Intervention
Maria’s presenting problem involves coming out as a lesbian to her homophobic extended family members. This client’s inability to comfortably come out calls for an approach that is not only goal-oriented in nature, but simultaneously culturally component in its approach to minorities. Solution-focused brief therapy is a therapeutic intervention that emphasizes formulating solution strategies for an individual’s problems opposed to discussing the origin of the problems themselves (de Shazer et al., 1986). That is, focusing on how to resolve problems using solution strategies will implement an overall change of the original problem (de Shazer et al., 1986). The process of focusing on the future, and not the past, is in opposition to other therapeutic techniques that focus on problems using a retrospective procedure (Hepworth, R.H. Rooney, G.D. Rooney, & Strom-Gottfried, 2017).
There are three motivating factors for using this therapeutic intervention regarding Maria’s hopeful outcomes. First, the solution-focused approach provides significant results for individuals with unique cultural backgrounds (Ouer, 2016; Pichot & Dolan, 2003; Trepper, Dolan, McCollum, & Nelson, 2006). This includes the approach having successful therapeutic outcomes with minority populations such as lesbian, gay, bisexual, and transgender (LGBT) individuals (Malley, 2002; Ouer, 2016; Treyger, Ehlers, Zajicek, & Trepper, 2008). Moreover, Ouer (2016) believes that LGBT individuals strongly
Brief therapy helps people by focusing on solutions, instead of problems. The therapist asks questions thereby facilitates the client by helping formulates solutions. The client leads the meeting by actively formulating ideas in which he/she can serve to improve the client's negative circumstances. This is contrary to cognitive therapy, which focuses on a client's cognitive processes (how he or she thinks about people/places/things). The therapist collaborates with the client to help the client develop alternative solutions.
Most contemporary psychological treatment approaches are predecessors of the ancient and medieval philosophies and theories. Cognitive behavioural therapy as one of the modern treatment method in not an independently formed treatment, different theories have contributed to its present shape and application.
The mental health of individuals in the LGBT (lesbian, gay, bisexual, transgendered) community is something that is a serious problem. For most of the history of the United States and many different parts of the world LGBT people faced much persecution and in some cases even death. This constant fear of discovery and the pressure that one feels on oneself when “in the closet” can lead to major mental distress. Research has shown that people who identify as LGBT are twice as likely to develop lifetime mood and anxiety disorders (Bostwick 468). This is extremely noticeable the past couple years in the suicides of bullied teens on the basis of sexual identity and expression. The stigma on simply being perceived as LGBT is strong enough to
Appleby, G A., & Anastas, J.W. (1998). Not just a passing phase: Social work with gay, lesbian and bisexual people (pp. 3–43, 44-75). New York: Columbia University Press.
A therapist using narrative therapy considers race, gender, socio economic status, and sexual orientation in congruence with their interventions (Dallos and Vetere, 2014). The theory assumes that people have the skills, values, and commitments that can help them change their problems. The narrative framework of therapy focuses on multiple stories that have shaped a person’s identity (Dallos and Vetere, 2014). The clients can tell their stories and the therapist will find a common theme. The client’s stories will allow them to express themselves using their most memorable events that have “shaped their perspective on the world” (Dallos and Vetere, 2014). Usually narrative therapy will show that the client’s stories are “dominated with problems” and the clients have identified themselves with their issues (Dallos and Vetere, 2014). For example, instead of being a person who has experienced anxiety, the client will explain that they “have always been an anxious person”. The client, along with the therapist, can learn how to externalize the problem, specify the problem, change the negative to a positive, and tell a new, more positive narrative (Dallos and Vetere, 2014).
Solution-focused therapy has been criticized for abandoning the expressive progressions of clients, yet, an analysis of works challenges this argument and shows that the use of positive self-talk within the changing process of Solution-focused therapy has been existing since its beginning expansion. This paper will explore the historical context of Solution Focused Therapy and how the theory has evolved. The author will also examine the underlying assumptions of the theory and causes, components of change, target of clinical intervention, and the role of therapist who practice Solution-focused therapy. The author will also attempt to identity multicultural, gender, and social justice issues and compare their targeted theory with other theoretical approaches involving Solution-focused therapy. In the end suggest possible modifications to overcome identified strengths and limitations of Solution Focused Therapy.
