Wednesday, August 8, 2012

CNDV 5311 Individual Counseling Theories Course Reflection and Theory Integration



Course Reflection and Theory Integration
May 13, 2012

Reflect on the content of this course overall. What part of the course was most meaningful to you and why?
     As I reflect upon content of this course overall, I appreciated having a choice of the articles and videos each week to ponder my learning.  The uses of you-tube videos and Theories in Action DVD were very effective because I could see each theory being demonstrated with a therapist and client after reading the content about the theory.  Exploring the different theories helped me realize how they can be intertwined.  Furthermore, I liked how Dr. Frels would compare the theories in a chart during her lectures. This helped me understand and visualize the differences and similarities of the theories.
     During the first week I learned that helpers must first explore self, understand family origin and life transitions. I discovered the important ingredients of a successful therapeutic relationship with children are:
  1. Establishing a working relationship through open and honest communication for the child to conduct self-exploration;
  2. Allowing children the need to feel free to reveal their story and identify what they want to change or attain from the problem;
  3. Creating a climate for change by being transparent, genuine, empathic, respectful, and   acceptance of the child in his/her current state of being;
  4. Helping to identify the problem through formal and informal assessments; and
  5. Helping the children create goals both external and internal for the desired change through problem solving techniques.
 Next, I appreciated how this course allowed us to examine the use of nonverbal changes and Carl Roger’s theory in Week One to help develop skills for building relationships with clients. Each week this course provided us with research, articles, and videos about the theory we were studying and allowed us the opportunity to relate our new learning with our daily lives.
    During Week Two, I valued the research of STEP and learning about the history of Adlerian theory.   Adlerian theory focused on family constellation, personality priorities, early recollections, dream analysis, identifying basic mistakes, and assessment of life tasks. “Lifestyle is the most fundamental of Adler’s entire concept. It is the most fundamental as “The sum total of all the individual’s attitudes and aspirations, a striving which leads him in the direction toward his goal of believing he has significance in the eyes of others.” (Frels, 2012) Adler believes that the style of life was developed in early childhood allowing children to strive for perfection or superiority” (Sharf, 2012).  The tasks that could be incorporated into a school setting are encouragement, creating images and the “act as if” technique.
    We explored the Reality theory in week three.  The Reality Theory is based on five basic needs:
·         Power (which includes achievement and feeling worthwhile as well as winning).
·         Love & Belonging (this includes groups as well as families or loved ones).
·         Freedom (includes independence, autonomy, your own 'space').
·         Fun (includes pleasure and enjoyment).
·         Survival (includes nourishment, shelter, sex).
By using the “Cycle of Managing, Supervising, Counseling, and Coaching” l was able to explore Reality Theory from a different prospective.  This activity helped me to understand how each basic need could be used from a teacher and parent view to discover change in behavior and how RT is a cycle. 
   The final week of exploring theories was Week Four.   We studied the Solution-Focused theory. Using quotes from movie clips and you-tube was useful for understanding how to relate it to my work. Writing about an experience that required me to use strength based theory help to discover some probing questions about myself.  Finally in week five, we had to develop our own personal theory of counseling, this activity provided an in-depth analyzes of one.  The final project was the beginning realization of how to develop a counseling session for a student.  This course has been an eye opener for looking within self, understanding counseling theories and which technique the counseling is being used during individual and group sessions

Using the article by Watts (2003) for Selecting a Guiding Theory, compose a reflective essay that describes a selected guiding theory and the integration of any other theoretical techniques relevant for working in the school setting. Include a reflection of your personal approach with students.

This essay should be one to two pages in length.

