciation) ,
(common humanity)
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2.
5) (communication model)
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(Berne)
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2.
5) (communication model)
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(Transactional Analysis; TA)
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2.
6) (behavioral model)
- (H. J. Eysenck), (Joseph Wolpe), (J. Watson), (B. F. Skinner)
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2.
6) (behavioral model)
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6) (behavioral model)
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7) (supportive therapy model)
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(therapeutic alliance)
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, Selye .
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Stuart (Stuart Stress Adaptation Model of Psychiatric Nursing Care) , , , -
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(appraisal of stressor)
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(arousal) .
, vasopressin, oxytocin, insulin, epinephrine, .
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(appraisal of stressor)
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