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WAL_COUN6202_se3_programtranscript_EN.pdf

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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The Case Study of Marge: Session 3 Program Transcript INSTRUCTIONS: Welcome to Marge’s third counseling session, where you will ask questions to determine if there are any codependent or family issues related to her addiction. Before you begin, please carefully read through the paperwork that contains information obtained from team members. After reviewing this information, click the “Next” button to begin Marge’s third counseling session. Select the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered. If you ask an effective counseling question, you will receive more relevant information from Marge. If you ask an ineffective question, you will receive an equally unhelpful response. Choose wisely because the better you counsel Marge, the better her treatment experience. Please keep in mind that the video has been made in a way that gives you a realistic vantage point from where you would sit and counsel your client in real life. A close-up view of the individual has not been added because you, as a counselor, will not have varying angles of your client to work with. PAPERWORK: Marge C. 15th day out of 30 days of treatment Family sessions are scheduled for today. Her husband was interviewed individually earlier today, and the children will be interviewed later this afternoon. Patient is showing signs of improvement. Withdrawal symptoms have disappeared, and patient no longer takes a sedative. Patient continues to exhibit signs of depression. Click the buttons “A” and “B” to review your question options. Use the “Select” button for what you think is the best question to ask Marge out of the two options offered.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION #1: Option A: I’d like to ask you both to face each other in today’s session and talk to each other. Ken, you expressed a lot of guilt the day Marge came here. You said that you enabled her to continue drinking. Talk about that, both of you. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #1. Option B: Ken, you expressed a lot of guilt the day Marge came here; you said that you enabled her to continue drinking. Tell me more about that, Ken. CLICK HERE TO CHOOSE OPTION B FOR QUESTION #1.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION 1, OPTION A – FEEDBACK Marge: You did the best you could, Ken. Ken: I did do the best I could. For years, I just turned my back on your drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for you, telling people you were ill or calling the school when you were too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. We never talk about it, and if they ever try to bring your drinking up I quickly change the subject. I worry about what your drinking has done to them. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 2. QUESTION 1, OPTION B – FEEDBACK Ken: (facing and talking to counselor/camera. Marge and her reactions can also been seen while he talks). I did do the best I could. For years, I just turned my back on her drinking, probably thinking it would go away if I ignored it. It didn’t. I always made excuses for her, telling people she was ill or calling the school when she was too hungover to go. I’ve been telling the kids that their mom acts the way she does because she’s sick. I worry about what her drinking has done to them. Marge: He tells you that, but he never would say that to me. I guess that’s what he’s been telling everybody else behind my back. Why can’t you look at me and say that? Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 1 AGAIN.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION #2: Option A: Ken, by the tone of your voice you seem to be pretty calm when you talk about Marge’s drinking. That’s good; you must be a pretty strong and accepting person. Am I right? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #2. Option B: Ken, notice your fists; they’re clenched. To me that says you’re angry and holding it in. Look at Marge and tell her if you agree with what I just said?” CLICK HERE TO CHOOSE OPTION B FOR QUESTION #2.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION 2, OPTION A – FEEDBACK Ken: I never thought about it like that. But now that you say it. Yeah, I guess I have held together okay in spite of Marge. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 2 AGAIN. QUESTION 2, OPTION B – FEEDBACK Ken: Yeah, you’re darn right I’m angry. Marge: You have a right to be angry at me. Ken: Not just at you Marge, at myself too. Nothing I did would change you. I tried everything I could think of, and you and your bottle just went on your merry way. I feel like a fool and like I’m not important in your life, and I'm angry at myself because I just kept on doing what I was doing. I haven’t let myself be angry before now, but it’s time I let it out. I’ve had to work hard to pay the bills, take care of the children, and try to be both father and mother. And like I said, look at how this has affected our children, Marge. Marge: You’re right Ken. