CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment

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Counseling Project: Conceptualization and Treatment Plan 2 Instructions

Below is the format you are to use for the Conceptualization and Treatment Plan 2 paper. The paper is about eight pages, NOT counting title page, abstract, and references page. Current APA format is required. The entire paper should be written in third person.

Title Page

Refer to your current APA manual for directions on formatting a title page. Be sure you include a running head, page number, paper title (Case Conceptualization Using <place the name of your chosen theory here>), your name, and the institution name (Liberty University).

Abstract

Your abstract must give the reader a short overview (150–250 words) of your paper. Be sure your abstract summarizes the main ideas in your paper and what conclusions you came to. Use your current APA manual to be sure you write an effective abstract. Note that the abstract is not an introduction to the paper.CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment

Case Conceptualization using (place the name of your chosen theory here)

Below you will find the topics and structure you are required to include in your paper. For this second CTP paper, you are to choose one of these five:

• Behavioral Therapy (BT)
• Rational Emotive Behavioral Therapy (REBT)
• Cognitive Therapy (CT)
• Solution-Focused Therapy (SFT)
• Narrative Therapy (NT)

 

Spend at least two pages explaining the theory you have chosen and answering these questions. Separate each question into its own paragraph:

• Who is/are the developer(s) of the theory?
• What did they believe about human nature and the counseling process process (role of the counselor, role of the client, therapeutic goas, and any main concepts of the theory)?
• Explain any research studies that has been done showing the efficacy of this theory.
• What diagnoses has this theory been shown thorough research studies to be effective with (depression, anxiety, etc.)?
• What makes this theory appropriate for your client and their presenting problems you noted in the first paper? It is essential that you understand how to identify evidence based approaches so try finding research studies that support the use of the theory with the client’s issues.
• What are any potential ethical issues that may arise using this theory with your client? Make sure to cite the specific codes of ethics for your specialization (e.g. ACA codes, AAMFT codes).
• What are any potential multicultural issues that may arise using this theory with your client? Discuss how you would modify the theoretical intervention to make it appropriate for diverse cultures. Cite sources to support your positions.
• Can this theory be used in crisis situations (e.g. natural disasters, violence, sexual assault, suicidal ideations)? Why or why not? Again, cite sources to support your positions.

 

Interventions

First, write a short paragraph giving a synopsis about the presenting problems you wrote about in the Case Summary and Presenting Problems paper. Detail is not needed, just a quick summary to remind the reader of these problems.

 

Second, based on the theory you chose above, you are to have a minimum of three different interventions/techniques pursuant to that theory. You must also clearly define each intervention from the other (i.e., write in three separate paragraphs with the name of the technique/intervention clearly shown in a level 2 heading [flush left and bold] in each paragraph, not just one long paragraph).

 

As you write about each intervention/technique, discuss how it helps to address the client’s identified problems. You need to then give at least one example of how you would use that technique with your client.

 

Use the current APA manual for the proper headings format (hint: see how the headings in bold have been used in the Sample Case Presentation.).

Spiritual Application

NOTE: You are to do this section regardless of if your client wants to receive Christian counseling at this time.

 

The spiritual application will be broken into two parts:

 

1. What spiritual challenges can you see in this case? How would you seek to handle this person’s case if they were interested in having Christian Counseling be a part of the treatment plan?

 

2. Finally, in what ways is this theory compatible (minimum of three) with Christian beliefs? In what ways is it not compatible (minimum of three) with Christian beliefs? You must make extensive use of the Jones & Butman text and/or journal articles. You MUST clearly delineate each compatibility/incompatibility for the reader, for example: “The first compatibility with Christianity is . . .; The final incompatibility is . . .,” etc.

Conclusion

What you would expect the outcomes of using this therapy would be, and what will some of the most challenging aspects of the treatment be? Again use outside sources to support your conclusions.

References

One of your book sources must be the Jones & Butman text, and you must have a minimum of five additional professional references for your paper (minimum total of six). Websites are not allowed, and neither are dictionaries, encyclopedias, or mass-marketed popular psychology texts. Edited books and journal articles are always your best sources. Be sure you format your references in current APA format and pay close attention to capitalization and italics. It is your responsibility to have this manual and use it. Using a website about APA is not the same as having the manual.

Writing Skills

It is essential that you use higher level thinking skills such as synthesis, analysis and evaluation in case conceptualization.  Please make sure you paraphrase information in your own words, cite sources appropriately and avoid relying on direct quotes.

 

Please also see Liberty University’s Writing Center for both writing skills and APA resourcs.

