Counseling Couples and Families
2 years ago 15
Chp8ExercisingCourageinProtectingChildren.pptx
Chp7EmpoweringAdultVictimsofDomesticViolence.pptx
Chp8ExercisingCourageinProtectingChildren.pptx
Exercising Courage in Protecting Children
Chapter Eight
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Empowering clients can be challenging when the client is a minor
We must be diligent about following legal and life protecting standards.
Cases of child abuse involve deciding how, to whom, and which information related to the abuse is disclosed.
Sexual abuse is particularly daunting
Disclosure by the victim is usually delayed
Issues and Ethics
2
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Children are prone to experience guilt, self-blame and shame.
We must be sensitive to sustaining the dignity of child clients and their families.
We must be courageous in our willingness to make difficult and complex decisions on behalf of the child and the family.
We must navigate the headwaters of dysfunction, sometimes hostile, family dynamic, contentious court battles, and/or detrimental agency policies to protect the child
Issues and Ethics
3
| Table 8.1 *Stakeholders/Welfare/Interests | ||
| Stakeholders | Welfare (Positive/Negative) | Interests |
| Brooke | Working through her issues in therapy Not having trust betrayed Protection from further abuse | Being able to confide in and trust therapist Having support of mother |
| Audrey | Working through her issues in therapy | Maintaining her relationship with Brooke Helping Brooke improve her behavior Supporting and protecting Brooke |
| Dr. Flowers | Not losing her job | Helping Brooke and Aubrey continue counseling sessions Helping Brooke recover from trauma and empower her Demonstrating moral courage in the workplace Providing equitable counseling services to Brooke and Aubrey Demonstrating trustworthiness to Brooke and Aubrey |
4
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Courage, Honesty and Fairness – Flowers’s decision to challenge her agency’s mandate to terminate her clients
Candor and Respectfulness – Flowers explained in both oral and written form a plethora of information
Candor and Respectfulness – Flowers also informs Brooke of the information in language that is understandable to a 7-year-old
Issues and Ethics
5
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Benevolence – Reminding of her duty to report
Compassionate Care – Flowers genuinely attempts to enter into Brooke’s subjective world and understand how isolated, afraid, helpless, and alone she must be feeling.
Trustworthiness – Flowers wonders whether telling Aubrey about Brooke’s allegations could possibly be construed as a breach of trust.
Issues and Ethics
6
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Benevolence – Aubrey is informed that she will be broadly informed of her child’s progress and if her child is in danger.
Loyalty and Candor – Flowers gave Aubrey advance warning about an impending report to protective services.
Diligent – Flowers honored her commitment to be candid, respectful, and empowering
Issues and Ethics
7
Chp7EmpoweringAdultVictimsofDomesticViolence.pptx
Empowering and Advocating for Vulnerable Populations
Part Four
Empowering Adult Victims of Domestic Violence
Chapter Seven
Training Issues in Couples and Family Therapy
Personal Characteristics of Family Therapists
self-knowledge is critical, especially family-of-origin issues
Training, Supervision, and Clinical Experience
didactic methods
experiential methods
Values in Couples and Family Therapy
value system of therapist has crucial influence on formulation and definition of problems
Issues and Ethics
3
Confidentiality in Couples and Family Therapy
Exceptions to confidentiality:
when mandated by law
when it is necessary to protect clients from harm to self or others
when family therapist is a defendant in a civil, criminal, or disciplinary action arising from therapy
when a waiver has been previously obtained in writing
Issues and Ethics
4
Confidentiality in Couples and Family Therapy
Before therapy begins, the counselor needs to give information to family members about:
purpose of therapy
typical procedures
risks of negative outcomes
possible benefits of therapy
the fee structure
limits of confidentiality
rights and responsibilities of clients
the option that a family member can withdraw at any time
what can be expected from the therapist
Issues and Ethics
5
Empowering Adult Victims of Domestic Violence
Client empowerment appears to be particularly critical when counseling abused, battered, and victimized populations.
Abuse of a repetitive nature (versus a single episode) tends to escalate feelings of disempowerment.
Low self-esteem
Low self-efficacy
Self-hatred
False sense of self-esteem
Self-centeredness (narcissism)
Depression
Issues and Ethics
6
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
Langmore (Therapist) shows empathy for Tabitha (client) by reflecting her emotions.
