Discussion 1: The Influence Of Peers

“If Johnny jumps off a cliff are you going to jump, too”? This is a cliché used often by parents wanting to convince their children that doing what “everyone else does” is not always a good idea.

For example, binge drinking is an increasing problem on college campuses, often with dire consequences (e.g., alcohol poisoning, unprotected sex, expulsion from school). Given the consequences, one wonders what compels college students to engage in such risky behavior. We know that fitting in—being accepted by others—is a primary motive for doing what others do. In this case, conforming to one’s referent group’s norms (i.e., getting drunk is cool) gains one’s acceptance to that group (Talbott, Wilkinson, Moore, & Usdan, 2014; Wardell & Read, 2013). Refusal to comply means rejection by the group.

Binge drinking, clearly, is not in the best interest of individual college students, unless you consider the importance of belonging to and acceptance by the group.

For this Discussion, you explore persuasion strategies with respect to the effects of peer influence on behavior.

References:
Talbott, L. L., Wilkinson, L. L., Moore, C. G., & Usdan, S. L. (2014). The role of injunctive norms and alcohol use during the first-semester of college. Journal of Alcohol and Drug Education, 58(1), 60–81.
Wardell, J. D., & Read, J. P. (2013). Alcohol expectancies, perceived norms, and drinking behavior among college students: Examining the reciprocal determinism hypothesis. Psychology of Addictive Behaviors, 27(1),
191–196.

To Prepare

  • Review the Learning Resources for this week and examine how social psychology theory and research explain the effects of peer influence on behavior.
  • Consider persuasion strategies that a social psychologist might use to convince someone to defy peer pressure.

By Day 3

Post an explanation for how you might persuade someone to “do what is in her or his best interest” when it means defying group demands. Use social psychology theory and research to support your persuasion strategy.

Theory Into Practice, 53:265–270, 2014

Copyright © The College of Education and Human Ecology, The Ohio State University

ISSN: 0040-5841 print/1543-0421 online

DOI: 10.1080/00405841.2014.947217

Marion K. Underwood

Samuel E. Ehrenreich

Bullying May Be Fueled by the Desperate Need to Belong

Human beings have a fundamental need to

belong, for ongoing positive interactions with

others who provide companionship and caring

(Baumeister & Leary, 1995). Children may hit,

exclude, or harass others electronically because

when their own needs for belongingness are

threatened, or when they want to enhance their

own status, they lash out and hurt others in the

way they think will be most painful, by engaging

in behaviors that undermine the target’s sense

of belongingness. For reasons discussed herein,

children and adolescents might be especially

vulnerable to desperate needs for belongingness.

Viewing bullying as motivated by the need to

belong has profound implications for prevention

and intervention programs to reduce bullying.

F ROM THE TIME WHEN YOUNG children learn to walk and talk, most (at least some-

times) hurt others physically (Tremblay et al., 1999), by hitting, kicking, biting, and shoving; and socially (Crick, Casas, & Moshier, 1997), by social exclusion, friendship manipulation, and spreading rumors. These physically and socially

Marion K. Underwood is the Ashbel Smith Professor of Psychological Sciences at The University of Texas at Dallas and Samuel E. Ehrenreich is a Research Sci- entist in the School of Behavioral and Brain Sciences at The University of Texas at Dallas.

Correspondence should be addressed to Professor Marion K. Underwood, School of Behavioral and Brain Sciences, The University of Texas at Dallas, 800 West Campbell Road, GR41, Richardson, TX 75080. E-mail: undrwd@utdallas.edu.

aggressive behaviors are characterized as bul- lying when they chronically occur between the same perpetrators and victims and when there is an imbalance of power between the aggressor and the victim (Olweus, 1978). As children ma- ture, online communication offers a context for experiencing connectedness with peers, but also a venue for engaging in bullying. Cyberbullying is defined as “intentional behavior aimed at harm- ing another person or persons through computers, cell phones, and other electronic devices, and perceived as aversive by the victim” (Schoffstall & Cohen, 2011, p. 588).

