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Post University Psychotherapists Family Therapy Discussion

Post University Psychotherapists Family Therapy Discussion

Post University Psychotherapists Family Therapy Discussion

Description

Discussion #1 Integrating Theory Models

Gloria M

I enjoyed many of the theories presented throughout this term. Nevertheless, a few of my favorites are Cognitive-Behavioral Therapy (CBT), Structural Therapy, Narrative Therapy Solution Focused Therapy (SFT). In terms of deciding which ones I would prefer to integrate into my professional career I’d have to choose Cognitive-Behavioral Therapy (CBT) and Solution Focused Therapy (SFT) simply because these are the two models which I feel could be integrating successfully and most effectively in practically any scenario. Cognitive-Behavioral Therapy (CBT) is a psychosocial intervention with the goal of improving mental health while also working to counteract the challenging, unhelpful and often hindering cognitive distortions which results in behavioral deficits. Cognitive behavioral therapy helps the client improve their emotional regulation as well as develop personal coping skills which can help in outside scenarios when the therapist is not present. This is a vital provision in which I would incorporate every client to use to the best of their ability because it provides autonomy and independence over their situation. The truth of the matter is, neither me nor any other counselor is going to be totally accessible to the client and their specific day-to-day needs at all times. Even in a mental health hospital where 24/7 supervision is said to be provided the actual psychologist may not always be at every beck and call of the client. Therefore, teaching the client to manage their triggers and reactions in an independent mannerism is smart. Solution Focused Therapy on the other hand, is likewise advisable because it is a goal oriented and collaborative approach to foster psychotherapeutic change in the clients conduct as well. However, Solution Focused Therapy differs from cognitive behavioral therapy as it consists of direct observation of the clients responses to a series of precisely constructive questions. Solution focused therapy places a focus on the persons present and future circumstances and goals rather than their past experiences, cognitive behavioral therapy can gain insight from the past or present. Nevertheless, what I enjoy the most about solution focused therapy is the fact that the therapist uses collaborative measures to assess the cognitive distortions in terms of crippling symptoms or issues of a person, rather than viewing the person as an issue altogether. This person centered and humanistic viewpoint can allow the professional to adequately challenge, and target the clients symptoms without necessarily targeting the client in order to keep them from feeling attacked and isolated throughout therapy. Altogether both forms of measurement are vital for the success and advancement of mentally ill individuals as supported by empirical research.

Samantha S

Dr. January and Class,

This student liked many of the theories discussed in this course, but can say that she liked cognitive-behavioral therapy (CBT) and solution-focused therapy (SFT) the most. With that being said, this student would say that she would integrate those two together. This is because cognitive-behavioral therapy is a short-term therapy while solution-focused can be longer. However, it is important to note that these two approaches to therapy are both considered to be a type of ‘brief therapy’. A similarity between the two is that they both focus on the positives to establish an appropriate solution. Solution-focused therapists will help individuals identify and recognize their strengths in order to use them to improve on an area that they need to work on. (Antin, 2010). This student looks at this approach as an approach that focuses on the positives instead of dwelling on the negatives. For example, if a solution-focused therapist were working with a client who suffers with generalized anxiety disorder, they may want to find out what the client is feeling when they are not anxious. Another reason why this student likes solution-focused therapy is because it does not focus on the diagnosis of one’s clients, but rather their behaviors (Antin, 2010).

Another important aspect of this approach is that it is goal-oriented. In other words, the therapists works with the clients to establish their ultimate goal. In order to make something less overwhelming for a client, the therapist helps break the tasks up into smaller steps. This will help them feel empowered and take charge in their lives for what might be the first time (CBT Los Angeles, 2020).

Cognitive-behavioral therapy is similar to solution-focused therapy because it does not focus on the past. Rather, it focuses on the present and how their feelings lead to how they behave. However, a difference between the two is that CBT focuses on the problem, including how it developed and how it still continues (Metcalf, 2011). Solution-focused therapists do not want anything to do with the problems of the family, as their main focus is on the family’s positive attributes. consist of the problems of the family. In other words, as discussed previously, they focus on the positives and how the clients can improve using their known strengths.

