Genogram

.pdf

School

San Joaquin Delta College *

*We aren’t endorsed by this school

Course

MISC

Subject

Psychology

Date

Dec 6, 2023

Type

pdf

Pages

Uploaded by CaptainSave-em

Genogram 1 1. Who is the identified client in this three generation genogram? Correct answer: Keith Explanation: An enclosure such as the one that is drawn around Keith is typically the symbol that is used to indicate who the identified client is. 2. Which relationship in this family or family history indicates an abusive relationship? Correct answer: Sally towards Mark Explanation: A zig-zag line with an arrow typically indicates an abusive relationship, with the arrow pointed in the direction of the victim, in this case Mark. The arrow is outlined, which means emotional abuse rather than a shaded arrow which would indicate physical abuse. 3. Which transgenerational pattern is most notable in this genogram? Correct answer: The distant relationship among mothers and daughters Explanation: The distant relationship among mothers and daughters is seen in the relationship between Fiona and her daughter Sue, and then later with Sue and her daughter Maggie. 4. What does the dotted line around Brian Sr. indicate? Correct answer: He may be distant and/or disengaged from the rest of the family Explanation: A dotted line drawn completely around an individual usually indicates distance, disengagement, or cutoffs from the rest of the family. 5. Which two individuals have a close and healthy relationship, as indicated by this genogram? Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

Correct answer: Brian Jr. and Keith Explanation: Two solid lines that are drawn, as opposed to three solid lines, indicate a close relationship that is not fused or enmeshed. 6. If you were Keith's counselor, what transgenerational issues would you want him to be aware of in order to begin developing treatment goals? Correct answer: The family pattern of alcohol and other drug use Explanation: The horizontal shading in the boxes indicates that Keith, his father, two uncles, and grandfather all struggled with substance use issues. Keith would benefit initially from psychoeducation regarding family history of substance abuse as a risk factor. 7. What insight could be gained regarding Sue's relationship with men? Correct answer: Sue might have some co-dependency issues. Explanation: The genogram indicates that Sue has married and divorced twice, both to partners with substance use; the counselor would want to be aware of the possibility that Sue might benefit from education regarding co-dependency in relationships. 8. Which of the following is NOT a transgenerational pattern for this three generational family? Correct answer: Abuse Explanation: While there is some evidence of conflict among a couple marital partners, there is only one indication of abuse, that of Sally to Mark. This would be an example of a transgenerational pattern in the identified client's family. 9. Which is an example of a fused or enmeshed relationship? Correct answer: Sue and Keith Explanation: Enmeshed or fused relationships are unhealthy close relationships, and are indicated by drawing three solid lines. 10. Which symbol in this genogram indicates that a miscarriage occurred? Correct answer: A triangle with an 'x' in it. Explanation: Typically, a miscarriage is drawn as a triangle with an 'x' in it. Miscarriages and stillbirths are important to a genogram as they may represent significant losses in a family and could help paint a picture as to how a family might have learned to grieve. Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

Genogram 2 1. What kind of relationship does Natalie have with her daughter Maria? Correct answer: Fused-Hostile Explanation: A fused-hostile relationship is symbolized by a jagged line within three parallel lines. This dynamic exists for two individuals who maintain an unhealthy enmeshed relationship who are often engaged in conflict with each other. 2. Which of the following best explains the fused relationship Isabella had with Natalie? Correct answer: The distant or poor relationship Isabella had with her husband. Explanation: From a system's perspective, Isabella most likely turned to her daughter for comfort as a result of the poor marital relationship she had with her husband. 3. Who in this genogram is most likely the product of triangulation? Correct answer: Maria Explanation: Murray Bowen conceptualized a triangle as a relationship system consisting of three people where two members (usually the parental subsystem) who are experiencing an uncomfortable amount of stress in their relationship draw in a third member (usually a child) to help release emotional tension. In this case, Maria's parents have a history of conflict and appear to project their conflict onto her. Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