The Conceptualization and Treatment Plan 2 is due via Blackboard and Tevera by 11:59 p.m. (ET) on Sunday of Module/Week 6.

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Counseling Project: Conceptualization and Treatment Plan Grading Rubric

Criteria	Levels of Achievement
Content	Advanced	Proficient	Developing	Not present
Abstract	10 points An abstact is included that provides a thorough but brief overview of the paper summarizing the main ideas and conclusions in 150-250 words.	8 to 9 points An abstract is included that mostly provides a brief overview of the paper summarizing some of the main ideas and conclusions in 150-250 words.	1 to 7 points An abstract is included but missing information and is less than 150 words.	0 points Not present
Case Conceptualization Questions	37 to 40 points Solid synopsis of theory is included, answering all 8 questions thoroughly.	34 to 36 points Proficient synopsis of theory is included, answering all 8 questions proficiently.	1 to 33 points Minimal synopsis of theory is included, answering questions partially or answering less than 8 questions. CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment	0 points Not present
Understanding the Theory	32 to 35 points Client’s presenting problems are summarized. Content demonstrates good understanding of theory, making appropriate application of key concepts and providing 3 techniques with examples specific to the client.	29 to 31 points Client’s presenting problems are listed, but not summarized. Content demonstrates proficient understanding of theory, making fair application of key concepts and providing 2 techniques with examples specific to the client.	1 to 28 points Client’s presenting problems are not listed or unclear. Content demonstrates minimal understanding of theory, making little to no application of key concepts and providing 1 technique with or without examples specific to the client.	0 points Not present
Christian Worldview	26 to 28 points 3 compatibilities and 3 incompatibilities with a Christian worldview are addressed. CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment	24 to 25 points 2 compatibilities and 2 incompatibilities with a Christian worldview are addressed. Or 3 of each are listed, but not thoroughly addressed.	1 to 23 points 1 compatibility and 1 incompatibility with a Christian worldview are addressed. Or 2 of each are listed, but not thoroughly addressed.	0 points Not present
Conclusion	10 points The expected outcome of using this therapy with the client is thoroughly addressed. The challenging aspects of using this treatment are thoroughly addressed.	8 to 9 points The expected outcome of using this therapy with the client is proficiently addressed. The challenging aspects of using this treatment are proficiently addressed.	1 to 7 points The expected outcome of using this therapy with the client is minimally addressed. The challenging aspects of using this treatment are minimally addressed.	0 points Not present
Structure	Advanced	Proficient	Developing	Not present
Grammar and Spelling, Writing APA	48 to 52 points The paper is organized in proper APA format. At least 6 academic sources are utilized. The paper is 6-8 pages of content in length, not including title page, abstract, or reference page(s). Spelling and grammar are correct. Sentences are complete, clear, and concise. Proper grammar and punctuation are used throughout the paper. Original thought is demonstrated by effectively paraphrasing cited information into own words. In-text citations are appropriately used where applicable. Current APA format is followed.	44 to 47 points Current APA format is mostly followed. Only 4-5 academic sources are utilized. The content of the paper is 4-5 pages in length. Spelling and grammar are mostly correct. Sentences are mostly complete, clear, and concise. Proper grammar and punctuation are mostly used throughout the paper. Original thought is proficiently demonstrated cited information into own words. Where applicable, references are cited with some APA formatting.	1 to 43 points Current APA format is not consistently followed. Less than 4 academic sources are utilized. The paper contains less than 4 pages of content.). Spelling and grammar are incorrect. Sentences are not complete, clear, and concise. Proper grammar and/or punctuation not used throughout the paper. Original thought is minimally demonstrated. Where applicable, references are minimally or not cited in current APA format. CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment	0 points Not present
Total 175
Professor Comments

Case Conceptualization Process

Case conceptualization refers to the process in which one makes sense of a client’s presenting concerns in the context of a theoretical framework. In other words, it refers to how one explains or understands the pseudo-client’s symptoms, personality characteristics, cognitions, feelings, and behaviors in the light of a particular theory or integration of theories. Such understanding leads to the formulation of counseling goals and intervention strategies. For this class, students will explore interventions. Goal setting will take place in another course.

 

At this stage, you will conceptualize the client’s case from one theoretical orientation at a time. The content of the conceptualization of the same case will differ according to the various theories depending on the aspect of human experiencing that each theory emphasizes.

 

In general, however, the case conceptualization process (as with the counseling process itself) starts with an understanding of the client’s presenting concerns (as presented in the case summary) from the perspective of the client.

 

Use the outline below to assist you in developing your Case Conceptualization according to the theory you choose to discuss.

 

Client’s Presenting Concerns:

This is derived from your Case Summary.