Many theories for why children and adoles- cents engage in bullying focus on individual characteristics, most of which are deficits: inade- quate parental socialization (Baldry, 2003; Bauer et al., 2006), difficult temperament (Georgiou

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& Stavrinides, 2008), lack of emotional control (Shields & Cicchetti, 2001), lack of empathy (Caravita, Di Blasio, & Salmivalli, 2009), lack of social skills (Crick & Dodge, 1994), moral disengagement (Correia & Dalbert, 2008), large physical size (Olweus, 1993), and interest in dominating others (Pellegrini & Bartini, 2000). All of these factors likely explain, at least par- tially, why some individuals engage in high levels of bullying behaviors.

However, there may also be more basic de- velopmental forces at work for all children, and possibly adults, that may explain why some break others’ hearts with bullying behaviors from such early ages. Children and adolescents may en- gage in different forms of bullying because they desperately want, and need, to belong. Human beings have a fundamental need to belong, for ongoing positive interactions with others who provide companionship and caring (Baumeister & Leary, 1995), which builds and is transformed across development (Buhrmester, 1996). The fun- damental need to belong may explain why social exclusion is so distressing, and in studies with adults, has been related to aggressive behavior toward others (Twenge, Baumeister, Tice, & Stucke, 2001), self-defeating behavior (Twenge, Cantanes, & Baumeister, 2002), and even physi- cal pain (MacDonald & Leary, 2005).

Although it may seem counterintuitive to view such negative behaviors as bullying as deriving from the desperate need to belong, we argue that the need to belong may fuel bullying behaviors in children and adolescents (and likely adults, too, but the focus here will be youth). Children may hit, exclude, or harass others electronically because when their own needs for belongingness are threatened or when they want to enhance their own status, they lash out and hurt others in the way they think will be most painful, by engaging in behaviors that undermine the target’s sense of belongingness. For reasons discussed in the following, children and adolescents might be especially vulnerable to desperate needs for belongingness. Viewing bullying as motivated by the need to belong has profound implications for prevention and intervention programs to reduce bullying.

Children and Adolescents Desperately

Want to Belong

Needs for belongingness may be particularly strong in middle childhood and adolescence (Buhrmester, 1996; Gottman & Mettetal, 1986; Sullivan, 1953). Needs for belongingness may be especially powerful for girls, whose self- construals rely heavily on relationships (Cross & Madson, 1997) and who crave intimacy in close relationships (Rose & Rudolph, 2006). Girls’ peer groups emphasize close dyadic relationships and intimate self-disclosure (Maccoby, 1998), so the pain of being excluded might be especially acute for girls.

How, exactly, might the need to belong lead some children to engage in bullying and cyber- bullying? In his Interpersonal Theory of Psychi- atry, Sullivan (1953) proposed that individuals’ personalities and relationships are formed around social needs, qualities people desire in their rela- tionships with others, including warmth, compan- ionship, acceptance, and intimacy (Buhrmester, 1996). These social needs expand with develop- ment: infants most desire tenderness from care- givers; preschool children also need play part- ners; children in the early elementary years need also to feel a sense of belonging and acceptance; preadolescents additionally desire an intimate relationship with a same-sex peer (chumships), and adolescents wish also for sexual involvement. Sullivan argued that one’s character and one’s personality difficulties result from the ways in which one manages to meet these needs, or to de- fend one’s self when one cannot meet these needs and become anxious (Buhrmester, 1996; Sullivan, 1953). When people feel anxious, they engage in defensive attempts to avoid or ameliorate the anxiety, called security operations. These security operations may help individuals reduce immedi- ate anxiety, but they can create serious problems in relationships. For example, a preschool child who is frequently ignored by his overwhelmed parents might learn that he only gets his parents’ attention when he hits or kicks. Hitting and kick- ing are an effective security operation in the short term because they get the parental attention the child so desperately craves. However, hitting and

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kicking to get adults’ attention when that same child goes to kindergarten will likely undermine his relationships with peers and teachers and lead to peer rejection and serious academic difficulty (Dodge, Coie, & Lynam, 2007).

