Psych lecture Ted employed as executive in financial company referred to physicians from Baystate Medical married 45 yrs old father of newborn baby gradual weakness of arms turned into paralysis sent to neurologist nerves that control arms are in tact turns out it seems to be psychological disease doesn t make sense neurologically must be psychlogical when Ted meets with Halgin he Halgin expects Ted to be defensive irriated annoyed belligerant combative relationship with bosses long lunch breaks but can t fire him b c his numbers for campany are better than anyone Ted they physicians don t know what they are doing They can t even figure out this simple problem This sucks I can t even get dressed conversion symptom converts emotional conflict into bodily dysfunction symptom such as stomach ache head ache nausea etc Psychodynamic Perspective Freud Freud Psychodynamics must of behavior is due to unconscious feelings thoughts 3 components id ego superego Anton Mesmer certain medical conditions we don t know cause of are due to magnetic forces in environment universe Ex if you had sickness he would wave magnetic wands around body to offset sickness hysteria conditions symptoms that can t be understood form of maladaptive response to stress mostly in women glove anesthesia unable to move feel hands Psychodynamic Perspective id pleasure and aggression sex and urge to fight ego works on reality principle good judgement calm down id superego morality principle Development of disorders Defense mechanisms defend yourself with unconscious thoughts regression repression forgot to do something obvious psychosexual stages 1st stage oral 2nd stage anal 3rd phalic genitals become center of attention 4th genital everyone has a secret and often times that secret causes conflict Halgin asks Ted what his secret is and Ted answers by saying I dress in women s clothing been doing it since 12 yrs old on lunch break go home and dress as woman found it very soothing sometimes go into work with women s panties or bra as feeling of serenity Video about JOyce found neighbor doing nasty things with Melissa never found out who melissa was called police and she was told she would have to go to court to identify the man later that day was watching TV and lost vision called husband and went to ER no previous illness or problem with eyes given magic medicine placebo and a few seconds later vision came back Ted cont family history mother psychologically disturbed and always wanted a girl and dressed Ted in girls clothes grew hair and bandaged penis and said I don t want you to look at that father was absent and passive This left Ted in the phalic stage reaches age of sexual arousal and becomes more comfortable and soothed in womens clothes rather than erect penis paralysis implies he can t hold baby daughter Halgin has number of choices to make 1 Accept condition and explain you are not bizarre do you want to change behavior Ted No I frankly don t wife knew he dressed in women s clothes before he told her Hagin and Ted continued work for a year Ted gained use of arms after 4 6 weeks Freud cont psychoanalytic techniques 1 analyzing dreams 2 free association say what comes to mind 3 analysis of transverse who am I to you Object relations and theapy D W Winnicot holding environment way treatment at birth affects outlooks of other things later in life Halgin tells Ted he needs to re evaluate object relations since her had a bad experience with mother THE END