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Vargas Family Psychodynamic Case Study

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Introduction The approach of psychoanalytic theory is vastly different than the approach of cognitive-behavioral theory in regards to understanding presenting problems and developing appropriate interventions. This paper will discuss and apply both the psychoanalytic perspective and cognitive-behavioral perspective to the Vargas family vignette to identify how problems are maintained in each theory and what the appropriate interventions are.
Presenting Problems While it is important to acknowledge the families’ crisis of the week, it is critical that the therapist remains focused on how the crisis of the week is contributing to the bigger picture and how it is being sustained. The two main presenting problems that the Vargas family has are the families view of Frank’s behaviors and Elizabeth and Bob’s marital conflict. Through the initial interview, Frank was branded the identified patient and the one that is causing the issues. Throughout this session, Frank’s behavior continues to be recognized as the problem. This writer learns that Frank had ripped up his sister, Heidi’s school paper, in which Frank’s responds to this in a …show more content…

In the ABC model, the A represents the activating event, which is the actual event and the individual’s immediate interpretation of the event. B represents the belief about the event. The evaluation of this belief can be either irrational or rational. C represents the consequences and how an individual feels and what they do (Malkinson, 2010). When a negative event occurs, one can interpret it in a positive or negative way and how one interprets it, affects how one feels, thinks, and behaves. Since the goal of cognitive behavioral therapy is to stop recurring faulty cognitions that result in problematic response patterns, challenging the Vargas family to interpret situations and change their belief around Frank’s behavior is

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