...Dependent Personality Disorder in Women Kimberly L. Johnson Abstract This paper will examine the DSM disorder of Dependent Personality Disorder in Women. The focus of this paper will be to highlight the differentiation, diagnosis and treatment of this specific pathological personality disorder. According to the DSM, Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by others that usually lead to clingy and fears of separation. In professional counseling it is critical that clinicians understand the root causes of DPD and how this disorder can manifest in women. This disorder can be found in both men and women, but research seems to suggest that women are more likely to suffer from this disorder. Therefore, understanding the pathology of DPD and its diagnosis and treatment will be critical to professionals working with women. This paper will also discuss how clinicians should be cautious when making diagnosis in women who present with DPD and knowing what gender and culture factors that exists. Dependent Personality Disorder in Women Clinical Definition of Dependent Personality Disorder According to the DSM-IV-TR (2000), Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by another person that usually lead to clingy and fears of separation. DPD as outlined in the DSM-IV-TR is considered the formal diagnosis of DPD needed for insurance, research, and communication...
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...Therapeutic and Forensic Roles An article by Greenberg and Shuman (1997) indicated that combining both therapeutic and forensic role is conflicting and problematical. They mentioned that the only solution to this conflict is that these roles cannot be ethically merge together for the same client in any legal proceeding. The opinion given that these two roles can be managed by one person at the same time if only this person is searching for therapeutic services or searching for forensic services but not to the same person. These roles can be administered by one individual through proper education and training, but not for the same individual, when that same individual is currently in a therapeutic relationship with the therapist who also is a...
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...Existential Case Study of George Costanza A Conceptualization and Treatment Plan Abstract An existential case study of G.C. was developed to address his maladaptive behaviors caused from strong generalized anxiety, relational, and employment concerns. The treatment was prompted by his employer who wanted to make sure G.C. could work professionally. A brief introduction of G.C. is followed by an introduction to Existential therapy and its theory and principles. Existential psychotherapy, with a focus on growth and development, is an approach that primarily utilizes the therapeutic relationship and has no specific methodology. Four givens or major concerns in Existentialism are identified and three target areas are determined. Several Existential approaches are used to reach experiential goals for the client. The addition of spirituality to the treatment modality is considered for its utility, compatibility, and possible incompatibility. Empirical evidence is used to support the treatment choices and the rational for the sequence of changes. The anticipated progress and results are considered with possible challenges to the process. Existential Case Study of George Costanza A Conceptualization and Treatment Plan A gentleman with strong generalized anxiety issues was referred by his employer for counseling. It was decided that the most effective approach would be Existential psychotherapy because of its flexibility and efficacy with all of the issues. In addition, the client’s...
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...Communication Skills and Models to Help Clients Admitted for the First Time to a Mental Health Hospital Introduction Communication is one way of exchanging information and feelings from one person to another (Bach and Grant 2009). It is transmitted through verbal and non-verbal behaviour. Communication is an essential and fundamental aspect of nursing care (Timmins 2011). It is a major and important part of daily nursing practice in the nurse-client relationship (Sheldon et al. 2006). Communication in nursing is unique and it is different from communication between healthcare providers because nurses are at the start of the healthcare service as they spend more time with the client than other healthcare professionals (McCabe and Timmins 2006). Therefore, nurses have to pay more attention to improving their communication skills for better client care. In order to establish a positive relationship with the client, it is necessary to communicate effectively and subsequently improve the quality of nursing care (McCabe and Timmins 2006). Effective communication is key to a therapeutic relationship with the client. It is defined as a ''purposeful form of communication used in the helping relationship'' (Ruesch 1961 cited in Arnold and Boggs 2007, p18). It is developed by the nurse for the purpose of assessing, planning, implementing and evaluating client care (Arnold and Boggs 2007). The establishment of a nurse-client relationship was a key element of Peplau's (1952) work...
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...Ethical Decision Making PSYCH 545 May 7, 2012 Abstract This paper analyzes the therapist’s ethical dilemma of accepting or not a gift from a client from a non-Western culture. The essay describes the selected ethical dilemma, the cultural factors involved, and the first 14 steps that therapist takes to resolve this dilemma, and to arrive to an ethical decision. The 14 steps taken to obtain the ethical decision identify key aspects of this situation, analyzes the benefits and weaknesses of the options that therapist has. These ethical steps are helping the psychologist to identify the best approach for the ethical dilemma. The decision making process described in this paper applies to the patient’s best interest, influencing the client and therapist. Also the paper explains the importance of the ethical decision in professional psychology. Ethical Decision Making Ethical decision making process refers to the ability to take a decision after an evaluation of a complex and ambiguous ethical situation, and to the capacity to implement that ethical decision effectively. The ethical decision in this paper refers to the ethical dilemma of accepting of not the gift from the patient. In this case the client comes from a non-Western culture, so the ethical dilemma involves cultural considerations. The gift giving aspect must take into account the cultural context. The patient is a Navajo Native American male, and he has offered a dream catcher as a gift to his therapist...
