'Case Study of Karen\r'

'Case get word †KAREN This appellative is close to Kargonn Lee who comes for personal counseling. As a healer I design two theories (psychoanalyticalal Therapy and cognitive demeanour Therapy) by the piece to answer her in solving her stupefy. psychoanalytical therapy, prefatorial assumption of homophile temper: Psychoanalytic treat custodyt is highly separate and seeks to show how the unconscious factors affect air patterns, familys, and overall mental health.Treatment traces the unconscious factors to their origins, shows how they sustain evolved and developed over the course of to a greater extent years, and afterward abets individuals to overcome the challenges they face in liveness (National Psychological Association for analytic thinking, 1998). As a therapy, analysis is based on the concept that individuals atomic number 18 unaw atomic number 18 of the to a greater extent factors that cause their behavior and emotions.These unconscious factors consecrate the potential to produce unhappiness, which in twirl is expressed through a earn of distinguish qualified symptoms, including disturbing personality traits, encumbrance in relating to slightly others, or disturbances in egotism or general disposition (Ameri corporation Psychoanalytic Association, 1998). In An Outline of Psychoanalysis, Freud (1949) explains the principal tenets on which psychoanalytic system is based 1. human behavior and thinking ar largely determined by infatuated drives; 2. those drives are largely not conscious; 3. ttempt to cause those drives into awareness meets defense (resistance) in umteen different forms; 4. beside the inherited constitution of personality, ones festering is determined by events in beforehand(predicate) childhood; 5. conflicts between conscious intellection of reality and unconscious (pent-up) actual can result in mental disturbances much(prenominal)(prenominal) as neurosis, neurotic traits, fretfulness, eff ect and so on ; 6. the liberation from the effects of the unconscious material is achieved through bringing this material into the thought Freud begins with an ex architectural planation of the three forces of the psychical setupâ€the id, the ego, and the superego.The id has the quality of be unconscious and contains every subject that is inherited, everything that is range at birth, and the instincts (Freud, 1949). The ego has the quality of be conscious and is responsible for controlling the demands of the id and of the instincts, bonny aware of stimuli, and serving as a link between the id and the external world. In addition, the ego responds to stimulation by all adaptation or flight, regulates activity, and strives to achieve diversion and avoid displeasure (Freud, 1949).Finally, the superego, whose demands are managed by the id, is responsible for the limitation of satisfactions and re impersonates the influence of others, such as parents, teachers, and agency pr esents, as vigorous as the impact of racial, societal, and cultural traditions (Freud, 1949). Psychoanalysis fostered interest in human activated and psychological development traced back to a young age. The human can be seen from a much to a greater extent holistic viewpoint as one wagers at the psychoanalytic theory, which combines the inner workings of the bear in mind and attempts to explain them in the context of a dynamic social environment.Karen-cade study The tension is on how Karen’s childhood experiences make water an internalized social model for relationships. The discussion plan is based on a three-pointed system: 1. The Problem list 2. Problem preparedness 3. Intervention Karen reports general dissatisfaction of her life, she feels some holy terror over reaching the age of 39, She has been fast with a range of psychosomatic complaints including repose disorders, solicitude, dizziness, heart palpitation, and headaches. She often feels depressed, and she is concern round loosing her looks with her overweight and age. consort to the psychoanalytic theory, the focus is on bringing unconscious to the conscious. Karen moorage study shows she has repressed. She never wants anything for herself and she typically lived up to what other in her life wanted for her. Karen’s g terminaler-role identification was fraught with difficulties. She erudite the grounding of female-male relationships through her early experiences with her parents. What she saw, was her receive as a distant, authoritarian and rigidperson that every actions of her father should never be questioned and everyone should obey his regular and rules.She remembers her grow who was supportive nevertheless particular and Karen thought the she would never do becoming to please her. She generalized this pattern through her life. It could be further hypothesized that the man be married was similar to her father, and she used her mother as a role model by becom ing a homemaker. In a critical incident took situate when she was 6 years old, her father caught her during â€Å" compete doctor” with an 8-years-old boy. She reports â€Å"He lectured me and driveld to speak me for week. I felt extremely vicey and ashamed. ” She repressed her own emerging sexuality and carried the tincture of guilt into her adolescence.She was not allowed to date until she immaculate high school. She married the first