Psychodynamic Clinical Case Formulation Using Case Study Sample

Introduction Of Psychodynamic Clinical Case Formulation Using Case Study

A Summary of the Case (Summarising Statement)

Based on the case study "Psychodynamic formulation" have been considered as a hypothesis about the individual's feelings, think, and behaviours that have created an impact and improvements regarding the unconscious feelings and thoughts effectively. Tom has becoming suffered through cases of "Cognitive Therapy (CT)" and has just completed six months with CT through a graduating resident. The persons have a history of major depressive disorders as well as initially created a treatment around the suicidal thoughts and worsening depressive symptoms. The persons expressed the CT's interest regarding pharmacological treatment of the timing of intake, consulting with the doctors, and taking the "Talk Therapy".

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Through taking the help of the CT Model, pharmacological treatments have been created a therapy that has been described around strictly cognitive ideas. In this regard, the guidance through the psychodynamic supervisors has seemed the issues and that can be created a positive side to the cure of the diseases through the patients. At the time of the first sessions, Tom has been sharing reliable information about the struggles of their life around negativity and sadness effectively. He has described his feelings that have been journeys back through the "abyss" and making a lasting and deep depression at the beginning around the 10 years (McWilliams, 2014).

The prior has been entered into this treatment about 6 months ago with the other therapist his mood swings have worsened further to the point. He has also tried to contemplate suicide and tried to create a "Backup Plan" for creating changes and relief from his negative thoughts. The person has clarified the negativity that has created the person to feel paralysed and directed him to analyse the progress for forwarding his pointless effectively after conducting the 6 months, Tom has collected the experience by developing the cultures of substantial symptoms. In this regard, Tom has touched on his recent progress and provided a specific description about slowly coming back to life and did not want to be "Too alive" as this seemed risky for making a set-up for disappointment. Analysing the case study it has been clarified that Tom's recent unhappiness has created a distance regarding his jobs that have not been considered as a "Career" of this person (Gabbard, 2017).

For the past three years, he has been earning through the profession of car sales representative at the time of despising the practised sales feelings have been deceived by others for achieving the ultimate ranges of success. Thus, the chances of efforts have been reduced by the constantly increased rates of profits and visits with spoke of car sales through the edge of dark humour the chances of current employment rates have been affected. He has also been trying to focus on his writing due to the constantly increased rate of anxiety and depression the chances of boosting confidence rates have not been working accurately which can be treated as a negative side (Book, 1998).

Description of Non-Dynamic Factors

Based on the case studyit has been specified that the psychodynamic factors have created forces and drives within the people that have explained their personality and human behaviours. The therapy related to Psychodynamics has been briefly divided into multiple kinds of segments related to cost-effectiveness, patient preferences, and the severity of symptoms and availability of the experienced rates (Dalenberg, 2010). It has created a positive effect on the improvements of the patient's conditions and developed the cultures of the severity by creating a specific understanding among the plans and clients. In this regard, it can be stated that the "Mental health diagnosis, sociality, substance abuse or use and emotional turmoil" have developed the culture of the conditions of mental health (Edwards & Jacobs, 2003). The "Psychodynamic Diagnostic Manual (PDM)" has been created as a statistical manual or diagnostics by offering the clinical psychologist's Bible, which has served frameworks by evaluating behaviours within a therapeutic context.

Thus, the chances of critiquing have been "Psychodynamic Diagnostic Manual (PDM)" created an accurate diagnosis and treated the clients by taking the help of the "Diagnostic and Statistical Manual of Mental Disorders (DSM)". The reason behind for enhancement of diseases is "Emotional suffering, Ontolozoly suffering redrawn as an illness, transferences viruses through non-transference relationships and idealisation of the psychoanalytic institution" have been considered as the main issues that have enhanced the rate of disruptions. In this regard, the chances of constantly increasing the rates of multiple kinds of aspects related to "Depression, anxiety and stress-related physical ailments" have been also enhanced. Therefore, the chances in prediction behaviours as well as the rates of trait chances have been sustainably increased and played a negative impact on the aspects regarding personality and behaviours effectively. The chances of client self-awareness and rates of understanding have also created a negative effect of changing the person's behaviours in an effective manner (Gabbard, 2017).