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...achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity 20. Quality improvement 21. Relationship-based care 22. Safety Teaching-Learning Strategies * Review course syllabus distributed by instructor * Read requirements and policies related to program found in Nursing Student Handbook (NSH) * Review course supplemental learning guide (SLG) * Text for course * Read definitions of Major Concepts used in the Program...
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...behaviors demonstrate care and interest in the client through body language, facial expressions, tone of voice, eye contact and attention to the topic at hand (Ivey, A. Ivey, Zalaquett, & Quirk, 2012). This is demonstrated quite well by the first counseling demonstration with a married couple, Aaron and Robin, and their adolescent daughter, Michelle. The counselor conveys warmth and care with good eye contact with each person, a relaxed but attentive posture, and good use of gestures throughout the session. His presence indicates concern and empathy. Encouraging Encouraging behaviors are used to help the client continue talking and elaborate on the topic at hand. Encouraging behaviors include verbal and non-verbal cues from the counselor. Verbal encouragement can be as simple as a verbal utterance such as, “uh-huh” or a restatement with the tone of a question such as, “So you were really angry” (Ivey, A. Ivey, Zalaquett, & Quirk, 2012). The counselor meeting with Aaron, Robin and Michelle does this very effectively, throughout the session (Laureate Education, 2010). He says, “uh-huh” and “yes” multiple times along with open gestures that seem to be an invitation to open up and continue. They are very nuanced but seem very effective in keeping the conversation moving forward. Paraphrasing with Check In Paraphrasing in an active listening skill in which the counselor reflects back, with empathy and openness, what the client has said, in the counselor’s own words...
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...Applying an Integrated Approach to a Case Example: Cognitive Behavioral Therapy and Person Centered Therapy Applying an Intergraded Approach to a Case Example: Cognitive Behavioral Therapy and Person Centered Therapy Theory plays an important role in the process and outcome of therapy. For this reason, it is a topic that is examined in depth in human service education programs and research. Theory is used to explain client problems and to dictate what is done in the counseling process (Hackney, 1992). Theory can be used to define “the nature of the relationship between the counselor and client, to conceptualize the nature of the presenting problem(s), and to define the resulting counseling goals or desired outcomes” (p.2). In the past, much focus has been paid on delineating and accentuating the differences between the many theories of therapy (Sprenkle, 2003, p. 93). Today, there is a move towards convergence of theories within the helping practices (Hackney, 1992, p. 3; Sprenkle, 2003). Researchers and practitioners are searching for an integrated approach which emphasizes the key components within the helping process and relationship that have been linked to effective therapy (Hackney, 1992, p.2). Cognitive-behavioral therapy (CBT) and Person-Centered Therapy (PCT) have been shown to bring about positive changes in therapy. CBT and PCT, like all single-theory approaches, have limitations. Literature suggests that...
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...Introduction Davies and Bhugra (2004) noted that, the humanistic and cognitive-behaviour approaches to therapy share little more than a resounding belief in the need for a strong therapeutic alliance to affect positive and lasting change in behaviour, thoughts and attitude of clients seeking therapeutic intervention. The difference lies in the application of the techniques and the beliefs underlying the origins and treatment of psychological problems, which are associated with the physical illness and biological abnormalities of one sort or another. (Davies, and Bhugra2004). According to Barker (2003) a therapeutic alliance is a situation in which patient and psychotherapists are bound together in working towards mutual communication and understanding. This means that the professional hopes to engage with and effect change in a patient. In addition, Gabbard (1994) noted that the essence of therapy is a transaction between two collaborating human beings with the goal of helping the patients, and that there is no right treatment approach. Different theoretical models and treatments strategies may apply flexibly over the course of treatment. This essay will compare and contrast humanistic approach and cognitive behaviour approach, and discuss their relevance to psychiatric nursing practice. Both approaches will be applied to the management of anxiety. The humanistic approach According to Bugental (1967), the humanistic approach is concerned with the...
