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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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(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 ...

Solution Summary

.This solution discusses Solution-focused therapy(SFT) as an intervention for a couple's sexual distress.

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Analysis

Ariana is a 21 year old woman of African American heritage. She tells you, "my parents made me come. The only reason I'm here is because they threatened to cut off my college tuition fund. They're the ones that should be here anyway as they are paying for this. You won't get a cent out of me. I think this is all a waste of my time. I've taken psychology classes and know myself better than you people ever will." Though resistant and sarcastic, you manage to get some disclosure from Ariana. She tells you that she loves to "test the limits of life" and believes she has the right to do what she wants to do when she wants to do it. She admits to the occasional use of drugs and alcohol. "What's the big deal, I'm young and want to have fun. That stuff should be legal anyway. As long as I can get away with it, I'll use drugs whenever I can." Ariana admits to having several brief relationships with men, "I love the attention and just move on when I get bored." You notice some initials carved in her arm. She tells you, "Back off. It's my body and none of your business. Sessions over, this is so lame." She gets up and walks out.

1. The Cluster B Personality Disorders often overlap in symptomology. Taking this into consideration, formulate a differential diagnosis for Ariana. What are your diagnostic considerations and why? Support your ideas by discussing what you see in the vignette utilizing all course readings thus far. What information would you need to look for to confirm your diagnostic impression and why?

2. Ariana's parents call for a family session. What issues arise given this request? Assuming you agree to treat Ariana in individual and family sessions, create a treatment plan integrating the etiological theories and recommended treatment modalities discussed in Comer (2007). Discuss the role of pharmacological interventions and if you believe it would be helpful for Ariana and why.

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