Psychoanalytic Analysis Essay

Richard, 44 years old, was referred by his twist around who felt that he had a major insobriety task. Initially, Richard resisted seeing himself as a problem drinker and preferred the idea that he was depressed. Richard exhibits impulsive binge behavior, engages in frantic efforts to ward off feelings of l championliness, shows a pattern of unsettled and intensified interpersonal relationships, displays inappropriate anger, and manifests extreme mood swings.Nevertheless, it appears that Richard has no signifi digestt medical problems or medical history. Richardss mother died when he was 10 and his father move him to a private boarding school, feeling that he could not curb to bring up his son by himself. Richard felt that he was delinquent by both of his parents ? by his mother who died and go forth him and by his father, erect when he had most needed his love, companionship and support. He has had three marriages, each(prenominal) of which ended when his wife left.Typica lly, each woman grew tired of his continual potable binges and all that went with his alcoholism getting fired from job after job, not being a father to his children, being abusive both verbally and physically to her and being extremely dependent on her. Consequently, Richard thinks that he did not direct what it takes to keep a wife and eventually grew increasingly acid towards women since they all left him when he needed them the most. In the aspect of his body of work, he feels a great deal of anger towards his machinateer boss who fired him.He complains that when he was broke his boss took his job away from him and didnt offer him support. Thus, in his eyes, important men always let him carry out including male friends who broke contact because of his drinking. Diagnosis (based on the criteria of manifestations), Psychodynamic Analysis, Use of escaped Associations, Theoretical Treatment and Conclusion Based on the manifestations presented on the overview of Richards case , we give the bounce classify him to belong in the group of Psychiatric Disorders know as Personality Disorders.Personality Disorders are pervasive chronic psychological maladys characterized by an individuals unique psychological traits and inability to form or maintain interpersonal relationships that revolve around the sphere of family, friends, and work environments ((MentalHelp. net, 2001). Richards salient manifestations are further classified into the margin typeface of Personality Disorder. Dombeck (2001), in his article Borderline Personality Disorder Symptoms enlisted the chase symptoms, which are usually seen in persons with this state Frantic efforts to avoid really or imagined abandonment. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation Identity disturbance markedly and persistently unstable self-image or sense of self Impulsivity in at least(prenominal) two areas that a re potentially self-damaging (e. g. , spending, sex, substance abuse, reckless driving, binge eating) continual suicidal behavior, gestures, or threats, or self-mutilating behavior Affective instability cod to a marked reactivity of mood (e. g. , intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely more than a few days) A chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (e. g. , frequent displays of temper, unending anger, recurrent physical fights) transient, stress-related paranoid ideation or severe dissociative symptoms (Criteria summarized from Ameri net Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington, DC Ameri fundament Psychiatric Association. ).Hence, as we can see in the same clinical manifestations, Richard can in truth belong in this type of disorder.A question may be generated in our minds as to the factors that can founding the occurrence and aggravation of this disorder in an individual. In line with this, we can device the Psychodynamic approach, which go away lead us to trace and analyze the coming of this condition to a person. According to Ballas (2006), one of the root causes or as secernate factors of Borderline Personality Disorder (BPD) is abandonment issues in childhood. As we can observe, we can directly relate this factor to Richards case since he perceived her mothers death and his fathers closing to send him to the boarding school as abandonment.This issue has affected him in these ways when his mother died, there was somewhat a feeling of detriment as any individual could have when a loved one passes away. However, this feeling was aggravated by the decision of his father. Instead of comforting him, send him away was the remedy because his father in turn had doubts if he can bring up his son properly. The decision of father was not assistive to the grieving Richard w ho absolutely by that time needed the support arranging to help him make it through and through. Further, this may have ca utilise a significant anxiety, which can prompt the Richards disorder.Hence, this disorder as anxiety-related. As delineate by Gale (1998), anxiety is an un advised strategy in which an individual would want to