Key Elements of Family Counseling and Cultural Factors

Please can you do this Unit 5 Discussion 1 & 2? $30.00 Due (SUNDAY) 8/05/2018.
Unit 5 Discussion 1
Key Elements of Family Counseling and Cultural Factors
Based on this unit’s readings, define the following key elements of family systems theories. Then, compare how they might be expressed in families from two different cultures, with specific examples:
· Boundaries: What are they, and why are they important?
· Symptom maintenance: What is symptom maintenance, and why is it important to consider in counseling children?
· Attribution of meaning: What is meant by attributing meaning to a child’s or an adolescent’s behavior?
· Family rules: How would you define this, and why is it important when working with children and adolescents?
Use APA style to cite and reference at least two sources from this Unit’s assigned readings.
 
Resources
· Discussion Participation Scoring Guide.
· APA Style and Format.
Unit 5 Discussion 2
Using Family Theories to Create Treatment Goals
For this discussion, you will practice analyzing a case and using the DSM to develop a differential diagnosis, and then selecting a family systems theory as the framework for establishing treatment goals.
Read Joanne and Reggie’s Case Study below, based on Shaw and Ingoldsby’s “Children of Divorce” (1999). In your initial post:
· Briefly analyze the micro (intra-individual and closest relationships and contexts) and macro (broader context) perspectives of how individual, family, community, societal, and cultural factors are affecting Reggie, Joanne’s son.
· Use the DSM to develop a tentative diagnosis for Reggie, Joanne’s son.
· Identify one of the three family systems approaches examined in this unit that you can apply to the case. Explain why you think it is appropriate for this case.
· Develop one long-term and two short-term treatment goals, based on the family systems theory you chose, with accompanying interventions.
· Explain your rationale for selecting each goal, and describe how the interventions you selected will help create change toward the goal.
Use APA style to cite and reference at least two sources from this Unit’s assigned readings. Your post should be between 250–500 words.
Joanne and Reggie
Joanne, a 32-year-old African American female, contacted your clinic regarding the problematic behavior of her 10-year-old son, Reggie. At the time of the phone intake, Joanne mentioned that she had separated from her 35-year-old husband, Jim, about 9 months prior. Reggie’s behavior began deteriorating a few months prior to the separation. Joanne noted that her other child, Aleisha, age 8, has shown few behavior problems since the separation, although Aleisha occasionally speaks of missing her father.
According to Joanne, Reggie currently demonstrates behavior problems at home and at school. At home, Reggie has become noncompliant and defiant toward his mother. He refuses to complete daily chores and consistently challenges Joanne’s authority to make family decisions. Reggie has also developed a negative attitude toward Aleisha, regularly starting fights and acting aggressively toward her. Over the past 6 months, Reggie’s grades have fallen from As and Bs to Cs and Ds. He has been suspended from school twice for fighting with other children during recess.
Reggie began exhibiting behavioral problems at home and school shortly before the parental separation. Previously, although he had an occasional temper tantrum at home, he completed chores regularly, rarely questioned his mother’s authority, and never fought at school.
During the phone intake, Joanne described her relationship with her ex-husband Jim as “horrible,” commenting that the divorce has become “messier and messier” during the past year. She said the marriage dissolved because Jim had engaged in several extramarital affairs. He is now living with Sylvia, age 24, who he began seeing before the separation. Joanne stated that she is still extremely angry with Jim about his affairs and the dissolution of their marriage. She said that she only talks to Jim “when it is absolutely necessary.” When asked if Reggie’s father would be interested in helping with Reggie’s problems, she responded, “probably not,” and said that she would prefer as little contact as possible with her ex-husband.
When asked how often the two children were seeing their father, she commented that his visitation was “irregular at best.” During the first few months after the initial separation, Jim had seen the children at least once every two weeks. However, during the past four to five months, his contact has become sporadic. In the past two months, he has only seen Reggie and Aleisha once. Jim has also been negligent in making child support payments. Jim’s mother and sister, as well as his large extended family, continue to be involved in Reggie’s life.
The initial intake session included Joanne and the two children. During the intake, Joanne was adamant about her son’s and ex-husband’s misbehavior. Though Alicia spoke only when spoken to, Reggie articulately defended his own behavior as well as his father’s. Reggie also defended his challenges to Joanne’s competency to make decisions for the family, and complained that his mother had become extremely inconsistent in establishing and enforcing rules the past year. When Reggie was asked about his behavior at school, he was less forthcoming, stating only that he would “be okay if people just left me alone.” When asked to describe his relationship with his father, Reggie said it was good, and that he would like to see his father more often.
Resources
· Discussion Participation Scoring Guide.
· APA Style and Format.
· DSM-5 Handbook of Differential Diagnosis.
Audiovisual Media
· Family Counseling: Clarks’ Interview, Clip 1: Access this video from the textbook’s companion Web site. In the drop-down menu, select Chapter 15, “Family Counseling,” and choose Video Activity 1 to get started. Transcript.
· Family Counseling: Clarks’ Interview, Clip 2: Access this video from the textbook’s companion Web site. In the drop-down menu, select Chapter 15, “Family Counseling,” and choose Video Activity 2 to get started. Transcript.

