...Running Head: CASE ANALYSIS Case Analysis of Theresa Jimmie Cross Glenda J. Chandler Northcentral University Case History Theresa Cross was born in Sacramento, California on March 12, 1946. She was the youngest child in her family. Bill and Clara Tapp are from their mother’s previous marriage. Rosemary and Theresa were the daughters of Jim and Swannie Cross. Both Jim and Swannie gave preference to boys and Jim was rather disappointed that he only had daughters. Jim wanted a son to carry on his name. He charged Clara $60.00 a month for room and board in their home. Clara was also made to care for her two younger half-sisters while their mother worked. “Sometimes she was forced to stay home from school for weeks at a time” (McDougal, 1995, p. 14). Theresa was her mother’s favorite and Theresa fought Rosemary for the attention of their mother. Swannie was a strict mother and made her daughters do all the housekeeping. She never allowed her daughters to leave their own yard. Swannie let her son do pretty much whatever he wanted. She often made excuses for Bill when he was caught stealing. He did not see this as a second chance, but as permission to continue. He eventually ended up divorced and in prison for the remainder of his life. The preference to boys was apparent in this family due to the fact that the oldest daughter, Clara, never received a legal name until she was 20. She demanded that her mother sign the paperwork to grant her a full name on her birth certificate...
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...reports results from research conducted in counseling sessions involving bullies, the bullied, and others affected by bullying. Reality Therapy (RT), Choice Theory (CT) and Bullying Prevention Programs (BPP) are examined to see their effect on clients becoming autonomous in directing their actions. School shootings have brought to light the effects of bullying and bullying seems to be occurring at epidemic proportions. Studies are needed on how to effectively counsel those involved in bullying so that they can reassess and learn methods to choose better actions to prevent bullying. This paper compares the research along with Glasser’s RT/CT to have counselors and clients examine their own struggles and how specific procedures can lead to changes in behavior. The process allows the clients to move in a direction of getting what they want while stepping away from the world of bullying. It also allows the counselor to teach clients how to make substantial connections with others and how to determine if better choices are possible. Keywords: bullying, RT/CT, BPP A School Counselor’s Approach to Combating Bullying Using the Choice Theory and Reality Therapy Katy Perry once said, “People talk about bullying, but you can be your own bully in some ways. You can be the person who is standing in the way of your success, and that was the case for me.” (Perry, n.d.). RT and CT used in conjunction can be effective tools to help not only the bully but also the bullied. RT was first...
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...Cognitive Behavior Therapy Developed by Dr. Aaron T. Beck, Cognitive Therapy (CT), or Cognitive Behavior Therapy (CBT), is a form of psychotherapy in which the therapist and the client work together as a team to identify and solve problems. Therapists help clients to overcome their difficulties by changing their thinking, behavior, and emotional responses. A System of Psychotherapy Cognitive therapy is a comprehensive system of psychotherapy, and treatment is based on an elaborated and empirically supported theory of psychopathology and personality. It has been found to be effective in more than 400 outcome studies for a myriad of psychiatric disorders, including depression, anxiety disorders, eating disorders, and substance abuse, among others, and it is currently being tested for personality disorders. It has also been demonstrated to be effective as an adjunctive treatment to medication for serious mental disorders such as bipolar disorder and schizophrenia. Cognitive therapy has been extended to and studied for adolescents and children, couples, and families. Its efficacy has also been established in the treatment of certain medical disorders, such as irritable bowel syndrome, chronic fatigue syndrome, hypertension, fibromyalgia, post-myocardial infarction depression, noncardiac chest pain, cancer, diabetes, migraine, and other chronic pain disorders. In the mid-1960s, Dr. Aaron T. Beck developed cognitive therapy as a time-sensitive, structured therapy that uses an information-processing...
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...Dialectical Behavior Therapy to Treat Borderline Personality Disorder Kari Deutscher University of Saint Francis Abstract Dialectical Behavior Therapy (DBT) is a specific type of cognitive-behavioral psychotherapy initially developed by Marsha Linehan for the treatment of individuals diagnosed with borderline personality disorder and additional psychiatric disorders associated with emotion dysregulation. DBT is currently the most frequently investigated psychosocial intervention for Borderline Personality Disorder (BPD). DBT’s treatment program includes weekly skills training group led by two therapists, individual therapy, telephone consultation, and consultation team meetings. Over the years, DBT has been proven to be beneficial in treating...
