What happens in the next session to achieve goals of NT?

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.

Classmate Susan: Qt 3: What happens in the next session to achieve goals of NT?

The end goal for Narrative Theory (NT) counselors is to tear down a client’s current story replete with problems and to journey along side the client in re-authoring a story that the client desires (Murdock, 2017).  The narrative that is preferred is what is called a unique outcome (Murdock, 2017).  For example, Jim points out to Helen that she is adamant that Nagging Dissatisfaction has no place in her role as an attentive mother (Pearson, 2019). He spends considerable time asking her questions why that is the case, thickening the plot of a unique outcome. Jim then confirms if the way Helen mothers is what Helen would consider her preferred story (Pearson, 2019). Jim and Helen have already begun the re-authoring conversation.

Jim wrote a “readiness latter” to Helen that summed up their last session and asked her how he can assist her as she creates her new story. He also eluded to the possibility of getting others involved who can support her preferred story (Pearson, 2019).

The next session will most likely involve scaffolding. Now that Helen has distanced herself through externalization, she has a different perspective about the dominate story and is able to see perhaps more objectively and perhaps see more possibilities to her re-authored story (Murdock, 2017). Scaffolding’s purpose, according to White (as cited in Murdock, 2017), is the collaborative process of creating a personal initiative, creating a description of the effects of the unique outcome, evaluating the effects, and the client justifies the evaluation. Jim may continue to use relative influence questioning to reinforce unique outcomes (Murdock, 2017). By doing this Jim facilitates the “process of promoting an alternative story that might relate to strength-based behaviors” (Van Dyke, Jones, & Butman, 2011, p. 370). Additionally, Jim may use Landscape of Action and Landscape of Identity questions (White (2007) as cited in Murdock, 2017). This requires Helen to brainstorm outcomes in a time sequence and then reflect on what the re-storying might look like (Murdock, 2017).

References

Murdock, N.L. (2017). Theories of counseling and psychotherapy: A case approach (custom       package) (4th ed.). Upper Saddle Creek, NJ: Pearson.

Pearson (Producer). (2019). Narrative Therapy Session: Theories in action [Video file].                            Available from http://media.pearsoncmg.com

Van Dyke, D.,  Lee, T., Jones, S.L., and Butman, R.E. (2011). Experiential therapies. In S.L.                   Jones, & R.E.  Butman (Eds.),  Modern psychotherapies: A comprehensive Christian       appraisal (2nd ed.) (pp. 291-345). Downers Grove, IL: Intervarsity Press

Classmate 2: Victor

QUESTION:  In line with Narrative Therapy techniques, describe how the counselor externalized Helen’s problems. Why is externalization so important in this session? How effective is it with Helen?

In watching this week’s video session with Jim and Helen, it was interesting to see how he was able to take the phrase “nagging dissatisfaction” that she used to describe her situation to reiterate and externalize what she is feeling. Towards the end of the video, Jim uses an illustration of something familiar to Helen. He talked about the context of a story and how it applied to the plot or the interest of the story. He asked Helen if she understood what he was referring to and how the session had affected her. She expressed that she was feeling hopeful. In narrative therapy, helping the individual to view their problems from a different context or another part of who they are is often enlightening to their situation and offers them hope. Murdock (2017) states that when counseling, it is crucial to view the client as having multiple selves to see “self” across multistoried and how they relate with one another (p. 485). Jim showed the effectiveness of this part of narrative therapy as he allowed Helen to externalize herself from her present form of discontent. He allowed her to follow the storyline of motherhood, as a daughter, a wife, and within herself. He is elaborating on how she is making changes in each of these areas of her life. Jim was giving Helen the tools she needed to develop the externalization of “the problem” without taking action against herself” (Murdock, 2017, p. 497). This form of externalization is so vital because it helps the client to abjectly see how their problem can be altered by thinking of their lives on many different levels and by rewriting their story through their dialogue. Equipping the client to feel good about the many areas they are dealing with and showing them clearly how they are being helped and not necessarily harmed by what they are feeling. The word of God encourages us to accept ourselves and our stories. “I praise you, for I am fearfully and wonderfully made” (Psalms 139:14, ESV). God created each of us with a story. Through counseling we understand by taking a situation and addressing it from the many hats that people wear, we can equip them to believe in themselves and to know “God wonderfully made them” and with His help, their story can be beautiful.