Some forms of bullying may be security op- erations, behaviors that children and adolescents engage in to reduce their anxious feelings about being excluded. One security operation described by Sullivan (1953) is disparagement, and this phenomenon resembles some forms of bully- ing, such as social aggression. Disparagement is speaking derogatorily about those to whom we feel compared. According to Sullivan, when some youth feel a strong need to be liked by everyone and superior in every way, they cope with the inevitable disappointment resulting from other’s success by disparaging the other, by maligning the other person’s personality char- acteristics or abilities, and by “pulling down the social standing of others” (Sullivan, 1953, p. 242). Many features of social aggression re- semble Sullivan’s description of disparagement. Relationship manipulation and social exclusion disrupt others’ friendships and reduce their social standing, and the content of gossip is often dis- paraging rumors: “One of the feeblest props for an inadequate self-system is the attitude of dis- paraging others, which I once boiled down to the doctrine that if you are a molehill, by God, there shall be no mountains” (Sullivan, 1953, p. 309).

One of the most challenging features of Sul- livan’s theory is that the security operations, including but not limited to disparagement, arise from one’s efforts to meet the social needs char- acteristic of developmental stages and to contain one’s anxiety when one’s efforts are unsuccess- ful. Therefore, following Sullivan’s (1953) ar- gument, security operations are both normative and adaptive in that people engage in them in response to frustrated efforts to meet their developmental needs, but also maladaptive in that they serve only to contain their immediate anxiety and, in the long run, create persistent difficulties in interpersonal relationships. Sullivan proposed that some children develop tendencies toward disparagement as a way of coping with the disappointment of others being superior in

various ways, and disparagement provides imme- diate relief from the anxiety of not being as good as someone else. However, if disparagement per- sists, it undermines the individual’s sense of self- worth because no accomplishments, one’s own or those of others, can be viewed as worthwhile and the person becomes just as disparaging of herself as she is of others. In Sullivan’s words (1953), “Since you have to protect your feeling of personal worth by noting how unworthy everyone around you is, you are not provided with any data that are convincing evidence of your having personal worth, so it gradually evolves into, ‘I am not as bad as the other swine’ ” (p. 242).

The Need to Belong Might

Fuel Bullying

Bullying might be a type of security operation that children and adolescents engage in when their own sense of belongingness is threatened. Youth may engage in bullying to harm others’ relationships as a way of protecting their own, and as a way of coping with their intense feelings of anxiety about feeling excluded. For example, a junior high school girl who feels excluded from a group of high-profile, affluent girls may start shoving the girl she perceives to be the leader of the group down the stairs daily after gym class. An elementary school boy who loves sports and takes pride in excelling may be threatened when a new student who moves to town is even larger and more athletic, and may spread the rumor that the new student uses performance enhancing drugs. A high school girl who is upset that a girl one year younger has started dating a boy she has a crush on may go on the younger girl’s Facebook page and make insulting, vulgar comments on every single one of her profile pictures.

All of these bullying behaviors may quell intense feelings of anxiety about being excluded or left out, at least in the short term. The girl who shoves the ringleader of a group she desperately wants to join may feel some satisfaction at having hurt someone she believes hurt her. The boy who spreads the rumor that a superior athlete uses steroids may take some short-term satisfaction

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in having smeared the person’s good name, in perhaps leading people to doubt that he achieved his academic prowess through talent and effort. The girl who writes nasty comments on all of a younger girl’s Facebook profile pictures may fantasize that she will lead the boy she is interested in to break up with the other girl, or at least bring down her rival’s standing in the eyes of other peers.