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...Introduction Gestalt therapy, which was founded by Fritz and Laura Perls in the 1940s, teaches the therapists and their clients the phenomenological awareness method, where feeling, perceiving and acting are differentiated from interpreting and rearranging the pre-existing attitudes. Gestalt therapists and clients’ dialogue, thus communicating their phenomenological perspectives, and their differences in perceptions form the basis and focus of experimentation and continued dialogue. The desired outcome of the therapy process is for the client to become aware of their actions, how they are acting, and the ways they can change their actions and learn to accept and appreciate themselves. Here, the emphasis is mainly on the process rather than the content of the therapy, that is, what is happening rather than what is being discussed. Gestalt therapy was mainly considered for adults. However, Violet Oaklander (2007) says that it is also suitable to be applied to children since it involves the body and the senses, all of which fit the therapeutic works with the children. The purpose of this paper is to formulate a response in the manner a Gestalt therapist would work with children of ages between 4 and 12. Here, the general and Gestalt literature is explored, synthesized and evaluated on working with this particular population, their specific needs and particular ethical challenges that may emerge while working with them. A comparison is offered on how different modalities with the...
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...Family Counseling Approach: Narrative Lisa R. Murray Liberty University Online Abstract Narrative therapy is a therapeutic approach that is used alone or in conjunction with other methods of therapy. This particular method of therapy is used in family therapy to help clients focus on gaining access to preferred story lines in reference to their lives and identities the family dynamics that may affect them. The preferred story line will replace the place of the previous negative and self-defeating narratives about themselves. Helping clients within a family counseling to begin to become the author of their own story is important in many cases to overcoming multigenerational affects. Narrative therapy aids in this process. This comprehensive evaluation of narrative therapy within the structure of family therapy and the integration of faith will be constructed in the following pages. Keywords: self-defeating, Narrative therapy, multigenerational, therapeutic Introduction Narrative therapy is considered apart of the Social Construction Model. This particular type of therapy, the counselor or therapist is not a dominant entity or focal point of the process. Instead the therapist is seen as an influential individual to the client. The counselor will aid the client with the process of internalization and the creation of new stories or narratives within themselves that help them to draw new assumptions about themselves. This is done through the process of the client...
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...Abstract Through narrative therapy a counselor can help clients gain access to preferred story lines about their lives and identities taking the place of previous negative and self-defeating narratives that destroy the self. Presented in this paper, is an overview of the Narrative therapy and the Social Construction Model and several facets of this approach including poststrucuralism, deconstructionism, self-narratives, cultural narratives, therapeutic conversations, ceremonies, letters and leagues. A personal integration of faith in this family counseling approach is presented and discussed also in this paper. NARUMI AMADOR’S FAMILY CONSELING APPROACH Introduction Narrative therapy is found under the Social Construction Model. Using the Narrative approach, the therapist will not be the central figure in the therapeutic process, instead he will be influential to the client, helping him/her internalize and create new stories within themselves to draw new and healthier assumptions about who they are. This process enables clients to distract from focusing on the negative narratives which defined their past, redefining their lives into future positive stories. Narrative therapists define the problem as the problem instead of defining the client as the problem. The therapy process begins redefining the problem, externalizing it and getting it out in the open. The narrative therapist uses the questioning technique and creates alternative narratives...
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...Running head: How has the Internet Affected Sex Addiction How has the Internet Affected Sex Addiction Edward Vega Jr. National University Abstract Sex addicts have plenty to struggle without adding the access to their wildest fantasies. That is what the Internet has given them. Addicts can get online and search pornography, cybersex sites and sites where they can find people to meet up with. The Internet makes it that much easier for sex addicts because just like any other addict they are ashamed of their addiction but with the Internet they do not have to worry about it cause they can do whatever they want from the comfort of their own home. What we need to understand is that sex addicts are not born sex addicts. Some sort of abuse had to happen while they were children. How has the Internet Affected Sex Addiction There are lots of different addictions in the world that people are dealing with, from drug alcohol and gambling. The addiction that I am going to focus on is sex addiction. Sex addiction has been around for as long as any other addiction and is just as serious. However since the Internet has become bigger and better we can do anything we can imagine, so how has the internet affected sex addiction? “The terms "sexual addiction" is used to describe the behavior of a person who has an unusually intense sex drive or an obsession with sex” (WebMd). The following behavior patterns can indicate the presence of sexual addiction: Out of control sexual behavior;...
