Chapter 7. Seventh Edition. Berger: The Developing Person Through Childhood and Adolescence, 7th Edition, Chapter 7. What does “psychosocial” mean?. Introduction To Development Test 1 > Chapter 7 – First Two Years During infancy, interactions with sensitive, responsive ___ foster psychosocial development. Bowlby’s attachment theory came about by John Bowlby and Mary Ainsworth in the ‘s and ‘s. • Bowlby held a strong psychoanalytic.
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SE Psychoanalytic Psychotherapy This model of dynamic therapy can be offered as an open-ended or a time-limited approach Luborsky, ; Luborsky and Mark, The development of affect tolerance The building of self-esteem The discussion and improvement of interpersonal relationships The development of appropriate self-care strategies.
For many people devrlopment substance abuse disorders, alcohol or drug use is a way of self-medicating against feelings of low self-worth and low self-esteem that reflect the client’s RS.
The client’s “wish” is largely based on individual personality style. The main findings were that it was extremely difficult to recruit and retain clients in the program and that although both treatments were associated with significant clinical improvements during the 6-month period, there was essentially no advantage to IPT over low contact. This model of dynamic therapy can be offered as an open-ended or a time-limited approach Luborsky, ; Luborsky and Mark, The SE approach was adapted for use in treatment of cannabis dependence Grenyer et al.
Following are examples of statements that reflect the core RO of a person with a substance abuse disorder: Her reactions to cocaine are typical; a brief surge or a “high,” followed by a crash.
Many people who have substance abuse disorders have much invested in denying that they really have a problem, in portraying themselves as helpless victims, and in disclaiming their role in the behavior that has brought them into treatment. SE is the therapeutic approach pyschosocial. One was that the therapists were not well-trained in SE therapy; therefore, it is questionable whether or not the treatment they provided was actually SE therapy.
The CCRT concept also can help clients deal with relapse, which is regarded by virtually all experts in the field as an integral and natural part of recovery.
The therapist must pay careful attention to developing a good therapeutic alliance and supporting the client. In other words, in addition to the dynamic therapy, clients received substance abuse disorder counseling along with methadone Woody et al, The CCRT develops out of a core response from others ROwhich represents a person’s predominant expectations psychosockal experiences of others’ internal and external reactions to herself, and a c ore response of the self RSwhich refers vevelopment a more or less coherent combination of somatic experiences, affects, actions, psyychosocial style, self-esteem, and self-representations.
Therapists using this approach will Develop a good therapeutic alliance Formulate and respond psyychosocial central relationship patterns Understand and respond to how the symptom fits into the central relationship pattern Devepopment to and respond to concerns about separation therapy termination Make interpretations that are appropriate to the client’s level of awareness Recognize the client’s need to test the therapeutic relationship in transference terms Frame the debelopment as problem-solving or coping attempts.
To introduce clients into treatment. The main conclusions were that the lack of treatment effects may have resulted because these treatments did not offer enough frequency and intensity of contact to be effective for cocaine-dependent people in the initial stages of recovery.
Stella began the 19th session complaining that ever since the physician found out she was a drug user, he has treated her differently. Gains tended to dissipate in those who received drug counseling only Woody et al. Stella experienced Christopher’s agreement and support through his intervention.
In this theory, the substance abuser experiences the substance as the primary maternal object. Strategies for dealing with the interpersonal context emerge and are tried by the client problemsolving.
In all psychodynamic therapies, the first goal is to establish a “therapeutic alliance” between therapist and client. Another reason is that it does not contribute helpful information to the therapeutic approach, and it can impede the development of an empathic developmdnt respectful therapeutic alliance.
For example, a client who says, “the only emotion I really feel is anger,” has opened the door to understanding the effect others have on her, and vice versa. BAP is a short-term analytic model developed to treat clients with personality disorders, although it is applicable to other groups of clients as well Develoopment et al.
These affects are the result of conflict between the ego and superego, brought about by the harshness of the superego. Analytic concepts are useful here, in that they can be said to facilitate the resolution of problems that contribute to emotional distress and to help explore the connection among interpersonal patterns, emotions, and substance abuse. A central concept in brief therapy is that there should be one major focus for the therapy rather than the more traditional psychoanalytic practice of allowing the client to associate freely and discuss unconnected issues Malan, This list is not exhaustive; numerous other, perhaps less well known, approaches or modifications of these approaches are not mentioned.
In brief therapy, the therapist is expected to be fairly active in keeping the session focused on the main issue. This type of realization gives the client new options.
Her therapist, Christopher, is a well-trained psychodynamically oriented therapist. It is also important that the psychodynamic therapist know about the pharmacology of abused drugs, the subculture of substance abuse, and Step programs. One study compared SE psychotherapy with structural family therapy for the treatment of cocaine dependence Kang et al. In supervision, Christopher realized immediately that he was indirectly letting Stella know that he understood and agreed with her. The psychodynamic model offers a systematic explanation of how the therapeutic relationship works and guidelines for how to use it for positive change and growth.
She thus confessed before being confronted by drug screen results.
Quiz: Newman/Newman, Development Through Life: A Psychosocial Approach 10e, Chapter 7
The internal representations of self and others acquired in childhood are later played out in adult relations. The primary goal of this therapy is to foster positive change in interpersonal functioning, which will then have beneficial effects on the more circumscribed symptoms Binder and Strupp, Much of the therapist’s time and energy are required to introduce and engage the psychksocial in treatment.
Following are examples of statements that could reflect a client’s core RS: Interpersonal Psychotherapy IPT IPT was developed initially as a time-limited, weekly psychotherapy for nonbipolar, nonpsychotic, depressed clients Klerman et al.
The essential aspects of the theory of Self Psychology Baker, include the following: Seventy-two methadone-maintained, opiate-dependent subjects who were diagnosed with a psychiatric psycchosocial e. Effective SE therapy depends on appropriate use of what is termed the core conflictual relationship theme CCRTa concept first introduced by Lester Luborsky.
After 2 weeks she returned home, was unable to leave her mother, and was diagnosed as having agoraphobia, for which she took chlordiazepoxide Librium. Analytic theorists within the Object Relations school hold that substances stand in for the functions usually attributed to the primary maternal or care-giving object.