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case study on reactive attachment disorder
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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
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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
People are always in transition with their environment, and each subsystem has an impact on the whole system. This is also why I am using the Family Systems approach, as I am also able to see how the family system has affected Precious, and how the family has functioned across the lifespan. It is important because we can discuss boundaries, individual’s roles, communication in the family, the family structure and how this influences the families functioning not only with Precious’s Mother and Father, but with her own children as well. With systems theory and the Family Systems approach, the basis is that a Systems component can only be understood as part of the Whole, therefore when working with an individual such as Precious, all aspects of their personality and environment must be considered and worked with as a whole. (Payne,
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,
Because of the large amount of overlap in assessing the given family from a structural and strategic point of view, only the differences and additional requirements will be described in the following section. The main areas of differences relate to the overall therapeutic focus and the discussion of power. From a strategic point of view, problems serve as a function therefore the differences in assessment will not focus on shifts in power or hierarchy but will assess what purpose each issue serves. Additionally, viewing the family from a strategic point of view, each problem mustn’t be addressed as its own entity but all issues/concerns can be traced back to the presenting problem. The assessment, therefore, becomes part of the therapeutic
Family therapy differs from other kinds of therapy in the most basic premise that the unity of the problem is not one person but two or more. This is not a patient whose evil is stimulated by others but a symptomatic behavior product of a relationship between two or more people (Danny Wedding, Raymond J. Corsini ( 2013). Find the problem that the family wants to correct and identify in a clear manner. Initially, as a therapist trying to change the low expectations of the family to one where change within the family and theorize on what can happen. Using a genogram will be useful to analyze the addresses and relationships of each person in the
After reviewing the family dynamics, I contemplated between Ackerman and Bowen theories. Both therapeutic orientations emphasis importance of multigenerational emotional problems and works with the entire family system to alleviate problems. Either approach will be effective; however, Bowen belief that behavior within the family system is resultant of interaction or friction that brings family together or pulls them apart. This ongoing friction between the Jenkins household can be eliminated or reduced, and they can coexist.
Admittedly, many psychologists define attachment as an enduring affectionate bond that one person forms between himself and another person throughout life. Since Mary Ainsworth provided the most famous research: strange situation, offering explanations how each individual differences in attachment. However, in this Adult Attachment Style questionnaire that I took, I found many factors relevant to attachment as it was defined in the textbook. For example, in the textbook, it defines attachment based on Ainsworth research, the strange situation by observing attachment forms between mother and infants. Which they are described in four attachment styles: securely attached, insecure avoidant, insecure resistant, and insecure disorganized. The questions on the questionnaire were based on those areas to determine my style of attachment.
Dave expresses his needs to be acknowledged as an adult. Yet he also exhibits his immaturity and the fact that he is not yet an adult and can not handle adult problems. His actions lead him into trouble that proves the fact that he is still an adolescent who can not handle problems of the adult world.
Connectedness is a term used to talk about a loving and positive relationship between parents and their children (Padilla-Walker et al., 2012). Families build connections through a variety of ways, however the development of warm and fulfilling relationships is the goals of being connected developing closeness. Closeness is the emotional bond between people. Closeness varies on a spectrum, at one end of the spectrum we see a person that is not close to anyone in the family who is emotionally detached and is their own person. One the other end of the spectrum another person could be so overly close to someone in the family that they looking like the person that they are close too. Both ends of the spectrums are extremes and can be dangerous for a family. It is important to set aside quality time to work on closeness within the family, because it helps to create and maintain strong parent child bonds. However, it is also
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...
"Effects of Separation and Attachment." Practice Notes. Jordan Institute for Families, n.d. Web. 25 Nov. 2013.
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
Families experience many shifts in their lives. Some shifts are positive, but others are negative. When the shifts are negative many families cannot find a clear solution for their problems and they seek someone to blame. We will discuss the Olson’s family situation from the Family Systems Theory point of view.
An integrated theory is a combination of 2 or 3 theories that offers many explanations on why crime is occurring, compared to a traditional criminal theory that just focus on one type of aspect (Lilly et al.2010). The purpose of integrated theories is to help explain many aspects into what causes criminal behavior and why one becomes delinquent. From this an argument arises can integrated theories be used to explain all criminal behavior. Integrated theories are successful in explaining certain aspects of crime on what causes one to become deviant; however one theory alone cannot explain why an individual engages in crime. This paper will examine three integrated theories and look in-depth how these theories can explain different aspects on why criminal behavior occurs and the weakness of each theory. The three integrated theories that will be discussed in this paper are Cloward and Ohlin Differential Opportunity theory, Robert Agnew General Strain theory, and lastly Travis Hirschi’s Social Bond theory.
“The Family Systems Model is a theory introduced by Dr. Murray Bowen that suggests that individuals cannot be understood in isolation from one another, but rather as a part of their family, as the family is an emotional unit” (Family Systems Theory, 2018). What happens to the family as a whole affects each individual family member, and what happens to individuals affects the entire family unit. Focus is on the circular interactions among members of the family system, resulting in functional or dysfunctional outcomes. Family members affect each other's thoughts, emotions, words, and actions. Even when we try not to be affected by our families, we often are still influenced by them. When family members get tense, the anxiety becomes contagious. This can lead to family members becoming overwhelmed, isolated, or feeling out of control. That anxiety can lead to other problems such as alcoholism, and physical illness (Family systems theory,