The role of brief therapy in attachment disorders. Book Chapters Aitken, G.
Her husband, Steve, has recently and unexpectedly informed her that he no longer loves her and that he wants a divorce. Wendy was shocked to hear this, and she now reports that she is constantly crying and feels extremely anxious. Wendy has not told anyone about this situation, although she and Steve have agreed to explain his decision to their children within the week.
In this scenario, the counsellor will be using a brief psychodynamic approach. Background Wendy attended eighteen appointments over an eight month period.
The first six appointments were held weekly, the next ten were fortnightly, and the last two were spaced out over two months.
Wendy and Steve have been married for twenty-nine years and have lived in the same area for all of that time. They have two children — Damien 24 years of age, and Amanda 26 years. Damien still lives at home with his parents.
Wendy has not yet told anyone, neither family nor friends, about her situation and becomes anxious when she considers doing this. She and Steve have agreed to tell their children within the next week, and Steve plans to move out of the family home at that time.
Wendy and Steve are no longer sleeping in the same bed, although up until his recent disclosure, they had been sleeping together and kissing and hugging from time to time. Session Details In the initial appointment, Wendy reported a very distressing couple of weeks.
She began to describe her situation starting at twelve months ago when Steve began attending a gym and reading personal development books.
As a result of this conversation, Wendy then made a concentrated effort to improve things — she created opportunities for them to be together, she encouraged their discussions with one another, and she shared more of herself and her feelings in their conversations. That was the last time they had discussed anything about their relationship, and Wendy thought that things had been much improved by her efforts over the last twelve months.
C listened empathically and shared in the variety of emotions that Wendy reported, including shock, anger, sadness, devastation, betrayal, disappointment, frustration, disbelief, and a sense of complete lack of control. These were discussed at length, as well as the situations that had caused the emotions.
As a brief psychodynamic counsellor expects that there will be around twenty appointments, or more, there was no need to hurry Wendy. C and Wendy travelled through each event and emotion as they occurred. She described an almost immediate, but minor, decrease in her anxiety symptoms, with a continuing reduction over time.
After discussion, she re-introduced the use of her own relaxation strategies that she had used successfully in the past. C encouraged Wendy to allow herself to express her feelings as much, and as often, as possible.
In response to this suggestion, she began a journal and wrote in it regularly, she accepted and catered for times alone to cry, and she gradually began to discuss her situation with close and trusted family, friends, and work colleagues.
This latter action required extensive discussion about her fears of disclosure and how she would manage the repercussions. After this stage, however, C began reporting to Wendy any observations or thoughts about what was happening for her, as well as identifying patterns in her actions and highlighting significant steps that she had taken.
For example, in session seven, C noticed that Wendy was reluctant to criticise Steve for his behaviour. C described this observation to Wendy and asked her if she had noticed it herself.
Wendy had not noticed, but once it was brought to her attention, she said that she could see it clearly. She said that she still loved Steve, and that she held onto the hope that he would change his mind. She went on to describe her plan to take him back should that occur. C also explored this further, asking Wendy: This is an important occurrence in brief psychodynamic therapy, as it is an example of the unconscious becoming conscious.
At the commencement of the twelfth session, Wendy reported that she had a terrible week where she had cried frequently. She had spoken to Steve and had been very disappointed with his distance and coldness towards her.
She described these events while laughing and speaking quickly and minimising their significance. Wendy reported that she was probably speaking fast because she had just met with a friend who would not be able to handle the truth about her devastation.
C asked if this was also how she felt in our counselling sessions note: During this conversation, Wendy said that she felt that it was hard to be herself and that, in fact, she had not been able to be herself since Steve told her twelve months ago that they were drifting apart.
From that time on, she had been acting as if everything was okay, when really she felt scared and alone. During this conversation, Wendy also said that laughing about her problems was to make it easier for her friend to cope with the sad news.
Wendy realised that she tried to make her distress easier for everyone to cope with, including Steve. She reported that she was even making it as easy as possible for Steve to leave her. She decided then that she would no longer do this, and would instead be true to her own feelings and express them whenever necessary.
She stated that she would start to be herself around Steve, and everyone else.Akande, R. (). A Sign for the Therapeutic Relationship. Reformulation, 29, pp 6 - Appleby, K. (). Cognitive Analytic Therapy - its influence on my practice in the Occupational Health Speciality within a Clinical Psychology and Counselling Service.
The incorporation of these resources into the design of work environments should, ideally, be combined with organizational and facilities management policies that maximize the health- . Jan 13, · 2. Bullying Essay Introduction Bullying: Self-esteem and Bullying Vs Cyber Tenesha Smith Jennifer Cabana 9/28/ CRT/ Traditional Bullying VS Cyber Bullying The article I chose to discuss is Cyber bullying has a broader impact than traditional bullying.
Using Humanistic and Existential Therapies. Many aspects of humanistic and existential approaches (including empathy, encouragement of affect, reflective listening, and acceptance of the client's subjective experience) are useful in any type of brief therapy session, whether it involves psychodynamic, strategic, or cognitive-behavioral therapy.
Final Case Study Person-Centred vs Psychodynamic. Topics: Psychodynamic Final Case Study Essay The final presentation is intended to recap the Project Management course. Attached is a case study which will be the basis of your presentation. Each week we have covered a new area in the project management .
Question description. Application: Person-Centered Therapy—Case Conceptualization As you learned in your readings this week, person-centered therapy is a unique school of thought that provides a positive frame for working with clients to make changes in their lives or address problems that arise.