person she had dated. It could be further hypothesized that she lived up to what othersin her life wanted for her and she generalized it to relation with her children, it’s very difficult for her to cope herself with children’s rebellion especially astir(predicate) her daughter, Jane. She is not satisfied with her conserve relationships, and she is importunate over the prospects of challenging this relationship, idolizeing that she does, she tycoon end up alone. In a general sense, psychoanalytic case formulations always experience interpersonal foundations.These foundations are built from repeated child-caretaker interactions, subsequently internalized, and later manifest themselves in clients’ day-to-day live. Consequently Karen’s depressive and anxiety symptoms are traced to early childhood interpersonal experiences andobservedduring her life. According to the Karen’s presenting problem and psychological history, her interposition package can be as follow: 1. to motivate her for therapy 2. to reduce her anxiety 3. to emphasize on primacy on self-experience which help her to improve her self-esteem â€Å"Typical sort make in psychoanalytic therapy includes quartet parts: 1.Cognitive insight (usually a restate maladaptive interpersonal pattern) 2. example in detecting maladaptive  mental and interpersonal patterns 3. Creating new and more than self-coloured interpersonal experiences” 4. Internalization of new and more satisfying interpersonal experien ces (John Sommers1957) As I told before, the polish is to” bring unconscious to conscious and it’s not limited to solving problem and learning new behaviors, there is a deeper probing into the past to develop the aim of self- looking that is assumed to be necessary for form in character. (Corey 2009) During therapy, therapist explores some of these questions with Karen: â€Å"What did you do when you felt unloved in the childhood? As a child what did you do with your negative feelings? Could you express your rage, hostility, hurt, and venerations? What effects did your relationship with mother and father take a shit on you? What did this teach you active all women and men? Brought into the here and now of the transference relationship, questions major power include â€Å"When you take in felt anything standardized this with me? and What are you learning from our relationship round how relationship with women or men might go?As she comes to understand how she has been influence by these past experiences, she is increasingly able to exert control over her present leading. Many of Karen’s fear rifle conscious, and then(prenominal) her energy does not have to remain fixed on reason herself from unconscious feelings instead, she can decision near her current life. ” (Corey 2009) Cognitive behavior therapy, basic assumption of human nature: valet de chambre nature as believed by my hypothetic approach is that we are all unfastened of loving, happiness, and even self-actualization, however, we also have tendencies toward self-destruction, self-blame, intolerance, and perfectionism.Because we are the inclination to think rationally and ill-advisedly, the theory believe that we can train ourselves to refuse to become upset and resist irrational thoughts by repeating relational thoughts to ourselves and we have capacity to deepen by choosing to answer differently to situations. Ellis assumes that we are self-taking, self -evaluating and self-sustaining. We develop worked up and behavioral difficulties when we mistake simple preferences (desires for love, approval, success).Ellis once more affirms that we have an inborn tendency toward developing and actualization, yet we often sabotage our forepart toward growth due to unsuccessful patterns we have learned. (Ellis, 1999). Although, irrational beliefs can be learned from significant others, human beings are believed to reach irrational dogmas and superstitions by themselves and reinforce self-defeating beliefs by the process of autosuggestion and self-repetition and by behaving as if they are useful. Therefore, it is our own indoctrinated irrational thoughts that keep dys cropal attitudes alive and sherlock within us. Karen- case studyIn assessment of problem, behaviorally she acts defensive, avoids mettle contact, speaks rapidly, and fidgets constantly with her clothes. She lives with her husband and her three children but, for the most part she is not satisfied of her life. Emotionally she feels unsecure and unrewarding in her relation with her husband and her children, she has undergo some of specific problems such as anxiety, sleep disorder, panic attacks and depression. In science champaign she fears about aging, she fears of not deliver the goods in professional world and worries about how becoming more professionally regard might threat her family.She concerns about losing her children. She is anxious over the prospects of changing the relationships with her husband, fearing if she does, she might end up alone. After assessment of the problem, the hitch package focused on the following: 1. To motivate the patient for therapy 2. To prepare Karen to get laid with and face phobic situations she avoided due to anxiety 3. To reduce her anxiety 4. To reduce lower status complex and increase self-esteem 5. To ex revision her negative thoughtstherapist helps client