GGN PSIKOLOGIK DWS-ORTU

1. GGN PSIKOLOGIK DWS-ORTU Adnil Edwin Nurdin

2. BEHAVIORAL DEVELOPMENT

4. BEHAVIORAL GROWTH AND DEVELOPMENT EPIGENETIC PRINCIPLE • Development occurs in sequential, clearly defined stages • Specific issue in each stage • Issues in each stage must be resolved • Development can proceed smoothly • Successful resolution failed in a particular stage • All subsequent stages reflect that failure • Maladjustment of:  • Physical growth • Cognitive development • Social development • Emotional development • THE END IS THE MIRROR OF BEGINNING

5. Erik Erikson Stages of Life Cycle • 1.Basic Trust versus Mistrust (birth-1 year) • Need for instant satisfaction, TRUE LOVE • Resolved-----Strong Basic trust, believe in others, hopeful attitude, self • confidence, trustful personality • Unresolved-------suspicious, can’t control urge • 2.Autonomy versus Shame and Doubt (1-3 years) • learning to walk, feed it self, talk, TOILET TRAINING • need for firm outer control, first discipline, in love----autonomy • to much outer control------shame • to much punishment, harsh discipline----self doubt

6. 3.Initiative versus Guilt (3-5 years) • initiative arises in relation to tasks for the sake of activity • guilt arises on contemplated goal • mimic adult world • sibling rivalry • resolution through social role identification • I am a boy, she is a girl. I play with a toy gun, she plays with a doll 4.Industry versus Inferiority (6-11 years) • building, creating, accomplishing • need of systematic intruction for fundamentals of technology • sense of inadequacy and inferiority if child despairs of tools, skills, and status among peers---socially decisive age---LEADER or FOLLOWER • IMPORTANCE OF SKILL DEVELOPING, TOYS, BOOKS etc. 5.Identity versus Role Diffusion (11 years-end of adolescence) • develop ego identity, peer group identity, group loyalty • appearance, hero worship (see M-TV) • unresolved-----role confusion---going astray

7. 6.Intimacy versus Isolation (21-40 years) • to love, to work, to nurture others, to be responsible for others • resolved-----intimacy, loyalty, responsible, loving • unresolved---isolation, view that others are dangerous 7.Generativity versus Stagnation (40-65 years) • work for the future generation, productive, creativity, concern and responsibility for others, striving to left some thing good for future generation after death---GENERATIVITY • Unresolved-----self concern, isolated 8.Integrity versus Despair (more than 65 years) • Integrity---sense of satisfaction that life has been productive and worthwhile-----I WILL SLEEP IN PEACE, AND IF THE TIME CAME, I HAVE LEFT SOMETHING USEFUL FOR POSTERITY. THANK’S GOD FOR THIS LIFE • Despair----what have I done in the past---FEARFUL OF DEATH

8. POST POWER SYNDROME CONCLUSION • 1.Growth and development occur in stages • 2.Each stage has it’s own specific issues which must be resolved • 3.Unresolved issues in certain stage will hamper the next stages • 4.Growth and development failure Example: POST POWER SYNDROME  • PERSONALITY MEMANG SUDAH TERGANGGU

9. Memory in normal aging • memory loss, hallmark Alzheimer's disease. • memory loss normalagingdiff. Alzheimer's • Mild cognitive impairment (MCI) • transitional state • cognitive changes of normal aging Alzheimer's disease • MCI risk factor Alzheimer’s disease. • 55% MCI  Alzheimer dalam 4.5 tahun

10. Memory decline in normal aging • ability to encode new memories of events or facts • working memory • episodic memory • impairments in the ability to refresh recently processed information • remembering the source of information • declines in the ability to bind information together

11. Domains of memory mostly spared in normal aging • procedural memory • often used short-term memory • semantic knowledge, such as vocabulary, improves with age • enhancement in memory for emotional events

12. ALZHEIMER • neurodegenerative disease • Progressive cognitive deterioration  • Declining activities of daily living • Neuropsychiatric symptoms or behavioral changes • Most common type of dementia

13. DEFISIT AWAL • 1 st.loss of short term memory (amnesia) • minor forgetfulness • steadily more pronounced • relative preservation of older memories.

14. MID • cognitive (intellectual) impairment • language (aphasia) • skilled movements (apraxia), • recognition (agnosia), • decision-making and planning closely related to the frontal and temporal lobes

15. ADVANCED • disconnected from the limbic system, • disease where the victims suffer the loss of qualities that define human existence.

16. PATOBIOLOGI • neuronal loss/atrophy, in the temporoparietal and frontal cortex • inflammatory response to amyloid plaques and neurofibrillary tangles. • Mutasi 3 gen familial, early-onset AD. • mutasi ApoE4 late onset AD • Anatomigross diffuse atrophy of the brain • loss of neurons, dendrit dan synap di cerebral cortex • subcortical regions. • gross atrophy • degenerasi temporal lobe, parietal lobe,frontal cortex ,cingulate gyrus. • acetylcholine, serotonin, norepinephrine, somatostatin me< • Glutamate me>

17. RISK REDUCER • Intellectual stimulation, catur, bridge, crossword • Regular physical exercise • Regular social interaction • A generally healthy diet low in saturated fat, supplemented in particular with: • B vitamins • Omega-3 fatty acids, especially Docosahexaenoic acid • Fruit and vegetable juice

18. EARLY CLINICAL DETECTION • MMS