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The normal autistic
phase 0-4 weeks-
shows little social
engagement.
The normal symbiotic
phase 1-6m- the child
gains awareness of
caregivers but has no
Margaret Mahler's
Separation- sense of individuality.
Individualization Theory The separation-
of Child Development
Stages individuation phase
(broken down over
time) - as the child
begins to develop a
sense of self, separate
from the mother.
The normal autistic
phase occurs during
the first weeks of life
and shows little social
engagement. However,
Mahler abandoned this
phase later in her
career.
The normal symbiotic
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phase lasts through
the first six months of
life, and occurs when
the child gains
awareness of
caregivers but has no
sense of individuality.
:Differentiation 5- 10m
or "hatching," occurs
when the child first
gains awareness that
he or she is separate
from the mother.
Practicing 10-16m
occurs as the child
becomes a toddler,
gaining motor skills
that enable the child to
explore the world
independently from his
or her caregivers.
Rapprochement 10-
24m marks a "backing
off" from separation,
as the child becomes
anxious about
separating from his or
her mother and tries to
regain closeness. This
can lead to separation
anxiety and
abandonment fears. As
a child develops
language skills, this
phase winds down.
Object Constancy 24-
36m
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Inhibition of prolactin
production Sleep
Learn
ing
Purpose of Dopamine
Attent
ion
Pleasure and
reward
Movement
Mem
ory
Moo
d
- Oral- birth to 0-18
- Anal -12-18 to 3 years
- Stages of Psychosexual
- Phallic- 3to 5-6 years
Development (Freud) - Latency- 5-6 to adolescence
- Genital- adolescence to adulthood
see image
Stages of Erick Erikson
see results
Normal Labs Kt and NA
Normal TSH 2-10mu/I see page 87
Normal lithium levels 0.5-1.2
-Cardiac: ECG, especially in patients at risk of
unmasking Brugada syndrome; cardiac function at
baseline and at regular intervals thereafter-Endocrine:
Tests for Lithium Thyroid function at baseline and at regular intervals
thereafter-Metabolic: Lithium levels at baseline and at
regular intervals thereafter-Renal: Renal function tests
(e.g., urinalysis, urine specific gravity, serum
creatinine, creatinine clearance), especially in patients
who develop polyuria and/or polydipsia
And Pregnancy Test
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