Tuesday, August 5, 2014

Chapter 2 Video Post: "Psychoanalytic session"

"Psychoanalytic Session" Video
Chapter 2- Psychoanalysis

This video demonstrates the free association technique as described in chapter two. It shows the client laying on the couch with the therapist sitting out of the view. In this video the therapist does not speak much, except to clarify details of the client's experiences and thoughts. 

The other technique demonstrated in this video is dream analysis. As the client explains her dream, the therapist interprets some of the details and symbols from the client's dream. The therapist, also, once again does not speak much except for clarifications. Towards the end of the session the therapist begins to associate some of the details in the client's dreams as she mentions some of her current feelings. This exhibits how the therapist may help the client connect her unconscious thoughts with her conscious thoughts.




Chapter 17- Conclusion

Chapter 17- Conclusion

In the final chapter of the text, the authors overview important factors in choosing a counseling style. Some of these factors include the individual's beliefs in a person's development, beliefs in what motivates an individual and empirical evidence for the theory. According to the chapter, a good theory is one that you feel comfortable with and one that you share similar beliefs. Other factors that are important, aside of what is best for yourself, is your clientele base. For instance, when working with low SES individuals, psychotherapy may not be the best option, as it often costly and timely. Hence, it does not create a a good client-therapist relationship, which makes the counseling style not the best match for yourself.

On reviewing some of the information on how to choose a counseling style, I believe the two that are most prevalent and useful in my current and future career are solution-focused and feminist approach, respectively. I believe based on my personality, history, beliefs and future aspirations feminist approach would help me best connect and empower my future clients, which may be students from historically underrepresented populations. However, based on my current position and my current clientele, solution-focused would allow me to help many students achieve their short term quick goals, which is improving their grades. While neither of these theories have extensive empirical evidence, I feel they are the best fit for both me and my clientele, thus they are good counseling styles, for me.  

Chapter 16- Mindfulness Approaches

Chapter 16- Mindfulness Approaches

Mindfulness approach originates from cognitive behavioral therapy. Two of the main founders in Mindfulness Approaches are Steven Hayes and Marsha Linehan. In Steven Hayes framework, Acceptance and Commitment Therapy (ACT), the goal of therapy is to have clients adapt their behaviors to adapt to their values. In Linehan's framework, Dialectical Behavior Therapy (DBT), the goal of therapy is to balance anxiety and extreme behavior while learning to trust in one's self. Both of the different frameworks both show an emphasis in the client's life and creates goals to achieve a healthier them while practicing mindfulness and acceptance of the client's choices.

When reading about this therapy style, and my future goals of being a student affairs professional, I am unsure if I would use this therapy style. While mindfulness approach allows the client to focus on values and goals that may pertain to their culture, the point of therapy focuses on changing behaviors. Based off of the examples in the text with Linehan's style, I would most likely refer students with such issues to a professional counseling because I do not feel comfortable with dealing with students that may have serious mental issues. Mental health in college is extremely relevant and serious, especially suicide. Thus, I may try to use this approach if the student is recovering and has attained help, but I am mindful of my boundaries.

Chapter 15 Video Post: "Narrative Session with Dr. Madigan and Ollie about Trouble"

Narrative Session with Dr. Madigan and Ollie about Trouble 
Chapter 15- Narrative Therapy

In this video, the therapist is mainly working with a young boy. The young boy's mom is also present. During the session, the therapist asks the client what does he think will happen if he continues to get in trouble. After the client doesn't respond, the mom responds and depicts a quick but short story on him possibly watching less tv. Proceeding the mom's response the therapist continues to probe the client and ask more questions about how the client feels about his future and trouble. The client continues to answer. Based on this video, the client and the counselor still seem to be in the beginning stages of therapy.

Chapter 15- Narrative Therapy

Chapter 15- Narrative Therapy

According to the text, Michael White and David Epston are the founders of narrative therapy. In this type of therapy, storytelling is the core of sessions. Therapists often asks many questions to help uncover some of the clients issues. Also, throughout the process of therapy, the therapist helps the client build a new and healthy story. This type of method seems to work best with minorities and LGBT members.

Based on my upbringing, my mom often used stories and narratives to help teach me lessons and discuss life. Therefore, I find myself quite comfortable with this method. I believe, prior to reading the text, this was a style of therapy that I often used with my multicultural students and a method that I often saw results with. While I do believe I will continue to use this type of therapy, I do know that it will not always be beneficial, especially with students that are not as willing to share. Some students that may not be familiar with this practice, thus they are more unlikely to respond to narrative therapy. 

