If you could find the video on leading group with adolescents, which is a psycho-educational approach to work with adolescents. However, I will upload a PDF Transcript of the video. Address the following questions drawing upon the Module Lectures on Group Dynamics, Group Principles and Group Therapy with Adolescents: What did you notice about how the group leaders began and ended the group? How did the group respond? How much did the group leaders remain \”centralized\”( directive, talking) and how much did they work to be \”decentralized \” (encouraging the group to share with the group, discuss among themselves, etc.). Adolescent.
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How well did the two group leaders work together? What specifically did you notice? What specific strategies did you observer the group leaders use to lead the group? What issues emerged in the group that might be common to those with substance use and/or mental health disorder? What strategies did they use that you could adopt to work with adolescents in a group?. PDF Transcript of the video. Solution Focused Brief Therapy With Dr. Ed Hamann Introduction to Solution Focused Brief Therapy Ed Hamann: I\’m Dr. Ed Hamann, a professor of Counselor Education. What you are about watch is a demonstration of three counseling approaches with a young woman named Adrianne who will be roleplaying an adolescent client. I will be demonstrating Solution Focused Therapy, my colleague Dr. Bill McFarland will be demonstrating Reality Therapy and my colleague Dr. Carrie Alexander-Albritton will be demonstrating Cognitive Behavior Therapy. Adolescent. The process will go something like this. Each of us will give a brief overview of the counseling approach that we intend to demonstrate. The interview with Adrianne will take place next and then following each of our interviews with Adrianne we will briefly share our thoughts about how the interview went. Following all three of these interviews, my colleagues, Adrianne and I will together discuss Adrianne\’s thoughts, feelings, reactions to the various counseling approaches. It is my hope that this experience will be both interesting and educational for you. I do want to add my sincere appreciation and thanks to Adrianne for her participation in this experience. Well, let me now then begin with a brief overview of Solution Focused Therapy which I think most of you probably realize was developed by the late Steve de Shazer and Insoo Kim Berg during the 1970\’s at the Brief Family Therapy Center in Milwaukee. John Walter, Jane Peller, Michele Weiner-Davis, Bill O\’Hanlon among others have written extensively about Solution Focused Therapy and have started their own Solution Focused Therapy Training Institutes. Adolescent. This approach is oriented toward the future and what is possible for clients. Neither the past nor the present are important to this approach in fact de Shazer even suggested it was not necessarily, necessary to know the problem in order to solve it. Solution Focused Therapy believes that small changes lead to big changes. Clients choose the goals they wish to accomplish, the therapist functions as a collaborator or co-creator of solutions that the client wishes to work on. The process of change focuses on the positive, on solution development, on support for progress and the celebration of change. The process of Solution Focused Therapy involves a series of questions. Adolescent. The miracle question help establish the client\’s goal. The exception question helps to remind the client of times when the problem did not even exist and scaling questions provide some data and establish a behavioral direction to the process of change. I personally find this approach of counseling to be very optimistic and enjoy using it in my counseling with clients. I now invite you to watch a demonstration of Solution Focused Therapy with Adrianne. 03:50 Simulated Demonstration Ed Hamann Hi Adrianne, I\’m Ed Hamann. It\’s nice to meet you. I\’d like to begin if it\’s okay with you just by getting acquainted a little bit uhm, ask you a few question. Do you mind telling me how old you are? 04:05 Adrianne Seventeen. Ed Hamann Okay. And what year in high school are you? 04:10 Adrianne I\’m a junior. Ed Hamann Junior. Okay. And uh, who lives in your family? 04:15 Adrianne Uhm, I have a brother , uhm, dad and my mom . 04:20 Ed Hamann How, how old\’s your brother ? Adrianne He\’s out of the house. 