Steven V.'s Psychoanalytic Needs Have Term Paper

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The total number of stressful events in childhood is much higher in the adult diagnosis of bipolar disorder as compared to those without, especially where events stem from the harsh environment rather from the child's own behavior. These early experiences of adversity and conflict are very likely to make the subsequent developmental challenges in adolescence more difficult and make the diagnosis and treatment of the malady more difficult later (Hammersley et al., 2003, 543-544)..

Such realizations about the interrelatedness of psychoanalysis and drug treatment have brought about a new holistic approach to treating patients such as Steve. The systematic review and metaanalysis of randomized, controlled clinical trials have shown that other anticonvulsants worked as well as lithium carbonate. Since 2000, it was found that lithium effectiveness was less robust than was expected, so other results need to be investigated as well (Geddes et al., 2004, 217-218).

While Steven V.'s psychoanalytic needs have not been met, by meeting them, it is hopeful that he will not reject lithium carbonate treatment or some similar treatment since they have had the greatest positive effects upon the treatment of his illness. To get Steve back on the wagon, we have to have a psychoanalytic version akin to alcohol treatment where Steve will acknowledge that he has a problem.

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As stated above, he has to realize the personal value in the treatment or he will not want to continue with it.

This is truly the case with Steven precisely because he has exhibited more depressive behavior than manic. Therefore, the biological as well as the psychoanalytic causes for his depression must be dealt with concurrently. This will include getting at the childhood issues at the core of Steve's problems that are a mystery to the psychoanalyst now. This is why the psychoanalyst is planning to engage Steve in discussion to discover the necessary psychological milestones that have contributed to his depression is so necessary. This data will fill in the missing data with regard to planning Steve's psychoanalytic and pharmaceutical regimen. It is hoped that Steve will then appreciate the sophisticated and nuanced approach to his illness and will have a greater faith in his doctors and psychoanalysts. This way he will come to believe in them and himself as well and will be in command of himself and will then have warm and normal social relationships that will replace the unhealthy fantasy life and truncated relationships with parents and women that have been the hallmark of his life unfortunately until now.

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