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Homework Analysis

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Homework was a major component for Ashley’s and I work together. The point of homework, is to helps us synthesize all the information we learned and try to apply it to real life situations (Beck.J, 1995, p. 40). The homework will include a description of the skills Ashley learned through the week, as well as practicing this skill. By giving Ashley homework it will help her gain access to these skill within triggering situations. With homework we established that the goals were; to attempt applying the skills at all times, self-monitor, and record thoughts feelings and behaviors. Clinician: How did your weekend go? Ashley: Pretty good Clinician: Can I see your notebook? (she hands it over). Good weekend, except for the verbal argument you …show more content…

Ashley’s defiant behavior often came through when she would challenge me on what she perceived to be the facts of an event. Ashley would also feel the need to challenge me, when we would talk about seeing the bigger picture. For example, Ashley was escalated after receiving a consequence for not listening to a directive a staff member gave her. As she continued not to listen, the staff member continued to give her more consequences. In this particular interaction Ashley continue to talk about how she didn’t care about the consequences she received. I then began to explain to her that her nonchalant attitude will not get her far in life, and it is not going to help her being successfully discharged from this program. In this instance and many others, Ashley always had a rebuttal for any word of advice I had for her. Her oppositional behaviors usually triggered my counter transference with her, because Ashley really does want to do well for herself, and succeed. However, she knowingly messes up to demise the progress she has already made. It is hard and frustrating to see her wax and wane from good to bad. What would make me even more frustrated, is that she would pretend not to care. So my counter-transference was good, because I see beyond Ashley’s facade she presented of a tough person. However, it was very frustrating to see her inconsistency in improving her behaviors. I then began to notice …show more content…

There was many times where Ashley stopped speaking to me because I didn’t necessarily give Ashley the answer she wanted to hear. When going for supervision I ask my supervisor about how to reestablish, the therapeutic alliance Ashley and I had. Being that my supervisor has worked with Ashley, prior to my internship, he assured me that this is a pattern with her. He also mentioned that giving Ashley the space to be upset and mad with me was something that may be beneficial. He said “even though she is upset and not speaking with you, she knows regardless you are there for her” (Sims.S, Salter. L, Personal Communication). What I think my supervisor was trying to explain to me was that it was important to meet the client where they were. In that moment, my supervisor also explained that if I was not direct with Ashley during our meetings, then I would be doing a disservice to her. When my supervisor said that, I realized that if I am not direct with Ashley, that our relationship would not promote growth or change. The only way that change could be promoted if that Ashley was to build her own self-awareness. I feel like the supervisions I have had with this client, has been helpful to the development and maintenance of Ashley’s and I therapeutic relationship. Getting to know Ashley better also taught me how to balance when it was and was not appropriate to cross boundaries that may trigger

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