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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The material presented in this chapter provides a quick glance at the usefulness and the complex nature of this type of therapy. Psyxhosocial example, a client whose relationship with his father is deeply conflicted may find himself reacting to the therapist as if he were the client’s father.

Often the number of sessions depends on a client’s characteristics, goals, and the issues deemed central by the therapist. Stella said she was closer to her father, whom she described as gentle. One is based on an object-relations conceptualization.

Chapter 7 – First Two Years Psychosocial Flashcards Preview

As a dveelopment, the substance abuser relates to the substance based on the disturbed pattern of relating that he experienced with the maternal object Krystal, Having a clear focus makes it possible to do interpretive work in a relatively short time edvelopment the therapist only addresses the circumscribed problem area. The Vanderbilt Approach to Time-Limited Dynamic Psychotherapy TLDP The primary goal of this therapy is to foster positive change in interpersonal functioning, which will then have beneficial effects on the more circumscribed symptoms Binder and Strupp, However, contemporary psychoanalytic theorists acknowledge that biology plays a role in behaviors related to substance abuse.

The treatments were IPT offered once psyhosocial week and low contact, consisting of one minute meeting per month, when symptoms and social functioning were reviewed. It is a way of dealing with psychosociap that involves externalizing and making physical what is essentially a psychological disturbance. On most outcome measures there were no significant differences between the two treatment conditions; both were associated with favorable outcomes.

A purely intellectual exercise will not lead to behavior change. The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment.

They may be more beneficial for clients with no greater than moderate severity of substance abuse. In the treatment of substance developmnt disorders, defenses are seen as a means of resisting change–changes that inevitably involve eliminating or at least reducing drug use.

In this study, clients receiving SE therapy required less methadone than those who received only standard substance abuse counseling, and after 6 months of treatment these clients maintained their gains or showed continuing improvement. Developmental Level Psychodynamic theory emphasizes that the client’s level of functioning should determine the nature of any intervention. He suggested that Stella consider telling her physician how she feels about his treatment.


Models of Brief Psychodynamic Therapy Ten major approaches to short-term psychodynamic psychotherapy are briefly summarized in this section for psychsoocial detailed information, see Crits-Christoph and Barber, psychosoclal However, these typical reactions also fit her core theme: In other words, in addition to the dynamic therapy, clients received substance abuse disorder counseling along with methadone Woody et al, Most research on the efficacy of psychotherapy for the treatment of substance abuse disorders has concluded that it can be an effective treatment modality Woody et al.

Insight involves both thoughts and feelings.

Chapter 7 Summary FL13C16 PSYRKYA General Psychology I

This model has a set treatment length of 12 sessions and promotes working through of termination issues. The superegoformed during latency between age 5 and pubertyoperates to control id drives through guilt Messer and Warren, Practitioners of brief psychodynamic therapy believe that some changes can happen through a more rapid process or that an initial short intervention will start an ongoing process of change that does not need the constant involvement of the therapist.

It is also important that the psychodynamic therapist know about the pharmacology of abused drugs, the subculture of substance abuse, and Step programs. When Christopher suggested that she tell the physician and the group therapist how she felt about the way they had treated her, his words may have given advice, but his communication actually conveyed agreement with Stella’s position that she had been unfairly treated.

Therefore, counselors who treat clients with substance abuse disorders can benefit from understanding developmet basic concepts of general psychodynamic theory discussed in this section, even if they do xevelopment use a strictly psychodynamic intervention. Particularly with this group of clients, handling defenses can degenerate into an adversarial interaction, laden with accusations; for example, when a therapist admonishes the client by saying, “You are in denial” Mark and Luborsky, In ISTDP, therapeutic techniques are used to provoke emotional experiences and, through this, to facilitate corrective emotional experiences or the positive reenactments, in therapy, of past conflictual relationships Laikin et al.

The cocaine both “disclaims action” and affirms her “badness. Winnicott, and Harry Guntrip. Only then can the therapist help the client begin to understand her reasons for abusing substances and to consider alternative, more positive behavior. Krystal offers two possible theories of the etiology of substance abuse disorders. SE is the therapeutic approach used.

Quiz: Newman/Newman, Development Through Life: A Psychosocial Approach 10e, Chapter 7

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. STAPP is a focal, goal-oriented psychotherapy that is usually practiced in 12 to 15 sessions and sometimes fewer Nielsen and Barth, Analysis of the transference relationship and the therapeutic relationship psycgosocial a model for healthier relationships are important components of the therapy.


Seventy-two methadone-maintained, opiate-dependent subjects who were diagnosed with a psychiatric disorder e. In most cases, the development of a therapeutic alliance is partially a process of the passage of time. This can be accomplished by one therapist combining both models or, in a comprehensive treatment program for substance users, one therapist providing dynamic therapy and an alcohol and drug counselor providing direct, drug-focused counseling.

It is assumed that the client will have better control over behavior if he knows more about what he is doing on an unconscious level. Short-Term Dynamic Therapy of Stress Response Syndromes This approach to brief dynamic therapy was developed for use with clients who are dealing with recent stressful events, such as traumatic experiences or the death of a loved one Horowitz, Therapists using this approach will Develop a good therapeutic alliance Formulate and respond to central relationship patterns Understand and respond to how the symptom fits into the central relationship pattern Attend to and respond to concerns about separation therapy termination Make interpretations that are appropriate to the client’s level of awareness Recognize the client’s need to test the therapeutic relationship in transference terms Frame the symptoms as problem-solving or coping attempts.

The maximum number of sessions offered is 40, which Pollack and colleagues point out is more than some of the other brief models because of the higher level of psychopathology of the clients. Clients Most Suitable for Psychodynamic Therapy Brief psychodynamic therapy is more appropriate for some types of clients with substance abuse disorders than others.

In treating substance abuse disorders, it is important to recognize that insight alone is often not sufficient to create change. One study of the therapeutic alliance and its relationship to alcoholism treatment found that for alcoholic outpatients, ratings of the therapeutic alliance by the patient or therapist were significant predictors of treatment participation and of drinking behavior during treatment and at month followup, though the amount of variance explained was small Connors et al.

The specific outcomes measured vary from study to study but include length of participation in treatment, reduction in drug use, and reduction in depressive symptoms.

Of all the brief psychotherapies, psychodynamic approaches place the most emphasis on the therapeutic relationship and provide the most explicit and comprehensive deelopment of how to use this relationship effectively.