04:25 Ed Hamann He\’s older that you then? Adrianne Yeah. So I\’m the only child in the house. Adolescent. Ed Hamann You\’re the one at home so… (crosstalk) Adrianne Yeah. Ed Hamann …you and mom and dad are there. Okay, very good. Uhm, what is it that you\’d like to talk about. 04:35 Adrianne Uhm, I just wanna talk about how lately I\’ve just been really really stressed out and there were alarming situations and decisions that I have to make, make or not, are not being let make myself… (crosstalk) 04:45 Ed Hamann Okay. Adrianne …by my parents . It\’s just, it\’s really hard and it\’s really pressuring. I\’m trying to understand it at it, at their angle but it\’s like kinda just, it\’s really difficult to… (crosstalk) 04:55 Ed Hamann Uh hmm. Adolescent. Adrianne …make decisions for myself. 05:00 Ed Hamann \’Coz you\’re trying to make some decisions for yourself and it sounds like from what you\’re saying mom and dad having input into that and that\’s stressing you out and frustrating… (crosstalk) 05:10 Adrianne Yeah and just like, like college coming up and, you know, choosing which one I wanna go to. It\’s just, (sigh) it\’s so difficult. (crosstalk) 05:15 Ed Hamann Uh hmm. Adrianne It\’s, (inaudible ) (crosstalk) 05:19 Ed Hamann Well, I can se, sort of see that difficulty in you. It did looks like it\’s weighing pretty heavily on you. (crosstalk) 05:25 Adrianne Yeah. Ed Hamann For sure. Okay. Anything else you care to say about that? 05:30 Adrianne Uhm, I don\’t know. A lot of people say it\’s just my age and all that stuff that\’s why I\’m feeling like this and it\’s just I, I agree and I\’m probably, you know, when I\’m older I\’ll agree too but just right now it really does not seem like it. It kinda just seems like they don\’t understand that I am not getting through to them and they\’re not getting through to me. Adolescent. So they say. 05:55 Ed Hamann They being mom and dad… (crosstalk) Adrianne Yes. Ed Hamann …primarily. Adrianne Yes. About like situations or even like, even just a schoolwork, you know, it\’s just, it\’s overwhelming and I just wanna, it\’s one of the problems. (crosstalk) 06:05 Ed Hamann Uh hmm. Adrianne That\’s just one example and it\’s really hard. Ed Hamann One example being thoughts about college and… (crosstalk) 06:10 Adrianne Yeah. College, school, schoolwork. I have a job. (crosstalk) 06:15 Ed Hamann Uh hmm. Adrianne It\’s just, it\’s hard, it\’s also time for myself isn\’t there. 06:20 Ed Hamann Uh hmm. Well, that sounds like a lot. Anything else that would help me get a sense of what\’s going on for you? Adolescent. 06:30 Adrianne Uhm, I\’m really having uh, problems trying to apply to colleges and link with money and it\’s like that, trying to do that and it\’s just, it\’s really hard \’coz I do have a job myself and everything and it\’s just, I\’m trying really hard and I\’m, I\’m just so ove, really overwhelmed. 06:45 Ed Hamann Hmm. Well I can really see that again. Let me ask you what may sound like somewhat of odd question, okay? 06:55 Adrianne Okay. Ed Hamann But it, it goes like this and it\’s actually called the miracle question. So what I want you to think about is, you know, we finish our interview and you go on home and finish what you need to do today but eventually the end of the day will come and you\’re gonna go to bed and go to sleep. Adolescent. I want you to imagine that during the course of the time that you\’re sleeping tonight a miracle happens so that some of these problems that you\’re feeling and the stress is going on for you are gone because the miracle happened. What would you notice tomorrow that would be different? That would let you know, I, I think a miracle has happened? 07:35 Adrianne Maybe uh, (laughs) if my parents would let me make my own decisions and just approve of everything I do. That would be a miracle… (crosstalk) 07:40 Ed Hamann Uh-huh. Adrianne in itself. (laughs) 07:45 Ed Hamann Okay. Adrianne And uh, being able to kinda do my own thing where being more of an individual I guess. (crosstalk) 07:50 Ed Hamann Uh hmm. Adrianne Man, if money just appeared (laughs) that would be a miracle too. (laughs) 07:55 Ed Hamann That would be nice, wouldn\’t it? (laughs) Adrianne Yeah. And uh, schoolwork. It would be great if that kinda lightens a little bit. Adolescent. (crosstalk) 08:05 Ed Hamann Yeah. Adrianne To save time like in me and that really would help out too but it still be kinda cool. 08:10 Ed Hamann What wouldn\’t help out in the end? Adrianne If schoolwork just disappeared. 08:15 Ed Hamann Okay, (laughs) that would be nice when if it… (crosstalk) Adrianne It would be nice but… (crosstalk) Ed Hamann Yeah. Adrianne In the end it wouldn\’t really prepare me for college or anything. 