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Hbse Theoretical Paper Final Draft
Hbse Theoretical Paper Final Draft
Molly E. Tuttle
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Introduction
Sling Blade is a mid-1990s film about a man named Karl, recently released from a
psychiatric hospital where he has lived for much of his life after killing his mother and her lover.
Karl is mentally disabled which explains many of his life actions such as murdering his mother
after growing up with little affection and the struggle to have basic needs met, as well as why he
befriends a child when released from the psychiatric hospital. Given the advancement in mental
health practices of the 21st century, one could conclude that Karl could greatly benefit from
ecological systems theory practices, psychosocial theory practices, or both, both of which will be
recognized the various influences on children through their ecosystems and created a model
broken down into five systems – microsystem, mesosystem, exosystem, macrosystem, and
chronosystem (Psychology, 2013). The microsystem for example would be a child’s immediate
environment such as family, school, and peers. The mesosystem lies outside of the microsystem
and is a connection between the microsystem and exosystem. The exosystem is the indirect
environment, specifically extended family and neighbors, also social services, health care, and
the school board. The macrosystem includes the attitudes and ideologies of the culture and is the
connection between the exosystem and the chronosystem. The chronosystem is environmental
changes that occur over one’s life. In the same way that a child is affected by the five recognized
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The strength that is also the weakness of the ecological systems theory is that because
there are multiple systems that can affect the outcome of the child, those systems are not always
filled with the best people and are not a one-size-fits-all type of setting. Foster children may have
a harder time in the microsystem where family and friends are supposed to be if they do not
regularly see their biological parent(s) and are bouncing around from home to home frequently
and are therefore unable to maintain friendships. This imposes a strain on therapists for various
reasons, one being the lack of details in a child’s life such as who exists or how regularly do they
exist or details about their trauma. Another strain would be children whose environment is
constantly changing and can therefore not depend on the stability outlined in the five systems of
the ecological systems theory. For some children who suffer from traumatic experiences but still
have some sense of stability in their lives, the ecological systems theory could be beneficial in
treatment because of the ability to depend on the various systems for support.
Psychosocial Theory
Erik Erikson’s Psychosocial Theory identified eight stages of life development from birth
to death and deeply explained how failure on a caregiver’s part to meet the needs of the child as
each stage could set the stage for additional problems later in life, including mistrust and anxiety
(Mcleod, 2018). In an article titled Explosive anger in post-conflict Timor Leste: Interaction of
socio-economic disadvantage and past human rights-related trauma, scientific research suggested
made it possible to construct one’s identity and regulate emotions and to trust or distrust
accordingly. This meant adults with insecure attachments have a lower capacity for emotional
regulation, lack of trust in themselves and others, a tendency to isolate socially, a negative view
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on past, present, and future life, and increased anxiety and depression symptoms (Brooks et al.,
2011).
In another study conducted on Mexican Adults seeking to find if there was a correlation
between attachment type and the frequency and intensity of anxiety and depression symptoms,
the results of the study found that a secure attachment created during the early years of a child’s
life by that of the mother responding appropriately to the child’s needs, specifically in
infanthood, had a protective-like shield against high levels of anxiety and depression symptoms
in adulthood (Rosas et al., 2020). Both articles shared a common theme which was focusing
The psychosocial theory itself is a strength because of how detailed it is in breaking down
what is expected at each stage of psychosocial development and presents the possible negative
outcomes if the needs of an individual are not met at each “assigned” stage. The weakness of the
system is, like the ecological systems theory, it is not a one-size-fits-all type of solution or 100%
guaranteed treatment because the outcomes are also up to the child in question. Foster children
for instance are incredibly resilient. Just because they may have once been considered “damaged
goods” doesn’t mean they aren’t capable of meeting new goals, going to therapy to work on a
young childhood life they had no control over, and creating a positive path to move forward.
Sling Blade is a mid-1990s film about a man named Karl, recently released from a
psychiatric hospital where he has lived for much of his life after killing his mother and her lover.
