Question Description
DIRECTIONS– Read the case below and answer each question in 1-2 paragraphs each.
LENGTH– Enough to answer the question (About 1-2 paragraphs PER QUESTION)….roughly a total of 6 paragraphs
**NO NEED FOR ANY REFERENCES**
CASE DESCRIPTION
Richard and Anne Hotmess have been living together for eight years and married for six years. They have a seven year old boy (Richie), and a four year old girl (Angela) and they share custody of a nine year old boy (Bobby) from a Anne’s previous marriage.
As the adults talk; Bobby sits close to his mom and holds her hand giving an occasional glance toward Richard, then quickly turns his head away to avoid eye contact. Richie sits in a chair by himself and plays a game quietly on his phone, never looking up, never saying a word. Angela (4) sits between her dad and mom. At one point she gets down and starts walking around the office touching (but not disturbing) objects in the office. Anne motions for her to come back and sit down, and Richard tells Anne, “Leave her alone, she is fine”. Angela looks at them both then quietly goes and snuggles up her dad’s lap.
In the first session, Richards starts off, “I am not sure why we are all here, but my wife said we all should come in together and I always want to keep my little Anne happy so here we are. She thinks that the kids need some kind of special help. I think she is just going through some kind of (uses air quotes) “lady hormonal issue”. She wasn’t like this when we were dating. Now she cries and is cranky all the time. I don’t make her work and all she has to do is take care of the kids so I don’t see what the problem is. I think everything is pretty much OK, I mean I know we have problems but it is much better than I had it growing up”
Anne, fighting back tears, “I know we came here to talk about the kids, and I don’t want to make you (looking at Richard) mad, but maybe we could kinda talk about some marriage stuff too. He thinks if I would just spank the kids and we just have more sex everything will be all right. I know it is my fault…I feel stuck and overwhelmed, like I am trapped under a dark cloud. The kids never listen to me…You see, I don’t believe in spanking-I had enough of that from my dad so I swore I would never do that to my kids. I try to talk nicely to them but they just ignore me and I end up yelling and scaring them. I feel bad, terrible about myself when I do that. The house is always a mess but no one helps me. I just want to sleep all day. I feel guilty all the time. I know I am letting everyone down and I just can’t seem to get out to the funk I have been in for the last four years. I know Richard thinks I am a big disappointment; I just can’t keep a man satisfied. This is not how I imagined life to be. I just want us to be a happy family. I don’t want to get divorced again. I want to make this work. Can you please fix us?”
Richard replies, “Now honey, its not that bad. Don’t I provide for you and the kids? Don’t I treat you better than that jerk you were married to before? I don’t understand why you are so unhappy. If you would just get out of bed and do what is on the list I made you things would get done and you would feel better. You need to be stricter with the kids; you let them walk all over you so of course they don’t respect you. (To the counselor) I don’t know why it needs to be so complicated. I do my part, if she would just do her part everything should be fine, am I right?”
Richie quietly stands up; he has wet himself.
Anne burst into tears put her face in her hands and cries.
Richard, “Are you kidding me! You peed your pants AGAIN!”
Angela jumps up dancing around “Don’t get mad daddy. Look at me I’ m dancing, I am your pretty princess right?”
Bobby, “Its ok mom, I’ll take him to the bathroom and get cleaned up”
ANSWER THE FOLLOWING QUESTIONS (no references needed)
Question 1:
Intake/Initial sessions: What would you want to achieve in the initial sessions? What additional information would be helpful to know? How would you gather that information, (Informed Consent, Therapeutic environment, who, how and what questions would you ask, address past, presents, future hopes, marriage/parenting/family, assessments to use etc.).
Question 2:
Therapeutic summary / analysis: What issues (areas of distress/dysfunction/dynamics) do you see as needing to be addressed? Which 2 or 3 issues or therapeutic goals will you focus on first and why?
Question 3:
Therapeutic approaches and techniques: What approaches and techniques would you use to address these issues of focus? (ex. Structural Family Therapy or, Cognitive Behavioral Therapy or, Psychoanalytic Family Therapy or, Strategic Family Therapy)
Give specific examples explaining the use of the technique, the theory it is based on, and your rationale /goal for using this method. Create a hypothetical scenario of the process of therapy ending with positive projected outcome.
