Choose an individual demonstrating a particular disorder. Do write to me using the class messaging system if you are not clear about choosing a topic. 2. Google the topic to see w
help me with a case study
The class paper, or written assignment, is a Case Study. To get started:
1. Choose an individual demonstrating a particular disorder. Do write to me using the class messaging system if you are not clear about choosing a topic.
2. Google the topic to see what kind of information is available out there. Again, write me with your questions using the course messaging system please.
3. If there is a famous person you would like to write about or a character from a book or movie, write about them. The written assignment required parts are explained in the syllabus. An example of a completed paper is provided on this homepage. Follow the form of the example, but do not use the content.
4. I have provided notes called "School of Theory" to give you ideas what to write about. If you are not familiar with the concepts listed there, look them up.
If you look at my link on the homepage called Schools of Theory. Notice it names all eight school in a list that is color coded.
The first line for each school gives example of theorists,
The second line provides concepts, the ones who would explain the cause of a disorder.
The third line provides applications, the treatments that would treat a disorder.
Schools of Theory: Causes, Interventions and Examples of Each
Anatomical: Causes of illnesses include: chemical imbalances, disease,genetics, diet or stress.
Interventions include: medicines, shock treatment, psychosurgury, diet, hospitalization.
Examples: Behavioral Genetics, Selyes Stress Diathesis, Costa & McRae's Big 5.
Behaviorial: Causes: Tragic models, reinforcement of maladaptive conduct, painful associations.
Interventions: New models, Behavior Modification Schedules, Aversive Conditioning.
Examples: BFSkinner, Joseph Wolpe, Ivan Pavlov, Token Economies.
Cognitive: Causes: Irrational explanations, unrealistic expectations, poor coping or social skills.
Intervention: Reeducate explanations, expectatins, coping and social skills.
Examples: Piaget, Vygotsky, Kohlberg, Bandura
Diagnostic: Causes: Personality Traits define strength and vulnerabilites.
Intervention: No formal procedures but assessment insight can be therpeutic.
Examples: Murray's TAT, Rorschach's Inkblots, MMPI, CPI, IQ, Costa and McRae Big 5
(OCEAN) Openness, Conscientiousness, Extrovertedness, Agreeableness, Neuroticism.
Existential: Causes: Unnreasonable needs, misplaced values, attitude and social technique.
Intervention: Group Therapy, Value Clarification exercises, Needs Conflicts (Approach-
Approach, Avoidance-Avoidance, Approach-Avoidance), Group activities.
Examples: Maslow's Heirarchy (biological, safety, love, esteem and self-actualization),
Freudian: Causes: Arrested Developement in Psychosexual stages due to cathexis, excessive use
of defence mechanisms, repressed conflicts and unrestrained libidinal expression.
Interventions: Psychoanalysis, word association, insights, dream interpretion, games.
Examples: Sygmund, Anna (games with dolls for children), Erikson,
Gestalt: Causes: Maladaptive script, disfunctional family interaction, cultural roles that contradict.
Interventions: Group therapy, role playing, psychodrama, confrontating body language.
Examples: Frederick Perls and Alphonso Moreno.
Humanistic: Causes: Poor self esteem, incongruent real from ideal self, conditions of worth.
Interventions: Group therapy, sensitivity training, communication skills, gentle feedback,
non-directive counseling, unconditional-positive regard, and spontenaity.
Examples: Carl Rogers, Abraham Maslow, Victor Frankl, Cummings.
So the concepts in line two will help you do the Justification, and the third line will with the prognosis.
Dr. Janice T. Greco An Eample Case Study
The Deutch Family
DESCRIPTION: Choose a person from the media, a movie or book. If you should use a real individual you know personally, do not use their real name to protect their privacy. Follow the form of the case study demonstrated here. Do not use any of the content, which is plagiarism.
A woman in her late thirties, raised fundamentalist, is seeking help for her alcoholism. She has volunteered that she was repeatedly sexually molested as a young girl in the mid west by her father. He was described as an authoritarian womanizer addicted to religion. A wife and any children are the head-of-household’s property and aging is the wages of sin.
She is articulate, clever and employed as a technician. No longer active in organized religion, she has perfected an advanced knowledge of ancient metaphysical techniques. These included I Cheng, Tarot and Astrology. Physically healthy, she does appear to be slightly below normal weight for a woman her age. She describes herself as a lesbian, feminist. This individual consumes at least six alcoholic beverages a day, and admits to having consumed almost an entire case of beer on one occasion; an incredible amount for a woman who weighs 110 lbs and who is approaching middle age.
The first in her family to discuss the family problem “out load", it has been uncovered that all four daughters were molested. The youngest of seven children, she has three grown brothers, one of whom is a former minister, defrocked for sexual improprieties with a member of his congregation. All six siblings have married. Only the individual client remained single. In all six marriages, none of the husbands is older. In two marriages the spouses are almost the same age. In four of these marriages, the wife is the older partner. After years of denial about her chemical dependency, she apparently has been very shaken by the death of one of her sisters. It only upset her further, when her father reported that his greater age insinuated that God had blessed him.
The individual does not want to give up drinking, but simply get control of her consumption. She has informed us that she is not a country bumpkin and does not need to be told how to live her life. Any discussion of aging or family inspires bingeing.