With that being said, the combination of both CBT and SFT would be beneficial, in this student’s opinion, because they both focus on the positives, with one of them only focusing on solutions and the other that analyzes the problem in order to come up with possible solutions. Furthermore, she could see herself utilizing the goal-oriented aspect of solution-focused therapy combined with the cognitive restructuring of individuals. This is because she would help her clients change their negative thoughts into positive thoughts, which would ultimately change their approach on how to deal with problems that arise.

References

Antin, L. (2010, February 24). Three simple reasons solution-focused therapy works. Retrieved December 16, 2020, from https://www.goodtherapy.org/blog/solution-focused-therapy/

CBT Los Angeles. (2020). Solution-focused therapy. Retrieved December 16, 2020, from https://cogbtherapy.com/solution-focused-therapy-los-angeles

Linda Metcalf, P. L.-S. L.-S. (2011). Marriage and family therapy : A practice-oriented approach. Springer Publishing Company.

Discussion #2 Premature Termination

Samantha S

Dr. January and Class,

Premature termination should only be done under the client’s terms. However, when it comes to a legitimate situation, there are requirements that therapists are required to uphold. For the sake of this family, the best thing to do would be to make a recommendation to someone you know the family would benefit from. The code of ethics specifically states that termination of a client(s) is only deemed appropriate if the client no longer needs the guidance, is not likely to benefit from it, or continued counseling is only harming them (American Counseling Association, 2014). With that being an ethical requirement, it is also required that therapists follow the termination principle of ethics. This includes making the needed referrals necessary for the family. Due to the fact that this family has been seeing you for the past six months, it would be unethical to just abandon them because you have accepted a position somewhere else (American Psychological Association, 2020). If fact, the Marriage and Family Counseling code of ethics states that family and marriage therapists do not abandon or neglect their clients without making the proper arrangements to continue their treatment (American Association for Marriage and Family Therapy, 2015). Therefore, for this family, this student would refer the family to the best place of practice that she feels the family would benefit best from. With that being said, this writer is now going to discuss ethical considerations for this family.

One ethical consideration is competence. This is because the therapist must remain competent throughout the whole therapy process, including the referral process. For the sake of family who ahs been seeing you for six months, this student would be cautious of the therapist jumping ahead and making random referrals due to the fact that the new job starts in two weeks. This is why it is essential that therapists read the code of ethics before making any official decisions. Furthermore, another ethical consideration would be professional responsibility. Specifically, counselors are only to practice in areas new to them only after they have seeked the appropriate training, education, and supervision required. In addition, they are expected to maintain competence and avoid any potential harm with their former and new clients (American Counseling Association, 2014).

References

American Association for Marriage and Family Therapy. (2015). AAMFT Code of Ethics. Retrieved from https://www.aamft.org/Legal_Ethics/Code_of_Ethics.aspx

American Counseling Association. (2014). ACA Code of Ethics. Retrieved from https://www.counseling.org/resources/aca-code-of-ethics.pdf

American Psychological Association. (2020). Termination and abandonment: A proactive approach to ethical practice. Retrieved December 17, 2020, from https://societyforpsychotherapy.org/termination-and-abandonment-a-proactive-approach-to-ethical-practice/