DIRECTIONS- Read the case below and answer each question in 1-2 paragraphs each. LENGTH- Enough to answer the question (About 1-2 paragraphs PER QUESTION)….roughly a total of 6 paragraphs**NO NEED FOR ANY REFERENCES**CASE DESCRIPTIONRichard and Anne Hotmess have been living together for eight years and married for six years. They have a seven year old boy (Richie), and a four year old girl (Angela) and they share custody of a nine year old boy (Bobby) from a Anne’s previous marriage. As the adults talk; Bobby sits close to his mom and holds her hand giving an occasional glance toward Richard, then quickly turns his head away to avoid eye contact. Richie sits in a chair by himself and plays a game quietly on his phone, never looking up, never saying a word. Angela (4) sits between her dad and mom. At one point she gets down and starts walking around the office touching (but not disturbing) objects in the office. Anne motions for her to come back and sit down, and Richard tells Anne, “Leave her alone, she is fine”. Angela looks at them both then quietly goes and snuggles up her dad’s lap. In the first session, Richards starts off, “I am not sure why we are all here, but my wife said we all should come in together and I always want to keep my little Anne happy so here we are. She thinks that the kids need some kind of special help. I think she is just going through some kind of (uses air quotes) “lady hormonal issue”. She wasn’t like this when we were dating. Now she cries and is cranky all the time. I don’t make her work and all she has to do is take care of the kids so I don’t see what the problem is. I think everything is pretty much OK, I mean I know we have problems but it is much better than I had it growing up” Anne, fighting back tears, “I know we came here to talk about the kids, and I don’t want to make you (looking at Richard) mad, but maybe we could kinda talk about some marriage stuff too. He thinks if I would just spank the kids and we just have more sex everything will be all right. I know it is my fault…I feel stuck and overwhelmed, like I am trapped under a dark cloud. The kids never listen to me…You see, I don’t believe in spanking-I had enough of that from my dad so I swore I would never do that to my kids. I try to talk nicely to them but they just ignore me and I end up yelling and scaring them. I feel bad, terrible about myself when I do that. The house is always a mess but no one helps me. I just want to sleep all day. I feel guilty all the time. I know I am letting everyone down and I just can’t seem to get out to the funk I have been in for the last four years. I know Richard thinks I am a big disappointment; I just can’t keep a man satisfied. This is not how I imagined life to be. I just want us to be a happy family. I don’t want to get divorced again. I want to make this work. Can you please fix us?” Richard replies, “Now honey, its not that bad. Don’t I provide for you and the kids? Don’t I treat you better than that jerk you were married to before? I don’t understand why you are so unhappy. If you would just get out of bed and do what is on the list I made you things would get done and you would feel better. You need to be stricter with the kids; you let them walk all over you so of course they don’t respect you. (To the counselor) I don’t know why it needs to be so complicated. I do my part, if she would just do her part everything should be fine, am I right?” Richie quietly stands up; he has wet himself. Anne burst into tears put her face in her hands and cries. Richard, “Are you kidding me! You peed your pants AGAIN!”Angela jumps up dancing around “Don’t get mad daddy. Look at me I’ m dancing, I am your pretty princess right?” Bobby, “Its ok mom, I’ll take him to the bathroom and get cleaned up” ANSWER THE FOLLOWING QUESTIONS (no references needed)Question 1:Intake/Initial sessions: What would you want to achieve in the initial sessions? What additional information would be helpful to know? How would you gather that information, (Informed Consent, Therapeutic environment, who, how and what questions would you ask, address past, presents, future hopes, marriage/parenting/family, assessments to use etc.). Question 2:Therapeutic summary / analysis: What issues (areas of distress/dysfunction/dynamics) do you see as needing to be addressed? Which 2 or 3 issues or therapeutic goals will you focus on first and why? Question 3:Therapeutic approaches and techniques: What approaches and techniques would you use to address these issues of focus? (ex. Structural Family Therapy or, Cognitive Behavioral Therapy or, Psychoanalytic Family Therapy or, Strategic Family Therapy)Give specific examples explaining the use of the technique, the theory it is based on, and your rationale /goal for using this method. Create a hypothetical scenario of the process of therapy ending with positive projected outcome.