DIAGNOSIS: Use a technical label from the DSM V
The client appears to be in an advanced stage of alcoholism. She becomes sick if she does not drink and gets drunk several times a week. She has had several DWIs and goes to Driver’s Ed. about every other year. Though she has gotten a number of traffic tickets, her insurance and traffic record appear to be meeting legal guidelines. She does maintain a job, which she cites as proof that the problem "isn’t that bad".
She has described as down time in which she does nothing but read and stay on her couch all day. This is typical of the alcoholic pattern which revolves around activities that can be done while drinking. Since these are most likely during the Autumn and Winter months, they may reflect seasonal bouts of depression. She has reported that she feels better when out in the sunshine, which may indicate Seasonal Affective Disorder.
THEORETICAL JUSTIFICATION: Only causes are discussed here. Be sure to name a theory for all eight schools of theory.
Anatomical: There is considerable research describing the stages of alcoholism, and the telescoping process. Kirkpatrick has pointed out that alcoholism among women is under diagnosed. Furthermore, women telescope more rapidly than men, especially as women age, being physiologically predisposed to process alcohol more poorly than men.
Behaviorism: Learning theory would suggest that the individual is more likely to have bouts of depression as an adult survivor of incest. The depression is a retreat, an evasive pattern that is reinforced because it allows the child to escape the resent I a quiet manner, while drawing less attention of the molester to herself. She has also been conditioned to reject pleas to save hers and live a healthy life by the attempts of her family to save her and turn her over to Jesus. While neither of her parents is alcoholic, her Father’s addiction to religion can be thought of as a model of addiction.
Cognitive: Both depression and alcoholism muddy cognitive processing. The individual’s judgment is probably impaired. Years of chemical dependency may have resulted in many life experiences that were interpreted by the individual as evidence that life is unpredictable and hopeless.
Diagnostic: Clinical class noted.
Existentialism: As a student of ancient techniques of introspection, she is very well read in the area of the human potential movement. A compassionate, progressive individual, she has participated in a number of causes for less fortunate individuals. Ironically, she sees herself as honoring the value placed upon ministry to others.
Freud: The individual has never recovered from the violation she suffered at the hands of her own father. Deep in denial, repressed incestuous episodes appear to return in flashbacks. Unable to trust men, and revolted at the sight of a penis, she has no desire to develop an intimate relationship with any man. Unfortunately, she has had several, brief unsuccessful relationships with women. She often treated her partners the same way her father targeted her, a misguided expression of a faulty Super Ego. Furthermore, she may have a retarded sex drive. This is not unusual for an alcoholic. It is not clear if her chemical dependency has interfered with her ability to develop the skills required to maintain a prolonged, intimate relationship or if her chemical dependency is a result of an excessive fear of intimacy. Finally, it is not unusual for alcohol to be used to self-medicate among depressed individuals. Depression would be the result of depleted libidinal forces, due to the repeated attempt to repress childhood memories.
Gestalt: The cultural context of her upbringing was the Mennonite Community. Her family’s interpretation of that system was especially punitive and sexist. Judgmental and exclusionary, there was no chance of her receiving an apology. She could not remember a time she was taken seriously by her family.
Humanistic: While very caring to others, the client does not seem to remember to take care of herself. A product of conditional love, she does find shows of affection genuine; and she is too defensive to accept help. Her self-concept is especially faulty, often describing herself as physically larger that she really is. Nor does she recognize the feedback that her body is sending her with hangovers and loss of appetite.
Anatomical: Before any conversation with the client, she must go to a hospital for detoxification. Any discussion will not be memorable before then, and her physical status should be monitored after so many years of alcohol abuse. Nutritionists will develop a program that aide in her recovery. Chemotherapy, in the form of psychoactive drugs, will help her to deal with her affective disorder, SAD, which adjusting to her new lifestyle.
.Behavioral: The social setting must change, so that more appropriate role models are provided. AA will offer such models and a safe place to reinforce sobriety and extinguish any associations with alcohol. Change will not last if the client continues to frequent bars.
Cognitive: New coping skills and more realistic explanations for the source of her sadness will be offered in the form of reeducation. This will only work if she wants it to, though.
Diagnostic: Monitor Progress via testing.
Existential: Group activities can shed light of needs that are difficult to express. Survival exercises such as Ropes will help to clarify her priorities. Art therapy may help her to discover new talents and drives.
Freudian: Psychoanalysis will shed insight into the balance, or lack there of, to the aspects of the personality. Hopefully, she will recognize she is driven by an unrestrained ID; and still at the mercy of a very punitive Super Ego. Exposing defense mechanisms, such as denial, repression and regression, may offer a new view of the Ego with more effective reality testing. Dream interpretation will expedite the process.
Gestalt: Role-playing will demonstrate the types of relationships which shaped her early years. Playing the role of others in her life, may provide insights into their point of view. Acknowledging her psychosocial family of origin may empower her and free her to move on. Reading her body language not only may enhance her communications, but trying new postures will provide practice for a new life.
Humanistic: Clearly her sense of self is tragic. Providing a safe environment with which to face her personal demons, will allow her to take those painful steps toward becoming a fully functioning person. Providing support for her physical needs and structuring her social needs will create an opportunity toward self-actualization, to fulfill her unique potential. Sensitivity circles will provide social feedback in a safe environment. More effective communication will aide her as well. All of this is still based upon her acceptance of a need to change. Without this, none of this will proceed.
In conclusion, there are many avenues of support, but all are hinged upon her attitude. Given that her attitude has been defensive and uncooperative all along coupled with the news that another sister has cancer does not suggest that any of these opportunities will be employed. As a result, her prognosis is not good.
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