Gloria M

My main concern, as should be any good professional’s concern, would be the debate on whether or not I am imposing harm onto my clients by terminating our services in order to take a better position in my career. Whether it be the American Association for Marriage and Family Therapy code of ethics (AAMFT), the American Counseling Association code of ethics (ACA), or the National Association of Social Workers code of ethics (NASW), they all basically exert the same responsibilities. Avoiding to neglect and harm your client in any way is one of the main, and probably most important obligations within all three. I worry that by terminating therapy for a higher paying position can be viewed as the neglectful act that it truly is. At the end of the day many professionals do not get into therapy or counseling for financial reasons, but we must also acknowledge that many professionals do. Therapy is often viewed as a hoax or finesse for professionals to simply get as much money as possible and only provide conversation in return. I am aware of this perception especially around my neighborhood which is predominantly black and minority. Therefore, if future intakes have this perception as well it would not come as a surprise to me. The most professional mannerism to handle this specific case would be to explain to the clients that you are leaving, and if possible they can be transferred to your new location to continue in services (AAMFT, 2015). Now while transferring may come with it’s own set of troubles it is essential to at least float the idea out there for the family to consider prior to simply asserting to them that termination is happening and they have no control over the process whatsoever. Ideally the goal of termination, referral or anything in that nature is to make sure the clients are secure and properly handled. This is why explaining the reasons why you are moving to a different position does not exactly need to be disclosed to them. Harm can be imposed onto this family if they feel as if they are just reaching a breaking point in their family and therapy, then all of the sudden the therapist bails on them. This is detrimental for many reasons but specifically towards their relationship and trust towards that professional. Trust is often a hard process to accomplish for many people, especially in the vulnerable population of people attending therapy. Therefore, the therapist should make that their first consideration. Once again I can not say what I would do if offered a better position in my career but was faced with the dilemma of leaving behind cases in which I’ve made much progress until I am personally sitting in that seat of decision making. Nevertheless, I do think this is a hard and challenging decision to make…one that deserves careful and multiple considerations.

References

American Association for Marriage and Family Therapy. (2015). AAMFT Code of Ethics. Retrieved from https://www.aamft.org/Legal_Ethics/Code_of_Ethics.aspx

American Counseling Association. (2014). ACA Code of Ethics. Retrieved from https://www.counseling.org/resources/aca-code-of-ethics.pdf

National Association of Social Workers. (2008). Code of Ethics of the National Association of Social Workers. Retrieved from https://www.socialworkers.org/About/Ethics/Code-of-Ethics/Code-of-Ethics-English

Discussion #3 Supervision and Family Therapy

Samantha S

Dr. January and Class,,

Supervisors are essential for any field of work. This is because it is a way to monitor one’s progress without giving them free lance to do anything. Essentially, it is a way for mental health trainees to have access to the support ant oversight that they need when first starting in the field. If that professional wants to become licensed, then they have to complete a certain amount of supervised hours, depending on what that state requires (Good Therapy Team, 2019). Supervision not only helps a therapist grow, but it helps sharpen their diagnostic skills, encourage self-care, and help provide better treatment plans. In addition, it allows therapists to ‘learn by doing’. This is because a supervisor is there to provide constant feedback, as they are the more experienced individual in the situation (Good Therapy Team, 2019). However, it is important to note that peer supervision is appropriate for this field of profession as well. This is because counselors are ethically obligated to seek supervision whenever they feel they need it. Specifically, the code of ethics states that counselors should monitor their own effectiveness as professionals to take the proper steps to improve when needed (American Counseling Association, 2014). This could be to seek peer supervision, but can also mean guidance from someone with a higher level of experience. When it comes to the different theories discussed in this course, this student can say that she has an interest in solution-focused therapy. If fact, it has been said to be one of the easiest approaches to helping one grow in field.

Solution-focused supervision may be one of the easiest and most useful approaches to foster clinical and professional growth. The approach can be used in two ways: as time-specific, over the length of a supervisory relationship, or as session-specific, in any one individual or group supervisory session Techniques used in solution-focused ‘supervision include highlighting strengths and exceptions as well as scaling. Specifically, highlighting the successes would include the supervisor asking the new therapist what he/she believes to be their successes for the week. In addition, identifying the exceptions in therapy will benefit the trainee by exploring what they did right in each session to help develop a better therapeutic relationship with his/her clients (Dewane, 2015). Furthermore, scaling is a technique used to help in different therapeutic modalities. An example of a question a supervisor can ask is, “on a scale of one to ten, how much progress would you say your client has made?” This helps the supervisee evaluate their progress as a counselor and begin to recognize their strengths and weaknesses. With that being said, this student is now going to discuss how she feels about supervising after a year of being a licensed therapist.

