Post on 03-Jan-2016
Core SkillsMeeting 2
© Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO: Love.
Instructors who adopt this book may use this PowerPoint to teach your course without prior permission. Please address questions and comments to mcheung@uh.edu.
© Love Publishing: Monit Cheung & Patrick Leung
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Functions of Genograms1. To track family relationship patterns2. To identify repeated patterns in health,
family functions, and significant events3. To interpret family structure4. To analyze family conflict and triangles5. To assess family roles, functioning,
balance, resilience, and resources6. To track families through the life cycle7. To apply in clinical situations8. To collect data for family research
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Genogram Format
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Exercise: Construct a Genogram
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How to construct a genogram interview?
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Genogram Interview1. Start with the presenting problem2. Move to questions on household context3. Gather information on parents’ birth families4. Inquiry about other generations5. Probe ethnic and cultural variables6. Elicit attitudes about gender7. Ask about major life events8. Inquire about family relationships9. Inquire about family roles10. Inquire about family strengths11. Include questions on individual functioning
(work, school, medical, psychiatric addictions, and legal problems)
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1.Family Structure and Composition
2.Family Place in the Life Cycle
3.Pattern Repetition Across Generations
4.Balance in Family Roles and Functioning
Therapeutic Outcomes
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1. Family Structure and Composition
a) Marital Configurations
Single-parent households
Remarried households
Therapeutic Outcomes
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b) SiblingsBirth order
Timing of sibling births vs. what else was happening in the family at the time
Family’s expectations or ‘program’ for the child
Parental attitudes and bias regarding gender. Are males given preferred status?
Or females? Are there alliances in the family by gender?
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Therapeutic Outcomes
2. Family Place in the Life Cycle
Family progress through a series of stages or transitions
Changes including leaving home of origin, marriage, births, child-rearing, retirement
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Therapeutic Outcomes
3. Pattern Repetition Across Generations
a) Patterns of Functioning- Adaptive: creativity, resilience,
strengths- Maladaptive: battering, child abuse,
alcoholism, suicide
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b) Patterns of Relationships
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b) Patterns of Relationships
-Patterns of closeness, distance, cut-offs, or conflicts repeating over generations. (e.g., triangles)
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The Triangular Relationship
Self
His mother
His grandfather
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c) Patterns Related to Position in Family
-People in similar positions as a previous generation member tend to
repeat the same pattern
http://www.genopro.com/
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4. Balance in Family Roles and Functioning
-For example,
A gregarious, social partner is balanced out by a more home-oriented spouse.
http://www.genograms.org/
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Reference McGoldrick, M., Gerson, R., & Petry, S. (2008). Genograms:
Assessment and Intervention (3rd Ed.). New York:.
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Cartoon-Story Game A3, Cheung 2006
Fold a piece of paper into 8 boxes Number the boxes from 1 to 8 Draw or write in the first 6 boxes to represent your
developmental stages Draw or write in the 7th and 8th boxes to represent
something you want to achieve in your next stage of life
Cheung, M. (2006). Therapeutic games and guided imagery: Tools for mental health and school professionals working with children, adolescents, and families. Chicago: Lyceum.
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Core Skills
The Case of Mary• 38 years old
• Depressed, not knowing the meaning of life
• Left home for the entire day; after her family found her, she felt guilty
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Core Skills (Cheung&Leung, pp.28–29)
Rapport Building Structuring the
Session/Meeting Information Gathering Reflecting Content Reflecting Feelings Self-Disclosure Confrontation Redirecting Summarizing Closure
Take turns to ask questions based on the core skill area
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Mary’s Case Demonstrations
I am…
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Rapport Building
Tell me about...
I am here to…
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Structuring
By the end of this
session today, …
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Information Gathering
Tell me about…
Give me an example of…
Who, When, Where…
Whose, Who else, What, How…
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Reflecting Content and Clarifying
I noticed you …
It seems to me that…
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Reflecting Feelings
It is hard to…
You feel…
I feel…
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Self-Disclosure
I get upset about…
I have had an experience that…
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Confrontation
You said you didn’t care, ….
You laughed when…
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Redirecting
Before you continue, …
From what you’ve told me, …
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Summarizing
You said ….
Let me summarize …
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Closure
Thank you for…
Would you …
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Personal vs. Professional
One strength & one limitation
Use another person’s strength as your own: An exchange perspective
How to use this technique to help your clients
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Self-Disclosure
Functions
When to use it
How to use it
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Self-Disclosure’s Definition
The conscious and intentional revelation of
information about oneself through Verbal Expressions
Personal experiences or history
Personal opinions or perspectives
Nonverbal Behaviors Smiling
Grimacing
Shaking one’s head in disbelief
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Functions of Self-Disclosure
Encourages clients to reciprocate with trust and openness
Provides messages that center on common struggles or problems the social worker is currently experiencing or has experienced that are similar to the client’s problems
Presents low risk and contributes to the helping process.
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When to Use Self-Disclosure
After rapport and trust have been achieved
When clients have demonstrated readiness to engage on a more personal level
When a personal reaction will provide assurance to all clients present
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Self-Disclosure Techniques
Express Personal Reactions
• “I’m impressed with the progress you’ve made this past week. You applied what we discussed last week and have made another step toward learning to control angry feelings.”
• Give an example here:
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Relate to a Common Struggle
• “As you talk about your problems with your children, it reminds me of similar difficulties I had with mine when they were that same age.”
• Give an example here:
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Relate to an Event that Share a Common Characteristic
• “I think all of us struggle with that same fear to some degree. Earlier this week I…”
• Give an example here:
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Overview of TheoriesThree Theory Types
Thinking
Feeling
Doing
In social work, what type of theories do we use?
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Social Work Theories
Psychodynamic & analytic• Psychodynamic, Psychoanalytic, Families of Origin,
Adlerian Experiential and relationship-oriented
• Gestalt, Person-Centered (Rogerian, Satir), Existential Cognitive and action-oriented
• Behavioral, CBT (RET, REBT), Solution-Focused, Feminist (Empowerment), Structural, Strategic
Systems• Family Systems, Multicultural
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Daily Affirmation
Peace is flowing through me everywhere today, pouring all over my mind and my body … releasing all my tensions and anxiety … emptying me of all my negativity and fear. I am being filled with peace and love and serenity.
Fishel, R. (1988). Time for joy. Deerfield Beach, FL: Health Communications.
© Love Publishing: Monit Cheung & Patrick Leung
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References Cheung, M. (2006). Therapeutic games and guided
imagery: Tools for mental health and school professionals working with children, adolescents, and families. Chicago: Lyceum.
Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO: Love.
McGoldrick, M., Gerson, R., & Petry, S. (2008). Genograms: Assessment and Intervention. New York: Norton.