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Family Therapy Case: What type of therapy would you use?

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After reading the case, I need help developing an intervention plan using different techniques such as
Behavioral Couples Therapy (BCT) and Integrative problem-centered couple's therapy, The Relationship Enhancement, genogram and parenting education, etc... While identifying

1.Legal and ethical considerations regarding the family circumstances

2. Multicultural considerations

3. Theoretical counseling model used in the case

4. Specific issues facing the family

5. Assessment techniques used in the case

6. Intervention plan for the family

7. Prognosis for the family.

Please provide peer references to use in this assignment.

A family was referred for individual and family therapy by a child protective service case worker, following a womanâ??s hospitalization for injuries sustain when her husband physically assaulted her with a baseball bat. They have four kids and all of them are exhibiting some type of negative behavior because of the abuse, although they never experienced any physical abuse from the father. The father spent time in jail but was accepted back by his wife. She then conceived a child, thinking that would help with the relationship and it did for a while before the abuse started again.
The mother has a history of abuse from her father. She was reared in the Bahamas, she conceived her oldest son at the age of 19. Although, her husband reared him as his own, he wouldn't let the boy go back to visit any of his people who is out of the country. The mother began to experience signs of depression because of her behavior displayed to her friends and family. She did seek counseling and convinced her husband to see a psychiatrist because of his behavior. He was diagnosed with bipolar syndrome; he was put on medication for his psychotic behaviors and began to feel better. The abuse ceased for a while, he even allowed his wife and children to travel out of the country to visit the older son's family, but once they got back, the father was passed out; he had liquor bottles in his presence and stopped taking his meds. He also began the abuse again. He lost his job and eventually, they were kicked out of their house and became homeless; they had to spend time in the homeless shelters but because of the Mr's negative behavior, they were put out. After a bad physical altercation, a social worker ordered the Mrs. To a public assistance home for her and the children. However, after being away from him, he got sober, came back but she is now experiencing more depression and the children are all having trouble in school and are acting out.
One child is showing aggression towards the siblings, obsessed with fire and slaps his mom, terrible grades, but is very artistic in kick boxing, and drawing.
One child obese and has asthma, bites fingernails until they bleed, he has nightmares because he called the police on his dad for assaulting his mother. He is afraid that he will come back and get him, but he also worries because his dad is in jail. He also visualize his father beating his mother, therefore, he has trouble sleeping. He is having trouble in school academically.
One child is well rounded, does all the household work but will only socialize with people at her school. She takes on the role of the mother and only argues with the older son, who happens to have a different father then the rest of them. She also likes to journal in her notebook.

One child has ADD and a very distinct imagination. She wets the bed and potty in the bed also. She is a Kindergarten.
She also has nightmares, loves to color and watch cartoons.
The preschool child is having cognitive problems in school; fearless, defiant, tries to hurt the dog and has a high tolerance to pain. He also plays with all his toys and siblings very aggressively.

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Solution Preview

I have provided my response in the following attachments.

Student,

Thank you for posing this challenging problem - but in reality, it is very typical of what one would come across in the helping professions. There are many ways to look at this scenario. From what I gather, you are to write an intervention plan based upon you being the family therapist. There are many types of avenues you could go with this intervention plan. I am not sure whether it is suppose to be a formal plan or simply a discussion of what you would do, but I, however, am going to help you get through this plan and give you a direction to go in hopes that you can complete the plan based on some initial critical thinking/probing on my part.

