Vignette Analysis II This assignment provides the opportunity f...

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Vignette Analysis II

This assignment provides the opportunity for you to demonstrate your ability to apply the concepts covered throughout the course. This assignment MUST be typed, double-spaced, in APA style, and must be written at graduate level English. You must integrate the material presented in the text and cite your work according to APA format.

Given each Theory and Concepts listed below, briefly define the concept, and briefly discuss the concept directly and specifically to the information contained in the vignette. Culture and Legal/Ethical consideration are required. [This information can be found in Part I as well as in chapters throughout the course text and in the DVDs: The Case of Stan and The Case of Ruth]. You must integrate and reference the text information, to support your thoughts and ideas for this vignette.

Note: The entire assignment should be submitted in 4-6 pages total plus a title and reference page.

You are required to respond to all 4 questions. Please specify which concepts you are discussing within each question.


You have been seeing Clay and Lin for a month now. Clay is a recovering addict of Native-American descent. His wife, Lin, is of Asian descent. The couple is in their late 60’s and is dealing with multiple health issues and worrisome family problems. Clay has recently suffered a second heart attack. Lin has been struggling with chronic fatigue for the past 10 years. They originally came to see you to help them accept their health issues and to manage their stress.   In a recent session, the couple reveals that their 40 year old son, Robert, has just come to live with them. Robert just got out of his 5th drug rehab program and has nowhere else to live. Clay is tired of “picking up the pieces” of his son’s messes. Lin tells you that she couldn’t live with herself if anything happened to Robert. She tells you that she would rather him drink and use drugs under their care, than to worry for his life. She tells you that Robert threatens suicide if they won’t let him come back home. Clay tells you that Robert “will be the death of us”, but gives in to his wife’s decision.

You are required to respond to all questions below

Question 1:

As a Gestalt therapist:

a. How would you work with this couple on Resistance to Contact in consideration of:
    choose 1 the following:

§ Introjection

§ Projection

§ Retroflection

§ Deflection

§ Confluence

a.    Consider Gestalt Therapy Interventions (choose 1 from the text), and discuss how the intervention you choose might work for this couple, illustrating how you would use it.

Question 2:

As a Behavior Therapist:

a. Which Operant Conditioning Techniques (reinforcement theory) might you use with this couple and why?

b. How might Mindfulness Based Therapies be effective with this couple?

Question 3:

As a Cognitive Behavioral Therapist:

    a. Using the tenets of Ellis’ ABC theory of intervention, describe and illustrate how you would work with this couple applying the ABC model.

    b. In consideration of Beck’s Basic Principles of Cognitive Therapy, how would you manage this couple’s cognitive distortions ?    Choose 1 of the following:

§ Arbitrary inferences

§ Selective abstraction

§ Overgeneralization

§ Magnification and minimization

§ Personalization

§ Labeling and mislabeling

§ Dichotomous thinking

c.    In consideration of Meichenbaum’s Stress Inoculation theory, briefly describe and illustrate how this might be an effective approach for this couple.

Question 4:

As a Reality Therapist, briefly describe how you would apply the “WDEP System” to this couple.

§ W=wants, needs, and perceptions

§ D=direction and doing

§ E=self-evaluation

§ P=planning

Assignment Outcomes
Distinguish between the major theories of psychotherapy

Critique and apply the intervention models of major theoretical figures

Analyze case studies by applying major theories for analysis

Integrate legal-ethical and cultural tenets of counseling and psychotherapy

Analyze and evaluate information critically and effectively

Solution PreviewSolution Preview

These solutions may offer step-by-step problem-solving explanations or good writing examples that include modern styles of formatting and construction of bibliographies out of text citations and references. Students may use these solutions for personal skill-building and practice. Unethical use is strictly forbidden.

Exploration of Prominent Psychotherapies for a Culturally Diverse Couple in Distress

The purpose of this essay is to examine multiple approaches to psychotherapy in the context of a hypothetical case example, while discussing relevant legal/ethical and cultural considerations.
In this case, Gestalt, behavioral, cognitive-behavioral, and reality therapies will be examined as is pertinent to the case.
When considering culture and legal/ethical concerns, one of the most basic principles established in the American Psychological Association’s Code of Ethics (2010) is the concept of competency.
In this case, competency needs to be demonstrated or accounted for in multiple areas including multicultural competencies relating to Native American culture, Asian-American culture, and geriatrics.
Clinical competencies need to be established for couple’s work as well as any of the psychotherapeutic approaches chosen. Given the large number of competencies and the potential difficulty obtaining some of them, such as Native American competency given the small but extremely heterogeneous population, it would be pertinent to either consult or seek supervision regularly while working with this couple.
While Gestalt therapy incorporates many different techniques, the primary aim of them all is to connect people on a more personal and intimate level (Corey, 2013).
The techniques often are targeted at overcoming the various forms of resistance to contact, such as introjection, projection, retroflection, and deflection or the ramifications of that resistance, which is confluence.
Confluence generally refers to a disconnection between one’s authentic self and one’s experienced self, usually due to boundary disturbances.
Given that each of these means of resistance is likely present to some degree in Clay and Lin’s relationship, it may be more useful to focus on the resulting confluence and consider how the relationship may be impacted by it....

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