Chapter 14 Video Post: "Solution-Focused Session with Dr. Berg and Robyn" 

"Solution-Focused Session with Dr. Berg and Robyn"
Chapter 14- Solution-Focused Therapy

In this video the client discusses a recent experience with the therapist. Following the client's explanation, the therapists asks if this was something new for the client. When the client responds yes, the therapist shows posture and responses that seem like she is congratulating her client. The therapist, then, continues to ask more questions to clarify the clients thoughts, possibly to uncover actions that are considered positive changes for her client. The therapist also asks why the client decided to make a change, possibly to reuse these reasons later as encouragement.

Watching this video has helped me see techniques that I may be able to use with my students. It was also much easier to understand compared to reading the text and the case of Kelly.

Chapter 14- Solution-Focused Therapy

Chapter 14- Solution-Focused Therapy

Solutions-focused therapy is founded on two different apporaches. One from Steve de Shazer and Insoo Kim Berg, and the other from Bill O’Hanlon. Unlike most of the other theories discussed in the text, this method is a lot quicker. In Solutions-focused therapy, clients are considered "customers" that have "complaints", in which they "hire" a counselor. During these sessions clients have a "complaint" and are expecting change. Counselors are considered experts in change even though they do not know the client's entire issue. Throughout sessions, the client shares actions related to their issues and is committed to making changes that the therapist recommends. The goals of this therapeutic style is for the client to solve their issue through fast change.

After reading this chapter and looking at the different videos on conducting solutions-focused therapy, I believe I would be able to use this method in my current graduate assistantship. In my GA, I often have many different students come see me regarding their academics. Most of my students meet with me two to three times, therefore using this method would be great, as it is not designed for long term therapy. Also, many of my students never get to their core issues, which is okay according to this therapy. Through positive reinforcement and connecting students with the right resources, they should be able to attain fast change. The only issue that I see with this method, is that often times many of my student visit my office, receive feedback and never employ them, hence no change occurs. 

Chapter 13 Video Post: "Family Therapy: Core Concepts of Different Approaches" 

"Family Therapy: Core Concepts of Different Approaches" 
Chapter 13- Family Systems Therapy

In this video, the client is working with a couple, a male and a female. Based on the therapy session and the discussion, I believe this session is following Minuchin's Structural Therapy. Unlike Satir's approach, the therapist is more upfront and constantly reminds the female client of her behavior. During the session, the female constantly interjects and speaks for the male. The therapist notes this behavior seems parental, which causes the male to feel as if he doesn't have a say. After the therapist, confronts the female client multiple times, she eventually seems to see how she is apart of the invisible conflict and the male speaks more. 

Chapter 13- Family Systems Therapy

Chapter 13- Family Systems Therapy

According to the chapter, family systems therapy is developed by two main theorist, Virginia Satir and Salvador Minuchin. Virginia Satir's method is called the Satir Apporach. In the Satir Approach the therapist focuses on developing self-worth and healthy communication within the family. Minuchin's approach is called Structural Therapy. In structural therapy, the therapist is considered the coach and eventually another member in the family. The goal of this method is to acknowledge invisible rules, roles and conflicts, in order to build healthier relationships.
When looking into this method, I do not see it completely helpful in my future career in student affairs. In my role, I currently do not work with parents and would not have the time to meet with families for reoccurring appointments. Also, there are a few laws in higher education, such as FERPA, which may not allow me to speak with the parent if the student does not agree to counseling. However, while this method of counseling is not currently practiced in higher education, I may keep it in my back pocket. Recently, I have noticed a higher amount of parent involvement in the last few years, therefore this method may useful down the line.

Chapter 12 Video Post: "Feminist Session: Dr. Moore and Helen - Part 2"

"Feminist Session: Dr. Moore and Helen - Part 2"
Chapter 12- Feminist Therapy 
In this session, the therapist and the client are discussing an issue the client has with confronting her mom. During the session, the therapist focuses in on the situation and asks the client how does it make her feel and how the situation affects her other relationships. After the client discusses how she feels, the therapist acknowledge the inequalities woman may have when standing up for themselves. The therapist also gives the client insight on what they can do and how they can change the cycle with their daughter. As the video progresses, you are able to see more comfort from the client, almost as if she feels empowered.
In watching this video, I find that this method of counseling will definitely be helpful in counseling my future students. I remember as a student, I often went to my counselor seeking advice, but instead would leave with "follow what you think is right". As a student this was not what I wanted to hear and it made me feel like my counselor was unhelpful, therefore I stopped attending sessions.
I believe based on my experience and my knowledge of multicultural students, this method of counseling is one that I will truly use in my future.