References

Holy Bible, Eastern Standard Version

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?bookid=101994&platform=1030&scenario=1            &invoketype=et1&pagenumber=199&bookserver=1&userid=&hsid=2de106d2b1317793            0eb985bb3c47860f&key=51512740224448417852019

Narrative Therapy. [Video file]. (n.d.). Pearson. Retrieved October 2, 2019, from http://media.pearsoncmg.com/pcp/21270572125/index.html?

· Explain how you would proceed with her medical team in terms of advocacy for her as a client believed to have this condition.

Individuals with somatic symptom disorders tend to have considerable difficulty with how they experience and appraise their bodily symptoms. The illness and the dysfunctional focus and behavior around the illness can assume a central role in the person’s life.

Somatic symptom disorders were originally thought of as “hysterical,” without legitimate medical causation, or as hypochondriasis. Though thinking has changed, negative judgments about unfounded illnesses can still be attached to individuals with these disorders. The boundary between medical and emotional problems can be further blurred. In some cases, an individual labeled with one of these illnesses may simply be experiencing a developing medical condition that has not yet been well defined. For all of these reasons, social workers need to take particular care in diagnosing somatic symptom disorders and in providing a fully biopsychosocial and multidisciplinary approach.

Required Reading

Cleaveland Clinic. (2019). Conversion Disorder in Adults. Retrieved from https://my.clevelandclinic.org/health/diseases/17975-conversion-disorder-in-adults

GARD. (2017). Conversion disorder. Retrieved from https://rarediseases.info.nih.gov/diseases/6191/conversion-disorder

CDC.gov. (2018). What is ME/CFS?. Retrieved from https://www.cdc.gov/me-cfs/about/index.html

CDC.gov. (2018). Treatment of ME/CFS. Retrieved from https://www.cdc.gov/me-cfs/treatment/index.html

Remedy Health Media. (2019). The Biopsychosocial Approach. Retrieved from https://www.practicalpainmanagement.com/treatments/psychological/biopsychosocial-approach

Video 

Jennifer Brea Conference Video:

In this Assignment, you describe what that approach might look like for one client.

prepare:

· Imagine that Jennifer Brea, whose TEDTalk (TED Conferences, LLC, 2016) Video you watched, is referred to you for ongoing supportive therapy when her psychiatry consultant decides that she does not have a conversion disorder. Despite the psychiatrist’s opinion, her primary care physician ignores that consult and labels Jennifer with the conversion disorder anyway. Be sure to investigate what the ‘conversion’ diagnosis means when responding.

Assignment

PowerPoint (5–7 slides) in which you address the following:

· Explain in a concise professional manner how you would conduct your first meeting with Jennifer. Identify specific steps you would take to understand her circumstance and needs.

· Explain how you would proceed with her medical team in terms of advocacy for her as a client believed to have this condition.

· Explain why you would need to take a biopsychosocial approach to her ongoing care.

· Explain what social, family, vocational, Internet, and medical supports you would explore to help with her longer-term stabilization.

· Analyze the controversy in diagnosing a mental disorder based on unexplained physical symptoms. Within your analysis, consider how power and privilege influence who provides the diagnoses and which groups are more likely to be diagnosed with certain disorders. Explain your thoughts on this debate.

Support your presentation with research and references to scholarly literature.

Make sure you add in information in the note section explaining each slides and Include a transcript and/or edit closed captioning in your presentation to ensure your presentation is accessible to colleagues of differing abilities.

Diverse Contexts And Intercultural Communication

Your employer has asked to prepare a presentation on intercultural communication and the importance of considering diversity in communication. You must prepare a PowerPoint presentation, creating one slide for each of the topics below. Be sure to include your speaker notes in the Notes section below each slide. Include a minimum of two relevant citations throughout your presentation.

Slide 1: Title Slide

Slide 2: Explain how diverse contexts impact and intercultural communication.

Slide 3: Provide three reasons to consider intercultural communication.

Slide 4: Identify two examples of intercultural communication that should be considered.

Slide 5: Identify a diverse context issue that can be addressed using intercultural communication strategies.

Slide 6: Provide two intercultural guidelines for how to address the issues identified in Slide 5, while still demonstrating respect for those differences.

Slide 7: References

Writing Requirements and Assignment Guidelines

Your Assignment should be at least five slides, not including the Title and Reference slides, and should include the following elements:

  • Title slide
  • Body
  • Reference slide: Include at least two sources listed in APA format
  • Use Arial or Times New Roman 24-point font
  • Use APA Formatting and Citation style
    • assignment must be written in Standard English and demonstrate superior organization, including a highly developed viewpoint and purpose. Your notes below each slide in the body of your presentation should be written in complete sentences and paragraphs, supporting the content on each slide. Presentations are visual; therefore, use clear, concise bullet points and avoid crowded slides. Additionally, images and diagrams are wonderful presentation tools, but be sure to include all required citations.

