...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 to connect...
Words: 3218 - Pages: 13
...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...
Words: 3758 - Pages: 16
...your audience may immediately identify your topic. This construction also helps you, the writer, stay focused on your subject. Consider the following example of an essay introduction: The first sentence is the topic sentence: It tells the readers they will learn about past narratives. The sentences that follow the topic sentence relate to the topic sentence because they provide examples of past narratives. Finally, the last sentence is the thesis of the essay, which expresses the author’s position on the topic and previews what the entire paper is about. You learn more about writing effective introductions later in this course. Supporting Paragraphs Every paragraph after your introduction must be a supporting paragraph. A supporting paragraph supports or proves your thesis. All supporting paragraphs must include a topic sentence. You may then develop the supporting paragraphs within your paper by using one or more of the following methods: • Examples and illustrations • Data, facts, or historical or personal details • A simple story, or narrative • Descriptions • Division and classification • Analysis • Process analysis • Definitions • Cause-effect • Comparison-contrast • Argument The previous paragraph about journals used examples to support the topic sentence. Consider the paragraph following the introduction:...
Words: 1214 - Pages: 5
...Interviews, the commonest qualitative method in health services research, are particularly well suited to the collection of data on sensitive topics. These characteristics of the method may provoke anxiety or distress in participants. The questions which lead to anxiety and distress depend on the personal biography and experience of individual participants and cannot always be predicted accurately. Even when prediction is possible, the open-ended nature of qualitative research means that these topics cannot be avoided reliably. For example, in a study of chest pain carried out by HR, the focus of the interviews led some respondents to express anxieties that episodes of chest pain which they had previously considered to be insignificant might signify serious...
Words: 986 - Pages: 4
...Publishing Company. This work is copyrighted and can be reproduced and used only with the permission of the textbook company. The Therapeutic Relationship • The therapeutic relationship is an important component of effective counseling • The therapist as a person is a key part of the effectiveness of therapeutic treatments • Research shows that both the therapy relationship and the therapy used contribute to treatment outcome Theories of Counseling • Gerald Corey’s Perspective of Theories of Counseling: • No single model can explain all the facets of human experience o Eleven approaches to counseling and psychotherapy are discussed • Your textbook book assumes: o Students can begin to acquire a counseling style tailored to their own personality ▪ The process will take years ▪ Different theories are not “right” or “wrong” ▪ The Effective Counselor from the perspective of Gerald Corey • The most important instrument you have is YOU ▪ Your living example of who you are and how you struggle to live up to your potential is powerful • Be authentic ▪ The stereotyped, professional role can be shed ▪ If you hide behind your role the client will also hide • Be a therapeutic person and be clear about who you are ▪ Be willing to grow, to risk, to care, and to be involved Counseling for the Counselor...
Words: 8395 - Pages: 34
...Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing, graduate Perspectives...
Words: 7439 - Pages: 30
...However, the anonymity could prompt truthful responses (Nieswiadomy 2014). Wilstrand et al.,(2007) conducted narrative interviews focusing on the individual experiences of six nurses working in a mental health setting. Egan et al., (2012) stressed that the more knowledge and confidence the nurse has in dealing with self-harm and suicidal behaviour, the greater is the perceived personal effectiveness when working with patients who self-harm. Perboell et al.,(2015) explained that nurses working in emergency departments after receiving self-harm education can display positive and empathetic attitudes towards. Gibb et al (2010) noted that mental health nurses can have a greater perception of their ability to help patients who self-harm compared with nurses working in the emergency...
Words: 1212 - Pages: 5
...Page 1 PSYCHOLOGY IN THE CONTEXT OF HEALTH AND SOCIAL CARE • What is ‘psychology’ and why is it so important in the context of health and social care? • What do we mean by ‘health’ and why is psychology central to the effective delivery of health and social care? • What are the main approaches to psychological thinking and research? • Who are psychologists and what do they contribute to the promotion of health and well-being? Introduction This chapter emphasizes the importance of psychology in the context of health and social care. For many years, psychology and the other social sciences were viewed by the medical profession as ‘soft sciences’, interesting but unimportant. With the advent of research into the links between physical and mental states in the late twentieth and early twenty-first centuries it is now possible to demonstrate that psychology can make a fundamental difference to physical as well as mental health. In this chapter, we explore the nature of psychology and its relevance to health and social care. We outline the different schools of thought and methods of inquiry in psychology. We seek to distinguish between psychology as an academic discipline and popular notions of psychology, and identify professionals whose practice is mainly concerned with the application of psychology. In order to show how psychology can be applied to health and social care, we introduce a family scenario whose characters appear in examples throughout the book. What is psychology...
