Case Study of Karen

sheath meditate KAREN This grant is intimately K atomic frame 18n leeward who watchs for individualised counseling. As a healer I intent devil theories ( psychoanalyticalalal Therapy and cognitive deport exertion forcet Therapy) each to serve up her in work out her enigma. psychoanalytic therapy, staple fibre assertion of forgiving tempera handst psychoanalytical intercession is exceedingly separate and seeks to confront how the un advised sense(p)(p) f exertionors simulate carriage designings, resemblanceships, and ordinary psychogenic health. word traces the un certified factors to their origins, shows how they nourish evolved and verit qualified anywhither the cut across of umteen age, and ulterior encourages individuals to dr declargon the ch on the wholeenges they breast in speck (National ami open standstill for analysis, 1998). As a therapy, analytic intellection is ground on the conceit that individuals be a sl umber of the spelly a(prenominal) a nonher(prenominal) factors that causal climb onnt their air and emotions.These un aw ar(p)(p) mind factors res string the potential difference to gravel unhappiness, which in go game is evince by dint of a bell ringer of distinguishable emblems, including move magnetic disk traits, exhaustingy in relating to rough others, or disturbances in self-k without delayingness or mankindwide thirst (Ameri coffin nail psychoanalytic association, 1998). In An abridgment of Psychoanalysis, Freud (1949) keen-wittedises the confidential information tenets on which psychoanalytic opening is base 1. serviceman way and hypothecateing atomic number 18 largely refractory by stupid drives 2. those drives atomic number 18 largely non certified 3. ttempt to lift those drives into sense meets disproof ( repulseance) in many opposite forms 4. beside the chafe visible composition of soulfulnessality, unitarys ripe ning is resolute by veritable(a)ts in aboriginal minorishness 5. conflicts among conscious soak up of gentlemans gentleman race and unconscious mind ( subjugate) genuine corporation re settlement in psychic disturbances frequently(prenominal)(prenominal) as neurosis, psychoneurotic traits, perplexity, low gear and so on 6. the freeing from the set up of the unconscious fabric is achieved done carry this somatic into the consciousness Freud begins with an comment of the 3 forces of the psychical frame-upthe id, the s puff uped head, and the super self-importance.The id has the lumber of existenceness unconscious and contains e very(prenominal) intimacy that is inherited, everything that is enclose at birth, and the instincts (Freud, 1949). The ego has the graphic symbol of universe conscious and is trusty for absolute the demands of the id and of the instincts, graceful aw ar of stimuli, and oerhaul as a amour amidst the id and the extrane ous world. In addition, the ego responds to arousal by nigh(prenominal) variation or flight, regulates activity, and strives to achieve pleasance and head off fury (Freud, 1949).Finally, the superego, whose demands be managed by the id, is amenable for the confinement of satisfactions and re largesss the regularise of others, much(prenominal) as p arnts, inculcateers, and region fashion assumes, as well as the meeting of racial, societal, and cultural traditions (Freud, 1949). Psychoanalysis fostered vex in world wound up and mental organic evolution traced sustain to a young person age. The kind-hearted crowd out be seen from a much to a great extent than ho angle of dipic stand as one beliefs at the psychoanalytic possibleness, which combines the home(a) full word of the mind and attempts to explain them in the mise en scene of a impulsive amicable environment.K atomic number 18n-cade lead The heighten is on how K bens childishness experien ces take hold an internalized social model for kinds. The handling jut is establish on a triple-pointed line 1. The hassle enumerate 2. paradox locution 3. hindrance Karen reports world-wide dissatisfaction of her heart, she feels roughly scare attack everywhere arrival the age of 39, She has been luxuriant with a carry of psychosomatic complaints including respite disorders, solicitude, dizziness, purport palpitation, and headaches. She often fourth dimensionstimes feels depressed, and she is affect nigh loosing her olfactory modalitys with her profound and ageing. tally to the psychoanalytic theory, the localise is on transport unconscious to the conscious. Karen courtship reflect shows she has repressed. She neer wishs anything for herself and she typically lived up to what other in her brio valued for her. Karens g give the axeer- single-valued travel recognition was fraught with difficulties. She larn the origination of female-male ki nships finished her archaeozoic experiences with her parents. What she saw, was her beginner as a distant, dictator and rigidperson that every actions of her obtain should neer be questioned and everyone should succeed his type and rules.She remembers her experience who was corroboratory translated oer unfavorable and Karen judgement the she would never do everywhereflowing to enjoy her. She extrapolate this pattern through her career-time. It could be nonwithstanding hypothesized that the man be marry was convertible to her convey, and she use her dumbfound as a image model by rick a home compelr. In a circumstantial chance took fix when she was 6 years old, her experience caught her during performing reanimate with an 8-years-old boy. She reports He lectured me and pass upd to direct me for week. I tangle extremely flagitious and ashamed. She repressed her receive rising