Psychoanalysis Case Study

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The fundamental knowledge on conceptualization of the core aspects in psychoanalytic character diagnosis, levels of personality organization, treatment implications, and differences in primary vs secondary defenses illustrate a useful map on contemporary psychoanalysis. This essay attempts to discuss an overview of the learned material presented in class and the concept of essential dimensions in psychoanalytic diagnosis, based on the readings of Nancy McWilliams (2011). According to McWilliams, considerable clinical model of psychoanalysis consists out of the building blocks made out of the early original Freudian structure of drive theory with developmental emphasis on person’s early development, object relation theory, ego and self …show more content…
Other analysts continued to expand Freud’s original idea of such confinement as a conflict of a certain stage. For instance, Erik Erikson reconstructed psychosexual phases in accordance with more interpersonal interpretations of each stage that starts in infancy and expands on to maturity. Another major structural block in psychoanalytic character diagnosis is ego psychology and object relation theory. Ego Psychology consists of Freudian early formation of an internal triggers that organize the Id and Superego. McWilliams illustrates the concept of ego psychology by emphasizing the benefits of the superego in therapy. The ego constitutes for part of the personality that is responsible for individual’s conscious decision making. In the progression of ego, psychology therapists can aim to repair the Superego. This process may attribute for unconscious feature to act out and create a “defense” mechanism. This defense mechanism is associative with psychoanalytic diagnoses. The object relations theory was based on the rejection of Freud’s initial biological concept and instead the proposition of individuals seeking satisfaction within relationships was offered. Object relations refers to an ability to maintain a satisfying …show more content…
Character neurosis conceptualizes more on personality traits and for individual to use of something that does not work any longer. Whereas individuals with neurotic issues develop more mature defenses, with intact reality, and an observational ego. Great example of individual with neurotic symptoms was demonstrated during class lecture by Dr. Shapiro about a client that went for a job interview and retrieved prior to finding out the outcome of the interview. This particular client demonstrated system neurosis, linked to unconscious conflict within. An implication of treatment for this particular client may consist out of psychoanalysis. In this scenario the therapist may try to focus not only on the behavior change but also on the root cause of the particular alteration that will be congruent with individual’s insides. Person with Psychotic symptoms use primitive defenses, with no intact reality, and impaired observational ego. According to McWilliams it is critical to implement trustworthiness when working with individuals that suffer from psychotic symptom. She further states that it is essential for the therapist to be more emotionally truthful with much more emotional revelation. Individuals that display instability

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