Words: 6889 - Pages: 28
...loomed in my head as well such as, “Do I really belong in this class?”, and “I’m probably going to fail this class with just one assignment!” Such thoughts as these brought my spirits and gave me a pessimistic outlook on this class. But now that I am done with this class, I find myself to be more at ease with myself and have a newfound confidence in the way that write. Writing has been an important form of expression for me. I find myself to be very soft spoken and speaking verbally is usually difficult for me because I can’t always seem to find the right words to say. This has led me to be very shy in class. With writing, I feel that I am more expressive and have more control over what I want to say. Writing is therapeutic for me, whatever I cannot say directly I can just pour out my heart and soul. I have been keeping a journal for the past eight years and it has done wonders for me. I find myself not only a better person for it but it also serves as an aid for writing. My journal is one of the best ways I take into consideration life’s difficult choices I make. It serves as a permanent record for me to look back on in the future to see how much I matured in my life. Although I enjoy writing in such an informal way, I always felt that I was limited to my expressions in...
Words: 1087 - Pages: 5
...a focus on my final management placement and future career as a registered nurse. I have chosen two areas which I feel are relevant to my future development needs namely Quality Assurance and Multidisciplinary/Agency team working and using the Gibbs model (fig. 1)as a framework will reflect upon my own learning experiences and achievements to date and write an annotated reflection highlighting my development needs from which I will formulate a Personal Development Plan. This undertaking demonstrates my commitment to the need for continuing professional development in order to enhance my knowledge, skills values and attitude needed for effective nursing practice (proficiency 4.1) and will address deficits in my knowledge and skills and identify any shortcomings within my own or others practice and help me cope with practice related issues experienced within my previous placements. I have chosen Gibbs reflective model as a basis for reflection as I feel it is easily understood and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, conclusion and reflection upon the experience to consider a solution if the situation arose again (Brooker & Nicol 2003). It has been advocated that reflective practices are a method of bridging the gap between nursing theory and practice, and as a tool to develop knowledge embedded in practice (Chong 2009). Furthermore in reflecting on the way we deliver care we can identify weaknesses, build on strengths...
Words: 2155 - Pages: 9
...Recovery Model in MFT Steven W. Place Northcentral University Recovery Model in MFT The Recovery Model Introduction If the famous quote by Heraclitus, “The only thing that is constant is change,” is true, then one must wonder how the mental health field resisted change for so long. In light of the modern age, characterized by scientific methodologies, the mental health field advanced rapidly. Amazingly, the human condition could be put to test, understood and categorized. Sadly, anything falling outside the “norm” became “abnormal.” Once a person was identified as “abnormal,” they were the lucky recipients of a label they carried with them for life, or until they “recovered.” Mental health labels carry with them a certain stigma that communicates to the person they are different, perhaps less of a person and that “normal” may never be a reality with their “illness.” Recovery would be based on becoming symptom-free, or at the very least, a significant reduction in symptoms (Gehart, 2012). The mental health field has experienced tremendous growth in terms of understanding the plethora of conditions people experience, as well as in treatment of those conditions. However, one thing remained unchanged until recently. The idea behind recovery shifted from coercive treatment to person-centered change (Onken, et al, 2007). Gehart states is this way, “instead of using the medical paradigm of disease, the recovery paradigm approached mental “illness” using a social model of disability...
