Vargas Family Case Study: Solution-Focused Brief Therapy

Read Solution-Focused Brief Therapy: A Review of the Outcome Research located in the topical materials. Identify a specific presenting concern that one of the Vargas family members has identified this week. Create a “transcript” of a session as a solution-focused counselor, using solution-oriented terms and concepts, to work with the client in identifying a solution to the problem. The transcript should be 500-750 words in length.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Since the last session, you received a call from Elizabeth who stated her family was in crisis. She reported that her nephew Geoff, the 15-year-old stepson of Bob’s sister, Katie, had nearly overdosed. She said that the family had noticed some changes with Geoff since his father’s recent death, but attributed the poor mood and slipping grades to the normal effects of grief. Elizabeth said that Geoff had never used drugs, as far as anybody in the family knew, and that the overdose was “a total surprise.” Elizabeth reported that after learning of this, Bob’s mother, Linda, called the school counselor but complained to Katie that “she was not at all helpful,” and told Katie exactly how she should handle it. Katie spoke with the school counselor who told her that she was not allowed to speak with Linda due to matters of confidentiality. Elizabeth informed you that Katie had shared her frustration with the school counselor’s suggestions to help him “get his mind off the sadness,” and believed he needed more help. You learned that Bob’s father, Tim, was trying his best to help, and that Elizabeth felt his intrusion was making matters worse. Among other things, Tim had taken Geoff out of school on a week-long camping trip against Katie’s wishes. Elizabeth said that the involvement of Linda and Tim, despite their good intentions, had begun to cause widespread family strife and asked if you could possibly see the entire family.

Evaluating Assessment Instruments

Prior to beginning work on this discussion, read Chapter 11 in the textbook, the article by Baez (2013), the assigned chapters in the U.S. Department of Labor Employment and Training Administration (2006) guide (Links to an external site.), and view the video Psychometric testing and employment. (Links to an external site.).

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CHAPTER 11 Industrial, Occupational, and Career Assessment

TOPIC 11A Industrial and Organizational Assessment

11.1 The Role of Testing in Personnel Selection (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec1#ch11lev1sec1)

11.2 Autobiographical Data (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec2#ch11lev1sec2)

11.3 The Employment Interview (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec3#ch11lev1sec3)

11.4 Cognitive Ability Tests (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec4#ch11lev1sec4)

11.5 Personality Tests (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec5#ch11lev1sec5)

11.6 Paper-and-Pencil Integrity Tests (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec6#ch11lev1sec6)

11.7 Work Sample and Situational Exercises (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec7#ch11lev1sec7)

11.8 Appraisal of Work Performance (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec8#ch11lev1sec8)

11.9 Approaches to Performance Appraisal (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec9#ch11lev1sec9)

11.10 Sources of Error in Performance Appraisal (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec10#ch11lev1sec10)

In this chapter we explore the specialized applications of testing within two distinctive environments— occupational settings and vocational settings. Although disparate in many respects, these two �ields of assessment share essential features. For example, legal guidelines exert a powerful and constraining in�luence upon the practice of testing in both arenas. Moreover, issues of empirical validation of methods are especially pertinent in occupational and areas of practice. In Topic 11A (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11#ch11box1) , Industrial and Organizational Assessment, we review the role of psychological tests in making decisions about personnel such as hiring, placement, promotion, and evaluation. In Topic 11B

 

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(http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch11lev1sec10#ch11box2) , Assessment for Career Development in a Global Economy, we analyze the unique challenges encountered by vocational psychologists who provide career guidance and assessment. Of course, relevant tests are surveyed and catalogued throughout. But more important, we focus upon the special issues and challenges encountered within these distinctive milieus.

