Case Study Essay - Critical Analysis of Cbt and Psychodynamic Appoaches
It is important when working with clients that consideration is given to the methods and approaches used with regards to specific client’s needs and personality as well as consideration regarding presenting issues. Here a case study of Jane is used to argue /evaluate and assess how both a psychodynamic counselor and cognitive behavioral therapist (CBT) would view the case study of Jane from their perspectives. Consideration will be given from both a psychodynamic approach and CBT approach of how a therapist might work with Jane. The main similarities and differences of both the psychodynamic and CBT approaches will be analyzed. This will lead into an evaluation of which is the most appropriate approach in working with Jane by comparing and contrasting these two approaches. Therefore, an explanation of why this is considered the best approach is necessary. Hence, a brief overview of Jane’s case is attached (see Appendix 1).
Psychodynamic perspective
The psychodynamic approach developed from Freud’s traditional psychoanalysis, but does not adhere strictly to Freudian tenets, but incorporates some original concepts (Shedler, 2010). Psychodynamic theorists believe personality and behavior are determined as a result of the conflict of primarily unconscious forces (Corey, 2005). The psychodynamic approach will be explored in terms of how a therapist might work with Jane. Jane’s clinical diagnosis would be depression and anxiety as well as dynamic issues including her family of origin (Myers, 2005). Jane’s experiences, emotions and desires have been repressed into her unconscious. There are also possible conflicts with her id, ego and superego (Weiten, Dunn, & Hammer, 2009). For example: “I just want to get on with my life, and meet people, but find it extremely difficult”. Here Jane’s Id is not motivated to get out and meet new people. It is easier to stay home. Jane’s ego is saying “I am really having a hard time trying to figure out what to do”
Psychodynamic perspective
The psychodynamic approach developed from Freud’s traditional psychoanalysis, but does not adhere strictly to Freudian tenets, but incorporates some original concepts (Shedler, 2010). Psychodynamic theorists believe personality and behavior are determined as a result of the conflict of primarily unconscious forces (Corey, 2005). The psychodynamic approach will be explored in terms of how a therapist might work with Jane. Jane’s clinical diagnosis would be depression and anxiety as well as dynamic issues including her family of origin (Myers, 2005). Jane’s experiences, emotions and desires have been repressed into her unconscious. There are also possible conflicts with her id, ego and superego (Weiten, Dunn, & Hammer, 2009). For example: “I just want to get on with my life, and meet people, but find it extremely difficult”. Here Jane’s Id is not motivated to get out and meet new people. It is easier to stay home. Jane’s ego is saying “I am really having a hard time trying to figure out what to do”
References: Corey, G. (2005). Theory and practice of counselling & psychotherapy (7th ed.). Belmont: Thomson Brooks/Cole. Cutler, J., Goldyne, A., Markowitz, J., Delvin, M., & Glick, R. (2004). Comparing cognitive behavior therapy, interpersonal psychotherapy, and psychodynamic psychotherapy. Clinical case conference , 1567-1573. Gerald, D., & Gerald, K. (2005). Basic personal counselling: Training manual for counsellors (3rd ed.). Sydney: Pearson Prentice Hall. Leiper, R., & Maltby, M. (2004). The psychodynamic approach to therapeutic change. London: Sage Publications. McLeod, J. (2009). An introduction to counselling (4th ed.). Buckingham, England: Open University Press. Myers, D. G. (2005). Exploring psychology (6th ed.). New York: Worth Publishers. Shedler, J. (2010). American Psychologist. The efficacy of psychodynamic psychotherapy , 65 (2), 98-109. Summers, R., & Barber, J. (2010). Psychodynamic therapy: A guide to evidence-based practice. New York, London: The Guilford Press. Wampold, B., Minami, T., Baskin, T., & Tierney, S. (2002). A meta-(re)analysis of the effects of cognitive therapy versus 'other therapies ' for depression. Journal of affective disorders , 68, 159-165. Weiten, W., Dunn, D. S., & Hammer, E. Y. (2009). Psychology applied to modern life: Adjustment in the 21st century (10th ed.). Belmont, CA: Wadsworth Cengage Learning.