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Major approaches to Clinical Psychology
There are 4 approaches to the field of clinical psychology; they are in psychodynamic, cognitive-behavioral, humanistic, and family systems. In the field of clinical psychology, applying these four major approaches contributes to the efficiency in treatment by classifying the goals of each approach. In this paper, the approaches, goals, techniques, and the overall approaches used will be broken down and described.
Psychodynamic Approach
Philosophical Origins
The psychodynamic approach was founded by Sigmund Freud; the goal to this approach is to trail behavior to its source(s) unlike the systematic approach, self-awareness and understanding of the influence of the past on present behavior. Freudian, self-psychology, object relations, and ego psychology (Compas & Gotlib, 2002). Each one of the approaches have its own end game and for every end game, there must be a goal.
Goal
The psychodynamic approach goal is to create self-awareness and an in-depth understanding of the effect of past behavior on current behavioral traits. This approach facilitates the individuals’ perception of their outcome of unresolved, underlining issues. This approach is aimed at making the patient understand that some symptoms are the result of past dysfunctional relationships including involvement in the abuse of substances (Compas & Gotlib, 2002).
Techniques and Strategies
There are a few techniques used in the psychodynamic approach that include free association and transference. Free association is a tool that a patient relays whatever thoughts cross his or her mind during therapy (Compas & Gotlib, 2002). Free association is not preplanned and the outcome of the conversation is non-deterministic. Transference in...
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Psychoanalytic Psychotherapy was developed by Sigmund Freud during the Victorian Era in Vienna, Austria. Sigmund Freud’s psychological works set the base for the profession of psychology as well as the practice of modern psychotherapy. Freud believed human behavior was motivated by “intrapsychic conflict” stemming from the three areas of the subconscious: id, ego, and superego (Murdock, 2009).
The psychodynamics theory which was introduced by Freud to understand the human mind and psyche, reached a new level in the continuous analysis from therapists. Psychodynamics originally has been explained as a study of various psychological forces that affect human behavior which is related to early experiences. It specifically discusses the connection between the conscious and subconscious motivations. The theory was further analyzed and developed by Melanie Klein, Carl Jung and Alfred Adler. Based on the theory, the psychodynamic therapy evolved to help patients through psychoanalysis. With time other therapies like individual, group and family therapy evolved to offer treatment by understanding the present day complexities in more detail. The main aim of the therapy is self –awareness through identifying the various influences of many past events in life. The therapies are continuously evolving since it was introduced by Freud to help in solving a variety of psychological disorders within people.
Gladding, S. T. (2010). Family therapy: History, theory, and practice (5th Ed.). Boston, MA: Pearson
The Psychodynamic Theory has not proven itself to be very effective. It helps people more when it is paired with other approaches, and is now the starting point, or basis, in other types of therapy (Comer, 2011).
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
From a psychoanalytic perspective, the goal of counseling is to bring unconscious information to the conscious and strengthen the ego by bringing forth the clients energy to conscious processes (Murdock, 2013). Rasmussen & Salhani (2010) states the following regarding the goal of psychoanalytic theory which further supports Murdock’s statement, “we turn to psychoanalytic theory to understand not only the individual’s conscious, rational thinking, but also the unconscious dynamics and motivation” (Rasmussen & Salhani, 2010).
The psychodynamic approach lends itself to being a controversial yet highly influential theory in the history of psychology. The theory has become one of the most significant psychological approaches and its originator, Sigmund Freud, has become a major influence in modern psychology. The psychodynamic approach largely focuses on motivation and past experiences which develop and individual’s personality. Freud used the iceberg metaphor to outline the three states of consciousness and argued that only twenty percent of the mind represents the conscious. In addition he theorised that there was a pre-conscious mind which represents general memory. Finally, the unconscious mind which is essentially the reservoir of repressed or hidden experiences and desire.
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
Shelder (2010) describes seven distinguished features of Psychodynamic approach compared to other available therapy forms in his review: focus of effect in relation to client’s express of emotions; understanding resistance in terms of avoidance of important topics and/ or distracting behaviors in therapy sessions; exploring client’s patterns in terms of behaviors, reasoning, emotions, experiences, and connections to others; bringing in the client’s past; examining relational factors and dealings; highlighting the importance of therapy, and bringing in dreams, wishes, or fantasies for exploration.
The field of psychology is a discipline, originated from many branches of science. It has applications from within a complete scope of avenues, from psychotherapy to professional decision-making. The flexibility and versatility of this field reflects its importance and demands in-depth analysis. Psychology was a division of philosophy until it developed independent scientific disciplines. The history of psychology was a scholarly study of the mind and behavior that dates back to the beginning of civilization. There are important details from previous theory psychologist, research have contributed to behaviorism approaches and have contributed towards specific current behavioral practices. Contemporary behavior therapy began to emerge into distinct practical and core learning theories concerning the needs and knowledge engaging cultural and professional differences.
The psychodynamic theory encompasses both Freud and Erikson. Freud believed the three components of personality were the id, the ego, and the superego. The id is responsible for all needs and urges, while the superego for ideals and moral. The ego moderates between the demands of the id, the superego, and reality. However, Erikson believed that personality progressed through a series of stages, with certain conflicts arising at each stage. Success in any stage depended upon successfully overcoming these conflicts. The advantage to psychodynamic is that it encompasses the individual, meaning that the theory looks at personality from childhood all the way into adulthood. The disadvantages of this theory are that it cannot be tested validly. Therefore,
The four general categories of theoretical orientations are psychodynamic approaches, experiential and relationship oriented approaches, cognitive behavioral approaches, and postmodern approaches. Psychodynamic approaches analyze the individual’s past and operate towards achieving understanding in therapy. Experiential and relationship oriented approaches focus on the significance subjective experiences and the feelings an individual has. Cognitive behavioral approaches are action oriented, focusing on thinking and doing. Postmodern approaches accentuate the understanding of the client’s emotional experience of the world and use resources within the individual for transformation. Among the four categories of theoretical orientations, there
The second stage in the psychodynamic therapy process is, the transference stage. In this stage the development of treatment is set and now it is the patient’s time to let their feelings out. The patient expresses those feelings, emotions, fears, and desires to the therapist without having to worry about censorship. The feelings and behavior of the patient become more pronounced and become a vital part of the treatment itself. During this stage the therapist could experience and better understand of the patient’s past and how it impacted their behavior in the
Psychodynamic approach studies unconscious activities in the mind to elaborate on human thoughts, feelings and behaviour (Bernistein, 2013). Freud was able to treat clients by making them recall negative aspects of their past through psychoanalytic techniques such as free association, dream interpretation and transference (Wollheim, 2008).
Mental disorders are dismissed by people today because they are internal. When a person has a cold they cough, when a person has sunburn they turn red or peel, but when a person has a mental disorder they… and that’s where the debate begins. Do mental disorders truly exist? What are the causes? As a result of mental disorders some people exhibit a change in behavior or do things outside of what is status quo. That leads me to my topic - the psychoanalytic approach vs. the humanistic approach. One supports and provides reasoning for mental disorders and specific behavior, while the other states that behavior is based off of personal decisions. Although both the psychoanalytic and the humanistic approaches are well developed theories it is conclusive that the psychoanalytic approach is more useful and instrumental in treating mental disorders.