Industrial and organizational psychology (I/O psychology) is the subspecialty of psychology that deals with behavior in work situations (Borman, Ilgen, Klimoski, & Weiner, 2003 (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/bm02#bm02bib182) ). In its broadest sense, I/O psychology includes diverse applications in business, advertising, and the military. For example, corporations typically consult I/O psychologists to help design and evaluate hiring procedures; businesses may ask I/O psychologists to appraise the effectiveness of advertising; and military leaders rely heavily upon I/O psychologists in the testing and placement of recruits. Psychological testing in the service of decision making about personnel is, thus, a prominent focus of this profession. Of course, specialists in I/O psychology possess broad skills and often handle many corporate responsibilities not previously mentioned. Nonetheless, there is no denying the centrality of assessment to their profession.

We begin our review of assessment in the occupational arena by surveying the role of testing in personnel selection. This is followed by a discussion of ways that psychological measurement is used in the appraisal of work performance.

 

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For this discussion, you will use the PSY640 Checklist for Evaluating Tests (Links to an external site.) document to compare two assessment instruments used in industrial and organizational (I-O) psychology assessment. Based on the information in your text and assigned readings, select and evaluate two psychological tests used in industrial-organizational psychological assessment. You may not evaluate any of the tests you evaluated in the Week Four Applications in Personality Testing discussion.

In addition to the text, locate a minimum of two appropriate scholarly and/or peer-reviewed sources to aid you in the analysis of the psychometric properties of the instruments based on published data. In your initial post, provide the names of the two tests you evaluated, and attach your completed PSY640 Checklist for Evaluating Tests document (Links to an external site.). You must maintain the original format of the document and include the textbook and two additional scholarly and/or peer-reviewed sources in the references section.

Forensic Assessment Cases

Prior to beginning work on this discussion, read Chapter 12 in the textbook and the required articles for this week. For this discussion you will take on the role of a psychologist assigned a case in which the client has a legal concern.

Forensic Scenario Three, Ms. X (Personal Injury Lawsuit): Ms. X was referred for a forensic neuropsychological evaluation in connection with a personal injury lawsuit she had filed. Review the Case Description: Ms. X—Forensic, Neuropsychological Score Report (Links to an external site.), and begin your post with a one-paragraph summary of the test data you deem most significant. Utilize assigned readings and any additional scholarly and/or peer-reviewed sources needed to develop a list of additio

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CHAPTER 12 Legal Issues and the Future of Testing

TOPIC 12A Psychological Testing and the Law

12.1 The Sources and Nature of Law (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec1#ch12lev1sec1)

12.2 Testing in School Systems and the Law (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec2#ch12lev1sec2)

12.3 Disability Assessment and the Law (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec3#ch12lev1sec3)

12.14 Legal Issues in Employment Testing (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec4#ch12lev1sec4)

Case Exhibit 12.1 (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec4#ch12box2) Unwise Testing Practices in Employee Screening (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec4#ch12box2)

12.5 Forensic Applications of Assessment (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec5#ch12lev1sec5)

In the previous chapters we have outlined the myriad of ways in which tests are used in decision making. Furthermore, we have established that psychological testing is not only pervasive, but it is also consequential. Test results matter. Test findings may warrant a passage to privilege. Conversely, test findings may sanction the denial of opportunity. For many reasons, then, it is appropriate to close the book with two special topics that bear upon the potential repercussions of psychological testing. In Topic 12A (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12#ch12box1) , Psychological Testing and the Law, we review critical legal issues pertaining to the use of psychological tests. In this topic, we survey the essential laws that regulate the use of tests in a variety of settings—schools, employment situations, medical settings, to name just a few arenas in which the law constrains psychological testing. We also examine several ways that psychologists interface with the legal system in the field of forensic assessment. In Topic 12B (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/ch12lev1sec5#ch12box3) , Computerized Assessment and the Future of Testing, contemporary applications of the computer in psychological assessment are surveyed, and then the professional and social issues raised by this practice are discussed. The book closes with thoughts on the future of testing—which will be forged in large measure by increasingly sophisticated applications of computer technology but also greatly affected by legal standards.

 

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12.1 THE SOURCES AND NATURE OF LAW The law establishes a number of guidelines that define the permissible scope and applications of psychological testing. However, before investigating the key legal guidelines that impact testing, it will be helpful to understand the sources and nature of law. Broadly speaking, there are three sources of law: constitutional provisions, legislative edicts, and judicial opinions. We examine each briefly.

