Practicum Journal: Psychotherapy With Groups And Families

Practicum Journal Psychotherapy With Groups And Familieslearning Obj

Practicum Journal – Psychotherapy with groups and families Learning Objective Students will: · Analyze nursing and counseling theories to guide practice in psychotherapy · Summarize goals and objectives for personal practicum experiences · Produce timelines for practicum activities* The Assignment · In preparation for this course’s practicum experience, address the following in your Practicum Journal: · Select one nursing theory and one counseling theory to best guide your practice in psychotherapy. Note: For guidance on nursing and counseling theories, can use evidenced based outside Resources . · Explain why you selected these theories. Support your approach with evidence-based literature. · Develop at least three goals and at least three objectives for the practicum experience in this course. · Create a timeline of practicum activities based on your practicum requirements.

Paper For Above instruction

The integration of nursing and counseling theories into psychotherapy practice is essential for delivering comprehensive and effective mental health care. As a psychiatric nurse practitioner or counselor, selecting appropriate theoretical frameworks provides a foundation for assessment, intervention, and ongoing support. This paper explores the selection of one nursing theory and one counseling theory to guide psychotherapy practice, providing rationale supported by evidence-based literature. Additionally, I outline three specific goals and objectives for my practicum experience and develop a timeline of planned activities aligned with these goals.

Selection and Rationale of Theories

The nursing theory I have chosen is Peplau’s Interpersonal Relations Theory (Peplau, 1952). Peplau’s theory emphasizes the importance of the nurse-patient relationship in facilitating therapeutic progress. It underscores the nurse’s role in understanding the patient's experiences, fostering trust, and creating a collaborative environment conducive to change. This theory is particularly relevant in psychotherapy with groups and families because it prioritizes interpersonal dynamics and communication, which are central to group therapy. The emphasis on therapeutic alliance aligns with evidence suggesting that strong clinician-patient relationships predict better treatment outcomes (Bedi et al., 2016).

The counseling theory selected is Cognitive Behavioral Therapy (CBT), specifically its application in a group format. CBT is evidence-based and widely utilized in mental health treatment for a variety of disorders (Hofmann et al., 2012). It focuses on identifying and restructuring maladaptive thought patterns to influence emotions and behaviors positively. When applied within group settings, CBT facilitates peer support, shared learning, and skill development, which enhances individual change mechanisms (McHugh & Barlow, 2010). The structured, goal-oriented nature of CBT makes it adaptable to diverse populations and settings, making it an ideal framework for my practicum.

Reasons for Selection

Peplau’s interpersonal theory was chosen because of its focus on relational dynamics, which are crucial in group and family therapy. The theory provides a clinician’s perspective on how therapeutic relationships develop and influence outcomes, serving as a guiding principle for interaction strategies (Peplau, 1952). Its emphasis on understanding the client's perspective aligns with evidence indicating that relational factors significantly influence psychotherapy success (Vogel et al., 2016).

CBT’s empirical support and its adaptability to group settings justified its selection as the counseling model. Its focus on measurable, change-oriented interventions offers clear benchmarks for progress, facilitating delivery in a practicum environment where supervision and evaluation are ongoing (Beck et al., 2015). Additionally, CBT’s versatility allows integration with other modalities if necessary, providing flexibility in addressing individualized client needs.

Goals and Objectives

Goals:

1. To develop proficiency in applying Peplau’s Interpersonal Relations Theory in group and family psychotherapy settings.

2. To effective utilize CBT techniques in facilitating group therapy sessions for diverse client populations.

3. To enhance skills in establishing therapeutic alliances and fostering group cohesion to improve therapy outcomes.

Objectives:

1. By the end of the practicum, demonstrate the ability to conduct therapeutic sessions grounded in Peplau’s theory, maintaining appropriate nurse-client boundaries and effective communication.

2. Implement at least three CBT interventions during practicum group sessions, such as cognitive restructuring, behavioral activation, and thought records.

3. Assess and improve group cohesion and individual engagement through specific strategies, such as establishing group norms and fostering shared goals.

Practicum Activities Timeline

| Month | Activities | Goals Addressed |

|---------|----------------------------------------------------------|--------------------------------------------------|

| Month 1 | Orientation, review of theories, observing group sessions | Understanding theoretical applications |

| Month 2 | Co-facilitate group sessions, applying Peplau’s model | Relational skills, therapeutic alliance building |

| Month 3 | Introduce CBT techniques, lead structured interventions | Skill development in CBT, intervention implementation|

| Month 4 | Evaluate group progress, modify strategies, ongoing supervision | Assessment and adaptation of approaches |

| Month 5 | Prepare case presentations, reflect on progress, receive feedback | Self-awareness, professional growth |

This timeline provides a structured framework to systematically develop and refine skills in applying both Peplau’s nursing theory and CBT techniques, ensuring a comprehensive and evidence-based practicum experience directly aligned with learning objectives.

References

  • American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
  • Beck, J. S., Grant, P., & Beauchamp, M. (2015). Cognitive Behavior Therapy: Second Edition. Guilford Publications.
  • Bedi, R. P., et al. (2016). Therapeutic alliance in psychotherapy: An integrative review. Psychotherapy, 53(4), 422–429.
  • Hofmann, S. G., Asnaani, A., Vonk, I. J., et al. (2012). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive Therapy and Research, 36(5), 427–440.
  • McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review. Clinical Psychology: Science and Practice, 17(2), 83–93.
  • Peplau, H. E. (1952). Interpersonal relations in nursing. G. P. Putnam’s Sons.
  • Psychotherapy Research, 26(3), 276–287.
  • Wheeler, K. (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. Springer.