Assessment and Intervention Paper: The Smith Family Being that client(s) are unique and have diverse needs, therapeutic structures are not linear and areas that are being explored in therapy sessions would depend on the needs of the client(s) (Harper & Spellman, p. 102). However, for the purposes of this assignment I have decided to follow the structural pattern as offered by Morgan’s (2000) introduction to narrative therapy as a guide for how progress of working with the Smith family may occur and possible narratives that may develop during my work with them. Narrative therapy is a respectful and non-blaming therapeutic approach based on individuals being the experts of their own lives and exploring the stories they have created in association to the surrounding context of their lives, relationships and the meanings they have given to these stories. Unlike alternative approaches to therapy, narrative therapists believe that problems begin to develop for individuals when feelings of self-doubt are manifested through a comparison of themselves to society (Nichols, p. 270). According to Miller, Duncan and Hubble (1997), when client(s) enter therapy they assume themselves to have something wrong and lack the ability and/or strategies to make changes in their lives independently (p. 24). By individuals understanding their stories and with the support of the therapist, the client can then work towards creating alternative versions of these stories that allows them to recognize their personal power and responsibility. Narrative therapists work with the client(s) in creating separate identities for the client(s) and the problem. Likewise with all therapeutic approaches, a narrative therapy session begins with developing trust and r... ... middle of paper ... ...ents story that may be shared (Morgan, 2000). An exploration of possible dominant stories in each family member's life will be presented. The dominant story that is present for Karen is her worry for her children Alla and Martina. Karen has questioned her ability to parent her children as the case study offers information about her attendance with Kathy to parenting and marriage counselling classes. Karen also worries about the bullying that is occurring at school Karen and Kathy have questioned their parenting as the case study offers information about their attendance in parenting classes and marriage counselling before adopting their children. As there is no indication Their worry began with the moving of their family to the town. Moving into a new and unfamiliar community,Alla and Martina Alla has started to withdraw, wetting the bed and speaking “jibberish”
While her therapist helps her with her father, the therapist unintentionally improves her relationship with her husband. At Southeastern Louisiana University’s common read, Smith explains, “I think I was able to meet him [her husband] because I cleared up a lot of silly stuff through therapy” (Smith). This confirmation allows the reader to receive a higher understanding of the effect therapy impacted Tracy K. Smith.
Weisel-Barth, J 2014 ‘Review of “The Stories We Tell”’, International Journal of Psychoanalytic Self Psychology, Vol.9(2), p.162-166, DOI: 10.1080/15551024.2014.884526
As a social worker it is often complex to determine which theory to employ in practice, each client will warrant for an in-debt assessment of the presenting problem and goals the client desires to achieve. This paper will explore one family intervention model that can be applied to the Taylor family. The two theories analyzed are Cognitive Behavioral Family Theory, (CBFT) and Structural Family Theory (SFT); both theories can be utilized when assisting individuals or families. The social worker will focus on the Cognitive Behavioral Family Therapy model when applying treatment and interventions to the Taylor family case.
I was drawn into the Brice family's story and by the end of the book I cared about them and felt as if I knew them. I appreciated the author's no holds barred, realistic portrayal of the therapist and client relationship. Not only is the reader drawn into the subject's inner world, the reader is also pulled into the world of the therapist and given a ring side seat into the cognitive operation of the therapist mind. Napier and Whitaker lay out the theories that inform their practice. For example, they identify, feedback spirals, triangulation, transference, and enmeshed identities, for the reader and then demonstrate through the narrative, methods for assisting families in leaping over these
The core concept of narrative therapy is rooted in postmodern theory. This includes having a positive and hopeful view of clients and their power to create change. Also, taking a “not-knowing” stance is essential in order to enhance collaboration between clients and therapist. Narrative Therapy encourages therapists to remain curious and acknowledge
Structural family therapist have exemplified within the context relational therapies that uncovers stressors in relationship between individuals (Vetere, 2001). Structural family therapy has been known to be called “interventive approach” because of the “intensity” to encourage clients to change (Hammond & Nichols, 2014).
If the client has family problems, opening up or sharing their experiences can be a bit easier if they have been longing for an outlet to communicate their frustrations. It can also be a source of reluctance if the client's typical way to deal with problems is to shut down emotionally. Lily's family issues began when she was a young girl and over the years they became magnified and intensified. The relationship between her parents was dysfunctional and witnessing this as a minor impacted the way Lily interacted with others. She sought comfort in others such as Rosaleen and idealized her mother. The environment that a client is brought up in can help the therapist to understand the circumstances that led the client to their current
For this reason, some of the brief therapies, such as strategic family therapy or solution-focused therapy, that focus on rapid change without much attention to understanding, might be more appropriate. However, I believe these brief therapies do not give clients enough time to really parse out their problem. I am wary of counseling that limits clients’ ability to tell their stories fully, which seems like just one more way of silencing people, oppressing them, and keeping them in line. In working with my clients I want to collectively understand how problem-saturated stories developed, the cultural, familial, or biological factors that might be involved, and the availability of choices. I believe that narrative therapy is the most flexible approach in this respect because although not brief, it is efficient and seems to be effective long-term, although more research is needed, which is challenging because of the subjective nature of this approach (Madigan, 2011). In my therapy practice, I want to leave clients feeling hopeful and liberated by helping them to see the problem as separate from their identities and as only one story to choose from several, and by acknowledging the contextual factors contributing to the
The rapport and friendship built throughout this movie is vital to the success of the therapy exhibited here. This is a great example of Gestalt therapeutic approach and helps to identify most of the techniques incorporated. The techniques and ways of gently confronting but pushing a client all the way through are very beneficial to each viewer of this film.
