This theory-focused casebook provides the reader with an overview of multiple counseling theories and utilizes specific cases representing a variety of clients to demonstrate the integration of theory in clinical counseling and social work practice. Through the use of dynamic cases, the reader is shown how theory informs day-to-day practice. Each theoretical case study includes a section on cultural considerations and discussion questions:
- Object Relations Theory: The Case of Elyse
- Self Psychology Theory: The Case of Evan
- Person-Centered Therapy: The Case of Tommy
- Solution-Focused Brief Therapy: The Case of Jim
- Relational Cultural Theory: The Case of Monica
- Systems Theory: The Case of Esperanza
- Experiential Therapy: The Case of Sam
Discovering Theory in Clinical Practice: A Casebook for Clinical Counseling and Social Work Practice is an essential text for instructors to teach the development of a theoretical foundation that easily integrates into core topics of relevance for graduate students in social work, counseling, psychology, marriage and family therapy, and human behavior who intend to work with a diverse set of client populations. The book also will be a great asset to early-career practitioners and clinical supervision participants who are continuing to build a professional working template of skills in both theory and practice as they conceptualize patient problems and develop treatment plans.
Author(s): Rhonda Peterson Dealey, Michelle R. Evans
Publisher: Springer
Year: 2020
Language: English
Pages: 230
City: Cham
Preface
Contents
About the Editors
About the Contributors
Chapter 1: Theory in Practice
The Essence of Theory for Clinical Practice
The Evolution of Clinical Theory
Creating a Clinical Framework Using Theory
Developing Client Goals Using Theory
Planning and Implementing Change Strategies
Using the Clinical Framework to Develop a Plan for Termination
Summary
References
Chapter 2: Interpersonal Theory: The Case of Lisa
Introduction to Interpersonal Theory
Introduction to the Case of Lisa
Theoretical Integration
Cultural Considerations
Discussion Questions
References
Chapter 3: Object Relations Theory: The Case of Elyse
Introduction to Object Relations Theory
D. W. Winnicott, Object Relations, and Therapy
Introduction to the Case of Elyse
Theoretical Integration
Treatment
Termination
Cultural Considerations
Discussion Questions
References
Chapter 4: Self Psychology: The Case of Evan
Introduction to Self-Psychology
Selfobject Needs
Optimal Frustration
Empathy
Therapeutic Model
Introduction to the Case of Evan
Theoretical Integration
Selfobject Needs
Selfobject Transferences in Therapeutic Environment
Empathic Attunement and Optimal Frustrations
Progress and Prognosis
Cultural Considerations
Discussion Questions
References
Chapter 5: Psychoanalytic Theory: The Case of Emma
Introduction to Psychoanalytic Theory
The Psychoanalytic Cause
The Unconscious and Repression
Repetition
The Drives, Jouissance, and Re-description
Transference and the One Who Knows
Introduction to the Case of Emma
Development within the Context of the Family
Theoretical Integration
The Repressed Unconscious Desire
The Drives
Transference
The Re-description
Cultural Considerations
Conclusion
Discussion Questions
References
Chapter 6: Person-Centered Therapy: The Case of Tommy
Introduction to the Person-Centered Approach
History and Theory Development
Key Terms and Concepts
Person-Centered Process
Clinical Goals
Qualities of the Clinician
Link Between Person-centered Approach and Child-Centered Play Therapy
Cultural Considerations of Child-Centered Play Therapy
Introduction to the Case of Tommy
Theoretical Integration
Use of Person-Centered Creative Arts Therapy
Use of Child-Centered Play Therapy (CCPT)
Direct Techniques
Cultural Considerations of Developmental Stage
Termination
Cultural Considerations
Strengths and Weaknesses
Discussion Questions
References
Chapter 7: Cognitive Behavioral Therapy: The Case of Wally
Introduction to Cognitive Behavioral Therapy
Basics of CBT
Problem Maintenance
Change Mechanisms
Method and Interventions
Cognitive Restructuring
Downward Arrow Technique
Skill Building
Thought Records
Behavioral Experiments
Introduction to the Case of Wally
Work History
Family of Origin and Marital History
Family Context
Current Symptoms
Theoretical Integration
Cultural Considerations
Race and Sex
Age
Sociohistorical Influences
Discussion Questions
References
Chapter 8: Dialectical Behavioral Therapy: The Case of Moses
Introduction to the Dialectical Behavioral Therapy Framework
The Biosocial Model
Secondary Targets
Emotional Vulnerability and Self-Invalidation
Apparent Competence and Active Passivity
Unrelenting Crisis and Inhibited Grieving
The Comprehensive Model
Stages of Treatment
Pre-treatment
Stage 1
Targets
Diary Cards
DBT Skills Training
Validation
Behavioral Chain Analysis
Commitment Strategies
Introduction to the Case of Moses
Theoretical Integration
Pre-treatment/Orientation and Commitment
Target 1
Target 2
Target 3
Secondary Targets
Stage 1 Treatment
Cultural Considerations
Discussion Questions
References
Chapter 9: Solution-Focused Brief Therapy: The Case of Jim
Introduction to Solution-Focused Brief Therapy
Solution-Focused Brief Therapy Framework
Behavioral Health in Primary Care Framework
Introduction to the Case of Jim
Theoretical Integration
Cultural Considerations
Discussion Questions
References
Chapter 10: Narrative Therapy: The Case of J.J.
Introduction to Narrative Therapy
Narrative Theory and the Application of Narrative Therapy
The Case of J.J.
Theoretical Integration
Narrative Therapy Techniques
Cultural Considerations
Discussion Questions
References
Chapter 11: Relational Cultural Theory: The Case of Monica
Introduction to Relational Cultural Theory
Self-in-Relation Theory
Relational Cultural Theory
Principles of RCT Theory
Introduction to the Case of Monica
Theoretical Integration
Working Through Disconnections with a Cultural Lens
Cultural Considerations
Discussion Questions
References
Chapter 12: Systems Theory: The Case of Esperanza
Introduction to Systems Theory
Introduction to the Case of Esperanza
Theoretical Integration
Cultural Considerations
Discussion Questions
References
Chapter 13: Bowen Family Systems Theory: The Case of Juliette
Introduction to Bowen Family Systems Theory
How Problems Arise
Differentiation of Self
Triangles
Nuclear Family Emotional Process
Marital Conflict
Dysfunction in a Spouse
Impairment in a Child
The Family Projection Process
Emotional Cutoff
Multigenerational Transmission Process
Sibling Position
Societal Emotional Process
Introduction to the Case of Juliette
Multigenerational Information from Family Diagram
Nuclear Family Information from Family Diagram
Theoretical Integration
Cultural Considerations
Discussion Questions
References
Chapter 14: Experiential Therapy: The Case of Sam
Introduction to Experiential Theory
Premises of Experiential Theory
Aims
Metaphoric Transfer
Redefining the Use of an Office
Settings
Options
Selecting an Experiential Activity
Steps in Experiential Therapy
Step 1: Experience
Step 2: Reflect
Step 3: Generalize
Step 4: Apply and Transfer
Provider Considerations
Safety
Training and Credentialing of Providers
Access Ability
Introduction to the Case of Sam
Family Dynamics
Care Plan
Theoretical Integration
Embraced by Grace
Provider Reflections
Cultural Considerations
Conclusion
Discussion Questions
References
Appendix
Life as a Road Exercise
Ropes Course Activities
Equine Activities
Index