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APA
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Health, Medicine, Nursing
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English (U.S.)
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Topic:
Rebecca's Mental Health Case Study (Coursework Sample)
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Mental health care case study source..
Content:
Rebecca's Mental Health Case Study
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Rebecca's Mental Health Case Study
Q1.
Various mental health experts, as well as counselors, have unlimited theoretical orientations at their disposal to meet their client's health demands. They can offer verbal and non-verbal, expressive therapies taking into account the client's preferences and the issues client would want resolved while deciding the best approach or a combination of the treatments techniques (Sperry, 2005). A therapist may incorporate different theoretical orientations in which they have experience. Developing theoretical orientation that is best for both the client and clinician lies in understanding oneself, pursuing a personal therapy, understanding individual personality, getting inspiration and reviewing of one's treatment expertise. These are the primary tactics used to explore the best theoretical orientation for the health experts and the client.
Case conceptualization is a process of assessing the client and the way they present their concerns to allow the clinician to formulate the right treatment plan for their problems. The assessment practice includes client's abilities, environmental stressors and assistance from other people, mental, emotional and behavioral configurations. Case conceptualization involves identifying the issue with the most impact in the context of the other influencing and mitigating factors. The orientation model would help the counseling community as the measure used embody development-oriented psychological constructs which are therapeutically worth (Wilkinson, 2015).
For the case study of Rebecca a 28-year-old lady of European-American origin. The case conceptualization of Rebecca's concerns would involve incorporating psychodynamic psychotherapy and psychoanalysis theoretical orientations. Although the treatment plan will be mind-numbing, weighty and time-consuming to the client, it is worth it. The clinician will adopt psychodynamic psychotherapy in the first phase of the treatment process then use psychoanalysis to allow the patient understand what factors are influencing his/her emotions in present life. Psychodynamic psychotherapy refers to a treatment strategy whereby the model assumes that Rebecca's early life experiences to a large extent determined and shaped her current expressive and relationship condition.
The primary objective of adopting this type of therapy is to achieve a relationship bond and interaction between the clinician and the client. The treatment also allows the counselor to act as a prime mode of delivering a positive developmental transformation to the client. Applying psychotherapy the clinician can involve examination of both present and the past experiences, subsequently uncovering a person's aspects of emotions and beliefs which are not wholly comprehended. Psychoanalysis meanwhile will help Rebecca to understand as well as being aware of factors that are influencing her mental and emotional conditions, successively revealing the unconscious aspects of her life thus leading to wellness.
Q2.
Rebecca encounters various life issues that are affecting her relationship with her parents, coworkers, friends and her love life with Harvey. Some of the key issues that she encountered include oppositional attitude both at school and home. Rebecca believed that people surrounding her should live to her expectations and standards which most of her classmates and family members did not meet this made her feel out of place. She further reports her family lack of organization in various ways, also believed that her mom lacked the needed day-to-day parenting experiences and being intrusive and critical at times. She also recalls feeling bitter with her mom because of her traveling schedule that made her lack involvements into matters of the family. As a result, Rebecca opted to stay away from home most of the time.
Another critical issue that the clinician should look into is Rebecca's relationship and interactions with people outside her family, however, she marries Harvey uncertain that she loved him. The primary reason for marrying Harvey is to have an excitement of living outside her parents' home. Rebecca and her husband, however, had differing opinions concerning marriage, including whether to have and how to bring up the children. The issue brings misunderstanding between the Harvey and Rebecca. Furthermore, she considers her husband to be more demanding concerning matters of house cleanliness. She later discovers that marriage is not just about being together with a male partner it is a challenging entity, and they resolve to have a divorce. Her relationship at work is also wanting, she reports having interpersonal problems at the workplace.
In addition, Rebecca never socialized with her staff members beyond their professional boundaries. She reports having few friends with whom their friendship was a superficial one. She never had girlfriends at high school since she believed they were silly and lacked ambition in life. Finally, temporomandibular joint (TMJ) pain is also a key issue the therapist should consider in helping Rebecca recover from the mental health problem that she is facing.
Q3.
Transference is a consequence of the restoration, within the psychoanalytic process of a client's past and as the transferal of his/her ‘early understandings object-relation and emotions' that ‘come to an emphasis on the psycho-analyst'(Spinelli-Coleman, 2013). Countertransference was a term first introduced in clinical practice by Fraud (1910). Countertransference describes the client's influence on the unconscious emotions of the clinician. The term is currently assumed as both a possibly detrimental occurrence and as an important interpretive instrument (Cureton & Clemens, 2015). Since the client is willing to speak out her problems and concerns, transference would be appropriate for the case of Rebecca.
Transference involves a hypothesizing understanding of dreams' symbols as a key element of therapy. With transference, the clinician can conceive the client's repetition in the relationship with the counselor of actual historical events and fantasies. Transference, therefore, permits a stage in which individuals could express unconscious components of their life during the treatment phase. The constant repetition of the past in the form of transference in a therapeutic relationship is...
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