Cognitive-behavioral therapy (CBT) focuses on patterns of thinking, with decreased attention on patterns of behavior and emotional components of relationships

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Application: Applying Cognitive-Behaviorial Therapy

Cognitive-behavioral therapy (CBT) focuses on patterns of thinking, with decreased attention on patterns of behavior and emotional components of relationships. Researchers have given an enormous amount of attention to CBT and its application to a variety of individual mental health concerns, but they also have appropriated it for working with couples and, more recently, with families. Many systems purists argue that CBT is an individual-oriented theory that lacks systemic concepts necessary to conceptualize family or couple issues. In the end, you will have to make the decision as a marriage, couple, and family counselor as to whether CBT can address the relational demands of clinical work with couples and families.

Choose one video from this week’s Learning Resources to review. As you begin to formulate a theory-based treatment plan, consider how you would maintain focus on the cognitive-behavioral realm of the couples and/or families, yet attend to the emotional dynamics present in the video.

The assignment (2–3 pages)

Based on the theory demonstrated in the video you chose (cognitive-behavioral therapy with either a couple or family):

  • Define the problem.
  • Formulate a treatment plan including short- and long-term goals.
  • Describe two theory-based interventions you would use and justify your selection.
  • Explain one anticipated outcome of each.

Support your Application Assignment with specific references to all resources used in its preparation. You are asked to provide a reference list for all resources, including those in the Learning Resources for this course.

 

Learning Resources

This page contains the Learning Resources for this week. Be sure to scroll down the page to see all of this week’s assigned Learning Resources. To view this week’s embedded media resources, please use the streaming media players below.

Required Resources

Media

Note: To access this week’s required library videos, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

CBT:

  • Video: Allyn & Bacon. (Publisher). (2002). Cognitive-behavioral child therapy [Motion picture]. [With Bruce Masek]. United States: Psychotherapy.net. Retrieved from the Walden Library databases.
  • Video: Allyn & Bacon. (Publisher). (2000). Couples therapy for addictions: A cognitive-behavioral approach [Motion picture]. [With Barbara McCrady]. United States: Psychotherapy.net. Retrieved from the Walden Library databases.

Gottman:

  • Video: Gottman, J. M., & Gottman, J. S. (Producers). (2009). Gottman couples therapy: A new research-based approach: Our research methods. United States: The Gottman Institute.

    Note: The approximate length of this media piece is 10 minutes.Accessible player –Downloads–Download Transcript

  • Video: Gottman, J. M., & Gottman, J. S. (Producers). (2009). Gottman couples therapy: A new research-based approach: Our research methods: The sound relationship house. United States: The Gottman Institute.

    Note: The approximate length of this media piece is 29 minutes.Accessible player –Downloads–Download Transcript

Readings

  • Course Text: Gurman, A. S., Lebow, J. L., & Snyder, D.  (2015). Clinical handbook of couple therapy (5th ed.). New York, NY: Guilford Press.
    • Chapter 2, “Cognitive-Behavioral Couple Therapy”
    • Chapter 5, “Gottman Method Couple Therapy”
  • Course Text: Theory-Based Treatment Planning for Marriage and Family Therapists
    • Chapter 9, “Cognitive-Behavioral Therapy”
  • Article: Driver, J. L., & Gottman, J. M. (2004). Daily marital interactions and positive affect during marital conflict among newlywed couples. Family Process, 43(3), 301–314. Retrieved from the Walden Library databases.
  • Article: Gottman, J. M., & Driver, J. L. (2005). Dysfunctional marital conflict and everyday marital interaction. Journal of Divorce & Remarriage, 43(3/4), 63–77. Retrieved from the Walden Library databases.
  • Article: Smith, G. B., & Schwebel, A. I. (1995). Using a cognitive-behavioral family model in conjunction with systems and behavioral family therapy models. American Journal of FamilyTherapy, 23(3), 203–212. Retrieved from the Walden Library databases.

Handout

  • Gottman Method Couple Therapy

Optional Resources

Readings

  • Book: Bitter, J. R., Long, L. L., & Young, M.E. (2010). Introduction to marriage, couple, and family counseling. Mason, OH: Cengage.
    • Chapter 13, “Cognitive-Behavioral Family Therapy”
  • Book: Gottman, J. M., & Silver, N. (1999). The seven principles for making marriage work. New York, NY: Three Rivers Press.
  • Book: Gottman, J. S. (Ed.). (2004). The marriage clinic casebook. New York, NY: W. W. Norton & Co.

