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Reflective practice strengths and weaknesses
Effective reflective practice
Effective reflective practice
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During supervision, my supervisor immediately pointed out that the issues that I was having with this client was not anything personal. She explained how detrimental it can be to compare relationships and the different dynamics that influence a relationship. Southern (2007) illuminated how impactful it can be to work through countertransference and intersubjectivity during supervision and how imperative it is that the supervisor provide meaningful support and education for their supervisee. My supervisors approach was very non-judgmental, which is what I needed at the time. It helped provide a space where I could be more open and honest about the way that I was feeling. As I continued to process my feelings about the client with my supervisor, …show more content…
These techniques have not been as effective with her because it was very difficult to cater to her erratic behavior, impulsive reactions, and inconsistent attendance. Her borderline personality tendencies were very subtle at the beginning of our work together, but they continued to increase substantially as the months have progressed. Last week the client and I had our final session when I reminded her that I had 8 weeks left at my field placement and wanted to update our treatment goal. She became very angry, stormed out, and refused to continue services. When I followed up with her a few days later, she reported that she made an appointment at the clinic where she receives psychiatric services to receive therapy services. She was so angry that she took her son out of his counseling services from our children’s program. Unfortunately, due to a mix of her borderline tendencies, transference, and high sensitivity to rejection, she could no longer tolerate continuing services anymore. The transference, counter transference, and projective identification could have been worked on in session and could have improved her fears and insecurities, but I did not get a chance to work through that with her. If the client does have some form of a personality disorder, it needed to be diagnosed and properly treated during therapy to provide a positive therapeutic outcome. Unfortunately, my field placement was unable to provide that for her and it effected the counseling services that she was
As a result, I am learning how to assist clients without labeling the client and developing a proper diagnosis. Assessing client problems should happen throughout the counseling process. In the beginning, counselors get background information on their clients to help the counselor develop a diagnosis in the Diagnostic and Statistical Manual of Mental Disorders. Correct diagnosis of clients is vital to receive reimbursement from insurance companies for counseling services. Assessments help the counselor determine an appropriate treatment for the client. Assessments can help clients realize their strengths and weaknesses (Whiston, 2017). Helping the client understand their strengths can assist the client in building confidence, reach the clients counseling goal, and implement healthy choices in the client’s
... By scheduling an activity that the client can participate in and complete, it can give them a sense of mastery in a specific task. This can be beneficial for the client to feel accomplished. Another technique that I feel can be beneficial in therapy is role-playing. Role-playing can be helpful for a client to learn how to dispute irrational beliefs by becoming aware of negative feelings towards theses beliefs (Tan, 2011). In addition, role-playing can help the client to overcome their emotions and practice coping skills that are more effective. The last technique I would incorporate into therapy would be relaxation training. I would suggest ways that can help the client relax including, deep breathing, meditation, yoga, a massage or exercising. By getting the client to have methods to relax, I think it can help with managing their thoughts, feelings and behaviors.
The intention of this written essay is to demonstrate an understanding of my views on reflection and the issues surrounding reflective practice. It is based on nursing skills that I used during my practice placement, most importantly reflecting on the professional value of privacy and dignity.
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
Diagnosing a patient with a personality disorders where often evaluations done by a clinician. The clinician would listen to the importance of interpersonal experiences and observing the patients behavior in a consulting room (Westen, 2001). This was normally done in one session, if the patient informed the clinician of harming himself. The clinician would diagnose the patient as a borderline personality disorders.
Some of the most common actions or responses for individuals with borderline personality disorder are suicidal. Incorporating the teaching of problem-solving skills will hopefully, again, reduce the number of suicidal thoughts or behaviors an individual has that could result in serious self-injury (Van Goethem, A., et al.). Lastly, arguably the most important component of the dialectical behavior therapy is allowing those who have undergone the treatment to test what they have learned. The final stage of this therapy involves having the patients visualize themselves in certain scenarios and creating a response to what they are envisioning. The most important part of this process is having patients trust their responses without utilizing the help and opinions of other individuals (Van Goethem, A., et al.). Though there are several different components that make up the dialectical behavioral therapy, they are each crucial to the treatment for individuals with, not only borderline personality disorder, but many other psychological disorders as well. Some of the effects of how this treatment has worked can be observed in a couple of different
...f dialectical behavior therapy for patients with borderline personality disorder on inpatient units . Psychiatric Quarterly .