 

Case Conceptualization:

Present information used to generate hypothesis regarding the origins of the client’s current problems. Use outside sources and the Jones and Butman textbook to explain the concepts utilized in this section. Below offers an outline of how to discuss these issues.

 

Psychoanalysis or Object Relations Theory:

1. Explore current and early relationships as they relate to issues of attachment and autonomy. This includes gaining an understanding of how the client understands the world and his/her relationships with others (e.g., the client’s mental representations based on internalized objects). Understanding the client’s internal frame of reference will help the counselor understand the client’s behaviors.
2. Describe the ideas and feelings about self that the client might have developed in the context of these early relations (internalized objects).
3. Establish a relationship between the client’s sense of self and current problems, identify conflictive patterns that the client may be repeating in current life, and explore to what extent current experiences trigger in the client’s emotional reactions elicited by past experiences (reliving the trauma).
4. Uncover defense mechanisms embedded in the client’s presenting concerns and other symptoms, and explain how they relate to the client’s current difficulties and past experiences.
5. Help the client become aware of issues described above, and help the client process and resolve early conflicts.

 

Individual Psychology:

1. Identify how presenting concerns relate to client’s ability to successfully meet specific life tasks.
2. Explore family constellation to discover experiences that might have led the client to develop his/her specific faulty logic. Describe the content of this faulty logic and the sense of self the client developed in the context of these experiences.
3. Establish a connection between the content of the client’s faulty logic and (1) experiences in the family of origin, (2) problems in current life, and (3) the sense-of-self in relation to the world that the client developed.
4. Identify the underlining purpose of the client’s problematic behavior, and describe how it prevents the client from successfully meeting the life tasks.

 

Person-Centered:

1. While exploring the client’s presenting concerns, the counselor will assume that internalized conditions of worth have led the client to disconnect from parts of himself/herself. This disconnect, in turn, has resulted in feelings of incongruency and anxiety, which has impaired his/her internal locus of control as well as thwarted his/her self-actualizing tendency.
2. Examine the discrepancy between the client’s self-concept and ideal self-concept. Since the theory proposes that given the adequate facilitative conditions (empathy, positive regard, and congruence) in the counseling relation, clients will be able to reconnect with themselves and find their own way, the theory does not offer much in terms of a framework to explain the particular issues of each client. This is more a theory of the change process itself than a theory of personality development.

 

Existential:

1. Identify how presenting concerns (problem behaviors/cognitions) relate to specific givens of existence.
2. Elucidate how these difficulties represent (as mechanisms of defense) or are the consequences of the client’s efforts to avoid facing the normal anxiety generated by specific givens of existence.
3. Describe how these defensive behaviors have led the client to experience of neurotic anxiety and/or neurotic guilt and further problems.

 

Behavioral/Cognitive/REBT:

1. Relate the presenting concerns to faulty learning, irrational thoughts, and/or faulty cognitions.
2. Identify the client’s irrational thoughts (Ellis) and/or specific faulty cognitions or maladaptive thought patterns (Beck), and illustrate how these lead to the problematic behaviors.
3. Describe the antecedent behaviors and cognitions that trigger the client’s maladaptive behaviors and thoughts (this is called behavioral assessment).

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Interventions:

The information provided in the conceptualization process leads to specific counseling goals. Again, use outside sources to support your discussion of Goals and Interventions.

 

In the psychodynamic approaches (Object Relations and Individual Psychology), these will likely include:

• Resolving earlier conflicts
• Modifying negative aspects of the self
• Facilitating the development of positive aspects of the self in the context of the therapeutic relation
• Reconciling split-off aspects of the self,
• Changing aspects of the client’s sense of self (e.g., feeling unlovable)
• Identifying and modifying faulty logic
• Gaining encouragement to face life-tasks, and/or to develop social interest
• Identifying the underlining purposes of symptomatic behaviors.
• Work through conflicts in attachment and autonomy

Interventions may include:

Psychoanalytic and Object Relations:

• Free association
• Dream analysis
• Confrontation
• Interpretation
• Gaining insight
• Analysis of the transference

Individual Psychology:

• Lifestyle assessment
• Paradoxical Intention
• Spitting in the Soup
• Catching oneself
• “Acting as if”
• Task setting

 

In the Person-Centered approach, the goal is to create a safe, trusting relationship that will allow clients to explore the parts of themselves that they have denied or distorted. This will entail recognizing and giving up the internalized conditions of worth. Clients will likely then develop an internal locus of evaluation, become more open to experience, and achieve self-trust. This is a nondirective approach trusting in clients’ self-actualization. CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment

 