Pharmacological And Physiological Antagonism

Pharmacological And Physiological Antagonism

Prior to beginning work on this discussion, read the required chapters from the text and review the required articles for this week. Alcohol and caffeine have nearly opposite effects on behavior and the nervous system, yet these substances are not used to treat overdose or addiction to the other. Why not use caffeine to treat alcohol addiction? Analyze the issues of pharmacological and physiological antagonism. Explain the receptor systems involved and the central nervous system structures effects with regard to this question. Frame your analysis in terms of drug action first and other consequences second.
Guided Response:  Review several of your colleagues’ posts and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion.

What is the difference between clinical significance and statistical significance?

Discussion
What is the difference between clinical significance and statistical significance? How might these concepts be applied to program evaluation? Give an example of an instance in which you might be torn between two types of significance in the reported results of research. What are some other types of statistical evaluations that help to sort out the true significance of clinical research findings? Provide at least two scholarly references for your discussion and justifications.
This discussion question meets the following CACREP Standards:
2.F.8.f. Qualitative, quantitative, and mixed research methods.
2.F.8.g. Designs used in research and program evaluation.

ISSUES IN PREMARITIAL COUNSELING

MODULE 3
M3 ASSIGNMENT 1 DISCUSSION
DISCUSSION: PREGNANCY CONSIDERATIONS
DUE 8/4/18
Research shows that women are waiting until they are older to begin having babies compared to previous years. Marsha and Liam married when she turned 33, and started trying to conceive when she was 35. After a year of trying, they have decided to visit a fertility counselor.
· Analyze at least one advantage and one disadvantage of not starting a family until a woman turns 35.
(Note the intellectual, financial, physiological, emotional, and social factors that may contribute to these advantages and disadvantages)
· Name and describe two possible ways the couple may, with or without technical assistance, enhance the possibility of Marsha still conceiving with his sperm and her ovum.
Write your initial response to each part in 3–4 paragraphs. Apply APA standards to citation of sources.
M3 ASSIGNMENT 2 SUBMISSION
ASSIGNMENT 2: LASA1: ISSUES IN PREMARITIAL COUNSELING
DUE 8/8/18
Steve has asked his girlfriend Nadia to marry him. They dated for a year after meeting in college at a fraternity party. Nadia has been sexually intimate with one other boyfriend, while Steve has had multiple partners.  Both are American, but Nadia’s grandparents are originally from Egypt. Despite different religious backgrounds (Steve is Methodist; Nadia was raised as a Muslim) and cultures, they have a lot in common and both sets of parents are very happy about their engagement. As part of their preparation, they have begun premarital counseling. As Steve and Nadia’s counselor, you know that a discussion of sexuality will be important to their marital success.
· Describe the important aspects of sexuality (such as arousal and response, intimacy, contraception, etc.) that Nadia and Steve need to discuss. Remember to consider psychological/emotional as well as physical factors.
· Include a discussion of at least 1 theoretical perspective that you have learned about in this course (e.g., Sternberg’s Triangular Theory of Love, Masters and Johnson’s work, etc.).
· What risk factors pertaining to health can you infer might be present from the scenario? What can the couple do to minimize these risks?
· How will you show cultural competence during your sessions (i.e., what cultural issues should you consider)?
By the due date assigned, write an essay that is 3-5 pages in length. Also include a cover page and reference list.