However, the relief provided from anxiety about belongingness by these behaviors is likely brief. The girl who shoves the ring leader down the stairs every day is likely to realize that her physical aggression makes the group she so desperately wants to join even more likely to exclude her. The boy who spreads the rumor that a stronger athlete uses drugs realizes that, in the absence of proof, his repeated claims start to make him look petty and envious to his peers. The girl who writes profane comments about another girls’ appearance on Facebook profile pictures may realize, upon reflection, that she has gone too far, when no one likes her mean comments or when a peer with the courage to intervene says, “Stop it. We all know you are writing these mean things because you are jealous.” And, of course, all of these bullying behaviors may lead to adult intervention, but should that happen, it might actually be less painful than the enduring realization that bullying behaviors only exacerbate the perpetrator’s sense of being excluded, and perhaps lead to looking pathetic in the eyes of peers.

Individual differences in bullying may relate to factors that determine the extent to which ado- lescents meet their own needs for belongingness by harming others. When children and adoles- cents’ needs for belongingness are threated, they have other options besides hurting others. The girl who wants to join a peer group could look for opportunities to engage in similar activities, could start making friendly conversation with the girls, and could ask them if she could sit with them at lunch, or could even invite them to do something with her. The boy who feels threatened by the superior athlete could talk to him about how he trains and what he has done to achieve his higher level of skill, and could invite him to

work out together. The girl who is distressed by the younger peer dating someone she also likes could talk with the boy and make her interest clear, or could make a conscious effort to direct her romantic interests elsewhere. However, all of these alternatives require skills in regulating emotions and building relationships that children and adolescents who engage in bullying may not have. Most youth desperately want to belong, but some may lack the skills to cope with that need in developmentally appropriate ways, and therefore may lash out with bullying behaviors when they feel threatened or excluded.

The desperate need to belong may also, in part, explain why it can be so very difficult for most children and adolescents to stand up to bullying behavior and to defend victims. Bullying involves not only perpetrators and victims, but also bystanders, reinforcers, and defenders (Salmivalli, Lagerspetz, Björkqvist, Österman, & Kaukiainen, 1996). Defending peers against all types of bullying may be daunting for some, precisely because children’s own desperate needs to belong lead them to believe that if they challenge the bullying behaviors, they will be the next targets.

To date, the little evidence available supports a relation between the need to belong and bullying behaviors. In a large study with middle and high school students, students identified as being in a high-involvement group for bullying reported lower feelings of belonging than children not involved in bullying (Goldweber, Waasdorp, & Bradshaw, 2013). For 10- to 13-year-old boys, engaging in antisocial bullying was related to a desire to be accepted by other antisocial boys and that bullying was related to peer rejection by the larger peer group of boys (Olthof & Goosens, 2007). Additional research is needed to understand more precisely how the need to belong may fuel bullying behaviors and prevent more youth from defending victims.

Implications for Prevention

and Intervention

If bullying is driven, in part, by the need to belong, then prevention programs could be

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Underwood and Ehrenreich Bullying May Be Fueled by the Desperate Need to Belong

augmented by addressing this issue explicitly. Children and adolescents could be helped to understand that people all desperately need and want to belong, and that it can be tempting to be mean to other people when one’s own sense of belongingness is threatened. Youth could be helped to reframe some of their bullying impulses and fantasies as motivated by the need to belong, and encouraged to consider other, more effective strategies for meeting these needs. Because these needs might be easier to recognize in others than in oneself, prevention programs could begin by discussing examples of others, with the goal of generating compassion for those who desperately want to belong.

If bullying is viewed as fueled by the need to belong, intervention programs for those already engaging in high levels of bullying will also need to be refined. When children and adoles- cents engage in high levels of bullying, it is often appropriate for there to be consequences, both the natural consequences of peer with- drawal and the more formal consequences im- posed by authorities. However, sometimes these consequences, especially the natural ones, outlast the duration of the bullying behaviors. Even a child who engages in physical aggression only occasionally could become saddled with a peer reputation as someone who always fights, and even if that child’s behavior improves, few peers include or give the individual a chance. This could exacerbate feelings of exclusion and in- crease the sense that belongingness is threat- ened, which could further fuel bullying behav- iors. Even the formal consequences of bullying imposed by authority figures may also under- mine a sense of belonging, because these pun- ishments often involve isolating youth through detention, in-school suspension, or suspension from school.

