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    A Therapeutic case study

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    Can you read the (attached) Case Study and assist with the following?

    *Identify which theory (psychodynamic, Adlerian, child-centered play therapy, or systemic family approaches such as structural, MRI, solution-focused, and narrative therapy) you would prefer used to address Bobby's case.

    *Explain how you would apply the theory to the case by describing two goals you would have for Bobby and the techniques you would use to achieve those goals.

    *Based on your own personal experiences with counselling or other professional work, discuss why you chose the theory and why you did not choose the other theories.

    *Provide a tentative multiaxial DSM diagnosis for Bobby and a brief rationale for your diagnosis.

    Can you reference one article regarding possible treatment approaches and other scholarly references?

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    Solution Preview

    (1) Identify which theory (psychodynamic, Adlerian, child-centered play therapy, or systemic family approaches such as structural, MRI, solution-focused, and narrative therapy) you would prefer use to address Bobby's case.

    Solution-focused Brief therapy ([SFBT], de Shazer & Berg, 1997 as cited in Archer & McCarthy, 2007) is focused on helping clients to utilize their strength in dealing with problems. The therapy was designed to help clients arrive at solutions to their problems in a few sessions. The success is measured by the progress that clients make toward reaching their goals as opposed to the amount of times they spend in counseling. Based on the therapeutic process, the following core concepts make up the solution-focused approach: (a) solutions are not related to the problem, (b) the process maintains a future orientation, (c) the focus is on strengths, (d) change is inevitable, (e) Not everything is negative, (f) there is no such thing as resistance, and (h) the process is focused on simplicity (A pp. 388-389). Research points to the effectiveness of SFBT with children and families. It is viewed as a strengths-based therapeutic approach, emphasizing resources that people already possess, and can be applied to a positive change process. Shazer and Berg utilized an Ericksonian approach by emphasizing strengths coupled with a positive step approach. The objective is to help the child/family redefine what appears to be a problem so that they can begin to formulate a possible solution (s) the client (s) can begin begins to think of a solution (Conoley. Graham, Neu, Craig, Opry, Car Cardin et al., 2003). In the Conoley et al study, nine-year olds were treated with SFBT that led to successful therapeutic outcomes.

    An approach to this case would be for the therapist to help this family arrive at solutions to their problem by avoiding the conflict they are having. Therapists need efficient, effective intervention for aggressive-acting children because of our high number of referrals and the pressure for quick results. More importantly, we need to prevent the tragic trajectory that carries aggressive children into the more tragic problems of criminal behavior in later life existing research does provide tentative support for the use of SFBT, particularly in relation to ...

    Solution Summary

    This solution applies Solution-focused therapy to to a specific case study, and provides a tentative multi-axial diagnosis for treatment.