Identify the DSM-5 diagnostic criteria

Max Points: 80
Details:

Part 1: Case Studies

Identify the DSM-5 diagnostic criteria that you notice in the case studies below and explain how the client meets the criteria. Include the diagnosis that these symptoms are related to. Your response to each case study should be 50 to 75 words.

  1. Tom      is a 30-year-old male who was near the World Trade Center during the 9/11      attack. He witnessed horrific scenes, including people jumping from the      World Trade Center. Since that day, he has had nightmares. Whenever a      plane flies overhead, he has the feeling that he needs to run to a secure      place. He has thought of moving out of New York City because he finds      himself reliving the event every time he is down in the area of the 9/11      attack.
  2. Jennifer      is worried about her friend Mark, who is a 19-year-old male who recently      started hiding in his apartment bedroom. He told Jennifer that the      government could hear everything he says, and does so in every room but      his bedroom. More recently, Jennifer has visited him and found out he is      not going to work, as he is feeling very low and depressed. She also      recognized that he is smoking more pot than usual.
  3. Angela      is a 35-year-old human resources manager and mother who has found that      methamphetamines allow her to work long hours and also gives her enough      energy when she is home to manage her household and children. More      recently, she has started to think that her boss has been planning to fire      her, even though there is no visible sign that her work has been suffering      due to her use. When she passes by his office and he is on the phone, she      is sure he is talking about her and his plans to fire her.
  4. Justin      is a 20-year-old college student who recently started lining his single      dorm room with tin foil. He thinks that his neighbors have been listening      in on his phone conversations and wants to prevent their listening with      the use of this foil. He has stopped going to classes and interacting with      his friends. His friends are very worried about him and decided to go to      the dean to talk to her about his behavior.

Part 2: Treatment Scenarios

Provide a 50- to 75-word response to each of the following scenarios:

Imagine that you are working with a client that has been diagnosed with a psychotic disorder. Select a psychotic disorder from the DSM-5 and discuss the approach you would you use for treating this client.

How will you tell if the client suffers from a psychotic disorder as opposed to a substance-induced disorder?

Imagine that you are working with a client with co-occurring posttraumatic stress and substance use disorders. How would you approach treating this client? What special considerations should you make?

Include at least two scholarly references in your assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Two Journal Articles And Worksheet For Vignette One

 

Overview: In this assignment, you will identify two journal articles for each of the tests used in the vignette you chose for the final project. You will be focusing on specific aspects of the tests, such as why the tests were developed, reliability, validity, ethical considerations, the normed reference group, and what useful information the tests provide us.

Prompt: For each test in the vignette you chose for the final project, identify and cite two journal articles that provide you with the information needed to fill in

the information in the table of the worksheet. Specifically, the following critical elements must be addressed:

I. Journal Articles: Appropriately cite two articles in APA format for each test.

II. Test Development: Provide an explanation of why each test was developed.

III. Reliability: Reliability of each test is described.

IV. Validity: Validity of each test is described.

V. Ethical Considerations: The ethical considerations of each test are described.

VI. Normed Reference Group: The normed reference group of each test is described.

VII. Useful Information: The useful information that each test provides is explained.

Attached are the vignette, guidelines and rubric, and worksheet.

PSY 550 Final Project Vignette One Ms. G is a 33-year-old single, Caucasian female who was referred for an evaluation to clarify diagnostic issues and establish educational and vocational goals. Ms. G was born with spina bifida, but otherwise had no notable developmental concerns. She requires a manual wheelchair for ambulation due to her spina bifida. Ms. G never received special education or had an individualized education program (IEP). She completed two years of college but then took a leave of absence. She would like some guidance as to whether she should continue to pursue her bachelor’s degree, as the first two years of college were extremely challenging for her. She reports struggling academically and just “not fitting in” with her peers. From a mental health perspective, she has a history of being in and out of counseling. She is currently prescribed Zoloft and Xanax for depression and anxiety, respectively. She reported a fear of vomiting, and also reported generally being anxious and depressed at times. She estimated that she has been severely depressed on at least three occasions. The client reports concerns related to her inability to secure a job and not “knowing what to do.” She has noticed that she has been losing friends and is not sure why. She is hoping to gain further input around her psychological status as it relates to her anxiety, depression, and social concerns. Below are her scores from the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) and Millon Clinical Multiaxial Inventory – III (MCMI-III).

WAIS-IV

FSIQ 94

VCI 107

PRI 82

WMI 108

PSI 81

GAI 95

 

MCMI-III

Disclosure 71

Desirability 75

Debasement 42

Schizoid 81

Avoidant 66

Depressive 75

Dependent 81

Histrionic 63

Narcissistic 54

Antisocial 62

Sadistic 36

Compulsive 69

Negativistic 64

Masochistic 80

Schizotypal 65

 

 

 

Borderline 34

Paranoid 60

Anxiety 85

Somatoform 15

Bipolar: Manic 60

Dysthymia 24

Alcohol Dependence 40

Drug Dependence 60

PTSD 60

Thought Disorder 15

Major Depressive 79

Delusional Disorder 62

You can use these resources to help you review the data from Ms. G’s WAIS-IV and MCMI-III scores: WAIS-IV

1. Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) a) Scroll down and find the “Training” tab.

MCMI-III

1. C512 MCMI a) Bacon, S. F. Millon Clinical Multiaxial Inventory III (MCMI-III) [PPT document]. Retrieved

from California State University’s website: http://www.csub.edu/~sbacon/C512_MCMI.ppt

b) The Millon Personality Group Website c) Millon Clinical Multiaxial Inventory-III (MCMI-III)

o Scroll down and find the “Scoring and Reporting” tab.

o There are sample interpretive and annotated interpretative reports, as well as a

sample profile report in PDF format.