Youth who have been involved in high levels of bullying could be helped to reframe these behaviors as driven by the need to belong. They could be taught more effective, appropriate strategies for achieving these goals. Peers could be helped to see that others engage in bullying behavior at least in part because they feel left out, and could be encouraged to include those who

sometimes bully when they are behaving well or when it makes sense in terms of shared interests or activities. The same youth with the courage to defend and intervene might be those brave and prosocial enough to try including a child with a history of bullying behavior.

Viewing bullying as fueled by the need to belong could also be extremely helpful for de- velopmental theorists and researchers. This per- spective humanizes those who engage in bullying behaviors, reminds one that the negative behavior may be driven, at least in part, by a basic, devel- opmental need, and forces everyone to remember that bullying is a type of behavior, not a type of person. Viewing a young person as a bully makes it too easy to assume he or she will continue to engage in this behavior, too tempting to give up trying to help him or her, and blinds one to situations and contexts in which these children do well and are able to meet their needs for belongingness in more appropriate ways.

Assignment 1: Planning A Group

When a client is dealing with several problems at one time, it can be difficult to determine which type of treatment group would be most beneficial. Some types of treatment groups may overlap in addressing certain problems or issues. The literature is helpful in assisting the clinical social worker in determining the type, purpose, and goals of the treatment group.

For this Assignment, review the “Petrakis Family” case history and video session.

In a 3- to 4-page paper, describe a treatment group that would help Helen Petrakis in one of the following areas: (a) caregiving, (b) sandwich generation, (c) serving as a family member of an individual with addiction.

  • Review and briefly summarize the literature about the social issue that is the focus of your group (caregiving, sandwich generation, or addictions).
  • Write a plan that includes the following elements:
    • Type of treatment group
    • Purpose of the group
    • Membership
    • Method to recruit
    • Composition
    • Size
    • Open/closed
    • Monitoring

* I attached the case history and the book to review chapter 6 for this assignment.

Plummer, S.-B., Makris, S., & Brocksen, S. (Eds.). (2013). Sessions case histories. Baltimore, MD: Laureate International Universities Publishing.

 

“The Petrakis Family” (pp. 20–22)

