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Psychodynamic theory of counseling
Psychodynamic theory of counseling
Psychodynamic theory of counseling
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Portfolio Reflection Form
Name: Alexis Wilkerson Family Case Study Course: ADRE 6320 Family Treatment in Addictions and Clinical Counseling
Semester: Fall 2016
Competencies addressed:
Knowledge
Foundations
A.5. a variety of models (e.g.., biopsychosocial, transtheoretical model of behavioral change, public health, disease) and theories (e.g.., cognitive behavioral, reality/control, harm reduction) of addiction related to substance use and other addictions (e.g.., food, gambling, sex) as well as clinical mental health counseling, including the methods, models, and principles of clinical supervision;
Knowledge
Counseling, Prevention, and Intervention
C.16. the principles, models, and documentation formats of biopsychosocial case
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I reviewed the case history notes and identified the family’s issues and concerns. After identifying the issues and concerns, I wrote a paper that address each issue from Structural, Strategic, and Solution-Focused Brief Therapy points of view. In order to properly address the issues and concerns, I reviewed the family history, reviews literature and notes for each approach, and conducted more research for each approach via the internet. I discussed assessment, goals, techniques, and intervention for each approach.
Explanation of how artifact relates to competencies
This paper demonstrates my knowledge of Structural Family Therapy, Strategic Family Therapy, and Solution-Focused Brief Therapy. It demonstrates my abilities to address the proper way to work through the stages of each approach when working with families having an individual with a history of drug and alcohol use (A.5.). In order to plan treatment for the family, I had to discuss important information from the family’s case history. Equally important, I identified areas that needed to be explored more in order to provide an appropriate case conceptualization (C.16.). Certain techniques, intervention, and guidelines were discussed with examples to show how to appropriately use them to initiate and maintain the family counseling process and relationship (D.6.). The areas I identified
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I have gain more knowledge about possible family issues such as poor boundaries, substance use, unhealthy family roles, and poor displacement of authority. From this assignment, I have gain experience in proper case conceptualization and treatment planning in Structural Family Therapy, Strategic Family Therapy, and Solution-Focused Brief Therapy. I have gain confidence in my abilities to assess a family’s presenting issue(s) based on specific therapeutic approaches and appropriately planning effective treatment. After reading the provided assessment notes, I was able to pull out important information in order to properly address issues and plan development. Additionally, I was able review the family’s history and determine areas that needed to be explored more in order to properly address the issue/concern. In order to complete this assignment, I had to conduct research to gather information about appropriate treatment options; thus, my research capabilities have enhanced as I was able to search and find useful and truthful information. This assignment has broadened my knowledge of the use of family counseling techniques and interventions options such as joining, enactments, assigning tasks, reframing, straightforward directives, positive connotations, devil’s pact, and
Fortinash, K. M., & Holoday Worret, P. A. (Eds.). (2012). Substance-related disorders and addictive behaviors. Psychiatric mental health nursing (5th ed., pp. 319-362). St. Louis, MO: Elsevier Mosby.
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
Gladding, S. T. (2010). Family therapy: History, theory, and practice (5th Ed.). Boston, MA: Pearson
Copello, A., Velleman, R., & Templeton, L. (2005). Family interventions in the treatment of alcohol and drug problems. Drug & Alcohol Review, 24(4), 369-385. doi:10.1080/09595230500302356
Nichols, M. P. (2010). Family therapy concepts and methods (9 ed.). Boston, MA: Allyn & Bacon.
The biopsychosocial model proposes, and the scientific evidence has tended to confirm, that the interdependent factors ;biological, psychological and social all end up influencing each other and feeding into each other in an interdependent way and for these reasons, the biopsychosocial model has much to offer professionals working in treatment, prevention, and research in the addictions
Capuzzi, D., & Stauffer, M. D. (2008). Foundations of addictions counseling. Boston, M.A: Pearson Education.
Structural Family Therapy offers a framework that provides order and meaning within the family connections (Nichols, 2013). Divorce for a family is considered a significant transition for all parties involved. When counseling a family going through divorce the structural family therapist’s job is to build an alliance with the family and obtain information about the structure. The structure of the family consists of the roles, interactions, organization, and hierarchy. Family therapy yields the belief that changing the organization of the family leads to change in the individual members. The structural family therapist often will try to become part of the family to gain a perspective of their issues as whole so not to place the focus on one individual. Joining is an empathetic approach in helping families explain and break down their individual stories without uncomfortable challenge or unnecessary confrontation (Nichols, 2013). It is important to note that family dysfunction that often leads to divorce is not attributed to one individual, but the entire family system. In structural family therapy, part of dealing with the issue of divorce in the family is to focus on the interactions between all the family members both positive and negative. Through these interactions the therapist can discover where the conflicts arise, which will in turn help the therapist understand how these negative interaction affect the family. Family therapy in these cases allows for repair of long-standing interactional patterns in which divorce is just one of a series of ongoing transactions that are disruptive to the child’s development (Kaplan, 1977, p.75). The structural family therapist often has the family play out these family interactions via enactments so that he can get a firsthand look at maladaptive patterns, roles, and
Duty, G. (2010, December 10). Family Systems Therapy. Lecture presented at Principles of Counseling Class Notes, Bethany.
Satir, V. (1967). Conjoint family therapy; a guide to theory and technique (Rev. ed.). Palo Alto, Calif.: Science and Behavior Books.
Goldenberg, H. & Goldenberg, I. (2013). Family therapy: An overview (8th ed.). Belmont CA: Thomson Brooks/Cole.
A systems based treatment plan is necessary when working with this family and a systemic assessment is needed to accomplish this. “A systemic assessment will typically reveal that marital and/or parenting issues are contributing to the presenting problem” (Gehart, p. 37, 2016). The therapist will start by using a genogram. A genogram was used to analyze the Andersen family, as it is a structured way of collecting information about the family. It allows the therapist to gather details and “identifies not only problematic intergenerational patterns, but also alternate ways for relating and handling problems” (Gehart, 2014, p. 237). A genogram is a visual representation of the family and their history that will display
It has become one of the major social problems of our day, leaving a great number of families and communities within our country devastated and without hope of recuperation for any of their afflicted members and loved ones. Growing to become a big social challenge affecting all aspects of the American society, addiction rates have escalated to enormous proportions within the country as reported by the National Institute on Drug Abuse (NIDA). Addiction has been described as a chronic brain disorder,” resulting from adaptations in the brain that leads to changes in behavior”, according to Dr. Nora Volkow, who also assert that it can be treated (NIDA 2006).
: “Disease burden due to addiction exceeds half a trillion dollars annually. Yet only 1 percent of the total health care budget goes to treating addiction, and fewer than 1 in 10 persons with addiction receives treatment.” According to Dr. Anna Lembke who is the medical director of addiction medicine at Stanford University School of Medicine. I. Introduction: People are quick to judge how addiction is because of the loss of will power which can be prevented whenever they want but they choose not to. They don’t understand that addiction to drugs or alcohol isn’t moral failing or a personal failure that engulfed them but an actual disease.
intervention. Families in Society. Vol. 88, pg. 42. Proquest Direct database. Retrieved February 25, 2015.