Integrated Counseling Theory and Case Plan
Part I: Combine and align Narrative Therapy Theory, Person-Centered Theory and Solution Focused Theory those three theories into a SINGLE, EFFECTIVE INTEGRATIVE THEORY OF COUNSELING 1. In the paper BRIEFLY discuss why the 3 theories can be integrated or combined for the benefit of clients in general. Specifically address the following points. • How can each of the theories enhance each other? • What strengths does your integrative theory have that are not found in the three theories taken individually. • What aspects of human problems can your integrative theory address? • Address cultural, social and historical trauma issues (e.g. racism, community violence, feminism, spirituality, etc) 2. BRIEFLY discuss how your integrative theory can be described in the following contexts. In your answers treat your integrative theory as a Single Theory of Counseling. • What is mental health and well-being in the context of your theory • What is psychopathology in the context of your theory? • How is positive change brought about by applying your theory • State the diversity/multicultural/gender strengths of the theory, if any • State the diversity/multicultural/gender deficiencies, if any • Limitations of each theory
Part II: Treatment Plan: Carefully read the following brief case example, after which, will follow questions regarding the application of your integrative theory for the benefit of this client. Case Example Sita is 27 years old, of Asian Indian descent, and self-identifies as female. She live in and is currently employed in a major city in the midwest. She was born in the USA and has a bachelor’s degree in marketing, along with a job in that field. She is highly intelligent and is the youngest of 3 children, having 2 older brothers. Her mother and father have both lived in America for 30 years, being originally from Madras in southern India. They are both true to their Hindu background and tradition, as are her brothers, for the most part. Her father is a tenured professor of mathematics at a prominent midwestern university. He and his wife are quite conservative regarding the role of women in the family, believing women to be subservient to men, who are superior. They have made it clear that they desire that Sita marry a successful man of Indian descent. Sita, however, is something of a rebel and is currently dating a Jewish male who is 35 years of age, much to her parents’ dismay. This led to her moving out of her parents’ home and into her own condo one year ago. Sita has largely rejected her Hindu tradition, religion, and culture and is critical of American culture as well. Sita is quite meticulous regarding her appearance and stands 5 feet 5 inches tall, and weighs 125 pounds. She dresses fashionably and has all the outward indicators of being well adjusted and successful. Despite her outwardly prosperous appearance, Sita informs the counselor (you) that she suffers from severe anxiety, and feels that she is all alone, with no one who truly understands her. Her parents, brothers, and boyfriend all try to be supportive, but she says they really don’t “get” her at all. She also reports that her parents are “cold” and not loving. She feels out of place and alienated and cannot escape the feeling that she does not “fit in” and will never be accepted by the people at her place of employment. She says she feels the anxiety at a very deep and disturbing level, and she hopes that someday she will know what it is like to be loved. During her early childhood and middle school years, her father, who is decidedly narcissistic, was particularly critical of her, telling her that she was “strange” and “weird” and a “bad” girl. During high school, he criticized her for many things, from her dress, her morals (which were never really lacking), and her blind acceptance of corrupt American culture. Her mother passively agreed with her father. Currently, Sita has difficulty interacting with superiors at work, especially men. She is also highly insecure, experiencing disturbing anxiety when doing presentations to clients and colleagues during meetings. On a one-to-one basis with clients, however, she is quite competent and effective. She informs the counselor (you) that she has a great desire to ease her anxiety in her everyday life. She says that she has tried self-help methods but none have worked. She says that she is quite unhappy and asks the counselor to help. Treatment Plan Details Using your integrative theory stated in Part I, follow the outline below to put together an effective treatment plan for Sita. Take into account the various aspects of her situation. Follow the instructions below carefully, and use the headings provided. Remember to use your integrative theory as a treatment approach. 1. Diagnosis a. What diagnosis from the DSM V would you assign to Sita? b. State briefly your reasons for this diagnosis. 2. Briefly identify any cultural and gender issues that need to be addressed in therapy with Sita. 3. Goals of treatment a. List at least 3 specific goals for this client based on the above case example, that will meet this person’s needs. b. Identify 3 symptoms or issues that need to be addressed with this client. 4. How would your integrative theory be a match for this client’s needs 5. What kind of therapeutic relationship would be best for this client and how would it help Sita. 6. Briefly state what would be necessary for this client to undergo therapeutic change? 7. Specific techniques a. Name five specific counseling techniques taken from the three theories in your integrative theory that will be especially appropriate to help Sita accomplish the therapeutic goals. b. Add AT LEAST 3 sentences for each technique explaining why and how each technique would help this client.