Running head: OBJECT RELATIONS CASE STUDY 1
OBJECT RELATIONS CASE STUDY 4
,
.
Object Relations Case Study
of Richard:
A Conceptualization and Treatment Plan
Bea A. Goodstudent
Liberty University
.
AAbstract
B
egin a new page. Your abstract page should already include the page header as shown above.
Keywords: APA style, good paper style, headings, title page
Chapter 2, 2.04, p. 25-27) (Figure 2.1, p. 41).
“The example below focuses more on the details of the case and does not explain the process using outside sources. The portions in yellow-highlight are meant to give you guidance as to how to incorporate outside sources in a manner that would support the material you are presenting, therefore making a case study more of an assignment that is appropriate in an academic environment.”
Object Relations Case Study of Richard:
A Conceptualization and Treatment Plan
Case Conceptualization of Object Relations
You would want to write a good introduction to your paper here that would be one paragraph and would include your thesis statement. This should be different than your abstract which is a summary of your paper.
This is where you will also answer the following questions (each in a separate paragraph without the “bullets”):
· Who is (are) the developer(s) of the theory?
· What did they believe about human nature and the counseling process?
· Explain any research that has been done showing the efficacy of this theory.
· What diagnoses has this theory been shown to be effective with (depression, anxiety, etc.)?
· What makes this theory appropriate for your client and their presenting problems you noted in the first paper?
· What are any potential ethical issues that may arise using this theory with your client?
· What are any potential multicultural issues that may arise using this theory with your client?
· How can this theory be used in crisis situations?
Treatment Plan and Interventions
Presenting Problems:
Richard presents himself as depressed following his recent divorce. He feels lonely and unworthy. He also reports feeling great anger towards his former wife and unable to move on with his life after the divorce. He considers that the divorce was caused mostly by lack of communication between him and his wife. Richard recognizes that he has had great difficulty in communicating with others throughout his life and that only recently he has become aware of this. He reports that previous to this marriage at the age of 44, relationships with women had been short and non-committal. Throughout the interview Richard revealed that both parents were alcoholic and that he was very isolated and angry as a child. He grew up moving frequently from the homes of relatives, including one of his grandmothers.
Goals for Counseling
Write a short paragraph giving a ...
1. Running head: OBJECT RELATIONS CASE STUDY
1
OBJECT RELATIONS CASE STUDY
4
,
.
Object Relations Case Study
of Richard:
A Conceptualization and Treatment Plan
Bea A. Goodstudent
Liberty University
.
AAbstract
B
egin a new page. Your abstract page should already include
the page header as shown above.
Keywords: APA style, good paper style, headings, title page
Chapter 2, 2.04, p. 25-27) (Figure 2.1, p. 41).
“The example below focuses more on the details of the case and
does not explain the process using outside sources. The
portions in yellow-highlight are meant to give you guidance as
to how to incorporate outside sources in a manner that would
support the material you are presenting, therefore making a case
study more of an assignment that is appropriate in an academic
environment.”
Object Relations Case Study of Richard:
2. A Conceptualization and Treatment Plan
Case Conceptualization of Object Relations
You would want to write a good introduction to your paper here
that would be one paragraph and would include your thesis
statement. This should be different than your abstract which is a
summary of your paper.
This is where you will also answer the following questions
(each in a separate paragraph without the “bullets”):
· Who is (are) the developer(s) of the theory?
· What did they believe about human nature and the counseling
process?
· Explain any research that has been done showing the efficacy
of this theory.
· What diagnoses has this theory been shown to be effective
with (depression, anxiety, etc.)?
· What makes this theory appropriate for your client and their
presenting problems you noted in the first paper?
· What are any potential ethical issues that may arise using this
theory with your client?
· What are any potential multicultural issues that may arise
using this theory with your client?
· How can this theory be used in crisis situations?
Treatment Plan and Interventions
Presenting Problems:
Richard presents himself as depressed following his recent
divorce. He feels lonely and unworthy. He also reports feeling
3. great anger towards his former wife and unable to move on with
his life after the divorce. He considers that the divorce was
caused mostly by lack of communication between him and his
wife. Richard recognizes that he has had great difficulty in
communicating with others throughout his life and that only
recently he has become aware of this. He reports that previous
to this marriage at the age of 44, relationships with women had
been short and non-committal. Throughout the interview
Richard revealed that both parents were alcoholic and that he
was very isolated and angry as a child. He grew up moving
frequently from the homes of relatives, including one of his
grandmothers.
Goals for Counseling
Write a short paragraph giving a synopsis about the 3 goals you
wrote about on the Case Summarypaper. Again, detail is not
needed, just a quick summary of the goals that will be directing
your interventions/techniques. However, make sure they are
specific to your client’s problems!
From a psychodynamic and object relations perspective, the
goal of therapy is to help Richard connect with his emotional
self, feel the pain and rage associated with his early negative
experiences to achieve emotional catharsis and gain insight
regarding how these early experiences are related to the
relationship problems he has experienced in his life. In the
process it is also expected that by forming a close bond with the
therapist, Richard may learn how to experience closeness in
relationship at the same time maintaining appropriate
boundaries. You would briefly tie these goals to the theory,
again utilizing outside sources.
