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Case study on reactive attachment disorder
Use of social work theories in research
Implications of the attachment theory
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Introduction The given case of the patient is carefully assessed and all the observations are included in this report. On the basis of the requirements of this case, the social service member needs to be trained. He needs to deploy patient-centred approach so as to improve the health of the patients at the earliest. It will save time and costs from several perspectives. The social service member should thereby, deploy such practices that will improve the current scenario and provide appropriate solutions in a given case. Vignette Dave Smith is a person who is quite old enough to understand the practical realities of this world. But, from the initial conversation it seems that he has lost his confidence in living his life. He seems to be too …show more content…
The attachment and separation theory speaks about, how people can stick to each other, or can stay in contact with one another, when both of them are at mutual consent on each and every issue (Nemoto et al., …show more content…
Family systems therapy helps in knowing and understanding the family values. It helps in knowing the bonds that are generated in the relationship between the different family members. Dave knows that he needs help from his parents, but is not able to express it. This approach will help him to talk to his parents, as well as will help him to get close to his parents in such bad times. It is not easy even to talk to your parents, and hence this theoretical approach describes the path through which one can achieve his desired family objective. Family is important in every need and in every cause. But, this theoretical approach needs to be applied along with the application of integration and application theory (Attree, 2005). Family life alone will not help Dave to come out of his problems; hence, he needs some sort of integration that will handle all his issues. He needs to improve his relations with his friends and colleagues, in order to perform better in his life. And, this will be only possible, if he is able to integrate his professional life as well as personal life in a better way. Further, family systems therapy will help him to stay in a better way with his parents. He will engage them in his every conversation, which in turn will make his life joyful. He will feel more relax, cool, calm, and stress-free in his life
Structural family therapy (SFT) emphasizes the idea that a system is only as good as its hierarchies, rules and boundaries. Under SFT, a family system functions by having boundaries, between and within each subsystem that offer clear identification with the hierarchy. Hierarchies determine the rules that govern each subsystem explicitly; therefore, SFT argues that hierarchies are necessary to ensure that the system continues to grow and adapt as well as provide structure for the family. SFT maintains that there are three primary subsystems in a family, parental, spousal and sibling. According to SFT, the rules and subsystem also determine the appropriate boundary that is needed when interacting with
For Bowen, the family is the unit of observation and the emphasis is put on emotional forces that are common to all families, this helps to reduce the significance of which family member is causing the problem. Bowens approach to change is understood within the context of striving to understand life’s forces, the very principal that gives coherence to Bowens approach to therapy. (Friedman, 1991). When attempting to achieve change within a client the source of the issue is less important, but rather trying to locate the systematic forces within a family as well as those that are transmitted from generation...
Family systems have been studied since psychologists began studying people and their behaviors. The family is a dynamic system—a self-organizing system that adapts itself to changes in its members and to changes in its environment (as cited in Sigelman & Rider, 2009). Allowing the focus of a family system to grow beyond the mother and child relationship did not happen overnight. For many years, there was no connection made between other members of the family and the developmental issues of the children involved.
Structured Family Therapy (SFT) refers the mere undesignated rules that structure how a family interacts with one another (Walsh, 2010). The family unit is composed of systems or parts, and the parts must be unified to compile a whole unit to create homeostasis (Broderick, 1993). SFT therapy is warranted when dysfunction enters the family unit, and creates a deficiency of adaption by the individual which disrupts the family structure (Boyle, 2000). The family structure is composed of major components such as: subsystems, executive authority, boundaries, rules, roles, alliances, triangles, flexibility, and communication (Walsh,
Attachment Theory The attachment theory helps to examine who we form relationships with, why these relationships work or fail, and how the relationships help to develop us in adolescence and on to adulthood. Mary Ainsworth stated a child/infant needed a secure base from which they could explore the world (Bretheron, 1992). Ainsworth stated a secure base is an emotionally rich environment (1963). She also formulated the ideal of maternal instincts that allow the mother to meet the infants need and with that ability, the infant-mother attachment is solidified.