Words: 1959 - Pages: 8
...Existential counselling is a philosophical form of counselling which addresses the situation of a person's life and situates the person firmly within the predictable challenges of the human condition. Existential counselling considers human living to take place within four dimensions: physical, social, psychological and spiritual. It shows each of these dimensions to be constituted like a force field, within which predictable paradoxes, tensions and dilemmas play out. Human beings can learn to deal with these tensions and conflicts more effectively by facing up to the negatives as well as the positives of their lives, including the tensions of life and death, love and hate, strength and weakness and meaning and absurdity. Best known authors on existential counselling are Irvin Yalom in the USA through his book Existential Psychotherapy (1981) New York: Basic Books and Emmy van Deurzen, who created the British School and who published her bookExistential Counselling and Psychotherapy in 1988 (London: Sage Publications; second edition 2002, third edition 2011). Existential therapy essentially helps deal with the problems of everyday living, such as relationship difficulties (both with Individuals & in Couple Therapy), anxiety/fear, food/body-image issues, addictions, mood disorders, social anxiety, panic, trauma, low self-esteem, unresolved childhood issues, sexual issues and others. It is a clear, direct and honest approach helping clients work on their particular, unique...
Words: 1485 - Pages: 6
...treat people with borderline personality disorder (BPD). DBT combines standard cognitive-behavioral techniques for emotion regulation and reality testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice. DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. A meta-analysis found that DBT reached moderate effects. Research indicates that DBT is also effective in treating patients who present varied symptoms and behaviors associated with spectrum mood disorders, including self-injury. Recent work suggests its effectiveness with sexual abuse survivors and chemical dependency. Linehan observed "burn-out" in therapists after coping with non-motivated patients who against cooperation in successful treatment. Her first core insight was to recognize that the chronically suicidal patients she studied had been raised in profoundly invalidating environments, and, therefore, required a climate of unconditional acceptance, in which to develop a successful therapeutic alliance. Her second insight involved the need for a commensurate commitment from patients, who needed to be willing to accept their dire level of emotional dysfunction. Treatment Strategies and/or Techniques DBT strives to have the patient view the therapist as an ally rather than an adversary in the treatment of psychological issues. Accordingly, the therapist aims to accept and validate...
Words: 2868 - Pages: 12
... Abstract In today’s society there are many health care professionals who have to conduct group sessions. It is imperative that for the safety of every client and therapist that a thorough training in ethical standards are established. In laying the foundation for ethical standards it is essential to establish boundaries for what exactly constitutes group work. Many people within group therapies will have different ideas and opinions based upon their own interpretation, morals, beliefs, cultural influences, and personal experiences. Within a group session there is a high standard of ethical behavior to protect the members of the group, the facilitators and anyone else involved in the group dynamics. This essay will provide information about how group sessions are conducted, common ethical issues within group therapy and how these issues compare to those from individual counseling. Ethics in Groups Introduction According to Kemp (2010) therapeutic communities consist of having qualities of belonging, governance, communication, interdependence and participation and are known as groups or group counseling. Within group sessions there is a common issue that each individual are coping with. The group is encouraged by the leader to express themselves and give feedback. Each person in the group, including the leader, are to provide new ways of behaving and to tackle issues that an individual presents in a session and provide one another with an opportunity for learning...
Words: 3284 - Pages: 14
...iNTEGRATIVE Perpetual evolution: A dynamic integrative approach to developing praxis in counselling psychology Table of Contents Table of Contents 1 Theory Building in Counselling Psychology 2 The Impulse Toward Eclecticism 4 My Bohartian History 6 Adlerian Psychotherapy as Structured Eclecticism 10 My Adlerian Roots 11 Beyond Adler: Robertsonian Meme Therapy 13 The Nature of Self 13 The Potential for Using Memes in Counselling 15 A Use of Meme Theory in Counselling a Suicidal Youth 17 Holistic, Dynamic and Integrative: Looking Forward in Our Profession 21 Summarizing the Foundational Principles of My Practice 21 Revisiting Holism 23 Future directions 25 Footnotes 27 Theory Building in Counselling Psychology An early text lamented, “A good theory is clear, comprehensive, explicit, parsimonious, and useful. We appear to have a paucity of good theories in psychology” (Stefflre & Matheny, 1968). Lent attempted to reduce this paucity by formulating his own theory: Wellness is intended to capture the notion of health as a dynamic state or process rather than a static endpoint; psychosocial wellness acknowledges the importance of both intrapersonal and interpersonal functioning. The multiple aspects of wellness would include a) self-perceived (domain and/or global) satisfaction (hedonic well-being), b) domain/role satisfactoriness, c) presence of prosocial versus antisocial behavior, and d) low levels of psychologistical...
Words: 7788 - Pages: 32