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 3.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION #3: Option A: Ken, you say you worry about what Marge’s drinking has done to the children. Tell Marge about your worries. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #3. Option B: Ken, tell me, has Marge’s drinking affected your children? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #3.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION 3, OPTION A – FEEDBACK Ken: Marge, I think Roger, that’s our 12-year-old son, acts out like he does, getting in all that trouble at school, to get our attention. When you’re under the influence, you’re really not there emotionally for him, and I'm at work most of his waking hours trying to pay our bills. Carla, our 16-year-old daughter, does most of the parenting for Roger, not us. The only time he ever gets the attention of both of us is at all those teacher conferences for his bad behavior or failing grades. And Carla is the complete opposite of him; I know you agree, Marge. Good grades, sports, popular, and she is more of a father and mother to her two younger brothers than you and I. She’s the one who gets them up in the morning and off to school and puts them to bed at night. I think she feels an obligation to the boys to make up for our absence. And cute little Scotty, our youngest. I don’t know, maybe he hasn’t been affected yet, he’s only 10. He’s our only source of laughter in the family anymore. Marge: You’re right Ken, except for Scotty. I think my drinking affects him as much as Roger and Carla. You ever notice how he clowns around and makes us laugh when the rest of us are uptight? You think he thinks it’s his job to do that? To make us stop arguing and worrying all the time? If so, that’s a big responsibility for such a little boy. Ken: Yeah, I know it hurts you too, Marge. Maybe if I hadn’t ignored your problem, if I hadn’t been a weak fool, I could have changed you and things wouldn’t have gone this far. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 4. QUESTION 3, OPTION B – FEEDBACK Ken: Yes, I think it has, and it hurts me to see them exposed to her behavior sometimes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 3 AGAIN.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION #4: Option A: Marge, what are your reactions to what Ken’s been saying? Can you look at Ken when you say this? CLICK HERE TO CHOOSE OPTION A FOR QUESTION #4. Option B: Marge, we haven’t really heard the reactions we need to hear from you today. Is there anything else you’d like to tell me? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #4.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION 4, OPTION A – FEEDBACK Marge: I'm hurt and ashamed because you’re telling the truth about me, but not about yourself. You’ve enabled me a lot, yes, but you did it not because you’re a fool. You are important to me. You did it out of love for me and the children and because you didn’t know what else to do. And you couldn’t have changed me, Ken; you didn’t make me an alcoholic, and you can’t unmake me one. Only I can do that. Feedback: Well done. Click the “Next” button to continue. CLICK HERE TO TRY QUESTION 5. QUESTION 4, OPTION B – FEEDBACK Marge: Well, I didn’t think I was supposed to say anything in particular. I thought this was Ken’s turn to do the talking so he could let all his feelings about me out. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 4 AGAIN.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION #5: Option A: Marge and Ken, I think we’ve had a productive session today. We’ve identified some of your family’s problems and talked about some actions you can take to address them. Before we end, I’d like you to tell each other where you want to start to address these problems. CLICK HERE TO CHOOSE OPTION A FOR QUESTION #5. Option B: Ken and Marge, let’s not dwell on all your family’s problems; that won’t help a thing. Put them behind you so you can move on. Can you both do that? CLICK HERE TO CHOOSE OPTION B FOR QUESTION #5.

The Case Study of Marge: Session 3

© 2012-2023 Walden University, LLC

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QUESTION 5, OPTION A – FEEDBACK Marge: I want to complete treatment here and return home. I will go to AA and do whatever else I need to do to stay sober. Without that, we can’t do anything. I see that my drinking is the source of all the issues in our family, and it’s up to me to make changes to help get our family back on track. Ken: You aren’t the only one who needs to make changes, Marge. I plan to find an Al- Anon group to go to, and maybe all of us, children included, can start family counseling somewhere. You may feel alone, but Marge you aren’t. We just haven’t known how to help in the right way until now. Feedback: Congratulations. You have now completed your counseling session with Marge. CLICK HERE TO START EXERCISE OVER. QUESTION 5, OPTION B – FEEDBACK Marge and Ken: Yes. Feedback: That wasn’t the best approach. Please select the alternate button. CLICK HERE TO TRY QUESTION 5 AGAIN.