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PP09 - Assessment in Marital Counseling

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PP09 - Assessment in Marital Counseling Powered By Docstoc
					ASSESSMENT IN
MARRIAGE COUNSELING
WHAT IS ASSESSMENT?
   Evaluating the strengths and challenges clients bring to
    counseling.
       Strengths are the resources the clients have to draw on.
          Positive patterns, attitudes and values
          Positive history in self and/or relationships
          Psychological strengths
          Support system
       Challenges are those areas that need to be changed.
          Engendered (created)
          Enhanced (strengthened)
          Expunged (eliminated)
       Examine the marital process as well as individual
        contributions and the content of conflict.
THE ASSESSMENT PROCESS
 Starts at the first contact with the client
 Emphasized heavily at the beginning of the
  relationship
 Forms the basis for defining goals and
  interventions for treatment
 Is on-going throughout the counseling process
 Leads to reexamining and revising goals as
  counseling progresses.
MAJOR ASSESSMENT METHODS

   Interview

   Clinician’s observations

   Survey/Self-report

   Testing (formal, standardized, instruments)
WORTHINGTON’S APPROACH TO ASSESSMENT
WORTHINGTON’S PRE-COUNSELING FORMS

 Relationship status (engaged, married, or
  cohabitating)
 Relationship history
     Timeline of events
     Graph marital satisfaction across time
   Marital satisfaction
       Dyadic Adjustment Scale
 Problems that brought the couple to counseling
 One suggestion for improving the marriage
 Other specific information
WORTHINGTON’S INITIAL SESSION
   Problem description
   Videotape a discussion on an issue
   Brief history
   Flesh out the vision for the counseling
   Evaluate nine areas
        Central beliefs and values
        Core vision
        Confession/forgiveness (use brief forgiveness scale)
        Communication
        Conflict resolution
        Cognition
        Closeness
        Complicating factors
        Commitment
PROVIDING FEEDBACK (WORTHINGTON)
   Worthington recommends a written report
     Summarizes the evaluation for the couple
     Serves as an intervention, by presenting the results in
      the context of the concepts of valuing love, work, and
      faith.
     Helps clarify the assessment for the counselor.
     Increases hope (willpower + waypower)
         Builds willpower by providing a clear vision for the couple
         Builds waypower by providing a concrete plan for change
     Gives the clients something of concrete value.
     Permanent record helps minimize defenses.
ASSESSMENT DURING ONGOING COUNSELING

   Clinical observations
     Their communication
     Responses to in-session assignments, interventions, or
      directives
     Responses to homework assignments
 Improvement or lack of improvement (use DAS or
  similar measure)
 Counselor’s reactions to clients
 Worthington recommends writing a final report
  prior to the final session to summarize progress
  and suggest goals for on-going work.
GOTTMAN’S APPROACH TO ASSESSMENT
GOTTMAN’S PRE-COUNSELING ASSESSMENT

   Marital satisfaction (Locke-Wallace Marital
    Adjustment Test)

   Divorce potential (Weiss-Cerreto Marital Status
    Inventory)

   Status of the different levels of the Sound
    Marital House (Gottman 17-Areas Scale)
GOTTMAN’S INITIAL ASSESSMENT PROCESS

   4 sessions (minimum)
     Dyad  interview (1.5 hours)
     Individual sessions with each spouse (0.5 hours
      each)
     Conjoint session for feedback and treatment
      planning
INITIAL SESSION
   Individual narratives (Lets them be/feel heard)
   State of the marital friendship
   Identify two issues: 1 gridlocked and 1 solvable
   Observe interaction on an issue, and possibly on an
    enjoyable topic
   Meanings interview (what marriage means to them, and
    some disappointments)
   View of the marriage currently
   Hopes and expectations for marital therapy
   Ground rules for individual sessions
   Homework for the individual sessions (over 300 questions in
    14 additional instruments!)
GOALS FOR THE ASSESSMENT
   Love maps (cognitive room)
   Emotional connection or disconnection
   Meta-emotion discrepancy (different ways of managing
    emotions)
   Degree of passion, romance, and intimacy
   Sexual satisfaction
   Fondness and admiration system (how they view each other
    when apart)
   Lifestyle differences
   Presence or absence of fun
   Shared spiritual connection
   Potential target areas of conflict
   Strengths in the relationship
GOALS (CONTINUED)
   Sentiment override
   Nature of physiologies and capacities for soothing self and
    partner
   Conflict regulation
       Soft or harsh start-ups
       Rejecting influence (escalation, Four Horsemen)
       Accepting influence (de-escalation)
       Repair attempts and effectiveness
       Compromise vs. gridlock
   Shared meaning
   Potential sources of resistance
   Physical health
INDIVIDUAL SESSIONS
   No secrets!
   View of the marriage
       Commitment to the marriage
       Hopes and expectations for the marriage
       Cost/benefit analysis of the marriage
   View of therapy
       Level of commitment to the therapy process
       Hopes and expectations of therapy, and theory of the
        therapy process
   Personal goals and possible psychopathology
   Presence of abuse (physical, sexual, psychological)
FOLLOW-UP CONJOINT SESSION

   Review results of assessment

   Identify treatment goals

   Develop a treatment contract
SYNTHESIS
PRE-COUNSELING

				
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posted:2/3/2013
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