Narrative therapy is a family counseling approach that continues to evolve and gain popularity in the field of therapy (Chang & Nylund, 2013). Given the continued strides of narrative therapy this is a family counseling approach worthy of research. This paper will detail the beginnings of narrative therapy and those responsible for its development. Although White and Epston are the leading figures of narrative therapy many individuals with varying backgrounds and beliefs influenced their thinking (Biggs & Hinton-Bayre, 2008).
The Adlerian approach in therapy differs from all other approaches in its perception of human emotions and strivings. As the other theories solely focused on the past of humans and their unconscious minds, Adler and his followers stressed more on social interest and community feeling, even though they don’t ignore other factors such as one’s childhood events. The latter believed than people have an innate sense of inferiority that will make them pursue happiness, success as well as fulfill their ambitions. In other words, Adlerians tend to help clients in therapy sessions to become more aware of these free privileges that they can have access to. Hence, the therapy journey is characterized by four main phases through which the therapist hope to achieve his goals in accordance with the client’s case. First of all, the therapist will begin by establishing a healthy relationship with the client. Therefore he creates a secure environment for the client to let him feel that he can open up and describe his experiences without having to worry about being judged. The therapist will also set his goals clear, share them with the client, and provide him with important information about his rights (Corey, 2009). The second phase will focus then on exploring the client’s psychological dynamics and general information about the person’s lifestyle. The exploration takes place in two parts: the objective interview and the subjective interview. In the subjective interview, the therapist will assist the client in exploring persistent habits and patterns in his daily life. Whereas the objective interview will tackle more general ideas about the client’s medical and social history that may help identi...
The client stated that she came to therapy because she has been feeling really lonely and feeling as though that she is not enough since the death of her father. After the death of her father, her mother did not pay her any attention; she understood that her mother was grieving, especially when her grandfather passed a year later. I stated that the frequent death that surrounded her mother, seem to have caused her mother to distance herself from her. She responded “yes, and it even gotten worse when my mom started to date and eventually marry my stepfather”. She mentioned that once her little sister was born, she became jealous and envious. I emphasized with her by stating that she must have felt as though her little sister was going to take the attention that she sought from her mother. After confirming that her mother paid more attention to her sister and stepfather, she mentioned that during this time she began to cut herself in places that no one would notice. The pain did not take the feeling away, but she wanted to know that if she could still feel pain after the thought of losing everything. However, the only person who paid her any attention during this time, was her grandmother. Her grandmother showed her the love that her mother nor “father figure” never showed her. I stated, “the love that your grandmother showed was not the love you were
The counselor accomplishes the above by expressing empathy, developing discrepancies, going along with resistance and supporting self-efficacy. Moreover, the counselor guides the client toward a solution that will lead to permanent posi...
Furthermore, my goal is to let client fix their problems on their own through insight and guidance from the therapist. I envision a successful therapeutic process being when a client follows their goals and achieves positive outcomes in their lives. I seek to gain a therapeutic process with my clients by building rapport, trust, and helping them gain insight. When my clients are stuck and need motivation, I plan to remind them about their goals and the positive things that will come with change. If family is important to a client, informing the client about their family and their happiness may help motivate them to continue to
Motivational interviewing is an important technique and counseling style that was created by William Miller and Stephen Rollnick in the 1980’s. The brief definition of motivational interviewing (MI) that is provided by Miller and Rollnick in their influential text is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” (Miller & Rollnick, 2013). Motivational interviewing is considered to be a style that evolved from client-centered therapy. The style is considered to be empathic but requires the counselor to consciously directive so that they may help their client resolve the ambivalence they are experiencing and direct them towards change. The important thing to note is that client autonomy is key to the process (Hettema, Steele, & Miller, 2005). However, despite being able to currently give a definition of MI, one that could be considered a working definition, motivational interviewing is “a living, evolving method” (Miller & Rollnick, 2009). It will continue to evolve as times change and it is implemented in use with other maladaptive behaviors. MI is a relatively new style that it still has the ability to undergo changes to adapt to what purpose it is serving (Miller & Rollnick, 2009).