The Petrakis Family

Helen Petrakis is a 52-year-old heterosexual married female of Greek descent who says that she feels overwhelmed and “blue.” She came to our agency at the suggestion of a close friend who thought Helen would benefit from having a person who could listen. Although she is uncomfortable talking about her life with a stranger, Helen said that she decided to come for therapy because she worries about burdening friends with her troubles. Helen and I have met four times, twice per month, for individual therapy in 50-minute sessions. Helen consistently appears well-groomed. She speaks clearly and in moderate tones and seems to have linear thought progression; her memory seems intact. She claims no history of drug or alcohol abuse, and she does not identify a history of trauma. Helen says that other than chronic back pain from an old injury, which she manages with acetaminophen as needed, she is in good health. Helen has worked full time at a hospital in the billing department since graduating from high school. Her husband, John (60), works full time managing a grocery store and earns the larger portion of the family income. She and John live with their three adult children in a 4-bedroom house. Helen voices a great deal of pride in the children. Alec, 27, is currently unemployed, which Helen attributes to the poor economy. Dmitra, 23, whom Helen describes as smart, beautiful, and hardworking, works as a sales consultant for a local department store. Athina, 18, is an honors student at a local college and earns spending money as a hostess in a family friend’s restaurant; Helen describes her as adorable and reliable. In our first session, I explained to Helen that I was an advanced year intern completing my second field placement at the agency. I told her I worked closely with my field supervisor to provide the best care possible. She said that was fine, congratulated me on advancing my career, and then began talking. I listened for the reasons Helen came to speak with me. I asked Helen about her community, which, she explained, centered on the activities of the Greek Orthodox Church. She and John were married in that church and attend services weekly. She expects that her children will also eventually wed there. Her children, she explained, are religious but do not regularly go to church because they are very busy. She believes that the children are too busy to be expected to help around the house. Helen shops, cooks, and cleans for the family, and John sees to yard care and maintains the family’s cars. When I asked whether the children contributed to the finances of the home, Helen looked shocked and said that John would find it deeply insulting to take money from his children. As Helen described her life, I surmised that the Petrakis family holds strong family bonds within a large and supportive community. Helen is responsible for the care of John’s 81-year-old widowed mother, Magda, who lives in an apartment 30 minutes away. Until recently, Magda was self-sufficient, coming for weekly family dinners and driving herself shopping and to church. But 6 months ago, she fell and broke her hip and was also recently diagnosed with early signs of dementia. Through their church, Helen and John hired a reliable and trusted woman to check in on Magda a couple of days each week. Helen goes to see Magda on the other days, sometimes twice in one day, depending on Magda’s needs. She buys her food, cleans her home, pays her bills, and keeps track of her medications. Helen says she would like to have the helper come in more often, but she cannot afford it. The money to pay for help is coming out of the couple’s vacations savings. Caring for Magda makes Helen feel as if she is failing as a wife and mother because she no longer has time to spend with her husband and children. Helen sounded angry as she described the amount of time she gave toward Magda’s care. She has stopped going shopping and out to eat with friends because she can no longer find the time. Lately, John has expressed displeasure with meals at home, as Helen has been cooking less often and brings home takeout. She sounded defeated when she described an incident in which her son, Alec, expressed disappointment in her because she could not provide him with clean laundry. When she cried in response, he offered to help care for his grandmother. Alec proposed moving in with Magda. Helen wondered if asking Alec to stay with his grandmother might be good for all of them. John and Alec had been arguing lately, and Alec and his grandmother had always been very fond of each other. Helen thought she could offer Alec the money she gave Magda’s helper. I responded that I thought Helen and Alec were using creative problem solving and utilizing their resources well in crafting a plan. I said that Helen seemed to find good solutions within her family and culture. Helen appeared concerned as I said this, and I surmised that she was reluctant to impose on her son because she and her husband 20 SESSIONS: CASE HISTORIES • THE PETRAKIS FAMILY seemed to value providing for their children’s needs rather than expecting them to contribute resources. Helen ended the session agreeing to consider the solution we discussed to ease the stress of caring for Magda. The Petrakis Family Magda Petrakis: mother of John Petrakis, 81 John Petrakis: father, 60 Helen Petrakis: mother, 52 Alec Petrakis: son, 27 Dmitra Petrakis: daughter, 23 Athina Petrakis: daughter, 18 In our second session, Helen said that her son again mentioned that he saw how overwhelmed she was and wanted to help care for Magda. While Helen was not sure this was the best idea, she saw how it might be helpful for a short time. Nonetheless, her instincts were still telling her that this could be a bad