Research

Running Head: COUNSELING PROJECT 1

COUNSELING PROJECT 2

Conceptualization Treatment Plan

Elethea A. Richards

Liberty University

CEFS 510

Conceptualization Treatment Plan

Abstract

The object relations theory is relative to trying to understand underlying issues to a problem that affect social interactions of an individual. The therapy method focuses on trying to understand the background of a problem such as alcoholism, attachment issues, sleep issues, learning issues among others. Therapists that seek to incorporate the method have to be sensitive because they are seeking to learn more about the deeper feelings of the target individual which is important for making sure that they are productive. The concept is interactive with treatment measures that focus on the patients’ behavioral interactions which help in pushing the right interactive measures to help mend the existing problem. The fact that the concept focuses on an individual’s behavior and interactions it is bound to have issues with Christianity, personal world views among other limitations that need addressing before pursuing for a potential solution.

Overview

Origin of the theory

The object relations theory comprises of different approaches and citing but it is mainly relative to Melanie Klein, Donald Winnicott and Ronald Fairbairn. Klein as the chief integral founder beliefs there is more to human beings than just being driven by sexual desires as from Freud’s theory. There is more to human beings whereby they do strive to form and create relationships where there are more about seeking for objects rather than pleasure which appears to be far-fetched and not accurate.

Beliefs

It is evident that the therapy focuses on instilling and promoting a sense of independence in the individuals rather than pushing them to think and focus on the general platform. It is evident that patience is an important concept whereby the different parties have to incorporate them. The therapist has to make sure that they make it clear for the patient to interact and maintain the connections to their true self which acts like their compass and if they lose it then it results into creating a false self (Stadter, 2016).

Research

Research depicts that there are some major relationships between the therapy and the psychodynamic and psychoanalytic therapies. However, they deviate on the fact that the therapists in the objections therapy setting focuses on digging deeper on family background, hopes, needs and fears and also digging deeper to formulate mutual relationships. It is evident that treatment plan focuses on numerous issues such as relationships, learning difficulties, mental issues, mistrusts and even problems such as alcoholism among others (Lefer, 2017).

Compatibility with diverse cultures

The therapy mainly devices to react and deal with issues that affect an individual personally and thus it is not efficient in the push for social changes and diversity which is not appropriate (Jordan, 2018). It is evident that the theory might work on individual groups on the issue but it might fail or become insufficient when there is need for a general solution which is a problem to the efficiency of the method helping in general diversity issues.

Appropriateness for Crisis Intervention

The theory can be applicable in several crisis interactions that involve individual sources such as sexual assault, suicidal ideations but might not work well in natural disasters. The source is efficient in trying to understand a source of a problem especially relative to upbringing and thus it helps in bringing an individual to understand it and then working to overcome it rather than a natural disaster that does not have any human relations.

Christian Worldview Compatibility

The first compatibility with Christianity is the fact that there is belief for personal wellbeing because the therapy main function is the fact that there is a standard that is functional for their interactions. It is important to understand that the second compatibility with Christianity is the fact that the therapy focuses to deal on solving problems from personal level which is almost similar to Christianity because of the confessions that transgress and try to focus on the existing issue (Farmer & Chapman, 2016). The final compatibility with Christianity is the fact that they all focus on understanding a root of the problem in order to try and help the people which is important for building connections and interactions.

The first incompatibility with Christianity is the fact that Christianity focuses on a wider world view to help manage and improve their interactions which is not common with the therapy. The second incompatibility is the fact that the theory works with the belief that there is a solution to all problems that affect people but this is contrary to Christianity because it depicts that there is a deeper problem. The final incompatibility is the fact that Christianity has a deeper belief that when one turns to God then there all the problems can have solutions or learn to live with them unlike the therapy session that is look for a solution in the deeper lives (Lebow, 2014).

Case Conceptualization Using Object Relations Therapy

The patient (Robin) has problems with forming any meaningful relationships with any other individual for companionship and it is a major concern. The patient keeps getting into relationships and she ends up ruining them and ends up alone which is stressing her and she is the cause of all her bad relationships.

The first step focuses on identify and listing behavior and the dimensions of the client which in this case, include self-doubt, lack of a proper system and moral dimensions which is leading her to question all her decisions that then result into a challenge in her life and decision making which is not appropriate. It is a major issue in decision making which is a problem.

The project is to incorporate the descriptive-diagnosis approach and it focuses on mental disorders and complications. The concept is relative to the case because the approach will help establish a proper plan that is sufficient to help check and convey the mental status of the patient. The patient needs help that will eradicate the issues of doubt and failure to hold and nurture connections with any other person that has in built itself in their mind which should also try and change.