 

 

http://www.pearsonclinical.com/psychology/products/100000392/wechsler-adult-intelligence-scalefourth-edition-wais-iv.html?Pid=015-8980-808&Mode=summary#tab-training
https://learn.snhu.edu/d2l/lor/viewer/view.d2l?ou=6606&loIdentId=6409
http://www.csub.edu/~sbacon/C512_MCMI.ppt
http://www.csub.edu/~sbacon/C512_MCMI.ppt
http://www.millonpersonality.com/
http://www.pearsonclinical.com/psychology/products/100000662/millon-clinical-multiaxial-inventory-iii-mcmi-iii.html?origsearchtext=mcmi-iii#tab-scoring
http://www.pearsonclinical.com/psychology/products/100000662/millon-clinical-multiaxial-inventory-iii-mcmi-iii.html?origsearchtext=mcmi-iii#tab-scoring

socw 6060- Individual vs. Structural-Cultural Theories

socw 6060- Individual vs. Structural-Cultural Theories

Theories help frame more than presenting problems—they also frame social problems, and both types of problems can be linked in relation to client issues. For example, many scholars and social workers have attempted to understand the social problem of poverty. Turner and Lehning (2007) classified various psychological theories to explain poverty under two headings: (1) individual-related theories or (2) structural/cultural-related theories. In other words, think of these two headings as lenses in viewing poverty. In this Discussion, you apply lenses through which to understand a client’s problem in relation to social problems.

  • Read this article listed in the Learning Resources: Turner, K., & Lehning, A. J. (2007). Psychological theories of poverty. Journal of Human Behavior in the Social Environment, 16(1/2), 57–72. doi:10.1300/J137v16n01-05
  • Select a theory under the individual-related theories and a theory under the structural/cultural-related theories.
  • Complete the handout “Comparing Individual-Related and Structural/Cultural-Related Theories” to help you craft your response. (Note: You do not need to upload the handout to the Discussion forum. The handout is intended to assist you in writing your Discussion post.)

Post:

  • Describe how a social worker would conceptualize a presenting problem of poverty from the two theories you selected.
  • Explain how this conceptualization differs from an individual-related versus a structural/cultural-related theoretical lens.
  • Compare how the two theoretical lenses differ in terms of how the social worker would approach the client and the problem and how the social worker would intervene.

SOCW 6301, Sara Parker & Ethics

One of the reasons there can be so much debate about ethical issues is because ethics are opinions informed by people’s values and people have different values. People can disagree about whether or not something is unethical, and, oftentimes, there is no right answer. In order to make decisions about what may be ethical or unethical, Yegidis (2018, p. 25) suggests focusing on these three questions:

“Who should benefit or suffer from the actions of the researcher?”

“Whose rights should take priority over those of others?”

“Does the end (increased knowledge) justify the means (the methods used to acquire it and their potential for harm)?

“For this Discussion, view the Sessions episode on the Parker family. As you do so, consider which, if any, ethical mandates or standards were violated.

Post a response explaining your reaction to the Parker episode. Be sure to address whether or not the social worker violated any ethical mandates or standards. Also explain which strategies could have been used to guide ethical practice. Finally, describe the responsibility of the social workers in the Parker case. Please use the resources to support your answers.

Psychological Theories of Poverty

Kelly Turner Amanda J. Lehning

ABSTRACT. Social work education, practice, and research are heavily influenced by theories developed by psychologists. A review of the liter- ature was conducted to identify theories of poverty emerging from the field of psychology. In general, until 1980, psychological theories of poverty emphasized the role of the individual or group to explain the causes and impact of poverty. Between 1980 and 2000, psychologists began to consider the structural and societal factors that contribute to poverty and moved beyond the explanations of individual pathology. At the beginning of the twenty-first century, an increasing number of psychological theorists acknowledge the role of social, political, and economic factors in the creation and maintenance of poverty. Implica- tions for social work education, practice, and future research are dis- cussed. doi:10.1300/J137v16n01_05 [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: <docdelivery@haworthpress.com> Website: <http://www.HaworthPress.com> © 2007 by The Haworth Press. All rights reserved.]

KEYWORDS. Poverty, psychological theory

INTRODUCTION

According to the U.S. Census Bureau, the number of individuals living in poverty in 2004 rose to 37 million, an increase of 1.1 million from 2003 (DeNavas-Walt et al., 2005). Such an alarming statistic is of par-

Kelly Turner and Amanda J. Lehning are doctoral students at the School of Social Welfare, 120 Haviland Hall, University of California, Berkeley, CA 94720-7400.

Address correspondence to: Amanda Lehning (E-mail: AJLehning@berkeley.edu).

Journal of Human Behavior in the Social Environment, Vol. 16(1/2) 2007 Available online at http://jhbse.haworthpress.com © 2007 by The Haworth Press. All rights reserved.

doi:10.1300/J137v16n01_05 57

 

 

ticular concern to the social work profession, whose primary mission has always included enhancing the well-being of those who are vulnera- ble, oppressed, and living in poverty (NASW, 1999). The applied field of social work incorporates the theories of a wide array of social science disciplines, including psychology. It is important, therefore, to identify and assess the various psychological theories used to explain poverty. How do these theories inform social work practice with individuals and communities struggling with poverty?

This literature review examines the theories of both the causes and impacts of poverty emerging from the field of psychology. The first sec- tion includes a historical look at theories concerned with the study of the mind and behavior of an individual or group. The next section presents a brief overview of the debates and changes within psychology from 1980 to 2000, as the field of psychology sought to create more of a balance between the understanding of human behavior and the impact of the social environment of poverty. The third and final section examines psychological theories of poverty that have emerged from this more bal- anced point of view. The conclusion addresses some of the implications of these theories for the social work curriculum, especially regarding human behavior and social environment.

METHODOLOGY

This literature review included keyword searches in the most popular social science databases, including PsycINFO, PsycARTICLES, PubMed, Social Service Abstracts, Social Work Abstracts, and Sociological Ab- stracts. Each database was searched using the keywords “poverty,” “poor,” “socioeconomic,” “economic,” or “class” in combination with the terms “theory” or “analysis” and “psychology.” Once an article or chap- ter was selected, the reference section was searched to identify addi- tional sources.

The limitations of this literature review include the small number of articles devoted to theories of poverty within the psychology literature, the authors’ limited experience with psychological theories related to poverty, and a reliance upon published reviews of theories in psychol- ogy. A more comprehensive review of psychological theories of pov- erty is yet to be found in the literature.

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PATHOLOGIZING THE POOR

Theories on the Causes of Poverty

Over the course of the second half of the twentieth century, psycholo- gists developed a number of theories that reflected either the field’s bi- ases about poor people (Carr, 2003; Allen, 1970) or its tendencies to view them in terms of their pathologies (Carr, 2003). These theories tend to locate the source of poverty within the individual (e.g., Pearl, 1970; Goldstein, 1973) or within an impoverished culture (e.g., Pearl, 1970; Rainwater, 1970), and do not address the larger societal or struc- tural forces affecting the poor.