Interventions
You would want to offer a definition of each of the
interventions you are using, explain why you choose to use this
intervention, and what you hoped to accomplish with this
4. intervention.
Establishing the relationship.
Given Richard’s lack of significant nurturing relationships in
his life, issues of trust were particularly difficult with him. This
was addressed, in an empathic way, early on in the relationship
– I told him that I recognized and understood that it would
likely be difficult for him to trust me, the therapist, but that as
he felt comfortable it was important for him to gain some trust
so that the therapy may work. I also encouraged him to
communicate to me how he felt regarding being or not being
able to trust me, even if it felt uncomfortable for him to talk
about trust issues. Initially Richard was very guarded, tended to
make jokes or become hostile with me when the counseling
came close to painful issues for him. In some of these instances
I pointed out his behavior and asked him what he might have
been feeling about himself and about me (immediacy of the
relationship) just before he said the remark. Sometimes, instead
of asking, I reflected to him feelings of discomfort or anger that
I picked up in relation to the issues we were discussing.
Sometimes, I shared with him (immediacy of the relationship)
how his jokes and/or angry remarks made me feel in the
relationship with him (e.g. “when you respond in that way –
make a joke about something serious we are talking about or
respond angrily at me – makes me feel like you are pushing me
away”). And, using parallel process, other times I wondered out
loud to what extent others in his life may feel like me when he
behaves that way.
Analysis of transference. I helped Richard recognize and
process when he was pushing me away. In these instances I
asked him to stay with and explore the feelings that he was
experiencing - which often included fear, anxiety, pain,
disbelief that the therapist cares. As he was able to recognize
and label these feelings I encouraged him to make connections
with other times in his life when he had felt in similar ways. As
5. I described above, these intervention entailed confronting
Richard with what was happening in the here and now of the
counseling relationship.
Insight. As part of the therapy process Richard came to
understand how his early deprivation, which was not his fault,
led him to not trust himself or others and feel bad about
himself, and how these feelings have made it very difficult for
him to enter in close relationships with others.
In summary this process involved both emotional and
intellectual insight. With the support of the therapist, he
allowed himself to get in touch - feel - the pain generated by his
early deprivation, which lies beneath the strong anger that he
feels today.
During this process my role as a therapist included providing
emotional support, helping Richard “hold” and “contain” the
strong pain and anger that had been pent up in him for so long,
and feel accepted as he was. I often assure him that his feelings
were reasonable given the experiences he had had, and
communicated to him (verbally and non-verbally) that it was ok
to express them and that I was not overwhelmed by his pain,
anger, and fear. In some ways, he was able to re-live his painful
childhood experiences in the context of a relationship where he
felt accepted, and psychologically taken care of. These
experiences constituted a “corrective emotional” experience.
With this new insight and corrective emotional experiences,
Richard started to be less defensive and more open in
relationships with women. He realized that his search of
perfection in others was in part an effort to cover his strong
sense of inadequacy (insight) that also served to keep others
away. This realization helped him to work towards accepting
himself and others (shedding away the mechanism of defense)
as they are, with good and not so good things.
Spiritual Applications
6. Here, you want to make sure you show three ways the theory
you chose is compatible and three ways it is not compatible
with a Christian worldview (from your standpoint). Don’t forget
to show your resources and referrals here.
Compatibilities:
Object Relations therapy is compatible with Christian principles
in some ways. First, in
OR therapy, clients are seen as having the potential to change
and grow, which aligns with
Scripture (Jones & Butman, 2011). Second, . . .
Incompatibilites:
Object Relations therapy is also incompatible with a Christian
worldview in several ways. First, in OR therapy, clients . . .
Conclusions
With time it is hoped that Richard would become better at
recognizing his anger and confronting the feelings associated
with it. It is thought that Richard will experience the connection
between his early experiences of abandonment and his current
difficulties as he allows himself to experience and accept the
pain of his lost childhood, and the anger he felt toward his
parents for the constant fighting in the house and for not loving
and caring for him. During these times it would be important for
the therapist to assured Richard that regardless of the parents’
problems, their behavior had been wrong and that as a child he
deserved better. This would serve as a corrective emotional
experience. It is believed that Richard would eventually be able
to understand thathis anger was justifiedand that another person,
the therapist, was able to accept him with his anger whereasin
the past he interpreted his feelings of anger as further proof of
7. his badness and feared that if the parents knew of this anger
they would further reject him.
NOTE: This case study is adapted from a case study retrieved
from:
http://www.coe.uh.edu/arbona/courses/epsy6325/readings/Outli
ne%20Case%20Conceptualization.doc
References
Good, W. A
. (2004).
Always be
sure to use the best sources that you can find: It will help your
paper to be better. Peer Reviewed Articles Are Best, 1 (2),
22-26
.
Books, T. N., & Notes, F. G.
(2010). Use your textbooks whenever possible.
(2nd ed.). New York, NY: Plenty Publishing.
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a running head, which is a shortened title at the top of the page
and is flush left ("Running head: EFFECTS OF TECHNOLOGY
ON CHILDREN'S OUTDOOR PLAY") in the header on the title
page (Chapter 8, 8.03, p. 229) (Figure 2.1, p. 41).
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and its focus in 12 words or less. A good title will not contain
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type Keywords: (italicized) and then list your keywords. Listing
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