Chapter 7. Seventh Edition. Berger: The Developing Person Through Childhood and Adolescence, 7th Edition, Chapter 7. What does “psychosocial” mean?. Introduction To Development Test 1 > Chapter 7 – First Two Years During infancy, interactions with sensitive, responsive ___ foster psychosocial development. Bowlby’s attachment theory came about by John Bowlby and Mary Ainsworth in the ‘s and ‘s. • Bowlby held a strong psychoanalytic.

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Chapter 7 – First Two Years Psychosocial Flashcards Preview

This would be considered a variant of borderline psychopathology, which is viewed as a fairly severe disturbance of ego functioning and object relations. It is also important that the psychodynamic therapist know about the pharmacology of abused drugs, the subculture of substance abuse, and Step programs.

More recently, a large multisite study of persons receiving treatment compared SE therapy with cognitive cu7 and drug counseling for cocaine dependence Crits-Christoph et developmenh. One reason is that this idea leads to a rather pessimistic belief regarding the outcome of analytic treatments for substance abuse disorders. The goal of treatment in TLP is to diminish as much as possible the client’s negative self-image through resolution of the central issue Mann, The foci that respond best to STAPP are unresolved Oedipal conflicts, but loss, separation issues, and grief may also be acceptable.

The CCRT framework also can be used to identify potential obstacles in the recovery process as the therapist and client explore the client’s anticipated responses from others cj7 from herself and discuss how these perceptions will change when she stops abusing substances.

These emphases, listed below, are relevant for applying other types of psychotherapy to substance-dependent clients as well. After her eighth session, with her reluctant agreement, Christopher informed the physician that she was in treatment for cocaine dependence. A child comes home, dvelopment no one is there. Each of the three developmeent included, in addition to the individual treatment, a substance abuse counseling group.

These three areas are repeatedly linked to one another.

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The client’s RS is based on the individual’s somatic experiences, actions, and perceived needs. Two years later she ran away with another man, a particularly sadistic pimp. Figure defines the most common mechanisms clients use to defend themselves from painful feelings or to resist change.


He attempted to explain the intensity of her reaction in terms of projection: Effective use of the therapeutic relationship depends on an understanding of transference. Extensive use of analysis of the transference relationship also helps to bring the unresolved conflicts to the client’s consciousness so that they can then be explored and resolved.

If the client is receiving substitution therapy, such as methadone maintenance, attention should be given to the time of the client’s daily dose and when, in relation to the dosing, the client feels therapy is best conducted.

The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment. A negative RO reinforces a negative RS and can lead to the deceptive and manipulative behavior that is sometimes observed in this population.

The person with a substance abuse disorder will therefore have a “tremendously impoverished and impaired capacity to experience,” and traditional psychotherapy might have to be augmented with techniques that focus on increasing a client’s ability to experience Mark and Faude,p. Dropout rates were high, and overall abstinence in both groups did not appear to differ from that expected from spontaneous remission.

Levenson and colleagues offer such a theory Levenson et al. Insight Another critical underlying concept of psychodynamic theory–and one that can be of great benefit to all therapists–is the concept of insight.

This study had at least two flaws, however. In supervision, Christopher realized immediately that he was indirectly letting Stella know that he understood and agreed psychosociall her. Most people with substance abuse disorders have particularly negative expectations of others’ attitudes toward them that is, the ROalthough it remains unclear which came first–this response or the substance abuse disorder.

It is for this reason that substance-abusing clients were and perhaps still are often considered unsuitable for psychoanalysis and also unsuitable for many of the short-term analytic models that involve a very focused and active uncovering of the unconscious. IPT has been evaluated as an adjunctive treatment for a full-service methadone clinic Rounsaville et al. Change comes about through the client’s learning to resolve an emotional core problem, essentially problemsolving.

Psychodynamic therapy focuses on unconscious processes as they are manifested in the client’s present behavior.

SE is the therapeutic approach used. Another critical underlying concept of psychodynamic theory–and one that can be of great benefit to all therapists–is the concept of insight. Some critics have argued that a major limitation of those develoment theories is that they do not make allowances for the biological bases of substance abuse disorders Babor, To introduce clients into treatment To treat clients with lower levels of substance abuse To treat clients who did not benefit from other modalities To complement other ongoing treatment modalities To help clients maintain and solidify gains following the establishment of stable abstinence.


To introduce clients into treatment. The psychodynamic model offers a systematic explanation of how the therapeutic relationship works and guidelines for how to use it for positive change and growth. He believes that a moralistic stance toward the substance-abusing behavior is counterproductive and that substance abusers’ problems consist of too much, rather than too little, superego.

One implication of this finding is that drug-focused interventions are perhaps the optimal approach for providing treatment for substance abuse disorders Strean, In the treatment of substance abuse psychosocila, defenses are seen as a means of resisting change–changes that inevitably involve eliminating or at least reducing drug use.

Therefore, counselors who treat clients with substance abuse disorders can benefit from understanding the basic concepts of general psychodynamic theory discussed in this section, even if they do not use a strictly psychodynamic intervention. IPT was developed initially as a time-limited, weekly psychotherapy for nonbipolar, nonpsychotic, depressed clients Klerman et al.

Chapter 7 Summary: FL13C16 PSYRKYA General Psychology I

Defense Mechanisms And Resistance In psychoanalytic theory, defense mechanisms bolster the individual’s ego or self. According to this theory, human beings are always shaped in relation to the significant others surrounding them. This model has a set treatment length of 12 sessions and promotes working through of termination issues. Clients Most Suitable for Psychodynamic Therapy Brief psychodynamic therapy is more appropriate for some types of clients with substance abuse disorders than others.

Having a clear focus makes it possible to do interpretive work in a relatively short time because the therapist only addresses the circumscribed problem area.