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While working at MSPCC there are at times individuals that do not want to be in family therapy. I remember one individual in particular that just did not want to be part of therapy. He would get verbally aggressive with his grandfather and often stormed off slamming their house front door. This was one of the few cases I managed that involved substance abuse this past year. The client was 17 at the time and he smoked marijuana every day before and after high school. His grandparents and legal guardians were concerned that he would get in trouble if he kept hanging out at late times of the day with his group of friends. Friends that had a bad reputation in the town that the family lived in. They were also scare for their safety as they do not know what his friends were capable of if they had any issues with the client. It was hard to get the client to join the session and to get the client to communicate was a more difficult task. I tried seeing the client separately to talk about his resistance in taking part in the family therapy. This, I thought, helped give an outlet for the client to express his concerns and …show more content…
I feel that while I worked with the client separately I was able to get more of a connection and build a relationship to allow space for him to reflect. However, I feel that the client believed the IHT team sided with the parents which created a dissonance and subsequent resistance towards therapy or the IHT team. It was a sense of distance and lack of report that grew, in my opinion, because of miscommunication about the purpose of the therapy. While we attempted to communicate this purpose, the client was not engaged. This has to be distinguished from sustain talk in that it was not an argument about sustaining the use drugs. While he did have sustain talk, it was more about the connection and relationship with the
As a therapist, there are several different elements to be reviewed. The first step requires acknowledgement of both the times and the dynamics of the family. The setting is between the years 1989-1998. As stated above, this is an African-American family that lives in an urban town in Mississippi. In some African-American families important things are not always discussed. It is as if the method of dealing with an issue, is actually not addressing the matter at all. This creates a heavy elephant in the room. I believe that is a coping method for the family. If the family were to address the issues at hand, it would require someone or several people to admit fault. Admitting fault in some families, can be worse that not acknowledging the problem. A therapist would have more success with the client if they take these factors into
There can be some potential barriers when using TF-CBT. Therapists have to take into consideration that when having the session with the child and the parent, the parent may have experienced sexual abuse as well as a child, and this may open up some past wounds that have not been resolved (Foster, 2014). Foster (2014) also states there is a risk that a child and/or family may want to drop out due to the dynamics of the family, the severity of the symptoms of the child, the stress of the parent, whether or not if the parent believes in counseling, or if the child’s symptoms get worse before they get better and the parent takes them out of therapy.
Today I received a referral from a family who is seeking help regarding their dysfunctional family structure. The Simpson’s are a nuclear family that is having difficulties living as a family. I have already spoken to Marge Simpson and agreed to find a way to get her husband and children to therapy. She has very high aspirations of attending therapy with her family because she has longed for a “normal” functioning family in which her husband and children interact in a much healthier manner than they do now. She described her husband of being careless, her son uncontrollable ate times, and her daughters disconnected from the family. We have set up the meeting for next week, Wednesday at six, when she believed her family would be more willing to attend and actually participate in the therapy session.
I can say the entire family is the client. The entire family have issues that needs to be addressed, and as a social worker, I can suggest a few goals for the family so it will not overwhelm the family unit. I feel Cindy’s issues are a priority over the other family’s needs, because she is the primary caretaker of the family. Cindy has also stated she is under stress and have impulses of using again. Working with Cindy also crosses over to the other family members to also help them.
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).
...ate with their therapists. “A systematic relationship between the therapists' personal reactions to the patient and the quality of their communication, diagnostic impressions, and treatment plans” (Horvath & Greenberg, ). While positive attitudes from the therapists are more likely to result in a successful treatment, negative attitudes will not develop the necessary cooperation from the clients side to successfully reach the goal of the therapy.
Family therapy is a branch of psychotherapy which involves working with family and couples in order to facilitate positive change and development. Family therapy emphasizes the role of family relationships on psychological health. There are various schools of thought in family therapy but they all agree that irrespective of the origin of the problem and notwithstanding if the clients consider the problem a family-related one, family therapy can often prove quite beneficial to the clients. Modern family therapy expands the definition of family to include not only parents and children but all the people who have forged long term roles and relationships and may not necessarily share any relationship by blood or marriage (1).
The reason that I have come to that decision is because each one of the family members deserve respect. One of the 6 Social Work values is Dignity & Worth of a person, meaning that client the client deserves respect, and be treated as you would want to be treated. Each one of my client’s family members are going through their own struggle. At the end of the day they come home wanting to be accepted by their family members, needing love and compassion from each other. The father with poor health doesn’t bring home as much money as he used to. This causes the wife and him to argue over money, and even more now that their 17-year-old daughter is pregnant. Little Joey hears all this, and in turn, he displays his home problems at school through bullying
Cognitive Behavioral Therapy is hard work and part of that has to do with the distress progress can sometimes create in a family system.
Roger and Tina come to therapy without their children. From an experiential therapist standpoint, the best method at this point would be to have Roger and Tina engage in emotionally focused couple’s therapy to help uncover the negative feelings they each feel toward one another. In heated moments, it is important for the therapist to intervene in the discussion and to reflect on what Roger and Tina are feeling. This will help defuse the situation and the therapist can help guide them to focus on their experience, rather than on what the other is doing wrong (Nichols, 2013). This is important so that the therapist can build a collaborative and effective bond with both parties (Swank, 2013). Discussion of specific issues in their relationship
Although, this session ended with amazing results, I feel as though I need more practice with this type of therapy. I have to continue to practice on allowing the patient to come up with their own solutions. I found it hard not giving advice to my client, because I already knew the situation. However, in the end I found myself very proud, because even though this was not a real therapy session, but the client was able to find a real solution to her problem. This experience is one that teaches the therapist restraint, it allows one to step back and listen. It also gives the client the opportunity to reach a solution themselves without someone giving them the answer to their
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
As a therapist, I would work with Laura, the client, to build a strong sense of trust so that she may feel secure enough to see me as a base “from which clients can explore painful aspects of their lives and find new ways to understand themselves and others” (Coady & Lehmann, 2008 pg. 161). After engaging with Laura, I would move to assessment and intervention. I would explore with Laura how here parent’s treatment of her led to her development of her own inner representation model and how that has effected her current relationships. I would encourage her to explore her emotions and to work through hard memories to allow herself to explore her feelings. In the final stage of termination, I would work with Laura to make sure she fully understands what the termination of the therapy relationship meant and explore and thoughts or feelings that either have or may
Therefore, Experiential Family Therapy is a non-traditional therapy. According to Goldberg and Goldberg (2012), another weakness is that, the clinicians who use Experiential Family Therapy only focus on the family members’ experiences to come out with an outcome on the problem. Another weakness is that, in Experiential Family Therapy, the therapist pushes the clients to confront their issues, and does not offer a solution. In this therapy, the client is pressed to confront heir issues and find answers to their problems, instead of helping them to find solutions for their current
There are few circumstances counselors have to oblige when dealing issues from clients. Counselors have to be trustworthy; this is a fundamental to understanding and solving issues. Counselors have to keep information gathered confidential and restrict any disclosure of information to anybody. Clients voluntarily seek help to counselors for therapy or any kind of help they need. Hence as a counselor it is important to respect their clients’ self-government and ensure precision in information given. Commitment of a counselor plays a big role in a therapy. It is not ethical for a counselor to neglect a client such that the client’s well being is not taken care of. It is also important for counselors to have a fair treatment with all their clients. No matter how each client will be, there must not be any form of judgment, which will cause any form of unfair