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...(2007) burn scars following a deep dermal injury are often cosmetically disfiguring and impel the scarred individual to deal with an alteration both in body image and appearance. The patient is also forced to adjust to significant impairments in motion and limitations of activities. However, according to Henry (2011), it is the disfigurement or change in appearance and body image that has a profound impact on the patient. Lau & Van Niekerk (2011) note that the alteration in appearance from ordinary to a conspicuous one is often abrupt and adjustment becomes complex as the patient is forced to confront personally, the alterations as well as, deal with the reaction of others to the disfiguring conditions. Further, disfiguring burns in many cases, elicit psychosocial problems especially in the area of social functioning which impairs the quality of...
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...Disorder Specific Cognitive Behaviour Therapy Interventions – WHM-M-030 Introduction The purpose of the paper is to discuss the current theory and empirical literature for using a transdiagnostic approach in cognitive behaviour therapy and it’s relevance in current practice. I will discuss the theory and evidence for using a transdiagnostic approach and highlight the main processes. A discussion on the strengths and limitations of the approach will conclude the first part of the paper. The second part will be a review of personal clinical work discussing the transdiagnostic process and its hypothesised effectiveness. To conclude the author will provide a personal reflection. There has been a long widely accepted claim for the effectiveness of CBT with prolific amount of evidence for it’s effectiveness for Depression, Anxiety and Mood disorders (Roth & Fongy, 1995) Models such as cognitive therapy for depression (Beck, Rush, Shaw, & Emery, 1979), panic disorder (Clark, 1986,), posttraumatic stress disorder (Clark & Ehlers, 2004); and obsessive-compulsive disorder (Salkovskis, 1989) have led to disorder-specific interventions for treating common mental health problems. The benefits of devising a model on specific disorders is the high degree of research and comparable data involved; from that the therapist will be highly trained in the use of the model to deliver the approach for each disorder (Salkovskis 2002). Disorder specific models are seen to be easily delivered...
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...client. Albert Ellis, founder of rational- emotive therapy was born to a Jewish family in Pittsburgh, Pennsylvania, 1913 (Parrott Les III, 2003). At the age of four, he moved to Bronx New York, where he contributes most of his intelligence drive and persistence from his father who was never present in the home. Through his parents’ divorce, Albert decided not to become a teacher of Hebrew, instead a probabilistic a theist. As a young adolescent Ellis dreamed of becoming a writer, he would work until he was 30, then retire and devote his time to writing. Ellis obtained his baccalaureate degree in business administration in 1934 (Parrott LesIII, 2003) at New York City College. Despite his depressive state he remained employed until mid 1940’s (Parrott Les III, 2003). During his spare time, he wrote fictions which was very disappointing to his mythical efforts. Ellis wrote eight novels and after several publishers reject them, he decided to study psychology. Ellis continues his education and received his Ph.D. in clinical psychology in 1947 (Parrott Les III, 2003) from Columbus University. Ellis interests lead him to psychoanalysis where he practices with his patients with little change in his or her dysfunctional behavior. Ellis decided to use his own techniques in practicing with the patients. Today Ellis, remain in New York where he still sees client, group sessions and workshops annually. Rational- emotive therapy is traced to...
