Theoretical Constructs: Anxiety, Self, and Hallucinations

  • Anita Werner O’Toole
  • Sheila Rouslin Welt


In this paper, three key constructs—anxiety, self, and hallucinations—are explored within the theoretical framework of interpersonal relations (Peplau, 1987). Connections among these concepts are shown. Applications to clinical practice of nurses in psychiatric hospitals are described. These concepts pertain to phenomena commonly observed by nurses during their relationships with psychiatric patients. The nursing practices that psychiatric nurses provide are more likely to be remedial in intent and outcome when guided by theory.


Psychiatric Patient Nursing Practice Theoretical Construct Psychiatric Nurse Real People 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. American Nurses Association (1989). Classification systems for describing nursing practice. Kansas City, MO: Author.Google Scholar
  2. American Nurses Association (1980). Nursing: A social policy statement. Kansas City, MO: Author.Google Scholar
  3. Arieti, S. (1959). Schizophrenia: The manifest symptomology, the psycho-dynamic and formal mechanism. In S. Arieti (Ed.), American handbook of psychiatry (Vol. 1) (pp. 455–484). New York: Basic Books.Google Scholar
  4. Beck, C. K., Rawlings, R. P., & Williams, S. R. (1988). Mental health-Psychiatric nursing. St. Louis: Mosby.Google Scholar
  5. Bouwsma, W. J. (1988). John Calvin: A sixteenth century portrait. New York: Oxford.Google Scholar
  6. Cooley, C. H. (1902). Human nature and the social order. New York: Scribners. (Reprinted in 1964 by Schocken Books)Google Scholar
  7. Erickson, G. D., & Gustafson, G. (1968). Controlling auditory hallucinations. Hospital and Community Psychiatry, 19(10), 327–329.PubMedGoogle Scholar
  8. Field, W. E., Jr. (1979). The psychotherapy of Hildegard E. Peplau. New Braunfels, TX: PSF Productions.Google Scholar
  9. Gecas, V. (1982). The self-concept. Annual Review of Sociology, 8, 1–33.CrossRefGoogle Scholar
  10. Gordon, M. (1985). Manual of nursing diagnosis. New York: McGraw-Hill.Google Scholar
  11. Gould, L. N. (1948). Verbal hallucinations and activity of vocal musculature. American Journal of Psychiatry, 105, 367–372.CrossRefPubMedGoogle Scholar
  12. Gould, L. N. (1949). Auditory hallucinations and subvocal speech: Objective study in a case of schizophrenia. Journal of Nervous and Mental Disease, 109, 418–427.CrossRefPubMedGoogle Scholar
  13. Gould, L. N. (1950). Verbal hallucinations as automatic speech: The reactivation of dormant speech habit. American Journal of Psychiatry, 107, 110–119.CrossRefPubMedGoogle Scholar
  14. Hochschild, A. (1974). Half the way home. New York: Viking-Penguin.Google Scholar
  15. Johnson, F. H. (1978). The anatomy of hallucinations (pp. 1–40). Chicago: Nelson-Hall.Google Scholar
  16. Kim, M. J., McFarland, G. K., & McLane, A. M. (Eds.). (1987). Pocket guide to nursing diagnosis (2nd ed.). St. Louis: Mosby.Google Scholar
  17. King, I. M. (1981). A theory for nursing. New York: Wiley.Google Scholar
  18. McLane, A. M. (Ed.). (1987). Classification of nursing diagnosis: Proceedings of the seventh national conference. St. Louis: Mosby.Google Scholar
  19. Mead, G. H. (1934). Mind, self, and society. Chicago: University of Chicago Press.Google Scholar
  20. Parsons, T. (1961). Theories of society (Vol. 1). New York: Macmillan.Google Scholar
  21. Peplau, H. E. (1955). Loneliness. American Journal of Nursing, 55(12), 244–248.Google Scholar
  22. Peplau, H. E. (1963a). A working definition of anxiety. In S. Burd & M. Marshall (Eds.), Some clinical approaches to psychiatric nursing (pp. 323–327). New York: Macmillan.Google Scholar
  23. Peplau, H. E. (1963b, October/November). Interpersonal relations and the process of adaptation. Nursing Science, pp. 272–279.Google Scholar
  24. Peplau, H. E. (1964). Professional and social behavior: Some difference worth the notice of professional nurses. Quarterly (published by the Columbia University Presbyterian Hospital School of Nursing Alumni Association, NYC), 50(4), 23–33.Google Scholar
  25. Peplau, H. E. (1978). Psychiatric nursing: Role of nurses and psychiatric nurses. International Nursing Review, 25, 41–47.PubMedGoogle Scholar
  26. Peplau, H. E. (1987). Interpersonal constructs for nursing practice. Nurse Education Today, 7(5), 201–208.CrossRefPubMedGoogle Scholar
  27. Peplau, H. E. (1988). Interpersonal relations in nursing. London: Macmillan. (Reissue of 1952 book)CrossRefGoogle Scholar
  28. Peplau, L. A., & Perlman, D. (1982). Loneliness: A sourcebook of current theory, research and therapy. New York: Wiley.Google Scholar
  29. Roy, C. (1984). Introduction to nursing: An adaptation model (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  30. Sears, D. O., Peplau, L. A., Freedman, J. L., & Taylor, S. E. (1988). Social psychology (6th ed.). Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
  31. Sullivan, H. S. (1956). The interpersonal theory of mental disorder. In H. S. Perry, M. L. Gawel, & M. Gibbon (Eds.), Clinical studies in psychiatry (pp. 3–11). New York: Norton.Google Scholar
  32. Tuma, H., & Maser, J. D. (Eds.). (1985). Anxiety and the anxiety disorders. Hillsdale, NJ: Erlbaum.Google Scholar
  33. Wright, R. (1988). Did the universe just happen? The Atlantic Monthly, 261(4), 29–44.Google Scholar
  34. Wylie, R. (1974). The self concept (revised ed., Vol. 1). Lincoln, NE: University of Nebraska Press.Google Scholar

Copyright information

© Springer Publising Company, Inc. 1994

Authors and Affiliations

  • Anita Werner O’Toole
    • 1
  • Sheila Rouslin Welt
    • 2
  1. 1.Psychiatric Mental Health NursingKent State UniversityKentUSA
  2. 2.Rutgers UniversityNew BrunswickUSA

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