In understanding others, one must first understand our own family background and how it affects our understanding of the world. Conversely, family systems draw on the view of the family as an emotional unit. Under system thinking, one evaluates the parts of the systems in relation to the whole meaning behavior becomes informed by and inseparable from the functioning of one’s family of origin. These ideas show that individuals have a hard time separating from the family and the network of relationships. With a deeper comprehension of the family of origin helps with the challenges and awareness of normalized human behaviors. When interviewing and analyzing the family of origin, allow one to look at their own family of origin
According to Richard Charles (2001) “the effectiveness of family systems theory rests not much on empirical research but on clinical reports of positive treatment outcomes, the personal benefits experienced by the families that underwent this kind of treatment, and the elegance of Bowen’s theory” (p. 279). Bowen’s family systems theory views the family as an emotional unit and is a theory of human behavior. Systems thinking is used to describe the complex interactions in the unit. However, the client’s ability to differentiate himself/herself from the family of origin is the basis for Bowen’s family systems theory. In addition, the primary focus for growth within the emotional system is differentiation of self.
The family has influence on how the dependent which in this case is the adolescent behaves, thinks, feels, etc. The effectiveness of the therapy relies on the effort of the family to work together. Usually, the family comes into therapy blaming the dependent for his or her actions and fail to realize that the home environment is contributing to it. This can lead to the dependent feeling worthless and creating more problems in the family. Family therapy changes the family dynamic by creating rules and boundaries in the house. The therapist creates interventions for the family during therapy to work on these issues (Szapocznik,
Fred, Wilma, and Rose present an interesting perspective when looking at their family through a Structural Family Systems Theory. When trying to work with the family a social worker will utilize Functional Family Therapy in order to understand their structure and maybe ameliorate some of the family’s problems. Using Rose and her family as the clients it will be able explain what interventions we can use when we learn the constructs of the theory.
System Theory addresses individual needs, expectations, and attributes of the people living in the society. CognitiveBehavioral Theory focused on the mind, thoughts, feelings and emotion while system approach concentrates on the how the individual minds and thoughts function in the society. The Cognitive Behavioral Theory identifies patterns of irrational, self-destructive thought and action that influence emotions (Walsh, 2013). Both methods aimed to address dysfunctional behaviors and hope to ensure change on the individual and the family as a whole. The use of System Theory and Cognitive Behavioral Theory is to create a balance between the individual person and the family. Both methods serve as the therapeutic tool used in preserving the disparity within the family and treating individual mental health related problems (Kerr, 2000).For an individual to function effectively in society, the individual must be cognitively balanced. However, both approaches take into account individual’s functionality within the
Experiential Family Therapy is a therapy that encourages patients to address subconscious issues through actions, and role playing. It is a treatment that is used for a group of people in order to determine the source of problem in the family (Gurman and Kniskern, 2014). Experiential Family Therapy has its strengths and weaknesses. One of the strengths of this therapy is that, it focuses on the present and patients are able to express their emotions on what is happening to them presently. The client will have time to share everything about his/her life experiences one on one without any fears. As a result, it helps the client in the healing process because, he/she is able to express their feelings freely and come out of the problem. Therefore, in this type of therapy, the clients are deeply involved in solving their issues. It helps clients to scrutinize their individual connections and to initiate a self-discovery through therapy, on how their relationships influence their current behaviors (Gurman and Kniskern, 2014). By examining their personal relationships through experiential family therapy, family members are able to
Moreover, the foundational approach to structural family therapy are that families’ are views as psychosocial systems, attached within social systems, which operate in a transactional patters. The transaction patterns are how, when and whom to relate, and reinforce systems. As a result each family duty are carried ou...
Cassidy, J., & Shaver, P.R. (1999). Handbook of attachment: Theory, research, and clinical applications. New York: The Guilford Press.
In the industrial age before World War II, when individual psychotherapy was born and thrived, human beings were essentially seen as machines, with broken parts—including the mind—that could be repaired; after World War II, the dawning information technology age brought a paradigm shift in the view of human life from mechanical to relational, and communication and systems theories provided family therapy with increased validity and prominence. (White, 2009, pp. 200-201). The modern family systems theories that grew out of this paradigm viewed families narrowly as functional or dysfunctional according to the delineation of each theory. Today, postmodern theory suggests that no absolute truth governs individuals or families; instead, people are
Mikulincer, M., Shaver, P. R., Bar-On, N., & Ein-Dor, T. (2010). The pushes and pulls of close relationships: Attachment insecurities and relational ambivalence. Journal of Personality and Social Psychology, 98(3), 450-468. doi:10.1037/a0017366