Object Relations Conceptualization and Treatment Plan

Topics: Family therapy, Family, Anxiety Pages: 8 (3166 words) Published: September 28, 2012
Conceptualization and Treatment Plan
Lynetric Rivers
Liberty University


This paper will focus on the case conceptualization and treatment planning for the client. Through offering the client's case history this will allow the reader a better understanding of how certain theories would be more effective. This writer will delve into detail regarding the client's presenting concerns and explain the hypothesis regarding such problems. By providing this hypothesis, this writer will explore and apply Object Relations Theory as it relates to the client’s issues. After developing this case conceptualization, goals and interventions will be created for the client. This writer will delve into the psychodynamic approaches that will show the benefits the client could receive from this application. Object Relations Case Study of Sally:

A Conceptualization and Treatment Plan

To be effective in counseling, it is necessary to choose the right theory for that particular client. One theory that works well for one client, may not work well for another client with different needs. This paper will show how applying Object Relations Theory can help give direction and insight to the client's life. Object Relations Theory according to Jones and Butman is, “The main determinant of personality is presumed to be internalized images that we carry within us of the primary relational figures in our past objects such as mother and father. Personality is then understood primarily in terms of relationships among and characteristics of the internalized objects. The internal images or objects within the primary psychic structure, replacing the id, ego and superego.” (2011, p. 137) This writer will present historical, family, educational information, as it pertains to the client Sally. Also, material will be offered concerning Sally's presenting concerns and then will delve into the case conceptualization. After completing section we would then go into the treatment plan which will include the goals for counseling and interventions.

Client’s Presenting Concerns
Sally Smith is a 20-year-old Puerto Rican woman who is experiencing several life changes. Sally currently is unemployed, and has recently graduated from high school. She moved out of her family home one year ago. Mr. Jones, Sally's father was murdered six years ago during a drug deal gone horribly wrong. Sally's family had experienced a lot of violence concerning their father’s choice of work. They also had little stability in regards to where they lived, and where they attend school. While the family continued to move back and forth between Ohio and Florida this left Casey behind in school. This resulted in Sally being illiterate. The family moved back to Ohio. While in Ohio Sally was raped at the hand of the man supplied her father with drugs. After being raped, Sally overheard the plan being made for her father's murder. After the killing of Mr. Jones, Sally started to fight in school, fight physically with his siblings and her mother. While being on her own Casey still had to rely on her mother, due to her disability of illiteracy. Sally did not know how to budget her money, pay bills, or use public transportation. Sally began suffering from panic, nightmares and anxiety attacks. She could not sleep more than twenty minutes at night, and would stay in her apartment alone all day. Sally was also facing problems with some old high school classmates in the neighborhood. It got out of hand and the police were called in regards to the situation. However, this is left Sally feeling very isolated, and paranoid to leave her apartment. She relies on the companionship of her boyfriend José, who is 18 years old and a senior in high school. This relationship has many problems including communication and the latest of infidelity which is led to Sally contracting herpes from her boyfriend. José comes from a family of six and his parents were married. José is the...

References: Hamilton, N. G. (1989). A critical review of Object Relations Theory. The American Journal of Psychiatry, 146(12), 1560.
Herbert, G., McCormack, V., & Callahan, J. (2010). An investigation of the Object Relations Theory of depression. Psychoanalytic Psychology, 27(2), 234.
Hoffman, L. (1985). Object-relations Theory and Psychohistory. Menninger Clinic Bulletin, 49(2), 123.
Jones, S., & Butman, R. (2011). Modern psychotherapies: A comprehensive Christian approach (p. 137). Downers Grove, Illinois: InterVarsity Press.
Lax, R. (1983). Discussion: Critical comments on Object Relations Theory. Psychoanalytic Review, 70(3), 433.
McGoldrick, M., Giordano, J., & Garcia-Preto, N. (2005). Ethnicity and Family Therapy (p. 253). New York, NY: Guilford Press.
Murdock, N. (2009). Theories of counseling and psychotherapy: A case approach (p. 83). Upper Saddle River, New Jersey: Pearson.
Steinberg, N. (2009). Hidden gifts of love: A clinical application of object relations theory. The International Journal of Psychoanalysis, 91(4), 858.
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