Thus, the motivations and experiences have created a negative effect of the multiple ranges of attributes related to social pressures, psychology, biology, and shapes of personality that can be created a negative effect around boosting confidence rates. Based on the case study it can be interpreted that Tom has been suffering from the disease through anxiety and depression at the time of age 9. In this case, "Selective serotonin reuptake inhibitor (SSRI)" has created a positive effect of removing the issues regarding multiple kinds of diseases related to "Citalopram, Fluoxetine, Escitalopram, Sertraline, and Paroxetine" respectively. It has also been treated as a Reuptake Inhibitor that has a class related to drugs and is used as antidepressants in the treatments of wider Depressive disorders, physiological conditions and anxiety disorders respectively. Along with that, it can be recommended that the rates of emotional integrations can be sustainably developed and the chances in behaviour rates can also be created positive effects to increase the rates of experiments (Howard, 2011).

A Psychodynamic Explanation

The Psychodynamic approach has empathised with the unconscious thoughts, created conflicts between society's demands and biological drivers, and collected the experience related to childhood family. As opined by Howard (2013), the "Psychodynamic perspective" has been also created as a driver by decreasing the rates of fraud in an effective manner and chances of macro systematic competitions have privileged the power and status that have evoked the certain dynamics and behaviours on people as well as the interpersonal levels. The theatrical perspectives have been broadly divided into two ranges of attributes related to pleasure-seeking and aggressive-seeking drives by socialising the controls over the drives. The rate of personality has been created efforts by managing the above-depicted two ranges of competing forces in an effective manner (Grant et al. 2012).

Along with that, the chances of improvements regarding the behaviours as well as back into the confidence rate have coming easiest approaches that have removed the diseases regarding the dysfunction and distress effectively. In contradiction, "Psychodynamic Conflicts" have also repressed the emotions and behaviours based on the patient's surface as well as the consciousness and making a similarity expected with the free energy and unpleasant state of uncertainty effectively. Thus, the assumptions of the "Psychodynamic Principles" have been underlying the issues based on the patient's conditions and making an unconscious originates around the unconsciousness. As opined by Higdon (2012), the greater ranges of the Psychodynamic approach have been also created in efforts and balancing the two ranges of attributes such as pleasure-seeking drives and biological aggressive disorders. Along with that, the maladaptive responses of the issues regarding Psychodynamic have been also briefly segmented into four kinds of attributes related to "Avoidance, Passive aggression, and Withdrawal" have been also considered one of them. It has been making conditions based on the biological traits and behaviour patterns that have determined the counterproductive and optimised functions in multiple domains by creating interactions based on the environmental aspects by copying with the stress and challenges effectively.

It can also be stated that the multiple kinds of techniques related to "Substance emotion, Emotional numbing, Daydreaming, Self-harm, Procrastination, Escape and Rumination" have been considered accurate approaches for removing the issues related to Malandaptations. In contradiction, Wong et al. (2012) have argued that the issues have been effectively identified by the constantly increasing rates of multiple ranges of aspects "Depression, stress-related physical ailments, panic and others". Thus, the above-depicted therapy has also been created as a treatment facility by developing the cultures of the research publication authority and making appropriate decision-making approaches. Based on the case study it has been specified that the rates of relationship infrastructures have also created a negative effect and the chances of risk factors can also be increased. The rate of emotional stability can also be effectively disrupted thus, it can be recommended that created facilitations about meditation the Tom the issues regarding mental disorders rates can also be effectively decreased. The chances of understanding rates have been created determinations about the darkest period of life approximately.

