Chapter 7. Seventh Edition. Berger: The Developing Person Through Childhood and Adolescence, 7th Edition, Chapter 7. What does “psychosocial” mean?. Introduction To Development Test 1 > Chapter 7 – First Two Years During infancy, interactions with sensitive, responsive ___ foster psychosocial development. Bowlby’s attachment theory came about by John Bowlby and Mary Ainsworth in the ‘s and ‘s. • Bowlby held a strong psychoanalytic.

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The internal representations of self and others acquired in childhood are later played out in adult relations. The primary goal decelopment this therapy pssychosocial to foster positive change in interpersonal functioning, which will then have beneficial effects on the more circumscribed symptoms Binder and Strupp, For example, some brief psychodynamic models focus mainly on symptom reduction Horowitz,while others target the resolution of the Oedipal conflict Davanloo, as interpreted by Laikin et al.

The techniques used include maintenance of a focus, much work on transference, and a high level of activity on the part developmetn the therapist.

The authors concluded that SE therapy could be an effective treatment for cannabis dependence. Instead, they experience an uncomfortable, global state of tension in response to all affective stimuli. Strategies for dealing with the interpersonal context emerge and are tried by the client problemsolving.

Change comes about through three curative factors: Other titles in these collections.

Research on the Efficacy of Supportive-Expressive Therapy It is only since the s that psychosocial components of the treatment of substance abuse disorders have become the subject of scientific investigation.

This study had at least two flaws, however. Self Psychology was founded by Heinz Kohut, M.

Support Center Support Center. Several different approaches to brief psychodynamic psychotherapy have evolved from psychoanalytic theory and have been clinically applied to a wide range of psychological disorders.

The abuse of drugs is part of a “false self” that the individual creates to ward off these painful feelings. Therapists whose orientations are not psychodynamic may still find these techniques and approaches useful. It is assumed that the client will have better control over behavior if he knows more about what he is doing on an unconscious level.


Brief psychodynamic therapies probably have the best chance to be effective when they are integrated into a developmment comprehensive substance abuse treatment program that includes debelopment interventions such as regular urinalysis, drug counseling, and, for opioid-dependents, methadone maintenance pharmacotherapy. The therapist has a cohesive psychodynamic formulation of the client but only shares parts of it in a manner intended to foster the client’s adaptive functioning.

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After 2 weeks she returned home, was unable to leave her mother, and was diagnosed as having agoraphobia, for which she took chlordiazepoxide Librium. Winnicott, and Harry Guntrip. The second theory focuses on the substance abuser’s disturbed affective developmennt, known as alexithymia. SE Psychoanalytic Psychotherapy This model of dynamic therapy can be offered as an open-ended or a time-limited approach Luborsky, ; Luborsky and Mark, It has been modified for use with opiate dependence in conjunction with methadone maintenance treatment Luborsky et al.

Results showed that both interventions were helpful but SE therapy produced significantly larger reductions in cannabis use, depression, and anxiety, and increases in psychological health Grenyer et al.

In its brief form, a psychodynamic approach enables the client to examine unresolved conflicts and symptoms that arise from past dysfunctional relationships and manifest themselves in the need and desire to abuse substances. While dependent and impulsive, Stella, a year-old cocaine-dependent woman, would be seen under many circumstances as warm and open. The goals of this approach are primarily symptom reduction and improvement in interpersonal functioning.

Working with the client’s perceptions of reality rather than arguing. The client is educated about the problem, its causes, and the treatments available. To effectively treat these clients, it is important to combine skill in the provision of the model of therapy with knowledge of the general factors in the treatment of substance abuse disorders.

Further, the substance abuse and the core conflict will always be conceptualized within an interpersonal framework.

As a result, the substance abuser relates to the substance based on the disturbed pattern of relating that he experienced with the maternal object Krystal, Her therapist, Christopher, is a well-trained psychodynamically oriented therapist. A purely intellectual exercise will not lead to behavior change.


However, many psychodynamic therapists work with substance-abusing clients, in conjunction with traditional drug and alcohol treatment programs or as the sole therapist for clients with coexisting disorders, using forms of brief psychodynamic therapy described in more detail below.

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Chapter 7 Summary FL13C16 PSYRKYA General Psychology I

The psychodynamic model has always viewed the therapist-client relationship as central and the vehicle through which change occurs. Individuals repeat old object relationships in an effort to master them and become freed from them Messer and Warren, Acts of the self toward others Expectations about others’ reactions Acts of others toward the self Acts of the self toward the self introjection. Psychodynamic theory emphasizes that the client’s level of functioning should determine the nature of any intervention.

Mark and Faude theorized that substances of abuse substitute a “chemical reaction” in place of experiences and that these chemically induced experiences can block the impact of other external events. The superegoformed during latency between age 5 and pubertyoperates to control id drives through guilt Messer and Warren, These findings suggest that the therapeutic alliance exerts a moderate but significant influence on outcome in the treatment of substance abuse disorders. A growing body of research supports the efficacy of these approaches Crits-Christoph, ; Messer and Warren, The main techniques include the following: The theory of change is that understanding, followed by interpretation, leads to change.

Khantzian put forth the psychoocial hypothesis, which essentially states that substance abusers will use substances in an attempt to medicate specific distressing psychiatric symptoms Khantzian, The term “supportive” refers to the techniques aimed at directly developmrnt the client’s level of functioning–that is, “supporting” the client.