The Intervention is for the most part the relationship in itself, which must include three conditions:

• Congruence or genuineness
• Positive regard
• Accurate empathic understanding

 

Specific counselor’s behaviors to facilitate the relationship and to foster client change include:

• Reflection of feeling
• Paraphrasing, rephrasing
• Questions for clarification

 

In the Existential approach, goal:

• Help clients to gain awareness of the choices they are making in their lives
• Encourage clients to face the givens of existence that they may be avoiding, and helping them to become aware of the defenses they are using to avoid the normal anxiety generated by the givens of existence.
• Help clients to become aware of the negative effects these defensive behaviors/cognitions have in their lives and to recognize how these defensive behaviors are related to their presenting concerns.
• Encourage clients to take responsibility for their lives and to make active choices regarding the life situations they are facing.

 

Interventions may include:

• Confrontation
• Process interpersonal dynamics of the counseling relationship, attending to the emotions generated by the counseling process in the context of the here and now relationship with the counselor
• Paradoxical intention
• Situational reconstruction
• Compensatory self-improvement

In the Behavioral/Cognitive Behavioral/REBT approaches, counseling goals are likely to emphasize resolving the presenting concerns by learning new behaviors, changing environmental conditions, and replacing irrational thinking with more rational thoughts.

 

Interventions may include:

• Modeling
• Behavioral rehearsal
• Skills development training (e.g., assertiveness, social behavior)
• Self control or self-monitoring
• Stimulus control
• Contingency contracting
• Systematic desensitization
• Recognizing and changing irrational thoughts
• Cognitive restructuring to change maladaptive thought processes
• Learning a new internal dialogue
• Relaxation training
• And others
• CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment

 

Evidence-Based Approaches

Not only should you be able to demonstrate competence in using the counseling interventions but you should also know how to identify evidence-based approaches.  It is not only a best practice to use a treatment, methodology, or approach that is supported by the best available clinical evidence (outcome based research studies), but some insurances also require it.  The ACA codes of ethics state counselors will use empirically supported treatment.  You should make sure you are using the most effective treatment for your clients.  Also if called into court because a client claims something you did caused them harm you would need to be able to explain why you did what you did and demonstrate that it is a standard of practice.  The best way to do this is to demonstrate you used an evidence-based approach.

 

Make sure you are able to cite the actual research studies that demonstrate the theoretical interventions you are recommending have been found to be effective in treating the client’s presenting problems, symptoms and diagnosis. You should cite actual studies not just someone that made the claim that it is evidence-based.  It is not good enough that your textbook claims the theory is evidence-based.  You need to be able to evaluate that yourself and be able to provide evidence. So search for those studies and discuss the results of research outcomes.

Multicultural Considerations:

It is essential to develop multicultural competencies as you learn to apply theoretical interventions.  Read research articles and your multicultural counseling book to see more about cultural concepts.  Find research articles that inform about your clients cultural needs. Also look for literature that discusses using the theoretical orientation you chose with your client.  Discuss how you might modify the theoretical interventions to meet diverse client needs.  For example, does research on the client’s culture demonstrate that family considerations or religious values are important.  If so then cite that research and discuss how you would modify the theoretical interventions to include those aspects.

Ethical Considerations:

Download the codes of ethics for your specialization (e.g. ACA codes of ethics, AAMFT codes of ethics).  It is essential that you learn how to apply the ethical standards to your case conceptualization.  Discuss the codes that are applicable to the case.  Discuss any ethical challenges and ways to meet the ethical standards.  There are all kinds of ethical considerations when working with clients.  You can touch on do no harm, valuing autonomy, competence, etc.…. The list can go on and on.  The best way to make sure you are considering all possibilities is look through and cite your codes of ethics.  They are the standards of practice that you supposed to adhere to so you should be able to apply them and know how to cite them.

Spiritual Application:

What spiritual challenges can you see in this case? How would you seek to handle this person’s case if he/she was interested in having Christian counseling be part of the treatment plan? How do you think Christian principles and worldview mesh with the theory you are using? In what ways is it compatible (minimum of three)? In what ways is it not compatible (minimum of three)? What resources/referrals (in addition to church) can you recommend to the client as part of this area of counseling?

 

Conclusion:

Conclude with why this theoretical orientation was chosen, e.g., how it fits the client’s problem. Describe what you would expect the outcomes of such therapy to be, and what some of the most challenging aspects of the treatment would be. Again, use outside sources to support your conclusions. These sources need to be professional, not pop psychology or internet sources such as Wikipedia. Edited books and journal articles are your best sources. CEFS 510 Theories of Counseling Treatment Plan Psychology Assignment