Therefore, the adaptation responses of this psychodynamic formulation have also originated the unconsciousness and the multiple ranges of aspects have created a struggle based on the thinking, behaviours and feelings and considered the effects and improvements of the unconsciousness of the feelings and thoughts (Wong et al. 2012). It can also be recommended that taking the help of the "Free Association Techniques" the chances of involvement and rates of conflict have been sustainably diminished. Through the above-depicted analysis, it has also been stated that the multiple ranges of diseases related to "Desires and fears, Nightmares and dreams" have been effectively reduced that can be treated as an appropriate side for the development of the experienced rates (Van Achterberg et al. 2011).

A Predictive Outline

Based on the case study it can be depicted that taking the help of the multiple ranges of modelling structures related to the "Ego-Psychological Model" and "Self-Psychological Model" has been treated as one of them. As stated by Christian et al. (2012), the "Ego-psychological Model" has emphasised the accurate ranges of deficits and strengths based on the deficits and created therapeutic conditions for the defence of the mechanisms and dealing with the clients based on the central conflicts. In contradictions, Summers & Barber (2013) have argued that the "Self-Psychological Model" has also created analysis around the role of the therapist's empathic responsiveness and making a stronger range of analysis by empathic the failure in the respective working progress and formed with the internal structures. The objective of this model is to create emphasised inner representations of self and others by making them activated with the potentiality and enhancing the rate of therapeutic situations.

Thus, the adaptations of the above-depicted models can be created resistance, and transference by offering valuable guides to the psychodynamic counsellor. In addition, the transference has created associations based on the person's presence based on the past relationship cultures. For instance, Countertransferances have been created as a response to the feelings and thoughts that have been attracted in the past relationship. The countertransference has also generated feelings based on the therapists and towards the patients in an effective manner. In this regard, overviewed the graph it can also be stated that the rates of anxiety have been transformed by nearly 38% in the year 2021 and the chances of stress rates have been also transformed by nearly 36% [Refer to appendix 1].

There has also been an overview of a wide range of rates of fluctuations in the content and increased rates of different kinds of issues related to phases of sadness, depression phases, mood swings and panic attacks respectively. Therefore, the enhancements of resistance and transferences activities have created valuable guidance for improved cultures of psychodynamics. Therefore, the negative transferences have been created psychoanalytic terms that have transferred the hostile and negative feelings rather than the positive feelings and created an accurate therapist culture based on the emotional objects (Counselling-directory.org.uk, 2022). Therefore, taking the help of "Psychodynamic Therapy" the chances of integration, early beliefs of experiences, thoughts and the cultures of emotions have been also sustainably developed. It can be created a negative effect on multiple ranges of aspects related to depression, eating disorders, addiction and anxiety (Counselling-directory.org.uk, 2022).

