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Clinical Case Study: Bess
Cognitive behavioral therapy (CBT) would be an appropriate intervention to assist Bess in overcoming her OCD by targeting the psychological foundation of the disorder. Bess's neurosis is related to a strong, overbearing impact from her mother in her childhood, now verging on agoraphobia, which is having a negative effect on her social and psychological life. Her symptoms do not appear to have a strong biological basis, thus CBT should be an effective intervention. She is unable to "clean" something inside of her that she cannot even identify or be certain is there. Thus, the constant conducting and re-conducting of the same tired and "absurd" rituals become an overwhelming part of her daily existence. CBT could help to alleviate her of the obsession she feels by engaging her in a positive manner that will allow this burden in her mind to be lifted. It could also assist her in re-focusing her psychic energies towards more rewarding and fulfilling goals in both her private and social life.
The rationale for selecting CBT is that it provides a goal-oriented strategy for overcoming negative behaviors and replacing them with positive ones. Because Bess is a goal-driven person, who has been highly motivated in the past to accomplish tasks, this strategy should be helpful in re-orienting her with a more positive focus. Her confused sexual experience followed by the forced abortion on her mother's orders have substantially deprived Bess of any ability to function autonomously or with any real connection between her interior life and the world around her. She feels disconnected and deprived of an ability to "fix" herself: she is the same girl who struggled with the concept of being "saved" and being a "sinner" when learning religion under her Methodist tutors. This
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Bess also suffers from clear signs of depression as she has always struggled to be happy under a mother who could not understand or tolerate her unhappiness. CBT could also be employed to assist in this case. During the cognitive therapy sessions, the therapist would be able to use "congruent" traits to help the patient deal positively and effectively with her "incongruence" -- in this case, Bess's inability to stop her rituals even though they are preventing her from being productive (McNeil, 2013, p. 8). Becks's "empirically validated treatments" using…
References
Asamsama, O., Dickstein, B., Chard, K. (2015). Do scores on the Beck Depression
Inventory-II Predict Outcome in Cognitive Processing Therapy? Psychological Trauma: Theory, Research, Practice and Policy, 7(5): 437-441.
Jones, J., Lyddon, W. (2000). Cognitive Therapy and Empirically Validated Treatments.
Journal of Cognitive Psychotherapy: An International Quarterly, 14(3): 337-345.
Person centered therapy was founded by psychologist Carl Rogers in the 1940s (Rogers, 1957). It was developed during that decade and continued to be further adjusted and developed throughout the 1950s, as well (Rogers, 1959). According to the theory, the goal is to help the person find his or her own solutions for problems by providing a rich, nurturing, and non-judgmental environment in which that person can explore his or
(2005). Medical News Today. Retrieved October 28, 2010 at http://www.medicalnewstoday.com/articles/35545.php Defense mechanisms, or repression, according to Sigmund Freud, were at the root of human anxiety. To deal with cognitive dissonance, or challenges to one's ego, contradictory information was repressed and anxiety was temporarily reduced. Although during the 1960s many laboratory studies on learning and memory and studies of perceptual defense treated the existence of defense mechanisms as empirical fact, in more
Rather, Rogers argued that the therapist was there fundamentally in a support role, with the client in his or her own journey toward self-actualization. How then, does the client experience this kind of therapy? For many clients who are experiencing anxiety or self doubt, person-to-person therapy can lead them to discover their own ability to heal themselves. Assuming responsibility for one's own mental health by recognizing the range of
This, however, will remain the choice of the patient, but the hope is that we can bring about a change in her level of consciousness such that she might recognize for herself a benefit in that involvement with the children's fathers. Imperative to helping the patient realize her value in her abilities, skills, and other qualities associated with motherhood and her career that will help her to see her role
Carl Rogers Video Review The author of this report is asked to find and view any video about Carl Rogers. Specifically, the video should center on the man's contributions to psychotherapy in general or it should pertain to person-centered therapy in particular. The video in question was found on YouTube and specifically relates to person-centered therapy. The video was apparently produced or supported by the website psychotherapy.net. The title of the
Person-Centered Therapy (PCT) is a form of counseling based on discussions with the person/patient that allows him to express his subjective view of himself and the world in order to arrive at a more objective/clarified vision. The patient arrives in a state of incongruity and through a series of sessions of PCT is relieved of various levels of incongruity as they are exposed by himself through his own dialoguing with