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Offer alternative common treatments for the disorders.

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Respond on two different days who selected different treatments and factors than you, in the following ways:

Offer alternative common treatments for the disorders.

Share insight on how the factor you selected impacts the treatment of alterations of digestive function

 Main Post

Irritable Bowel Syndrome

IBS is a symptom-based disease and results in altered bowel habits and abdominal pain.  While there are no specific biomarkers for the disease, it is believed the gut immune response, altered gut microflora, brain-gut axis factor, gut neuroendocrine cell function factor, epigenetic, and genetic susceptibility factors all seem to play a role.  The diagnostic criteria would be a determination of at least three days per month in the last three months with two or more of these additional symptoms; symptoms improve with defecation, change in frequency of stool, change in the appearance of the stool, and onset greater than six months before diagnosis.  The syndrome may be diarrhea-predominant, constipation-predominant, or alterations between the two.  Symptoms include bloating, gas, and nausea.  Relief can typically occur upon defecation.  Treatment for IBS is fiber, laxatives, antispasmodics, antidiarrheals, low-dose anti-depressants, prosecretory drugs, serotonin antagonist or agonists, and analgesics.  Additionally, alternative therapies, including probiotics, yoga, acupuncture, and dietary interventions, may be prescribed (Huether & McCance, 2017).

Inflammatory Bowel Disease

Like IBS, IBD also appears to be symptom based.  Symptoms are based on months, not days or weeks.  Recurrent episodes of diarrhea containing blood, mucous, and white cells alert the practitioner of a potential IBD diagnosis.  If the stool samples are negative for microbial pathogens, an IBD diagnosis is likely.  Exacerbations and remissions are a trait associated with IBD.  Gastrointestinal infection and smoking appear to be contributing factors.  IBD is broken down into two forms known as Crohn’s disease (CD) and ulcerative colitis (UC).  Crohn’s disease may occur anywhere in the GI tract from mouth to anus, while UC is limited to the colonic mucosa (Hammer & McPhee, 2019).  Treatment for IBD is aimed at reducing the inflammation.  Treatment may include anti-inflammatory drugs, immune system suppressors, antibiotics, pain relievers, anti-diarrheal, iron supplements, vitamin D, and calcium supplements (Mayo Clinic, 2019).

Different Patient Factors in IBS and IBD

IBS is more prevalent in women by up to three times more likely.  North America has a 12% prevalence.  IBS sufferers are likely to have depression, reduced quality of life, and anxiety.  There does not appear to be a gender factor for IBD. However, there are environmental factors and genetic links (Hammer & McPhee, 2019).  Ashkenazi Jewish decent seem to have the highest hereditary factor (Mayo Clinic, 2019).

References

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th  ed.). New York, NY: McGraw-Hill Education.

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Mayo Clinic. (2019). Inflammatory bowel disease.  Retrieved from https://www.mayoclinic.org/diseases-conditions/inflammatory-bowel-disease/diagnosis-treatment/drc-20353320

Explain the role of international health organizations and altruistic organizations in providing health care services related to the global event.

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Write a 5–6 page, APA-formatted report that explains the responses to a global event, how issues of race, class, and gender may have affected the response, and the role of international and altruistic organizations in providing health care services related to the event. Describe barriers to receiving health care services related to the event, and explain the role of the professional nurse in providing health care services related to the global event.

 

Preparation

Suppose that within your health care organization there is no formal process or structure for health care professionals to volunteer time and services in times of global need. You would like to develop a proposal for establishing a process that would allow nurses and other health care professionals to secure time off to work with a specific worldwide organization, to provide health care services during global events. As part of the proposal, you would need to provide background research to support your request.

Conduct background research on either one of the following to support the proposal you would develop:

  • Choose one worldwide epidemic, such as the 2009 flu pandemic, 2009 mumps outbreak, 2012 Middle East respiratory syndrome coronavirus outbreak, the recent Ebola virus epidemic, or another epidemic. Research articles that focus on how the initial outbreak was handled; the role of social attitudes and issues of race, class, and gender in responding to the outbreak; barriers to people receiving proper health care; and the role of nursing in providing health care services related to the epidemic.
  • Choose one natural disaster, such as the earthquakes in Haiti, Pakistan, or Nepal; Cyclone Nargis in Myanmar; the Indian Ocean earthquake and tsunami, or any other natural disaster that brought a worldwide response. Research articles that focus on the initial response to the disaster; the role of social attitudes and issues of race, class, and gender in responding to the disaster; barriers to survivors receiving health care; and the role of nursing in providing health care services related to the disaster.

