Lack of growth-need satisfaction usually provides challenging anxiety and stimulates growth. Need to know and fear of knowing are associated with meeting safety and security needs. Concept unique to MRM theory based on belief that all people have instinctual drive to be accepted and dependent on support systems throughout life, while also maintaining sense of independence and freedom. Differs from concept of interdependence. People have an innate drive to attach to objects that repeatedly meet their needs and they grieve the loss of any of these objects.
Loss can be real, perceived or threatened.
Unresolved loss leads to lack of resources to cope with daily stressors resulting in morbid grief and chronic need deficits. Based on Erikson's theory, task resolution depends on degree of need satisfaction. Based on Piaget's theory, thinking abilities also develop in a sequential order and it is useful to understand the stages to determine what developmental stage the client might have had difficulty with or need to work on. Genetic as well as prenatal and perinatal influences that affect health status. A person's perspective of his or her own environment, based on past experiences, knowledge, state of life, etc.