Case study – KAREN
This assignment is about Karen Lee who comes for personal counseling. As a therapist I use two theories (Psychoanalytic Therapy and Cognitive Behavior Therapy) separately to help her in solving her problem. Psychoanalytic therapy, basic assumption of human nature:
Psychoanalytic treatment is highly individualized and seeks to show how the unconscious factors affect behavior patterns, relationships, and overall mental health. Treatment traces the unconscious factors to their origins, shows how they have evolved and developed over the course of many years, and subsequently helps individuals to overcome the challenges they face in life (National Psychological Association for Psychoanalysis, 1998). As a therapy, psychoanalysis is based on the concept that individuals are unaware of the many factors that cause their behavior and emotions. These unconscious factors have the potential to produce unhappiness, which in turn is expressed through a score of distinguishable symptoms, including disturbing personality traits, difficulty in relating to others, or disturbances in self-esteem or general disposition (American Psychoanalytic Association, 1998). In An Outline of Psychoanalysis, Freud (1949) explains the principal tenets on which psychoanalytic theory is based 1. human behavior and thinking are largely determined by irrational drives; 2. those drives are largely not conscious;
3. attempt to bring those drives into awareness meets defense (resistance) in many different forms; 4. beside the inherited constitution of personality, one's development is determined by events in early childhood; 5. conflicts between conscious view of reality and unconscious (repressed) material can result in mental disturbances such as neurosis, neurotic traits, anxiety, depression etc.; 6. the liberation from the effects of the unconscious material is achieved through bringing this material into the consciousness Freud begins with an explanation of the three forces of the psychical apparatus--the id, the ego, and the superego. The id has the quality of being unconscious and contains everything that is inherited, everything that is present at birth, and the instincts (Freud, 1949). The ego has the quality of being conscious and is responsible for controlling the demands of the id and of the instincts, becoming aware of stimuli, and serving as a link between the id and the external world. In addition, the ego responds to stimulation by either adaptation or flight, regulates activity, and strives to achieve pleasure and avoid displeasure (Freud, 1949). Finally, the superego, whose demands are managed by the id, is responsible for the limitation of satisfactions and represents the influence of others, such as parents, teachers, and role models, as well as the impact of racial, societal, and cultural traditions (Freud, 1949). Psychoanalysis fostered interest in human emotional and psychological development traced back to a young age. The human can be seen from a much more holistic viewpoint as one looks at the psychoanalytic theory, which combines the inner workings of the mind and attempts to explain them in the context of a dynamic social environment. Karen-cade study
The focus is on how Karen’s childhood experiences create an internalized interpersonal model for relationships. The treatment plan is based on a three-pointed outline: 1. The Problem list
2. Problem Formulation
Karen reports general dissatisfaction of her life, she feels some panic over reaching the age of 39, She has been troubled with a range of psychosomatic complaints including sleep disorders, anxiety, dizziness, heart palpitation, and headaches. She often feels depressed, and she is concern about loosing her looks with her overweight and aging. According to the psychoanalytic theory, the focus is on bringing unconscious to the conscious. Karen case study shows she has repressed. She never wants anything for herself and she typically lived...
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