A case study presenting a comparison of cognitive behavioral and attachment theory applications in treating generalized anxiety.
Written in 2007; 17,240 words; 78 sources; MLA; $ 249.95
Paper Summary:
This paper explores combined cognitive behavioral and attachment theory applications in treating generalized anxiety. It reviews and critiques various cognitive behavioral approaches, as well as three attachment theories. The paper presents a case study in which the writer utilized behavioral management techniques and applied positive and negative reinforcements to alter an unpleasant behavior to a more appropriate and pleasant one. It presents the results of the study.
Table of Contents:
Chapter 1: Introduction
A. Purpose of Study
B. Overview of Study
C. Importance of Study
Chapter II. Theoretical Bases for Clinical Treatment
A. Cognitive/Behavioral Theory and Generalized Anxiety
1. Aaron Beck
2. Albert Ellis
3. Michael W. Eysenck
B. Attachment Theory and Generalized Anxiety
1. John Bowlby
2. Mary Ainsworth
3. Margaret Mahler
Chapter III. Client information
A. Presenting Problems and Initial Diagnosis
B. Client's Family History
C. Client's Present Circumstances
Chapter IV. Treatment History
A. Early Phase
1. Identifying Client's Underlying Assumptions
2. Managing Anxiety Effects
B. Middle Phase
1. Client Develops Ability to Recognize Causes for Anxiety
Implementing New Behaviors to Prevent Anxiety
Improving Communication with Her Son
4. Addressing Issues with Alcoholic Husband
C. Final Phase
1. Transference and Counter Transference Issues
New Concerns on the Horizons
Chapter V. Conclusions
From the Paper:
"Not surprisingly, EFT interventions have received a great deal of attention in recent years; in this approach, the clinician moves recursively between three tasks: (a) monitoring and actively fostering a positive alliance, (b) expanding and restructuring key emotional experiences, and (c) structuring enactments that either clarify present patterns of interaction or, step by step, shape new, more positive patterns (Robbins et al., 2003). Generally speaking, EFT therapists continually track and reflect upon the process by which both inner emotional realities and interactions are created. The therapist also validates each partner's realities and habitual responses so that partners feel safe to explore and own these. Internal experience is expanded by evocative questions that develop the outline of such experience into a sharply focused and detailed portrait (Robbins et al., 2003). Emotion may be heightened by images or repetition, or the therapist may go one step beyond how clients construct their experience by adding an element, such as asking if someone is not, as they say, only "uncomfortable" but even a little anxious. The therapist also reframes interactional responses in terms of underlying emotions and attachment needs and fears and choreographs enactments. The therapist follows and leads but is most active in Stage Two, particularly when structuring the change events mentioned previously (Robbins et al., 2003)."
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