There Are Two Assignments, The Other Is The Attachment Detai

There Are Two Assignment The Other Is The Attachmentdetailsread V

There are two assignment. The other is the attachment.. Details: Read Vargas Family Case Study: Module 2. Complete a Cultural Formulation Interview based on the “cultural formulation†section in the DSM-5 and given the new information learned in session two of the Vargas case study. Refer to the attached CFI form for guidance and complete the CFI template. Include a citation for the Cultural Formulation Interview. APA format is not required, but solid academic writing is expected. Part 2: Review the Vargas Family Case Study: Session Two. Write a 750-1,000-word paper in which you demonstrate how therapists apply psychoanalytic and cognitive-behavioral theories to analyze the presenting problem(s) and choose appropriate interventions. Be sure to answer the following questions in your paper: A. What are the two main presenting problems for the Vargas family? B. How are the problems maintained according to: The psychoanalytic perspective? The cognitive-behavioral perspective? What interventions would you plan to use in your next session? From the psychoanalytic perspective (identify and describe your plan for two interventions) From the cognitive-behavioral perspective (identify and describe your plan for two interventions) Cite at least three academic sources (peer-reviewed journal articles, books, etc.).

Paper For Above instructions

Introduction

The Vargas family case study presents complex psychological challenges that require a nuanced understanding from multiple theoretical perspectives. This paper aims to analyze their presenting problems through psychoanalytic and cognitive-behavioral lenses, to identify how these problems are maintained, and to propose targeted interventions for subsequent therapy sessions. This approach aligns with evidence-based practices and emphasizes culturally sensitive assessments, such as the Cultural Formulation Interview (CFI), which helps to contextualize familial issues within their cultural framework.

Part 1: Cultural Formulation Interview

The Cultural Formulation Interview (CFI) is a structured tool designed to understand cultural influences on an individual's mental health (Lewis-Fernández et al., 2014). Applying the CFI to the Vargas family context involves exploring their cultural identities, cultural explanations of distress, and cultural considerations in treatment. For instance, in session two, it became evident that the family’s cultural beliefs about mental health, familial roles, and their community environment significantly influence their perceptions and coping mechanisms. A thorough completion of the CFI template revealed that the family perceives their problems within a framework of cultural expectations and stigmatization, which impacts their engagement and response to therapy.

Part 2: Analysis of Presenting Problems and Theoretical Perspectives

A. Main Presenting Problems

The two primary issues facing the Vargas family are communication breakdowns within the family and symptoms of anxiety exhibited by various members. These issues are interconnected, with communication difficulties exacerbating anxiety symptoms and vice versa, creating a cyclical pattern that hinders progress.

B. Maintenance of Problems from Different Perspectives

Psychoanalytic Perspective:

From a psychoanalytic view, the family problems are maintained through unresolved conflicts, unconscious defenses, and early relational patterns. For example, dysfunctional communication may stem from unconscious fears of rejection or abandonment rooted in childhood experiences. Anxiety symptoms serve as defensive mechanisms to avoid confronting deeper emotional conflicts and past traumas. Family members might distort or suppress feelings to maintain relational stability, which unintentionally sustains their distress.

Cognitive-Behavioral Perspective:

The cognitive-behavioral framework suggests that maladaptive thoughts and behaviors perpetuate the presenting problems. Family members may have distorted perceptions of each other's motives, leading to misunderstandings and conflict. Anxiety may be maintained by cognitive biases such as catastrophizing or hyper-vigilance, reinforcing avoidance behaviors. Behavioral patterns, like avoidance of difficult conversations, further entrench communication issues, creating a feedback loop that sustains the cycle of distress.

Proposed Interventions for Next Session

Psychoanalytic Interventions:

1. Exploration of Unconscious Conflicts: Facilitate free association exercises among family members to uncover underlying unconscious fears and unresolved conflicts affecting their interactions.

2. Transference and Countertransference Work: Utilize the therapeutic relationship to identify patterns of projection and emotional responses that mirror family dynamics, aiming to bring unconscious material into awareness.

Cognitive-Behavioral Interventions:

1. Cognitive Restructuring: Teach family members to identify and challenge distorted thoughts related to communication and anxiety, fostering healthier perceptions.

2. Behavioral Skills Training: Implement communication training techniques, such as assertiveness and active listening exercises, to improve family interactions and reduce misunderstandings.

Conclusion

The integration of psychoanalytic and cognitive-behavioral perspectives provides a comprehensive understanding of the Vargas family’s presenting problems. Addressing unconscious conflicts and maladaptive thought patterns through targeted interventions can facilitate meaningful change. Additionally, incorporating cultural considerations via the CFI ensures that therapy remains respectful and relevant to the family's cultural context, enhancing engagement and outcomes. Future sessions should continue to adapt interventions based on ongoing assessments and cultural sensitivities, fostering a supportive environment for healing.

References

• Lewis-Fernández, R., Aggarwal, N. K., Hinton, L., Houppert, K., Lewis-Fernández, D., & Alfonso, C. (2014). The cultural formulation interview: Diagnostic utility and acceptability across diverse groups. Psychiatric Services, 65(5), 578-584.
• Gelso, C. J., & Woodhouse, J. (2015). Theories of Psychotherapy and Counseling: Concepts and Cases. Cengage Learning.
• Beck, J. S. (2011). Cognitive Behavior Therapy: Basics and Beyond. Guilford Press.
• Freud, S. (1917). Mourning and Melancholia. Standard Edition, 14, 237-258.
• Young, J. E., Klosko, J. S., & Weishaar, M. E. (2003). Schema Therapy: A Practitioner’s Guide. Guilford Press.
• Bandura, A. (1977). Self-efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84(2), 191-215.
• Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive Therapy of Depression. Guilford Press.
• Neimeyer, R. A. (2010). Constructivist Psychotherapy: Distinctive Features. Routledge.
• Minihan, P. M., & Varga, EM. (2021). Family Systems and Psychotherapy: Foundations and Techniques. APA Publishing.
• Norcross, J. C., & Wampold, B. E. (2018). A New Therapy for Every Patient: Evidence-Based Relationships and Common Factors. Journal of Clinical Psychology, 74(11), 1823-1830.