Discussion: Clinical Supervision Is An ✓ Solved
Discussion: Clinical Supervision Clinical Supervision is an
Clinical Supervision is an essential component of your development as a psychiatric mental health nurse practitioner. It provides an opportunity for professional collaboration as you share experiences with and gain insights from colleagues. For this Clinical Supervision, consider a client whom you do not think is adequately progressing according to expected clinical outcomes.
Learning Objectives
- Assess clients presenting for psychotherapy
- Evaluate effectiveness of therapeutic approaches for clients receiving psychotherapy
- Apply existential-humanistic therapy to clients with psychiatric disorders
To prepare:
- Review this week’s media and consider the insights provided.
- Reflect on the clients you are currently counseling at your practicum site.
By Day 3
Post a 3- to 5-minute Kaltura video that addresses the following:
- Describe a client you are counseling whom you do not think is adequately progressing according to expected clinical outcomes. Note: Do not use the client’s actual name.
- Explain your therapeutic approach with the client, including the perceived effectiveness of your approach.
- Identify any additional information about this client that may potentially impact expected outcomes.
Optional Resources
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Discussion Question
Discussion: Comparing Existential-Humanistic Therapy to Other Types of Therapy. Understanding the strengths of each type of therapy and which type of therapy is most appropriate for each client is an essential skill of the Psychiatric Mental Health Nurse Practitioner. In this Discussion, you will compare Existential-Humanistic therapy to a therapy you select from the previous weeks of this course. You will identify the strengths and challenges of each and describe a fictional client that you think is best suited for each.
Learning Objectives
- Compare types of psychotherapy
To prepare:
- Review this week's Learning Resources.
- Review this week’s media and consider the insights provided.
- Review the other types of psychotherapy presented in this course and select the one that resonates with you the most at this time.
By Day 3
Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.
Optional Resources
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Chapter 10, “Humanistic-Existential and Solution-Focused Approaches to Psychotherapy” (Review pp. 369–406)
Paper For Above Instructions
Clinical supervision represents a vital mechanism for the ongoing development of psychiatric mental health nurse practitioners (PMHNPs). In this paper, I will discuss a hypothetical client named "Alex," who is experiencing difficulties in their therapeutic progress towards expected clinical outcomes. Alex is a 32-year-old individual diagnosed with major depressive disorder, characterized by persistent low mood, fatigue, and difficulty in daily functioning. Despite undergoing therapy for several months, Alex shows minimal signs of improvement.
To address Alex’s condition, I have employed a combination of cognitive-behavioral therapy (CBT) and existential-humanistic therapy. However, I have observed that while CBT addresses the cognitive distortions contributing to Alex’s depression, the existential-humanistic approach has the potential to deepen the therapeutic relationship by focusing on self-exploration and understanding personal experiences. I perceive that both approaches have merit, but the integration could enhance overall effectiveness, particularly in exploring Alex’s feelings of existential dread.
A significant factor impacting Alex’s expected outcomes is their history of trauma, which has created barriers to emotional openness and trust in the therapeutic process. This trauma history indicates that more specialized therapies, such as trauma-informed care, may be necessary to facilitate deeper healing. In connecting with Alex, I have also found that creating a safe and supportive environment is crucial. This aligns with the principles of humanistic psychology, where acceptance and empathetic understanding can lead to a greater realization of self (Rogers, 1961).
In comparing existential-humanistic therapy with psychoanalytic therapy—a model I find particularly interesting—I recognize unique strengths and challenges. Existential-humanistic therapy, rooted in the belief that individuals possess the potential for self-actualization and change, focuses on the present and promotes authenticity (Yalom, 1980). This approach is particularly beneficial for clients like Alex, who may need encouragement to explore their values and meanings in life. Conversely, psychoanalytic therapy delves into unconscious motivations and past experiences, providing insights into the foundational causes of current behavior (Freud, 1923). However, it may require a longer duration of treatment and could be less effective for those seeking immediate coping strategies.
In a fictional scenario, I could envision a client named "Jordan," who is dealing with anxiety stemming from situational stressors. Jordan may benefit from psychoanalytic therapy, as uncovering past influences could lead to deeper insights and understanding of current behaviors. In contrast, I believe that Alex, with their focus on present struggles and self-discovery, is better suited for existential-humanistic therapy.
In conclusion, clinical supervision presents the opportunity not only to deepen understanding and integration of therapeutic approaches but also to reflect on personal biases and assumptions as clinicians. The integration of multiple therapeutic modalities, while considering clients’ unique histories and current challenges, enhances the therapeutic journey. I will continue to use supervision to explore techniques to better support clients like Alex and to engage in ongoing professional development.
References
- Freud, S. (1923). The Ego and the Id. Standard Edition. London: Hogarth Press.
- Rogers, C. R. (1961). On becoming a person: A therapist's view of psychotherapy. Boston: Houghton Mifflin.
- Yalom, I. D. (1980). Existential psychotherapy. New York: Basic Books.
- Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
- May, R. (1975). The meaning of anxiety. New York: New American Library.
- Corey, G. (2016). Theory and practice of counseling and psychotherapy. Cengage Learning.
- Brown, D. (2010). Integrating psychotherapy and pharmacotherapy. Journal of Clinical Psychology, 66(7), 759-767.
- Kernberg, O. F. (2016). The treatment of patients with borderline personality organization. Journal of the American Psychoanalytic Association, 64(5), 871-898.
- Beels, C. (2015). Existential-humanistic therapy: A therapeutic approach. Journal of Humanistic Psychology, 55(4), 486-502.
- Rogers, C. R. (1977). Carl Rogers on personal power: Inner strength and its revolutionary impact. New York: Delacorte Press.