One theory, known variously as the naturalizing perspective, constitu- tionally inferior perspective, or nativist perspective, holds that intrinsic biological factors lead directly to poverty, an argument often supported by psychologist-designed intelligence tests (Rainwater, 1970; Pearl, 1970; Ginsburg, 1978). While this perspective has historically reflected public attitudes (Rainwater, 1970), it appears that this perspective was held by some psychologists as recently as the 1970s (Rainwater, 1970; Pearl, 1970; Ginsburg, 1978). Although IQ tests produce quantifiable evidence that has been used to support this theory, many argue that intel- ligence is not a measurable construct (Pearl, 1970) and even researchers disagree about the exact definition of the word (see Ginsburg, 1978), therefore calling into question the validity of these intelligence test results.

A related theory involves the role of language development and the accumulated environmental deficits that can lead to poor academic achievement and the continuation of the cycle of poverty (Pearl, 1970; Ginsburg, 1978). Based on the inadequate development of the language skills poor children in comparison with their middle-class counterparts, researchers claim, have cognitive deficiencies (Pearl, 1970; Ginsburg, 1978). There is very little research, however, that substantiate any signifi- cant class-based differences in language abilities (Ginsburg, 1978) and this perspective has been denounced as based on middle-class arrogance, rather than science (Pearl, 1970; Ginsburg, 1978). As an alternative the- ory, Ginsburg (1978) proposed a developmental view that acknowledges that there may be class differences in cognition but that children share cognitive potentials and similar modes of language.

Intelligence-based psychological theories of are not the only theories that suggest that individual deficiencies contribute to an individual’s in- ferior social and economic status. For example, Carr (2003) describes

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the McClelland approach, which gained popularity in the 1960s and the 1970s. This approach suggests that the poor have not developed a par- ticular trait, called Need for Achievement (NAch), which therefore pre- vents them from improving their situation. This approach was embraced as a way to help the poor escape poverty, and researchers sought to test this theory on populations in third world countries (Carr, 2003). Simi- larly, in the 1980s psychologists viewed attribution theory as a prom- ising explanation of poverty (Carr, 2003); namely, the poor tend to attribute their failures to internal factors, while attributing successes to external, uncontrollable factors. On the other hand, the rich take the op- posite view. Both of these theories drew criticism for maintaining the status quo and failing to produce real results (Carr, 2003).

Other psychological theorists identified poverty as a manifestation of moral deficiencies (Rainwater, 1970) or psychological sickness (Rainwater, 1970; Goldstein, 1973). While a rare view among profes- sional psychologists, the moralizing perspective, labels the poor as sin- ners who need to be saved (Rainwater, 1970), and the medicalizing perspective views the behavior of poor people in terms of psychological disturbance (Rainwater, 1970). A number of studies reveal a high con- centration of schizophrenia and other psychopathologies among the poor. The social selection hypothesis posits that these mental illnesses actually determine one’s economic position (Goldstein, 1973; Murali & Oyebode, 2004). The social drift variant of this hypothesis suggests that most schizophrenics are born into middle- or upper-class families, but their illness prevents them from earning enough money to maintain this social status and they eventually drift into poverty (Goldstein, 1973). There is considerable debate surrounding this hypothesis, however, and the author of one theoretical piece concludes that social selection is one of many different factors explaining the concentration of schizophren- ics in the lower class (Goldstein, 1973).

Many social service workers employed by public welfare agencies in the 1950s also relied on psychological theories to explain the economic dependence of the poor on the state (Curran, 2002). They subscribed to Freud’s theories regarding the ego and psychosexual development by perceiving welfare recipients as victims of psychologically abusive his- tories resulting in character disorders that kept them in poverty. In essence, inadequate socialization and broken homes led to a poorly de- veloped ego and low levels of self-sufficiency (Pearl, 1970). Feeling overwhelmed by sexual and aggressive drives, this theory suggests that the poor acted out this psychic conflict, much like a child (Curran, 2002). The appropriate role of the caseworker was to act as a parent

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substitute, setting limits and assimilating welfare recipients into the dominant culture (Curran, 2002). This theory was embraced by a pros- perous postwar America concerned with the rising numbers of African Americans on the welfare rolls, and disinclined to entertain the idea that the same society that led to their own financial success could also con- tribute to poverty (Curran, 2002). Looking back almost 50 years later, Fraser commented that this approach reflected “the tendency of espe- cially feminine social welfare programs to construct gender-political and political-economic problems as individual, psychological prob- lems” (1989, p. 155, as quoted in Curran, 2002, p. 382).

Social work’s earlier characterization of the poor as children seeking to satisfy their aggressive and sexual urges (Curran, 2002) supports the once-popular culture of poverty thesis. Although the culture of poverty theory developed by Lewis (1975) emphasizes the role of the social en- vironment in “creating” a culture of poverty, he still “describes” that culture in pathological terms, claiming that the poor suffer from flat affect, family tension, a brutal nature, and a lack of refined emotions (Carr, 2003). The cultural-relativistic perspective suggests that while the poor have a different culture from the rest of society, it is not neces- sarily inferior or superior (Rainwater, 1970). Similarly, the normalizing perspective includes middle-class stereotypes that lead to pity or con- cern for the poor. For example, the poor were perceived as having their own culture that serves them quite well, and it would be best to insulate them from the outside world, rather than force them to integrate with the larger society (Rainwater, 1970). As noted in the next section, the ten- dency to emphasize the individual’s culpability for being poor occurs not only in theories of causation, but also in theories on the impacts of poverty.

Theories on the Impacts of Poverty

Historically, psychologists tended to neglect larger structural forces when exploring the impacts of poverty, especially when treating psy- chological distress (Goldstein, 1973; Javier & Herron, 2002; Luthar, 1999). Some critics attribute this to the profession’s middle-class bias (Pearl, 1970; Javier & Herron, 2002).

One of the potential impacts of poverty is the prevalence and incidence of psychiatric disorders. Many studies have shown that psychiatric dis- orders, such as depression, alcoholism, anti-social personality disorder, and schizophrenia, are more common in urban, poverty-stricken neigh- borhoods than in more affluent communities (Murali & Oyebode, 2004).

