Week 3 - Applying an EFT Approach as Couples Define Roles and Rules

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Dec 6, 2023

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Week 11: Signature Assignment Danae Riley School of Social and Behavioral Sciences, Northcentral University MFT-6105 v4: Couples and Sex Therapy Professor Elizabeth Speights October 29, 2022
Case #1 – Tony & Rod Case Conceptualization Tony and Rod have recently begun couple’s therapy Tony: Middle-class 27-year-old gay Caucasian man Conservative Catholic upbringing with rigid expectations which he always met Raised in New York City primarily by his nanny since both of his parents worked for high performing firms requiring them to work long hours. Came out to his family when he left for school & his parents have asked him to not bring up “this decision” around them or their friends and family He only sees his family them during major holidays now which do not include his partner, Rod Rod: Middle-class 32-year-old gay Hispanic man A positive, liberal upbringing, raised near family in a communal culture, financially struggled, but rich with love and acceptance. Rod’s father passed away when he was 5 years old and he and his two older siblings were raised by his mother and their grandmother. Tony and Rod met online during the summer following Tony’s final semester of grad school. Rod had recently left a corporate finance job and was taking a break before opening his own Consulting Business. The beginning of their relationship consisted of an open sexual relationship with regular nights out in the club inclusive of drug and alcohol use. Their lifestyle was fun and carefree given they were both in a transition period in their lives that gave them freedom and minimal obligations to concern themselves with. Both men have since transitioned into their new careers, moved in together, and based on
Rod’s heavy influence, decided to close their relationship. Roughly 6 months following these changes, relationship satisfaction began to decline. Now, a year later, Rod works long hours causing Tony to feel neglected, and Tony occasionally uses alcohol and recreational drugs as a vice to combat his anxiety and depression which occasionally results in the escalation of arguments becoming aggressive, and sometimes violent. Rod has been experiencing Erectile Dysfunction and Tony has used this as his reason for his two affairs within the last few months. Approach How will you (systemically) define the presenting problem and any other challenges the partners are experiencing? What theory and/or approach would you use to talk with these clients? o Discuss why this approach is fitting? o According to this approach, what would be the goal of therapy? o Explain what this would look like? (e.g., what techniques you might apply) Would you integrate any other approach or theory? Consider the clients’ uniqueness (e.g., areas that they are marginalized, things about them that differ from yours), and how you would approach these differences. Self-of-the-therapist Situating yourself and your own context of relationships, can you see any biases or blind spots that you might have working with this case? o If so, what are these, and how do you feel you can overcome these? What strengths do you have that you feel you would bring to this case? What challenges do you think you would have in working with this case?
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Case #2 – Theresa & Antoni (Divorce & coparenting post affair) Case Conceptualization Identify who is in the relationship. (Who will be coming to therapy?) Indicate each partner’s identities – this could include race, culture, background, sexual orientation, nationality, gender, age, education, socio-economic background, etc. (Note: Please be diverse in your creation of scenarios, scenarios should represent diversity in relationships.) Explain the primary reason the partners are seeking relationship therapy (the presenting problem). Identify any noticeable challenges other than the presenting problem that the couple might be facing (e.g., maybe there is violence in their past, maybe there is substance abuse, maybe the couple isn’t comfortable talking about their feelings). Approach How will you (systemically) define the presenting problem and any other challenges the partners are experiencing? What theory and/or approach would you use to talk with these clients? o Discuss why this approach is fitting? o According to this approach, what would be the goal of therapy? o Explain what this would look like? (e.g., what techniques you might apply) Would you integrate any other approach or theory? Consider the clients’ uniqueness (e.g., areas that they are marginalized, things about them that differ from yours), and how you would approach these differences. Self-of-the-therapist
Situating yourself and your own context of relationships, can you see any biases or blind spots that you might have working with this case? o If so, what are these, and how do you feel you can overcome these? What strengths do you have that you feel you would bring to this case? What challenges do you think you would have in working with this case? Case #3 – Casey & Kai (Trans & Best Friend Sexual Style) Case Conceptualization Identify who is in the relationship. (Who will be coming to therapy?) Indicate each partner’s identities – this could include race, culture, background, sexual orientation, nationality, gender, age, education, socio-economic background, etc. (Note: Please be diverse in your creation of scenarios, scenarios should represent diversity in relationships.) Explain the primary reason the partners are seeking relationship therapy (the presenting problem). Identify any noticeable challenges other than the presenting problem that the couple might be facing (e.g., maybe there is violence in their past, maybe there is substance abuse, maybe the couple isn’t comfortable talking about their feelings). Approach How will you (systemically) define the presenting problem and any other challenges the partners are experiencing? What theory and/or approach would you use to talk with these clients? o Discuss why this approach is fitting? o According to this approach, what would be the goal of therapy?
o Explain what this would look like? (e.g., what techniques you might apply) Would you integrate any other approach or theory? Consider the clients’ uniqueness (e.g., areas that they are marginalized, things about them that differ from yours), and how you would approach these differences. Self-of-the-therapist Situating yourself and your own context of relationships, can you see any biases or blind spots that you might have working with this case? o If so, what are these, and how do you feel you can overcome these? What strengths do you have that you feel you would bring to this case? What challenges do you think you would have in working with this case? Case #4 – Lexie & Rachel (CSA and Anorgasmia) Case Conceptualization Identify who is in the relationship. (Who will be coming to therapy?) Indicate each partner’s identities – this could include race, culture, background, sexual orientation, nationality, gender, age, education, socio-economic background, etc. (Note: Please be diverse in your creation of scenarios, scenarios should represent diversity in relationships.) Explain the primary reason the partners are seeking relationship therapy (the presenting problem). Identify any noticeable challenges other than the presenting problem that the couple might be facing (e.g., maybe there is violence in their past, maybe there is substance abuse, maybe the couple isn’t comfortable talking about their feelings). Approach
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How will you (systemically) define the presenting problem and any other challenges the partners are experiencing? What theory and/or approach would you use to talk with these clients? o Discuss why this approach is fitting? o According to this approach, what would be the goal of therapy? o Explain what this would look like? (e.g., what techniques you might apply) Would you integrate any other approach or theory? Consider the clients’ uniqueness (e.g., areas that they are marginalized, things about them that differ from yours), and how you would approach these differences. Self-of-the-therapist Situating yourself and your own context of relationships, can you see any biases or blind spots that you might have working with this case? o If so, what are these, and how do you feel you can overcome these? What strengths do you have that you feel you would bring to this case? What challenges do you think you would have in working with this case? References Allan, R. (2016). The use of Emotionally Focused Therapy with separated or divorced couples. Canadian Journal of Counselling & Psychotherapy , 50, S62–S79.