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.
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. Freud recognised that 'it is possible for several fixations to be left behind in the course of development, and each of these may allow an irruption of the libido that has been pushed off — beginning, perhaps, with the later acquired fixations, and going on, as the lifestyle develops, to the original ones'. Ernst Kris supplements Freud's general formulations with a specific notion of "regression in the service of the ego" Carl Jung had earlier argued that 'the patient's regressive tendency
WHAT IS REGRESSION?
I can relate to this post. If we can say them together, great; if not. Many others have asked the same question in the past so you may want to find those and read the responses there.
He is doing 2nd year Residency. If you remain active, Church service is very demanding of our lives в not a Sunday thing. The thing is I didn't want to marry someone who I'd never see or spend time with. Since internship started, I always feel disappointed with my fiance'. The Holy Ghost will testify that it is true. Then an explanation of the nature of your soul and where it came from and where it's going. I love my former Mormon friends and family, but a relationship requires devotion and trust and understanding. I knew a couple in my last ward who got married in their mid 20's.