V.

Psychodynamics

A. Tabular Presentation

ETIOLOGIC FACTORS
Predisposing Specific Factors Rationale
Factors present
Biologic Factors
1. Genetic  (+) mental  Having a close relative with
Factors illness of a psychiatric disorder is
Maternal side usually the most predictable
(Aunt and risk factor for developing
Uncle) that disorder, but a
relationship in inevitable.
(www.psychologytoday.com)
Familial Factors
1. Parents  Emotionally  The quality of the infant-
relations attached parent attachment is a
powerful predictor of a
child’s later social and
emotional outcome.
(https://ncbi.nlm.nih.gov)
 Inappropriate  Inappropriate ways to punish
way of kids are very distractive and
discipline cause serious damage to the
growth and development of
children.
(www.indiaparenting.com)
 Decrease  A child who has decrease
paternal paternal relations have more
relations due difficulties with social
to father’s adjustment and are more
condition. likely to report problems with
(paralyzed) friendship and manifest
  Not enough behaviour problems.
family (https://www.psychologytoda
bonding y.com)
2. Parental  High tempered  Yelling at children is not a
(Father) good thing, yelling comes
with verbal putdowns and
insults can be qualified as
emotional abuse it’s been
shown to have long terms
effects, like anxiety, low self-
esteem, and increase
aggression.(https://www.healt
hline.com)
 Idealistic  Ideals of parents may play a
role in the development of the
children’s autonomy. Each
shows that abstract and
complex ideals of parents are
most likely to enhance the
childs autonomy.
(https://onlinelibrary.wiley.co
m)
 Less family  Not spending enough quality
time time with the child can have
detrimental effects on his
bond with the parent, his
well-being and his school
success.(https://www.livestro
ng.com)
3. Siblings  Large age gap  With a larger age gap they
have different interest and
different focuses at any time
and are less likely to compete
 over things.
(https://www.bellybelly.com.
au)
 Not  Taking them away from their
emotionally attachment figures disturbs
attached the development process
resulting in serious emotional
and social problems.
3. Relatives  Patient has a  Communicating effectively
fine each other are important
relationship ways to strengthen families
with his and build positive
relatives relationship.
(https://www.kidsmatter.edu.
au)
Emotional/Psychosocial Factors
1. Prenatals  (+) prenatal  Regular prenatal care
check up improves the chances of
healthy pregnancy and it
detects abnormal
development of a growing
fetus.
 (-)  There would be no
developmental developmental problems
problems determined for a child who is
completely cared by the
mother especially during
regular prenatal care.
 (+) ingestion  It may affect the child’s
of unapproved developmental growth.
herbal meds
 (+) planned  Making plan of a child’s
birth birth would help in looking
 forward of the future
outcomes.

2. Infancy  Breastfed until  Breastfeeding is good the

3 years old child’s brain. Research
shown us that babies that are
breastfed for any amount of
time score higher on
cognitive testing, receptive
communication and fine
motor test than children who
weren’t breastfed.
(http://www.babygaga.com)
 Adequate  Effective bonding requires
mother and that newborn baby and
child bonding mother be close to each
other so that the baby can
signal his needs and the
mother can respond and
bonding as continuous
process in which a child
creates a relationship with
the mother.
(https://www.sciencedirect.c
om)
3. Toddler  (+) toilet  Children who had potty
trained training difficulties were
more likely to be less
adaptable and had more
difficulty adjusting to new
situations even with
exposures; have more
ad/negative moods; less
 persistent and more easily
frustrated; more likely to
give up; and wary of trying
new things.
(https://www.webmd.com)
 (+) nocturnal  Involuntary urination that
enuresis happens at night while
sleeping. Children with
nocturnal enuresis may have
excessive nocturnal urine
production, poor sleep
arousal and reduce bladder
capacity.
(https://patient.info.com)
 (+) tempered  Tantrums are one of the ways
tantrums that young children express
and manage feelings, and try
to understand or change
what’s going on around
them.(m.raisingchildren.net.a
u)
 Thumb suck  Child have natural rooting
and sucking reflexes, it
makes them feel secure,
some might eventually
develop a habit of thumb
sucking when they are in
need of soothing or going to
sleep.(https://.www.mayoclin
ic.org)
4. Preschool  Friendly  Child most likely to be happy
and understand that a full life
is much better than living in
fear or anger. Moreover, it
will be easier for them to
understand concepts such as
kindness and happiness.
(https;//exploringyourmind.c
om)
 (-) sibling  Sibling relationship can be
rivalry made stronger with habits
that encourage good
communication, respect and
conflict resolution
skills.(https://www.verywellf
amily.com)
 (+)  It is not a single act of poor
inappropriate nurturing but rather a series
way of of such actions that
scolding (e.g. invariably the little ones
father demeanor and psychology.
destroyed child (www.momjunction.com)
favourite toy)
 (+) verbal  Verbal abuse causes children
abuse when to feel fear.
scolded.
5. School age  Consistent  An honor student is a student
honor student recognized for achieving
high grades at
school.(https://en.m.wikipedi
a.org)
 Noted to be a  Being a good boy means to
good boy obey authority and don’t
 question your role in
society.(https://www.quora.c
om)
 Academic  Academic achievement is
awardee (2nd student recognition for being
honor) outstanding.
 Shy  It reduce the quality of a
child’s life in many ways,
including reduce opportunity
to develop or practice social
skills.
(www.betterhealth.vick.gov.a
u)
6. Adolescence  (+) peer  It causes an individual to
pressure change in response to a
feeling of being pressured or
influenced from a peer or
peer group and it can affect
individual of all ethnicities,
genders and
ages.(https://en.m.wikipedia.
org)
 (-) intimate  Over time, those non
relationship attended to negative
with opposite interactions /intimacy may
sex have changed the
percentages of good
connections to bad ones.
(www.psychologytoday.com)
 (+)  Social interaction helps
socialization young children to start
develop their sense of self,
and also start to learn what
 others expect from them.
(childrenscampus.com)

