...with each other. It takes a commitment to the relationship to be able to reach out to a stranger (therapist) and ask for guidance regarding some challenges which are more overwhelming than others. Reaching out for help can bring the relationship back to its unit, as well as bring the individuals...
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...for heroine and alcohol use. Brandy was recently arrested for possession and distribution of heroin, and was court ordered to comply with substance-abuse classes. During intake, Brandy states that she has been using heroin for the last four years. Brandy states that after she had her twins, she felt very alone and overwhelmed. Although Brandy is still with the father of her children, she states that her significant other works 13 hour days, which gives her plenty of time to use. Aside from her regular heroine use, Brandy also states that she regularly drinks bottles of wine on a weekly basis. Brandy states that as a child, she remembers her mother regularly drinking wine, at times even sending her to the refrigerator to pour her another cup. Although Brandy has never been in trouble previously, she states she has considered treatment often. Brandy states that the longest time she has been sober from alcohol was for about 3 to 4 days. She states the longest she has not used heroin was 2 days. At this time, Brandy states that she wishes to get treatment for her heroin use. Brandy insists that her alcohol use does not negatively affect her,...
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...Application to an Audio Recorded Client Case Pattern of Questioning I identify the pattern of questioning that Dr. Insoo Kim Berg uses in “Dying well” as the initial open-ended questioning that is tailor for obtaining details about the clients and to get the client comfortably engaging in the flow of questioning patterns, through the process of solution language interaction with the client. The first few questions are basically probing question which help to generate solution and to identify goals early in therapy (Gehart, 2014). Throughout the session, I identify a combination of questioning patterns which lead up to the miracle questioning. At the beginning of the session, Dr. Berg started out asking basic question open-ended question,...
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...conversation begins. As well, it is important to ask permission from the patient, or legal guardian if the patient is underage or not able to consent due to the psychiatric condition. Once the conversation starts, the patient should have the full undivided attention of the nurse; the nurse shouldn’t be distracted by other patient calls, her personal or work phone, or be writing during the conversation. Actively listening helps build the trust of the relationship, which is essential for getting the patient to divulge thoughts of self-harm. “MI guides the therapist to listen actively to the patient without communicating criticism, blame, or other judgements, regardless of personal opinions of biases.” (Behrman, 2006, pp. 215-225) Once reputable trust has been established, asking open ended questions is key. It allows the patient to open up, and really answer the question in depth, and lead to the next topic. Closed ended questions don’t allow for the flow of conversation and really feel as though the patient is getting the third degree from the nurse. “In...
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...most providers believe that it is inappropriate. Currently, research is lacking in client expectations with regards to prayer being included in counseling. This study particularly surveyed Christian clients and their therapists. The therapists were chosen because they advertised themselves as Christian counselors. Two instruments were created, Prayer Survey and the Brief Therapist Prayer Survey. The Prayer Survey was for the client to complete to assist in determining their preference in regards to prayer to in counseling. The Brief Therapist Survey was used to find out about beliefs and prayer practices of the therapists. The therapist survey was also used to help determine if therapist factors are related to their client expectations. The study found that eighty-two percent of clients wished to have audible prayer in their counseling sessions. Those that were less likely to want audible prayer are those that had not received prior Christian counseling, Catholics, and religiously liberal individuals. Despite the difference among the groups, a majority and in some instances almost all Christian clients of Christian counselors wanted and expected audible prayer as a part of their counseling services. Interestingly, the surveys showed that the therapists use of...