08:20 Ed Hamann So, let me be sure I got what you said if tomorrow you woke up and you knew a miracle had happened. Your parents would be letting you make your own decisions, you\’d uh, do your own thing being individual uhm, you know, money would sort of fall (laughs) in the sky for you and uh, uh, there would be no more schoolwork. Okay. Now, it would be helpful to me if I could focused on there little bit in terms of more what you would be doing differently \’coz, you know, this is your miracle. So what would, what would you notice that you would be doing differently? Adolescent. 08:55 Adrianne Uhm, I maybe taking more time for myself, definitely. (crosstalk) 09:00 Ed Hamann Yeah. Adrianne Just really lately it\’s just, it feels like I have no private status. I don\’t sit down and just relax \’coz I always have to be busy and yeah, it\’s just really hard. 09:10 Ed Hamann So more time for yourself, more privacies and anything else that you\’d notice you would be doing differently? 09:15 Adrianne Hopefully I\’d get happier. (laughs) 09:20 Ed Hamann Do you have a sense of what you\’d be doing if you were feeling happier? 09:30 Adrianne I uh, (laughs) I think uhm, lately I just, I\’ve notice and I know other people have noticed too like I haven\’t really been talking as much. I haven\’t been participating in class so much \’coz not only is it\’s just something else that I have to handle or I have to deal with but I\’m not really up for. It\’s just, you know, I don\’t know. Hopefully like I would be able to hang out with my friends \’coz I really don\’t have time to do that anymore. It\’s just, it\’s not time to have fun… (crosstalk) 09:55 Ed Hamann Uh hmm. Adrianne …and I think in that having more time to myself. I could take time to do, you know, some things as well. 10:00 Ed Hamann So if you had more time for yourself, you\’d be hanging out with your friends more and I think you said if you would be happier if, sort of show that by talking more in class and… (crosstalk) 10:10 Adrianne Yeah. Ed Hamann spending more time with friends. Is that, is that right? 10:15 Adrianne Yeah. Ed Hamann Okay. Any, anything else you can think that would let you know, man it\’s, a miracles happened and I\’m less stressed, feeling better. 10:25 Adrianne I\’m, the real parent thing situation is really difficult \’coz having to go to college, they also stresses like which college they want. (crosstalk) 10:35 Ed Hamann Uh hmm. Adrianne You know, they\’ve been to that, they think it\’s great and everything and just like if they\’re gonna help me pay for it and they said they would but I don\’t know about all the way. Adolescent. (crosstalk) 10:45 Ed Hamann Uh hmm. (nodding) Adrianne So, I have to work on that as well. (crosstalk) Ed Hamann Uh hmm. (nodding) Adrianne And \’coz uhm, I really want to go… (crosstalk) 10:50 Ed Hamann Okay. Adrianne …and like that but (laughs) (clears throat) I don\’t know but… (crosstalk) 10:55 Ed Hamann No, absolutely. Absolutely. Well, I guess I\’m wondering from these things that you have indicated would, would be helpful to you if the miracle happened uhm, uh, if you were a, able to pick one or two of those it would feel sort of most important to you to uh, to see change, to, to find some solutions to one or two of all that list. What do you think that would be? 11:20 Adrianne Definitely able to make my own decisions. Definitely and then, another one would be more time to myself. (crosstalk) 11:25 Ed Hamann Okay. Okay. Well, let\’s, let\’s take a look at that a little bit and if indeed you found that you were able to make more of your own decisions uhm, uh, what do you think would help make that happen? Adolescent. 11:45 Adrianne Uhm, I just think that like some things, like with dating or whatever I could do that more like that. (laughs) That would be nice but uh, with my parents it\’s always about the right person, who I wanna date, as long as they approve and, you know, what, sometimes it\’s just not to their convenience \’coz they\’re not to that level… (crosstalk) 12:05 Ed Hamann Hmm. Adrianne …where, that I see, you know. (crosstalk) Ed Hamann Sure, sure. Adrianne And that, it\’s a decision uhm, staying out. Like I have really early curfews which doesn\’t seem right unless I\’m working and it\’s just really hard \’coz I\’m not a bad kid at all. I don\’t party, I don\’t do any of that stuff but it\’s like sometimes that\’s where kids get it when they want to… (crosstalk) 12:25 Ed Hamann Uh hmm. Adrianne …\’coz I\’ve those feelings. You just wanna go out and have fun and just release and I\’m just, I really need to make my own decision to even that out. (crosstalk) 12:30 Ed Hamann Okay. So it would be helpful to you uh, kinda make some your own dating decisions and can choose who you wanna… Adolescent.