Post- Jean Rony

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Respond to of  your  colleagues by recommending CBT  strategies to overcome the challenges  your colleagues have identified.  Support your recommendations with  evidence-based literature and/or your  own experiences with clients.  


(NOTE: POSITIVE COMMENT)


 

The  use of cognitive-behavioral therapy approaches in individuals and  families is often recommended for mental health issues. CBT in a family  is a comparatively modern development and therapist are generally left  to their own strategies when it approaches to treating families through  the use of CBT. CBT is widely used in families and individuals as it  examines the association between emotions, actions, thoughts, and  behavior (Fenn & Byrne, 2013). Cognitive-behavioral therapy in a  family is different from other traditional individual or group therapies  in different ways. CBT in a family is different as it based on  conceptual principles (Nichols, & Davis, 2020). CBT in a family is  based on the cognitive pattern of psychopathology, content specificity  hypothesis, and hierarchical anatomical organizational model. CBT in a  family is assurance on co-operative empiricism, it is observable and  transparent. Self-monitoring, self-instructions, rational analysis, and  behavioral enactment are some of the important techniques associated  with CBT for families, which are delivered sequentially for the  successful and effective implementation of CBT in families (Friedberg,  2006). 

CBT  in an individual is useful in the formulation of the process in which  experiences of individuals are arranged within a cognitive-behavioral  framework (Fenn & Byrne, 2013). Different chronic conditions in  which individuals who required special care and behavioral health  requirements nearby management of illness, medication fidelity and  involvement, and retention in care. CBT delivered in relation to  specialty medical treatment to individuals might target the  psychological syndrome rightly and aims to better whole quality and  performance of life and address the particular behavioral and cognitive  factors essential for controlling the medical condition of individuals  (Magidson & Weisberg, 2014). 

There are several differences in CBT in individual and family session. Some of these are presented in following points

  1. In  individual CBT, psychotherapist need to connect with one single person,  while in family therapy, the psychotherapist need to connect with the  whole family.  
  2. In  individual CBT, there are less ethical issues compared to family  therapy, as principles of beneficence and non-maleficence need to  considered for all family members.  

Throughout  my practicum experience, I have experienced and observed the effects of  CBT use in family on family relationships and their psychological  disorder. During my practicum experience, I was able to observe the  relationship of a father who was addicted to alcohol with his family  members including teenage son and daughter. Different CBT sessions hold  with family in order to solved problems and trained new behavior related  to the control of anger which impacts their family relationship. The  educational role of self-command introduced in the initial session which  helps in decreasing the psychological disorder of participants. In the  second session, optimism was learned to the members of the family to  reduced depression and improvement of their relations. In the individual  session, the father participant said that he was feeling good but  sometimes worried about losing his family. During an individual session  the daughter and son had declared to the therapist that their father’s  obsession and anger were improving and he was well, and able to go to  his office and work more enthusiastically. Through this, I have been  able to observe that CBT techniques are useful behavioral strategies  that influence on changing negative behavior of family members.  Therapist faces various challenges during CBT use in a family such as  low level of cooperation cognitive distortions, absence of  self-regulation, negative behavior towards each other and less  motivation towards positive change, etc. Therapists advise some  suggestions to the family members which better family relations and  changed thinking patterns of family members.



                                            References

Fenn, K., & Byrne, M. (2013). The key principles of cognitive behavioral therapy. InnovAiT, 6(9), 579-85.

Friedberg, R. (2006). A Cognitive-Behavioral Approach to Family Therapy. Journal of Contemporary Psychotherapy, 36(4), 159-165.

Magidson, J. F., & Weisberg, R. B. (2014). Implementing cognitive behavioral therapy in specialty medical settings. Cognitive Behavioural Practice, 24(4), 367-71.

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Pearson

Piacentini,  J., Bergman, R. L., Chang, S., Langley, A., Peris, T., Wood, J. J.,  & McCracken, J. (2011). A controlled comparison of family cognitive  behavioral therapy and psychoeducation/relaxation training for child  obsessive-compulsive disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 50(11), 1149-1161.

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    Tags: nursing
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