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A counter-argument to this social selection hypothesis is the social causa- tion hypothesis, which holds that a patient’s economic situation actually causes psychopathologies, rather than the other way around (Goldstein, 1973; Murali & Oyebode, 2004). The conditions of poverty produce in- tolerable amounts of stress, which can lead to mental illness. For exam- ple, stress can occur when there is a wide gap between an individual’s achievements and their ambitions, a situation that is familiar to those living in poverty (Goldstein, 1973). While this hypothesis places part of the blame for the plight of the poor on society (i.e., not providing suffi- cient opportunities for achievement), Goldstein also suggests that indi- viduals play a role in their own psychopathology by noting that:

All of these dimensions of rearing, socialization, and personality development, which seem quite appropriate for adequate adjust- ment to a lower-class environment, also ill-prepares the individual for adequate coping and development in an essentially middle- class society–and especially for adequate coping with the stresses of this society. (Goldstein, 1973, p. 66)

In other words, lower-class individuals are perceived to have fewer coping skills compared to their middle-class counterparts. While the au- thor also calls for social legislation to improve the conditions of pov- erty, his primary recommendation for psychologists is to improve the social and personal skills of poor clients (Goldstein, 1973).

Psychoanalysts also view the poor through a middle-class lens, which could disrupt the therapeutic process (Javier & Herron, 2002). Psycho- analysis has historically been identified with white, middle class, Anglo- Saxon, male values, focusing on the nuclear family and intra-psychic conflict (Javier & Herron, 2002). Some therapists also believe that poor people do not have the proper skills to make use of insight and other therapeutic processes. This lack of understanding, often based on lim- ited contact with those living in poverty and a belief that certain behav- iors (e.g., discipline, hard work, and the ability to delay gratification) will necessarily lead to success, results in countertransference, in which the psychoanalyst’s personal feelings about the patient interfere with therapy and often discourage the patient from continuing with treatment (Javier & Herron, 2002). Some critics believe there are more sinister impulses at work, such as a fear that curing the poor of their psychologi- cal distress will hand them the tools to revolt against the middle and up- per classes (Javier & Herron, 2002). There is, however, an effort among psychoanalysts to provide better treatment of the poor, and the first step

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might be to acknowledge this countertransference before it becomes counterproductive in therapy (Javier & Herron, 2002).

Moreira (2003) expresses concern about what she calls the “medi- calization of poverty,” a process involving psychologists and psychia- trists prescribing psychotropic drugs to treat the impacts of poverty, while ignoring other socio-political factors in the process. She accuses the psychology profession of maintaining the status quo by keeping the poor drugged and therefore docile (Moreira, 2003). Without a compre- hensive view of the impacts of poverty that acknowledges external, structural factors, the poor will continue to suffer (Moreira, 2003). Psy- chologists in the 1980s began to embrace this view, recognizing the in- tegral role that social, economic, and political forces play in the causes and impacts of poverty.

UNREST IN THE PROFESSION: 1980-2000

In the 1980s, psychologists began to criticize the overly pathological view of poverty held by their profession (Carr, 2003). They argued that applying McClelland’s NAch theory to poor people (i.e., they remain in poverty because they lack motivation) completely disregarded the ex- ternal, societal factors that contribute to the epidemic of poverty (Carr, 2003). Similarly, various prominent psychologists also disagreed with the widespread application of Feagin’s popular attribution theory as a way to explain poverty, believing that it inappropriately blamed a poor person’s lack of self-esteem for his/her plight, without taking external factors into account (Carr, 2003). Mehryar, another prominent psychol- ogist of the 1980s, noted that psychological theories had no effect on reducing poverty and possibly had the opposite impact, namely that “psychologizing poverty was liable to pathologize the poor rather than the system that constrained them” (Carr, 2003, p. 5). Mehryar went a step further by blaming the individualistic view of psychology towards poverty as contributing to keeping the wealthy in power and the poor in poverty (Carr, 2003).

The psychologists of the 1980s, therefore, proposed a return to the cul- ture of poverty theory (Lewis, 1975) that suggests that civilization it- self (compared with pre-literate, tribal cultures) inevitably creates two cultures: one of wealth and one of poverty (Carr, 2003). While some psy- chologists in the 1980s rejected purely psychology-based theories in fa- vor of society-based ones, they did not discount psychology entirely (Carr, 2003). Rather, they believed that psychology could make a positive

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contribution toward a new understanding of poverty “if” it was used to describe the psychological processes of the “wealthy” (i.e., not the poor) and how the biases of the wealthy helped to maintain the condi- tions of poverty (Carr, 2003).

IMPACT OF SOCIAL FORCES

Theories of the Causes of Poverty

Taking a broader perspective on the impact of the social environment on human behavior, Moreira (2003) sees globalization (including the spread of capitalism) as the major cause of both wealth and poverty. Specifically, she explains that, “globalization works in a selective fash- ion, including and excluding segments of economies and societies from information networks, giving us pockets of rich and poor” (Moreira, 2003, p. 70). Moreira particularly condemns globalization for dissemi- nating Western culture’s greed for material goods, which she considers to be responsible for a particular kind of poverty called “Consumerist Poverty” or “Consumerist Syndrome.”

Drawing upon theories from other social science disciplines, some psychologists have adopted the Empowerment Theory of an economist (Sen, 1999) to explain the existence of poverty (Moreira, 2003; Carr, 2003). Whereas traditional definitions of poverty use “extremely low or no income” as the sole criterion for the term, Sen proposes that poverty is more than just low income: It is a lack of political and psychological power (Sen, 1999). More specifically, Sen suggests that modern society deprives “certain” citizens of power and control, which then results in poverty for those citizens. In order to escape from such poverty, Sen believes that a society must provide all of its citizens with three things: (1) political, economic, and social freedom; (2) security and protection; and (3) transparent governmental activities (Sen, 1999).

The World Bank Development Report for 2000-2001 expanded upon Sen’s Empowerment Theory to develop a three-pillar theory of poverty related to the absence of security, empowerment, and opportunity (World Bank, 2001; Carr, 2003). Carr (2003) and other psychologists view this as an extremely solid theoretical foundation from which the profession of psychology can proceed to investigate poverty. As Carr (2003) ex- plains, “Without all three pillars together, there is no real foundation for concerted development out of poverty. One pillar does not carry the roof” (p. 8).

