Treatment Plan Case Study Analysis
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Use the attached case study and thoroughly address the following components:
Keep in mind that how you conceptualize the following will vary greatly depending on the approach you chose.
•What would the clinical goals be with these clients? How would they be formulated in accordance with your clinical approach?
•Using the family systems theory (Solution Focused), develop a basic, systemically-based treatment plan for use with these clients. One option would be to choose at least one short-term, medium-term, and long-term goal that is targeted at the whole system or chosen sub-systems, depending on the case, then identify specific interventions from your chosen theory that you will use to achieve each goal. However, your treatment plan should be driven by your choice of theory. Remember, interventions are therapist actions which encourage, invite, or support change.
•You may find that the nature of the case suggests interventions that do not fit with your chosen theory—for example, psycho education about birth control options, when you are using Bowen family therapy. You may include these in your treatment plan as long as you articulate a clinically-sound rationale for doing so, grounded in professional literature. Consider the intersystems approach in the Hertlein, Weeks, and Sendak textbook, as well as any other integrative rationales that may be useful.
•How would the application of your treatment take into account the diversity issues relevant to this case? How might your chosen theory or interventions need to be adapted to be culturally-sensitive?
•How would your own identities—your gender, race or ethnicity, age, religion, disability, relationship status, et cetera, impact your work with these clients? Consider ways in which you might be similar to or different from one or more members.
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Solution Summary
.This solution discusses Solution-focused therapy(SFT) as an intervention for a couple's sexual distress.
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(1) What would the clinical goals be with these clients? How would they be formulated in accordance with your clinical approach?
I would recommend three specific goals for Omni and Gregg including: (a) understanding how to communicate with one another, (b) recognizing that everything is not negative, (c) confront their sexual inhibitions and develop a better couple relationship, and (d) work on establishing a healthy sexual relationship.
These goals tie into the key concept of Solution-focused therapy (SFT, de Shazer & Berg, 1977) such as:
-The process maintains a future orientation
-the focus is on strengths
-change is inevitable
-not everything is negative
--there is no such thing as resistance
(2) Using the family systems theory (Solution Focused), develop a basic, systemically-based treatment plan for use with these clients...from your chosen theory that you will use to achieve each goal.
The Treatment Plan
The treatment plan consists of a sexual interview focused on how the partners explored sexuality at various stages in their life. Using a SFT (de Shazer & Berg, 1977) approach, the therapist began formulating the treatment plan by convening sessions in which they propose the miracle question to the couple by asking them to visualize their lives as different from the present distressing problem they are encountering. They are communicating with one another in the same way they are discussing their concerns with the therapist.
The objective based on the theoretical concept of SFT (de Shazer & Berg, 1977), is to orient the client toward thinking of the future so they do not concentrate on the distress in their lives. The theory is based on a five -part questioning approach focused on direct intervention and a specific goal (Cooley, Graham, Craig, Opry, Cardin et al., 2013) The techniques and questions are aimed at clarifying the client's solutions that can be achieved, and consist of: (a) the miracle question, (b) scaling questions, (c) exception seeking questions, (d) coping questions and (e) problem free talk.
The Miracle questions require the therapist to aid Henry and Omni in envisioning a future with no problems. This line of questioning can also ...
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