COU202: Counselling Theory and Practice Individual Written Assignment Help
Question
COU202: In this Counselling Theory and Practice Assessment for Acknowledge Education Private Limited, the nursing student is supposed to study and analyze a case scenario provided in the assessment file and write an extensive report for the same. The report should address the questions provided in the task file, which revolve around client confidentiality, counseling relationship, therapy approach appropriate for the case, interventions to be used, skills required to undertake this approach, and the ethical issues that can accompany this case.
The case is about a 68-year-old woman named Ann, who lives with her husband Andrew. Her husband is a patient with lung cancer and worries for Ann in case something unfortunate happens to him. Ann herself struggles with rheumatoid arthritis and requires Andrew’s help in certain daily chores. This is her second marriage as her first husband also passed away. She has further also faced the death of her daughter Michelle, which is why she feels she will not be able to face any other loss in the family. The student is supposed to imagine themselves in a counseling session with this client for the first time.
Solution
The solution incorporates a well-researched nursing report for this particular case study with the client Ann. Our experts have delved into each of the questions by carefully understanding the client’s requirements as well as supporting the answers through appropriate course materials and other relevant resources on Counselling therapy.
Situational Analysis
Question 1
In the first section, following the situational analysis done by our experts, a script is written to be used to ensure that the client understands confidentiality in the first session. Through this, our experts have demonstrated an understanding of the importance of Client COnfidentiality and how it needs to be conveyed to the client.
Ann (68), with rheumatoid arthritis, concerned about managing self after losing her second husband to lung cancer and coping with another death after losing first daughter to suicide.
- Confidentiality in counselling helps create a safe space for clients to share sensitive details and assurance to clients for not misusing any information shared (Bond & Mitchels, 2021). Following script will be used with Ann to explain her about confidentiality in the first meeting.
Counsellor (C): Hi Ann! Good morning, how are you doing today.
Ann (A): Hi, am doing fine.
C: How are things at home?
A: Fine.
C: Before we proceed to discuss anything further, I want to make few disclosures about our counselling relationship.
I am going to ask lots of questions abut your past and present situation which may involve sharing and discussing sensitive and personal information. For this, I want to discuss about confidentiality.
A: Okay!
Here, half of the complete script is provided for guidance purposes. To know more, WhatsApp us at +447956859420.
Question 2
The next question assesses the student’s knowledge regarding the principles that should be used to develop a counseling rapport with the client. Our experts have used the nursing module readings to attempt this answer and provide appropriate justifications.
Counselling is a dynamic and purposeful relationship shared between two people that is defined using well defined process and principles (Wong,2019). Principles for counselling that will be used with Ann are, principle of autonomy, where Ann would be given freedom of choice and action as how she wants to cope up with situation in hand and take care for herself (PACFA, 2017).
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Question 3
This question requires the student to propose two therapies from the list provided that seem best suitable for this client. In this question, our experts have considered both Ann’s case scenarios in particular while analyzing the counseling theories and techniques in association with her case.
To build effective relationship and yield positive outcomes of counselling, with Ann, Cognitive Behaviour therapy and ____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
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Question 4
Here, our experts have provided the rationale behind choosing these approaches for Ann’s Counselling therapy.
Cognitive Behavioural therapy (CBT) on the other hand is psychotherapeutic therapy that is focussed on helping client to identify and change the patterns of their destructive thought pattens that tend to have a negative influence on their emotions and behaviour (Cooper et al., 2017). It helps focussing on thoughts by identifying the maladaptive thinking patterns, emotional responses and behaviour that is resulted from the same, and changes the same with more desirable pattern. As observed, Ann has emotional challenge to accept death in life as she has still grieved for her daughter who she lost to suicide, ten years ago and death of her first husband. Her unacceptance to natural course of life, that is death, reflects on her levels of concerns she withholds about losing her second husband. Cognitive behavioural therapy will help to focus on the negative thoughts and replace the same with realistic thoughts (Maschi et al. 2015).
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Question 5
Based on the therapies selected in the above question, this section demands the student to propose two interventions that must be used in the session with the client and how these would help in building a relationship as well as counseling the client.
Under narrative therapy the techniques that can be used with Ann during counselling session are, first creating alternative outcomes and second externalisation technique and third is existentialism. When using narrative therapy with Ann, the first technique that will be used is creation of alternative outcomes. Narrative therapy is focused on helping client to be able to reframe and rewrite their own life story (Bastemur & Bas, 2021). Using the technique Ann can be motivated to talk about her life, her experiences of dealing with suicide and terminal illness of second husband in much more details. This can help to establish or establish the identity and find an opportunity for discover meaning and healing for Ann when sharing details about her experiences. Second technique is externalisation. This can help Ann to view her problems as a third person (Sanli et al., 2022).
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Question 6
Based on an analysis of the two counseling theories and techniques, the experts have selected one therapy that is more suitable than the other for this particular client along with providing a proper rationale for the same.
Out of CBT and Narrative therapy, the preferred therapy that us be used with Ann is Narrative therapy. The goal of Narrative therapy is to reconstruct the problem identified to help facilitate new narrative that are focussed on change and adoption of reality (Chow, 2015). The benefit of using narrative therapy is that narration helps to get to know and their story in depth in comparison to other therapies. While other therapies are concentrated over cause, narrative can is focussed on solution
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Question 7
This question requires the student to develop the skills that would be deemed helpful in applying the above-mentioned theory.
To be able to better counsel Ann, there were range of skills that were put in use. The first skill, that was used was rapport building (Nor, 2020). This was ensured beginning the counselling session by asking Ann about her wellbeing. She was offered water and made comfortable physically understanding her condition of arthritis. This helped making Ann comfortable and warm. With this other skill used was active listening (O’Reilly & Lester, 2019). Since, Ann has had multiple life experiences and there were range of perspective that Ann that to discuss, active listening was important to understand the message and comprehend the information shared by Ann for being able to respond thoughtfully.
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Question 8
This question requires the student to develop the skills that would be deemed helpful in applying the above-mentioned theory.
One of the most important ethical issue that may surface is termination of therapy (Chenneville & Sach. Since Ann is concerned over her dealing with death and separation, having to conclude the therapy and counselling relationship can be a challenge. Ann may feel unable to continue independently or may feel rejected. It is important at this time, to ensure that Ann is not made dependent on this counselling relationship and is reminded of the transactional nature of the relationship.
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