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Example of exploration narrative
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When a therapist uses therapy regimes or routines thought to be effective with problems identified and that are typically used with clients in that setting, the therapist is using the third clinical professional reasoning, procedural reasoning (Willard & Schell, 2014). Lack of exposure and knowledge again forces me to give myself a low score of six in this area because I am not ready to use therapy regimes or routines to alleviate client problems yet. The fourth clinical professional reasoning is termed narrative reasoning. Narrative reasoning is a process used to make sense of people’s particular circumstances; prospectively imagine the effect of illness, disability, or occupational performance problems on their daily lives; and create
In conclusion, Anderson et al. (2010) discussed the relationship between therapeutic models and the techniques utilized by them. However, the contextual model that they posit in this article is built upon a postmodern philosophy and has numerous flaws. As a result, I reject many of their arguments, at least as they are presented. Despite this, there was some information (albeit modified) from this article that I can incorporate into my own practice as a therapist.
Case conceptualization explains the nature of a client’s problem and how they develop such problem ( Hersen, & Porzelius, p.3, 2002) In counseling, assessment is viewed as a systematic gathering of information to address a client’s presenting concerns effectively. The assessment practice provides diagnostic formulation and counseling plans, and aids to identify assets that could help the client cope better with concern that they are current. Assessment is present as a guide for treatment and support in the “evaluation process. Although many methods can be employed to promote a thorough assessment, no one method should be used by itself” (Erford, 2010, p.269-270). Eventually, it is the counselor's job to gain adequate information concerning the client and the client's presenting concerns to establish an effective treatment strategy. Using a combination of assessment techniques increases the likelihood of positive interventions and promotes successful treatment (Erford, 2010, p.271). A case conceptualization reflects how the professional counselor understands the nature of the presenting problems and includes a diagnostic formulation. Case conceptualization organizes assessment data into meaningful outline, applying research, and theory to make sense of client’s current problem.
Additionally, patients will be able to incorporate functional coping strategies that they have learned in therapy to other aspects of their personal lives (Frances et al., 2005). However, from a cognitive perspective, each patient should be rationally conceptualized, and therapist should strive for creating a strong therapeutic alliance with their clients (Frances et al., 2005). Moreover, a strong therapeutic alliance is essential for an establishment of goals in
In narrative therapy, the therapist is a collaborator or consultant; clients are the true experts on their lives (Carr, 1998). Therapists who utilize narrative therapy work with clients from all walks of life with an array of conditions. Narrative therapy can be used to help children, adolescents, adults, and the elderly. It can also be a beneficial intervention for couples, families, and community settings. The problems and disorders that may benefit from this therapeutic approach include, but aren’t limited to family conflict and marital concerns, mood disorders like anxiety and depression, loss and grief, childhood conduct problems, anger management, trauma, substance abuse and addiction. Carr (1998) credits narrative therapy for covering a vast amount of areas because the main goal of this intervention is to help the client deconstruct the problem-saturated dominant story and to thereby create opportunities to choose among other, more preferred
Narrative therapy was introduced to the family therapy field in the late 1980’s by therapists Michael White and David Epston (Matos et al. 2009, p.89). A philosophy of narrative therapy is that everyone has a story to tell which is bound by the socially constructed knowledge within their cultural setting, and this story can be better interpreted by contextualising it according to the individual’s language, social, political and cultural situation (Combs & Freedman 2012, p.1036; Etchison & Kleist 2000, p.61; Fernandez 2010, p.16). The narrative is then reduced to the theme which is determined as a problematic element within the story, and perceived internally as a dominating power (Mascher 2...
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
Narrative reasoning focuses on the client’s particular circumstances and takes into account the client’s past, present, and future and how their current circumstances will affect their life. This gives the practitioner ideas on how to collaborate with the client and family based on the individual’s journey. It is important for the occupational therapy practitioner to help the client see how the treatment
The assessment and case conceptualization are critical in guiding a counselor to create a treatment plan. The treatment plan outlines the specific goals and interventions that will guide the counseling process (Mears, 2010). An example would be a client’s...
Michael White and David Epston are the leading figures of narrative therapy which gained popularity in the 1990’s (Biggs & Hinton-Bayre, 2008). In developing narrative therapy White and Epston were influenced by many of their peers. These peers included lea...
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
On Thursday May 10, 2018 at approximately 08:15 a.m. I met with Port Richey Police Chief Decanio. Chief Decanio advised me; prior to my arrival he received a phone call from Vincent Lupo who is the city manager of Port Richey. Chief Decanio advised me Mr. Lupo stated that he received a phone call from the Mayor of Port Richey, Dale Massad stating he had three fire arms stolen from his property within the last two weeks. I was then dispatched to 8221 Hayward Lane, Port Richey Florida in reference to 3 missing firearms.
The sequenced reversed order of the movie and the way that it goes help us view the reasons as to why he ends up killing the man he does from the very beginning. You know that right away there is going to be a sequence of memories and steps to follow up what led to the killing between the two men pictured in the very first scene. Every step throughout the movie shows Leonard doing the same exact thing every day. The reverse order shows us all the reasons leading up to why he kills Teddy. We realize from the very start that he can remember things that happened before his accident when he meets with Natalie but can’t remember anything he has done in that previous day. I believe that the movie would have still worked in a chronological order but
The core concept of narrative therapy is rooted in postmodern theory. This includes having a positive and hopeful view of clients and their power to create change. Also, taking a “not-knowing” stance is essential in order to enhance collaboration between clients and therapist. Narrative Therapy encourages therapists to remain curious and acknowledge
What happens to such type of therapy is that the person is limited to just two options- accepting or rejecting the idea relayed by the family therapist. With the abstract communication approach, one ends up with a yes-no, all or nothing type of confrontation. By contrast, storytelling comes out as a collaborative encounter which encourages the listener to participate in an arm-in-arm activity with the family therapist. This narrative element of family therapy is more of a rhythmic dance rather than a communication
Narrative Therapy was developed to help people separate themselves from their problems. The idea is that this will help the person use the skills that they already possess to minimize the problems that exist in their everyday lives. The Narrative Therapy approach was developed by Social Workers Michael White (Australia) and David Epston (New Zealand) during the 1970s-1980s. “White proclaimed is work to be exclusively that of ‘rich story development’ “(Gallant).