Your philosophy about what causes a mental illness will determine the type of tr
ID: 131251 • Letter: Y
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Your philosophy about what causes a mental illness will determine the type of treatment you will apply For those trained in the Medical model, the treatment of choice will always be medication; after all, if you believe the problem is biochemical, then it makes the most sense (to you) to try to change a person's biochemistry Let's treat a person with Depression using one of the theories of personality that you've learned Remember Bethany from last week's forum prompt? Well, she's been diagnosed with Depression. What?! Hers was a classic case of Anxiety Disorder! Yes, yes, but it turns out we have more information. Here is Bethany's revised case -you'll see the new information interspersed with the old information. Bethany is a 21-year old married woman who came to the mental health clinic with the chief complaints of depression and anxiety. In the last month she has experienced insomnia, wept frequently, and had poor concentration, fatigue, and diminished interest in activities; she also reported ongoing bouts of anxiety, especially when alone with her 2-year old daughter. As a result of exhaustion, she has missed several weeks of work, and has been put on notice In meeting with Bethany, you notice that she is overweight and constantly sucking on candy. When you comment on her candy consumption, Bethany tells you that she is "addicted" to sweets; she laughs harshly and adds, "I've been stuffing my face since as far back as I can remember Bethany relates that her father deserted the family when she was 5. Reportedly, he was disappointed because she, being the last born child, had not been a boy Bethany graduated from high school at 17 and began working as a clerk and bookkeeper at a local department store. She married two years later, when she accidentally got pregnant by the store manager. The marriage is not a success; she has frequent arguments with her husband, but she stays with him because "..[her] daughter needs a father" she adds, "Besides, who else would want me?" Bethany's bouts of dizziness and sweaty palms began soon after the birth of her daughter two years ago. Bethany is usually able to calm herself, but more recently, she has felt the need to leave the room. Bethany is concerned that she may inadvertently have to leave her young child in an unsafe situation because of these feelings. Bethany is the youngest of five children. Bethany's sisters tell Bethany that they raised her since their mother was mostly unavailable. One sister recalls how she would feed Bethany cold bottles of milk when Bethany was a baby, sometimes giving Bethany water when no milk was available another sister remembers Bethany crying throughout the night and how no one would get up to feed her. As an adult, Bethany tries to avoid getting together with her sisters, but when she is obligated to attend a family function, she is teased by her sisters for having been "sensitive" as a child, and a crybaby.Explanation / Answer
Psychodynamic theory--It includes the analysis of trauma situations where the child face a hostile stressful situation after observing arguments and verbal abuse between father and mother at home leading to crime and domestic violence. The child looses concentration in studies, suffers from attention deficit, lack of communication and coordination, depression,anxiety and personality disorders affecting mental health. The theories include object relations theory,attachment theory and traumatic relations theory. The child feels emotionally suffocated due to adverse conditions prevalent at home. The child matures and remembers those circumstances where the father used to beat the mother,which can be easily challenged in courts leading to divorce. The object relations theory discusses the emotional instability of children observing domestic violence and parental abuse. The other examples include intimacy breakage and the spoilage of personal relationships. The second theory is the attachment theory which was given by Bowlby and Ainswort, which analyzes the intensity of the emotional relationships between the child and the parent or the caregiver. The parent should provide security and the protection to their children. If this balance is disturbed it leads to emotional disturbance and the lack of development in the child. The child should be properly nourished in an ambient environment with proper care and protection. The third theory is called as the trauma theory which is based on the experiances of post-traumatic stress disorder. The limbic system,the brain, neurons and the spinal cord are involved in the reflex generation leading to the sensation of pain and depression in the individual.
This can happen in personal relationships between husband or wife where they say that they try to understand each potherf feelings. They show concern towards each other,show love and emotions. They even get married in some circumstances and then start fighting over various small issues. There is turmoil due to dessertation and cheating by either husband or wife.This leads to breaking of relationships and emotions, and finally divorce. The fight can take place in case of inheritance of property leading to rift in relationships with others in the family. The husband and wife tend to be resistant and stubborn it terms of their feelings and do not express their desires towards the upbringing of their children. This leads to further disbalances in the life of their children leading to emotional instability.
The children may suffer from dreams and hallucinations where they suffer from fear, anxiety and stress. They visualize in their dreams that they are being beaten and harrassed by their parents leading to mental unstability in the child. The child feels lonely,depressed and stressed.
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