Psychoanalytic Analysis Essay

Richard, 44 years old, was referred by his doctor who felt that he had a major drinking problem. Initially, Richard resisted seeing himself as a problem drinker and favored the idea that he was depressed. Richard exhibits impulsive sate doings, engages in unrestrained efforts to avoid timbres of l unrivalled variantss, shows a pattern of precarious and screaming(prenominal) social relationships, displays inappropriate elicit, and manifests extreme inclination swings.Nevertheless, it appears that Richard has no signifi puket medical examination problems or medical history. Richardss capture died when he was 10 and his render sent him to a semiprivate boarding school, feeling that he could non manage to remove up his countersign by himself. Richard felt that he was cast away by both of his p arnts ? by his mother who died and left him and by his father, just when he had most needed his love, companionship and lose. He has had three marriages, each of which ended when his married woman left.Typically, each woman grew tired of his unbroken drinking binges and all that went with his alcoholism acquire fired from profession after job, not organism 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 spend a penny what it leases to obligate a wife and chargetually grew more and more bitter towards women since they all left him when he needed them the most. In the aspect of his work, he feels a great swop of anger towards his figure of speecher boss who fired him.He complains that when he was broke his boss took his job away from him and didnt offer him swear. Thus, in his eyes, important men alship erectal permit him down including male friends who broke run into beca put on of his drinking. Diagnosis ( ground on the criteria of manifestations), Psychodynamic Analysis, Use of unembellished Associations, Theoretical Treatment and C onclusion ground on the manifestations presented on the overview of Richards campaign, we shadow classify him to travel in the drop radical of Psychiatric complaints known as nature Disorders.Personality Disorders are pervasive continuing psychological discommodes characterized by an singles unique psychological traits and inability to form or maintain interpersonal relationships that roll out around the sphere of family, friends, and work environments ((MentalHelp. net, 2001). Richards salient manifestations are further sort into the delimitation type of Personality Disorder. Dombeck (2001), in his name moulding Personality Disorder Symptoms enlisted the following symptoms, which are comm whole seen in persons with this state Frantic efforts to avoid true(a) or imagined abandonment. A pattern of unsteady and sharp interpersonal relationships characterized by alter between extremes of idealization and devaluation Identity hoo-hah markedly and persistently unst able self-image or sense of self Impulsivity in at least two areas that are potentially self-damaging (e. g. , spending, sex, substance ab use up, reckless driving, binge eating) recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior Affective instability due to a marked reactivity of mood (e. g. , intense episodic dysphoria, irritability, or worry usually lasting a a couple of(prenominal) hours and only rarely more than a few days) A chronic feelings of emptiness Inappropriate, intense anger or difficulty dictatorial anger (e. g. , frequent displays of temper, constant anger, recurrent physical fights) transient, stress-related paranoid ideation or ascetical dissociative symptoms (Criteria summarized from Ameri open fire Psychiatric Association. (1994). diagnostic and statistical manual of mental disorders, quaternary edition. Washington, DC Ameri empennage Psychiatric Association. ).Hence, as we can see in the aforementioned(prenominal) clinica l manifestations, Richard can truly belong in this type of disorder. A challenge whitethorn be generated in our minds as to the featureors that can trigger the occurrence and discomfort of this disorder in an individual. In line with this, we can device the Psychodynamic approach, which will whizz us to trace and analyze the advent of this gibe to a person. According to Ballas (2006), one of the root causes or risk factors of Borderline Personality Disorder (BPD) is abandonment issues in childhood. As we can observe, we can nowadays relate this factor to Richards case since he perceived her mothers death and his fathers ratiocination to send him to the boarding school as abandonment.This issue has change him in these ways when his mother died, there was or sowhat a feeling of loss as any(prenominal) individual could have when a love one passes away. However, this feeling was aggravated by the decision of his father. Instead of comforting him, move him away was the r emedy because his father in turn had doubts if he can bring up his son properly. The decision of father was not laborsaving to the grieving Richard who abruptly by that time needed the support system to help him make it through. Further, this may have cause a significant anxiety, which can prompt the Richards disorder.Hence, this disorder as anxiety-related. As defined by Gale (1998), anxiety is an un sure strategy in which an individual would want to avoid a invalidating stimulus in view of the fact that it causes a somewhat threat on his or her self integrity. This moldiness have played a role in Richards condition. In this way, refutal mechanisms are the way to unleash their feeling within. confession mechanism is defined and expounded as a psychological mechanism to lessen emphasis and to protect the ego from potential threat. plea mechanisms can help an individual get off with anxiety or it can to a fault be harmful.The defense mechanisms that we will be dealing with are free based on the definitions on the same name. As we can evaluate Richards symptoms, we can clearly discern the defense mechanisms that he utilise. self-discipline was one of them. It was characterized by his bulwark to the fact that the doctor said that he has a major drinking problem. Denial was his attempt to eliminate the threatening cultivation that he was confronted. Projection was also use 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 preserve to them.In other words, he project his mistakes to other people. He also used displacement as a defense mechanism, as revealed by his an abusive keep up and father. On the other hand, he exhibited louvre 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 f ree association is helpful in this case as it can help to connect the exposit of the Richards thoughts and experiences.According to Chiriac (translation by Cristea, 2008), in her article About the Free Associations Method, free associations are useful in a way that thoughts are autonomously activated by chance verbal associations, influence conscious psychic life in a frequently dramatic manner and the caper of psycho synopsis is to bring such complexes to the protrude of conscious mind and eventually fuse them into the patients life. Thus, Richards thought may have been unveil and interpreted by the doctor with the use of this method. Levin (2001) shared some important details in the manipulation of BPD in her article in MentalHealth. et.She said that the treatment of election for BPD, as with most personality disorders, is Psychotherapy. Further, it must be noted that making bargain with the individuals with suicidal attempts is essential and must be taken as an initial act ion. 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 good comprehensive approach to date has been Marsha Linehans Dialectical Behavior Therapy.This psychotherapy seeks to nurture 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 theme setting. In addition, hospitalization will also be of great help since it provides a highly-structured environment required for the individuals independence. As with this disorder, medications are not specifically prescribed. Nevertheless, some medications such as antidepressant drug 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 sufficient 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 careful 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 course 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 louver of the necessary criteria to classify him in the Borderline type of Personality Disorders.On the hand, the use of free association method is precious to recognize the underlying details can buoy Richards disorder. Finally, we learned how psychotherapy is necessary to treat his psychiatric condition, how support-system plays a life-sustaining role in achieving proper treatment goal and how hospitalization is necessary to accelerate structured environment for Richard. Thus, we learned how the musical accompaniment environment can truly disturb a persons psychological aspect, or should we say his integrity as a holistic being, throughout his lifetime.