(crosstalk) 12:40 Adrianne Yeah. (laughs) Ed Hamann …go out with. (crosstalk) Adrianne That would be nice. (laughs) Ed Hamann And uh, maybe be able to set your own curfews. Some of those kinds of things. (crosstalk) 12:45 Adrianne Yeah. Ed Hamann Okay. Adrianne I can hang out with my friends . (crosstalk) 12:50 Ed Hamann Yeah, alright. And let\’s look at the other one that you sort of identified if you had more time for yourself and that happened, what would you be doing differently? 13:00 Adrianne It just seems like I\’m either always at school or working. Like I either, I go to school, I wake up go to school, work, come home, go to bed and if I have homework I\’ll do that. Adolescent. (crosstalk) 13:10 Ed Hamann Uh-huh. Adrianne It\’s, it\’s just a routine. (crosstalk) Ed Hamann Uh-huh. 13:15 Adrianne And I\’m not much of a routine person, you know, but, it\’s, it\’s really hard \’coz I never take time just to be alone like there\’s always somebody there, there\’s always somebody around me and I don\’t have really a lot of privacy \’coz they hear everything in the house so I can\’t talk on the phone… (crosstalk) 13:30 Ed Hamann Uh-huh. Adrianne …all that much but it\’s just, it\’s really starting to get to me. 13:35 Ed Hamann And if that were solved and you had some more of this time for yourself and privacy, what would that look like? 13:45 Adrianne I, I think it looked like me getting my own place would be great but same time the responsibilities will come with it it\’s just a little too much for… (crosstalk) 13:55 Ed Hamann Hmm. Adrianne …me being a high school. Adolescent. (crosstalk) Ed Hamann Hmm. Adrianne So I don\’t if I could go to school and work and pay more, you know, it doesn\’t solve the money thing. 14:00 Ed Hamann Yeah. Well, that would be nice when you can have your own place but that\’s probably not gonna be uh, something that\’s gonna happen right away is it? 14:10 Adrianne No. Ed Hamann Okay. Let me ask you another uhm, perhaps a bit of an odd question but I want you to think about a scale of one to ten. And let\’s say that ten is uh, the problem of not being able to make your decisions is at its worst. That\’s a ten. And one is man, you have the freedom to make all your own decisions and, and that\’s all great. So in terms of being able to make your own decision, ten is worst, one is all better. Right now, where would you put yourself on that scale? 14:45 Adrianne I would put myself on a six or seven \’coz there are a lot of things that really, I mean you know, on and there are just those things… (crosstalk) 14:55 Ed Hamann Okay. Adolescent. Adrianne Letting me do my own thing but when I do get my own free time it\’s like they have control over it and they have not dislike people that I have dated. (crosstalk) 15:05 Ed Hamann Uh hmm. Adrianne And it\’s just, it\’s really hard \’coz what do you, what do you tell that person that I can\’t be with you \’coz my parents don\’t like you? 15:10 Ed Hamann Alright. Adrianne You know, like (laughs) they\’re just gonna laugh at you \’coz not only are you now old enough to make, start making your own decision but it\’s just, it\’s really hard. It\’s kinda making me like a laughingstock… (crosstalk) 15:20 Ed Hamann Uh hmm. Adrianne …I guess. Ed Hamann Hmm. Wow. Adrianne Uh, I don\’t know. It\’s, and I just, that\’s when I just kinda reserve myself. That\’s why I don\’t talk so much \’coz… (crosstalk) 15:30 Ed Hamann Uh hmm. Adrianne …for them to ask me questions or get me involved in something and haven\’t like what if that situation came up and what if I had to tell them, you know, like I would talk to my parents first. (crosstalk) 15:40 Ed Hamann Uh-huh. Adrianne Like and it\’s just getting really hard \’coz there are some things like, I don\’t know like getting a piercing like my parents are really conservative, you know, like my ear pierce… (crosstalk) 15:50 Ed Hamann Uh-huh. (nodding) Adrianne …like the top of it. Like it\’s so… (crosstalk) 15:55 Ed Hamann Hmm. (nodding) Adrianne …wrong to them. Adolescent. (crosstalk) Ed Hamann Uh hmm. Adrianne And it just something, you know, you own, your own freedom. It\’s not to an extent. It could be always worst… (crosstalk) 16:00 Ed Hamann Uh hmm. Adrianne but I don\’t think my parents are really understanding that \’coz they\’re so strict… (crosstalk) 16:05 Ed Hamann Okay. Adrianne …and