Case analysis from ego psychology perspectives Essay

3511 Words Nov 14th, 2013 15 Pages
Introduction
This paper, divided into two parts, is intended to understand April’s case in a “thoughtfully eclectic” way from a social work perspective by applying human behavior theories. The first part shows the use of Ego Psychology to illustrate how loss from April’s father’s death interrupted her development by disrupting her ego function. The second part shows the assessment of April’s biological, psychological, and social-emotional development, the ecological factors which affected her development, and the cultural stereotype expectation on normal development.
Question One:
April’s arrival was not expected by her mother; this unexpected pregnancy may have caused stress to the mother (Joy) while she carried April. This was
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She even withdrew from activities she normally liked and social interactions with family and friends, such as when she rejected her sister’s invitations to play together. Furthermore, she also developed somatic symptoms, such as not eating or experiencing headaches, as defense. For April, the defenses that she used at the beginning might be adaptive to help her preserve psychic integrity and ensure survival under the pressure of stress and fears. But when she used them in a rigid fashion, her responses also limited her ego function to perceive reality or to cope effectively and thus became maladaptive. Since defenses serve a protective function, April might also have resisted efforts directed at modifying her defenses if there was no other protective agency available (Goldstein, 2011).
In order to help April to cope with the loss more effectively and reach optimal ego development, the ego-oriented social workers can, on one hand, use supportive and modifying approaches to help April restore, maintain, and enhance her here-and-now ego functions and promote her ego mastery and problem-solving coping capacities. On the other hand, they also can incorporate environmental change which support and facilitate April’s progress; in doing so, the change needs to direct attention to understanding the nature of April’s maladaptive defenses and behavior, her basic attitudes toward self and others, her patterns of relating to her families and others, and new

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