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...continuously throughout the discussion between Elizabeth (occupational therapist) and Sally (client) who is in recovery from a pregnant stroke. It’s a relationship to provide goal-oriented support to the patient in advancing their physical and emotional wellbeing. Listening to the patient means taking onboard both the content and the feelings the client is expressing, while subsiding personal judgement and ideas to centre attention on patient needs and goals. Elizabeth executes effective therapeutic communication which I can confidently mimic, to help me develop skills in clinical. What? Sally has been hospitalised for 5 days and is recovering from a pregnant stroke. Elizabeth uses a therapeutic approach to engage and talk to Sally about her needs for returning home and living safely. Elizabeth introduces herself to deliberately ensure Sally knew her name and how she was helping her. This is effective in clinical as patients may have various doctors and can become disoriented with the different people. Introductions ensures the client knows who each person is, and how they are helping them. When talking to clients, showing your body language is engaged with the client’s conversation is important to show engagement and respect. Sitting squarely indicates interest which Elizabeth uses as she lowers herself in a chair to Sally’s bed frame which shows respect as she is now eye level with Sally. Elizabeth adopts an open posture although doesn't face Sally. This can create a barrier with...
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...maintaining a therapeutic relationship between a client and the therapist or counsellor. The onus will be on Humanistic counselling but many of these skills are central to all counselling types. Humanistic counselling is a process whereby the eventual goal is to facilitate the client in developing a personal understanding of self, and form a realisation of their own psychological needs and desires. It is, in essence, a route to empowerment for the client. Carl Rogers, father of client-centred therapy, described the client as an ‘organism’ whose natural tendency is a need to grow and develop: "The organism has one basic tendency and striving - to actualize, maintain, and enhance the experiencing organism” (Rogers, 1951, p. 487). This ‘actualisation tendency’ can only happen with the help of the therapist and their establishment of the perfect growing conditions. It is these that help launch the therapeutic relationship between the counsellor and client: “If I can provide a certain type of relationship, the other person will discover within himself the capacity to use the relationship for growth and change, and personal development will occur” (Rogers, 2004, p. 33). There are six conditions involved in a therapist-client relationship. The first involves the client and therapist entering into a psychological contract with each other. The second and third conditions involve the psychological state of the client and therapist. Next the client is usually in a state of ‘incongruence’...
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... 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, after ending the psychological treatment. In many non-Western cultures this type of gift represents an expression of gratitude and emotional bond. “In order for a therapist to successfully work with a client from a non-Western culture...
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...reality of communal exchange, thumbing back to historical debates of empirical and rational schools of thought, delineations from dualism to social interchange and collaboration refine hypothesis’ of undisputable truth. Reminiscent of the psychoanalytic movement with greats such as Freud, Jung and Adler, therapy, more of an art than science, and current day philosophies drive which models influence today’s truth. Reality is fashioned by language, how we feel, act and think, revealing “stories” we tell the self as contextual meanings. These beliefs now evolve one’s creation and truth. The therapist, joining in recognition of new perspectives, empowers and helps the client see that forward progress is strength within oneself. In a social constructivist point of view, the therapist detaches from the expert status of defining the problem. From family therapy and the multicultural lens, therapists now challenge cultural factors that, in turn, shape the client’s perceptions in the format of brief therapies. Keywords: brief therapies, collaborative, family therapy, social constructionism Postmodern Approach to Social Constructivism In the 21st century a paradigm shift motivated the field of psychology to unlock a fresh world view revealing the objet d'art of collective exchange. Referring to the modernistic creation of self, it is said that the anthropological essence and the search for truth is being reworked within a flowing social change (Young and Collin, 2004,...
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...10-30 minutes that provides three states: exploration, clarification, and action stages. This type of emotional therapy is used so that emotions in the human body activated and help the client realize and change problematic emotional levels or self experiences that are not wanted. The therapist looks for the couples interactions, reflects process, finds patens in the relations, emotional signals, and helps expand those signals. The primary goal of this emotional focused therapy is to arouse the emotional awareness and be at a lived experience of a fear, shame, etc, in order to transform it. In this paper will be about a video named Emotional Focused Couples Therapy by Susan Johnson, who has a Doctorate in Counseling Psychology and developer of emotional focus therapy. She will be interviewing a couple who has been married for a year, she has three children but he doesn’t. They met at a church and the wife has had many traumas in her life. We will discuss the Nonverbal and verbal skills of counselor; did certain questions or comments create a change in nonverbal or verbal actions for the clients; what open- and closed-ended questions did the counselor use; what techniques did the counselor use to paraphrase and summarize the words of the clients? Was this effective; how did the counselor apply the information-giving responses; identify the exploration, clarification, and action stages of the interview; what are examples of reflective feeling; how did the counselor encourage...