The film opens with a man named Charles talking to Karl about cars and women and Karl being
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interviewed by two student reporters about his upcoming release from the asylum and the
murders he committed nearly 20 years prior. Karl describes his childhood to the students like
being picked on by neighborhood kids and isolated from his own family. Karl explained his
justification for killing his mother’s “lover” as he thought she was being raped and when his
mother objected to Karl murdering the rapist, he killed her too. Upon those two murders, Karl
Once released to his small, original hometown, Karl is basically left to navigate the world
on his own as an adult for the first time as well as navigate a world different than when he last
saw it. As he is touring the town, Karl sees a young boy Frank struggling to carry his laundry
home and helps him. They quickly become friends although Frank is of similar age to Karl was
when he murdered his mother. Karl is also set up with a job at a small repair shop. Despite all of
this, Karl is weary and apprehensive of his freedom and would rather return to the asylum.
Karl begins spending day after day with young Frank and Frank confides in Karl that his
mother Linda’s boyfriend Doyle is mean to her, but she is also lonely ever since Frank’s father
committed suicide. A few days later Karl confides in Frank about burying his baby brother which
drives Karl to return to his childhood home to confront his father about his baby brother but his
father refuses to recognize Karl as his son. Leading up to Karl, murdering again, he approaches
Frank’s mother Linda while she was in bed stating he wanted to get baptized, so, the following
day, Karl is baptized in the river. Once they return, Doyle orders Frank to get rid of Karl. Doyle
goes to hit Frank, but Karl stops him. At this point, Karl feels he must protect Frank and Linda
from Doyle, similarly to how he felt he had to protect his own mother. Karl finds Frank hiding in
the woods, so he leaves him with his books, finds Vaughn, Linda’s friend, and asks him to watch
out for Frank and leaves all the money he made working at the repair shop for Frank, and sets out
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to kill Doyle. The film ends with Karl back in the facility he was just released from, just as the
movie started, with Charles talking Karl’s ear off until Karl tells him he doesn’t want to listen
The most beneficial treatment path for Karl would be using the psychosocial theory
because it helps identify at what point in Karl’s life he became “stuck” mentally (stage three) and
where a psychologist or therapist could focus their attention to rehabilitation for that point in
Karl’s life or even going as far back to the beginning where the abuse and neglect ultimately
started. Because Karl doesn’t have a family, the ecological systems theory is basically no good
from the start as Karl cannot receive any help from the most immediate system other than the
Given the information known about ecological systems theory and how it works, many
psychotherapists use ecological systems theory to work with and treat children who have
experienced abuse and/or trauma (Edwards, 2012). In the case of Karl Childers, Karl had little to
no ecosystem of support due to the time, nature, and location that the film was set. Even if Karl
did have the resources and knowledge of today, it is likely he would still be in the same place
today due to inadequate resources by way of underfunding and being in a rural setting. If Karl or
his mother had the resources of doctors, social services, and a less rural setting, would Karl still
be performing below average mentally? Would he have killed his mother if he had more of an
education and a better understanding of different types of love? If Karl had received better love
and emotional support as a child through his various systems, would he continue to sit in a
mental hospital?
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In an article titled How, where, and for whom do neighborhoods matter? a study found
that healthy neighborhoods which promoted children playing together and going to school
together affected their development combined with their socioeconomic status (Minh et al.,
2017). Karl had both odds stacked against him when it came to healthy child development as he
lived in a rural area with seemingly no one his age (the movie did not explore much of his
The psychosocial theory is much more helpful than the ecological systems theory in the
case of Karl Childers because the psychosocial theory helps explain Karl’s different stages of life
and the film itself shows the effects of not meeting the needs of the child at a particular point in
the child’s life. Although the film does not cover Karl’s early childhood years, given his
behavior and reflection on his life, one could assume his neglect started in Erikson’s first stage,
trust versus mistrust, which created an insecure attachment with his mother. Insecure attachment
has been associated repeatedly in other studies with developing various mental illnesses across
the lifespan (Rosas, 2020). Karl’s mother failed him from the beginning at Erik Erikson’s first
psychosocial stage of development Trust vs. Mistrust where babies trust that others will meet
their basic needs including warmth, cleanliness, nourishment, and physical contact. This did not
happen as the movie portrayed when Karl was often sent outside to live and sleep in a shed
where he even dug a hole in the ground to rest. The movie also showed his mother inadequately
meeting Karl’s nutritional needs. This also ties into stage two, the autonomy versus shame and
doubt stage which helps explain how Karl taught himself to be independent to survive. Given the
situation with Karl’s parents, he had no other option but to figure out life on his own.