If this student were told she had to supervise a graduate student’s family therapy cases only after a year of receiving her liceense, she would probably not feel ethically or profesionaly equipped. This is because it would still be early into her career to take on the responsiblity of supervising someone else. In order to supervise in the field of family therapy, one must be familiar with common models utilized in family and marriage therapy (Metcalf, 2011). With that being said ,this student feels as if it takes a well-rounded individual with extented expereience in order to effectively supervise someone. A year does not give one enough time to get comfortable with the job itself, let alone prepare to supervise another therapist who just started out.

References

American Counseling Association. (2014). ACA Code of Ethics. Retrieved November 28, 2020, from https://www.counseling.org/Resources/aca-code-of-ethics.pdf

Dewane, C. J. (2015, September/October). Solution-Focused Supervision: A Go-To Approach. Retrieved December 16, 2020, from https://www.socialworktoday.com/archive/090915p24.shtml

Good Therapy Team. (2019, October 07). Clinical Supervision for Mental Health Professionals. Retrieved December 16, 2020, from https://www.goodtherapy.org/for-professionals/business-management/human-resources/article/clinical-supervision-for-mental-health-professionals

Linda Metcalf, P. L.-S. L.-S. (2011). Marriage and Family Therapy : A Practice-Oriented Approach. Springer Publishing Company.

Robin A

Dr. January and Class,

One of the theories that I am especially interested in is solution-focused theory. The theory maintains that clients have the skills they need to make a definitive life change and understands that the clients know themselves best (Metcalf, 2011). They are the experts, and I cannot assume that I know more about their lives and their problems than they do. I can only provide them with ideas and a different perspective that will hopefully offer them a solution. With that being said, we live in an age where much of what we do is virtual and that is how I would proceed. I would research to locate a therapist who can act as a supervisor and mentor. Given that I live in a very remote area, this may very well happen. In doing some research for supervision, I can seek out therapists who monitor group supervision using this theory. While the area is remote, there are several agencies that hold group therapy sessions for different issues. The Code of Ethics (2020) list numerous standards which we are held to and competency is certainly one of those. Therapists who are pursuing knowledge of new developments are obligated to do so through education, training, and supervised experience. Likewise is the standard which dictates that we need appropriate consultation and training to be effective and adhere to proper ethics (“Code of Ethics,” 2020). I would forgo working with the theory altogether if I could not find supervision rather than taking a chance with the well-being of the clients.

The minute I read question two I became uneasy. One year is not a long time to be in practice and I doubt I would feel comfortable supervising a graduate student. Martin & Cannon (2010) state that many supervisors will conclude that they are good supervisors because they are good counselors. They do not believe this to be false. It is not enough to be confident in one’s work or believe that we are ready to move onto a new role. I believe it takes time to learn and therefore takes time to pass on that knowledge. The Code of Ethics (2020) states that therapists are not to allow students or supervisees to perform work that is beyond their scope of training, experience, and competence. I would talk to my supervisor about the concerns that I have and ask for their advice on how to move forward.

Linda Metcalf, P. L.-S. L.-S. (2011). Marriage and Family Therapy: A Practice-Oriented Approach. Springer Publishing Company.

Code of Ethics. (2020). American Association for Marriage and Family Therapy. Retrieved from https://www.aamft.org/Legal_Ethics/Code_of_Ethics.aspx.

Martin, F. & Cannon, W. (2010). The necessity of a philosophy of clinical supervision. American Counseling Association. Retrieved from https://www.counseling.org/resources/library/VISTAS/2010-V-Online/Article_45.pdf

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