Respond to two of your colleague’s postings in one or more of the following ways:
Ask a probing question.
Share an insight gained from having read your colleague’s posting.
Offer and support an opinion.
Make a suggestion.
Expand on your colleague’s posting
Post a brief description of the disruptive behavior you selected, and explain one way your reactions might positively or negatively influence the development of a therapeutic relationship with that child or adolescent.
Blaming adolescence. In the video, the client was blaming his parents and one of his schoolmates for his behavior. He took no accountability for the things he has done. According to American Psychiatric Association, disruptive, impulsive-control, and conduct disorders refer to a group of disorders that include oppositional defiant disorder, conduct disorder, intermittent explosive disorder, kleptomania, and pyromania. These disorders can cause people to behave angrily or aggressively toward people or property and they may have difficulty controlling their emotions and behavior (American Psychiatric Association). When I heard the client blame other people for his behavior, the first thing came to thought is that he doesn’t know better and my facial reaction was shocking. I think that my reaction to the client can bring on a negative therapeutic relationship. The client might think that I am being judgemental and that I am not there to help but to judge him for things he has done.
Then, explain one way you might transform a negative reaction into an appropriate therapeutic response and how. Be specific and use examples.
One way I can transform a negative reaction into an appropriate therapeutic response is by apologizing to the client and letting them know that I am here for them and that they can trust me throughout the process to deliver professional service. For example, if the client notices my negative reaction and reacts to it by becoming silent, I can reassure the client that whatever is said in this room is between the both of us and that my reaction from here on out will be appropriate. Natwick, (n.d), explains that negative feelings sometimes can be important information in the clinical conceptualization of the client and can be useful information for counselors in other ways. According to Natwick, (n.d), for instance, do they have a bias of which they were previously unaware, do they need further education and training, can this reaction help in forming a treatment plan that will better fit their client’s needs? Natwick (n.d), also explains that counselors should periodically check in with themselves to examine all their feelings towards clients because these feelings can be useful signals to seek additional education or training.
Natwick, J. (n.d.). I don’t like my client: The ethics of handling negative … Retrieved from https://www.counseling.org/docs/default-source/eth…
American Psychiatric Association What Are Disruptive, Impulse-Control and Conduct Disorders? (2018, January). Retrieved from https://www.psychiatry.org/patients-families/disru…
Disruptive behaviors found in children and adolescents can be the result of various factors. Some experiences make children/adolescents more susceptible in developing disruptive behaviors such as exposure to violence, maltreatment, harsh/inconsistent parenting, or living with a caretaker who has mental health or substance abuse issues (Centers for Disease Control and Prevention, n.d). One disruptive behavior is anger. Anger or aggression in child has been linked to a history of spanking (Hamblin, 2017) and seeing media violence (Taggart, Eisen & Lillard, 2019). Excessive anger in children/adolescents can be accompanied by mental health issues. Some common disorders that go along with anger is oppositional defiant disorder (ODD), Conduct disorder (CD) and Disruptive mood dysregulation disorder (DMDD) (Yale Medicine, n.d).
In working with angry children or adolescents, social workers need to watch how they respond. The anger that the client is displaying is not about the social workers and the social worker should not take the anger personally. Responding to the anger can negatively affect a therapeutic relationship. For example, if a client says, “I hate counselors and I am not going to talk to you,” a negative response would be “how can you hate me if you do not know me.” By responding to the client in this way, the social worker made the conversation about them and not the client. Instead, a social worker should validate the client’s feelings and be empathic to what the client is saying. Children who show disruptive behaviors are often only notice by their negative behaviors. A social worker can instead respond by saying, “yeah, I would have difficulty talking to someone I didn’t know, but I am only here to help you. You don’t have to talk if you don’t want to, I wouldn’t ask you to do something you didn’t want to do…” The social worker can also bring up some positive attributes of the client, from what others have told the social worker. Bring up positive attributes, lets the client know that the social worker see more than just the negative behaviors which can positively affect the therapeutic relationship.
Centers for Disease Control and Prevention. (n.d). Children’s Mental Health. Behavior or Conduct Problems. Retrieved from https://www.cdc.gov/childrensmentalhealth/behavior…
Hamblin, J. (2017, December 11). How spanking affects later relationships. The Atlantic. Retrieved from https://www.theatlantic.com/family/archive/2017/12…
Taggart, J., Eisen, S., & Lillard, A. S. (2019). The current landscape of US children’s television: Violent, prosocial, educational, and fantastical content. Journal of Children and Media, 13(3), 276-294. https://doi-org.ezp.waldenulibrary.org/doi/full/10…
Yale Medicine. (n.d). Anger, Irritability and Aggression in Kids. Retrieved from https://www.yalemedicine.org/conditions/anger-issues-in-children-and-teens#:~:text=One%20common%20trigger%20is%20frustration,compulsive%20disorder%2C%20and%20Tourette’s%20syndrome.
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