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Stage three of Erikson’s psychosocial theory is initiative versus guilt. Comparing the
information about Erikson’s theory and Karl’s behavior, one could assume this is where Karl’s
life seemingly took a nosedive which ultimately led to him murdering his mother and his
mother’s lover. With Karl left to raise himself, he had no one telling him right versus wrong;
Karl was a simple man, he didn’t know much but he knew enough. In the journal article
Childhood Traumatic Brain Injury, this journal gives helpful insight into how a traumatic brain
injury sustained as a child affects long-term psychosocial development (Rosema et al., 2014).
Again, not knowing Karl’s entire life history, one could assume he was subjected to many years
of emotional, mental, and physical abuse – from being forced to live in a shed outside of the
home, to not being served three healthy and sustaining meals each day, to having to bury his
baby brother in the backyard – all could contribute to a form of PTSD which could have
ultimately led to an ongoing pause in Karl’s psychological development. This is witnessed once
Karl is released from the mental hospital and befriends a young boy of similar age Karl was
Another factor to consider for Karl was growing up in a low socio-economic class and
having to deal with anger and frustration from adults in his life who were meant to love and care
for him resulting in being poor. Being poor also affected Karl’s living conditions. Coming from a
low socio-economic class, it was difficult to develop a secure sense of trust and to meet the basic
needs of a child. Also working negatively against Karl was the Intimacy vs. Isolation
psychosocial stage of development. Karl did not experience intimacy and was often isolated,
even from a young age. Because of this, Karl did not recognize how intimacy may look to other
people and combined with the lack of trust, developed into angry tendencies and a lack of ability
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to self-regulate emotionally. Karl showed very little emotion at all, but a bout of rage led to
Many could speculate Karl killed so he could wind back up in a familiar place as all the
changes of a new world and a free life were too hard on someone like him. Perhaps if Karl had
been rehabilitated more while serving time in the mental institution, he would not have murdered
someone else once he was released so many years later. Perhaps if Karl had been counseled
while serving time, he would not have been released from prison only to befriend a child much
Upon deep review of both the ecological systems theory as well as the psychosocial
theory, I feel as both theories are relative to my life, but the psychosocial theory is slightly more
relatable. My current life stage according to Erikson is Intimacy vs. Isolation. Erikson states this
stage is for ages 18-40 and I certainly partook in that stage at first chance as I met my now-
husband and began dating him two weeks after I turned 18, the rest is history. However, this
stage is not just about a partner or spousal love, it can also be about happy and loving
relationships with friends. Now that I am married, my focus aside from my marriage is to
maintain a healthy friendship with my best friend of seven years with the hopes I can still meet
new people and make new friends that will last. The single biopsychosocial factor that has
shaped me into the person I am today is the intense desire to do better and be better than where I
came from.
The ecological systems in my childhood did not extend beyond the exosystem of
extended family and neighbors. I grew up in a rural farming community and all my neighbors
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were seniors. I did not grow up playing with children of similar ages every day. I grew up in a
two-parent household with one older sibling and my paternal grandparents lived next door.
Although on paper it sounds black and white that I grew up in a two-parent household, I often
elementary into middle school years, soccer, and softball teams. I didn’t understand the
macrosystem or chronosystem until I reached college and stepped outside of my home county to
see how backward my life really was. Because of my father’s closemindedness and his refusal to
accept that his life was no longer in the 1970s or 1980s, my macro system was his macrosystem
and I grew up in a setting where it was “okay” to degrade women, curse at women in a
demeaning fashion (verbal and emotional abuse), use the N-word, and for me personally and
worst of all, spank or backhand children for any little thing he deemed fit.
