Have you ever treated an adult patient who was acting like a child? Has one of your patients thrown a temper tantrum when he or she was under distress? Have you wondered what could have caused such behavior and how it should be managed? If you have, then this article should prove useful when creating a differential diagnosis and managing regression. Ms A, a year-old woman with panhypopituitarism complicated by diabetes mellitus, gastroparesis, diabetes insipidus, and hypothyroidism and schizoaffective disorder with a history of inpatient psychiatric admissions was admitted to a general hospital for worsening agitation, auditory hallucinations, and an inability to perform activities of daily living eg, feeding, toileting, and grooming. Her preliminary evaluation and laboratory workup were unremarkable for acute medical problems. During the psychiatric evaluation, Ms A repeatedly banged her head on her pillow while clutching a stuffed animal and endorsed auditory hallucinations that accused her of murder. She denied feeling depressed or having symptoms of mania. Her hair was in pigtails, and she appeared several years younger than her stated age. When her tension mounted, she threw pillows at the window and at the intravenous IV pole beside her bed while crying uncontrollably and pleading to go home.
WHAT IS REGRESSION?
Regression German : Regression , according to psychoanalyst Sigmund Freud , is a defense mechanism leading to the temporary or long-term reversion of the ego to an earlier stage of development rather than handling unacceptable impulses in a more adaptive way. The defense mechanism of regression, in psychoanalytic theory, occurs when an individual's personality reverts to an earlier stage of development, adopting more childish mannerisms. Freud saw inhibited development, fixation , and regression as centrally formative elements in the creation of a neurosis. Arguing that 'the libidinal function goes through a lengthy development', he assumed that 'a development of this kind involves two dangers — first, of inhibition , and secondly, of regression '. Neurosis for Freud was thus the product of a flight from an unsatisfactory reality 'along the path of involution, of regression, of a return to earlier phases of sexual life, phases from which at one time satisfaction was not withheld. This regression appears to be a twofold one: a temporal one, in so far as the libido, the erotic needs, hark back to stages of development that are earlier in time, and a formal one, in that the original and primitive methods of psychic expression are employed in manifesting those needs'. A fixation at the anal stage might result in excessive tidiness or messiness.
But it is important to be ruthlessly honest with yourself about how you feel about it. A Mormon wife will also want to bring the kids along, and that should be discussed and decided before marriage and before kids. My boyfriend is just going into his third year of med school. If we do, I will be back to share my experiences. Thanks so much for the links.
It's not fair to put words in her mouth and thoughts in her brain like this. From her summary, he just did not understand her dilemma at all. Personally, I like to have my own identity and not be defined by my attachment to Dr. My husband not only supports me going to church he encourages it because he knows that it is a part of me and makes me happy. I am willing to add his religious observances to our worship as a couple and as a family, but should I also be willing to give up some of my participation in my own faith в for example by attending the temple or Sunday services slightly less often in order to spend more time as an entire family. Ragonk If you don't get it, never mind. Would she be okay with never being married in the temple. The city we will be living in for his residency is expensive as he is getting into a wonderful program. Most want nothing to do with the church. It really can be that simple.