Assignment 2: Practicum–Week 1 Journal Entry

Assignment 2: Practicum – Week 1 Journal Entry and Journal Submission

Shelley Ison

NURS- 6650-1: Psychotherapy with Groups and Families

Walden University

September 10, 2019

Assignment 2: Practicum – Week 1 Journal Entry and Journal Submission

Student Name: Shelley Ison

E-mail Address: shelley.ison@waldenu.edu

Practicum Placement Agency's Name: Kentucky River Community Care, Letcher Outpatient

Preceptor’s Name: Cheryl Mefford LSW

Preceptor’s Telephone: 606-436-5761

Preceptor’s E-mail Address: Cheryl.Mefford@KRCCNET.COM

Journal Entry Week 1

Time Log
Week	Dates (2019)	Times	Total Hours for This Time Frame	Activities/Comments	Learning Objective(s) Addressed
1	8/28	8am-4pm	8	Orientation, Shadowed Preceptor, Observed Clients	Biological basis of psychotherapy and influences of psychotherapy treatment within a group setting.
1	8/29	8am-4pm	8	Shadowed Preceptor, Observed Clients	Gained clinical skills by observing supportive group psychotherapy techniques.

Total Hours Completed: 16

Nursing Theory

Hildegard Peplau’s Interpersonal Relations Theory:

Hildegard E. Peplau is known as “mother of psychiatric nursing” built the framework for psychodynamic nursing. Hildegard Peplau’s Interpersonal Relations Theory emphasizes the focus on the interpersonal process and therapeutic relationship that develops between the nurse and the client (Jones, 2014). Within Peplau’s theory there are four phases of the nurse-patient relationships; orientation, identification, exploitation, and resolution. Through these phases the nurse can strengthen the nurse-patient relationship and begin the clients healing process. The goal of therapy is to build client trust, respect, and foster core values. Peplau’s interpersonal relations theory was chosen because it supports adaptability in any nurse-patient interaction, fosters trust and cooperation, facilitates communication, improves socialization, and develops positive outcomes (William & James, 2016). I also appreciate Peplau’s thought that nurses can take on many different roles, thus inspiring me to be the best advanced practice nurse I can be.

Counseling Theory

Humanistic Psychology Theory:

Humanistic psychology theory is a psychological perspective that emphasizes the study of the whole person rather than what is wrong with people. Carl Rogers a co-founder of the humanistic psychology theory believed people are genuinely good and always seek growth (Cherry, 2017). Wheeler (2014), acknowledges the humanistic psychology theory as a theory that focuses on the client holistically, emphasizing on positive behaviors and characteristics. One of the objectives in humanistic psychology is to promote self-direction and independence. The humanistic approach of therapy sees the client from the individual’s perspective to promote healing, growth and fulfillment, not from a therapist’s perspective. I chose the humanistic psychology theory because this theory played a significant role in eliminating some of the stigma encompassing mental illness (Cherry, 2017). It was once thought that therapy was only to be provided to persons with mental illness, the humanistic approach to therapy allowed people to acknowledge psychotherapy could also be used to explore the mind and behavior of any individual (Cherry, 2017). I feel that a humanistic approach to psychotherapy empowers the client to change allowing a growth-promoting environment.

Practicum Goals and Objectives

Goals:

· Integrate classroom knowledge and practicum skills into a group/family therapy setting.

· Become more familiar with therapeutic communication skills to facilitate a rapport with clients in a group/family therapy setting.

· Expand my knowledge in psychotherapy perspectives, theories, and models relevant to the group/family therapy setting.

Objectives:

· Act as lead therapist in at least one group/family therapy session before the end fall 6650N practicum.

· Acting as lead therapist in a group/family therapy session use therapeutic communication skills learned in 6650N to facilitate rapport with the clients.

· Use a psychotherapy theory/model from 6650N resources in a group/family therapy session with clients.

Practicum Timeline
Week	Learning Objective(s)
1	Introduction to preceptor, biological basis of psychotherapy in group and family therapy. Consider legal and ethical considerations in a group therapy setting.
2	Assess families and gain clinical skills in supportive psychotherapy in a group setting. Begin facilitating rapport with clients.
3	Understand and assess the effectiveness of therapeutic communications in a group setting. Continue facilitating rapport with clients.
4	Gain clinical skills in supportive group psychotherapy. Consider the advantages in using structural family therapy versus strategic family therapy. Continue facilitating rapport with clients.
5	Gain clinical skills in supportive group psychotherapy using CBT technique. Continue facilitating rapport with clients.
6	Understand the application current literature to clinical practice. Continue facilitating rapport with clients.
7	Evaluate strategies with receptor for management of intragroup conflict. Continue to gain clinical skills in supportive group psychotherapy. Continue facilitating rapport with clients.
8	Continue to gain clinical skills in supportive group psychotherapy. Evaluate and discuss the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families with preceptor. Continue to facilitate rapport with clients.
9	Evaluate and participate in psychotherapeutic approaches to group therapy for addiction. Continue to facilitate rapport with clients.
10	Act as lead therapist in the group setting with preceptor present for assistance. Final week of practicum.
11	Finalize any course material required. Complete course exit survey.

References

Cherry, K. (2017). Humanistic psychology: definition and history. Explore Psychology. Retrieved from https://www.explorepsychology.com/humanistic-psychology/#The_Five_Basic_Principles_of_Humanistic_Psychology

Jones, J. S. (2014). Interpersonal relations in nursing theory. In J. J. Fitzpatrick & G. McCarthy (Eds.), Theories guiding nursing research and practice: Making nursing knowledge development explicit. (pp. 173–182). New York, NY: Springer Publishing Company. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=psyh&AN=2014-24759-011&site=eds-live&scope=site

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

William H., D., & James A., F. (2016). Incorporating Peplauʼs Theory of Interpersonal Relations to Promote Holistic Communication Between Older Adults and Nursing Students. Journal of Holistic Nursing, (1), 35. https://doi-org.ezp.waldenulibrary.org/10.1177/0898010115577975