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Dr. Linton Hutchinson's Blog (15)
Potential Ethical Violations
■ Viewing clients from the counselors perspective
o The following can be misinterpreted as “problems” in counseling, causing the therapist to see the client as resistant or non-responsive
■ Silence
■ Lack of eye contact
■ Deference to authority
o Client defensiveness or no… Continue
Added by Dr. Linton Hutchinson on August 9, 2007 at 2:57pm — No Comments
Ethical Practices with Culturally Diverse Clients
■ There is significantly less focus on the role of family, group identity, lifestyle and religious beliefs which have equal importance to individuality in other cultures.
■ The AAMFT code of ethics states “therapists do not discriminate against or refuse professional service to anyone on the basis of race, sex, religion, or national origin.”
■ It is ethical for counse… Continue
Added by Dr. Linton Hutchinson on August 9, 2007 at 2:57pm — No Comments
Addiction treatment modalities
⋄ Techniques vary by clinician but typically include :
o cognitive-behavioral therapy
o problem-solving groups
⋄ Low success rate with heavily addicted individuals.
⋄ Moderate addicts may find that this level of treatment is enough to end their drug abuse problems.
12 Step Programs
⋄ Clients attend meetings.
⋄ Preferable after or in conjunction with some other form of drug treatment
⋄ There is the belie… Continue
Added by Dr. Linton Hutchinson on August 2, 2007 at 4:53pm — 2 Comments
Reference materials regarding medication side effects and classification
http://allpsych.com/meds.html
⋄ One of the largest psychology websites on the Internet.
⋄ Holds over 920 individual, cross referenced, web pages and an estimated 3000 pages of printed material.
⋄ It is referenced by over 100 colleges and universities in ten countries.
⋄ It provides:
o Drug name
o How they work
o What they treat
o Possible side effects
SEDBASE
http://library.dialog.com/bluesheets/html/… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:58pm — No Comments
Managing Transference and Countertransference
⋄ Feelings client projects onto the counselor.
⋄ Have to do with relationship client has experienced in the past.
⋄ Intensity of feelings has to do with unfinished elements of client’s life.
⋄ Client may identify in the therapist characteristics that are reminiscent of the person they are transferring their emotions from.
⋄ Feelings can be productively explored so client becomes aware of how they are keeping an old pattern functional in other present ti… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:56pm — No Comments
Crisis Intervention Models
Step #1: Listen
- Establish therapeutic relationship.
- Identify precipitating problems.
- Explore emotions.
Step #2: Assessment
- Determine the severity of the crisis.
- Assess potential lethality or physical harm to the person or others.
- Identify past coping skills, strengths and su… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:55pm — No Comments
DSM and ICD Health Problems
Diagnostic and Statistical Manual of Mental Disorders (DSM)
o Handbook for mental health professionals.
o Includes all categories of mental disorders and their corresponding diagnosable criteria.
o Intended to be used by those with clinical training.
o In accordance with the American Psychiatric Association.… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:52pm — No Comments
Diagnostic interviewing techniques
o Client asked direct questions in areas determined by interviewer
o Questioning may be open or closed.
Open= unlimited answer options
Closed= Yes, No, or one word questions
Reflection:
o Restate the clients cognitive or emotional material
o Demonstrate empathic understanding
o Rogerian Client-Centered Therapists rely heavily on reflection
o Overuse is counterproductive - important areas are left unaddressed
Restatemen… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:52pm — No Comments
Family Life Cycle Stages
1. Married Couples without children
2. Child bearing families
3. Families with pre-school children
4. Families with school children
5. Families with teenagers
6. Families launching young adults
7. Middle aged parents- empty nest to retirement
8. Aging Family members- retirement to death of both spouses
Family Stage impact on Problems
Vertical Stressors
o Relational patterns that are transmitted from one generation to another… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:51pm — No Comments
Statutes, case law and regulations
o the education and qualifications of the therapist
o the nature of the therapeutic process
o Informed Consent
o Document that the client reads about the specifics of therapy treatment
o Client consents to treatment by signing the form
o Procedures and goals of therapy
o Potential harms or risks to client
o Reasonable benefits of therapy
o Qualifications and policies of therapist
o Theoretical orientat… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:51pm — No Comments
Risk factors for and patterns of abuse
In the child:
o Sudden changes in behavior or school performance
o Not medical attention for problems brought to parents attention.
o Learning problems, difficulty concentrating, that cannot be attributed to specific disabilities.
o Tends to be watchful, expecting something to happen.
o Lacks adult supervision.
o Overly compliant, passive, or withdrawn.
o Comes to school or other activities early, stays late, does not want to… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:50pm — No Comments
Codes of ethics
Professional code of ethics functions
Define the role of the profession
o Codes express dominant morality of the field
o Define values and goals of the profession.
o Defin… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:49pm — No Comments
General Systems Theory
Explains how organisms thrive or die in accordance with their openness or closedness to their environments.
Focus changed from linear causality to circular causality- idea that events are related through a series of interacting loops or repeating cycles.
System
Set of elements standing in interaction.
Each element is affected by whatever happens to any other element.
System is only as strong as its weakest part.
Syste… Continue
Added by Dr. Linton Hutchinson on June 20, 2007 at 4:49pm — No Comments
Non-standardized Assessment Tests
* First developed and popularized in clinical settings by Monica McGoldrick and Randy Gerson.
* Developed principally within the context of Murray Bowen’s intergenerational family systems theory, genograms offer an efficient and effective process for explaining repetitive behaviors and patterns.
* Essentially, genograms are graphic representations of an individual’s extended family that typically cross at least three generations.
* Use of genograms implies a respe… Continue
Added by Dr. Linton Hutchinson on June 18, 2007 at 4:44pm — No Comments
Risk factors, stages and patterns of grief response
• Depression in this case is considered “normal” but individual my be seeking treatment to relieve symptoms such as insomnia or anorexia.
• Expression of “normal” bereavement time is relative to different cultures.
• Major Depressive disorder is not diagnosed unless symptoms last longer than two months after loss.
Stages of Grief:
• Denial… Continue
Added by Dr. Linton Hutchinson on June 18, 2007 at 4:42pm — No Comments
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