Family Therapeutic Intervention, Narrative Therapy.

Topics: Psychotherapy, Family, Family therapy Pages: 5 (1508 words) Published: July 7, 2012
Brice Family Assessment/Treatment Plan

Christina Blair

CMHC/581

June 12, 2012

Brice Family Assessment/Treatment Plan

Assessment
The writre interviewed the Brice family of 5. The family consisted of a father, a mother, 2 girls and 1 boy. David, the father, is mid to late 60 year old Caucasian male. He is tall with square shoulders wearing glasses. He metacommunication Presenting Problem

History of Problem- BRIEF
Family History
Assessment Summary:
Another important quality of the co-research position is that of valuing emotional experiences and reflections. Our understanding of the preceding conversation is that in the state of being oppressed by violence, a person is defined by the violence. The concept of choice in that state is a mirage; a woman would not choose violence, but inside of a war zone there is no violence free territory. If the person and the context of violence are separated (deconstructed through externalization) the person's preferred story of their lives outside the "war zone" context can become visible. This distinction became available in the training conversation due to the process of allowing for correction and respecting the trainees feelings of being emotionally connected or disconnected to the unique accounts of those persons oppressed by the problem. Doherty (1991) has described negotiating meanings versus dictating a theme (p. 134). From our reflections about the interviewing process, we have been able to articulate four qualities of the relational co-researcher position: 1. Fostering a Collaborative Attitude;

2. Valuing Emotional Experiences and Reflections;
3. Engaging in Empowering Relationships, and;
4. Diminishing the Effects of Existing Hierarchies.
We'll now present excerpts from our interviews that focused on these qualities. The collaborative effort to correct it yields a much richer description, offering an idea for the narrative and my responding that the idea is not just right and offering another idea that feels more satisfying. Thus the co-authored narrative can retain the idiomatic richness of the local discourse.

Treatment Plan
Short-Term Goals
I. The family will apply new narrative outcomes that result in expressing their wants and needs without negative nonverbal/verbal behaviors i.e. yelling or nagging etc. 3 out of 5x per week and will be reported on behavioral log. Intervention: The writer will co-narrate in therapy sessions narrative stories and identify entry ways to develop new story lines with cognitive reframing to common problematic themes (Bennett-Levy, 2001). The family will express her needs and wants, especially when frustrated to her family. Evaluation Criteria: Behavioral Log-Data will be collected daily by each family member and compared at each therapy session against each other for consistency. The family will discuss inconsistency/consistency patterns and determine as a family when the goal has met satisfaction. II. Family members will decrease frequency of outbursts toward each other from 2-3x daily to 1-2x weekly as reported on behavioral log. Intervention: In therapy sessions, the family will focus on optimistic and productive solutions. As a family, they will retell subjugated stories of success in similar trying situations. The writer will help authentic preferred story outcomes that the family can reference when confrontation arise outside of therapy. Evaluation Criteria: Behavioral Log-Data will be collected daily by each family member and compared at each therapy session against each other for consistency. The family will discuss inconsistency/consistency patterns and determine as a family when the goal has met satisfaction. III. Each member of the Brice family will be able to externalize his or her problem (as he or she sees it) by video tape by week 3 of counseling session. Intervention: The meaning of externalization and will be explained and practiced in...

References: Bennett-Levy J., Turner F., Beaty, T. , Smith M., Paterson B. Farmer, S. (2001). The value of self-practice of cognitive therapy techniques and self-reflection in the trainging of cognitive therapists. Behavioral and Cognitive Psychotherapy, 29 , pp 203-220 doi:10.1017/S1352465801002077
Denborough, D. (2011). Resonance, rich description and social-historical healing: the use of collective narrative practice in Srebrenica. International Journal of Narrative Therapy & Community Work, (3), 27-42.
Doherty, W.J.(1991). Can male therapists empower women in therapy? Journal of Feminist Family Therapy. Vol. 3(1/2): 123-137.
Freeman, J.C., and Lobovits, D. (1993) The Turtle with Wings. In S. Freidman, (Ed.), The New Language of Change :Constructive Collaboration in Psychotherapy. New York: Guilford Press.
Ramey, H., Young, K., Tarulli, D., (2010). Scaffolding and Concept Formation in Narrative Therapy: A Qualitative Research Report. Journal of Systemic Therapies.Winter.Vol.29Issue4, p74-91,18p.
Steir, F. (1991). Research and reflexivity. London: Sage Publications.
Vromans, L. P., & Schweitzer, R. D. (2011). Narrative therapy for adults with major depressive disorder: Improved symptom and interpersonal outcomes. Psychotherapy Research, 21(1), 4-15. doi:10.1080/10503301003591792
White, M. (1991) Deconstruction and Therapy. Dulwich Centre Newsletter. 3: 21-40.
White, M. (2007). Maps of narrative practice. New York: W.W. Norton & Company.
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