Theories of Counseling and Psychotherapy

Reply to 2 classmates for each forum. You must explain briefly (200-250 words) why you agree or disagree with your classmate’s view. Your replies must be in response to classmates who answered a different question than you and significantly add to the discussion. Include a biblical worldview.You are required to include at least one reference in each reply. Remember to use APA formatting.

Cognitive Behavior Theory

Classmate #1 Victor

Cognitive therapists believe that it is important to socialize the client to therapy. What are some examples of this goal in the session? How effective do you believe this technique was? Would you have done anything differently?

Teaching a client, the ability to associate their thoughts and establishing how it relates to their emotions is a powerful tool.  The example Dr. Lundgren used about seeing Sally walking across the street and not speaking was simple, yet it made the point. Many times, people jump to the wrong conclusion simply by how their day has been going. And what they are feeling within the moment. Helen immediately walked the cognitive path of socialization as she began to relate to wondering what she had done to make Sally mad, stating she would be spending way too much time in this thought process assuming, and wondering if she should call Sally. (Pearson, n.d.). Some of the examples that stood out to me were the way Dr. Lundgren continued to reinforce the session by walking Helen down the path of what was the situation, her thoughts, emotions, the behaviors that could be a possible outcome of the scenario, and what results could be a possibility. Helen was able to use the three automatic thought process’s: verbally and visually, validity and their utility, and evaluating if the thoughts were dysfunctional (Murdock, 2017, p.310).

I believe this layout is very effective. It allows the counselor to help the client to become socialized within a cognitive model by following a script. Automatic thoughts take the client to an emotion, allowing them to relate to an incident they have previously experienced. Behaviors are generated from the feelings that have been experienced. The emotion will delegate how a client will respond to the situation. The one thing that I may have done differently is to encourage Helen perhaps to talk to her husband about her feelings of missing her writing, and working on plays. Connecting with him once more over a cup of coffee and allowing him to see her not just as his wife or the mother of his children. But, as the women he married, who had a zeal for writing before the married life. Once this line of communication was on the table, he would have a better understanding of why it was so important to her to take a class over the weekend. It would allow him to be supportive with a more rational understanding of why Helen wanted to take a course. Then when she came to the question of asking if he would be willing to watch the children so that she may take the class, he could answer her with more facts to base his answer.

Cognitive Session Theories in action. [Video file]. (n.d.). Pearson. Retrieved September 5, 2019, from http://media.pearsoncmg.com/pcp/21270572125/index.html?wf=1&item=2

Murdock, N. L. (2017). Theories of Counseling and Psychotherapy: A Case Approach [Pearson e Text] (4th ed.). Retrieved from        https://etext.pearson.com/eplayer/pdfbook?

Classmate #2 Raven

Helen identifies the automatic thought “he will resent me,” and Dr. Lundgren extends this thought to include “and it will be horrible if he resented you.” What other automatic thoughts can you identify? Explain which of the 3 automatic thought types each thought relates to. How would you work with these thoughts? 

Helen expressed additional AT (automatic thoughts) throughout her therapy session such as “It’s a waste of my time to do a weekend class” referring to her interest in attending a playwriting class. This statement relates to the AT type of a distorted thought that is contrary to available evidence (Nancy, 2017). As a counselor, I would work to help Helen identify why she thinks that this is true. Helen expresses that she feels as though attending this class would be a waste of time due to her having a master’s degree and additional experience in her field and having anxiety about asking her husband to watch the kids. Helen also expresses the AT of “I don’t know what is going to happen” “If he held it over my head could I live with it”. These AT’s where in reference to her asking her husband to watch the kids. These relate to the AT type of accurate but distorted thought. She is right in that she does not know how her husband is going to react to her asking him, but her thought is distorted because she does not know if he will hold it over her head or not. Her AT of “If he held it over my head could I live with it” is also an AT type of dysfunctional thought because her fear of the “what if” is holding her back.

If you were counseling Helen from the Cognitive framework, what additional technique(s) could you employ in the session? What would you hope to accomplish? 

In addition to CBT with the AT technique I would incorporate the use of REBT described as the “premise that whenever we become upset, it is not the events taking place in our lives that upset us; it is the beliefs that we hold that cause us to become depressed, anxious and enraged” (REBT Network, 2006). With this technique, I would hope to accomplish helping Helen overcome believing how she thinks her husband will react to alleviate her anxiousness. The REBT technique allows people to “control their own thoughts, feelings, and behaviors (Murdock, 2017). If Helen can begin to control her thoughts and feelings in situations, she may be less worried about what the outcome might be and focus on her initial reasoning for asking her husband to watch the kids.

