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BIOLOGIC AL

ENVIRONMENT

PRENATA

L

INFANCY TODDLER PRESCHOOLER SCHOOL ADOLESCENCE YOUNG ADULT INTERN

AL

EXTERNAL

-Gender:Female

Age:32 years old(onset)No Historyof nervousand mentalillness, shedoesnt

smoke anddrinkalcohol.Not asubstanceuser.Parents:Papapi is aheavysmoker andoccasionaldrinker.

Mamamihas historyof kidneydisease.

Inference:Obsessive-CompulsiveDisorder (OCD),usually

Nopertinentdata

According toher she wastaken care of her mother and maidwhen shewas still ababy. Sheverbalized gi breastfed-breastfed ko

sa akongmama andlater shiftedto bottlefeeding anddoesntremember much fromher infancy.Her mother usually attendto her needs

especiallywhen she ishungry.

Inference:-Childrendevelopsense of trustwhencaregiversprovide

Her decisionmaker was her mother. Toilettraining wasimposed. Thetime when shewas learning towalk her parentswas there toguide her. Her mother punishes

her whenever shewould touchanything dirty.

Inference:-in thedevelopment of speech andsphincter andmuscular control,the toddler practices the

social modalitiesof holding on andletting go, andexperiences thefirst stirrings of the virtue thaterikson termedwill. muchdepends on theamount and typeof control

She said thatduring her childhood sheplays jackstoneand Chinesegarter. Criticizeby her mother when she doessomething wrong.She usuallyplayed inside

their house or within theneighborhoodtogether with her playmates. Shewasnt allowed toplay longer hoursoutside. Her parents wantedher to focus onher studies.

Inference:-if parents guidegradually andfirmly , praise andaccept attemptsto beindependentinitiativedevelops. Theresult will be a

According toher she enteredschool at age 6from grades 1-4 she studied inUIC and later transferred atDemonteverdeschool duringher 5-6 andstudied at

Davao NationalHigh School. An honor Student andhas a highgrades inMathematics,science, andEnglish. Shefinished her college in BS inaccountancy

She stated thather lecturersare very goodperson.She is the onlyone that goesto the churchbecause shefell differentlywith her siblings

She felt that sheis different fromher family andrefused to sharemore about her adolescence andsaid Ayaw, ayawlang michiko .But she said shehad friends onher high school

and college life.

Inference:-At this stage theperson developidentity bydeveloping senseof self plans toactualize onesability. Indeveloping roleconfusion,

person, personmay have feelingof confusion,indecisivenessand possible antisocial behavior.(Kozier, 7 th edition)-girls and boysexperiencesimilar levels of

-Her parentswere strictregarding loveaffairs andrelationshipssince her parents wantedher to marry asuccessfulperson. She hadher first

relationship after she graduatedfrom college.She worked atinternationalpepsi companyas accountingclerk andpromoted aspersonalsecretary. She

And became

unemployedduring 1991after their marriage. Her husband told her that she will stopin working andfocus on being ahousewife andtake care of thefamily instead.

She wasgreatlyaffectedwith thisbecauseshe reallywantedto work.Her dream isto work in

an office.Butbecauseof her husbandsdecision,sheresignedfrom her work inorder to

focus herole as ahousewif e. Due tothesecircumstances,observablechangeof

Poor familysupport fromfamily becauseshe feels that sheis treated indifferent way byher siblings andparents.Unempolyment.Separation fromher baby Yo to

her.

Inference:Beingunemployed area risk factor for developing OCD(Grisham, 2008).

According toPillitteri (2007),the loss of a loveone is particularly

significantbecause itinvolves 2 typesof losses;friendship andself-esteem.