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The World Bank’s concept of “security” includes factors such as clean water, adequate food and housing, and the reduction of vulnerability to natural disasters (World Bank, 2001). The concept of “empowerment,” similar to Sen’s definition, entails providing the poor with the means to acquire a greater voice to help them fight for justice within their soci- ety (World Bank, 2001). When applied to psychological treatment, “empowerment” encourages psychologists to work “with” the poor, not “for” them (World Bank, 2001; Carr, 2003). Of course, a society in which only a portion of its citizens (i.e., poor persons) lacks empowerment im- plies that discrimination and prejudice is at the root of the problem (Carr, 2003). Finally, the World Bank’s third concept is “opportunity.” Poverty exists, in part, because the poor are deprived of opportunities to participate independently in the global economy (World Bank, 2001). Such opportunities range from a lack of an affordable education to a dearth of living-wage, entry-level jobs (World Bank, 2001). The World Bank’s three-pillar view of poverty seems to be a comprehensive theory from which psychologists can proceed with both research and interventions.

Instead of focusing on empowerment, psychologist Lott (2002) ap- proaches poverty by focusing on discrimination linked to a theory of classism that explains the preservation of poverty in our society. As she defines it, classism is what results from the combination of three nega- tive sentiments: stereotypes, prejudice, and distancing. Similar to dis- crimination, “distancing” describes how the wealthy distance themselves emotionally and physically from poor people. Although classism is considered to be an impact of poverty, Lott also states that, “Barriers erected by classist bias maintain inequities and impede access to the re- sources necessary for optimal health and welfare” (Lott, 2002, p. 100). In other words, Lott sees class-based discrimination as both a cause and effect of poverty.

Lott (2002) bases her views on Williams’ 1993 theory that the upper class purposefully categorizes people into lower, middle, and upper classes “in order to maintain its power” and to prevent the lower classes from receiving an equal share of resources (Lott, 2002). This approach has been described as “social poverty” (Lummis, 1991), which occurs when the upper class purposefully keeps the lower class in poverty via economic control, thereby keeping themselves in power (Moreira, 2003).

Lott (2002) describes two theories that examine the mechanisms behind such unfair discrimination: Moral Exclusion Theory and Dehu- manizing Theory. Moral exclusion theory, developed by Opotow, suggests that upper-class citizens incorrectly assume that lower-class citizens are less moral than those in the upper classes, thereby causing or passively

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allowing poverty to become more acceptable in the minds of upper- class citizens (Lott, 2002). Similarly, Bar-Tal, and Schwartz and Struch both propose that the upper classes dehumanize poor people, believing that lower-class citizens have different (i.e., unacceptable) values and emotional tendencies (Lott, 2002). This dehumanizing process makes it easier for upper-class citizens to reduce their empathy as well as dis- criminate against poor people (Lott, 2002).

The most recent comprehensive discussion of poverty within the field of psychology is found in the Resolution on Poverty and Socioeco- nomic Status by the American Psychological Association (APA, 2000). Intended to represent the collective opinion of psychologists nation- wide, it clearly states, “perceptions of the poor and of welfare–by those not in those circumstances–tend to reflect attitudes and stereotypes that attribute poverty to personal failings rather than socioeconomic struc- tures and systems” (APA, 2000, p. 2). Thus, the APA acknowledges that both structural forces in society as well as discriminatory practices contribute to the perpetuation of poverty.

Theories on the Impacts of Poverty

In 1979, Urie Bronfenbrenner, one of the field’s most influential de- velopmental psychologists, proposed his now-famous ecological theory about how an individual is influenced by “systems” of interaction that include family and friends, community, and society, and constantly change and influence each other over a lifetime (Bronfenbrenner, 1979). This was one of the first developmental theories that took into account the effects that the social environment can have on human behavior and life course development. This theory of interacting systems was used to explain the experiences of children and adults living in poverty, espe- cially the causes and impacts of poverty (Fraser, 1997).

For example, whereas psychologists of the 1960s and the 1970s tended to attribute the relatively low IQ score or sub-standard scholastic achievement of the poor to inherent moral or genetic deficiencies, most psychologists today recognize that the multiple systems of a person’s life can have an impact on such scores or performance (Fraser, 1997). As a result, psychologists have moved from blaming the individual vic- tims of poverty to incorporating the social environment into their under- standing of people in poverty.

Lott (2002) views discrimination directed toward poor people by the upper classes as yet another negative product of a poor person’s

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circumstances. Lott (2002) calls this particular type of discrimination “Distancing,” which she divides into the following three subcategories:

1. Cognitive Distancing. Herein the upper classes hold onto nega- tive, unjustified stereotypes about poor people’s characteristics and behavior by blaming the condition of poverty on a person’s individual failings,

2. Institutional Distancing. This involves “punishing members of low-status groups by erecting barriers to full societal participa- tion” (p. 104), such as the disparity between suburban and inner city public schools.

3. Interpersonal Distancing. Herein the middle or upper class indi- viduals directly ignore, insult, or discriminate against lower-class individuals to their face (e.g., a shop owner forcing poor children to wait outside the store while their mothers shopped because they might steal if allowed to enter the store).

In summary, Lott (2002) views all these forms of distancing as sig- nificant in their negative impact on people living in poverty.

Moreira (2003) has identified other negative impacts such as the loss of culture, whereby dominant Western culture obliterates regional cultures. For example, cultural rituals are disappearing from poverty- stricken areas, such as a community ceremony to grieve the death of an infant (often related to poverty and malnutrition). The loss of such cul- tural rituals that serve to ease the grief of the surviving mother are re- lated to increasing rates of depression among poor women who have lost children (Moreira, 2003).

In a similar vein, Moreira blames the invasion of Western society’s consumerist ideology (i.e., assigning great value to the accumulation of material goods) for causing consumerism syndrome in poor people; namely, an unrelenting desire to own more and more material goods. Since poor people do not have the financial resources to satisfy such a desire, she believes it unnecessarily exacerbates a self-perception of be- ing poor and can lead to mental health problems (such as depression). As Moreira (2003) explains, “it is more probable to find someone who thinks he is poor without really being poor, and who is, in fact, just the opposite” (p. 73, emphasis added). Lummis (1991) expands upon this view and notes that when consumerist ideologies dominate a society, people perceive that the only things of value are those that are purchased with money. For example, poor people from regional cultures no longer

Kelly Turner and Amanda J. Lehning 67

 

 

want to plant vegetables because they prefer to buy them in grocery stores (Moreira, 2003).