Chapter 12- Feminist Therapy

Chapter 12- Feminist Therapy
According to the text, there is not one sole founder of feminist therapy. Feminist Therapy is  considered more philosophical than theoretical. It emerged out of dissatisfaction of current world practices and health concerns for women. In this type of counseling the role of the counselor is to acknowledge the inequalities a client may face due to social oppression. Throughout the sessions, the counselor will focus on the individual's strengths and tools to help the client grow. End goals of counseling is client feels empowered and knowledgeable.
Although this method of counseling was designed for women, I believe I will be able to use it in my future career in student affairs. I plan on working in multicultural affairs with historically represented students. Therefore, many of the issues my students may face will be similar to the issues women face. I believe by following the approaches in this therapy, I will be able to empower my students and help them achieve their goals. I also believe I can use this method to help educate other students on the historical disparities.


Monday, July 14, 2014

Chapter 11 Video Post: "Individual: Helping Client Exert Intentional Control"

 "Individual: Helping Client Exert Intentional Control" Video
Chapter 11- Reality Chapter

In this session, the counselor gives the client a scenario to help them see that they do have control. The counselor's scenario shows that the client is choosing not to do things based on their priorities and they are not taking responsibility. The counselor's approach is very direct and educative. However, the clients approach shows that he is not as willing to take responsibility, which is a possible indicator that the sessions may not be successful. The video does not tell us if this is a first session or 2nd, 3rd, etc... Therefore it is hard to tell if the sessions will be successful/progressive.

While I do view the counselor's approach as very helpful, I still do not see this approach completely helpful in my position in student affairs. I believe there are sometimes external factors which may impede an individual from attaining their goals, hence I still do not view this theory as an approach that I will use.

Chapter 11- Reality Therapy

Chapter 11- Reality Therapy

Reality Therapy was founded by William Glasser. Glasser believes that relationships are an extremely important part of our lives and behaviors. He finds healthy relationships as part of our basic needs. In Reality Therapy the goals of therapy are to help the individual take control of their thoughts and decisions in order to meet their basic needs. The therapy sessions are constructed with the counselor as a teacher and the client as a student. In order for this therapy to be successful the client must take responsibility for their actions and attempt to make changes.

When reviewing this theory and connecting with my career in student affairs, I see this method in both a good and bad view. Like many of the other theories, this method of therapy believes that the client is in control of their thoughts and actions. While I do I agree with this, I can only agree to a certain extent. In higher education, telling a student they do not have friends because they choose not to may not be the best route. Especially, if making friends will cause the client to give up many of their characteristics. While it is important to educate the client/student about their actions and their control, it is also important to help students create relationships and learn to accept differences. Forcing students to change/adapt to the environment is not always the best option, in my opinion. 

Chapter 10 Video Post: "Cognitive Session"

"Cognitive Session" Video
Chapter 10- Cognitive Therapy

In this video, the counselor begins the session by reviewing cognitive therapy and assuring the client understands what they are doing. In reviewing cognitive therapy, the counselor reviews a scenario in which she helps the client understand their goal. The client shows both understanding and agrees that this scenario applies to her, which makes the client acknowledge the need for the session. This clip does a great job at demoing the importance of having understanding from the client and creating a learning environment. The clip also does a great job at illustrating the goal behind the therapeutic process, which is helping the client adapt to the environment and feel comfortable with social interactions.

Chapter 10- Cognitive Therapy

Chapter 10- Cognitive Therapy

Cognitive therapy was founded by Aaron Beck. Cognitive Therapy shares many similarities in REBT, as it helps clients realize certain perceptions and helps them change. Cognitive therapy offers problems solving and coping skills with the counselor deemed as an expert and the client deemed as a student. Each session has multiple layers and focuses on helping the client progress. By focusing on having the client break apart/analyze their perceptions and environment, the counselor helps the client find a way to adapt. The goal behind this theory is to help the client adapt to the environment in order to survive and reproduce.

When looking at cognitive therapy and the goals, I do not see this theory very beneficial in my specified field. I feel that it overlooks other underlying issues, such as cultural beliefs. Therefore, it may cause certain students to feel neglected and uncomfortable. Also, in higher education we strive for accepting and embracing diversity, not trying to have everyone assimilate to culture. Thus, I do not see myself using this theory.