Constitutional Sources of Law The United States has a constitutional form of government, meaning that the U.S. Constitution is the final authority for all legal matters in the country. All other forms of law must be consistent with this seminal document. Thus, the Constitution places limits on legislative actions and judicial activity. The United States is also a federation of states, which means that each state retains its own government and system of laws, while ceding some powers to the central government. For example, the power to regulate interstate commerce and the responsibility to provide for the national defense both reside with the federal government. Each state has its own constitution as well, which is another source of laws that affects citizens living in a state. Of course, state constitutions cannot contradict the U.S. Constitution and, in most cases, they are highly similar to the federal document.

Three provisions of the U.S. Constitution potentially bear upon the practice of psychological testing: the Fifth, Sixth, and Fourteenth Amendments to the Constitution (Melton et al., 1998 (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/bm02#bm02bib1128) ). The Fifth Amendment provides a privilege against self-incrimination, which impacts the nature of psychological assessment in forensic evaluations. For example, as discussed previously, a forensic practitioner might be asked by the court to evaluate an alleged offender for competency to stand trial. In many states, self-incriminating disclosures made during an evaluation of competency to stand trial cannot be used to determine guilt (i.e., they are inadmissible as evidence during trial).

The Sixth Amendment states that every person accused of a crime has the right to counsel (i.e., the right to a lawyer). This is understood to mean both the presence of counsel during legal proceedings and also the right to effective assistance from counsel. Does this mean that counsel must be present during a pretrial assessment, such as a court- ordered evaluation for competency to stand trial? This will depend upon the state and jurisdiction in which the proceedings occur. Although most courts have held that the defendant does not have a right to the presence of counsel during pretrial psychological evaluations, a minority of courts have held that the Sixth Amendment guarantee does apply to such pretrial assessments (Melton et al., 1998 (http://content.thuzelearning.com/books/Gregory.8055.17.1/sections/bm02#bm02bib1128) ). In these jurisdictions, the defendant’s lawyer can be present during any psychological testing or evaluation. This raises difficult questions as to the validity of assessments undertaken in the presence of a third party. For example, what if the client asks his or her lawyer for advice on how to answer certain questions? Surely, this is not standard protocol in psychological assessment and might drastically affect the validity of the results. Fortunately, most courts favor alternative methods for protecting the rights of defendants during pretrial evaluations, such as tape-recording the session, having a defense psychologist observe the evaluation, or providing for an independent evaluation.

The Fourteenth Amendment provides that no state shall deprive any U.S. citizen of life, liberty, or property without “due process of law.” The amendment also specifies “equal protection of the laws.” The relevant section reads:

No State shall make or enforce any law which shall abridge the privileges or immunities of citizens of the United States; nor shall any State deprive any person of life, liberty, or property, without due process of law; nor deny to any person within its jurisdiction the equal protection of the laws.

It is mainly the “due process” feature of this amendment that has impacted psychological practice. This influence is limited largely to forensic practitioners who deal with competency to stand trial, civil and criminal commitment, or the right to refuse treatment. For example, psychologists who are involved in the civil commitment of an individual who needs treatment typically must show—as a direct consequence of the due process clause of the Fourteenth Amendment—that several stringent criteria are fulfilled:

 

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ur assessment choices by providing an evaluation of the ethical and professional practice standards and an analysis of the reliability and validity of the instruments.

Psychiatry -Topic Posttraumatic Stress Disorder (PTSD)

Chapter 7 – Posttraumatic Stress from book Crisis Intervention Strategies .(7th ed.)  Richard K. James

Chapter Seven: Posttraumatic Stress Disorder

 

 

 

 

 

Background of PTSD

Psychic trauma is the result of experiencing an acute overwhelming threat in which disequilibrium occurs.

Most people are extremely resilient and will quickly return to a state of mental and physical homeostasis.

Acute stress disorder is when symptoms continue for a period of 2 days to 1 month and have an onset within 1 month of the traumatic event.

 

 

 

 

Background Cont.

