(PDF) Introduction to clinical psychology
Added on 2021-04-24
11 Pages3211 Words43 Views
Nutrition and WellnessHealthcare and Research
|
|
|
Running head: CLINICAL PSYCHOLOGYClinical psychologyName of the StudentName of the UniversityAuthor note
1CLINICAL PSYCHOLOGYIntroductionCognitive behavioural therapy or CBT is commonly used intervention for mental healthpatients as part of the evidence based practice. It is considered to be an effective method forrange of mental health issues (Farmer and Chapman 2016). The paper deals with the case studyof Jo, 21 year old female who is suffering from several mental health issues. The aim of theassignment is to draw on the concept of the therapeutic approach to critically analyse the client’sproblem. This proves involves use of knowledge of theory. Using the case study of Jo and relatedinformation, a formulation report is prepared for the client drawing insights from the cognitivebehavioural therapy or CBT. The report deals with the CBT-based explanations andconceptualisations of possible causes of the client’s problem, the factors maintaing the problemsand factors that might facilitate change for this client. The recommendations for CBTinterventions are also provided assuming the role of therapist. Possible causes of the client’s problemsA maladaptive schema in an individual has distorted thinking about himself/herself,world as well relationships with others. These schemas arise from aversive early life experiences.It is also contributed by the emotional temperament and establishment of these core beliefsresults in adult psychopathology (Rnic et al. 2016). These schemas significantly influence anddistort the perceptions, behaviours and thoughts. From the perspective of CBT, the clientproblems may be attributed to the difficult childhood of the client. The client had experiencedneglect from her father and mother. Parent’s irresponsibility towards family may have led to lifeof refugee at the age of six. Further, she had experienced violence at an early age along withverbal abuse, and unpredictable moods due to her mother’s multiple partners. She suffered
2CLINICAL PSYCHOLOGYparental separation and eventually was isolated from her younger brothers. Therefore, she couldnever build good rapport and relationship with anyone. Jo had also received similar experiencesin foster placements. This may have led to the social isolation in later life as she failed to buildtrust in people. This belief grew deeply after she was betrayed by Darren that led her to live inprison. The cumulative effect of these events is negative schema as per my knowledge of CBTtheories.The consequences of the negative schema are manifested in Joe as sleep disturbance,impaired concentration, and poor appetite. According to Da Luz et al. (2017) early maladaptiveschema, emerge from the unmet psychological needs in the childhood. These needs areassociated with the development of psychopathology.Early maladaptive schema is thedysfunctional characteristic trait caused by the toxic events. A constant focus on the negativitymay lead to feeling of sad and down. The feeling of worthlessness and the failure in life mayhave caused the feeling of guilt in client. These may have caused restlessness and consequentlysleep disturbance. Poor concentration is also the outcomes of the self predicted vulnerability toharm. It may be due to the insufficient self control. The physical symptoms such as poorappetite, insomnia are the manifestation of the distorted beliefs, thoughts and the associatedfeelings. The client has also undergone the phase of anxiety, panic, and abandonment multipletimes in her life span. Starting from childhood, to teenage and early adulthood she was left lonelyseveral times both by her parents, isolated from school friends and neighbours at the age of 16,after giving birth to her son and then abandoning him for three years sentence. This may havedeveloped the feeling of guilt in her as the client may be negatively evaluating herself on failingto make effective decisions in life. These can described as the negative cognitive triad as per
3CLINICAL PSYCHOLOGYCortina et al. (2016). These negative evaluations are originated from the cognitive biases of Jo aswell as negative schema. Applying the cognitive behavioural theory, the client’s thinking isbiased towards the negative interpretations (Gökdağ and Arkar 2016). It is because of activationof negative Schema in her life after repeated encounter of similar situations. Demonstrating thelack of energy and enthusiasm for pursuits that she had enjoyed previously is attributed to pasttrauma and reoccurrence of similar situations in later life such as abuse in prison kitchen. Thesemay also be the cause of client having feeling of sad and down. It is eventually affecting herconcentration at work. According to Snyder, Miyake and Hankin (2015), functional outcomesare affected by the cognitive deficits. She is experiencing the sleep disturbance. Jo is alsosuffering from poor appetitite. She is struggling in decision making and is ruminating constantlyover past experiences. She is socially isolated and is not talking to others due to lack of trust. Itcan be attributed to the type of bias called the selective abstraction, where an individual focusesonly on the negative aspects of a situation and may be associated with depression. For instanceJo may be feeling that she will never ever have a good life. Factors maintaining the problemsAs a therapist I perceive there are several maintenance cycles that are contributing to themaintenance of the Jo’s problem. These cycles of negative thoughts lead to stacking of thepsychological problems. These cycles are feedback loop where original behaviours, cognition,psychological response give rise to original symptoms, which may worsen or maintain it(Kennerley Kirk, and Westbrook, 2016).Considering the Jo’s current mental health problems and her case history, it appears thatshe has developed a safety seeking behaviour. Clients with anxiety and vulnerable to harm, seek
End of preview
Want to access all the pages? Upload your documents or become a member.
Related Documents
Cognitive Behavioral Therapy: Assumptions, Goals, and Techniqueslg...
|5
|1447
|381
Psychopathology: Understanding and Treating Psychological Disorderslg...
|15
|890
|165
This case study focuses on the problem of prenatal depression and antenatal anxiety of Lucidia , a young pregnant womanlg...
|5
|884
|20
Different Counseling Approaches and Their Benefitslg...
|4
|689
|397
Child Psychology | Case Studylg...
|11
|3830
|23
Clinical Child Psychology Assesment Reportlg...
|11
|3827
|11