Domestic Engineers Get the Blues The purpose of this exercise is to learn to mat
ID: 3494103 • Letter: D
Question
Domestic Engineers Get the Blues
The purpose of this exercise is to learn to match the client with a particular therapy, not to make a diagnosis. You can do this by considering the characteristics that Ellen is bringing into her first clinical session and by determining the advantages and disadvantages that each of the various schools of therapy might offer her. After considering each of the perspectives, select the one that you believe might be most helpful for the symptoms that Ellen is presenting and briefly explain you selection.
Ellen looked awful. She had spent three relatively sleepless nights and had eaten very little, and it showed. She reported to you that she couldn’t sleep because she felt tormented by feelings of shame and loss. She thought it had nothing to do with her family because she had been “happily married” for almost nine years. The family members were all health and the family was financially stable and seemed to have a strong network of support within the community. Nothing was really wrong with them. Oh, sure, the kids and her husband weren’t home much. He frequently worked long hours and the kids were always going off to soccer or some other activity. But that was the way it was supposed to be. Ellen thought that her “blues” had more to do with her brother. She had been able to escape strong feelings of self-recrimination since her brother had died. They had a serious argument the night before his car accident, and she had never had a chance to apologize. The last few months had been a nightmare for her because of the impact of the unrelenting sadness was having on Ellen and her family.
Psychoanalytic & psychodynamic therapies
What would you expect the therapist to focus on?
What primary techniques would you expect these therapists to use?
What would be some of the advantages of using this approach?
What are some criticisms of these approaches?
Humanistic and person-centric therapies
What would you expect the therapist to focus on?
What primary techniques would you expect these therapists to use?
What would be some of the advantages of using this approach?
What are some criticisms of these approaches?
Cognitive-behavioral Therapies
What would you expect the therapist to focus on?
What primary techniques would you expect these therapists to use?
What would be some of the advantages of using this approach?
What are some criticisms of these approaches?
Biological Therapies
What would you expect the therapist to focus on?
What primary techniques would you expect these therapists to use?
What would be some of the advantages of using this approach?
What are some criticisms of these approaches?
Which framework would you select for Ellen? ____________________________
Justify your answer:
Explanation / Answer
Psychoanalytic and Psychodynamic theory!
Psychotherapy focuses on an individual being self-aware of the existence of his problem. Individuals are anxious and experience anxiety related disorders, however, they are unaware of the why they feel the way that they do. Psychotherapy helps an individual understand the underlying thoughts and memories in the unconscious mind which are responsible for the manifestation of any mental disorder.
Every individual goes through stressful situations in life. However, Freud suggested that every individual exercises different defense mechanisms which suit them the best to cope up with those stressful events. One of the defense mechanisms executed by most people is repression. Repression includes repressing or pushing down the feelings and thoughts that you make feel miserable. The repressed thoughts, feelings and memories are said to be embedded in the unconscious. Those thoughts or traumatic experiences are not forgotten whereas they are repressed in unconscious. The material repressed in the unconscious is the major cause behind individuals developing anxiety disorders. The reason to their anxiety is unknown to them.
The material from the unconscious mind cannot be recollected or remembered. It does not surface to the conscious mind on it's own. Various techniques and ways are used to reveal the material from the unconscious mind. It includes, psychotherapy, dream analysis, free association, hypnosis and projective techniques. All of these techniques help reveal the thoughts and feelings that perhaps even an individual himself would be unaware of holding within.
Projective Techniques help reveal most of the unconscious material. Projective techniques like Rorschach's inkblot test and Thematic Apperception Test are apt for uncovering material in the unconscious. These tests have a bunch of cards or inkblots with no meaning attached to it. The client is shown a card with a picture, he is asked to write a story based on the picture that he sees. This gives out a lot about a person's innermost repressed thoughts and feelings. The person's fears, experiences, memories, thoughts and feelings reflect the interpretation of the given picture as the associations made are subjective and pertinent to the person only. This is the major advantage of using this approach.
Disadvantage of psychotherapy is that the intervention is a very long and a time taking process. The results are not immediate.
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