Cognitive and Psychoanalytical Psychology

There are a number of approaches in psychology and this essay will compare and contrast two of the major perspectives. These will be the cognitive and psychoanalytic perspectives; it will also give an example of how psychology can be applied in a health care setting. The cognitive perspective is easy to understand if one was to compare the human mind with a computer, the mind could be seen as an information processor and its job is to select and code information as well as storing and retrieving it when needed.

Jean Piaget studied the human mind and how it is capable of storing information in the form of “schemes” these are organised patterns of thought and actions used to represent the world. He also believed the mind went through four stages during childhood. The second stage is called pre-operational this stage happens between the ages of 2 – 7 years during this period there is a continued development and use of internal images, symbols and language. This is important for the child to develop the sense of self awareness. (Gross, 5th edition) The next stage is concrete operational stage. This stage typically occurs between the ages of 7 and 12.

Sigmund Freud and Carl Jung believed the human mind had both conscious and unconscious areas. Freud’s theory was that the unconscious was dominated by the Id. This is called the oral stage and occurs between 0 – 18 months, this part of the personality is the pleasure principle. The ‘Id’ is only interested in self gratification not social rules. (Cardwell et al, 2001) The second area is the ‘Ego’ this is the part that is in touch with reality, this stage happens between 1 – 3 years it is also called the anal stage. The ‘Ego’ is responsible for balancing the ID and the Superego, or gaining control and being able to wait for things.

If a child develops a problem at this stage it could affect them as adults, in which way they would be retentive, uptight or suffer from obsessive ness. Superego develops as we become more aware of rules and conventions in society. It has the morality principle and tries to curb the ID. This is also known as the phallic stage, this stage also brings in the Oedipus stage, this is when the child wants to be ‘just like Daddy’ to gain mothers attention. Two further stages happen after this, the first is called the latency stage, the theory here is that both sexes forget their oedipal attachments and there is a reduction in sexuality in the child.

The genital stage is next, and this is when the harmony within the child’s personality is disrupted by the powerful demands from the Id in the form of heterosexual desires. (Gross, fifth edition) The ID and the superego are therefore in direct conflict and need to be managed in a rational way. If a person is well adjusted they would be likely to develop an ego which would be strong enough to cope with demands from the ID and the superego, allowing expression at appropriate times. (Cardwell et al, third edition)

In order for there to be a balance between the ID and the super ego, defence mechanisms are used. These enable reality to be denied and protect the ego from distress which allows the person to cope. Causes of abnormal behaviour can be through conflict and anxiety, this type of behaviour can be instilled at an early stage of childhood. If for instance an individual has difficulty in getting through the anal stage it could make that individual retentive, uptight or suffer from obsessive ness.

There are various types of treatment that can be used Psychoanalysis, dream analysis, free association and transference are all methods used today to combat symptoms of abnormalities in human behaviour. An excellent example of psychology being used in a health setting would be with individuals who had an eating disorder such as anorexia nervosa, or bulimia. A cognitive explanation for this may be that an individual cannot be valued unless they have an ideal physical appearance, an example for treatment would be for the individual to undergo therapies designed to develop more realistic ways of thinking about themselves.

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