4. If you were Natalie's therapist, which family event is least likely to explain her recent depressed mood? Correct answer: Her father-in-law's suicide Explanation: Natalie was enmeshed with her mother and would likely have a difficult time with her death. This would be compounded by the fact that her only daughter may be attempting to move more towards independence. It would be important for Natalie to express any feelings of loss, including the divorce as well as difficulties about her brother's cancer, whom she is close to. 5. Who is the identified client in this family? Correct answer: Natalie Explanation: While a family therapist might typically classify "the family" as the identified client, drawing a circle around an individual pinpoints a selected member to work with. It is likely that Natalie sought out counseling for herself or her family. 6. What members of this family have experienced cutoffs? Correct answer: Adam and Natalie Explanation: The only cutoff that is seen in this genogram is the divorce between Adam and Natalie. Adam and Maria have a distant or poor relationship, but there is no indication that either has decided to cut themselves off emotionally from the other. 7. Which Bowenian concept best explains the close relationship Adam had with his parents? Correct answer: Differentiation Explanation: Differentiation of self: refers to people’s ability to separate themselves from their family of origin without cutting themselves off from their families. Adam experience a close relationship with his parents 8. Which of the following transgenerational dynamics best explains Natalie's fused-hostile relationship with Maria? Correct answer: Natalie's own pattern of enmeshment with her caregiver, Isabella. Explanation: Bowen's multigenerational transmission process demonstrates how relational patterns, coping strategies, and levels of differentiation are passed on from generation to generation. 9. The following interpretations may help explain Ron's suicide, except: Correct answer: Adam and Natalie's divorce Explanation: It is important to consider significant dates in a Genogram, as Adam and Natalie's divorce occurred fourteen years following Ron's suicide. Perhaps not coincidentally, Ron took his life about a year following the death of Constance, which would be something to explore if you were working with Adam and his family. Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

10. Which relationship in this genogram is characterized by abuse? Correct answer: There is no indication that any abuse has occurred Explanation: While the genogram does indicate hostility and conflicts between Natalie and Maria as well as Natalie and Adam, abuse would be indicated by drawing an arrow from the hostility towards the person who would be identified as a victim. Diagnosis Case 1 Case Study: Henry, a 13-year-old boy, comes to your office with his parents. Both parents are frustrated with Henry's behavior at home and at school. Henry has been swearing and using obscene language with other students. Henry is also very disrespectful at home to his mother and siblings. He will not do any chores or clean his room. He has frequent outbursts and blames others for his mistakes. He is a bully and has been caught spray painting signs around town. The whole family is disrupted by Henry's acting out, and his parents would like to put him in a residential program. 1. What would you do first with Henry? Correct answer: Investigate the discipline process in the home Explanation: You must investigate how the parents are currently responding to Henry to see how that is contributing to the behaviors. 2. What additional information do you need to formulate your initial diagnosis for Henry? Correct answer: Duration Explanation: You will need know the duration of his symptoms. 3. The parents report that these symptoms have been present for over a year. Based on this additional information, what would be your diagnosis for Henry? Correct answer: Oppositional Defiant Disorder Explanation: Henry's symptoms meet criteria for Oppositional Defiant Disorder. 4. What duration of symptoms would you expect to see with a diagnosis of Oppositional Defiant Disorder? Correct answer: Six months 5. Which of the following behaviors would you NOT see in Oppositional Defiant Disorder? Correct answer: Gets along with younger children Explanation: Getting along with younger children is NOT part of the criteria for Conduct Disorder. 6. What would you do next with Henry? Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