they always have to know what\’s going on, what\’s really (inaudible ), (crosstalk) 16:11 Ed Hamann Sure. Adrianne What\’s my business. (crosstalk) Ed Hamann Sure. Adrianne It\’s my privacy and they\’re just not getting it. 16:15 Ed Hamann Okay. Adolescent. I understand. (crosstalk) Adrianne Yeah. Ed Hamann I understand. Uhm, okay so uh, on the scale of severity uh, in terms of being able to make your own decision you said a six or a seven. Uhm, let me ask you this and, and, and I understand how your parents are very much a part of, of what you\’re dealing with right now but really try to think about what, what you could do to help this problem and what would you do to move just even one notch down on that scale and say six to five that would reduce the severity of this problem. 16:50 Adrianne I think maybe if I didn\’t work as much… (crosstalk) Ed Hamann Okay. Adrianne I have more time to myself that I could be able to do my own, do more of my own thing… (crosstalk) 17:00 Ed Hamann Uh hmm. Adrianne …that they wouldn\’t have question so much or have to do that stuff. Hopefully they wouldn\’t but I think maybe they\’re working as much, just really overwhelmed and not having the time… Adolescent. (crosstalk) 17:10 Ed Hamann Uh hmm. Adrianne …is really doing it. Ed Hamann Well, almost I think that if, if you work less and had more time to yourself that would help with the, the self time issues… (crosstalk) 17:20 Adrianne Hmm. Ed Hamann …as well as with some of the decision. Does that, does that feel accurate to you? Adolescent. 17:25 Adrianne Maybe I\’ll had more time to make my own decisions… (crosstalk) Ed Hamann Okay. Adrianne …rather than having to deal with it right at that point when I get home or whatever uhm, I thought about that but it\’s just, right now it\’s not really the questions for me. 17:35 Ed Hamann Being able to work less? Adrianne Yeah. 17:40 Ed Hamann I see. So that\’s not gonna be a reasonable solution for you right now. 17:45 Adrianne Not at this time. Ed Hamann Okay. Adrianne Maybe like summer would be better… (crosstalk) Ed Hamann Uh hmm. Adrianne There\’ll be no school. (crosstalk) 17:50 Ed Hamann Uh hmm. Well, let\’s try to refocus to, to what\’s going on on your life right now and things that you really could get a hold of and manage for yourself moving just one notch in the positive direction on that scale. Things that you could really do now. 18:05 Adrianne Uhm, I don\’t know. Maybe, you know, maybe me with being more reserved is kinda making it more difficult and complicated as well \’coz that also makes me feel like I don\’t have time for my friends \’coz it\’s just probably more to deal with it, more issues and I think that would be maybe, I don\’t know. I guess I could, I could try that. That would be something but… Adolescent.(crosstalk) 18:30 Ed Hamann Now, you gotta help me. I\’m not sure I completely understood that you\’d be more reserved you said? 18:35 Adrianne Uhm, how I\’m not talking as much in the class, how I\’m not like coming up with things \’coz I don\’t want to deal with that, I don\’t wanna tell them, you know, like, oh I have to talk to my parents . Maybe I could open up more. (crosstalk) 18:45 Ed Hamann Okay. Adrianne That would call, that would solve problems or issues or why I get that sentence(ph) maybe there. (crosstalk) 18:50 Ed Hamann Uh hmm. Okay. Alright, open up more, talk more to your friends … (crosstalk) 18:55 Adrianne Yeah. Ed Hamann We talked about that earlier a little bit. Okay, what else might help you move one notch on that scale? 19:05 Adrianne Uhm, I think… (crosstalk) 19:10 Ed Hamann It\’s hard huh? Adrianne I think once, once school get\’s out for the summer. It could really helped. I don\’t know if that\’s not, exactly not so possible right now but… (crosstalk) 19:20 Ed Hamann Something to look forward to. Adolescent. (crosstalk) Adrianne Yeah, definitely something to look forward to. (laughs) 19:25 Ed Hamann But unfortunately we have a few months yet to go on the school year. Adrianne Yeah. 19:30 Ed Hamann Well, I\’m really, really feeling bad for you. I mean I, I sense this pressure. I, I get an image of things that you really would like to see different but you feel, I guess my sense is kind of trapped right now to make those things happened. Is that, does that feel accurate? 19:45 Adrianne Definitely. (nodding) Ed Hamann Okay. But kind of the one thing you said that maybe could get a hold of is being more open, talking more with your friends , and… (crosstalk) 19:55 Adrianne I mean… (crosstalk) Ed Hamann … in class I think you talked earlier about? 