Depression and misplaced low self-esteem resulting from a consum- erism syndrome are not the only psychological problems that poor peo- ple face (Moreira, 2003). Moreira (2003) notes that globalization and consumerist ideology can cause multiple psychopathologies, ranging from anhedonia (i.e., no longer taking pleasure in activities that were previously pleasurable) to nihilism and suicidal ideation. The invasion of Western culture is particularly damaging to a poor person’s self- esteem, since it imposes the belief that Western culture is superior to the cultures it is supplanting (Moreira, 2003). The APA supports Moreira’s view that the condition of poverty increases one’s chances of experienc- ing mental illness. As reported in the Resolution on Poverty that “pov- erty is detrimental to psychological well-being, with [National Institute of Mental Health] data indicating that low-income individuals are 2-5 times more likely to suffer from a diagnosable mental disorder than those of the highest socio-economic-status group” (APA, 2000, p. 1). While psychologists have recognized that poverty can increase one’s chances of developing mental disorders, today they attribute such illnesses to broader societal forces as well as intrinsic, personal characteristics.

While societal forces can overwhelm the poor, there are also poverty- stricken individuals who have overcome the negative impacts to suc- ceed in school or the workplace. Explanations for this form of success emerged from the study of risks, which Fraser (1997) defines as any fac- tor that: (1) increases the probability of a problem, (2) makes a problem more serious, or (3) helps maintain a problem. Not surprisingly, poverty is a risk factor for child abuse, illness, family stress, inadequate social support, depression, and delinquency (Fraser, 1997). Furthermore, be- cause poverty is typically long lasting, it accumulates and magnifies such risks, whereby problems like mental illness are magnified (Fraser, 1997).

Despite all of the risks and negative consequences associated with poverty, some individuals succeed despite living amidst such risks (Garmezy, 1985). According to Fraser (1997), one of the first theorists to tackle that question was E. J. Anthony, who called such individuals “psychologically invulnerable” (p. 14). Subsequent theorists criticized this label, saying it gave the false impression that the successful individ- uals were completely unaffected by risk factors. As an alternative, theo- rists such as Garmezy (1985) suggested the term “resilience,” which he defined as “risk factors in combination with positive forces that contrib- ute to adaptive outcomes” (Fraser, 1997, p. 14). Garmezy and others

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went on to propose three different types of resilience: (1) success de- spite numerous risk factors, (2) sustained coping despite chronic stress- ors, and (3) recovery from a trauma (Fraser, 1997).

According to Garmezy (1985), a person achieves such resilience with the help of positive forces or “protective factors” which can be any internal or external force in a person’s life that helps him/her avoid risk. Garmezy (1985) divides these protective factors into three categories: (1) dispositional attributes (e.g., positive temperament), (2) family milieu (e.g., solid family cohesion), and (3) extra-familial social environment (e.g., extended social supports). According to the theory of resilience, a protective factor can function in one of four ways: by reducing the impact of a risk, by reducing a negative chain reaction that might have actualized a risk, by developing a person’s self-esteem, or by creating opportunities through social reform (Fraser, 1997). It is not surprising that resilience theory is the most recent psychological theory to emerge, given psychol- ogy’s own self-criticism for having been previously too disparaging of the inherent abilities of the poor.

CONCLUSION

From this literature review on psychological theories of poverty, two themes emerged: those that emphasize the role of the individual, and those that emphasize the role of society. Theories that emphasize the role of the individual attribute poverty to one’s intrinsic deficiencies, while theories that focus on society find fault in its broader, structural forces. Based on this brief literature review, it appears that the field of psychology now favors the more ecologically-based theories as re- flected in the APA’s Resolution on Poverty (2000) calling for more at- tention to the social environment and the nature of resilient human behavior. For example, the APA (2001) calls for the support of any pub- lic policies that will help eradicate poverty, such as those that provide equal public education, living-wage jobs, and affordable housing. The APA (2000) also calls for further psychological research into the causes and impacts of poverty, especially economic disparity, classism, and prejudicial stereotypes.

The conceptual map found in Figure 1 illustrates the major concepts covered by this literature review. The map is divided into two compo- nents: The top half represents psychological theories of poverty that focus solely on human behavior and the bottom half contains theories

Kelly Turner and Amanda J. Lehning 69

 

 

of poverty that address the social environment. The theories on the “causes” of poverty that focus on the individual include such personal failings as: inferior genes, the absence of a NAch, inherent mental ill- ness, sinister morals, and/or internal ego/superego conflict stemming from an unhealthy childhood. These theories focused primarily on in- ternal deficiencies, whereby individuals bring poverty upon themselves and contribute to their own mental illness.

The bottom half of the conceptual map illustrates an entirely different picture, where causes of poverty are attributed to aspects of the social

70 JOURNAL OF HUMAN BEHAVIOR IN THE SOCIAL ENVIRONMENT

FIGURE 1. Psychological Theories of Poverty

 

 

environment: Civilization itself, the spread of a consumerist ideology, structural forces of society (e.g., lack of living-wage jobs), lack of power, security, and opportunity for certain groups, and/or discrimination by the upper classes toward the lower classes. Such theories focus on both the behavioral impacts of poverty (mental illness, consumerism syndrome, or resilience) as well as the environmental impacts (a loss of culture, low-paying jobs, a risk-filled environment, and discrimination).

One of the implications for understanding human behavior and the social environment is to recognize the historical trajectory of the devel- opment of psychological theories and the recent efforts to balance the impact of societal forces with the resilient behaviors of poor people. Further research is needed in order to understand the interaction be- tween individuals and their social environment, and how this interaction is exacerbated by the condition of poverty. It is equally important to gain a more in-depth understanding of how psychological theories were used to explain poverty and thereby “blame the victim” while ignoring the impact of the social environment, which has been and will be the pri- mary arena for eliminating poverty.