References

Book

• Book, H.E. (1998) How to Practice Brief Psychodynamic Psychotherapy: The CoreConflictual Relationship Theme [CCRT] Method. Washington, D.C.: American Psychological Association https://psycnet.apa.org/doi/10.1037/10251-000
• Dalenberg, C. (2010) Countertransference and the Treatment of Trauma.Washington: American Psychological Association https://psycnet.apa.org/record/2000-07898-000
• Edwards, D., & Jacobs, M. (2003). Conscious and unconscious. McGraw-Hill Education (UK). https://books.google.com/books?hl=en&lr=&id=cb6hcbQvrakC&oi=fnd&pg=PP1&dq=Edwards,+D.,+Jacobs,+M+(2013)+Conscious+and+Unconscious.+Maidenhead:+OpenUniversity+Press+Module+Guide+2022/23+p.+25&ots=qEYgZ1wovZ&sig=6MxKB3DU9Sht6eM_87AQGxPKaqk
• Gabbard, G.O. ( 2017 ) Long-term Psychodynamic Psychotherapy: A Basic Text (Core Competencies in Psychotherapy) 3rd Revised Edition. Washington: AmericanPsychiatric Association https://books.google.com/books?hl=en&lr=&id=M2KwDgAAQBAJ&oi=fnd&pg=PP1&dq=Gabbard,+G.O.+(+2017+)+Long-term+Psychodynamic+Psychotherapy:+A+Basic+Text+(Core+Competencies+in+Psychotherapy)+3rd+Revised+Edition.+Washington:+AmericanPsychiatric+Association+&ots=I5gTjTRc_y&sig=Yy8URbitrPuAHfDMowU2r1VYwEs
• Howard, S ( 2013) Skills in Psychodynamic Counselling and Psychotherapy. London:Sage https://books.google.com/books?hl=en&lr=&id=Qff-DQAAQBAJ&oi=fnd&pg=PP1&dq=Howard,+S+(+2013)+Skills+in+Psychodynamic+Counselling+and+Psychotherapy.+London:Sage&ots=PUdNP7OAe8&sig=w6YJeXsv5PqAZJPzBeiaBfg5HUw
• Howard, S. (2011) Psychodynamic Counselling in a Nutshell. London: Sage https://books.google.com/books?hl=en&lr=&id=l5hGEAAAQBAJ&oi=fnd&pg=PP9&dq=Higdon,+J+(2012)+Psychodynamic+Theory+for+Therapeutic+Practice+&ots=9Fb6_Jxee0&sig=S1aIKIlItFzmLDZVAqYtuKJpsuI
• McWilliams, N. (2004) Psychoanalytic Psychotherapy: A Practitioner's Guide. NewYork: Guilford Press https://books.google.com/books?hl=en&lr=&id=JqrOK6BKtpEC&oi=fnd&pg=PA1&dq=McWilliams,+N.+(2004)+Psychoanalytic+Psychotherapy:+A+Practitioner%27s+Guide.+NewYork:+Guilford+Press&ots=3Ic8D4KFCx&sig=hV56HbBGlRGZtoyViWgjjBkTjtY

Journals

• Christian, C., Safran, J. D., & Muran, J. C. (2012). The corrective emotional experience: A relational perspective and critique. https://psycnet.apa.org/doi/10.1037/13747-004
• Grant, J., Schofield, M. J., & Crawford, S. (2012). Managing difficulties in supervision: Supervisors' perspectives. Journal of counseling psychology, 59(4), 528. https://esource.dbs.ie/handle/10788/3764
• Higdon, J (2012) Psychodynamic Theory for Therapeutic Practice (2nd edition) NewYork: Palgrave Macmillan https://www.tandfonline.com/doi/pdf/10.1080/14753634.2017.1340186
• Summers, R. F., & Barber, J. P. (2013). Psychodynamic Therapy: A Guide to Evidence-Based Practice. New York: Guilford Publications. (ISBN: 9781462509706) https://www.proquest.com/openview/48d304b6088507db3aeb7e9be06e4599/1?pq-origsite=gscholar&cbl=18750&diss=y
• Van Achterberg, T., Huisman-de Waal, G. G., Ketelaar, N. A., Oostendorp, R. A., Jacobs, J. E., & Wollersheim, H. C. (2011). How to promote healthy behaviours in patients? An overview of evidence for behaviour change techniques. Health promotion international, 26(2), 148-162. https://doi.org/10.1093/heapro/daq050
• Wong, Y. J., Ho, M. H. R., Wang, S. Y., & Miller, I. S. (2017). Meta-analyses of the relationship between conformity to masculine norms and mental health-related outcomes. Journal of counseling psychology, 64(1), 80. https://psycnet.apa.org/doi/10.1037/cou0000176

Websites

• Counselling-directory.org.uk (2022). Psychodynamic therapy. Retrieved from: https://www.counselling-directory.org.uk/psychodynamic-therapy.html#whatispsychodynamictherapy/ Retrieved on 30/11/2022