Two of the psychological approaches can explain the case study involving Nurse Alex, the first one is the Cognitive approach and the second one is the Psychoanalytical approach. As mentioned in the case study Alex used to suffer from anxiety disorder since he was a child, under stressful conditions like his mother’s illness, Alex becomes vulnerable and suffers from anxiety as well as nervous breakdown. While a period of long, treatment somehow subdued his disorder but under another stressful and guilty circumstances his disorder resurfaced. To explain this sudden behavior Cognitive and Psychoanalytical approach will be used in the following paragraphs.
Cognitive theory says that our dysfunctional thinking process leads to the onset of violent feelings and these feelings create circumstances that ultimately lead to our failure . Like in the case of Alex, he has always been suffering from anxiety and guilt thus he always had this feeling of impending doom, these thoughts have powerful effects on the mind of a person. The level of anxiety affects the ability of a person to function properly, and this results in depression and decrease in the willingness to work or function under normal circumstances. The Psychoanalytical theory deals with the subconscious and unconscious mind, and how the two processes occur in our mind. The psychologists can use this process to treat the cases in which the patients have mild but chronic psychological problems, especially the cases involving patients of anxiety disorders. Under this theory, it is believed that the subconscious of a person is governed by the incidents that have occurred in the lives of the individual, as in the case of Alex his trauma was caused by the incident regarding his mother. In his childhood, Alex was already traumatized once after his mother was admitted in the hospital and he felt helpless and thus he started having panic attacks. This feeling was embedded into his mind within his subconscious thus when he faced another incident quite similar to that of his childhood then his childhood trauma came back to torment him.
The Cognitive Behaviour approach was developed from the works of two psychologists Aaron Beck and Albert Ellis and it deals with the feelings, perceptions and beliefs of a person. The Psychoanalytic theory was at first developed by Sigmund Freud; this theory is also quite similar to the Cognitive theory as it also deals with the feelings of the people like the cognitive theory. The main difference is that while psychoanalytic theory deals with the conscious and subconscious mind of the people, the cognitive theory deals with the conscious mind only.
There are three different types of research methods of psychological research, Correlation research, Descriptive research, and Experimental research. The Correlation method involves any kind of statistical relationship between two variables. Correlation research method can be used to research about the psychological cases or problems as it refers to different kinds of relations between two things or incidents. In this method, relationships are found among the different subjects and their relation with each other is analyzed from everyday life events. Using this method the casual relationship between the variables cannot be established, this is one of its disadvantages.
The Descriptive research involves the analysis of the current state of the mind of the individuals. In this methods mainly the case studies are studied, the behavior of one or more individuals are recorded in a descriptive format. These case studies are conducted on the individuals who undergo certain strange and unusual experiences. Through this method the casual relationship between two variables can be described, which is an advantage. The disadvantage of this method is that it can be expensive at times and it takes a lot of time to conduct the research.
The third and the final research method of conducting psychological research is the Experimental method. The chief aim of the experimental research method is to provide definite conclusions to the nature of casual relationship between the different variables. In the experimental research method, there are two types of variables found, the independent and the dependant variable. The advantage of this method is that it can be used to draw conclusion on the casual relationships between various variables. The disadvantage include that in this method the important variables cannot be manipulated, and this method is also very expensive and time consuming. The ““Watson and Raynor (1920) – The Little Albert study” is an example of this particular kind of method.
Non- Experimental method refers to the conditions when the researchers cannot manipulate or change the variables and instead the researcher has to depend on the interpretations or interaction and various observations between the variables to understand the results. The main difference between the two methods is the methodology used in each of the process. For the experimental method the researchers can influence or bring any changes in the variables, the experiments can be conducted on humans. In the case of non experimental method the researchers cannot influence the variables in any way they have to sit back and observe and has to come to a conclusion. The cause and effect relationship between variables is an important requirement to conduct a valid research in science related subjects, this is available in the experimental method. In the non experimental method the researchers cannot say with certainty that one variable leads to another as the primary basis of their research is observation and there is no certain way to measure. The “Milgram (1963) – The Behavioral study of obedience” is an example of this particular method.