REFERENCES

American Psychological Association (APA). (2000). Resolution on poverty and socio- economic status. Retrieved on November 21, 2005 from www.apa.org/pi/urban/ povres.html

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by na- ture and design. Cambridge, MA: Harvard University Press.

Carr, S. (2003). Poverty and psychology: An introduction. In S. Carr & T. Sloan (Eds.), Poverty and psychology: From global perspective to local practice (pp. 1-15). New York: Kluwer Academic/Plenum Publishers.

Curran, L. (2002). The psychology of poverty: Professional social work and aid to de- pendent children in postwar America: 1946-1963. Social Service Review, September, 365-386.

DeNavas-Walt, C., Proctor, B., & Lee, C. (2005). U.S. Census Bureau, current popula- tion reports: Income, poverty, and health insurance coverage in the United States: 2004. Washington, DC: U.S. Government Printing Office.

Fraser, M. (1997). Risk and resilience in childhood: An ecological perspective. Washing- ton, DC: NASW Press.

Garmezy, N. (1985). Stress-resistant children: The search for protective factors. In J.E. Stevenson (Ed.), Recent research in developmental psychopathology (pp. 213- 233). Tarrytown, NY: Pergamon Press.

Ginsburg, H. (1978). The myth of the deprived child. In H. Bee (Ed.), Social issues in developmental psychology (pp. 178-197). New York: Harper & Row.

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Goldstein, A. (1973). Structured learning therapy: Toward a psychotherapy for the poor. New York: Academic Press.

Javier, R. & Herron, W. (2002). Psychoanalysis and the disenfranchised: Counter- transference issues. Psychoanalytic Psychology, 19, 149-166.

Lewis, O. (1975). Five families: Mexican case studies in the culture of poverty. New York: HarperCollins Publishers.

Lott, B. (2002). Cognitive and behavioral distancing from the poor. American Psychol- ogist, 57, 100-110.

Lummis, C. (1991). Development against democracy. Alternatives, 16, 31-66. Luthar, S. (1999). Poverty and child adjustment. Thousand Oaks, CA: Sage. Moreira, V. (2003). Poverty and psychopathology. In S. Carr & T. Sloan (Eds.), Pov-

erty and psychology: From global perspective to local practice (pp. 69-86). New York: Kluwer Academic/Plenum Publishers.

Murali, V. & Oyebode, O.A. (2004). Poverty, social inequality and mental health. Ad- vances in Psychiatric Treatment, 10, 216-224.

National Association of Social Workers (1999). Code of ethics. Retrieved on November 17, 2005 from http://www.naswdc.org/pubs/code/default.aso

Pearl, A. (1970). The poverty of psychology: An indictment. In V. Allen (Ed.), Psycho- logical factors in poverty (pp. 348-364). Chicago: Markham Publishing Company.

Rainwater, L. (1970). Neutralizing the disinherited: Some psychological aspects of un- derstanding the poor. In V. Allen (Ed.), Psychological factors in poverty (pp. 9-28). Chicago: Markham Publishing Company.

Sen, A. (1999). Development as freedom. Oxford: Oxford University Press. World Bank (2001). Attacking poverty: Opportunity, empowerment, and security

(World Development Report, 2000/2001). Retrieved on November 21, 2005 from http://econ.worldbank.org/wdr/

doi:10.1300/J137v16n01_05

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Theories of Counseling and Psychotherapy

Directions:

Reply to 2 classmates for each forum. You must explain briefly (150-200 words) why you agree or disagree with your classmate’s view. Your replies must be in response to classmates who answered a different question than you and significantly add to the discussion. You are required to include at least one reference in each reply. Remember to use APA formatting.

Reference: https://learn.liberty.edu/bbcswebdav/pid-33342817-dt-content-rid-405094433_1/xid-405094433_1

Shannon Post:

Interpretation is an important technique that is used in the psychoanalytic theory. Freud explained that if interpretations are made too soon, they can cause resistance from the client. He also stated that one must form a positive relationship with their therapist before interpretations are made (Murdock, 2017). In the video presentation of Helen, who is being counseled by Dr. Donavan, we see several instances of interpretation being used. Dr. Donavan is careful not to speak too soon during the session, but rather he waits until Helen has finished explaining the dream to him. Dr. Donavan used interpretation to show the comparison between Helen’s dream and what she was facing in real life. The river was like her everyday life, in which she was just basically floating along without being “noticed”. Helen even told the therapist that her son was the only one who acknowledged that she was floating by. The professor in both the dream and in their meeting expressed concern and worry for Helen, which is something that she is not getting at home. Dr. Donavan was able to help Helen explore the idea that the dream represented the inner struggle she was feeling between returning to her career or continuing to dedicate her time to her husband and children.

I thought the way Dr. Donavan used open ended questions when talking to Helen was helpful. He was not quick to jump to conclusions but let Helen lead the conversation, which led to him being able to effectively make interpretations about her dream. Even though Helen waited two weeks to tell Dr. Donavan about running into her old professor, I felt that she was comfortable in their client/therapist relationship and that the techniques he used during their session were beneficial to her.

Reference

Murdock, N.L. (2017). Theories of Counseling and Psychotherapy: A Case Approach (4th ed.).

Boston: Pearson

Tracy Post:

Psychoanalysis helps the client to uncover and resolve unconscious conflicts and to strengthen the ego by redirecting energy to conscious processes. What methods does Dr. Donavan use to achieve this goal? How effective is it with Helen?

Psychoanalysis contains a variety of methods which assist in making unconscious conflicts conscious (Jones & Butman, 2011, p. 109). During the therapy session with Helen, Dr. Donovan used transference, free association, and dream analyzing to assist Helen uncover her resolve her unconscious conflicts.

An important theme in psychoanalytic therapy is transference, the relationship between the counselor and client will develop during therapy (Jones & Butman, 2011, p. 108). Helen had stated feelings of not being seen by her family. Her conflict is that this old friend has shown interest in her, and she is considering the possibilities. Dr. Donovan asked Helen how did being in the therapy session make her feel, did she feel visible with him in counseling?

Dr. Donovan also used dream interpretation when working with Helen. Helen had dreamed about being in a river and passing by her family not being seen except for possibly her son seeing her. The man that Helen is attracted to from her past was on the side of the river, he saw her. “Psychoanalysis assert that dream analysis is especially helpful in uncovering important unconscious material” (Jones & Butman, 2011, p. 109).