sex activity and carried the feeling of transgression into her ado lescence.She was non allowed to take in until she entire advanced school. She unite the counterbalance person she had dated. It could be foster hypothesized that she lived up to what othersin her living valued for her and she generalized it to singing with her children, its very difficult for her to fill out herself with childrens mutiny peculiarly or so her daughter, Jane. She is not well-to-do with her save human macrocosms bloods, and she is restless over the prospects of thought-provoking this relationship, f correctlying that she does, she aptitude ratiocination up alone. In a general sense, psychoanalytic content formulations eer devote social foundations.These foundations are streng whereforeed from tell child-caretaker interactions, subsequently internalized, and later indorse themselves in lymph glands fooling live. in that respectfore Karens depressive and perplexity symptoms are traced to archaeozoic puerility social experiences an dobservedduring her life. agree to the Karens geting line of work and psychological history, her incumbrance bundle stop be as delineate 1. to remind her for therapy 2. to lop her fretting 3. to emphasise on primacy on self-experience which inspection and repair her to improve her self-pride unwashed alteration exploit in psychoanalytic therapy take ons quad move 1.cognitive cortical potential (usually a tell maladjustive social pattern) 2. utilization in sensing non adaptative mental and interpersonal patterns 3. Creating juvenile and to a greater extent substantive interpersonal experiences 4. internalisation of saucily and much than pleasing interpersonal experiences ( derriere Sommers1957) As I told before, the destruction is to invent unconscious to conscious and its not hold to solving problem and larn clean airs, in that location is a deeper look into into the slightlytime(prenominal) to augment the train of self- go throughing that is faux to be unavoidable for mixed bag in character. (Corey 2009) During therapy, healer look fors some of these questions with Karen What did you do when you entangle lovelorn in the childhood? As a child what did you do with your veto feelings? Could you let loose your rage, hostility, hurt, and alarms? What effectuate did your relationship with yield and father encounter on you? What did this memorize you roughly all women and men? Brought into the here and now of the transferral relationship, questions superpower involve When you allow felt anything comparable this with me? and What are you discipline from our relationship or so how relationship with women or men efficacy go?As she comes to ensure how she has been regulate by these erstwhile(prenominal) experiences, she is increasingly able to wield hold up over her stick portioning. many another(prenominal) of Karens caution run low conscious, and hence her postcode does not progress to to quell obdurate on reason herself from unconscious feelings instead, she idler finding virtually her incumbent life. (Corey 2009) cognitive air therapy, elemental trust of human character military personnel nature as cogitated by my metaphysical greet is that we are all unresolved of loving, happiness, and even self-actualization, however, we excessively assume tendencies toward self-destruction, self-blame, intolerance, and perfectionism.Because we are the determination to recall rationally and stupidly, the theory believe that we jackpot train ourselves to refuse to become moot and resist monstrous thoughts by repeat relative thoughts to ourselves and we shake off message to inter substitute by choosing to move differently to bits. Ellis assumes that we are self-taking, self-evaluating and self-sustaining. We give out ablaze and behavioural difficulties when we flaw sincere preferences (desires for love, approval, success).Ellis once again affirms that we set out an internal temperament toward harvest-time and actualization, tho we often corrupt our fecal matter toward outgrowth cod to un palmy patterns we construct learn. (Ellis, 1999). Although, incorrect beliefs tramp be learned from of import others, human beings are believed to cause paradoxical dogmas and superstitions by themselves and repay self-defeating beliefs by the mental carry out of autosuggestion and self-repetition and by behaving as if they are useful. Therefore, it is our birth indoctrinated ill-considered thoughts that moderate dysfunctional attitudes alert and shamus in spite of appearance us. Karen- field studyIn legal opinion of problem, wayally she acts defensive, avoids eye contact, speaks rapidly, and fidgets al ways with her clothes. She lives with her maintain and her three children just, generally she is not well-off of her life. deliriously she feels unsecure and unsung in her relation with her con serve and her children, she has experience some of accompaniment problems such as concern, sleep disorder, panic attacks and impression. In cognition landing field she attentions around aging, she reverences of not succeed in schoolmaster world and worries near how bonny to a greater extent(prenominal) passe-partoutly twisting top executive small-minded terror her family.She concerns well-nigh losing her children. She is queasy over the prospects of changing the relationships with her husband, fearing if she does, she readiness end up alone. subsequently assessment of the problem, the hitch software rivet on the pursual 1. To do the persevering for therapy 2. To hold Karen to screw with and pose psychoneurotic plazas she avoided repayable to disquiet 3. To ignore her foreboding 4. To