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What are the following when it comes to Cognitive-behavioral family theory Key tenets of theory Role of the counselor What creates behavior change Techniques used

What are the following when it comes to Cognitive-behavioral family theory

  • Key tenets of theory
  • Role of the counselor
  • What creates behavior change
  • Techniques used in this theory

How would it apply to the case

Presenting concern: Jack placed the initial call to a therapist, stating he "screwed up, loved his wife more than anything, would do anything necessary to keep her, and needed help to gain her confidence back." Two months ago, Diane discovered that their once full bank accounts had been drained, after she opened a letter regarding foreclosure on their home. Unbeknown to her, Jack lost his job three years ago. He faked going to work believing he would locate another job soon. He took out lines of credit in both of their names to cover bills.

He searched daily to replace the significant salaried job he had lost and finally located his current position two years ago. He took the second job four months ago to help pay off the bills more quickly. Over their 24-year marriage, there have been various betrayals of Diane's trust by Jack when he hid marijuana, used 'to relax', which, when confronted by Diane often, he stated that he no longer used; and once previous when he drained the family bank account (yet rebuilt it). In the first session, Jack stated that his primary concern was maintaining his marriage and family, and gaining back his wife's trust Jack presents in counseling as "not trusting the counseling process, yet, here because of no other apparent options." He states a willingness to maintain the marriage" yet, when pressed for recognition of his wife's request for his to give up the cannabis, he states he will "agree to divorce but not give up the smoke because it is not an issue." A few sentences later, he again states he will do anything to keep the family and marriage together. His ability to have clear cognitive processing seems intact. His face seems overly red in color. His posture is slumped; he stares off often in session and states he is tired. His voice is often agitated in response to Diane and the counselor. Diane presents as hypersensitive to counseling and the presenting issues being discussed (worried look on face with furrowed brow). Both Jack and Diane speak of Diane's tendency toward "OCD"presented as her need for things to be in order and to have control mostly regarding work and the care of the children. She brings up concern for the kids often, which Jack dismisses mostly. Her skin tone appears smooth, and her posture is straight. Her ability to have clear cognitive processing seems intact, yet, she often uses verbal and body language that asserts confusion with what to do in the present counseling discussion. The couple often sit at opposite ends of the couch and do not face one another; however, they speak of a deep love, therefore, presenting this physical distance as acceptable (not a concern) to both. They have had six scheduled appointments with the counselor, three of which were canceled by Jack on the day of counseling for various reasons. The counselor refers them to you due to a need to attend to an emergency family/personal crisis

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