- The case of John M
- Theories of psychotherapy for treating alcoholics
- Client-centered idea
- Psychoanalytic idea
- Treatment plan for John M
- Reference record
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This paper appears to be like on the software of counseling theories within the administration of alcoholics. Alcoholism is outlined as a main dysfunction by which an individual loses management over ingesting and is habituated or hooked on alcohol (Gifford, 2010). If an individual continues to drink even when the ingesting impacts his/her bodily, psychological and social well being or compromises job and/or household duties he/she is claimed to be an alcoholic (Clinebell, 1990). An alcoholic has bodily dependence on the alcohol and the particular person might develop withdrawal signs ought to the alcohol be withheld from them. Genetic components, psychological components, and cultural influences contribute to the event of alcoholism (Clinebell, 1990). Alcoholics want counseling to assist them cease the dependence and get their lives again.
The case of John M
John M., a twenty 9 12 months previous man, presents with a ingesting habits which his buddies assume is alcoholism. He stories to have began ingesting on the age of sixteen years. His father, who drinks every day, was the one who launched him to alcohol (Bryant-Jefferies, 2001, p 35). There was a relentless inventory of alcohol for his father at house and he may drink anytime since his mother and father by no means objected. His friends had been additionally into ingesting alcohol and john was underneath strain to start out ingesting in order to slot in. John then joined his friends of their ingesting exploits and he has by no means stopped ingesting since then. He stories that he takes not less than six drinks per session on a number of events in every week (Gifford, 2010). The quantity of alcohol he must get drunk has been growing through the years and he spends a lot of his revenue on alcohol. Currently he experiences episodes of shaking on mornings after an evening of ingesting and he has to take some alcohol to relax. Whenever his buddies inform him to cut back his alcohol consumption he reacts angrily and might even get violent. John can not maintain a relationship for lengthy and he says that the break-ups are as a result of his extreme ingesting habits. He even feels sorry for himself at occasions and needs that he may cease ingesting however in accordance with him it’s past his management. His boss at work has cautioned him severally for going to work whereas drunk and failing to hold out his duties however he has continued to drink regardless of his job being in danger. Though initially he used to drink together with his buddies at present he drinks alone and even avoids them as a result of he feels they distaste his extreme consumption of alcohol. He doesn’t get entangled in actions with others however prefers to take a seat alone and drink. John drinks even on the expense of meals and this has affected his bodily well being. He has been admitted twice in a hospital on account of alcohol intoxication. His ingesting has develop into so unhealthy that he wants a drink every day to get him began (Gifford, 2010). He can not perform properly with out alcohol. He has needed to make excuses on a number of events at work to go and drink. John stories of blackouts after episodes of heavy ingesting.
John M. belongs to a bunch of people that develop up in social settings with excessive acceptance of alcohol use. Easy entry to alcohol and peer strain additionally contributed to the event of his ingesting habits.
Theories of psychotherapy for treating alcoholics
Psychotherapy is outlined as a observe of treating sick individuals by influencing their psychological life and it entails methods that are believed to assist resolve or remedy behavioral and psychological issues (Mnsterberg, 2010, p. 1). These methods contain direct contact between the therapist and the affected person. The contact is especially by way of speaking and thus points to do with shopper confidentiality and likewise affected person privateness must be noticed (mnsterberg, 2010, p. 1)
Many theories on psychotherapy and counseling have been superior and used for therapeutic functions. These theories embody; psychoanalytic, analytical/Jungian, adlerian, self-psychology, time restricted dynamic, client-centered, existential, gestalt, behavioural, cognitive, actuality, household techniques and biofeedback (Chan, Berven, & Thomas, 2004). This paper appears to be like at two theories of psychotherapy appropriate for treating alcoholics. These theories are client-centered idea and psychoanalytic idea.
It can be referred to as the Rogerian idea. This idea requires that the psychological restoration course of is directed by the shopper (Peele, 1984). It is centered on vanity enhancement, enlargement of self consciousness and elevated self-reliance. The shopper is valued for what they carry to periods and is considered professional. The therapist guides periods non-directly. Heavy emphasis is placed on not telling the shopper what to do however enabling and empowering him/her to find his/her personal options. With a proficient therapist utilizing this strategy, purchasers really feel understood and thus drop their guard and discuss (Peele, 1984, p. 415). This idea attracts from the postulation that ‘if I accept myself just as I am, then I can change’. In this idea, therapists use reflection mirroring again to the shopper to see if his/her phrases seize what the shopper feels. The therapist ought to have non-possessive heat, a course of by which the therapist cares and values the shopper with out imposing their will or passing judgment on them, and they need to even have empathy and therefore see life from the attitude of the shopper (Gray, 2007, p. 73)The shopper wants to realize self discovery and actualization. The shopper centered idea has been helpful in remedy of drug addictions and in alcohol rehabilitation facilities (Gray, 2007, p. 96).