20:00 Adrianne Yeah. \’Cause I, I mean at first I didn\’t notice that I was doing that but like now that I am noticing I\’m thinking, you know, maybe it would better if I change that. 20:10 Ed Hamann Okay. I know you didn\’t really say this but I guess I wonder if a piece of it would be if you\’re becoming more open with friends would it, do you think it would help if you were more open with your parents as well? Adolescent. (clears throat) 20:25 Adrianne I mean like I\’ve tried to be more open. Like I said one time they didn\’t like who I dated or… (crosstalk) 20:30 Ed Hamann Yeah. Adrianne …something like that. It\’s just every time when I, when like I wanna hang out with him or whatever or do my own thing more stuff… (crosstalk) 20:40 Ed Hamann Yeah. Adrianne …make my own decision, make my own mistakes, that thing, that in general. It\’s like they\’re not, they\’re not open. (crosstalk) 20:45 Ed Hamann Uh hmm. 20:50 Adrianne They\’re not the one who\’s open minded to anything. (crosstalk) Ed Hamann Uh-huh. Adrianne \’Coz I\’m not the bad kid and there could always be worst. (crosstalk) 20:55 Ed Hamann Sure. Adrianne And I don\’t think they really understand that. (crosstalk) Ed Hamann Okay. Adolescent. Let me go back to the, the scale for a second. We talked a little bit about what maybe you could do uh, to help with the, the decision making uhm, the other kind of solution you\’d like to work toward just finding ways to have more time for yourself. So let\’s again think of one to ten and ten is you have absolutely no time (clears throat) for yourself and one is, you know, you have all the time that you need. Again where would you put yourself now on that scale? 21:30 Adrianne I\’d say an eight \’coz I have weekends that I usually don\’t work. (crosstalk) 21:35 Ed Hamann Okay. Adrianne I do work on Saturday nights… (crosstalk) 21:40 Ed Hamann Uh-hmm. Adrianne …but it\’s only for like four hours and I do have the rest of the weekend to myself. (crosstalk) 21:45 Ed Hamann Okay. Adrianne But that\’s only, oh, Friday is not really my week or count as weekends but I do have like all, most of Saturday and all of Sunday. Adolescent. (crosstalk) 21:50 Ed Hamann Okay. Adrianne So like that\’s all I get… (crosstalk) 21:55 Ed Hamann Uh-hmm. Adrianne ..and I go to church, you know, (crosstalk) Ed Hamann Yeah. Adrianne …all that stuff and it\’s just. Ed Hamann Yeah. So you know time for yourself is really pretty serious isn\’t it? 22:00 Adrianne Yeah. And Sunday is like family day. (crosstalk) 22:05 Ed Hamann Yeah. Adrianne Basically. So… (crosstalk) Ed Hamann Not self day. (laughs) Adrianne Yeah. (laughs) Ed Hamann Uh, okay. Well, help me so again what, what could you do that you, you could have a hand along the move from an eight to seven on that time for self scale. One… (crosstalk) 22:20 Adrianne I… (crosstalk) Ed Hamann …one notch on a positive direction. Adrianne I think one working too much. But for me it\’s necessary to go school so I can\’t obviously eliminate that but work is something I could take lighter hours, to have at least an hour early to after… Adolescent. (crosstalk) 22:35 Ed Hamann Oh. Adrianne I could do that. And (inaudible ) homeworks where I can stay and I can do what I want \’coz I have my homework done in work… (crosstalk) 22:41 Ed Hamann Oh. Okay. 22:45 Adrianne Or even as school I guess I can just really, really work on getting homework done too. Ed Hamann So do more home at school did you say? 22:50 Adrianne Uh hmm. Ed Hamann Okay. Alright. Anything else so we\’ll have move from an eight to a seven on that scale? 23:00 Adrianne Uhm. Well, I mean just the drop thing. (crosstalk) 23:10 Ed Hamann Okay. Okay. You really again kind of said that a few times over. That\’s heavy for you. Well, kinda have to pull this together here a little bit in terms of our time together (clears throat) but I really do hear the overwhelming sense of stress that you\’re feeling uhm, you wanna try to make some more decisions for yourself and feel like you buttheads with your parents a little bit and, and uh, you kinda boil that down to two things that you really wish uh, would be different would be to be able to make some of your own decisions and to be able to manage your time for yourself a little better. Is that sound accurate to you? 23:50 Adrianne Yeah. Adolescent. Ed Hamann And in the terms of the making your own decisions, uh, it seems like the one thing you thought might be uh, helpful with that uhm, would be to be a bit more open particularly with friends that you feel kind of reserved and so maybe if you talk up some more that you think might be helpful. Is that right? 