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...Introduction This week benchmark focus on treatment interventions that are commonly used substance use disorder treatment approaches. Because, every treatment approach may not apply to the use of substance use disorder. An overview of some treatment approaches to addiction counseling may will be discussed. Along with the treatment differences for each, the method and rationale, the treatment professionals that are involved in addiction counseling. Treatment approaches to addiction counseling is very important because some type of addiction affects more than half of our population. Overview of Treatment Approaches to Addictions Counseling There are several commonly empirically researched substance use disorders treatments for addictions...
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...states. These altered mood states (depression) are thought of as medical illnesses, and clients are assigned the sick role to relieve some of the self-blame of being “faulty.” Depression is thought of as arising from four central contexts, including: grief, interpersonal disputes, role transitions, or interpersonal deficits. (Weissman, Markowitz, and Klerman, 2007). One of the tasks of therapy is to define the context in which the client is experiencing the most distress and then focus on improving his or her interpersonal interactions, which will then help to improve mood states and emotional regulation. IPT focuses on affects within the interpersonal context, there is no homework, and the therapist is focused on the client’s life outside of therapy, not his or her internal world. The IPT therapist is warm, positive, and hopeful. They are active and supportive, and take an expert role in therapy. They know and understand that the client is “sick” and want the client to feel confident that recovery is possible. (Bateman,...
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...from each other. This essay will also evaluate some of my personal experiences of having professional counselling which will enable the reader to gain an authentic perspective from the clients viewpoint. This essay will also state some of my own perspectives on what counselling is and what counselling has done for me personally. I will also demonstrate my understanding of the laws and legal implications of counselling Counselling can be a complex and abstract subject. Everyone has their own opinions on what counselling is. I am currently a student at Ty Elis training to be an integrative counsellor. This means that the therapist uses an approach which uses element from different forms of counselling and psychotherapy. After being a client and receiving personal therapy for a period of 18 months and now having started training to be a therapist myself, my own views on counselling have changed considerably. The BACP defines counselling as “Counselling and psychotherapy are umbrella terms that cover a range of talking therapies. They are delivered by trained practitioners who work with people over a short or long term to help them bring about effective or enhance their wellbeing”. Before I explain the different types of counselling I am going to express my own personal view on what I thought counselling was and what I think it is now to give the reader the perspective from both the client and trainee counsellor. When I first went to therapy it was for bereavement counselling...
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...Depression and Cognitive Behavioral Therapy i Depression and Cognitive Behavioral Therapy Your Name Course Information Professor May 2013 Depression and Cognitive Behavioral Therapy i Abstract Depression is a common psychological problem that has both physical and mental symptoms. “Some authorities have estimated that at least 12% of the population have had or will have an episode of depression of sufficient clinical severity to warrant treatment” (Beck, 1979). Some of the features of depression include negative thought processes and loss of concentration or memory. Cognitive Behavior Therapy (CBT) has emerged as one of the most promising treatments for the problem of depression. CBT has many advantages in treating depression, such as helping patients recognize and address negative thoughts. However, there are limitations and CBT is not always accepted as a viable treatment option for some. This paper addresses the goals of CBT in treating depression, the advantages and limitations of CBT for depression and explains how the therapy works to treat depression. Depression and Cognitive Behavioral Therapy 1 Depression and Cognitive Behavioral Therapy “Since its introduction in the 1970s, cognitive behavioral therapy (CBT) for depression has become one of the most widely investigated...
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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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