Psychoanalyticaltheorists proposethat individuals

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begins inadolescence or youngadulthoodand is seen

in as manyas 1 in 200children andadolescents. Researchshows thatOCD is abraindisorder and tendsto run infamilies,

althoughthis doesn'tmean thechild willdefinitelydevelopsymptoms.Recentstudieshave alsoshown thatOCD may

develop or worsenafter a strepinfection. Achild mayalsodevelopOCD withno previousfamilyhistory.

reliability,care andaffection. Alack of thiswill lead to

mistrust.(Piliteri,2007)

exercised byadults over thechild. Control thatis too exerted or too early too

defeats thetoddlers attemptsto developed itsown internalcontrols, andregression or false progressionresults. Parentalcontrol that failsto protect thetoddler from theconsequences of

his or her ownlack ow lack of self-control or

judgment can beequally disastrousto the childsdevelopment of ahealthy sense of autonomy(Kaplan andsadock,2007)

-the major taskof this stage is togain some self control andindependencewithin theenvironment.

Achievement of the task results Ia sense of self

sense of willhelps usaccomplishedand build self esteem as

children andadults(pilliteri,2007). this stage of exploring for allthe feeling of self-confidence inones ability toperform.

Autonomy isachieved whenparents

encourage andprovideoppurtunities for independentactivities. A lackof pride in theability to perform,a sense of beingcontrolled byothers and a rageagainst the taskremains

unresolved whenprimarycaregiver s restrictsindependentbehaviors, bithphysically or setthe child up for failure withrealisticexpertations.(townsend,2003

Inference:Through socialinteractions,children begin

to develop asense of pridein their tasksand abilities(Pilliteri, 2007)according toerik erikson, inorder to have toachieve asense of self-confidence.This will just be

attained whenencouragementis given toactivities andresponsibilitiesin school, in thecommunity andathome. Whenrecognize isgiven for theaccomplishment. It is

manifested byhaving a senceof competence,completion of projects,pleasure ineffort andeffectiveness,ability tocooperate andcompromises.

aggressiondisorders. Boysare more likelythan girls to beaggressive.(Font

aine, 6th

edition)

She stated thatGipa stop ko ugtrabaho ni Yosdaddy, perogusto nako

magtrabaho When askedabout thereason why YosDaddy did notallowed her towork sheremained silentand did notanswered thequestion. In her historical

background, her husbanddescribed her trait as beingsaputon

Inference:-young adultsneed to formintimaterelationshipswith other

people. Successleads to strongrelationships,while failureresults inloneliness andisolation.(Pilliteri,2007)

behavior s wasnotedsuch asdoing the

laundryfor 8hours,taking abath for 2days andhandwashingfor 5hours.

Inference

:Beingunemployed are ariskfactor for developing OCD(Grisham, 2008).Lowincome

or noincome isgenerallyassociated withgreater physicalandmentalhealthproblems

with OCD haveweak,underdevelopedegos (for any of avariety of

reasons:unsatisfactoryparent-childrelationship,conditional loveor provisionalgratification).(Townsend,2008)

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( American Academy of Child and

AdolescentPsychiatry,2012)

control and theability to delaygratification anda feeling of self confidence in

ones ability toperform. Autonomy isachieved whenparentsencourage andprovideopportunities for independentactivities. Nonachievementresults in a lack of

self confidence, aack of pride in theability to perform,a sense of beingcontrolled byothers and a rageagainst the self.the task remainsunresolved whenprimarycaregivers restrictindependently

behaviors, bothphysically andverbally, or setthe child up for failure withunrealisticexpectations

(Townsend,2005)

If not attained itwill lead toinferiority whichis manifestedby feeling of

unworthy andinadequate,poor, work,history,inadequate,poor,work,work, history,inadequateproblemsolving.(Pilliteri,2007).

. (Butler &Newacheck,1981).

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Vulnerable Intra-Uterinetrauma

Trust Autonomy Guilt Industry Role Confusion Intimacy Isolation Confusionand

Frustration

State of Disequilibrium1. Anger 2. Depression

Weakened Ego

Low Self Esteem

State of Equilibrium