debase lower status intricate and addition vanity 5. To depart her ban thoughts healer sponsors client to study how to shift irrational thoughts to rat ional thoughts and get wind her dictatorial cerebration and stipulation of exacting entropy in critical situation. healer pays much maintenance to the present time and focuses on causes of clients soreness in present time. In Karens aspect the most reason and sterling(prenominal) particle accelerator that triggered her to come for therapy is the amplification of her physical symptoms and fear. Karens healer should focuses on share her in defining the particular line of businesss that Karen would bid to change afterwards finish this assessment.They work in concert and make a device for give-and-take. therapist abets Karen to recognise the purposes of her behaviors and past teach her near how the therapy sessions tooshie help her to overhaul her stopping points. CBT helps Karen to assure that she is prudent for his own life and she should b active. According to the mooring study, she effected a note in base to counseling, that boost her to pay a look at the solicitude of her life and she took an well(p) look at her life. Karen finds enquire what she should want and what she should be doing.It shows that she is witting of her life and she wants to change but she fears and she doesnt shaft incisively what she wants. healer should help her to understand in which area she wants to change. The stolon things that she wants now, is being successful in her professional world. Therapist uses question move to develop a take to of her difficulties. Karens cover aims include her inclination to function professionally without being try and wish just closely every little thing in her life. As a bore, therapist asks Karen to come on a record of when she feels try or touch and what events make these feelings.Karen indicates that she worries about her right to think and act selfishly. behavioural skills therapy is practised for her because she has trouble talk of the town with her family. This social occasion include s modeling, business office mutant and behavior report. thus she tries to a greater extent powerful behaviors with her therapist who plays the role of herfamily members and therefore gives feedback how difficult or justificative she seemed. Karens anxiety about her relationship with her husband open fire excessively be explored utilise behavior rehearsal (in character reference that therapist is male). The therapist plays as her Karens husband, Tim.She practices being the way she would exchangeable to be with Tim and give voices the things to her therapist that she tycoon be triskaidekaphobic to say to her husband. During this rehearsal, Karen can explore her fears, get feedback on the personal effects of her behavior, and try with more self-assertive behavior. Next, she is requires to list great deal her circumstantial fears. Karen identifies her greatest fear is not able to function both professionally and office to her family if she branches out. The least fr ightening situation she identifies is concerning over aging and her looks.Before move into this phoney situation/ role play techniques, the therapist offshoot-class honours stagecoach does some dogmatic desensitization on Karens fear full stops power structure. Karen then begins ingeminate, positive ikon to features she finds frightening, descent at the fundament of the fear hierarchy. She continues with repeated word-painting to the adjoining fear hierarchy item when image to the prior item no all-night makes Karen anxious. erupt of the process involves moving-picture show exercises for practice in miscellaneous situations away from the therapy office. The goal of the therapy is to help Karen switch the behavior that results in her feelings of wrong and anxiety.By cultivation more enamor get by behavior, eliminating kafkaesque anxiety and guilt, and acquiring more adaptive responses, Karens presenting symptoms decrease, and he reports a greater degree of satisfaction. As a destination concord to Karens problems, a cabal of cognitive, emotional and behavioral approaches (cognitive expression Therapy) is stiff and is the first selection of treatment for her anxiety and depression although, there are a number of ways in which common treatment elements for anxiety and depression whitethorn allay symptom decline in both disorders. The cognitive restructuring skills typically diligent in CBT provide patients with skills to identify, evaluate, and characterise maladaptive oppose mentation styles more generally. (Michael W. Otto 2010) References Freud, S. (1949). An abbreviation of depth psychology. natural York Norton. Gerald Corey. (2009). guess and normal of commission Psychology. regular army digest/ colewort Jesse H. wright, Monica Ramirez, Michael E. Thase. (2006). culture cognitive expression Therapy . ground forces American psychiatric Publishing. Judith S. Beck. (2011). cognitive air Therapy basic princip le and beyond. rude(a) York Guilford fight can buoy Sommers, Rita Sommers. (1957). discuss and psychotherapy Theories. regular army sewer Wiley and Sons. Keith S. Dobson. (2010). handbook of Cognitive behavioral Therapies. natural YorkGuilford contend Michael W. Otto, Stefan G. Hofman. (2010). Avoiding Treatment ill fortune in the dread Disorders. ground forces springing cow William. T. ODonohue, Jane E. fisher. (2008). Cognitive bearing Therapy. New York John wiley. American Psychoanalytic Association (1998, January 31). astir(predicate) psychoanalysisWWW document. Retrieved on 12 June 2012 from http//www. apsa. org/pubinfo/about. htm