24:15 Adrianne (nodding) Ed Hamann Okay. (clears throat) And in terms of time for yourself you might look into maybe reducing your work load, uh, maybe an hour a week, and uh, try to get some more homework done at school. Is that, that\’s all right? Those are two things or three things you\’d be willing to consider? 24:35 Adrianne Uh hmm. Adolescent. (nodding) Ed Hamann Okay. Being more open, uh, reducing work by an hour a week and doing more homework at school. Okay. Can I ask you one more scaling question, okay? And this is another one to ten were ten is you are a 100 percent committed to working on those three things. You\’re, you\’re gonna leave our conversation today and absolutely gonna do those three things and one is, you know, it ain\’t never gonna happen. Where would you put yourself on that scale of one to ten? 25:05 Adrianne Uhm, maybe I\’ll get five I think. (crosstalk) 25:10 Ed Hamann Okay. (laughs) Adrianne I, I will try to open up more. Ed Hamann Okay. (laughs) Adrianne More, when I notice it \’coz it\’s really kinda hard for me to notice. There was no one to talk to or whatever. So that\’s for me kinda difficult but I think it\’s possible. 25:20 Ed Hamann Okay. Adolescent. Adrianne Uhm, working (laughs), working less? That may be a problem. Just for now. (crosstalk) 25:25 Ed Hamann Alright. Adrianne And eventually, eventually I would like to, that\’s why I, I (inaudible ). (crosstalk) 25:32 Ed Hamann Uh-huh. Adrianne But uhm, just for now maybe I\’ll try to open up to, think first. (crosstalk) 25:35 Ed Hamann Okay. And the homework at school? 25:40 Adrianne I\’ll try to do that already. (laughs) I guess I could try harder but… (crosstalk) 25:45 Ed Hamann Okay. Adrianne …uhm, that would be a for sure, I think. (crosstalk) Ed Hamann Uh hmm. That would be a pressure thing. (crosstalk) 25:50 Adrianne Yeah. Ed Hamann Okay. So, you\’re gonna, you\’re definitely gonna talk more to your friends uhm, gonna do more work at school, uhm, and then uh, see how that goes. Adolescent. (crosstalk) 26:00 Adrianne Yeah. Ed Hamann Okay. Anything else you wanna add before we stop today? 26:05 Adrianne No. Ed Hamann Well, I appreciate you talking with me Adrianne. It\’s been very nice. Thank you. 26:10 Adrianne I appreciate it too. Thanks. 26:15 Comments Ed Hamann Well, I certainly enjoyed uh, the opportunity to talk with Adrianne. Uhm, I feel sympathetic to the pressures that she\’s feeling uh, this time in her life, uh, junior in high school has a lot going on. She sounds like a very active and involved uh, young lady whose parents uh, seems to be very concerned about her and I, I think she understands that. Uhm, in terms of, of the approach I think that uh, Adrianne seem to uh, kind of be uh, interested in the miracle question, she smiled when I ask her about that and I thought to came up with uh, a number of specific things that would demonstrate the miracle. Adolescent. I thought the problem was that many of the miracle steps involved other people so uh, I hope that you notice that I tried to focus it to more things that she could do herself. Although again, this I think seemed to be fairly difficult for her to be able to uh, to come to terms with. Uhm, I did not ask the exception finding question uhm, not sure if I can tell you why I didn\’t do that exactly but I did move on to trying to do some scaling questions primarily the problem severity question in which we isolated the two areas that she sort of felt she had some control over of those being making decisions and uh, finding time for herself. So in terms of the problem severity question she identified a number on the scale and I asked her some things that she could do specifically to move one notch into more positive or solution uh, uh, direction and she was able to come up with uh, actually three activities that she could uh, felt that she could put into play uhm, being more open with her friends , trying to reduce her work load and doing more homework at school and so then hopefully we\’re able t notice I concluded with the uh, commitment scaling question uh, in terms of how committed Adrianne felt she was to working on those three things and she put herself at a five which again I think was probably a realistic answer for her. I think that her ability to carry this out is uh, probably a 50-50 proposition although she did say she certainly was going to be uh, more willing to be open to her friends and uh, and to see how that went. So uh, it was enjoyable talking with Adrianne. Adolescent.