...the borderline client’s dependency and anger and challenging his or her on way of thinking. The wild attitudes of these clients can also make it difficult for therapists to establish productive working relationships. Over the past two decades, theorists have begun to use a treatment called dialectical behavior therapy (DBT). It has gained growing research and support and now considered the treatment of choice. DBT includes behavioral and cognitive techniques that are applied to other disorders reinforcing appropriate behaviors and social skills. Finally, antianxiety, antipsychotic, antidepressants and mood stabilizers have helped calm the emotional and aggressive actions of some people with borderline personality disorder. Many clinicians believe that a combination of psychotropic drug treatment and psychotherapy is more successful than with therapy or drugs alone.
I learned quite a bit about Borderline Personality Disorder. An illness I never looked into in depth before. Borderline Personality Disorder is as described by Janine Ogden and Jean Prokott a disorder characterized by persistent patterns of insole moods and interpersonal relationships. Fear of abandonment and chronic instability often occur with BPD and it is estimate that 2 to 4 percent of the population is affected. With the Montgomery County Mental Health department’s office bing located in the mental health unit of our largest provider, St. Mary’s Hospital, I learned much from the therapists and social workers that often dropped by the office. Susan Ninan, a social worker that works with patients in the county jail has been dealing with a difficult case. This case eventually ends up being a part of Sara’s responsibility which will be talked about later. Susan’s case was with a young man who had attempted suicide. Because of his attempt, half of his face is missing. He had been a part of multiple crimes which I’m not knowledgable, but either way has ended up in the jail. He was diagnosed with Borderline Personality Disorder. His largest fear was not having his 30 minutes a day to talk with Susan. She was as he called it “the only one that he could talk to” she was “his only friend”. My ignorance showed when I
I am currently in a leadership position but have often wondered want makes a good leader. From the course I have identified that EQ, IQ, and SQ are the fundamental qualities that make a good leader. I will try and be aware of the needs and emotions of my team and use this to build my team. I remember clearly an example Boniface give us about a company that merged, with two departments that do the same work. The first team leader said to his team all our jobs are on the chopping block because he was worried about his own job while the second
Since the beginning of time there have been people who are leaders and there are those that choose to be followers. As an effective leader, one must possess certain traits and skills that include knowing how to motivate others to accomplish a task. This assignment will discuss the role of a supervisor in the multicultural society of today and the three traits needed to become an effective manager. This assignment will include the relationship between managers, supervisors, and employees and how these relationships assist in guiding organizations in achieving their maximum potential and the importance of finding the right employee to meet those goals.
I enjoyed all the aspects of developing a course on clinical supervision. I appreciated that the process of developing the course was broken down to manageable units.
The counseling session began with the introductions where I introduced myself as the counselor and later introduced my client. This stage is important in any counseling session since it is the time of exploration and focusing according to Gerard Egan as quoted by Wright (1998) in his essay on couselling skills. It is in this session that I was able to establish rapport and trust with my client in order to come up with a working and fruitful relationship with him. During this stage I made use of skills like questioning, where I would pose a question directly to my client, sometimes I would choose to just listen to what the client wanted to speak out while in some instances I would be forced to paraphrase the question if I felt the client did not understand the question I had asked previously. There were also other times when I would reflect through silence. During such a period, I got time to study the client and the information he had given. This being a difficult area, since some clients may not be able to volunteer information to you as the counselor, I decided to assure the client of confidentiality of any information he was willing to share with me with a few exceptions which I also told him about. Being open to him about the only times the information may not be confidential was part of my building rapport and establishing trust with him. I therefore, decided to ask the client what information he wanted to share with me and lucky enough he was ready to speak to me about different issues that he was going through.
As a supervisor you have the responsibility of playing many different roles both to the employees that you supervise as well as to the management that is above you. The management that is above you wants to see that your performance is a positive one. In order to do that you need to have a good understanding of the employees that you are supervising and have the skills that are needed to be a great supervisor. Workers come from all generations and have many different personality traits as to how they work best and there are many different ways in which one can supervise others. In order to be the best supervisor that you can be you need to know what supervising style you should use with the different employees that you have.
As an educator, there is always room for reflection and growth. Being in this class has provided an opportunity for both. From my knowledge gained in this class I believe that I have become smarter and have learned how to implement different tool into my teaching as well as general life as a teacher. Of the topics discussed in this class, commitment to students, avoiding burnout and reflective practices had the biggest impact on my professional growth.