References 

Murdock, Nancy 2017. Theories of Counseling and Psychotherapy. Library of Congress Publication https://etext.pearson.com/eplayer/pdfbook?bookid=101994&platform=1030&scenario=1&invoketype=et1&page.

REBT Network (2006). Retrieved from http://www.rebtnetwork.org/whatis.html

What diagnostic impression do you reach based on the information gathered about Johnny?

Read the Case Study for “Johnny” and review/score the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 form completed by the mother (attached). Consider the following when reviewing the form:

  1. What information do you gather from the data in this instrument?
  2. What will you do next—based on the information from the Level 1 Measure?

Utilize the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 measure to differentiate between issues associated with typical childhood behaviors and clinically-significant psychiatric phenomena (psychopathology). Consider the following when differentiating between the issues:

  1. Based on your findings, would you assess that “Johnny” needs a formal referral to a pediatric psychiatrist/psychologist/counselor?

Assign the appropriate DSM diagnoses for “Johnny” in descending order, from the dominant, to the least dominant. Consider the following when assigning the DSM diagnosis:

  1. What diagnostic impression do you reach based on the information gathered about Johnny? What is your rationale for ruling-out other diagnoses?

Write a 500-750-word paper about Johnny and your findings. Include the following in your paper:

  1. The appropriate DSM diagnoses for “Johnny” in descending order, from the dominant, to the least dominant and rationale.
  2. An explanation regarding why other diagnoses were excluded and rationale.
  3. A discussion regarding if you would assess that “Johnny” needs a formal referral to a pediatric psychiatrist/psychologist/counselor and rationale for your choice.
  4. At least five scholarly references in addition to the textbook in your paper to substantiate your findings.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite.

Our Text Book:American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders(5th ed.). Washington DC: American Psychiatric Association Publishing.

cid:D7D4B297-EEAE-4174-AD01-F87097282051@canyon.com

Case Study: Johnny

Johnny is a 9 year old boy brought to the emergency room where you are employed as a crisis therapist. The patient was transported by a crisis mobile team who was called by the school. The evaluation by the ER physician as well as the urine drug screen is unremarkable: there are no acute or chronic concerns with this patient. In the chart, you note the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 form completed by the mother (attached). Admission paperwork identifies that Johnny has had numerous visits to the principal’s office in the past year, all triggered by various disruptive behaviors.

 

Today’s crisis started when Johnny refused to follow directions regarding an in-class assignment. When the teacher attempted to redirect his behavior things escalated rapidly: Johnny yelled at the teacher, cursed at him using vulgar language, and when the teacher grabbed him by the shoulders to take him to the principal’s office Johnny impulsively stabbed the teacher in the arm with a pencil he was clenching in his hand. Johnny was escorted to the principal’s office who immediately called the police and Johnny’s parents. The police officer was compelled to contact the county crisis hotline who dispatched a crisis mobile team. The crisis clinicians made the determination that Johnny is a danger to others and he must be taken immediately to the nearest emergency room for emergency psychiatric evaluation. Johnny has refused to speak to the ER physician or his nurse.

 

You gather most of your clinical information from his mother who is at the bedside. Johnny’s mother reports that he has always been a clever, charming, and very playful boy. She informed that for the past year Johnny has been increasingly stubborn, repeatedly challenging his mother’s and his teacher’s authority when compliance with home and/or classroom rules is required. Johnny used to be an A+ student. For the past year, however he has been averaging Bs in most subjects, grades that he earned effortlessly.

 

His mother repeatedly assures you that his drop in grades is not due to lack of intellectual ability but rather because Johnny prefers playing over any type of work. His mother denies any changes in sleep, appetite, or any mood fluctuations. Furthermore, his mom reports that Johnny is a healthy and happy boy who is interested in sports, the outdoors, videogames, and that he wishes to become a software engineer when he grows up. She reports that the school counselor has mentioned that Johnny may be suffering from ADHD or even bipolar disorder. The thought of these diagnoses appear very disturbing to Johnny’s mom. She quickly assures you that she has not observed Johnny to ever struggle with depression, or distractibility, and reports that he has always been a good sleeper. She reports that Johnny has never made any statements amounting to thoughts or impulses to harm self or others.

 

Johnny’s mother presents shaken by today’s events and she assures you that she will seek any treatment you recommend. At this time, Johnny looks up at you and with tears in his eyes; he states that he did not mean to stab his teacher explaining that he just got mad when he grabbed him. Johnny’s mother listens then states that while he obeys her most of the times, he has always been obedient to his father, who is a traveling salesman. In fact, Johnny has never challenged his father and, on the weekends when he is around, Johnny manages to catch up with his schoolwork in record time and enjoy spending most of his time with his father.