Reflecting is done with words, tone and body language
Langhorn attempts to enter Tabitha’s inner world.
Emotions of loneliness, betrayal, confusion and discomfort in her life
This is the ability to hone into the commonality of feelings, irrespective of actual individual life experiences (i.e., ability to care).
Issues and Ethics
7
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
The textbook says, “Langhorn does not attempt to lead or persuade Tabitha in one direction or another”.
Do you agree?
Langhorn is supportive in offering some resources to Tabitha.
Could she have suggested anything else?
Issues and Ethics
8
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
First assessment: Is Tabitha in imminent life threatening danger?
She is not: We re-empower through using more nondirective styles whenever feasible.
If She was: We use more directive styles in advising Tabitha
In this case and other like it, it should be the client’s decision to leave or not.
Issues and Ethics
9
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
We must be aware of and assess the safety and welfare of client throughout sessions.
We create a safety plan if Tabitha’s situation takes a turn for the worse.
If client does into a shelter like Tabitha does, we continue make ourselves available in person or via phone.
If possible, this is done until goals are met and client is safe.
Issues and Ethics
10
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Emotional abuse is not a distinctive (recognizable) as physical abuse
When spousal abuse does not have a physical dimension, it may be more perplexing for the victim to identify.
Issues and Ethics
11
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Montego (Therapist) is “nonjudgmental”
Montego is nondirective (allows for empowerment).
Montego asks open ended questions
“How do you respond to that?”
Issues and Ethics
12
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Montego uses his competence while working with Thea.
Montego carefully explained the dynamics of emotional abuse through factual objective educational material.
We must be competent in any advocating or educating situation.
Issues and Ethics
13
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Does Montego breach the therapist-client professional boundary?
Thea was acting as if she were calling a friend or a romantic intimate rather than a therapist.
He is not sure if she will return to counseling, however, he is steadfast and courageous in hold his decision.
Could set the stage for emulation of strength by client.
Issues and Ethics
14
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Counseling is terminated prematurely.
Montego makes referral for counseling in new state.
Montego offers a follow up with him 3 months later.
Empowering such clients involves facilitating their rational self-determination to make their own decisions on their own.
Issues and Ethics
15
Chp8ExercisingCourageinProtectingChildren.pptx
Exercising Courage in Protecting Children
Chapter Eight
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Empowering clients can be challenging when the client is a minor
We must be diligent about following legal and life protecting standards.
Cases of child abuse involve deciding how, to whom, and which information related to the abuse is disclosed.
Sexual abuse is particularly daunting
Disclosure by the victim is usually delayed
Issues and Ethics
2
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Children are prone to experience guilt, self-blame and shame.
We must be sensitive to sustaining the dignity of child clients and their families.
We must be courageous in our willingness to make difficult and complex decisions on behalf of the child and the family.
We must navigate the headwaters of dysfunction, sometimes hostile, family dynamic, contentious court battles, and/or detrimental agency policies to protect the child
Issues and Ethics
3
| Table 8.1 *Stakeholders/Welfare/Interests | ||
| Stakeholders | Welfare (Positive/Negative) | Interests |
| Brooke | Working through her issues in therapy Not having trust betrayed Protection from further abuse | Being able to confide in and trust therapist Having support of mother |
| Audrey | Working through her issues in therapy | Maintaining her relationship with Brooke Helping Brooke improve her behavior Supporting and protecting Brooke |
| Dr. Flowers | Not losing her job | Helping Brooke and Aubrey continue counseling sessions Helping Brooke recover from trauma and empower her Demonstrating moral courage in the workplace Providing equitable counseling services to Brooke and Aubrey Demonstrating trustworthiness to Brooke and Aubrey |
4
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Courage, Honesty and Fairness – Flowers’s decision to challenge her agency’s mandate to terminate her clients
Candor and Respectfulness – Flowers explained in both oral and written form a plethora of information
Candor and Respectfulness – Flowers also informs Brooke of the information in language that is understandable to a 7-year-old
Issues and Ethics
5
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Benevolence – Reminding of her duty to report
Compassionate Care – Flowers genuinely attempts to enter into Brooke’s subjective world and understand how isolated, afraid, helpless, and alone she must be feeling.
Trustworthiness – Flowers wonders whether telling Aubrey about Brooke’s allegations could possibly be construed as a breach of trust.