Chapter 9- Rational Emotive Behavior Therapy

Chapter 9- Rational Emotive Behavior Therapy

Rational Emotive Behavior Technique (REBT) was founded by Albert Ellis. According to Elli,s humans have full control over their behaviors and thoughts despite surrounding issues and past problems. Individuals that typically seek REBT are individuals that are having issues taking ownership and control of their feelings. In REBT the goal is to eliminate irrational behavior and thoughts, in pursuit of a happier self view. This technique is more direct than other theories. The other main goal in REBT is to educate the client about REBT in hopes that it will help them avoid negative thoughts and achieve/adopt a healthier lifestyle.

When examining REBT and reflecting on students, I find this technique helpful once I've created rapport with students. In college, I think it is imperative for students to learn responsibility and self ownership. While there are numerous hurdles students may come across, they must learn to face them and overcome them. Part of the college experience is to be challenged. Therefore, helping student take ownership via REBT may help them be successful in college and their future careers.

Chapter 8 Video Post- "Cognitive-Behavioral Therapeutic Factors"

"Cognitive-Behavioral Therapeutic Factors"
Chapter 8- Behavior Therapy Video

In this video the counselor and the client are still within their first session, so they are assessing behaviors to work on. In this scenario, the client is to trying to get over an ex boyfriend. She expresses trying to do so in past counseling sessions, but having difficulty. Towards the end of the session/clip the counselor reviews behaviors the client would like to address and asks the client what is her plan and what does she intend to do after she leaves. After the client responds she asks the counselor if he has any other suggestions and he says no, her plan is a good start. This clip demonstrates the client/counselor assessment phase in which the counselor is doing as much as he can to learn about the client and establish rapport before making suggestions. At one point they even laugh together, alluding to the beginning of a good counseling relationship.

Chapter 8- Behavior Therapy

Chapter 8- Behavior Therapy

When thinking about therapy techniques, many individuals often refer to behavior therapy. According to chapter eight, there are numerous key individuals and well known therapist for behavior therapy. Some of these individuals are: Pavlov, Wolpe, Watson, Thorndike, Skinner, and Bandura. The purpose of this therapy style is to target change in certain behaviors. The process in which the sessions occur vary based on the targeted technique and the counselor's style. For instance, one counselor may use systematic desensitization while another counselor may use extinction to influence change in a person's reaction to a specific behavior. Throughout sessions, counselors are expected to model good/desired behavior for the clients. As well as, the client is expected to actively participate and learn from the counselor.

When thinking about my desired role in student affairs, I do not see myself using this technique. I would like to focus most of my sessions on helping students overcome issues rather than behaviors. I believe if a student has a habit/behavioral issue, I would refer them to an outside counselor that specializes in this approach. When looking at the college campus, I see this technique most helpful in counseling and student conduct/dean of students. This approach may also be helpful for a wellness coordinator.

Chapter 7 Video Post: "Gestalt Session"

 "Gestalt Session"
Chapter 7- Gestalt Therapy

In this session, the client is very emotional. The counselor does a great job with making the client express her feelings with focusing on the current issues. In having the client speak about her current feelings and her issues, the counselor conceptualizes and share a core issue, that makes the client have an "aha" moment. This clip overall does a good job at showing how to tackle issues head on during counseling while still nurturing an open environment.

Viewing this clips makes me realize that Gestalt Therapy may be best for experienced counselors that can sort out true issues from feelings. I think I will need more experience before I can practice this theory.

Chapter 7- Gestalt Therapy

Chapter 7- Gestalt Therapy

The founding therapist behind Gestalt Therapy is Fritz Perls. While Perl used Freud's model as a basis of gestalt therapy, he replaced sex/libido drive with hunger. In Gestalt Therapy, behavior is found to be driven by a hunger to satisfy a need to connect with others, biological needs and psychological needs. Unlike most of the other theories, it reflects on current issues and tries to resolve them without much reflection on the past. Clients are also expected to take suggestions learned in therapy and try them in their actual life.

When looking at this theory and thinking about my career in student affairs, I think that this method may be helpful in helping students overcome quick/small issues. In my current role, in academic coaching, I meet many students only twice a semester for 30 minutes sessions. Using this method would help attain quick wins and possibly help the student attain short term goals in improving their academic grades. While I may use this method currently, I would like to work in an environment where I help multicultural students acclimate to the college environment through reoccurring sessions. Therefore, when thinking about how this theory does not account much of the past and it is not much of a long term therapy style, I do not think I will use this theory.