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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Interpersonal psychotherapy is included because it is one of the important and better researched therapeutic approaches for treating substance abuse disorders.

The central focus singles out the most important issues and thus creates a structure and identifies a goal for the treatment. IPT has been evaluated develo;ment an adjunctive treatment for a full-service methadone clinic Rounsaville et al. Seventy-two methadone-maintained, opiate-dependent subjects who were diagnosed with a psychiatric disorder e.

Social Sciences

Center for Substance Abuse Treatment. Acts of the self toward others Expectations about others’ reactions Acts of others toward the self Acts of the self toward the self introjection. The second theory focuses on the substance abuser’s disturbed affective functions, known as alexithymia.

Psychodynamic therapy is also conducted over a shorter period of time and with less frequency than psychoanalysis. In ISTDP, therapeutic techniques are used to provoke emotional experiences and, through this, to facilitate corrective emotional experiences or the positive reenactments, in therapy, of past conflictual relationships Laikin et al.

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. In brief therapy, the central focus is developed during the initial evaluation process, occurring during the first session or two.

To introduce clients into treatment. 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. Change comes about through the client’s learning to resolve an emotional core problem, essentially problemsolving.


He appeared to others as weak and ineffectual. To introduce clients into treatment To treat clients with lower levels of substance abuse To treat clients who did not benefit from other modalities To complement other ongoing treatment modalities To help clients maintain and solidify gains following the establishment of stable abstinence. A selfobject is something or someone else that is experienced and used as if it were part of one’s own self Baker, In those studies, psychodynamic therapy was well integrated into a comprehensive methadone maintenance program.


They describe a biopsychosocial conceptualization of substance abuse disorders that can, in part, be addressed by brief psychodynamic therapy. One is based on an object-relations conceptualization. Brief Adaptive Psychotherapy BAP BAP is a short-term analytic model developed to treat clients with personality disorders, although it is applicable to other groups of clients developmenr well Pollack et al.

Winnicott, and Harry Guntrip. Therapists whose orientations are not psychodynamic may still find these techniques and approaches useful.

Stella experienced Christopher’s agreement and support through his intervention. One reason is that this idea leads to a rather pessimistic belief regarding the outcome of analytic treatments for substance abuse disorders. Kohut observed that the self refers to a person’s perception of his experience of his self, including the presence or lack of a sense of self-esteem.

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Particularly with this group of clients, handling defenses can degenerate into an adversarial interaction, laden with accusations; for example, when a therapist admonishes the client by saying, “You are in denial” Mark and Luborsky, It has since been summarized in a manual for research and modified for treatment of other types of depression dysthymiaother populations adolescents and couplesand other problems substance abuse disorders and bulimia. This can be accomplished by one therapist combining both models or, in a comprehensive treatment program for substance users, one therapist providing dynamic therapy and an alcohol and drug counselor providing direct, drug-focused psychosocisl.

The Vanderbilt Approach to Time-Limited Dynamic Psychotherapy TLDP The primary goal of this therapy is to foster positive change in interpersonal functioning, which will then have beneficial effects on the more circumscribed symptoms Binder and Strupp, The substance abuser relates to the substance in the same maladaptive relationship patterns that she experienced developmentally with the mother.


McDougall suggests that these painful affects are the response to deep uncertainty about one’s right to exist, one’s right to a separate identity, and one’s right to have control over one’s body limits and behavior.

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This approach to brief dynamic therapy was developed for use with clients who are dealing with recent stressful events, such as traumatic experiences or the death of a loved one Horowitz, Why does a person start using substances?

It evolved as the psychodynamically based therapy used for lower functioning or more fragile clients for whom the expressive work of therapy might be too distressing. A purely intellectual exercise will not lead to behavior change. Defense mechanisms are constructions of the ego that operate to minimize pain and to maintain psychic equilibrium.

Stella became frustrated at Christopher’s lack of understanding and psychosociak that again, she felt psycosocial was being treated like a “scumbag,” this time by the group therapist. What this means for practitioners of psychodynamically oriented treatments is that in addition to providing the more dynamic interventions, it is important to also incorporate direct, drug-focused interventions.

Working with the client’s perceptions of reality rather than arguing Asking questions Sidestepping rather than confronting defenses Demonstrating the denial defense while interacting with the client to show her how it works. Brief psychodynamic therapies probably have the best chance to be effective when they are integrated into a relatively comprehensive substance abuse treatment program that includes drug-focused interventions such as regular urinalysis, drug counseling, and, for opioid-dependents, methadone maintenance pharmacotherapy.

Support Center Support Center. Wurmser, a traditional drive theorist, suggests that those with substance abuse disorders suffer from overly harsh and destructive superegos that threaten to overwhelm the person with rage and fear. This knowledge is acquired by better devellopment of childhood experiences Bohart and Todd, This focus must be agreed on by the client and therapist.

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