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...Adlerian Approach with Abby Sylvia Montalvo Walden University Adlerian Approach with Abby The therapeutic approach in the case profile of a client named Abby after an assessment is given, and a summary is developed based on the information collected is the Adlerian approach. According to the COUN 6722 study notes, Abby is a 57 year-old African American women who came into the office seeking counseling. Abby works part-time as a free-lance editor. Abby has a bachelor’s degree in literature. Abby is married to her husband Ron who was diagnosed two months ago. Abby has a difficult time accepting that her husband was diagnosed with cancer (Walden University, 2012). She cannot cope with the situation, therefore Ron’s brother is the one who takes him to have his treatments, and to his doctor’s appointments. Abby is depressed, and spends her time crying, sleeping, has lost her appetite, and feels fatigued. She feels guilty that she is not supportive toward her husband (Walden University, 2012). Abby has always believed to be hopeless throughout her life. She has low self-esteem, and believes that everyone around her has a better life than she does, though she has lived comfortably. Abby has expressed that she suffered from migraine headaches in her twenties, which has become worse over the years (Walden University, 2012). Doctors have prescribed medications for the migraines, which has not been effective. Abbey claims that she drinks alcohol two...
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...Personal and Professional Healthcare Communication xxxxxxxx HCS/350 Health Care Communication Prof: xxxxxxx Date: 1/02/2011 “Communication is the process of sharing information using a set of common rules” (Northouse & Northouse, 1998, p. 2). Health care communication is a specific and narrower form of communication that takes place between the health care professionals and patients regarding health. Communication Human Communication Health Communication Figure One: Relationship among three kinds of communication (source: Northouse &Northouse, 1998, p. 2) Many organization has defined health care communication in different ways. Just like any other human communication, it is person specific. This is a skill health care professionals need to learn by practice. According to The United States Office of Disease Prevention and Health Promotion (2010), "the art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community" (Terminology, para. 4). Communication is a skill that professional needs to learn and practice to be an effective communicator. While practicing, they should employ the four...
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...Therapy: A Case Study Thomas J. McCarthy Grand Canyon University: PCN-500 May 4, 2016 Reality Therapy: A Case Study The counselor will choose the Reality Therapy in this case study because it focuses on relationships and how we choose to establish or re-establish new, satisfying relationships. (Murdock, 2013, p. 365) And in this case, the counselor needs to change Ana?s relationships with her parents and siblings in hopes for support because right now she is hopeless and needs to reach out for support. Cognitive-behavioral therapy and Cognitive therapy focus on thoughts and emotions...
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...value for money. Within the community care district nurses are vital, there role is autonomous, unique and varied. Furthermore there expert theory, skills, and knowledge of self and practice adds to their advanced interpersonal communication skills to assess clients with increasing complex needs (Blazor et al 2008). Communication is the cornerstone of the nurse patient therapeutic relationship and is the essence of good care (Stein-Parbury, 2009). Within the community care setting, therapeutic relationships are a high priority of the health service to enhance the well-being of the growing ageing population and patients with complex palliative care needs (Bain and Baguley 2012). The Department of Health (2006) acknowledges that communication is paramount for human interaction, otherwise people cannot relate to others effectively, make their needs known and identify what is happening to them. A fundamental aspect for district nursing staff is to ensure the whole family unit is included in the communication process which is an essential part of the therapeutic relationship. The therapeutic relationship is grounded in an interpersonal process that occurs between the nurse and the client. It is a purpose, goal directed relationship that is directed at advancing the best interest and outcome of the...
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...As defined by the Merriam-Webster dictionary, “therapy” is formally known as the therapeutic treatment of bodily, mental, or behavioral disorders. Whether it is short term or long term, therapy is something that can be quite beneficial. There are many different types of therapy, for a wide variety of health issues, but I am going to be talking about psychotherapy specifically. Throughout history, the mental health system has been through many changes and different approaches to therapy have been adopted. With these changes, there has also been the addition of various different mental health resources. When most people think about therapy, they imagine an individual laying on a couch in their counselor’s office with the therapist sitting, usually...
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...LAUNCHING POINT....SOMETHING YOU COULD PARAPHRASE OR BORROW SOME IDEAS... Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling or Psychotherapy Personal Theory of Counseling of Counseling or Psychotherapy Introduction This application paper will discuss my personal theory of counseling or psychotherapy in a number of different areas. Specifically, I will discuss the seven areas of interest. First, I will discuss and describe my basic view of human nature, Second, I will determine key factors that account for changes in behavior. Third, I will describe the nature of the therapist client relationship and its importance. Fourth, I will describe key functions and role of the therapist. Fifth, I will discuss the goals of therapy. Sixth, I will determine the techniques and theories of my approach. Seventh, I will discuss specific client issues best suited for my approach. (Walden University, 2012). In this paper I plan to describe and explain my own personal model for counseling. My personal model of counseling uses Gestalt Therapy, Person Centered Therapy, Existential Therapy and Adlerian Therapy which I think complement one another well My Basic View of Human Nature My basic view of human nature is a combination of Person -Centered, Gestalt and Existential theories of counseling (Corey, 2013a). I believe that we are all searching for what it means to be human. I also believe that people are both the product and the process of their choices...
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