Behavior And Cognitive Therapy

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Presenting Issue: Poor body image and depression.
Therapeutic Approach: Feminist Counseling Introduction to Therapist:
· Ms. White is a licensed clinical social worker who has a private practice in the DC area.
· Ms. White has worked exclusively with women and the impact that oppression has on symptom
development.
· Ms White is active in domestic violence prevention, poverty awareness, and other social causes.
Introduction to Client / Client System:
· Lenore is a 42 year old, white female. Lenore has three children (6, 8, and 11 years old).
· Lenore “gave up” a promising future in marketing after becoming pregnant. When the oldest child arrived,
it was agreed that Lenore would stay home with the children.
Introduction to the issues that lead to treatment:
· Lenore has noticed that she has less energy and interest in many activities. She would rather spend her
days in bed but knows that she has to take care of the children.
· Although the youngest has recently started school, Lenore feels guilty about re-entering the work force.
She’s not too sure that her husband would approve either. Nevertheless, Lenore feels unfulfilled.
Case Conceptualization:
· Ms. White does not believe in pathologizing clients. Ms. White stresses the importance of not assessing
Lenore from a pathological orientation but rather in terms of how Lenore’s life experiences and coping
strategies are related to the various forms of sexist oppression Lenore encounters in her life.
Therapeutic Exchange:

· The Assessment Process: Ms. White begins treatment with a developmental-ecological assessment to

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determine Lenore’s strengths and needs. Ms. White explores with Lenore how social, political, and cultural
contexts impact Lenore’s psychological development and current functioning. After listening carefully to
Lenore’s story, Ms. White realizes that Lenore is straddling between Stage 2 and Stage 3 of Downing and
Roush’s feminist identity development model. This knowledge is helpful in deciding/planning for treatment.
· The Treatment Planning Process: Ms. White values the importance of developing and maintaining a
collaborative relationship with Lenore. Ms. White determines that Lenore is receptive to examining how
external conditions (i.e., her husband, church, family) and gender socialization impact Lenore’s mental
health.
· The Therapeutic Process: Lenore and Ms. White process at length the assumptions that wives stay home
while the husbands work. Lenore talks about the roles of women in her families and the messages that she
received growing up in a patriarchal family. As treatment continues, Lenore is able to express a lot of her
anger and guilt. At the same time, Ms. White works with Lenore to direct these powerful emotions towards
goal directed behaviors that honor herself. In the beginning, Ms. White offers a lot of advice and
suggestions to help expand Lenore’s thinking about feminist issues affecting her life. Lenore is able to
examine where she learned the value of beauty and realized that all of her notions really come from the
male-dominated culture. Lenore understands that beauty can be defined many ways.
· The Treatment Outcome: By the end of treatment, Lenore had increased motivation to explore and solidify
new ways of thinking and feeling about womanhood and the need to confront various forms of sexism and
other social injustices.
Discussion:
Ms. White was helpful to Lenore for many reasons one of which has to do with Ms. White’s own work to be
self-reflective about her own issues of sexism. Ms. White had to come to terms with her earlier socialization
to act as an expert with her clients. Therefore, Ms. White paid more attention to contextual issues, power
dynamics, and the psychological impact of social positionality and how these factors affect Lenore.
Review Corey (2019) chapter 12. After your review, briefly define the approach and then answer the
following questions:
1. What are the various environmental/contextual factors does Ms. White pay attention to as she works with
Lenore?
a.

Ms. White’s own thinking about the process and goals of counseling and therapy
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b. The ability to effectively connect in mutual and empathic ways in gender-similar and gender-different
helping relationships
c. The interest Ms. White has in Lenore’s own psychological liberation and empowerment
d. All of the above
2. Which of the following stages of feminist identity development does Dr. Love believe best describes
Lenore’s identity development?
a. Passive Acceptance/Synthesis
b. Embeddedness-Emanation/Revelation
c. Revelation/Embeddedness-Emanation
d. Active Commitment/Passive Acceptance
3. Which of the following contexts does Ms. White believe have an influence on Lenore’s overall functioning
and therefore worth exploring?

Sample Solution

nlike Regeneration, in which verifiable figures and authentic writings are flawlessly intertwined into the account, Sarah Water’s The Night Watch utilizes the setting of WWII as a scenery for her sentiment story. While one survey of the novel acclaims Water’s for this, praising ‘the period detail never overpowers the basic, enthusiastic human story’ , I would contend that this nuance of the period detail is the very thing that confuses the topic of the novel’s type. For Water’s positions the sentimental connections between her characters at the bleeding edge of her story, recommending that The Night Watch is anything but an authentic novel at everything except a sentiment. Undoubtedly Diana Wallace distinguishes a third kind which I would contend The Night Watch has a place with rather: the recorded sentiment, characterized by its ‘utilization of a chronicled setting… to investigate issues of sexual orientation, and a longing to rework history according to a perspective that concentrates ladies’ interests’ . For in spite of the fact that Waters characters are anecdotal they exist inside a verifiably exact setting that permits her to investigate homosexuality, premature birth, contraception and mortality, a bunch of the worries that tormented ladies during the war.

Another trademark that sets The Night Watch separated from Regeneration and Beloved, is that it does exclude at any rate one genuine recorded personage, a trademark particular to Avrom Fleishman’s meaning of the class . Despite the fact that The Night Watch is set inside an authentic second, the characters inside the account are totally invented, fortifying that The Night Watch has a place rather with the class of verifiable sentiment.

What additionally portrays The Night Watch is its abnormal ‘upside down time plot’ that imparts the novel ‘with a strong emotional incongruity and turns each occurrence… into a disclosure that assists with lighting up how [the] characters turned into the individuals they are’ . For the novel is part into three sections backward sequential request and consequently we are acquainted with the characters in the result of the war. Therefore, the basic inquiry isn’t ‘the place will this lead’ yet rather ‘how this started’ ; an inquiry that we may pose of Regeneration and Beloved as well. For despite the fact that these books don’t utilize a retrogressive story, the characters inside them are who they are a result of their past injury, data that is retained from the peruser.

One pundit, Jerome De Groot, thinks about that this ‘reversal of linearity’ furnishes the peruser with an understanding into the eventual fate of the characters that is ‘regularly covered up by direct, positivist, pragmatist fictions that welcome the suspension’ of such information. In spite of the fact that the peruser of The Night Watch is engaged by this ‘prescience’, they are likewise set in an impossible to miss ‘moral connection to both content and authentic occasion’ .

In spite of the fact that De Groot considers this is enabling, I would contend that the prescience that the characters will either bite the dust, endure or endure, is likewise staggeringly horrendous. For in spite of the fact that Viv, Helen and Kay don’t really exist, individuals as them did and Water’s non-direct investigation of their lives and the recorded period serves to challenge the manner by which we get history.

Having distinguished how each writer joins a feeling of history into their composition, it is additionally worth thinking about why and for what reason. For one, Beloved develops the tale of Margaret Garner so as to uncover the mental impacts of bondage and power America to face their slave-possessing past. To accomplish this, Morrison fuses the child murder at the focal point of Beloved’s plot to delineate the enduring harm brought about by the Fugitive Slave Act of 1850. For it is Sethe’s past slave ace that comes to recover her and her kids and endeavors to do as such by trespassing upon Baby Sugg’s home. In doing as such, Baby Sugg understands that ‘no African American is really free. Not in a free state, not afterward

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