Issues and Ethics
6
Empowering an Emotionally Abused Client
Case Study: Child Sexual Abuse
Benevolence – Aubrey is informed that she will be broadly informed of her child’s progress and if her child is in danger.
Loyalty and Candor – Flowers gave Aubrey advance warning about an impending report to protective services.
Diligent – Flowers honored her commitment to be candid, respectful, and empowering
Issues and Ethics
7
Chp7EmpoweringAdultVictimsofDomesticViolence.pptx
Empowering and Advocating for Vulnerable Populations
Part Four
Empowering Adult Victims of Domestic Violence
Chapter Seven
Training Issues in Couples and Family Therapy
Personal Characteristics of Family Therapists
self-knowledge is critical, especially family-of-origin issues
Training, Supervision, and Clinical Experience
didactic methods
experiential methods
Values in Couples and Family Therapy
value system of therapist has crucial influence on formulation and definition of problems
Issues and Ethics
3
Confidentiality in Couples and Family Therapy
Exceptions to confidentiality:
when mandated by law
when it is necessary to protect clients from harm to self or others
when family therapist is a defendant in a civil, criminal, or disciplinary action arising from therapy
when a waiver has been previously obtained in writing
Issues and Ethics
4
Confidentiality in Couples and Family Therapy
Before therapy begins, the counselor needs to give information to family members about:
purpose of therapy
typical procedures
risks of negative outcomes
possible benefits of therapy
the fee structure
limits of confidentiality
rights and responsibilities of clients
the option that a family member can withdraw at any time
what can be expected from the therapist
Issues and Ethics
5
Empowering Adult Victims of Domestic Violence
Client empowerment appears to be particularly critical when counseling abused, battered, and victimized populations.
Abuse of a repetitive nature (versus a single episode) tends to escalate feelings of disempowerment.
Low self-esteem
Low self-efficacy
Self-hatred
False sense of self-esteem
Self-centeredness (narcissism)
Depression
Issues and Ethics
6
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
Langmore (Therapist) shows empathy for Tabitha (client) by reflecting her emotions.
Reflecting is done with words, tone and body language
Langhorn attempts to enter Tabitha’s inner world.
Emotions of loneliness, betrayal, confusion and discomfort in her life
This is the ability to hone into the commonality of feelings, irrespective of actual individual life experiences (i.e., ability to care).
Issues and Ethics
7
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
The textbook says, “Langhorn does not attempt to lead or persuade Tabitha in one direction or another”.
Do you agree?
Langhorn is supportive in offering some resources to Tabitha.
Could she have suggested anything else?
Issues and Ethics
8
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
First assessment: Is Tabitha in imminent life threatening danger?
She is not: We re-empower through using more nondirective styles whenever feasible.
If She was: We use more directive styles in advising Tabitha
In this case and other like it, it should be the client’s decision to leave or not.
Issues and Ethics
9
Empowering Physically Abused Client
Case Study: A Physically Abuse Client
We must be aware of and assess the safety and welfare of client throughout sessions.
We create a safety plan if Tabitha’s situation takes a turn for the worse.
If client does into a shelter like Tabitha does, we continue make ourselves available in person or via phone.
If possible, this is done until goals are met and client is safe.
Issues and Ethics
10
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Emotional abuse is not a distinctive (recognizable) as physical abuse
When spousal abuse does not have a physical dimension, it may be more perplexing for the victim to identify.
Issues and Ethics
11
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Montego (Therapist) is “nonjudgmental”
Montego is nondirective (allows for empowerment).
Montego asks open ended questions
“How do you respond to that?”
Issues and Ethics
12
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Montego uses his competence while working with Thea.
Montego carefully explained the dynamics of emotional abuse through factual objective educational material.
We must be competent in any advocating or educating situation.
Issues and Ethics
13
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Does Montego breach the therapist-client professional boundary?
Thea was acting as if she were calling a friend or a romantic intimate rather than a therapist.
He is not sure if she will return to counseling, however, he is steadfast and courageous in hold his decision.
Could set the stage for emulation of strength by client.
Issues and Ethics
14
Empowering an Emotionally Abused Client
Case Study: An Emotionally Abuse Client
Counseling is terminated prematurely.
Montego makes referral for counseling in new state.
Montego offers a follow up with him 3 months later.
Empowering such clients involves facilitating their rational self-determination to make their own decisions on their own.
Issues and Ethics
15
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