د. حسين هليل وداعه
Emotion
-Definition : feeling which we experience or express in an intense fashion. as we said
●We are moved to strong emotion by piece of music or melodrama.
●Emotion might be confused with (passion).
●Most of our action are accompanied with emotion.
-Emotion Experience :- like (fear it means feeling afraid either in our self like (tacky, cardia, over
breathing).
-Emotion Express :- Express in observable behavior such fearful person try to except having.
spect of emotion
a
Psychological
-
●Conscious feeling feeling which are directly aware.
●Unconscious feeling Later relevance, such as love, hate, rage they are inner feeling.
●Emotional response Emotion which are evoked from outside like group of social setting.
-
:
Instincts and Emotion
*McDougall's theory of instincts assume that each instinct possessed specific quality of
(Emotional Excitement).
So, they consider emotion as attribute of instinct and were taken to be the prime mover (human
activity).
*Later follower of McDougall suggested that emotion were the source of all (mental energy).
*Emotional experience had biological function of precipitating internal crisis.
*Morbid (abnormal emotion) state involving unpleasant experience because conflict was
essentially disorganizing.
-
:
oanalytic view of emotion
Psych
*Freud early work use a concept of
●Lipido :- psychological energy which could be free or attached to specific object.
*Psychoanalyst :- confused emotion as (psychic energies) with emotion as (discharge of (psychic
energies).
*Freud propose (experience of pleasure) are from decrease of tension and pain.
د. حسين هليل وداعه
*Sartar :- take emotion as an organized from of human existence which occur when world become
too difficult.
-
:
Behaviorist and view of emotion
*J.B. Watson the founder of (Behaviorism school)
*He observer large number of infants in
●first month of life that are basic emotion.
●Fear :- in children was experience by :-
●
Sudden catching of breath.
●
Clutching with hands.
●
Blinking of eyes.
All these experience produce by loss and support of child provoking fear.
●Rage :- characterized by :-
●
Crying.
●
Screaming.
●
Stiffness of body.
Stimulated by restraing of infant.
●Love :- in infant characterized by :-
●
Cessation of crying.
●
Reading hand and arm.
*(Mothering model) evoked of symptom provoked by absence of mother, it is not as suggested
previously that the nature of (child-mother bond) is related to mother as source of feeding, by at
1966 Harlow propose that the nature of love to mother related to (Texture of mother skin).
somatic medicine (Somatoform disorder)
-
Psycho
*These are group disorders characterized by repeated presentation with physical symptoms which
do not have any adequate physical basis and are (not explained by the presence of other
psychiatric disorder).
Fear
rage
Love
د. حسين هليل وداعه
●Multiple investigation and treatment are negative.
●Patient still complain despite recurrent assurance.
-
:
Criteria of somatization
1-Multiple somatic complain in absence of any physical disorder.
2-Symptoms are recurrent and chronic (for many years duration) at least 2 year duration.
3-Symptom are vague, present in dramatic manner, involving multiple organs mainly gastro
intestinal symptom (abdominal pair, bletching, nasusia, vomiting, regurgitation)
4-Some degree of social impairment.
5-Presistent refuse for to accept advice.
6-Recurrent change between physicians.
-
:
Differential Diagnosis Of Somatization
-It include :-
●Multiple scleroses.
●Hypothyroidism.
●Acute intermittent porphyria.
●Hyper Para thyroidism.
●Carciama and pancreas.
●Schizophrenia.
●Major depressive disorder.
●Hypochondriasis.
●Conversional disorder.
●Delusional disorder.
د. حسين هليل وداعه
Treatment Of Somatization
The treatment is often difficult : it may consist :-
1-Supportive psychotherapy :- is the treatment and choice establishing good rapport zoith the
patient.
2-Behavioral therapy :-
●modify behavior of patient.
●reinforcement of healthy behaviors.
3-Relaxation therapy-graded physical exercise.
4-Drug therapy :- anti-depressant anxiolytic .