The psychoanalytic idea is predicated on an idea that states that people should not conscious of the components that result in their feelings. It is an interpretive self-discipline and the work of psychoanalysts is often linked to affected person’s relations and interactions with different individuals. In psychoanalysis, the affected person talks to somebody, the psychoanalyst, and his/her relation with and understanding of that particular person to whom he/she is speaking shapes his/her communication (Greenberg & Mitchell, 1983, p. 9). In psychoanalysis, the target of remedy is for each psychoanalyst and affected person to convey out the constituents of relational ties which result in their psychological state and reformulate them for restoration (Greenberg & mitchell, 1983, p. 9). Seen on this mild then, the wants for remedy of alcoholics may be met by the psychoanalytic idea. The analyst’s interventions contain confrontation and clarification of a affected person’s pathological defenses.
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Treatment plan for John M
The purpose of remedy of alcoholism is to realize abstinence or moderation (Gifford, 2010). To obtain complete abstinence, household assist and a social background which could be very robust are obligatory. These will assist the affected person keep away from excessive danger conditions which can tempt him/her to take alcohol. Moderation is just discount of the quantity of alcohol that the affected person takes (Gifford, 2010). Psychotherapy and alcoholism counseling are helpful within the remedy of alcoholism (Maltzman, 2008, p. 25-26). Both the client-centered idea and the psychoanalytic idea can be utilized within the remedy of alcoholics. The remedy of John M. who’s an alcoholic may be achieved by any of the 2 theories. This is to be achieved by way of group remedy periods and periods between John and the therapist. During the group remedy periods, Psychoanalysis shall be used to strive figuring out the psychological ties which might have result in alcoholism after which reformulating them to go well with restoration from alcoholism.
The shopper centered idea is available in because the therapist lets John information his personal technique of restoration (Client-centered remedy, 2010). This is finished throughout periods between john and his therapist the place the therapist listens to and displays what John says (Client-centered remedy, 2010). In these periods the shopper comes up together with his personal options which aren’t imposed on him by the therapist.
John’s cultural background is important in formulating the remedy plan as ingesting types and attitudes in direction of alcoholism range from tradition to tradition (American psychologist, 1984). Disparities in race and ethnic teams have an effect on alcoholism remedy as they could give an concept as to the necessity of, entry to, appropriateness and high quality of care (Schmidt, Greenfield and Mulia, 2006). The counselor’s personal cultural perspective might affect his/her notion of the progress and response of the affected person to remedy (Chapman, 1988). Coupling the counselor’s sensitivity to cultural points affecting the shopper with skilled expertise, proficiency at his/her work, acceptable approach and a great understanding of the affected person’s wants greatest serves the pursuits of doing remedy to a affected person who’s culturally totally different from the therapist (Chapman, 1988). John M will due to this fact be managed in group remedy periods and visits to a therapist who understands his cultural background.
Bryant-Jefferies, R. (2001). Counselling the particular person past the alcohol downside. Philadelphia: Jessica Kingsley Publishers.
Chan, F., Berven, N. L., & Thomas, Ok. R. (2004). Counseling theories and methods for rehabilitation well being professionals. New York: Springer.
Chapman, R. J. (1988). Cultural Bias in Alcoholism Counseling. Alcoholism Treatment Quarterly, 5, 1-2.
Client-centered remedy. (2006). The Harvard Mental Health Letter / from Harvard Medical School, 22, 7, 1-3.
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Clinebell, H. J. (1968). Understanding and counseling the alcoholic: Through faith and psychology. Nashville, Tenn: Abingdon.
Gray, P. (2007). Sober for the well being of it: A dietary strategy to the remedy of alcoholism. Bloomington, Ind.: Trafford.
Greenberg J. R and Mitchell S. A (n.d.). Object relations in psychoanalytic idea. P. 9.
Maltzman, I. (2008). Alcoholism: Its therapies and mistreatments. New Jersey: World Scientific.
Gifford, M. (2010). Alcoholism. Santa Barbara, Calif: Greenwood Press/ABC-CLIO. Mnsterberg, H. (2010). Psychology and social sanity. S.l.: General Books.
Peele, S. (1984). The cultural context of psychological approaches to alcoholism. Can we management the consequences of alcohol? The American Psychologist, 39, 12, 1337-51.
Schmidt, L., Greenfield, T., & Mulia, N. (2006). Unequal remedy: racial and ethnic disparities in alcoholism remedy companies. Alcohol Research & Health: the Journal of the National Institute on Alcohol Abuse and Alcoholism, 29, 1, 49-54.