Core Skills Meeting 2 © Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO:

Core SkillsMeeting 2

© Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO: Love.

Instructors who adopt this book may use this PowerPoint to teach your course without prior permission. Please address questions and comments to [email protected].

© Love Publishing: Monit Cheung & Patrick Leung

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Functions of Genograms1. To track family relationship patterns2. To identify repeated patterns in health,

family functions, and significant events3. To interpret family structure4. To analyze family conflict and triangles5. To assess family roles, functioning,

balance, resilience, and resources6. To track families through the life cycle7. To apply in clinical situations8. To collect data for family research


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Genogram Format


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Exercise: Construct a Genogram


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How to construct a genogram interview?


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Genogram Interview1. Start with the presenting problem2. Move to questions on household context3. Gather information on parents’ birth families4. Inquiry about other generations5. Probe ethnic and cultural variables6. Elicit attitudes about gender7. Ask about major life events8. Inquire about family relationships9. Inquire about family roles10. Inquire about family strengths11. Include questions on individual functioning

(work, school, medical, psychiatric addictions, and legal problems)

(c) Monit Cheung & Patrick Leung 7

1.Family Structure and Composition

2.Family Place in the Life Cycle

3.Pattern Repetition Across Generations

4.Balance in Family Roles and Functioning

Therapeutic Outcomes



1. Family Structure and Composition

a) Marital Configurations

Single-parent households

Remarried households




b) SiblingsBirth order

Timing of sibling births vs. what else was happening in the family at the time

Family’s expectations or ‘program’ for the child

Parental attitudes and bias regarding gender. Are males given preferred status?

Or females? Are there alliances in the family by gender?



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2. Family Place in the Life Cycle

Family progress through a series of stages or transitions

Changes including leaving home of origin, marriage, births, child-rearing, retirement


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3. Pattern Repetition Across Generations

a) Patterns of Functioning- Adaptive: creativity, resilience,

strengths- Maladaptive: battering, child abuse,

alcoholism, suicide




b) Patterns of Relationships

-

b) Patterns of Relationships

-Patterns of closeness, distance, cut-offs, or conflicts repeating over generations. (e.g., triangles)



The Triangular Relationship

Self

His mother

His grandfather


c) Patterns Related to Position in Family

-People in similar positions as a previous generation member tend to

repeat the same pattern

http://www.genopro.com/



4. Balance in Family Roles and Functioning

-For example,

A gregarious, social partner is balanced out by a more home-oriented spouse.

http://www.genograms.org/



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Reference McGoldrick, M., Gerson, R., & Petry, S. (2008). Genograms:

Assessment and Intervention (3rd Ed.). New York:.


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Cartoon-Story Game A3, Cheung 2006

Fold a piece of paper into 8 boxes Number the boxes from 1 to 8 Draw or write in the first 6 boxes to represent your

developmental stages Draw or write in the 7th and 8th boxes to represent

something you want to achieve in your next stage of life

Cheung, M. (2006). Therapeutic games and guided imagery: Tools for mental health and school professionals working with children, adolescents, and families. Chicago: Lyceum.


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Core Skills

The Case of Mary• 38 years old

• Depressed, not knowing the meaning of life

• Left home for the entire day; after her family found her, she felt guilty


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Core Skills (Cheung&Leung, pp.28–29)

Rapport Building Structuring the

Session/Meeting Information Gathering Reflecting Content Reflecting Feelings Self-Disclosure Confrontation Redirecting Summarizing Closure

Take turns to ask questions based on the core skill area


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Mary’s Case Demonstrations

I am…


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Rapport Building

Tell me about...

I am here to…


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Structuring

By the end of this

session today, …


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Information Gathering

Tell me about…

Give me an example of…

Who, When, Where…

Whose, Who else, What, How…


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Reflecting Content and Clarifying

I noticed you …

It seems to me that…


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Reflecting Feelings

It is hard to…

You feel…

I feel…


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Self-Disclosure

I get upset about…

I have had an experience that…


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Confrontation

You said you didn’t care, ….

You laughed when…


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Redirecting

Before you continue, …

From what you’ve told me, …


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Summarizing

You said ….

Let me summarize …


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Closure

Thank you for…

Would you …


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Personal vs. Professional

One strength & one limitation

Use another person’s strength as your own: An exchange perspective

How to use this technique to help your clients


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Self-Disclosure

Functions

When to use it

How to use it


Self-Disclosure’s Definition

The conscious and intentional revelation of

information about oneself through Verbal Expressions

Personal experiences or history

Personal opinions or perspectives

Nonverbal Behaviors Smiling

Grimacing

Shaking one’s head in disbelief


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Functions of Self-Disclosure

Encourages clients to reciprocate with trust and openness

Provides messages that center on common struggles or problems the social worker is currently experiencing or has experienced that are similar to the client’s problems

Presents low risk and contributes to the helping process.


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When to Use Self-Disclosure

After rapport and trust have been achieved

When clients have demonstrated readiness to engage on a more personal level

When a personal reaction will provide assurance to all clients present


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Self-Disclosure Techniques

Express Personal Reactions

• “I’m impressed with the progress you’ve made this past week. You applied what we discussed last week and have made another step toward learning to control angry feelings.”

• Give an example here:


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Relate to a Common Struggle

• “As you talk about your problems with your children, it reminds me of similar difficulties I had with mine when they were that same age.”



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Relate to an Event that Share a Common Characteristic

• “I think all of us struggle with that same fear to some degree. Earlier this week I…”




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Overview of TheoriesThree Theory Types

Thinking

Feeling

Doing

In social work, what type of theories do we use?


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Social Work Theories

Psychodynamic & analytic• Psychodynamic, Psychoanalytic, Families of Origin,

Adlerian Experiential and relationship-oriented

• Gestalt, Person-Centered (Rogerian, Satir), Existential Cognitive and action-oriented

• Behavioral, CBT (RET, REBT), Solution-Focused, Feminist (Empowerment), Structural, Strategic

Systems• Family Systems, Multicultural


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Daily Affirmation

Peace is flowing through me everywhere today, pouring all over my mind and my body … releasing all my tensions and anxiety … emptying me of all my negativity and fear. I am being filled with peace and love and serenity.

Fishel, R. (1988). Time for joy. Deerfield Beach, FL: Health Communications.


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References Cheung, M. (2006). Therapeutic games and guided

imagery: Tools for mental health and school professionals working with children, adolescents, and families. Chicago: Lyceum.

Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO: Love.

McGoldrick, M., Gerson, R., & Petry, S. (2008). Genograms: Assessment and Intervention. New York: Norton.

Documents

Core Skills Meeting 2 © Cheung, M., & Leung, P. (2008). Multicultural practice and evaluation: A case approach to evidence-based practice. Denver, CO: