Biopsychosocial assessment is an approach that asserts the significance of a systematic view of individuals by integrating their psychological, biological, and sociocultural aspects of functioning and development. The model provides a holistic approach to psychiatry and counseling because individuals do not suffer as isolated organs. According to the case conceptualization, sexual dysfunction manifested by James originates from his negative emotions and attitudes from life events. The psychoanalysis theory asserts that underlying mental processes trigger mental activities. Sex positivity will enable him to focus on the positive attributes of sexuality. The treatment plan's goal is to reduce sexual anxiety and help James understand the significance of sexual positivity. Biopsychosocial assessment integrates biological, psychosocial, and sociocultural factors affecting a patient, enabling him to alter his attitude and emotions towards positivity.
During a psychosocial interview, the counselor or therapist assesses the cultural, biological, and psychosocial factors contributing to the client's underlying problem. The psychosocial assessment tool provides a suitable foundation for tailoring a treatment plan (Kenny, 2016). In this case, James is experiencing marital difficulties where his wife is threatening to leave the marriage because of his sexual addiction. He has a history of having an alcoholic absentee father who was uninterested and distant from his life. The social worker or counselor needs to assess the client's concerns and needs by paying attention to the prevailing problem, severity, changes in patterns, duration, and frequency.
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Case conceptualization refers to a working hypothesis on cause precipitates, and factors that maintain behavioral, interpersonal, psychological difficulties. Psychoanalysis is a theoretical investigative tool that seeks to understand the mental functioning of humans. According to the psychoanalysis theory by Sigmund Freud, underlying forces drive human behavior (Kenny, 2016). He argues that repression is a mental process created unconsciously due to previous traumatic memory. The mind unconsciously refers to feelings and thoughts, which motivate behavior. In this case, James's sexual behavior is triggered unconsciously from past events during his childhood. Moreover, his wife's failure to show sexual interest in him and her constant accusations that he is unfaithful has triggered his loss of interest in her and addiction to pornography.
In psychotherapy, integrative approaches are conceptualized on a comprehensive perspective to understand human beings' functioning and development. A core aspect of rational thinking relies on cognitive behavioral therapy as a psychotherapeutic treatment that enables people to identify and change destructive thinking patterns that negatively influence emotions and behavior (Kabir, 2017). Previous experiences harm self-image hence ineffective emotions, attitudes, and inability to handle certain life situations. In this case, James is affected by previous life experiences while growing up and in marriage. This has resulted in his inability to sustain an erection and sexual addiction to pornography. The therapy will help identify, question, and alter the negative mental images affecting his behavior while encouraging him to apply techniques that focus on solving his marital problems. According to the systems, perspective theory ideas and actions arise from an effective system triggered by rewards, needs, attributes, and expectations. Human functioning and behavior is enhanced by the integration of environmental aspects (Kabir, 2017). The conceptualization that underlying factors trigger James's behavior in consciousness resonates with the cognitive behavioral therapy that focuses on experiences shaping the attitudes and emotions of individuals. This differs from the systems approach, which relies on environmental factors as the psychosocial assessments show he still harbors negative thoughts in his life while growing up.
Sex positivity integrates emotional, physical, social, intellectual, and spiritual needs of sexual practice, hence enhancing an individual's personality. The framework includes biological, social, psychological, and emotional elements of functioning (Burnes et al., 2017). Based on this perspective, psychologists and counselors create a sexuality continuum between sex positivity and sex-negativity. This case's conceptualization is based on the idea that James has underlying issues and forces that drive his actions. He has lost interest in his wife, is unable to sustain or gain an erection for the past one and a half years except when he is watching pornography. The conceptualization will enable the therapists to facilitate a shift away towards a positive understanding of sexuality as a therapy.
The goal of sex therapy is to reduce the sexual anxiety of the patient and enable him to improve his sexual repertoire. This will include emotional expression, muscle relaxation techniques, a reflection of feelings, and conflict management (Blount et al., 2017). Mindfulness training will facilitate sexual awareness and enable James to be aware of the moment that the body enjoys. The second treatment goal will help James understand his place in the world and the importance of connection through sexual interaction. Sensate exercises gradually introduce patients to sexual contact phases hence improving emotional, physical, and sexual intimacy (Blount et al., 2017). Clients with sexual concerns need a holistic approach that addresses sex in the social, medical, cultural, and psychological contexts.
In conclusion, in James's case, the therapists used the biopsychosocial assessment tool, which explores the underlying problems of a patient based on biological, cultural, and psychosocial factors. Conceptualization of the case indicates that his behavior is caused by feelings and thoughts originating from past traumatic events. The therapy seeks to modify the prevailing negative and self-destructive thoughts and replace them with a balanced perspective that leads to productive and fulfilling behavior. This is contrary to the systems perspective, which focuses on environmental factors affecting human behavior. The case conceptualization incorporates a positive sexual perspective by integrating intellectual, physical, emotional, social, and spiritual needs of sexual practice. The treatment plan's goal is to reduce sexual anxiety and facilitate the understanding of sexual connection in society and the significance of sexual positivity.
References
Blount, K.C, Booth, C., Webb, T. &Liles, G.R. (2017). Integration of sex and sexuality into counseling programs. Vistas Online . Retrieved from https://www.counseling.org/docs/default-source/vistas/integration_of_sex_and_sexuality.pdf?sfvrsn=4
Burnes, T.R., Singh, A.A. & Witherspoon, R. (2017). Sex positivity and counseling psychology: An introduction to the major contribution. The Counseling Psychologist , 45(4), 470-486
Kabir, S.M.S. (2017). Counseling approaches. Retrieved from file:///C:/Users/hp/AppData/Local/Temp/CounselingApproaches.pdf
Kenny, D.T. (2016). A brief history of psychoanalysis: From Freud to fantasy to folly. Psychotherapy and Counselling Journal of Australia . Retrieved from file:///C:/Users/hp/AppData/Local/Temp/PACJA_paper_23616__FINAL.pdf