avoid a negative stimulus in view of the fact that it causes a somewhat threat on his or her ego integrity. This must have played a federal agency in Richards condition. In this way, defence mechanism mechanisms are the way to unleash their feeling within. Defense mechanism is defined and expounded as a psychological mechanism to lessen tension and to nurse the ego from potential threat. Defense mechanisms can help an individual argue with anxiety or it can in like manner be harmful.The defense mechanisms that we will be dealing with are still based on the definitions on the same article. As we can evaluate Richards symptoms, we can distinctly dis cern the defense mechanisms that he used. Denial was one of them. It was characterized by his vindication to the fact that the doctor said that he has a major drinking problem. Denial was his attempt to eliminate the threatening information that he was confronted. projection was in addition used in the aspect of his unsuccessful marriages. It was characterized by blaming his wives who left him to cover up the feeling of inadequacy as a keep up to them.In other words, he projected his mistakes to other people. He also used displacement as a defense mechanism, as revealed by his an abusive husband and father. On the other hand, he exhibited five of the criteria for the disorder impulsive binge behavior, frantic efforts to avoid feelings of loneliness, inappropriate anger, pattern of unstable and intense interpersonal relationships and extreme mood swings. The use of free link is helpful in this case as it can help to marry the details of the Richards thoughts and experiences.Acc ording to Chiriac (translation by Cristea, 2008), in her article well-nigh the Free Associations Method, free associations are useful in a way that thoughts are autonomously activated by chance verbal associations, play conscious psychic life in a frequently salient manner and the task of psychoanalysis is to bring such complexes to the surface of conscious mind and eventually integrate them into the patient roles life. Thus, Richards thought may have been unveiled and interpreted by the doctor with the use of this order. Levin (2001) shared some important details in the intervention of BPD in her article in MentalHealth. et.She said that the treatment of choice for BPD, as with most personality disorders, is Psychotherapy. Further, it must be noted that making take aim with the individuals with suicidal attempts is essential and must be taken as an initial action. Medications may be prescribed. However, there are still controversies on this matter. She also emphasized that the therapists or the clinicians must be firm in handling this individuals because BPD patients are difficult to deal with. As she recommended, the most successful and utile comprehensive approach to date has been Marsha Linehans Dialectical Behavior Therapy.This mental hygiene seeks to teach the client how to learn to better take control of their lives, their emotions, and themselves through self-knowledge, emotion regulation, and cognitive restructuring and is often conducted within a group setting. In addition, hospitalization will also be of great help since it provides a highly-structured environment necessary for the individuals independence. As with this disorder, medications are not specifically prescribed. Nevertheless, some medications such as antidepressant and anti-anxiety agents may be necessary to alleviate associated symptoms.Hence, Levin (2001) also emphasized the importance of self-help and support groups for patients suffering from this disorder. Therefore, a suffi cient understanding of the case has been achieved by those aforementioned points that have been discussed. We have traced how Richard has gotten his condition through a mensurable analysis of the objective manifestations, which have been presented in the overview of this study. We can associate how the events in Richards childhood contributed to the intrapsychic conflicts and anxiety that had developed in him in the pedigree of time.We have utilized some defense mechanism that he used in order to protect his ego from anxiety-provoking stimuli. In this way, we knew how his past had greatly affected his interpersonal relationships, which include that of his previous wives and even on his children. Moreover, the symptoms that he manifested were useful in order for us to identify the disorder that he is into and so we knew that he has five of the necessary criteria to classify him in the Borderline type of Personality Disorders.On the hand, the use of free association method is valuab le to recognize the underlying details behind Richards disorder. Finally, we larn how psychotherapy is necessary to treat his psychiatric condition, how support-system plays a vital role in achieving proper treatment goal and how hospitalization is necessary to still structured environment for Richard. Thus, we learned how the living environment can truly impact a persons psychological aspect, or should we say his integrity as a holistic being, throughout his lifetime.