Nursing theories
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Sullivan's Interpersonal Theory
"personality can never be isolated from the complex interpersonal relationships in which [a] person lives" - Sullivan
Introduction
- Harry Stack Sullivan
- He proposed interpersonal theory of personality.
- He explained the role of interpersonal relationships and social experiences in shaping personality.
- He also explained about the importance of current life events to psychopathology.
- The theory further states that the purpose of all behavior is to get needs met through interpersonal interactions and decrease or avoid anxiety.
Stages of development
- Sullivan explained six developmental stages called "epochs" or heuristic Stages in Development.
| Stages (Epochs) | Characteristics | |
| 1 | Infancy (Birth-18 months) | Gratification of needs | 
| 2 | Childhood (18 mo-6 yrs) | Delayed gratification | 
| 3 | Juvenile era(6-9 yrs) | Formation of peer group | 
| 4 | Preadolescence (9-12 yrs) | Developing relationships within same gender | 
| 5 | Early Adolescence (12-14 yrs) | Identity | 
| 6 | Late Adolescence (14-21 yrs) | Forming lasting, intimate relationships | 
- Sullivan explained about three types of self:
                - The ‘good me’ versus the ‘bad me’ based on social appraisal and the anxiety that results from negative feedback
- The ‘not me’ refers to the unknown, repressed component of the self.
 
- Sullivan's theory explains about anxiety, self system and
                self-esteem:
                - Security operations –those measures that the individual employs to reduce anxiety and enhance security.
- Self system – all of the security operations an individual uses to defend against anxiety and ensure self esteem
 
Applications
- Sullivan's interpersonal theory provides the theoretical basis for interpersonal psychotherapy (IPT) for depression and schizophrenia.
- Interpersonal theory proposes that depression develops most often in the context of adverse events, particularly interpersonal loss. (Tasman 2008)
- He also wrote on techniques and approaches on psychiatric interview.
References
- Sullivan HS (ed) (1953 ) The Interpersonal Theory of
                Psychiatry . W. W.
 Norton , New York, USA.
- Sullivan HS (1953 and 1956) The Collected Works of Harry Stack Sullivan, Vol. 1 and 2. WW Norton, New York, NY, USA.
- Sullivan HS (1954) The Psychiatric Interview. WW Norton, New
                York,
 USA.
- Psychiatry, Third Edition. Ers. Allan Tasman, Jerald Kay, Jeffrey A. Lieberman, Michael B. First and Mario Maj. John Wiley & Sons, Ltd, 2008.
This page was last updated on: 05/12/2020