you will write a 9- to 10-page theory paper that articulates your theoretical orientation toward working with couples and families.

Your paper must include the following elements that evolve from your personal theoretical orientation:

  • The basic view of human nature as seen through your theoretical lens
  • Key factors that account for changes in behavior
  • An explanation of how intervention strategies are designed within this theoretical orientation
  • An explanation of how your theory conceptualizes mental health
  • Key factors that contribute to healthy family/couple relationships
  • A description of the skills necessary within this theoretical orientation to meet the agreed-upon goals and outcomes for couples and families
  • The nature of the practitioner-client relationship and its relative importance
  • An explanation of the evidence to support your theoretical orientation as an appropriate intervention for couples and families in need.

 

You are asked to write an 8-10 page paper discussing your theoretical orientation toward working with couples and families.

First, you are asked to articulate the view about human nature from your theoretical orientation. In Narrative Therapy, the view of human nature might be that we all would benefit from telling our stories. In Solution Focused Therapy, the view on human nature might be that our issues get solved by imagining a solution. In cognitive-behavioral therapy, the view of human nature is that we are prone to erroneous thinking.

Next, you will write about how intervention strategies are designed within your theoretical orientation. In CBT, an intervention aimed at changing a maladaptive thought might question or challenge a thought or feeling that is believed to be not constructive.

Next, you will explain how your theoretical orientation defines mental health. In Modern Psychoanalysis, my theoretical orientation, a person is deemed healthy when that person can spontaneously feel the full range of feelings without the need to employ defense mechanisms to deflect from experiencing them. In CBT, a person might be deemed healthy when maladaptive thoughts no longer have such a strong pull on the direction of their functioning.

Next, you will think about what are the key factors that define healthy family and couple functioning. You might want to look at Gottman Theory for an example of a theoretician who actually defined healthy couple and family functioning, as most theorists tend to focus on what is wrong with functioning. Bowen Theory also looks at the healthy dynamics of a couple and family in clear detail, looking for differentiation in communication. In Modern Psychoanalysis, which is not a theory designed for couples and families, I would say that we look for members of couples displaying the ability to listen to each other and be supportive, allowing each person to express as many feelings as necessary to maintain communication. The standard for healthy communication in families is different from the standard of expression measured in individual treatment.

Next, you will discuss the skills necessary for couples and families to achieve their goals. This is not a clear prompt, as I am unsure if the prompt would like therapist skills or client skills. I would prefer that you write about the therapeutic skills that you would need as a clinician in order to create the necessary therapeutic environment for your clients.

Next, you will write about the importance of the relationship between therapist and clients in your theoretical orientation. In Gottman therapy, for example, there is a strong position that the therapist should be there to facilitate, not to create a dependency. In Solution Focused Therapy, the therapist is there to create a different way of conceptualizing issues and introducing hope. In Modern Psychoanalysis, a therapist works toward establishing a long-term relationship that allows careful examination and exploration of all facets of the couple or family dynamic, which is different from many of the methods studied this term. For example, EFT is a method that is designed to be short and fleeting.

Next, you will gather evidence for your theoretical position. Evidence can be acquired through single case studies or through randomized controlled trials. Generally, if a paper has been published about a specific theoretical orientation or method in a peer-reviewed journal, that qualifies as evidence.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature. WebMD is not an acceptable academic resource. No direct quotes in your assignments, which will result in point deductions. Your introduction must have a purpose statement.

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Please see the attachments for instructions. This assignment is related to topic 3; I am attaching a case study and week three assignment. 

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Benchmark – Patient’s Spiritual Needs: Case Analysis

In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

 

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

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In addition to the topic study materials, use the chart you completed and questions you answered in Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment. 

Please see the attachment below order ***NH31549 to aid with this one.

Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.

  1.  
  2. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.
  3.  
  4. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?
  5.  
  6. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

 

Remember to support your responses with the topic study materials.

 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

 

*********Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?”

 

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