Requirements

For this assessment, develop background research that would support a proposal for an organizational process allowing health care professionals to volunteer time and services when global events happen. First, identify the global event you will be using in your research, and then:

  • Explain how the local and national (meaning the nation in which the event took place) communities responded to the event. Who responded? How long did the first response take? How did health care providers respond?
  • Explain how social attitudes, as well as issues of race, class, gender, or other factors may have influenced the response to the event. Be sure you consider not only the response of the home country, but the global response as well.
  • Describe barriers to health care services for the people impacted by the event. Some barriers may be obvious, and other barriers less obvious; try to consider multiple aspects.
  • Explain the role of international health organizations and altruistic organizations in providing health care services related to the global event.
  • Explain the role of the professional nurse in providing health care services related to the global event. Consider scope of practice when working professionally out of one’s area of license—either nationally or globally.

Additional Requirements

Complete your assessment using the following specifications:

  • Title page and reference page.
  • Number of pages: 5–6 (not  including the title and reference pages).
  • At least 4 current scholarly or professional resources.
  • APA format for the entire document, including citations and references.
  • Times New Roman font, 12-point, double-spaced.

Describe best practices for effective interprofessional  collaboration. What types of technology can be used to support  collaboration?

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In 3–5 pages, develop recommendations for a team charter and provide  communication and collaboration strategies for a new interprofessional  team that will work together on challenging cases.

By successfully completing this assessment, you will demonstrate  your proficiency in the following course competencies and assessment  criteria

Effective communication among members of a health care team results  in a unified approach to patient care problems. As patient/family  advocates, nurses are uniquely positioned to coordinate, collaborate,  and communicate. Highly skilled communicators are actually great  listeners. They collect and process information in an effort to fully  understand issues and concerns. They gather information from a variety  of sources: patients, licensed and unlicensed providers, and their own  intuition. Exceptional communicators then filter and share information  with team members (Apker, Propp, Zabava Ford, & Hofmeister, 2006).

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In nursing, effective communication is increasingly viewed as a  mark of professionalism (Propp et al., 2010). When paired with  collaboration and coordination, communication becomes the vehicle for  assuring positive patient outcomes. But what happens when disparate  personalities come together with a common goal? How will communication  and collaboration take place?

Teams that function effectively have determined how to work  synergistically, communicate clearly, and address conflict. There are  two types of dysfunction: emotional conflict and task conflict. In each  type, the resulting outcome may be constructive or destructive (Almost,  2006). It is in our diversity that conflict may erupt. Diversity may  include culture, values, language, age, thinking style, or a myriad of  other attributes that make us each unique.

Preparation

Use the Capella library and the Internet to research examples of  interprofessional team charters, communication strategies and conflict  resolution strategies for teams, and methods and technologies used in  team communication.

Requirements

You have been charged with facilitating the launch of an  interprofessional team that will work together on a number of  challenging cases. The team members will come from several different  areas within the organization. The team is expected to have its  orientation meeting in two weeks and then work together collaboratively  for the next six months. Your first task is to develop recommendations  for a team charter that will help the group establish ground rules and  decide who will lead the team. You also need to help the team with  communication and collaboration strategies.

This assessment has two distinct sections: Team Charter  Recommendations and Communication and Collaboration Strategies. Provide  thorough and detailed recommendations and support your recommendations  using examples, references, and citations from your research.

For the Team Charter Recommendations:

  • Explain methods to establish ground rules and set expectations.  How might differences in personality, expectations, and experience  affect team efficiency?
  • Describe conflict resolution strategies for interprofessional teams.
  • Identify effective ways to address issues of team leadership. How  will the team decide who will lead them? What happens if the team  leader is ineffective?

For the Communication and Collaboration Strategies:

  • Describe best practices for effective interprofessional  collaboration. What types of technology can be used to support  collaboration?
  • Explain the benefits and limitations of different communication  strategies such as e-mail, text, voice mail, and face-to-face. When is  it appropriate to use each type of communication?

This assessment should be 3–5 pages in length, not including the  title page and reference page. Use at least three resources to support  your recommendations, and follow APA guidelines for style and format.

Additional Requirements

  • Include a title page and reference page.
  • Reference at least three current scholarly or professional resources.
  • Use APA format.
  • Use Times New Roman font, 12 point.
  • Double space.