Do You Understand Julia's Anxiety And Concerns On Assertiveness In Nursing Case Study

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1. How do you understand Julia’s anxiety and concerns about assertiveness from a person- or client-centered perspective? Use the concepts of organismic valuing process (OVP), incongruence, and conditions of worth (COW) in your answer.
a. From a person-or client-centered perspective, one would postulate that Julia’s anxiety and concerns about assertiveness stems from her value and wish to be assertive but not actually being assertive. This can be further understood through Organismic valuing process which explains that a person innate ability to know what is important to them and what they need for a more fulfilling life. Although Julia knows it is important to be assertive in her relationships and actions, she struggle to state what she wants …show more content…

The real self is who we actually are, it encompasses how we perceive and think of ourselves. Julia’s real self is someone who struggles with expressing her feelings and disapproval of certain situations and behaviors. She has difficulty in standing up for herself and being authoritative. This is evident in her relationship with her husband and her volunteer work with the church. For instance, she does not tell her husband that she is bothered by the fact he does not contribute to their marriage and places the entire burden of their marriage on her. She is dissatisfied with his messy and late behavior. Julia also has trouble saying NO when she is given more responsibility at her volunteer work than she can handle. The ideal self is how we want to be as an individual, this image is based on what we have learned and experienced over time. Julia’s idealized image of herself is someone who is more assertive and confident. She is not afraid or hesitant to say what she wants and needs out of her relationships and life. Her ideal self is someone she w
3. Imagine you were Julia’s therapist. What would your therapeutic relationship be like? Be sure to say why you expect the relationship to be the way you think it will …show more content…

I think humanistic therapy would be a useful approach to use with Julia, however, it has some limitation and should be combined with psychodynamic therapy approach. Humanistic therapy would increase Julia’s self-worth and also reduce the level of incongruence between her ideal and real self. However, humanistic therapy focuses on a here and now approach. It stated in the scenario that when Julia was a child her mother would belittle her whenever something bothered her causing her to do everything herself and never complain. Part of psychodynamic therapy explains that our past, specifically our experiences during childhood significantly influences our present behavior. Julia might not be consciously aware that her experiences with her mother as a child might be manifesting in her present relationships and behavior. Psychodynamic therapy might help her come to this

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