RowleyDMFT6106-7

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Northcentral University *

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6106

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Sociology

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Apr 3, 2024

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5

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1 Consider Spousal or Partner Abuse Assessment, Identification, and Intervention Diana Rowley Northcentral University MFT-6106- Families in Crisis Dr. Fix March 5, 2023
2 How long have you been in a relationship with your partner? How long has the IPV been happening? Is the daughter legally just yours or both? Is unification with your daughter a goal? What is the foster care agreement/logistics? What are your goals for attending therapy? With these questions, my goal is to understand the full story and formulate a plan to have the client reach their goals. During this assessment, the client’s strengths and weaknesses will be discussed and how to use them to meet her goals. Another goal as the therapist is to create a therapeutic alliance so that trust and respect are mutually beneficial. If the client is willing, I would also include the HARK, HITS, and PVS assessments. These assessments will determine the length of violence, safety, physical and emotional abuse. Domestic violence has been detected from the client. The first concern is safety for the client and the child. The child was hurt during a violent episode between the partners. Is the client planning on staying with the partner or leaving the situation? Either way, a safety plan for exiting the relationship should be made if the client is still leaving with the partner or not. If she is not, then the safety plan can be altered to tailor the client’s current situation. After a safety plan is made, if reunification is the goal, that is the next priority for the client. When discussing reunification, the child’s safety in the same home as both partners should be heavily considered. The ramifications of the child witnessing IPV can lead to distress for many years. “…children feel threatened if they perceive that parental conflict is likely to have negative outcomes for their
3 own, their parents’, or their family’s well-being” (Jouriles 2015). Children may will quickly learn to protect their parents and family under difficult circumstances. This then can lead into difficulties at school and other social environments. The child witnessing IPV can cause psychological damage. The client is an African American female who has a partner. This puts her in the LGBT community according to society. There are some stereotypes or stigmas that are associated with a person like the client. Therefore, people from the LGBT community share similar feelings when it comes to receiving support of help from community resources. “Research showed that LGBT people face barriers to seeking help that are unique to their sexual orientation and gender identity” (Brown 2015). The potential of homophobia from staff or service providers, lack of friendly LGBT friendly resources, and legal definitions of domestic violence that exclude same- sex couples (Baker 2013). These two statements make it very clear that there is a lack of support for the LGBT community. Also, according to the 2010 National Intimate Partner and Sexual Violence Survey (NISVS), 40.4% of lesbians have a life time of IPV. That is an extremely high percentage. For this client, the best approach would be to use Cognitive Behavioral Therapy. With this, the Gottman’s Method Couple Therapy can be of great help if the client is wanting to stay in the relationship with her partner. Using CBT will expand the focus from the individual to the whole system, her family, her partner, her child, etc… That will allow for the client to see and acknowledge how her behavior and cognition is reinforced by those around her. CBT and its interventions can be tailored to each couple and individual. The goal of CBT is to teach client’s to be their own experts or therapists as an example. When trying to accomplish this, the client needs to gain tools from their therapist to change their cognitive and behavioral patterns. Some
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4 interventions that would be beneficial for this client would be contingency contracts, communication and problem-solving training, and finally role playing. Contingency contracts will bind the couple to make changes and make them accountable for those changes, the therapist has to make sure the contract is clear and well communicated. The communication and problem- solving training allows for things to come back to basics for the client. It teaches the clients and her partner to truly express and listen to one another. Lastly, role playing, this is self-explanatory and seems simple but it makes a major impact. Sometimes people genuinely do not see how their actions and words can affect their loved ones, so to hear it said or done to them can make a great difference.
5 References Baker, N., Buick, J., Kim, S., Moniz, S., & Nava, K. (2013). Lessons from Examining Same-Sex Intimate Partner Violence.  Sex Roles 69 (3–4), 182–192. https://doi.org/10.1007/s11199- 012-0218-3 Brown, T. N. T., & Herman, J. L. (2015).  Intimate partner violence and sexual abuse among LGBT people: A review of existing research.  The Williams Institute. Jouriles, E. N., & McDonald, R. (2015). Intimate partner violence, coercive control, and child adjustment problems.  Journal of Interpersonal Violence, 30 (3), 459–474