Disorder and treatment - Health Essay Example
Disorder and treatment
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Katherine’s case started out as a defensive strategy because of the sexual assault she experienced when she was still in college. The patient is suffering from anorexia nervosa. What started out as profound anxiety in response to the traumatic experience eventually, gravitated into another psychological problem. Katherine, who manifested symptoms similar to anxiety or mood disorder, actually has anorexia as the primary problem. The presenting symptoms of anorexia such as inability to go back to normal weight because of the psychological problem made possible for additional problems later, such as her loss for sexual interest to her husband. Amenorrhea and other physical symptoms that point to anorexia as the main problem, contributes to depression and hence, dissatisfaction even with her sexual life (Kaplan et., 1994). Katherine may have started to experiment with sexual explorations with another woman probably because during that time, she had not discovered yet how troubled she was and the extent of her “sickness.”
Employing the cathartic method, teaching the client to examine his/her thought patterns, to discern the errors of judgment and gain insight into him/herself, and to handle with patience the whole process are fundamentals in the process. When the therapist is able to shift effectively in various standpoints and enables the client to gain a better, realistic and eradicate unrealistic expectations of the self and others, they are both on the way to achieving wholeness and healing that which the client so need and aspire. This requires practice, or constant training and endurance on the part of the therapist (Rubinstein et al., 2007; Corey, 2004).
The goals of treatment here include alleviating patient of the symptoms which specifically works to uncover and work through unconscious conflict. The task of psychodynamic therapy is “to make the unconscious conscious to the patient” (Kaplan et al,m 1994). Employing the psychodynamic viewpoint, the therapist or social scientist believes that emotional conflicts, or neurosis, and/or disturbances in the mind are caused by unresolved conflicts which originated during childhood years. In the psychodynamic approach the treatment modality frequently used includes dreams and free association, at times hypnosis (as preferred by either the therapist or by the client). The therapist actively communicates with the client in the on-going sessions. The scenario appears that a given patient may have up to five times a week session and runs up to five years in length (Rubinstein et al., 2007).
Client-centered therapy avoids the imposition of goals on the patient or client during therapy. It is the client who takes the lead in the session and of the conversation. It is the job of the therapist to create the conditions conducive to the client’s positive judgment of those experiences that are intrinsically satisfying to the client. The ‘goal’ then is to reach the point where the client desires to be a good and “civilized person.” Unconditional positive regard enhances this atmosphere however, and although the goal may be difficult to achieve, unconditional positive regard eventually, according to Rogers, encourages even the “`unbehaved” to conform or even transform (Corey, 2004; Davison and Neale, 2001).
Rational Emotive-Behavior Therapy where irrational beliefs are eliminated by examining them in a rational manner (Corey, 2004; Davison and Neale, 2001). Whereas in insight therapies the focus or emphasis is on the patient’s ability in understanding his/her issues basing on his inner conflicts, motives and fears. Techniques then include reflection of feelings and free association; the former as employed in the client-centered therapy and with the latter in psychodynamic therapy. Cognitive Strategies are utilized to promote functional thoughts which are likely to result in adaptive and healthy habits (Corey, 2004; Davison and Neale, 2001).
Katherine must understand why she has become what she developed as a person-which shows her maladaptive behavior, so that she is empowered to go back to normalcy and health.
Atkinson, R.L., R.C. Atkinson, E.E Smith, D.J. Bem, and S. Nolen-Hoeksema. Introduction to Psychology. 13th Ed. New York: Harcourt College Publishers, 2000.
Corey, Gerald, 2004. Theory and practice of counseling and psychotherapy. Thomson Learning, USA.
Davison, Gerald C. and John M. Neale. 2001. Abnormal Psychology. Eighth ed. John & Wiley Sons, Inc.
Kaplan, HI, BJ Saddock and JA Grebb. 1994. Kaplan and Saddock’s Synopsis of Psychiatry: Behavioral Sciences clinical psychiatry. Baltimore: Williams and Wilkins.