Explanation: You should get a second opinion from a physician to rule out physical problems that might be causing difficulties. 7. Henry reports that his uncle touched him inappropriately when he was ten years old and his mother never did anything about it. You should: Correct answer: Contact the abuse registry Explanation: You must contact the abuse registry as it was reported to you, but do advise the mother that you are calling. 8. Using a behavioral approach to working with Henry, what would be your role? Correct answer: To eliminate his maladaptive behaviors Explanation: Behaviorists attempt to eliminate their clients' maladaptive behavior and replace them with new ones. 9. Using a behavioral approach, which technique below would you be utilizing? Correct answer: Rehearsal Explanation: Rehearsal is a behavioral technique. 10. When terminating treatment with Henry, what would be the best recommendation? Correct answer: Group for adolescents who have been sexually traumatized Explanation: Henry would most benefit from a group for adolescents who have been sexually abused. There is also a need for family therapy to resolve the conflicts between parents and siblings. MFT Case 1 Case Study: Your practice has grown, and more clients have made an appointment for counseling with you. Jared, a new client is considering pursuing therapy with you. Jason has been in therapy with you, and you feel that you may have reached an impasse in counseling him. Jason has discussed the progress of his therapy and feels like he has not been making progress rapidly enough. He informs you that as he walked to his car in the supermarket parking lot, another therapist approached him, asking if he could help, because Jason appeared to be troubled. The other therapist spoke to Jason about counseling with him, if Jason felt his current counseling was not effective. Rachel informs you that she plans to move out of the area and plans to terminate counseling with you in the near future. Marjorie has been in counseling with you for approximately one year, feels comfortable talking to you and in one session, attempted to hold your hand and hug you (a male therapist). In addition to your private practice, you counsel at a local for profit corporation in their EAP program, where you supervise two other therapists. 1. You are in the first therapy session with a new client. During the initial therapy session, you inform the client about ________________, _________________, and ___________________: Downloaded by Britt Robertson (britt233014@mail.com) lOMoARcPSD|2963465

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)

Psychology

ISBN:9780134477961

Author:Saundra K. Ciccarelli, J. Noland White

Publisher:PEARSON

Cognitive Psychology

Psychology

ISBN:9781337408271

Author:Goldstein, E. Bruce.

Publisher:Cengage Learning,

Introduction to Psychology: Gateways to Mind and ...

Psychology

ISBN:9781337565691

Author:Dennis Coon, John O. Mitterer, Tanya S. Martini

Publisher:Cengage Learning

Psychology in Your Life (Second Edition)

Psychology

ISBN:9780393265156

Author:Sarah Grison, Michael Gazzaniga

Publisher:W. W. Norton & Company

Cognitive Psychology: Connecting Mind, Research a...

Psychology

ISBN:9781285763880

Author:E. Bruce Goldstein

Publisher:Cengage Learning

Theories of Personality (MindTap Course List)

Psychology

ISBN:9781305652958

Author:Duane P. Schultz, Sydney Ellen Schultz

Publisher:Cengage Learning

SEE MORE TEXTBOOKS

Recommended textbooks for you

Ciccarelli: Psychology_5 (5th Edition)
Psychology
ISBN:9780134477961
Author:Saundra K. Ciccarelli, J. Noland White
Publisher:PEARSON
Cognitive Psychology
Psychology
ISBN:9781337408271
Author:Goldstein, E. Bruce.
Publisher:Cengage Learning,
Introduction to Psychology: Gateways to Mind and ...
Psychology
ISBN:9781337565691
Author:Dennis Coon, John O. Mitterer, Tanya S. Martini
Publisher:Cengage Learning
Psychology in Your Life (Second Edition)
Psychology
ISBN:9780393265156
Author:Sarah Grison, Michael Gazzaniga
Publisher:W. W. Norton & Company
Cognitive Psychology: Connecting Mind, Research a...
Psychology
ISBN:9781285763880
Author:E. Bruce Goldstein
Publisher:Cengage Learning
Theories of Personality (MindTap Course List)
Psychology
ISBN:9781305652958
Author:Duane P. Schultz, Sydney Ellen Schultz
Publisher:Cengage Learning