Also, I am going to provide a basic genogram for you to use. Please know that it may not be 100% accurate and you may have additional information that you need to include in the genogram. Bowen's work with families has shown some significant benefit when employing the genogram and I believe in working with any type of family structure, the use of a genogram is the first step in understanding the composition of the family.
Now, in developing an intervention plan, I would suggest first thinking about some of the early wave models of family therapy versus the second wave models. Some of the earlier wave models will provide you with some basics of positioning the family and preparing them for the change process - for example, the use of Strategic therapy. In most families, unspoken rules govern all sorts of behaviors and helping a family be able to see where the rest of the family members feel their role is within the family will be a great starting point. *Research strategic therapy and then structural therapy to learn more about using structural components in the initial phases of the therapy.
The genogram is an assessment technique. Also, you can use individual interviews, family assessment questionnaires, and you can also conduct a perception study. A perception
study is interesting, innovative, and will bring quite a bit of insight into each family member's perceptions of each other and the family as a nuclear unit. The information you have provided obviously provides a lot of background history as to the ...

Solution Summary

Thank you for posing this challenging problem - but in reality, it is very typical of what one would come across in the helping professions. There are many ways to look at this scenario. From what I gather, you are to write an intervention plan based upon you being the family therapist. There are many types of avenues you could go with this intervention plan. I am not sure whether it is suppose to be a formal plan or simply a discussion of what you would do, but I, however, am going to help you get through this plan and give you a direction to go in hopes that you can complete the plan based on some initial critical thinking/probing on my part.

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Case Conceptualization - diagnosis for Anxiety Disorder

Can you discuss a theoretical approach working with a specific client (hypothetical), and how you used this perspective as you collected information about the client and developed counseling goals.

Can you address the following topics in 4-part format.

Part 1: Client Information
Select a client (hypothetical), pretend you have worked with this client in individual counseling sessions over several weeks by presenting information about the client.

Present a brief description (no more than 2 pages) of the client, including the following:

Demographic information (such as age, gender, race/ethnicity/country of origin, religion, sexual orientation, ability or disability, and social-economic status).
Current situation (including living situation, support systems, work and employment, and health).
Presenting issues.
Relevant history.
Part 2: Theoretical Approach
Describe the specific theoretical approach you used when working with this client. Identify a single theory as your main approach; if you integrated a second perspective into your work (such as integrating reality therapy into a cognitive therapy approach), you will need to identify how each theory contributed to your work with the client. Do not present more than two approaches or identify your work simply as being eclectic.

Discuss your rationale for selecting this theoretical perspective, and why you believed it was the most appropriate and effective approach to use. Support your statements with a minimum of 3 articles from current journals in the professional counseling literature that support the use of this theory with the types of issues your client presented, and/or with clients similar to yours (in age, gender, ethnicity, background, or in other ways).

Describe how using this theoretical approach influenced the information you collected about the client during the first sessions. (For example, was it important for you to take a detailed history that included information about the client's parents and early childhood experiences?) Again, support your ideas with references to the professional literature.

Part 3: Counseling Goals
List three specific goals that you developed for working with this client. These should be goals in which you expected to see some progress during the time you were working with the client.

Note how these goals incorporated the client's current strengths (to your knowledge), as well as areas of limitation or challenge for the client.
Discuss how you considered your client's social-cultural background when selecting these goals.
Discuss how each goal is reflective of your theoretical approach, drawing from the key concepts and assumptions of that theory.
Part 4: Assessment and Diagnosis
Write a diagnosis for the client, based on the definitions in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

Discuss the process you used to formulate your assessment and diagnosis for this client.

Did you rely on information collected from the client during the first sessions?
Did you utilize any self-report instruments (such as symptom checklists, anxiety inventories, and depression scales)?
Did you consult with any other persons about the client (with his or her written permission) such as parents, teachers, physicians, and past therapists?
What social-cultural factors did you consider when approaching the assessment process and formulating your diagnosis?
Describe how the assessment and diagnosis process was integrated into your theoretical approach for working with the client. Did the information you gathered, and the diagnosis you formulated, assist you in working from this perspective more effectively? If so, provide examples; if not, discuss the reasons why.

5-8 pages long and include a minimum of 4 references from current articles (no more than 10 years old) in professional journals. You can also include books and Web sites from professional organizations in your references. Please use direct quotations sparingly. APA format for your citations.

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