to understand how to change irrational thoughts to rational thoughts and teach her official thinking and consideration of positive info in critical situation. therapist pays more attention to the present time and focuses on causes of client’s discomfort in present time. In Karen’s case the most reason and superior catalyst that triggered her to come for therapy is the increase of her physical symptoms and anxiety. Karen’s therapist should focuses on helping her in defining the particular areas that Karen would like to change after completing this assessment.They work unneurotic and make a plan for treatment. Therapist helps Karen to understand the purposes of her behaviors and then teach her about how the therapy sessions can help her to reach her goals. CBT helps Karen to understand that she is responsible for his own life and she should b active. According to the case study, she completed a course in introduction to counseling, that promote her to have a look at the direction of her life and she took an honest look at her life. Karen finds wondering what she should want and what she should be doing.It shows that she is aware of her life and she wants to change but she fears and she doesn’t know exactly what she wants. Therapist should help her to understand in which area she wants to change. The first things that she wants now, is being successful in her professional world. Therapist uses questioning process to develop a picture of her difficulties. Karen’s concrete aims include her craving to function professionally without being stress and worry about every little thing in her life. As a practice, therapist asks Karen to keep a record of when she feels tense or worry and what events make these feelings.Karen indicates that she worries about her right to think and act selfishly. behavioral skills therapy is good for her because she has trouble talking with her family. This office includes modeling, roleplaying and behavior rehearsal. Then she tries more effecti ve behaviors with her therapist who plays the role of herfamily members and then gives feedback how strong or apologetic she seemed. Karen’s anxiety about her relationship with her husband can also be explored exploitation behavior rehearsal (in case that therapist is male). The therapist plays as her Karen’s husband, Tim.She practices being the way she would like to be with Tim and give tongue tos the things to her therapist that she might be afraid to say to her husband. During this rehearsal, Karen can explore her fears, get feedback on the effects of her behavior, and experiment with more assertive behavior. Next, she is requires to list down her specific fears. Karen identifies her greatest fear is not able to function both professionally and responsibility to her family if she branches out. The least fearful situation she identifies is concerning over aging and her â€Å"looks”.Before moving into this simulated situation/ role play techniques, the thera pist first does some systematic desensitization on Karen’s fear items hierarchy. Karen then begins repeated, systematic characterisation to items she finds frightening, beginning at the bottom of the fear hierarchy. She continues with repeated exposure to the next fear hierarchy item when exposure to the precedent item no longer makes Karen anxious. pop of the process involves exposure exercises for practice in various situations away from the therapy office. The goal of the therapy is to help Karen substitute the behavior that results in her feelings of guilt and anxiety.By learning more appropriate make do behavior, eliminating unrealistic anxiety and guilt, and acquiring more adaptive responses, Karen’s presenting symptoms decrease, and he reports a greater degree of satisfaction. As a conclusion according to Karen’s problems, a combination of cognitive, emotional and behavioral approaches (Cognitive fashion Therapy) is effective and is the first choice of treatment for her anxiety and depression although, there are a number of ways in which common treatment elements for anxiety and depression may facilitate symptom decline in both disorders. The cognitive restructuring skills typically employed in CBT provide patients with skills to identify, evaluate, and modify maladaptive negative thinking styles more generally. ”(Michael W. Otto  2010) References • Freud, S. (1949). An outline of psychoanalysis. New York: Norton. •Gerald Corey. (2009). Theory and Practice of counselor-at-law Psychology. ground forces: Brooks/cabbage • Jesse H. wright, Monica Ramirez, Michael E. Thase. (2006). Learning Cognitive Behavior Therapy . USA: American Psychiatric Publishing. • Judith S. Beck. (2011). Cognitive Behavior Therapy basics and beyond.New York: Guilford contract • John Sommers, Rita Sommers. (1957). Counseling and Psychotherapy Theories. USA: John Wiley and Sons. • Keith S. Dobson. (2010). en chiridion of Cognitive Behavioral Therapies. New York:Guilford Press • Michael W. Otto, Stefan G. Hofman. (2010). Avoiding Treatment Failure in the misgiving Disorders. USA: Springer •William. T. O’Donohue, Jane E. fisher. (2008). Cognitive Behavior Therapy. New York: John wiley. • American Psychoanalytic Association (1998, January 31). About psychoanalysis [WWW document]. Retrieved on 12 June 2012 from http://www. apsa. org/pubinfo/about. htm\r\n'