7. Young  (+) insomnia  Insomnia is an additional

Adulthood- (Dec. 2010) common cause for mental
Middle health disorder such as
Adulthood anxiety disorder that may
disrupt their
sleep.(http://www.mayoclinic
.org)
 (+) peer  It causes an individual to
pressure change in response to a
feeling of being pressured or
influenced from a peer or
peer group and it can affect
individual of all ethnicities,
genders and
ages.(https://en.m.wikipedia.
org)
 (+) failure  Many people fail to take the
(unable to pass necessary action to achieve
mechanical their goals because of a sense
engineering of overwhelm and the goals
board exam) appears to be too large and
too difficult to achieve, they
may be lacking some of the
skill required to achieve the
goal.
(https://www.wanderlustwor
ker.com)
 (+) Physically  The effects of physical
 abuse (mauling abuse may last a lifetime and
in Taiwan year can include brain damage
2006-2009) and hearing and vision loss,
resulting in disability. Even
less severe injuries can lead
to the abused developing
severe emotional, behavioral,
or learning problems.
 (+) signs and  Behaviours’ of schizophrenia
symptoms of can also severely affect home
Schizophrenia and social life.
such as: visual
and auditory
hallucinations,
(+) loss of
associations,
(+) violent
behaviour, (+)
flight of ideas,
(+)
tangentiality,
(+)
grandiosity,
(+)
preoccupation
(Jan. 30, 2018-
Admission @
SPMC IPBM)
 (+) Paranoia  The disorder is present more
often in families with a
history of schizophrenia and
delusional disorder.
Researchers believe that a
 combination of biological
and environmental factors
can lead to paranoid.
(www.healthline.com)
 (+) dependent  Reliance on others for
in making advice.
decisions
 (-)  Quite a few averse to small
socialization talk and superficial nonsense.
They find much of what is
termed social interaction to
be aggravating, enervating
and confusing.
(www.quara.com)
Environmental Factors
1. Environment  Small untidy  Most families typically suffer
home from a less extreme home
cleanliness problem, but
chaos in the home plays a
role in the behaviour of a
child.
 Unorganized  Unorganized home would
home greatly affect the lack of
organization has on the child.
(living.thebump.com)
 Unfamiliarity  Cluelessness about the
of the surrounding would greatly
environment + affect the psychological
home sick health of an individual.
(stayed in
Taiwan for 2-3
years)
B. Narrative

On year 2010, L.A ride has been admitted to rehab due to his insomnia
and after several weeks (1 month) of not having adequate sleep he then
experience paranoia in which he gathered a lot of stones for his self defense
because he thought there is someone watching over him. After his rehab he
was then admitted twice on the late March 2013 and recently January 30,
2018. On March 2013 he started talking himself, singing videoke ‘till late at
night, doing vandalism in any areas of their house and he planned for a
suicidal attempt by jumping in the bridge, because of this actions he was
admitted to the mental hospital. After his first admission he was been
discharge but later on he came back last January 30, 2018 due to his
aggressive behaviour such as biting anyone and hitting someone using chairs.
After almost 6 months of being admitted he was discharge but still he is
having loose of association.

Erik Erikson

1. Trust vs. Mistrust The patient was able to receive an

(0- 18 months)
2. Autonomy vs. Shame and Patient
doubt
(18 months to 3 years)
adequate and consistent care from his
parents since their age gap of his
younger brother is 3 years and all his
parents’ attention are focused on him.
He develops a sense of trust from his
parents and he felt secure with them.
He was able to receive a complete
immunization and proper
breastfeeding.
was breastfed for 3
consecutive years. The patient
develops independence such as toilet
training with the guidance of his
mother. He was taken care of his yaya
and his grandmother during weekdays
because both of his parents are

3. Initiative vs. Guilt
(preschool/ 3-5 years old)
4. Industry vs. Inferiority
(School age / 5-11 years old)
5. Identity vs. Role confusion
(11-20 years old)
6. Intimacy vs. Isolation
(20-40 years old)
7. Generativity vs. Stagnation
(40-65 years old)
He was in rehab and then admitted to psychiatric unit twice. On his last
admission his symptoms went gradually and he eventually participates in any
therapies and comply all his medications.
working as teachers. He was able to
illustrate a growing sense of
independence and autonomy.
At this stage he was a shy kid but was
able to make friends and play with
them that gives him opportunity to
explore his interpersonal skills
through participating activities but the
patient experience guilt as he is being
scolded by his father without any
reason and witnessed how his father
destroyed his toy.
At this stage he was able to develop
academic achievement since he does
not skip classes and he is a consistent
honor student. He was able to
successfully complete this stage.
At this stage patient has no intimate
relationship with opposite sex but he
is attracted with his opposite sex.
At this stage patient has no serious
relationship and since admission he
was not engaged into serious
relationship.
At this stage he was not able to
contribute in the society and do things
that benefit future generations
because of his situation.