Sara's confidence in my abilities as a social worker sparked self-belief. With supervision, I designed a presentation on diversity with an emphasis on transgender populations. At the weekly staff meeting, I facilitated a group discussion to avoid attacking John. The presentation was successful, mitigating many staff members' confusion with transgender populations, including John's. The presentation proved helpful for discussion and improved the staff's understanding of
In this particular study Dr. Nina Nabors, illustrates affirmative psychotherapy with a lesbian client (Laureate, 2012). According to Dr. Constance, Affirmative therapy is based on the notion of the difficulty in working through issues of sexuality, that are the foundations through childhood, and learning in contexts that are quite discriminatory and quite biased. (Laurlettre, 2012).
There is much to learn from all ancestral cultures including the new coin phrase sexual minorities . Mental heath professional is consistently evolving and practitioners must adapt to the changes within practice and ACA ethical guidelines. This paper explores a counselor 's level of competence, etiology findings for homosexuality, controversies with treatment practice by professional and paraprofessional therapy, and new frontier approach with client-centered approach. Since the multicultural movement has become a pillar for ACA code of ethics, it is with great importance to embrace new cultural styles. Although, the counseling field has a great paucity in empirical research; ACA task force remains optimistic in filling this gap. The objective is to help clients find congruence in their identity, belief, and values within their sexual orientation. Counselor must arm themselves with proficient training in multicultural competence, client-centered approach toward client identity edification, and having the integrity to guard clients from harmful clinical practice.
After the ethical examination of both therapeutic and enhancement gene modification, it can be stated that therapeutic gene modification is a good thing and enhancement gene modification can be a bad thing. But the other issue is where do you draw the line between the two gene modifications. On paper it might seem like a clear cut distinction but take the example of children who use human growth hormone. Assume a child has a medical condition and their treatment stunts their growth, so they are prescribed human growth hormone. The human growth hormone is able to help the child grow to his normal hight thus returning him to the baseline. But now that there is a doctor prescribing human growth hormone, and different parent hear about this treatment
Throughout the video Dr. Patterson, displayed and executed various competencies of understanding the way in which her client’s coming-out may impact her client’s overall quality of life as well as the impact on her husband and family. Guideline 10. Psychologists strive to understand the ways in which a person's lesbian, gay, or bisexual orientation may have an impact on his or her family of origin and the relationship with that family of origin (American Psychological Association,
This paper focuses on counseling clients a part of the “sexual minority” (Yarhouse, Kays, and Jones, 2013). The information regarding sexual minorities and the techniques to counsel these clients are summarized from Yarhouse et al.’s “The Sexual Minority Client” (2013). The basis for counseling the sexual minority is competence. This shift to competence is primarily from the “multicultural movement” (Yarhouse, et. al., 2013). Two supporting therapies of this movement are and “affirmative approach” and “sexual identity therapy” (Yarhouse, et. al., 2013). Counselors’ beliefs and values are inevitable in therapy. Practicing in an area with similar beliefs and values minimizes ethical issues. Personal reflection shows acceptance of information provided in the chapter except statements from the ACA and APA in which Christian counselors seem discouraged to provide therapy for the sexual minority. Interest exists in the areas of percentages concerning sexual minority, as well as, these individuals claiming an identity. The primary form of therapy to be administered for a sexual minority client is sexual identity therapy. This therapy provides the least risk in regards to ethics. The client chooses the goal and the counselor acts as a support for the client to obtain the goal. Though beliefs differ, the client will be supported even if the homosexual
al., 2013, p. 253). With treatments such as “professional therapy and paraprofessional/religious ministry contexts”, Sanders and his colleagues report that thirty percent of those who participated in this form of therapy achieved “positive outcomes” (2013, p. 255). Although critics to changing one’s sexual orientation claim that there are many factors that limit the support of the research proving the success of this treatment option, Sanders states that there is data supporting successful conversions (2013, p. 255).
Today many people seek professional therapy or counseling for a limited amount of time in order to deal with different life crises. Others seek professional help for the majority of their lives in order to deal with a psychological disorder. After reading this chapter on Therapy, I learned that this was not always the case, and that the way our society views therapy, and the meaning of therapy, has changed dramatically of the years. This chapter not only explains the evolution of therapy, it explores the different therapeutic approaches.
In the abstract the problem is described as a need to establish whether there was desired outcome from the intervention program CARE (Creating Avenue for Relative Empowerment) which seeks to enhance outcomes for older citizens hospitalized and their kindred caregivers. A total of 407 family caregiver-patient dyad was randomized into CARE and attention categories. The CARE group was subjected to the test parameters whereas the attention group received unspecified information (Li et al., 2012). This was the method employed as per the abstract. The results yielded non-significant statistical variations on patient or family caregiver and called for an additional investigation on CARE workings and its effectiveness.