Evaluating Client Profile 4 Using a Reality or Family Systems Approach

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Humanities

Description

Application: Evaluating Client Profile 4 Using a Reality or Family Systems Approach

In this week's Discussion, you evaluated strengths and weaknesses of using other approaches with a client. In this Application, you are asked to evaluate a client using a specific approach that was presented this week.

To prepare for this assignment:

  • Bring to mind what you have learned in the past 2 weeks about reality and family systems theories and their respective theoretical approaches. Select one of these approaches on which to base this assignment.
  • Review Client Profile 4: Lois in this week's Learning Resources, and think about how you might use your chosen approach with this client.
  • Review the course text readings and the media segments for this week, paying attention to how the experts use a specific theoretical orientation, or approach, to evaluate a client.

The assignment:

  • In a 1- to 3-page paper, critically evaluate the client in Client Profile 4 using either a reality or family systems approach. Make sure you address:
    • The strengths and limitations to using this approach with this client
    • The specific cultural/gender/age issues that need to be attended to with this client
    • The ethical or legal issues that need to be attended to with this client
    • The overall therapeutic goal with this client
    • How you would proceed with this client:
      • How would you begin?
      • What would be the goals of therapy?
      • What specific strategies and/or techniques might you use?

Support your Application Assignment with specific references to all resources used in its preparation. You are asked to provide a reference list only for those resources not included in the Learning Resources for this course.

Unformatted Attachment Preview

Client Profile #4 Name: Lois R. Gender: Female Ethnicity: Hispanic Age: 41 Religion: Catholic Relationship Status: Married Description of Presenting Issue: Lois heard you give a talk on abuse and called for an appointment the next day. She said your talk made her realize that she may be experiencing abuse, and she would like your help in improving her behavior so that her husband won’t be so angry with her. Lois has been married to her second husband for three years. When she married, she brought her mother and teenage daughter to live with her new husband. Lois expresses great gratitude toward her husband for allowing her to bring her family with her into his home, and states that he deserves to have the best possible wife because he is so good to her. Since childhood, Lois has always looked to others to help her and make decisions for her. She cannot tolerate being alone and feels overwhelmed and without direction when she is alone. The focus of her life has always been pleasing and caring for others, asking them to tell her what to do because she feels unable to determine her own direction. Two major changes occurred in Lois’s life a few months after she married. Her daughter left for college and her mother was diagnosed with dementia. Since then, Lois has felt very sad and lonely. Although she has continued her daily activities and responsibilities, she reports having little energy, having even more than her usual difficulty in making even simple decisions, feeling hopeless, and having little interest in eating. Her husband has responded to this by yelling at both Lois and her mother and demanding that they change. Lois has tried to appease him, but his anger has only escalated and she is now afraid that he might hit her. Occupation History: Lois is currently a homemaker and caretaker to her mother. Education History: Lois completed high school and two years of college. She wanted to complete her college education, but was unable to due to financial hardship. Medical History: Lois did not report any medical problems, but she appears to have a curvature of the spine. Family History: Lois has two sisters, age 44 and 49. Lois’s father passed away when she was 11 as a result of a massive heart attack. Alcohol / Substance Use: During high school, Lois tried a variety of prescription medications and illegal substances (marijuana). She became a heavy drinker during her mid twenties, consuming upwards of 6+ drinks per evening, 4–5 times Page 1 of 2 Client Profile #4 per week. At age 29, Lois joined Alcoholics Anonymous. She remains active and sober in the program, attending one meeting per week. Page 2 of 2
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