PLEASE NO PLAGIARISM, CITE AND USE APA FORMATTING  

 

 

M4 Assignment 2: RA 1: Theory-Based Case Conceptualizations, Treatment Planning, and Issues in the Therapeutic Relationship

For this assignment, you will apply two different theoretical models to a clinical vignette that will be provided by your instructor in the classroom. You will use each of your selected theories to provide a good case conceptualization and treatment plan. In addition, you will identify and discuss how you would deal with specific issues related to the therapeutic process in an ethical manner.

Directions:

Counselors are adept at using various models of counseling to assist clients in a variety of situations. It is important tounderstand the difference between different theoretical models of counseling in order to assist a wide variety of clients.

Part 1: Select two specific theoretical models of counseling (from Psychodynamic, Adlerian, Person Centered, Existential, Gestalt, Behavioral, Rational Emotive Behavior Therapy [REBT], Cognitive Therapy, Reality Therapy, and Family Systems). If you choose, you may select an integrated model consisting of two theoretical models of counseling for one of your models, as long as you respond appropriately to each of the required components of the outline below.

Using THE  detailed client vignette given  by your instructor (Located at the bottom of this request), apply each model to the client vignette, using the following outline:

1. Theory 1
   1. Identify and give a brief description of the selected theory and its primary concepts.
   2. Using your selected theory, provide a theoretically grounded case conceptualization for the client (that is, explain the client's background and presenting concerns in the context of the theoretical framework). Your case conceptualization should use appropriate terminology and concepts from your chosen theoretical model to speculate abouthow the client's problems may have developed, based on the historical data given, as well ashow the current issues and problems are being maintained.
   3. Based on the clinical information provided in the vignette, develop a treatment plan that includes at least two measurable goals for treatment and corresponding interventions. Be sure that these are consistent with your selected theory.
2. Theory 2
   1. Identify and give a brief description of the selected theory and its primary concepts.
   2. Using your selected theory, provide a theoretically grounded case conceptualization for the client (that is, explain the client's background and presenting concerns in the context of the theoretical framework). Your case conceptualization should use appropriate terminology and concepts from your chosen theoretical model to speculate abouthow the client's problems may have developed, based on the historical data given, as well ashow the current issues and problems are being maintained.
   3. Based on the clinical information provided in the vignette, develop a treatment plan that includes at least two measurable goals for treatment and corresponding interventions. Be sure that these are consistent with your selected theory.

Part 2: Based on the clinical vignette provided by your instructor, identify at least two specific issues that may cause a challenge within the therapeutic process. These may be factors within the therapeutic relationship (for example, client resistance, diversity issues) and/or ethical issues that are apparent within the vignette. Utilizing relevant literature, describe in detail how you would address each identified issue with the client in the vignette if you were the therapist. For any ethical issues identified, cite and apply the specific ethical codes that are relevant to the issue (American Counseling Association [ACA], APA, etc.).

Your final product will be a Microsoft Word document and should be approximately 6-8 pages of content; you should utilize a minimum of three scholarly sources in your research.

Special Note: In addition to the 6- to 8-page report, you will submit a 1-2 page brochure in either Microsoft Word or Microsoft PowerPoint.

MODULE 4 Assignment 2: RA 1: Theory-Based Case Conceptualizations, Treatment Planning, and Issues in the Therapeutic Relationship

Use the following vignette for your RA 1 Assignment (due in Module 4):

Vignette: Bill

The Christmas when he was 12, Bill's parents gave him a roulette wheel. It had inlaid numbers and was handmade from shiny ebony. The layout was printed on woven felt, and the ball was ivory. "Best quality you'll find outside of Monte Carlo," his father bragged when Bill opened it up. Throughout high school, Bill loved operating a casino for his friends. Once or twice some adults drifted in from his parents' bingo night; then, they played for real money.

Bill comes to you at age 25, divorced, and broke. He had a good job managing a restaurant near the Strip in Las Vegas. He could not honestly say he had taken his job to be near the action, but after he flunked out of college because of too many all-night bridge sessions, it had seemed a godsend. It was an easy five-minute walk to two of the most glittering casinos in town—a walk that Bill frequently took on his lunch hour.

Bill's early Las Vegas encounters with a roulette table had been harmless enough. On his lunch hour he would stroll over to watch the action and place the occasional bet. He won a few dollars, and he lost a few more. All-in-all he found that he could take it or leave it, mostly take it—he loved the surge of adrenaline he felt when he had money to play. He could afford modest losses; by then, he was married, and his wife was making good money dealing black jack at another casino. Then, one Saturday afternoon when his wife had to work, black came up seven times in a row, and he walked away from the table with over $55,000 in his pocket. He said, "It was maybe the unluckiest day of my entire life."

In subsequent weeks, Bill lost himself in a gambling fever (not to mention the $55,000). His lunch hour soon stretched to two as he returned to the table again and again in an effort to recoup his losses. After he was caught "borrowing" from his employer, he tried Gamblers Anonymous; he quit because he "didn't believe in a higher power." Over the next two years he became "totally obsessed," as his wife put it on more than one occasion, with the idea of scoring another big win so that he could get ahead. When she finally left him, it was because she was tired of being ignored and lied to about their finances.

"She said she might as well be married to a one-armed bandit," Bill remarked sadly. 
Bill was attentive and pleasant, and he sat quietly throughout his interview. Though he expressed remorse for the difficulties he had caused himself and others, he described his mood as neither depressed nor ecstatic, but "in the middle." His speech was clear and goal directed. His cognition and reasoning were excellent.

Before his wife left, Bill had pleaded with her to stay. He promised that he would reform. "I wouldn't bet on it," she told him.