plan. Helen worried about changing the arrangements as they were and seemed reluctant to step away from her integral role in Magda’s care, despite the pain it was causing her. In this session, I helped Helen begin to explore her feelings and assumptions about her role as a caretaker in the family. Helen did not seem able to identify her expectations of herself as a caretaker. She did, however, resolve her ambivalence about Alec’s offer to care for Magda. By the end of the session, Helen agreed to have Alec live with his grandmother. In our third session, Helen briskly walked into the room and announced that Alec had moved in with Magda and it was a disaster. Since the move, Helen had had to be at the apartment at least once daily to intervene with emergencies. Magda called Helen at work the day after Alec moved in to ask Helen to pick up a refill of her medications at the pharmacy. Helen asked to speak to Alec, and Magda said he had gone out with two friends the night before and had not come home yet. Helen left work immediately and drove to Magda’s home. Helen angrily told me that she assumed that Magda misplaced the medications, but then she began to cry and said that the medications were not misplaced, they were really gone. When she searched the apartment, Helen noticed that the cash box was empty and that Magda’s checkbook was missing two checks. Helen determined that Magda was robbed, but because she did not want to frighten her, she decided not to report the crime. Instead, Helen phoned the pharmacy and explained that her mother-in-law, suffering from dementia, had accidently destroyed her medication and would need refills. She called Magda’s bank and learned that the checks had been cashed. Helen cooked lunch for her motherin-law and ate it with her. When a tired and disheveled Alec arrived back in the apartment, Helen quietly told her son about the robbery and reinforced the importance of remaining in the building with Magda at night. Helen said that the events in Magda’s apartment were repeated 2 days later. By this time in the session Helen was furious. With her face red with rage and her hands shaking, she told me that all this was my fault for suggesting that Alec’s presence in the apartment would benefit the family. Jewelry from Greece, which had been in the family for generations, was now gone. Alec would never be in this trouble if I had not told Helen he should be permitted to live with his grandmother. Helen said she should know better than to talk to a stranger about private matters. Helen cried, and as I sat and listened to her sobs, I was not sure whether to let her cry, give her a tissue, or interrupt her. As the session was nearing the end, Helen quickly told me that Alec has struggled with maintaining sobriety since he was a teen. He is currently on 2 years’ probation for possession and had recently completed a rehabilitation program. Helen said she now realized Alec was stealing from his grandmother to support his drug habit. She could not possibly tell her husband because he would hurt and humiliate Alec, and she would not consider telling the police. Helen’s solution was to remove the valuables and medications from the apartment and to visit twice a day to bring supplies and medicine and check on Alec and Magda. After this session, it was unclear how to proceed with Helen. I asked my field instructor for help. I explained that I had offered support for a possible solution to Helen’s difficulties and stress. In rereading the progress notes in Helen’s chart, I realized I had misinterpreted Helen’s reluctance to ask Alec to move in with his grandmother. I felt terrible about pushing Helen into acting outside of her own instincts. My field instructor reminded me that I had not forced Helen to act as she had and that no one was responsible for the actions of another person. She told me that beginning social workers do make mistakes and that my errors were part of a learning process and were not irreparable. I was reminded that advising Helen, or any client, is ill-advised. My field instructor expressed concern about my ethical and legal obligations to protect Magda. She suggested that I call the county office on aging and adult services to research my duty to report, and to speak to the agency director about my ethical and legal obligations in this case. In our fourth session, Helen apologized for missing a previous appointment with me. She said she awoke the morning of the appointment with tightness in her chest and a feeling that her heart was racing. John drove Helen to the emergency room at the hospital in which she works. By the time Helen got to the hospital, she could not 21 SESSIONS: CASE HISTORIES • THE PETRAKIS FAMILY catch her breath and thought she might pass out. The hospital ran tests but found no conclusive organic reason to explain Helen’s symptoms. I asked Helen how she felt now. She said that since her visit to the hospital, she continues to experience shortness of breath, usually in the morning when she is getting ready to begin her day. She said she has trouble staying asleep, waking two to four times each night, and she feels tired during the day. Working is hard because she is more forgetful than she has ever been. Her back is giving her trouble, too. Helen said that she feels like her body is one big tired knot. I suggested that her symptoms could indicate anxiety and she might want to consider seeing a psychiatrist for an evaluation. I told Helen it would make sense, given the pressures in her life, that she felt anxiety. I said that she and I could develop a treatment plan to help her address the anxiety. Helen’s therapy goals include removing Alec from Magda’s apartment and speaking to John about a safe and supported living arrangement for Magda.

