Prepare a SupervisoryBATESWK12

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RUNNING HEAD: Prepare a Supervisory Response Letter Prepare a Supervisory Response Letter Andrea Bates Northcentral University 1

RUNNING HEAD: Prepare a Supervisory Response Letter Prepare a Supervisory Response Letter Vignette Kathy is a 26 year old Caucasian MFT that lives in Millington, Tennessee in a very nice suburb area near Memphis, Tennessee. She lives with her mother, grandmother, and one younger sibling. Her father passed away a year and a half ago from lung cancer, and she wanted to help her mother (who is a Christian preacher) take care of her grandmother (who has COPD) but mobile, and her little brother. She is single with no children and is from a family with a higher socioeconomic class (middle class/lower upper class). She goes to church every Wednesday and Sunday as she has done this since she can remember. Her father was also a preacher of the Christian faith and she was very close to him. I’ve been supervising Kathy just shy of 3 months. I have noticed that one of her struggles is in personal and professional awareness of intersectionality on her case loads. She prefers to use the bible like her father and mother always told her to as her foundation in therapy for all of her cases. As a comprehensive supervisor on discrimination type scenarios such as this case, I approached her in a respectful manner to bring attention to the sensitive issues on culture, diversity, and social justice within therapy to try to help her changing this aspect. I suggested that our supervision could highlight some type of feminist-informed perspective to help accolade our systemic approaches to productively address the various intersectionality contexts that some of her cases she was conducting in supervision were exhibiting. Here is a case example for Kathy due to her seemingly troubles; Stephanie, but her birth name was Stephen, is a 29 year old male who is transgender and uses the pronouns (she/her). She has issues with her younger brother, grandmother, and mother 2

RUNNING HEAD: Prepare a Supervisory Response Letter since she came out after her father passed away. They do not approve. She never got a chance to tell her father and that makes her very unsettled and upset. She isn’t making much money in a bar she works at part time, and is gender fluid friendly in Memphis, Tennessee and can’t afford to leave her mother’s home. Stephanie has very high anxiety and depression. The diagnosis Kathy gave Stephanie was in the context of her adjustment disorder (F43.23 Adjustment disorder with mixed anxiety and depression for insurance purposes. (American Psychiatric Association, 2013) Stephanie stated she wanted to focus more on gender therapy because she is considering estrogen shots to have more of the body she believes she is connected with. Kathy believes that Stephanie’s gender choice, transgender/ choosing to become more feminine is a sin in her Christian faith views and this judgment is impacting the clinical assessment, treatment, and their therapeutic alliance in a very negative way. Confidential Letter to my Supervision Mentor Dr. Brown, one of my supervisees, Kathy G, is having personal and professional difficulty accepting a client’s reality; as Kathy assesses and tries to treat the client as if the client’s life experiences can be analyzed by monolithic modern values of her own Christian cultural views and standards. I did go over some of our supervisory contract and goals with Kathy as follows. 1. Under the rubric supervision purpose, goals, and objectives: (1) To fulfill the expectations and objective requirements of the training supervision according to TN State Board of Marriage and Family Therapy Examiners; (2) To foster the supervisee's professional identity, purpose, and competence development. 2. Under the rubric on evaluation it states; the supervisor will provide the supervisee with verbal feedback that is related to competency and professional development throughout 3

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