Respond to two colleagues who selected a case study different from yours:
Compare and contrast the article you selected with your colleagues article in terms of how they might inform appropriateness for use with the identified client.
Explain how reviewing the different studies presented in this Discussion influenced your decision about whether you would use the therapy, given various evidence for the different treatment modalities.
Colleague 1
DBT Intervention
Article: Piloting a Dialectical Behavioral Therapy (DBT) Infused Skills Group in a Disciplinary Alternative Education Program (DAEP)
Briefly paraphrase, in 2 to 3 sentences, the methodological context (i.e., research method, how data was collected, and the instruments used) of the study and the findings.
In this article a four-week skills group intervention program used the DBT model included one therapy group and a control group. In the fall all incoming students and their parents took a youth outcome questionnaire which consisted of 30-items with six sub scales and a total score. (YOQ)(Wells, Burlingame, Lambert, Hoag, & Hope, 1996).This gave researchers a base data collection. In session five the students took a Social interaction questionnaire to determine improvements in behaviors. ( (SIQ;Ricard, 2009).
Evaluate the findings in terms of its applicability or appropriateness for the client in your case study.
The findings in this article used Mindfulness skills which involves attending to emotions, thoughts, and physical experiences without judging or trying to change them. In the case study of Tiffani the case worker can introduce her to mindfulness skills that would help her develop skills for reducing vulnerability to negative emotions and recognizing the changeability of ones emotional responses (Choate, 2012; Linehan, 1993). The article also stated that students who used the distress tolerance skills allows them to cope with painful events by building resilience and learning new ways to manage the uncomfortable feelings (McKay, Wood, & Brantley, 2007). Tiffani could benefit from these skills of DBT to support her emotions, physical experiences that she had endured from the abuse by her family and pimp. By providing her with impulse control skills, and the above DBT skills this will allow Tiffani to self-determine where she goes after the group home.( Theory Into Practice: Four Social Work Case Studies).
Determine whether you would use or not use the therapy you selected for the client in your selected case study (consider how culturally relevant it is, how aligned it is with social work ethics, etc.) and explain why.
I would use Dialectical Behavior Therapy with Tiffani. It is evidence based. DBT works on teaching skills to clients that focuses on mindfulness which includes dealing with emotions, thoughts, and physical experiences, along with Impulse behavior control. I feel DBT is aligned with social work ethics because DBT takes into consideration dignity and worth of the person. As her social worker, I would work with her on a Micro level through individual and group counseling. As she transitions out of the group home, I would provide possible connections to services within the community on a Macro level. This would re-enforce and boost her confidence that she can be successful now and in the future. I would adhere to the Social Workers code of ethics. (Socialworkers.org)
References
Burlingame, G. M, Dunn, T., Hill, M., Cox, M., Wells, M. G., Lambert, M., & Reisinger, C. W. (2002). Youth outcome questionnaire (YOQ30.2). Stevenson, MD: American Professional Credentialing Services, LLC.
Choate, L. (2012). Counseling adolescents who engage in non-suicidal self-Injury: A dialectical behavior therapy approach. Journal of Mental Health Counseling, 34(1), 5671. C
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York, NY: Guilford.
Ricard, R. J. (2009, Social Interaction Questionnaire (SIQ): Measuring social and emotional climate. Unpublished instrument.
https://www.socialworkers.org/About/Ethics
Theory Into Practice: Four Social Work Case Studies.
Wells, M. G., Burlingame, G. M., Lambert, M. J., Hoag, M. J., & Hope, C. A. (1996). Conceptualization and measurement of patient change during psychotherapy: Development of the Outcome Questionnaire and Youth Outcome Questionnaire. Psychotherapy: Theory, Research, Practice, Training, 33, 275283. doi:10.1037= 0033-3204.33.2.275.
Colleague 1
Reference
Graham, M. A., Sauerheber, J. D., & Britzman, M. J. (2013). Choice theory and family counseling: A pragmatic, culturally sensitive approach. Family Journal, 21(2), 230-234.
Methodological Context
Reality therapy provides therapist with the tools needed to facilitate behavior change that include the WDEP system which allows continuity throughout the therapeutic process (Graham, Sauerheber, & Britzman, 2013). When utilizing reality therapy, research is collected by using the WDEP system. W representing what the client wants, D representing what the client is doing to get what they want, E is the clients evaluation of how they are doing and P meaning what is their current plan. Reality therapy focuses on behavioral change, assessing client need fulfillment and assessing client life choices.
Evaluation of Findings
Reality therapy would be appropriate for a client because it requires them to set their own goals, evaluate themselves and provide feedback. Since reality therapy focuses on behavioral change and client fulfillment, a client is able to benefit from a therapy that focuses on establishing and accomplishing goals.
Determine and Why
I would use reality therapy while working with Tiffani because it gives her the chance to utilize self-determination when establishing her What and Tiffani is able to evaluate and monitor her own progress towards her goals. Tiffani is also able to develop a plan of action which I think is important when working with a client who has just spent the past 2 years under someone else control. Reality therapy gives Tiffani some independence in that she decides what she wants and what shes doing to get what she wants. Reality therapy is also beneficially during family therapy in that it focuses on behavioral change as well as focusing on what the family needs in order to remain close and harmoniously (Wubbolding, 2000).
Reference
Graham, M. A., Sauerheber, J. D., & Britzman, M. J. (2013). Choice theory and family counseling: A pragmatic, culturally sensitive approach. Family Journal, 21(2), 230-234.
Wubbolding, R. E. (2000). Reality therapy for the 21st century. New York, NY: Routledge.
