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CASE INTEGRATION By Xandre Latog.docx - Xandrē Kris L....

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Xandrē Kris L. Latog Date: March 28,2019Code:09166 Title: PSY 123CASE INTEGRATION OF DIFFERENT THEORETICAL PERSPECTIVEON SUBSTANCE USE DISORDERPsychodynamic: Horney's Psychoanalytic SocialTheoryThis theory assumes that social and cultural conditions, especially during childhood, have a powerful effect on later personality. Traces of these can be found from the client’s relationship with his parents during childhood. He and his male siblings were mostly ignored by their parents due to their busyness and that brings up to another assumption of Karen Horney which neurotic conflict stems largely from childhood traumas, most of which are traced to a lack of genuine love. Children who do not receive genuine affection feel threatened and adopt rigid behavioral patterns in an attempt to gain love. This can be found in the client’s relationship with his friends, getting all the emotional and social support from them that his parents never gave him properly. This can also be found when the client established a relationship with a girl. According to the client, that was the best time of his life when he got emotionally attached with a girl. That was probably the first time he felt real attachment which he should have gotten from either or both of his parents. Horney’s concept of Basic Hostilityand Basic Anxiety can be added to this case. All children need feelings of safety and security, but these can be gained only by love from their parents.Since the Client was neglected, that leads him to experience feelings of basic hostility towardparents and since the client didn’t overtly express this hostility as rage, he repressed his hostility toward his parents and have no awareness of it. Repressed hostilitythen leads to profound feelings of insecurity and a vague sense of apprehension. This condition is called Basic Anxiety, which Horney defined as “a feeling of being isolated and helpless in a world conceived as potentially hostile. One of the protected devices that the client uses to cope with Basic Anxiety isSubmissiveness, which he used when he seeks pleasure and excitement in everything that he does with his friends and since he didn’t want to lose the support from his friend. That lead him to do several unethical acts with his friends.He submits himself to do whatever was asked to him just to gain their support. Horney’s
concept of Compulsive drivescan also be applied to the client. This included Neurotic needs like needs for affection and approval, which is also used to reduce basic anxiety.Existential: May’s Existential TheoryThis theory emphasizes people as living in the world of present experiences and ultimately being responsible for who they become. For this client, May’s concept of Nonbeingfits with his addiction on drugs. While Healthy People Live Simultaneously in Umwelt, Mitwelt,and Eigenwelt, some people experience Nonbeing, which is not necessarily means death, we nevertheless will experience nonbeingin other forms, including addiction to alcohol or other

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