 

 

© 2015. Grand Canyon University. All Rights Reserved.

© 2015. Grand Canyon University. All Rights Reserved.

Graduate Psychometrics

  Title

ABC/123 Version X

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  Dr. Zak Case Study

PSYCH/655 Version 4

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University of Phoenix Material

 

Dr. Zak Case Study

Instructions

 

Read the following case study. Use the information in the case study to answer the accompanying follow-up questions. Although questions 1 & 2 have short answers, you should prepare a 150- to 200-word response for each of the remaining questions.

 

Case Study

 

Dr. Zak developed a test to measure depression. He sampled 100 university students to take his five item test. The group of students was comprised of 30 men and 70 women. In this group, four persons were African American, six persons were Hispanic, and one person was Asian. Zak’s Miraculous Test of Depression is printed below:

 

1. I feel depressed: Yes No

 

2. I have been sad for the last two weeks: Yes No

 

3. I have seen changes in my eating and sleeping: Yes No

 

4. I don’t feel that life is going to get better: Yes No

 

5. I feel happy most of the day: Yes No

 

Yes = 1; No = 0

 

The mean on this test is 3.5 with a standard deviation of .5.

 

Follow-Up Questions

 

1. Sally scores 1.5 on this test. How many standard deviations is Sally from the mean? (Show your calculations)

 

 

 

 

 

2. Billy scores 5. What is his standard score?

 

 

 

 

 

3. What scale of measurement is Dr. Zak using? Do you think Dr. Zak’s choice of scaling is appropriate? Why or why not? What are your suggestions?

 

 

 

 

 

 

 

 

4. Do you think Dr. Zak has a good sample on which to norm his test? Why or why not? What are your suggestions?

Dr. Zak does not have a good sample on which to norm his test. Dr. Zak’s sample size that he chose for his assessment does not have enough diversity to be considered reliable, credible, applicable, or valid. Because of the lack of equity in males versus females and diversity within race and ethnicity, Dr. Zak’s does not have a good sample to norm his test. To help Dr. Zak norm his test, he needs to switch up the characteristics of his sample size. First, Dr. Zak needs to ensure he has a fair comparison between males versus females. Right now, he only has 30 females and 70 males, which is not painting a fair picture to qualify as the norm. He should select a sample size less lopsided in terms of gender. Further, within that sample of 100, only eleven people are of a different culture. This is not representative of the “melting pot” society that depicts the state of the United States. Dr. Zak should make a change to include representative sizes of all different cultures to obtain more reliable results from his assessment.

 

 

 

 

 

 

5. What other items do you think need to be included in Dr. Zak’s domain sampling?

 

 

 

 

 

 

 

 

6. Suggest changes to this test to make it better. Justify your reason for each suggestion supporting each reason with psychometric principles from the text book or other materials used in your course.

 

 

 

 

 

 

 

 

7. Dr. Zak also gave his students the Beck Depression Inventory (BDI). The correlation between his test and the BDI was r =.14. Evaluate this correlation. What does this correlation tell you about the relationship between these two instruments?

 

 

 

 

 

 

 

Copyright © XXXX by University of Phoenix. All rights reserved.

Copyright © 2017, 2015, 2013 by University of Phoenix. All rights reserved.

Explain why family systems analysis is important in the mental health field.

MHW-634: Diverse Family Systems Worksheet

It is important for mental health workers to understand the holistic needs of the family and know what is meant by diverse family systems in order to assist various family systems. This assignment will help you learn this concept.

Citing two to four scholarly sources, answer the following:

Topic 1: Exploring Diverse Family Systems
Define family. (50-75 words)

 

Describe your own family system. How does your current family system compare to families in history? (100-150 words)

 

Describe the contemporary family. (75-100 words)

 

Explain what is meant by diversity in family systems. (75-100 words)

 

Describe the needs of the contemporary family. (75-100 words)

 

Diverse Family Systems
Provide an example of a diverse family system.

 

Using the example you provided, analyze the following:

Compare your example to families in history. (100-150 words)

 

Explain the impact of cultural factors on the diverse family example. (100-150 words)

 

Explain the impact of technology on the diverse family example. (100-150 words)

 

Explain the impact of children and multigenerational factors on the diverse family example. (100-150 words)

 

 

References:

 

 

© 2019. Grand Canyon University. All Rights Reserved.

 

© 2019. Grand Canyon University. All Rights Reserved.