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...This is a deployment flow chart of the case study of Lilly Walden presented by Jamie Mills “The clinical microsystem is the place where patients, families, and caregivers meet. It is the lotus of value creation in healthcare.”(Nelson, Batalden, et.al, 2011) Lilly Walden describes herself as an active, athletic, and healthy woman. In her mid-forties she continues to run 2–3 miles 5 days per week. Lilly is married with three children and is employed by the local school district as a speech therapist. Lilly describes herself as health-conscious. Her diet is balanced, and she is a nonsmoker and drinks wine on rare social occasions. Lilly has a history of asthma, triggered by environmental changes, and it typically requires antibiotic therapy for bronchial infections 2–3 times per year. This presentation will review the following: 1. Priority care needs of the patient at the center of the case study 2. Priority care needs of the family care providers 3. The disruption that this acute illness has caused for the patient, family members, and clinical microsystem 4. The experiential features of acuity 5. The elements that the clinical microsystem 6. Potential barriers to providing care 7. The communication strategies that were used in the delivery of care 8. Well-defined (but flexible) roles within the clinical microsystem 9. Potential strategies for unexpected changes 10. The Deployment Flowchart Priority care needs of the patient require the organization to take...
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...Boster | 4/21/2014 4/21/2014 There have been an increasing number of reported child abuse and child neglect cases rising in the United States. We see them in the headlines and hear of them on the news but very rarely do we hear of stories of adult survivors of child abuse and the treatment or theories that have helped them overcome the trauma. This paper will look at child sexual abuse victims and the adult survivors that have had positive outcomes after treatment or therapy. According to Karakurt and Silver (2014), “childhood sexual abuse (CSA) is any sexual abuse with a child through the use of force, threat or deceit to secure the child’s participation, or any sexual contact with a child who is incapable of consenting by virtue of age, disability, or power differential”. The Social Work Dictionary states (1995), “victims often cannot or are unwilling to understand or resist the advances of the abuser”. Child sexual abuse happens to children of every race, age, and socioeconomic background; perpetrators do not discriminate. According to an article in Healthcare Risk Management (2012), “about 95% of the reported abuse is perpetrated by someone the child knows and trust”. When children are abused by people they love and trust many times they are afraid, ashamed or do not understand how to report the abuse or to whom they should report it to. The cases that are reported are sometimes not reported until years after the incident occurred. Healthcare Risk Management also...
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...present’s itself with both positive and negative symptoms. A positive symptom is classified as something that represents excess or distortion of normal function. This includes symptoms like delusions, hallucinations, incoherent speech or thought, inappropriate affect (failure to react with appropriate emotion to positive or negative events), or odd behavior such as repeating tasks or remaining motionless. Negative symptoms are classified as something that represents reduction or loss of normal function. These symptoms include affective flattering which is the reduction or absence of emotional expression, alogia or reduction of speech, avolition or reduction of motivation, and anhedonia which is the inability to experience pleasure. Early experiential factors are implicated in the development of schizophrenia. These factors include birth complications, early infection, autoimmune reactions, toxins, traumatic injury, and stress. Such factors are thought to alter normal course of neurodevelopment leading to schizophrenia in individuals with...
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...Journal of Cognitive Psychotherapy: An International Quarterly Volume 20, Number 3 • 2006 Principles of Cognitive-Behavioral Therapy for Anxiety Disorders in Children Elizabeth A. Gosch, PhD, ABPP Philadelphia College of Osteopathic Medicine Philadelphia, PA Ellen Flannery-Schroeder, PhD, ABPP University of Rhode Island, Kingston Christian F. Mauro, PhD Scott N. Compton, PhD Duke University Medical Center Durham, NC This article elucidates the theoretical underpinnings of cognitive-behavior therapy (CBT) as applied to the treatment of anxiety disorders in children, focusing on social phobia, generalized anxiety disorder, and separation anxiety disorder. It reviews behavioral and cognitive theories that have influenced this approach. We argue that it is necessary to understand the essential components of this approach in the context of these theories in order to provide effective, clinically sensitive, and child-focused treatment. Components discussed include assessment, psychoeducation, affective education, self-instruction training, cognitive restructuring, problem solving, relaxation training, modeling, contingency management, and exposure procedures. Hypothesized key processes, such as the need to be experiential in treatment, are presented for consideration. Keywords: anxiety; children; cognitive behavior therapy; theory A nxiety disorders are among the most common mental health disorders in youth with / \ prevalence rates ranging from 12% to 20% (Achenbrach...
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