The research will adopt the behavioral theory which is important to make sure that they come up with a proper interaction in trying to formulate behavioral interaction which is important to try and make sure that they achieve their interactions. It is important to come up with a proper plan that is sufficient to help establish a proper interaction that helps in making sure that they do come up with an origin of the problems and formulate a plan that will help in pushing for reforms and strategies that are productive and efficient for the patient.

The patient Robin has really insecurity issues and also has a challenge with interactions that contributes to her challenges to maintain relationships and it dates back to her childhood and how she was brought up which is a problem with her mental state.

Evidence Based Consideration

The theory is appropriate for the client because it focuses on trying to depict the source of the problem and then focusing on ways that will help come up with a proper plan that will help in assessing the problem and then acknowledging it. It is important to understand that the theory helps establish the right tools that are sufficient for the client and it will help come up with a right way out for the client.

Ethical Considerations

The ethical concerns that may arise from the client includes the fact that it is invasive for the client whereby all the personal information come to light without the insight and control. It is important to understand that the approach has to make it clear that the patient is giving up personal details and it should be clear about how to protect the information. The concept of client-patient confidentiality is supposed to be the highest which is important for the way that they do connect.

Cultural Considerations

The fact that the client has social interaction issues, it is bound to bring up some cultural problems. The concept is a major problem because it might influence the way that the individual focuses on relationships which is a problem to how they do contain the situation. It is evident that the patients’ cultural issues will need to address and help put an end to them to further the treatment plan.

Theoretical Interventions

Empathic listening and acceptance, positive reinforcement and rephrasing and paraphrasing are the intervention strategies that the patient might have to use. The empathic listening and acceptance help in inviting in the patient and helping them open up before attacking the sensitive topics. The positive reinforcement might involve exercises and practices that will see the patient engage in satisfactory activities that will be productive for the patient which is vital for their interactions. The therapists might also adopt the technique of rephrasing and paraphrasing to really get ahead of the issue and understand the issue at hand which is productive to the way that they connect and the client opening up.

Spiritual Application

The depth of the patient’s spirituality might limit the patients’ interactions whereby they might fail to come up with a proper opening and interaction which is not right for a therapy session (Ignacio & Taylor, 2017). For instance, the patient religion might limit them on the topic of discussion which is a major problem for the way that they do connect and this is not appropriate for processes of interacting.

Prognosis/Outcome

The potential outcome for applying the therapy plan is that the patient earns a practical improvement in the area of formulating positive relationships within 3 months of interacting which changes the way that they do connect. It is important to understand that the patient comes up with relationship even if it is with a friend for a test before they do engage in a more serious relationship.

Theoretical Orientation

The theory is relevant to the fact that all human beings have issues and there is always a way to help fix them. I do believe that there is a reason behind all the actions and directions that people take and there are no random behaviors which changes the way that they do connect. It is important to understand that the interactions change the way that they do connect and this influences the general aspect and belief in the society. The therapy depicts that all problems have solutions and an attachment to how an individual was brought up and I do agree with it because of the fact that an individual upon sitting down tend to evaluate all the decisions that they take during the day. It is important to understand that patients just need some forms of direction to help push them to the right direction which is vital for helping them overcome their problems. I do believe that the therapy sessions are productive for all personal problems and situations that help in making sure that they improve the people’s behaviors and interactions.

References

Farmer, R., & Chapman, A. (2016). Bringing Therapy to A Close and Aftercare. In Behavioral Interventions in Cognitive Behavior Therapy: Practical Guidance for Putting Theory into Action (pp. 355-376). Washington, DC: American Psychological Association. 

Jordan, J. (2018). The Therapy Process. In Relational–Cultural Therapy (pp. 41-76). Washington, DC: American Psychological Association. 

Lawrie Ignacio, & Graham Taylor. (2017). Combining Couple Therapy with Individual Therapy by the Same Therapist Team Using Early Memories: Exploration of a New Model. Group, 41(4), 323-336. doi:10.13186/group.41.4.0323

Lebow, J. (2014). Treatment Models. In Couple and Family Therapy: An Integrative Map of the Territory (pp. 87-112). Washington, DC: American Psychological Association.

Lefer, J. (2017). Object Relations in Human Sexuality. International Journal of Mental Health, 26(1), 15-22.

Stadter, M. (2016). The Inner World of Shaming and Ashamed: An Object Relations Perspective and Therapeutic Approach. In Dearing R. & Tangney J. (Eds.), Shame in the Therapy Hour (pp. 45-68). Washington, DC: American Psychological Association.