   After analyzing several theories, the theory that most related to my personal beliefs and a value is solution–focused theory.  Solution-focused therapy focuses on people's strength, competence, and possibilities instead of their deficits, weaknesses and limitations as other theories. The benefits of solution-focused brief therapy include the finding of solutions to problems that the client has been facing. Another benefit of solution-focused brief therapy is that clear goals are identified early on. It is can be done in conjunction with other forms of therapy.  In a school setting, the counselor has only brief periods to conduct counseling session. According to Erford (2011), individual counseling involves a confidential relationship between a student and the professional school counselor that can last from a single session to several sessions which could involve a variety of techniques, and strategies that help students explore academics, career, personal and social issues.
     In solution-focused therapy, the therapist is not concern with what went wrong in the past, but solutions to setting clear and concrete goals to solve their problem.  Solution-focused therapy is sensible and flexible because it identifies whether a problem need changing. A variety of techniques are used to help the client/student with change. “Change is the focus of therapy, and examining pretherapy change is one of the first things solution-focused therapists do” (Sharif, 2012). The coping questions and miracle question can start this change.  The most important technique is the miracle question to help develop specific goals.  Another technique to use is the scaling questions to help set goals, measure progress, assess the motivation, and establish priorities for taking action. Finally, solution-focused theory allows the therapist to incorporate creative play therapy for children to visualize the change through drawings, role playing, and art.  The solution message, a written summary of the session, is the final step in solution-focused therapy that can provide the student with a visual representation of their effort to finding a solution (Nims, 2007).
  In solution-focused therapy, it is easy to incorporate other theoretical techniques.  I would use encouragement from Adlerian theory to help build relationship to bring about a change with students because it is similar to complimenting.  “The encouragement process is an important one, continuing throughout the entire process of therapy, and can be helpful in applying a solution-focused approach” (Sharif, 2012) (Watts, 2000, 2003).  Another Adlerian technique I could use with children is the “act as if” technique by using play, toys or art to encourage child to explore what change would look like in their solution. From reality therapy I would begin the counseling session by making a sincere effort to build a relationship with the student that will sustain throughout the sessions by using the friendly involvement technique. Also, I would incorporate humor with the student to create a greater sense of friendly involvement and to help the student meet the need for belongingness. Finally, I would use Adlerian technique of termination and summarizing the session to set clear time limits and to summarize the session to provide a clear picture of the goals and changes from the session.
   Before the session, I would visit the student in the classroom to start building a relationship before I pulled the student into my office. The personal approach I utilize with solution-focused is the questions designed to help students explore their strengths and resources rather than concentrate on their problems and deficits.  The questions can help students identify what their goals or preferred future will look like when they have overcome their problems or challenges.   I know a little about your problem but before we discuss it I would like to find out a bit you as a person.  What are your interests, tell me about your family, tell me about your friends, or tell me about school?  For nonverbal students, I could use the sandtray or drawings for the students to make visual image of their world. Another technique I would use is scaling. The use of scales is a flexible technique that can be used to help students identify movement in their problem or challenge.  It is especially helpful when the student is struggling to identify goals or exceptions to their problem. The scaling chart I use is range of happy/sad faces to determine how the students’ feelings about the problem or solution for change. Since there are exceptions to problems, I would have the student draw pictures to identifying exceptions to the problem and how they are already coping through questions.  Finally, I would provide the student with a solution message to affirm the successes, connect the goals and tasks, and notice the actions and observation for changing on the scale by terminating the session on time.

References:
Corey, M. S. & Corey, G. (2011). Becoming a helper. (5th ed.). Pacific Grove, CA: Thomson Brooks/Cole

Erford, Bradley T. (2011). Transforming the school counseling profession (3rd ed.) Upper Saddle River, New Jersey: Pearson Education, Inc.

Frels, R. K., Leggett, E. S., & Larocca, P. S. (2009). Creativity and Solution-Focused Counseling for a Child with Chronic Illness. Journal of Creativity in Mental Health, , 4:308-319.

Nims, D. R. (2007). Integrating Play Therapy Techiques into Solution-Focused Brief Therapy. International Journal of Play Therapy , 54-68.

Sharif, R. S. (2012). Theories of psychotherapy. Pacific Grove, CA: : Thomson Brooks/Cole.



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