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.
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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.
If they believe their religion, they will ultimately cause you pain and disappointment. It seems like mormons in particular are even more crazy than the majority of crazy religious people, and the manipulation and treatment of people who wish to think for themselves and challenge their beliefs is really frightening. It's a foolish dream I suppose. She went to BYU and did a 2 year mission, but since she was a girl she got to have a car instead of a bicycle. Sadly, my ward shuns us. Eventually I hope each wards get to a point where they know that as a ward family our job is simply to make sure that each person, member or non member knows that when they enter the house of the Lord, they are loved. This is especially true when you are around others. They know that they are the best. She's told me the church is one of the most important things to her, but from what I've researched already there's no way I would subject my future children to this culture. There is no way out, either I need to continue to sacrifice myself or get out of this relationship.
I've been in a similar situation before. It is a demanding role being a wife to any man who works and has his own ambitions in the working world. And occasionally I have queried the wisdom of that choice. I feel like I make a lot of sacrifices to see him and try to make it as convenient as possible for him, which means planning ahead and changing my schedule around sometimes.