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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,

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Introduction

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.

Middle

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.

Conclusion

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.

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