Review The “The Influence Of Gender

NL-525 Topic 4: The Influence of Gender: Career Counseling Initial Session and Summary

This document contains directions for both parts of the assignment. Be sure to read through both parts and complete the questions as outlined in Part 2.

 

Part 1: Career Counseling Initial Session

 

First, complete research on career trends with regard to gender. Once this is completed. conduct a 25-30-minute career counseling initial session with a volunteer or a classmate of the opposite gender while using your GCU Zoom account. The individual will need to complete an informed consent form before conducting the interview.

 

While conducting the initial session, execute the practice components of career counseling that includes the following:

· An initial session interview

· A discussion with the client about a career assessment you would like to administer.

· Strategies for ways to help the individual develop skills for work-life balance that are gender appropriate.

· Strategies for assisting the client to learn or enhance the use of technology for career information and planning,

· Identifying and acquiring of career information resources that are relevant for the individual that consider cultural and gender factors.

· A demonstration of the theoretical approach that is being used

 

As with all counseling encounters, it is important to engage in the basic counseling skills while conducting a career counseling initial session. The skills allow counselors to understand the individual’s career interests, career concerns, and career development. During the initial session, you should engage in the following:

· Demonstrate the ability to welcome the individual and begin the process of developing rapport.

· Demonstrate the ability to effectively review informed consent.

· Demonstrate the ability to use open-ended questions to learn more about the individual’s career employment, career interests, and career concerns to move the session forward.

· Demonstrate

· S – Sitting squarely

· O – Open posture

· L – Leaning forward

· E – Eye contact

· R – Relaxed body language

(Note any challenging aspects of using SOLER in a Zoom session)

· Demonstrate verbal and nonverbal empathetic listening skills

· Demonstrate verbal and nonverbal active listening skills

· Demonstrate summarizing skills, particularly during transitions in the session

Note: American Counseling Association (ACA) ethical guidelines indicate that interviewees have the right to refuse to answer any question posed to them by an interviewer. Please ensure that your interviewees are aware of this, and do not force them to answer where the opportunity to reply has been refused.

Part 2: Reflection

Include the link to the GCU Zoom recording of the Career Counseling Initial Session below.

Zoom Link:

Directions: Complete a 300-500 word reflection on the results of the intake interview which addresses the following:

1. What career theory did you use in the interview and was it effective?

 

2. How did the gender of the individual influence your recommendations?

 

3. What challenges due to gender do you see the individual encounte

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7-1 Discussion: Are Psychological Disorders Manifestations of Society and Culture?

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In this discussion, you will explore the concept of public perception and the impact it has on the mental health field. By reading the Forbes article, Researchers Doubt That Certain Mental Disorders Are Disorders at All, you can see that perceptions regarding mental health shift on a metaphoric pendulum over periods of time.

For your initial post, address the following:

  • The article notes that labels often define who we are and help us to determine what we are able to do. For argument’s sake, if the scientific community shifted from labels such as ADHD, anxiety, or PTSD to the definition of an individual’s response to the environment, how do you believe society would adapt to the change?
  • In some cases, a diagnosis can provide individuals with a sense of relief. It gives them the opportunity to address personal issues with a clear treatment plan.
    • What are the benefits of having labels for mental health disorders?
    • What are some detriments of having labels for mental health disorders?
  • How does the concept outlined in this article apply to any of the following programmatic themes? You may want to review the Programmatic Themes document.
    • Self-care
    • Social justice
    • Emotional intelligence
    • Career connections
    • Ethics

Remember to respond to two peers while being respectful of and sensitive to their viewpoints. Consider advancing the discussion in the following ways:

  • Post an article, video, or visual to reinforce a peer’s idea or challenge them to see their point from a different perspective.
  • Engage in conversation with your peers around the pros and cons of having a labeled diagnosis. Consider asking a question or sharing your personal experience.

To complete this assignment, review the Discussion Rubric. You will also need:

  • Norms of Practice for Online Discussion
  • Ethical Usage Practices