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Counselling - Lee

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Counselling - Lee
Introduction

Karen Lee the counselee is a middle age, middle class housewife with 3 teenage kids who reported general dissatisfaction over her uneventful and predictable life. The therapist in attempt to help her has studied her through psychoanalytic and cognitive behavioral therapies. The difference between these two therapies is very obvious in their length of treatment approach with psychoanalytic therapy requiring longer treatment period. Both also have differences in their substantial grounds such as in their rudimentary assumptions, views of assessment, therapeutic goals and established therapy processes.

Psychoanalytic Therapy Applied to the Case of Karen Lee

For Karen Lee, the psychoanalytic therapy would center on the unconscious psychodynamics of her behaviors (see Yeo [Lesson 2] 2011, pp. 36). Attention should be given to that which she appears to repress. She is neurotically anxious because of the general dissatisfactions in her life which give rise to her personality problems. (see Yeo [Lesson 2] 2011, pp. 37).
She wonders how the years have gone in her life and always complains about her uneventful and predictable way of living. Other than her psychosomatic illness, she also alienates herself, feels depressed and is overweight (Yeo [Assignment] 2011, pp. 1). It is obvious that Karen is fixated to her (past) first three stages of psychosexual development which affected her subsequent personality development during her first six (biological) years. (Corey 2009, pp. 65-68; see also Yeo [Lesson 2] 2011, pp. 39).

Karen grew up in a very structured and disciplined home with a distant, authoritarian, and rigid father and critical and hard-to-please mother. (Yeo [Assignment] 2011, pp. 3). This has resulted her having a depreciated self-concept despite her having a degree in special education. Her identity as a person is no more than her being a mother, a wife and a student (Yeo [Assignment] 2011, pp. 1). She reported having difficulty in



References: Bakker, G. (2008). Practical CBT: Using functional analysis and standardized homework in. everyday therapy. Bowen Hills (QLD): Australian Academic Press Pty. Ltd. Blenkiron, P. (2009). Cognitive behavioral therapy. Retrieved from http://www.rcpsych.ac.uk/mentalhealthinformation/therapies/cognitivebehaviouraltherapy.aspx “Cognitive behavioral therapy,” (2007). Retrieved fro http://www.nacbt.org/whatiscbt.htm Corey, G. (2009). Theory and practice of counseling and psychotherapy, 8th ed. Belmont: Thomson Higher Education. Grazebrook, K. & Garland, S. (2005). What is CBT? Retrieved from http://www.babcp.com/public/ Yeo Pei Li. Assignment Case Study -- Karen, 12 February 2011. Yeo Pei Li. Psychoanalytic Therapy: Lesson 2, 22 January 2011. Zayfert, C. & Becker, C. (2007). Cognitive behavioral therapy for PTSD: A case formulation approach. New York: The Guilford Press.

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