Free association in another concept in psychoanalysis. When the session first began, Dr. Donovan started using free association with Helen to get her to open up. This free association is what let to Dr. Donovan knowing about the man Helen ran into in New York, which now sparked an interest with Helen.

Helen was resistant to some free association, most likely because she wasn’t ready to deal with the emotions. A few times Helen, would sigh and wouldn’t reveal what exactly she was thinking, she was blocking her thoughts (Eremie & Ubulom, 2016).

Overall, I believe each method of psychoanalysis was effective for Helen, without free association Dr. Donovan wouldn’t have known about the man in New York. Dream analysis seemed to be the most effective of the three methods. As for transference, I worry that it could cause issues instead of helping, it could possibly create transference neurosis (Ferreira & Carrijo, 2016).

ReferencesEremie, M. D., & Ubulom, W. J. (2016). Review of Psychoanalytic Approach to Counselling. International Journal of Innovative Psychology & Social Development, 4(2), 22-25.

Ferreira, D. S., & Carrijo, C. (2016). Freud’s transference management: An analysis of the relationship between transference and suggestion. Agora, 19(3). doi:http://dx.doi.org/10.1590/S1516-14982016003004

Jones, S. L., & Butman, R. E. (2011). Modern Psychotherapies: A Comprehensive Christian Appraisal. Downers Grove, IL : Intervarsity Press.

Running head: CASE SUMMARY 1

 

Case Summary of Helen

Student Name

Liberty University

 

 

 

 

CASE SUMMARY 2

 

Case Summary of Helen

Helen Robinson is a 43-year-old Caucasian woman who came to counseling due to

problems in her marriage. Helen holds an MFA in playwriting from Yale. She is married, and

she and her husband Steve have three children. She met Steve while she was attending Yale and

he was working in New York City as a bond trader. Steve is 48 years old and grew up in

suburban New Jersey. The three children are a ten-year-old boy (Luke), a twelve-year-old girl

(Grace), and a fourteen-year-old boy (Charlie).

 

Helen grew up in suburban Chicago. Her parents Sarah and William are a nurse and

medical doctor who met while serving in the Korean War. William is 82 and Sarah is 77. Sarah

and William are quietly religious. They are retired, living most of the year in Chicago. They

raised five children in a loving but not very demonstrative family. Their oldest child is Helen’s

sister, Mary Grace, who is 48. Next oldest in this family is Elizabeth (“Betsy”). She is 45. Helen

is the third child. The fourth is another daughter, Tess, 40 years old. The youngest child is a son,

Will. He is 38.

 

Helen’s family of origin had the appearance of the “perfect” family. Her dad was a very

successful surgeon, but he was not encouraging or involved in the children’s lives on a daily

basis. Her mom was loving and steady yet also somewhat reserved, perhaps more concerned

with what others thought than she would have liked to admit. In some ways the family

environment was one of benign neglect—the children behaved well and so no one thought there

could possibly be anything wrong. But in fact, two of Helen’s sisters had eating disorders and

her brother has battled alcohol addiction.

 

Helen and Steve lived in New York City after they got married. Helen had an

 

administrative job with a theatre and wrote some at night, although she stopped writing when

 

 

 

 

CASE SUMMARY 3

 

they had their son Charlie. They had plenty of money, but Steve began to gamble during a

period when his work was not going as well as he would have liked. They owned a small house

at the beach that they sold when they were about to have their third child, thinking they would

use the proceeds and move out of the city. They made $75,000 profit on the house, which they

put into a money market account while they looked for a new home. Helen was eight months

pregnant when she found the perfect house and subsequently learned that Steve had gambled

away all of the money in the account as well as most of their savings.

 

Helen was devastated, but having grown up in a family where you stick it out no matter

what, she immediately began looking for treatment for Steve and housing options for their young

family. He voluntarily entered an in-patient treatment center and then attended Gamblers

Anonymous for a while. Unable to deal with the strain, Helen called on her parents for assistance

(in spite of the fact that she believes that they never truly accepted Steve). They suggested she

look in the Chicago area because it would have job options for Steve and perhaps less pressure

than New York City. Helen’s parents offered financial assistance in the form of a down payment

on a house and although it was never stated, it was understood that the money was for a house in

Chicago. Because Steve was not close to his family, he was open to the move, perhaps eager to

just put troubles behind him. With a baby and two toddlers in tow, Helen found a home in a

suburb near her family, engineered a move and supported her husband during his job search,

which ended successfully. They have lived in that house for ten years.

 

Although he stopped gambling, Steve never really expressed any remorse for his

behavior and has taken for granted Helen’s loyalty and sacrifice during this difficult time in their

lives. Although Helen grew up in a stable home, she received little verbal affirmation growing

up. Thus Helen had self-esteem and confidence issues at the time she met Steve. By the time she

 

 

 

 

CASE SUMMARY 4

 

sought therapy, her confidence had plummeted. In spite of the fact that she has a

prestigious degree, she has little hope that she will ever write plays again.

 

On a recent trip to New York with some friends, Helen ran into a former professor from

Yale. He is divorced, eight years older than Helen, and very handsome. He asked about her work

and although she was pleased that he asked she was also embarrassed that she’d done nothing

(although in her mind this lack of progress was no great loss because she feels untalented). He

reminded her that she won a competition during graduate school and he shared a couple of

things faculty members had said about her in which they praised her talent and insight.

 

He asked her to meet him for a drink and gave her his business card. She didn’t call him,

but kept the card and did not tell Steve about the encounter. Having survived a crisis in her

marriage, she now feels resigned to her life with Steve, even though Steve does not support her

career ambitions and has never really confronted his own demons.

 

Helen is a thoughtful woman and a good mother, who has no interest in destroying her

family by having an affair. However, she is troubled deeply by the way she feels right now (that

her husband can “do no right”). Her fear is that nothing will change for the rest of her marriage.

She is surprised that the crisis she and her husband endured (because of his gambling) did not

cause her to feel like ending the marriage. It is only now that she doubts the marriage (now that

she’s met someone who is interested in her). She’s also interested in this former professor,

irritated that her husband doesn’t support her, worried about the aimlessness she is feeling now

that her children are older. These feelings bring her to a decision to seek help.