In the field of psychology, the most debatable topic is ethics and the issues related to ethics. There have been several instances where the psychological studies, which were conducted, were unethical. Thus to protect the interests of the patients and that of the psychologists the ethical aspects of the cases are required to be protected.
The most important principle of psychological ethics is that the individuals who are participating in the researches and those who are under the observation in some experiments should be kept safe and no harm should come to them. The participants should be protected from both psychological as well as physical harm. The confidentiality between the participants and the researchers or doctors should never be broken. In the psychological studies, there are several instances where the participants become vulnerable and they talk about their personal lives, these things should stay between the patients and the psychologists. The results of the experiments should also not get out in the open; no one except the participants should see the results. Another important right, which prevents the ethical issues from happening, is that the participants have the right to withdraw from the experiments if they at any point of time feel uncomfortable or feel stressed out due to the experiments or by the effects of the experiments. The participants if they feel embarrassed to display the results in front of others then he/she has the right to withhold the results from the outside world. Thus, it can be said that ethics plays a huge role in the field of psychological research.
“Watson and Raynor (1920) – The Little Albert study”
This was a “controlled experiment showing empirical evidence of classical conditioning in humans” conducted in the year 1920 by “Watson and Raynor”. This particular research tried to explore the concept of “stimulus generalization” among the various children. The major ethical which this particular research tried to raise to show the effect of the uncongenial environment on the well being of the children and it was with this particular motive that they subjected the children to various kinds of uncongenial environments. The ethical issues raised by the study like the concept of “stimulus generalization” have now become a part of the child therapy plan of the various psychologists.
Rosenhan (1973) – On being sane in insane places
This particular experiment often called by the name of Thud Experiment was “conducted to determine the validity of psychiatric diagnosis”. It is significant to note that for this particular purpose the “experimenters feigned hallucinations to enter psychiatric hospitals, and acted normally afterwards. They were diagnosed with psychiatric disorders and were given antipsychotic drugs”. The major ethical issue which this particular experiment revealed was the way the diverse mental healthcare organizations operated and the basis on which the insane people were given medication. It is significant to note that because of the ethical issues raised by this particular experiment the standard of the healthcare facilities have much improved in the various nations of the world.
Milgram (1963) – The Behavioral study of obedience
This particular research was conducted by Milgram on behalf of the Yale University and it tried to analyze the “willingness of study participants, men from a diverse range of occupations with varying levels of education, to obey an authority figure who instructed them to perform acts conflicting with their personal conscience”. The major ethical issue which this particular research tried to raise was to show the level to which the various employees belonging to a particular company or organization were dominated by the authority in that particular workplace. It is significant to note that it is a reflection of the study conducted by Milgram that the labor relations have much improved in the recent times.
Reference List:
Ainsworth, M.D.S., Blehar, M.C., Waters, E. & Wall, S.N., Patterns of attachment: A psychological study of the strange situation. Psychology Press, 2015.
Coolican, H, Research methods and statistics in psychology. Psychology Press, 2014.
Fisher, C.B, Decoding the ethics code: A practical guide for psychologists. Sage Publications, 2016.
Goodwin, C & Goodwin, K, Research in psychology, in , John Wiley & Sons, 2016.
Lachman, R., Lachman, J.L. & Butterfield, E.C.,. Cognitive psychology and information processing: An introduction. Psychology Press, 2015.
McDougall, W, An introduction to social psychology. Psychology Press, 2015.
Neisser, U, Cognitive psychology: Classic edition. Psychology Press, 2014.
Stolorow, R.D.Brandchaft, B. & Atwood, G.E, Psychoanalytic treatment: An intersubjective approach. Routledge, 2014.
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