What did you notice about how the group leaders began and ended the group? How did the group respond?
There are noticeable features at the start and end of the three therapy sessions. The therapy sessions begin with the therapist introducing himself and addressing the client by name. This is intended to put the client at ease and enable her to open up during the session. In addition, they ask the client some basic demographic questions intended to ease her into the therapy and place her in the frame of mind to perceive the therapist as a confidant. The therapy sessions end with a recap of the important points that were discussed and an appreciation of the client’s participation. This is intended to show the client that this is a caring relationship intended to help the client in addressing issues affecting her and her relationship with others such as family and friends (Wheeler, 2014). Adolescent.
How much did the group leaders remain \”centralized\”( directive, talking) and how much did they work to be \”decentralized \” (encouraging the group to share with the group, discuss among themselves, etc.).
The group leader remained centralized during the whole session. In fact, he directed the conversation, asking questions to explore any points that the client brought up. For instance, he asks the client to imagine waking up the next day and to have all the issues addressed, asking her to describe what her ideal life would entail. Overall, the discussion is centralized on the client and does not directly involve other persons (Thompson, 2016). Adolescent.
How well did the two group leaders work together? What specifically did you notice?
The therapists appeared focused on understanding the difficulties that the client faced from her perspective. In exploring the issues, the therapists first identified the specific issues before discussing each one of them in detail. Also, it is notable that the therapists do not offer an opinion. Rather, they guide the client in exploring the difficulties that she is experiencing and how she would like to have them resolved to have an ideal life. They specifically focus on relationships, and how the client would like to interact with her parents (Thompson, 2016). Adolescent.
What specific strategies did you observer the group leaders use to lead the group?
Three strategies were used in the three therapies. Firstly, they developed a therapeutic relationship in which the client had the expectation of being ‘treated’. This involved the client looking at the therapist as an independent party with the primary responsibility of offering treatment. Secondly, communication was used as a strategy whereby the client was offered an opportunity to express herself using words, and verbalizing her opinions and perceptions using definitive statements that left no doubt as to what she meant. The therapists would ask for more details and classification in the case of ambiguities occurring. Thirdly, dialogue was created in the therapy sessions whereby the client responded to questions and prompts from the therapist (Wheeler, 2014). Adolescent.
What issues emerged in the group that might be common to those with substance use and/or mental health disorder?
Anxiety was an issue that emerged in the three therapy sessions, and is common to those with substance use and/or mental health disorder. The client is anxious about her future, especially her capacity to continue with her education trajectory as she desired. She indicates financial difficulties, noting that she may be unable to attend school as things stand. In addition, she is anxious about her ability to keep up with her responsibilities, specifically balancing her work, school and personal life responsibilities. The anxiety is an indication that the client is overwhelmed, a common feature for personal diagnosed with substance abuse and/or mental health disorder (Wheeler, 2014). Adolescent.
What strategies did they use that you could adopt to work with adolescents in a group?
Three strategies (therapeutic relationship, communication, and creating dialogue) were used in the therapy sessions. They would be useful when working with adolescents. That is because these strategies focus on getting the adolescent client to open up, trust the therapist, and view him/her as an impersonal ‘sounding board’ to guide the decision-making and treatment resolutions (Wheeler, 2014). Adolescent.