If acute stress disorder symptoms develop, they will typically diminish in 1 to 3 months.

Delayed PTSD is when symptoms disappear for a period of time and then reemerge in a variety of symptomatic forms months or years after the event.

 

 

 

 

Benchmarks

Railway train accidents

“Railway spine”

Freud’s research on trauma cases of young Victorian women

“Hysterical neurosis”

Traumatized combat veterans (especially veterans of the Vietnam Conflict)

“Shell shock”

“Combat fatigue”

 

 

 

 

Benchmarks Cont.

Recognition of domestic violence and rape via the women’s movement

“Battered women’s syndrome”

All came together to be defined as posttraumatic stress disorder in the third edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (1980).

 

 

 

 

 

Diagnostic Criteria

Exposure to a trauma that involves:

Actual or perceived threat of serious injury or death to self or others

Response to the trauma was intense fear, helplessness, or horror

Symptoms arise that were not evident before the event

Persistent re-experiencing of the trauma in at least ONE of the following ways:

Recurrent and distressing recollections

Recurrent nightmares

Flashback episodes

Distress related to internal or external cues that symbolize the event

Physiological reactions to events that symbolize the trauma

 

 

 

 

 

 

Diagnostic Criteria Cont.

Behaviors consistent with at least THREE of the following:

Persistently avoiding related thoughts, dialogues, or feelings

Persistently avoiding related activities, people, or situations

Inability to recall important details of the trauma

Markedly diminished interest in significant activities

Emotionally detached from others

Restricted range of affect

Sense of foreshortened future

 

 

 

 

 

Diagnostic Criteria Cont.

Persistent symptoms of increased nervous system arousal that were not present prior to the trauma, as indicated by at least TWO of the following:

Difficulty falling or staying asleep

Irritability or outbursts of anger

Difficulty concentrating

Hyper-vigilance

Exaggerated startle reactions to minimal stimuli

The disturbance causes clinically significant impairment in social, occupational, or other critical areas of living.

 

 

 

 

PTSD in Children

Bus kidnapping in Chowchilla, CA

30-50% of children will experience at least one traumatic event by the age of 18.

3-16% of boys and 1-6% of girls will develop PTSD.

The type of trauma will impact the likelihood of developing PTSD.

Nearly 100% if they see a parent killed or sexually assaulted.

Approximately 90% if the child is sexually assaulted.

77% if the child witnesses a school shooting.

35% if the child witnesses violence in their neighborhood.

 

 

 

 

 

 

Diagnostic Criteria for Children

Must experience disorganized or agitated behavior

May demonstrate regressive behaviors

May relive the trauma through repetitive play

Generalized nightmares (i.e., monsters)

May believe that they can see into the future

Somatic complaints of headaches and stomachaches

 

 

 

 

Types of Trauma

Type I Trauma

Sudden and distinct traumatic experience

Type II Trauma (aka “complex PTSD”)

Persistent and derives from repeated traumatic events

Has three cardinal symptoms:

Somatization (Physical ailments)

Dissociation (Divisions of personality)

Affect dysregulation (Changes in impulse control, attention, perception, and significant relationships)

 

 

 

 

Incidence, Impact, and Trauma Type

Incidence

Approximately 20% of people will experience a trauma

Higher in adolescents, employees of hazardous occupations, victims of severe burns and sexual assault, refugees, and combat veterans

Residual Impact

Can happen even when someone has excellent coping skills and a positive support system

Example of Chris (veteran of the U.S. Marine Corps who served in the Vietnam Conflict)

Importance of Trauma Type

Marked distinction between natural and human-made catastrophes

 

 

 

 

 

Vietnam, The Archetype

Hyper-vigilance

Lack of goals

Individual/Individualizer

Bonding, debriefing, and guilt

Civilian adjustment

Substance abuse

Attitude

Antiwar sentiment

 

 

 

 

 

10 Predisposing Variables of PTSD

Degree of threat

Degree of bereavement

Speed of onset

Duration of the trauma

Degree of displacement in home continuity

Potential for recurrence

Degree of exposure to death and destruction

Degree of moral conflict inherent in the situation

Role of the person in the trauma

Proportion of the community affected

 

