MEMORY

Memory can be divided into long term and short term memory(working memory).

• There are three main components of working memory: central executive, phonological loop, visuospatial sketchpad. Central executive controls the processing in other components of working memory by the allocation of attention to each one. (control for shared attention) ex: listening to a conversation while reading the newspaper.

Phonological loop stores speech based information in a phonological store (inner ear) and verbally rehearses it in the same order (inner voice). In speaking and reading, several words are held long enough make sense of the words that follow. Words can enter the phonological store directly from ear, from rehearsal of written or spoken words, and from LT memory for names of object or people. (cth: macam kalau kite buat homework byk kali, sambil menulis kita sebut dalam hati (innervoice) jadi, ape yang kite sebut akan masuk dalam phonological store kite.)

The visuospatial sketchpad stores visual and spatial information entering from the eye over few seconds in time. ( cth: macam guna flashcard utk blajar ttg object, use visual to know the shape, characteristic and name of the object).

The working memory model offers an account of how the abundance of sensory information comtinually entering the brain is processed over a brief period of time before passing on to the other components of the perceptual and cognitive system.

• For long term memory, can be divided into semantic, episodic and procedural. Semantic is the general knowledge of facts and episodic is about time and place. Procedural is knowledge that we got through doing something. It related with "knowing how". Autobiographical memory is memory about time and place also but it is about significant event for the person. As an OT, we must know in which type of memory is impaired to assist us in knowing functional problem and planning intervention for patient.

Lost in autobiographical memory may lead to low self-esteem, and distressed.

Experience doing clinical in Psychiatric area..

HIDDEN SECRET IN PSYCHIATRY

Psychiatric is an interesting area between the three area (physical, paeds and psy).Doing clinical practice in psychiatric is a very valuable moments that I have ever had.

In psychiatric, as all normal people know, we can see variety of abnormal behavior such as screaming, talking to self, sudden laughing and harm self or others. But what normal people doesn't know is these patient is stable when they get their medicine. They can be like other people and sometimes we will misunderstood them as normal people.

The question is, why this people can make friend aith the other patient in the institution but they cannot make even one close friend in normal surrounding? From my observation, these people is a victims. Victim of stress situation that can lead to mental ilness. Situation such as cheat by other especially closed people (e.g. spouse, beloved, friend). Some patient comes from good background and have history of working as an engineer, teacher and policeman. Due to bankruptcy, beloved death and work stress, these people got stress and unable to deal with stesss, they got mental illness.

Before doing practice in this area, I will never know that these patient can recover although not fully recover. Some of the patient in the institutionalization that has live in the institution for a long time has not only develop good behavior, ut they also has send to work by an occupational therapist. I am so amazed to see some of them have develop a close and unbreakable bond between them that we call frinedship. Their friendship is really uniqe. One of the example that I can see is a pair of female patient that always together whereever they go.I represents these patient as X and Y. X speaks with low voice and sometimes unable to understand by others. However, due to long time friendship that have exist,Y can understand every single word that X say. so, whenever I want to talk with X, I will ask her friend to translate for me. Sometimes, I could see Y encourage X during activity. Y also explain to X sometimes when X difficult to understand my instruction. During mealtime, X save half of her fried fish to gives to Y's cat that she lokk after in the ward. How beautiful their friendship are.

Well, by this short article, I hope some of normal people will realize that these patients are also people like us. They also have their needs, wants and they also develop as a people day after day. So, for family that doesn't want to accept the patient's back, do visit patient because they also needs your love.

-WITH HEART, WE CARE-