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Review the case study below and apply the Realty Therapy approach to the case. In doing so, be sure to address the following. Your case
Review the case study below and apply the Realty Therapy approach to the case. In doing so, be sure to address the following. Your case study analysis should be written in three sections according to the items listed below:
- How the problem would be conceptualized within the approach (i.e. how would you organize and describe the client's problem using the model within this form of therapy)? You should specifically mention what needs are not being fulfilled and how the case would look in the WDEP system. Include 2-3 goals for this client.
- Intervention strategies and procedures that would be used. Be sure to describe how each strategy might look specifically with the client in this case. Be sure to use strategies that are specific to this therapeutic approach.
- How you would determine if the client was showing improvement. Be specific how you would measure progress in relationship to the goals you set in #1 Case Information Sofie Sophie is a 13-year-old female who was court-ordered to receive counseling as part of her PINS contract. Sophie was placed on a PINS because of an escalating history of defiant behavior, including attacking her mother physically, sneaking out of the house after her parents were asleep, leaving school without permission, and getting drunk on several occasions. Sophie's parents divorced when Sophie was 7 years old, and Sophie and her brother, Antwon, lived with her mother, and eventually her stepfather, since that time. Sophie's father has been involved in her life consistently, seeing her 2 nights per week and every other weekend for overnight visits, attending all her childhood activities, and coaching her softball and basketball teams. Sophie's parents had a very conflicted co-parenting relationship until one year ago, when they decided to work together with a counselor to put aside their relationship differences and be more consistent and supportive with their parenting across households. Her parents were successful in this pursuit and began establishing reasonable, consistent limits for Sophie and checking with each other about her behavior at their respective homes. This was a major change for Sophie, as she had been able to "play" her parents against each other since the divorce in order to get her way. As one may guess, she didn't appreciate this change. In the past 6 months, Sophie began staying out at night well beyond her curfew and skipping school. She refused to do homework and study, her academic performance declining from grades in the "B" range to D's and F's. On weekends, she would often disappear in the afternoon, forcing her mother to search for her around the neighborhood. To her mother's dismay, she would often find Sophie with older boys, and usually ones who had particularly bad reputations. Sophie presently lives with her mother, stepfather, Antwon (age 10), and two half-brothers, Charles (age 4) and Joseph (age 6). Sophie's stepfather is a long distance truck driver, so is away from home for up to 2 weeks each trip. Sophie's mom and biological father have worked out a system in which Sophie goes to her father's house when she becomes verbally or physically abusive toward other members of the household. Since her father lives just a few blocks away, he is able to pick her up and take her to his house. Two months ago, the school and parents filed a PINS petition with the Probation Department. Sophie does fear being removed from her family, so the PINS resulted in a decrease of her most extreme behaviors. However, she is still defiant at home with her mom, arguing about every rule, refusing to do chores, and teasing her younger siblings. When her mother imposes consequences, Sophie escalates and begins slamming doors, kicking the walls in her room, and destroying various items in the house. In the first counseling session, Sophie stated that all she wanted was for adults to "leave her alone." She complained about her parents working together to be better parents and stated that she liked things better when "all they did was fight." She stated that she wants to "get off probation," and to have more independence. When the counselor pointed out that her behavior was likely to extend herprobation, Sophie crossed her arms, said, "I don't care," and then refused to speak for the rest of the session.
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