For This Assignment You Will Develop A Thorough Clinical Tes
For This Assignment You Will Develop A Thorough Clinical Treatment Pl
For this assignment, you will develop a thorough clinical treatment plan for Kim-Ly. The full case description is here: Kim-Ly_Case PDF. Remember that problems, goals, objectives and actions steps are all related directly to the problem. Also, objectives MUST have all necessary components (as described in Treatment Planning_IDL Module.pptx ).
Step 1: In a narrative format (double spaced), address the following: Identify and describe two problems (of Kim-Ly's) to be treated clinically. Keep in mind that your description of the problems should reflect some psychodynamic thinking - it is not a rehashing of the story line. Explain why you would treat these two problems.
Step 2: In an outline format (single spaced), address the following (this outline section can be single spaced and it is not necessary to make it 'look' like a research paper): Identify one goal for each of the two problems = a total of 2 goals for this assignment. Identify two objectives for each of the goals (based on the problems) = a total of 4 objectives for this assignment. Identify 4 action steps for each of the objectives (based on the problems) = a total of 16 action steps for this assignment.
The outline format can look like this: Goal: _ ____________________________ Objective: ____________________ Action Steps_______________
Paper Format: In-text citations and references are not required for this case treatment plan assignment. However, please add an APA-style cover page that follows this APA Student Title Page Guide . This paper should NOT include a running head, an abstract, a table of contents, or an appendix. Font Type and Size: A variety of font choices are permitted in APA Style. Use the same font throughout the text of the paper.
Options include: Sans serif font: 11-point Calibri, 11-point Arial, 10-point Lucida San Unicode Serif font: 12-point Times New Roman, 11-point Georgia, normal (10-point) Computer Modern. For more information: refer to page 44 of the of APA Publication Manual, Seventh Edition, and this APA Style Font resource. Ensure the font type and font size of your page numbers are consistent with the rest of your paper.
Paper Length: The entire assignment (written / narrative part and outline part) should be a total of three (3) pages in length (excluding the cover page). The written / narrative part should reflect QUALITY CONTENT.
Notes: This assignment must be submitted via Webcourses by the assigned deadline. To access the rubric for this assignment, select ' Show Rubric' from the drop down box located at the upper right hand corner.
Paper For Above instruction
Introduction
Developing an effective clinical treatment plan for Kim-Ly necessitates a thorough understanding of her psychological issues rooted in psychodynamic principles. Central to this process are the identification of core problems, setting targeted goals, devising strategic objectives, and implementing specific action steps. The overarching goal is to facilitate her emotional healing while promoting healthier behavioral patterns, grounded in an understanding of her unconscious motives and inner conflicts.
Identification of Problems
Kim-Ly presents with multiple interrelated psychological issues, but two salient problems merit targeted treatment. First, her pervasive sense of identity confusion and fragile self-esteem traces back to early familial relationships. Psychodynamically, this problem may stem from unresolved issues of parental neglect and inconsistent validation, leading to insecure attachment patterns and internalized critical voices. Addressing this problem is crucial because her low self-esteem hampers her ability to engage meaningfully in relationships and limits her personal growth.
Second, Kim-Ly exhibits significant anxiety linked to fears of abandonment and a persistent avoidance of intimacy. These issues are reflective of deep-seated unconscious fears that originate from early attachment disruptions, possibly involving inconsistent caregiving that fostered anxious-avoidant attachment behaviors. Treating this problem is vital as it directly impacts her capacity for forming stable, trusting relationships, thereby affecting her overall well-being and life satisfaction.
Rationale for Treatment Focus
Addressing these two problems through psychodynamic psychotherapy allows exploration of underlying unconscious conflicts, early relational patterns, and internalized schemas. These issues are interconnected, with her self-esteem problems fueling anxiety about abandonment, and vice versa. Treatment aims to bring subconscious influences to conscious awareness, promoting insight, emotional processing, and ultimately, healthier relational and self-perception mechanisms.
Goals, Objectives, and Action Steps
Goal 1: Enhance Kim-Ly’s self-esteem and develop a cohesive sense of identity
Objective 1: Kim-Ly will identify and challenge critical internalized messages about herself within three months.
- Action Step 1: Engage in weekly psychodynamic therapy sessions focusing on childhood experiences and internal dialogue.
- Action Step 2: Use journal prompts to record recurring negative self-beliefs and analyze their origins.
- Action Step 3: Practice cognitive restructuring techniques to reframe negative beliefs into more compassionate self-images.
- Action Step 4: Participate in self-esteem enhancement exercises, such as affirmations and strength identification, during therapy sessions.
Objective 2: Kim-Ly will develop a more integrated and stable self-concept within six months.
- Action Step 1: Map her personal history highlighting key relational patterns and their impact on her self-view.
- Action Step 2: Explore feelings related to identity and worth during therapy, aiming to process unresolved conflicts.
- Action Step 3: Set small, achievable personal goals to foster competence and confidence.
- Action Step 4: Reinforce self-acceptance through consistent feedback and validation in therapeutic interactions.
Goal 2: Reduce anxiety related to abandonment and promote healthy attachment behaviors
Objective 1: Kim-Ly will identify and understand her fears of abandonment and patterns of avoidance within four months.
- Action Step 1: Facilitate exploration of early attachment experiences during therapy sessions.
- Action Step 2: Use psychodynamic techniques to uncover underlying unconscious fears related to abandonment.
- Action Step 3: Develop awareness of avoidance behaviors and their emotional triggers.
- Action Step 4: Explore alternative, healthier ways of managing fears in relationships through role-playing and emotional processing.
Objective 2: Kim-Ly will demonstrate increased comfort with intimacy and trust in her relationships within six months.
- Action Step 1: Work through feelings of vulnerability in a safe therapeutic environment.
- Action Step 2: Facilitate exercises that promote trusting behaviors and emotional closeness.
- Action Step 3: Encourage gradual exposure to intimacy with supportive feedback.
- Action Step 4: Reinforce positive relational experiences to challenge and modify maladaptive beliefs about intimacy and abandonment.
Conclusion
Constructing a comprehensive treatment plan rooted in psychodynamic principles involves detailed problem identification, clear goal setting, measurable objectives, and concrete action steps. For Kim-Ly, addressing her self-esteem and attachment issues will require ongoing exploration of unconscious conflicts, early childhood influences, and current relational patterns to foster insight, growth, and emotional resilience.
References
- American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
- Brenner, C. (2018). Psychodynamic therapy: A guide to evidence-based practice. Routledge.
- Freud, S. (1917). Mourning and melancholia. Standard Edition of the Complete Psychological Works of Sigmund Freud, 14, 237-258.
- Luborsky, L., & Crits-Christoph, P. (2018). Understanding transference. Guilford Press.
- Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109.
- Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body. Norton & Company.
- McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality structure in the clinical process. Guilford Press.
- Gabbard, G. O. (2014). Psychodynamic psychiatry in clinical practice. American Psychiatric Publishing.
- Blum, H. P. (2019). Attachment-based theories. Springer.
- Levy, R. (2014). Exploring internal representations in psychotherapy: A case-based approach. Journal of Clinical Psychology, 70(9), 791-805.