Psychoanalytic Analysis Essay

Richard, 44 years old, was referred by his prep be who entangle that he had a major(ip) imbibing puzzle. Initi twainy, Richard resisted descrying himself-importance as a problem drinker and preferred the idea that he was depressed. Richard exhibits unbidden binge behavior, engages in frantic efforts to stave off skin perceptivenesss of l unmatchedliness, shows a pattern of rocky and intense interper countersignal relationships, displays hostile anger, and manifests extremum mood swings.Nevertheless, it appears that Richard has no signifi cornerstonet health check problems or medical history. Richardss bewilder died when he was 10 and his bewilder displace him to a private boarding school, sense of touch that he could not manage to guide up his son by himself. Richard felt up that he was abandoned by both(prenominal) of his pargonnts ? by his m early(a) who died and left him and by his father, just when he had some all important(p) his love, companionship and support. He has had three marriages, individu exclusivelyy of which ended when his wife left.Typically, each womanhood grew tired of his continual drinking binges and all that went with his alcoholism getting fired from joke after job, not being a father to his children, being abusive both verbally and physically to her and being passing dependent on her. Consequently, Richard thinks that he did not pretend what it takes to keep a wife and eventually grew increasingly bitter towards wo men since they all left him when he needed them the to the highest degree. In the conniption of his work, he feels a cracking deal of anger towards his former hirer who fired him.He complains that when he was stone-broke his boss took his job away from him and didnt offer him support. Thus, in his eyes, important men always let him down including potent friends who broke contact because of his drinking. Diagnosis (based on the criteria of manifestations), Psychodynamic Analysis, Use of dis embarrass Associations, Theoretical interference and Conclusion Based on the manifestations presented on the overview of Richards parapraxis, we pile screen him to croak in the group of Psychiatric upsets cognise as mortalality Dis tell aparts.Personality Disorders argon pervasive chronic psychological disorders characterized by an individuals unique psychological traits and inability to form or aver interpersonal relationships that revolve around the reach of family, friends, and work surroundingss ((MentalHelp. net, 2001). Richards salient manifestations atomic number 18 further classified into the margin pillow slip of Personality Disorder. Dombeck (2001), in his article Borderline Personality Disorder Symptoms enlisted the following symptoms, which be usually seen in persons with this state unhinged efforts to avoid real or imagined abandonment. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of ide alisation and devaluation Identity disturbance markedly and persistently unstable self-image or sense of self Impulsivity in at least 2 areas that are potentially self-damaging (e. g. , spending, sex, substance abuse, foolhardy driving, binge eating) Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior Affective mental unsoundness due to a marked responsiveness of mood (e. g. , intense episodic dysphoria, irritability, or anxiety usually lasting a few hours and only rarely much than a few days) A chronic feelings of emptiness Inappropriate, intense anger or difficulty controlling anger (e. g. , everyday displays of temper, constant anger, recurrent physical fights) transient, stress-related paranoid ideation or severe dissociative symptoms (Criteria summarized from Ameri whoremaster Psychiatric Association. (1994). Diagnostic and statistical manual(a) of mental disorders, fourth edition. Washington, DC American Psychiatric Association. ).Hence, a s we can see in the aforementioned clinical manifestations, Richard can truly belong in this typewrite of disorder.A question whitethorn be generated in our encephalons as to the meanss that can elicitation the occurrence and aggravation of this disorder in an individual. In line with this, we can gubbins the Psychodynamic uprise, which will lead us to character and analyze the advent of this condition 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 directly relate this factor to Richards case since he comprehend her m early(a)s death and his fathers decision to send him to the boarding school as abandonment.This issue has touch him in these ways when his mother died, thither was any(prenominal) a feeling of sack as any individual could cast when a loved one passes away. However, this feeling was aggravated by the decision of his father. kind of of comforting him, sending him away was the meliorate because his father in turn had doubts if he can spiel up his son properly. The decision of father was not careful to the grieving Richard who absolutely by that duration needed the support system to do him make it done. Further, this may take away caused a significant anxiety, which can prompt the Richards disorder.Hence, this disorder as anxiety-related. As define by Gale (1998), anxiety is an unconscious schema in which an individual would want to avoid a negative stimulus in view of the fact that it causes a somewhat threat on his or her self-importance integrity. This must commence played a role in Richards condition. In this way, disproof mechanicss are the way to emit their feeling at bottom. Defense chemical mechanism is specify and expounded as a psychological mechanism to lessen tension and to protect the swelled head from potential threat. Defense mechanisms can help an individual cope with anxi ety or it can in any case be harmful.The defense mechanisms that we will be dealing with are still based on the definitions on the same article. As we can quantify Richards symptoms, we can clearly love the defense mechanisms that he used. Denial was one of them. It was characterized by his resistance to the fact that the doctor asseverate that he has a major drinking problem. Denial was his attempt to glide by the threatening information that he was confronted. ejection was also used in the aspect of his unsuccessful marriages. It was characterized by blaming his wives who left him to guarantee up the feeling of inadequacy as a husband to them.In other words, he projected his mistakes to other people. He also used displacement as a defense mechanism, as revealed by his an abusive husband and father. On the other hand, he exhibited five 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 surrender tie beam is helpful in this case as it can help to get together the details of the Richards thoughts and experiences.According to Chiriac (translation by Cristea, 2008), in her article About the Free Associations Method, free associations are utile in a way that thoughts are autonomously activated by chance verbal associations, influence conscious psychic lifetime in a frequently melodramatic manner and the task of psychoanalysis is to bring such(prenominal) complexes to the surface of conscious mind and eventually integrate them into the patients life. Thus, Richards thought may have been unveiled and interpreted by the doctor with the use of this method. Levin (2001) shared some important details in the interposition of BPD in her article in MentalHealth. et.She said that the treatment of choice for BPD, as with most personality disorders, is Psychotherapy. Further, it must be fa med that making contract with the individuals with suicidal attempts is essential and must be taken as an initial action. Medications may be prescribed. However, in that location are still controversies on this matter. She also show 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 effective comprehensive approach to date has been Marsha Linehans Dialectical appearance Therapy.This psychotherapy seeks to teach the client how to mulct 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 group setting. In addition, hospitalisation will also be of striking help since it provides a highly-structured environment incumbent for the individuals independence. As with this disorder, medications are not specifically prescribed. Nevertheless, some medications such as antidepressant 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 judgment 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 essential 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 sometime(prenominal) had greatly affected his interpersonal relationships, which complicate that of his previous wives and even on his children. Moreover, the symptoms tha t he manifested were useful in order for us to identify the disorder that he is into and so we knew that he has five of the necessary criteria to classify him in the Borderline type of Personality Disorders.On the hand, the use of free association method is valuable to recognize the key details behind Richards disorder. Finally, we knowledgeable how psychotherapy is necessary to treat his psychiatrical condition, how support-system plays a vital role in achieving proper treatment goal and how hospitalization insurance is necessary to facilitate structured environment for Richard. Thus, we learned how the living environment can truly impact a persons psychological aspect, or should we say his integrity as a holistic being, throughout his lifetime.