Growing up, I could always count on my mom but not my dad. My father, as I now refer
to as “The Ward” because that’s what he made my home feel like, was a workaholic and when
he came home, he became a functioning alcoholic and was verbally, mentally, and physically
abusive towards me most of all. I think he failed me from the get-go in stage one of Erikson’s
psychosocial theory. Although these comparisons fall more under Maslow’s Hierarchy of Needs,
my mom built trust early on by being available for me – helping me with homework, reading to
me, tucking me in at night, being sweet and sensitive, showing up for school events like award
shows, volunteering in my classroom, taking me to sports practices and games, cheering me on,
and most importantly that I learned recently, making sure I always had what I needed, even when
it meant sacrificing for herself. I never knew my mom struggled while I was growing up and I
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feel forever indebted to her for giving me a secure life essentially on her own. My father more or
less just existed physically as he helped very little financially, for reasons I still don’t understand
In Erikson’s Initiative vs. Guilt stage, children ask questions because they’re thirsty to
learn more. With my father, it was hit or miss. Sometimes I would be immediately shut down
and told to stop talking, other times he would go on and on like he was a walking Britannica
encyclopedia, always knowing it all and refusing to accept other viewpoints or change/updates in
his current knowledge. By the Industry vs. Inferiority stage when children feel the need to win
approval, I was doing that also. I tried to show interest in things my father was interested in so
we could try to have something in common, but it only seemed to work on his good days.
Looking back, I’m not entirely sure where I stopped trying; probably after I turned 18 and
realized I didn’t have to deal with the nonsense anymore and I had a backbone, and I could
verbally and physically stand up for myself. Even as a legal adult, my father still did not respect
me enough to not curse at me, raise his voice at me, or even not hit me. Those occurrences didn’t
In my current stage of Intimacy vs. Isolation, I learned quickly that I wanted something
so much better than what my parents had shown me, specifically when it came to romantic
relationships. I wanted something genuine. I never once in my life have heard my parents
verbally tell each other they love one another. They might write it on a card for anniversaries or
birthdays but that’s it. It was a huge culture shock for me when I met my now in-laws who
vacation together, sit on the same piece of furniture together, sleep in the same bed together, and
genuinely show true love and affection for one another. Thankfully the example my in-laws set
sank into my husband who provides the life I didn’t have growing up. He is all the things my
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father is not and as I continue through this stage and the next one, I will continue striving for a
better life than the one I had and to give any future children a life better than the one I had.
Through the education I’ve received going through the BSW program combined with mental
awareness information received from the internet, I’ve learned it’s also okay to cut ties, create
boundaries, and distance yourself from people not healthy in your life and I’ve done just that
with my father. In the last year and a half being free of his chokehold, I’ve experienced a heavy
burden lifted off my shoulders, less anxiety, and hopelessness, and I’ve been more awakened to
what is acceptable in society today and what is not. Even if he isn’t willing to learn and change, I
am.
Conclusion
The conclusion that I drew from taking a theoretical approach to the movie Sling Blade
as well as comparing it with my own life, Karl and I had some similarities and I would agree that
both myself and Karl, a fictional character, could both benefit greatly from the use of the
psychosocial theory to heal past traumas. While Karl’s life actions were not ideal, they were
understandable and, in some ways, justifiable when examining the trauma and hardships he
endured in such a short amount of time. This research and comparison also sheds light on the
topic of mental health. Even though Karl Childers is a fictional character in a movie over twenty
years old, it reiterates the importance of providing children with a healthy home life and stable
upbringing to help ensure they can grow into healthy functioning adults.
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References
Brooks, R., Silove, D., Steel, Z., Steel, C. B., & Rees, S. (2011). Explosive anger in post-conflict
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Edwards, C., & Karnilowicz, W. (2012). An Ecological Perspective: Therapist Practices with
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https://www.open.edu/openlearn/ocw/mod/oucontent/view.php?id=99099§ion=4.2
Mcleod, S. (2018, May 3). Erik Erikson’s stages of psychosocial development. Simply
Psychology. https://www.simplypsychology.org/Erik-Erikson.html
Minh, A., Muhajarine, N., Janus, M., Brownell, M., & Guhn, M. (2017). A review of
neighborhood effects and early child development: How, where, and for whom, do
https://doi.org/10.1016/j.healthplace.2017.04.012
Psychologynoteshq.com. https://www.psychologynoteshq.com/bronfenbrenner-
ecological-theory/
Rosas Santiago, F. J., Marván Garduño, Ma. L., Hernández-Aguilera, R. D., & Campos Uscanga,
Y. (2020). Insecure Attachment as a Risk Factor for the Development of Anxiety and
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Depression Symptoms in a Sample of Mexican Adults. Issues in Mental Health Nursing,
1–8. https://doi.org/10.1080/01612840.2020.1836538
Rosema, S., Muscara, F., Anderson, V., Godfrey, C., Eren, S., & Catroppa, C. (2014).
https://doi.org/10.1089/neu.2013.3226
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