Counselor Ethical Boundaries And Practices Assignment Guidelines

Directions: Follow the directions below to write a paper of 1,500-1,750 words on counselor ethical boundaries and practices.

Provide a thoughtful response to each of the following four sections, including specific, concrete examples to illustrate your ideas. Use the section headings provided below to separate each section of your paper. 

Your final deliverable should be one cohesive paper with headings addressing all four sections along with an introduction and conclusion.

Section 1: Boundary Issues and Dual Relationships

1. How would you determine if a boundary-crossing or dual relationship is ethical and appropriate? What criteria would you consider when making your decision?

2. Present examples of how you would apply this criteria to at least four counseling situations in which you believe the dual relationship issues are complex and ambiguous. One of your examples should address the issues of physical attraction between clients and counselors.

Section 2: Professional Collaboration in Counseling: Working with a Multidisciplinary Team

1. How would you work collaboratively within your scope of practice with other mental health professionals to ensure quality client care?

2. Who would you expect to work with as part of a multidisciplinary team and what would the role of each person on the team be, including yourself?  Refer to Section D (Relationships With Other Professionals) of the ACA Code of Ethics and any other relevant sources.

Section 3: Relationships with Supervisors and Colleagues

1. According to the ACA Code of Ethics, what is the role of clinical supervisors and what are their primary responsibilities? Refer to Section F (Supervision, Training, and Teaching) of the ACA Code of Ethics and any other relevant sources.

2. Describe the ethical issues involved in the supervisor-counselor relationship. How is this relationship similar to the counselor-client relationship? How is it different?

3. Occasionally, counselors will observe unethical behavior in their colleagues. Describe an unethical behavior that one might see and identify an ethical decision making model that would address the unethical behavior.

Section 4: Development of Your Thinking about Ethics

1.  Clearly describe what you consider to be the most important developments in your thinking about ethical practice that have occurred during this course. This may include areas in which you have clarified your views and beliefs, modified your thinking on a given issue, gained new insights, or acquired a new perspective. It may include issues whose complexity you now appreciate more fully or difficult issues that you now understand you must grapple with as a counselor. Be sure that you include specific examples to illustrate general statements. This is the only section in which your personal experience has been required. Therefore, you are allowed to use first person in this section only.

*****Please include and introduction and conclusion********

 

For Section I of this assignment, be sure to include 4 unambiguous examples of ambiguous dual relationships and apply a decision making model to support your reasoning.

In addition, include discussion of if and how your decision-making would change after the client has completed treatment (former clients). Please don’t use the word “I” or ‘this author’ for Parts I or II. Rather, use scholarly references and your codes of ethics! Only for the final section can you write in first person. 

Follow the rubric and the directions in the assignment guidelines. Minimum word count is 1,500 words (body of assignment only – don’t include references or title page in count).

There are many pieces and parts to this assignment and I will be looking for all of them. I will not guess or infer which part you are attempting to answer, rather be explicit! Use APA headings!! See how to format APA Headings according to each heading Level: (doesn’t format correctly here in LC – sorry!)

Centered, Boldface, Uppercase and Lowercase Headings

Left-aligned, Boldface, Uppercase and Lowercase Heading 

Indented, boldface, lowercase heading with a period. Begin body of text after the period.

https://owl.english.purdue.edu/owl/resource/560/16/

Ie:

Section 1: Boundary Issues and Dual Relationships

Determining Appropriate Boundaries

Examples

Section 2: Professional Collaboration in Counseling

Collaboration

Multidisciplinary Teams

Section 3: Relationships with Supervisors and Colleagues

You are required to use 6 scholarly sources for this paper. I will be strict in enforcing this requirement. I expect students will incorporate the text, codes of ethics and other scholarly resources. Improperly formatted papers will be graded as below satisfactory on the rubric, including citations and references. At this stage of the course, students are expected to understand APA. Please don’t use the word “I” or ‘this author’ for Sections 1,2, or 3. Only for the final section can you write in first person.

Please give appropriate credit to the author of paraphrased and quoted material… this is an ethical issue and expectation at this point! Keep an eye on required word count (1500 – 1750).