 

 

 

Symptoms of PTSD

Intrusive-repetitive ideation

Visual images triggered by sights, sounds, smells, or tactile cues

Denial/numbing

Emotions of guilt, sadness, anger, and rage

Increased nervous symptom arousal

Acoustic startle response

Dissociation

Possibly the most important long-term predictive variable for PTSD and is connected to “complex PTSD”

Family responses

Possible discrepancy of reaction based on the type of trauma

May “turn on” the victim if they can not deal with the trauma

 

 

 

 

Maladaptive Patterns Characteristic of PTSD

Death imprint

Clear vision of one’s own death in concrete terms

Survivor’s guilt

Guilt over surviving, not preventing another’s death, not having been braver, or complaining when other’s have suffered more

Desensitization

Contradictory emotions within the person may lead to hostile, defensive, anxious, or depressive states

Estrangement

Feelings that any future relationships will be insignificant in the greater scheme of things

Emotional enmeshment

Continuous struggle to progress (emotional fixation)

 

 

 

 

 

Impact of Iraq and Afghanistan

Comprehensive Soldier Fitness Program

Integrated, proactive approach to developing psychological resilience in soldiers, family members, and the Army’s civilian workforce.

Components:

The Global Assessment Tool

Master Resilience Trainer course

Family skills component

 

 

 

 

 

 

Treatment of Adults

Assessment

Structured interview

Self-reports

Empirically derived scales

Overview of assessment

Phases of recovery

Emergency/outcry

Emotional numbing/denial

Intrusive-repetitive

Reflective-transition

Integration

 

 

 

 

Treatment of Adults Cont.

Initiating intervention

Victims may refuse early intervention

It is too difficult to talk about the trauma

They believe that people of good character should be able to cope with traumatic events.

Importance of acceptance

Disclosure is difficult because the events of the trauma may seem horrifying and socially unacceptable.

 

 

 

 

Treatment of Adults Cont.

Risks of treatment

No magical cures

Intensity of treatment may impact occupations or relationships

May get worse before you get better

Re-experiencing the traumatic event is very painful

Difficult to give up thoughts of revenge related to the trauma

Pain associated with accepting the world as it is

Difficult to accept one’s own limitations

Multiphasic/multimodal treatment

Eclectic Therapy

Behavioral, cognitive-behavioral, humanistic, emotion-focused

Psychotropic medication

No fixed pharmaceutical regimen; results vary per the individual

 

 

 

 

Eye Movement Desensitization and Reprocessing (EMDR)

Basic technique is to have the client visualize the trauma or experience thoughts and feelings related to the trauma while watching the therapist’s finger as it moves rapidly back and forth in front of the client’s face.

Controversial

Is effective with some people and is not intrusive

 

 

 

 

EMDR Cont.

History Taking and Treatment Planning

Preparation

Assessment

Desensitization

Installation

Body Scan

Closure

Reevaluation

 

Please answer the questions in 700 words. Time New Roman, Font 12, APA format. Please be sure it is Not plagiarism

 Question(s):

1. Name the DSM-IV-TR indicators necessary for a diagnosis of PTSD? (full criteria for diagnosis) five of condition/symptoms, with at least two in each category.

2. Please, include specific symptoms in children (PTSD symptoms in children that are different than in adults). Note: (DSM-5 will be accepted).

Guidelines:

a. The answer should be based on the knowledge obtained from reading the book, no just your opinion. I Attached 3 files from where to take the answer. I summary PowerPoint, PTSD Adults, and PTSD Children. 

b. There are 2 questions in the discussion, you must answer both of them. 

c. If other References are used in addition to the book must have :

Serial/journal articles 

  • Volume number, in italics.
  • Issue number. This is bracketed immediately after the volume number but not italicized. 
  • Month, season or other designation of publication if there is no volume or issue number.
  • Include all page numbers. Ex: 7(1),24 Sergiev, P. V., Dontsova, O. A., & Berezkin, G. V. (2015).