• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

The purpose of this essay is to consider different systemic issues in a counselling case study. The focus of systemic approaches is not on the individual, but on their wider social context,

Extracts from this document...


Etma3 Consider systemic issues in a counselling case study. The purpose of this essay is to consider different systemic issues in a counselling case study. The focus of systemic approaches is not on the individual, but on their wider social context, they include their family, current relationship, work, religion and even wider society (Vossler, pg.192) Systemic approaches were mainly influenced by general systems theory and cybernetics. General systems theory looks to identify things that are common to systems in nature and technology. Cybernetics is looks at the structure of systems and how they function. (Vossler, pg.192-193) My case study will be on Andy. I will look at different ways of working with Andy in order to help him with his problems. I will consider if one to one counselling or family therapy would suit him better. I will discuss issues that I feel need addressing for example Andy's role within his family and how his childhood may be contributing this. I will discuss issues around Andy's relationships with his wife and children and look at how these relationships affect his current role with his family. I will look at different methods and techniques that may potentially help Andy and his family. ...read more.


It generally happens when Andy tries to get involved and take a more active role. Mandy immediately tells him to stop and that she will do it, whether it's tidying up or going to the shop. This makes Andy feel useless and like a child. Andy tells Mandy how he feels but she dismisses it which in turn makes Andy angry. They then argue over a number of things. This could be described as Circular causality (Vossler, pg.193) The impact the depression has on Andy is for him to feel very low and think back to his childhood and the mistakes he's made as an adult. It gets so bad sometimes that Andy thinks drugs would block all the hurt and change his low mood. Andy's depression also has an impact on Mandy, when Andy is feeling depressed, Mandy feels she can help but also fears Andy will start drugs again. She wants to look after him. It's important to consider the dominant setting of Andy's childhood and how it relates to his role within his family life with Mandy. Mandy is also acting in a dominant role which could make Andy feel similar to how he felt as a child. ...read more.


Mandy may see that Andy desperately wants to fulfil his natural role in the family. Constructivist thinking is that no two people perceive things the same, (Vossler, pg.195-196) therefore discussing how each person feels can help the other understand. This essay had looked at a variety of issues that Andy has and how they may be looked at and dealt with from a systemic view point. I looked at Andy's relationship with his wife and children as well as the relationship with his parents and sisters. I think Andy's problems mainly stem from his neglectful childhood. Another problem with Andy's situation was that his wife Mandy was having trouble adapting to their situation. Andy is no longer in need of her help as a nurse or mother figure and she has found it hard to accept him having a new role in the family. I find that systemic therapy could help Andy and his family immensely. I really enjoyed this assignment, its been my favourite out of the 3 on D240. I found it really interesting to look at how the systemic approach would deal with fear and sadness. The part I found challenging was to stick to the word limit. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our University Degree Clinical Psychology section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related University Degree Clinical Psychology essays

  1. Marked by a teacher

    Compare and contrast the person-centered approach and cognitive-behavioural approaches to understanding and working with ...

    and behavioural therapy (how we behave to these thoughts). The counsellor will work with the client to identify their behaviour pattern, the problems underlying thinking, develop new more realistic helpful beliefs, plan and execute specific behaviour change and help the client recognise changes in their mood.[KHB3] A key step in

  2. Developmental theories that inform social and emotional development

    behaviours such as anxiety, regressive and somatic signs of distress such as bedwetting, sleep disturbances, stomach aches, fear of being alone, and regression in toileting and language. They may also have deficient social skills with a marked lack of empathy in response to the distress of others.

  1. Case study of a five-year old girl with school refusal behaviour

    For each successful trial Mary received a chocolate treat. The interval of separation was increased gradually by two minutes after four successful consecutive trials. Each increase in the time interval was accompanied by an increase in the value of the reward for the first trial.

  2. The assessment and treatment of children and adolescents with sexually abusive behavior.

    Sexual behaviors of children vary greatly and are influenced by fortuitous and opportunistic experiences, the degree of sexual stimulation, the child's sexual interest and curiosity, as well as previous sexual experiences (Johnson, 1999). Normative sexual play is usually spontaneous and includes pleasure, joy, laughter, embarrassment, and varying levels of inhibition and disinhibition (Araji, 1997).

  1. This is a two part assignment looking at clients with a range of bereavement ...

    through the order, a revisiting of a stage that has been experienced already and the ability to be at more than one stage at any particular time with Parkes (1998) stating 'the phases of grief should not be regarded as a rigid sequence that is passed through only once'.

  2. Write an essay describing the key concepts and the principles of the person ...

    argued that the session would become more focussed on the counsellor rather than the client. A role reversal of the Person Centred approach aims to do. It should be noted that the counsellor should not disclose person elements of their life, nor disclose feelings irrelevant to the clients concerns.

  1. Counselling Theory - Good Practise and Ethics

    When making an ethical decision the BACP framework asks us to consider these principles; ?Ethical decisions which are strongly supported by one or more of these principles without any contradiction from others may be regarded as reasonably well founded. However, practitioners will encounter circumstances in which it is impossible to

  2. Compare and contrast how the psychodynamic and person-centred approaches to counselling understand the person

    from which to explore the world and gain understanding, the child should be able to form healthy relationships later in life. The main purpose of psychodynamic counselling is to help the patient/client make sense of their current situations; this will include present memories and past memories which may emerge as counselling develops.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work