Situation: The nurse works in the outpatient mental health c… | 마이메르시 MyMerci
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Nursing Practice V — Care of Clients with Maladaptive Patterns of Behavior; Care of Clients with Life-Threatening Conditions, Acute Multi-Organ Problems, High Acuity and Emergency Situations
문제

Situation: The nurse works in the outpatient mental health clinic of a tertiary hospital, where clients of all ages are seen. A 35-year-old woman says, 'I wanted to keep the extra change the cashier gave me, but I kept remembering my late father's words that cheating is a sin, so I returned it.' In Freud's theory, which part of the personality do her father's remembered words represent?

해설
Freud described the id as driven by the pleasure principle, the ego as the mediator that follows the reality principle, and the superego as the conscience formed from internalized parental values. Her father's moral teaching restraining her wish is the superego at work.
같은 주제 다음 문제Situation: A 38-year-old woman with bipolar I disorder is admitted to the psychiatric ward…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

The scenario describes a classic conflict between an impulse and an internalized moral prohibition. The client wanted to keep money that did not belong to her, but a remembered parental teaching stopped her. In Freud’s structural theory, this restraining voice is not the part that seeks pleasure, nor the part that negotiates with reality. It is the part that holds moral standards learned from caregivers.

Freud’s three-part structure of personality

Freud divided personality into three interacting systems. The id operates on the pleasure principle and seeks immediate gratification without concern for rules or consequences. The ego operates on the reality principle and mediates between the id’s demands, the superego’s restrictions, and the external world. The superego is the moral component, formed largely through internalization of parental and societal values. It produces feelings of guilt when standards are violated and pride when they are met.

In this client’s statement, the desire to keep the extra change reflects an id-driven impulse. The memory of her father’s words — “cheating is a sin” — is a parental value that has been internalized. The remembered moral teaching functions as the superego, restraining the impulse and prompting the client to return the money. The ego would be involved in actually carrying out the return, but the voice of conscience itself is superego content.

ComponentOperating principleFunction in this scenario
IdPleasure principleWants to keep the extra change for personal gain
EgoReality principleWould weigh consequences and decide how to act
SuperegoMoral conscienceInternalized father’s rule that cheating is a sin; produces guilt and blocks the impulse
PreconsciousNot a personality structureA level of awareness; memories can be recalled but are not currently in conscious focus


Key point! The superego is not simply “knowing right from wrong.” It is the internalized voice of authority figures — parents, teachers, religious teachings — that generates guilt or shame. The client’s father’s words are a direct example of this internalization.

Watch out! The preconscious is a topographic concept describing a level of awareness, not a structural component of personality. In Freud’s structural model, the three parts are id, ego, and superego. Exam items often test whether you can distinguish structural terms (id, ego, superego) from topographic terms (conscious, preconscious, unconscious).

The superego develops through a process that begins early in life. Early superego formation involves the child’s identification with parental figures and the internalization of their prohibitions and ideals [1]. This internalization is what allows a person to feel guilty even when no external authority is watching. In the scenario, the father is no longer present, yet his teaching still exerts influence. The superego operates independently of the actual physical presence of the parent because the parental standard has become part of the client’s own psychic structure.

Freud’s framework has also been applied to everyday language patterns, where expressions reflecting obligation, permission, or moral evaluation can be mapped onto superego functioning [2]. This broader application reinforces that the superego is the seat of internalized rules and prohibitions, not merely a passive storehouse of memories.

The correct answer is therefore 3. The superego. The id would push toward keeping the money, the ego would negotiate the practical course of action, and the preconscious is a level of awareness rather than a moral agent. The father’s remembered words represent the internalized moral authority that defines the superego.
References (research sources)
  • [1]
    Narcissism and superego development.Research articleTyson P, Tyson RL (1984) · DOI: 10.1177/000306518403200106
  • [2]
    Freud and collocation: a psychodynamic interpretation of '<i>make</i>' and '<i>do</i>' in English.Research articleAl-Jarrah R, Algazo M, Alzghoul M, Alsharif B. (2026) · DOI: 10.3389/fpsyg.2026.1741902

임상 시나리오

Identifying the Superego in Clinical ScenariosFreud's structural model in everyday moral conflict

When a client describes an impulse followed by a remembered parental or moral prohibition, the restraining voice represents the superego. It is the internalized conscience formed from caregiver values, not the pleasure-seeking id or the reality-mediating ego.

In this scenario, wanting to keep the extra change is an id-driven impulse. The memory of the father's words — that cheating is a sin — functions as a superego prohibition. The ego would carry out the return, but the moral voice itself is superego content.

Caution

Do not confuse the preconscious with the superego. The preconscious is a level of awareness, not a moral agency. Also, the ego may execute the moral action, but the remembered parental teaching is superego material.

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