Respond to two colleagues who selected a case study different from yours:
Kiuru
SOC 102
Dr. Nonen
1/6/2021
RE: Discussion – Week 6
Provide a reference for the study you found using APA guidelines.
Keinonen, K., Puolakanaho, A., Lappalainen, P., Lappalainen, R., Kiuru, N. (2021 September 4). Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy. Journal of Contextual Behavioral Science, 22. 24-31.
Identify the therapy that you chose.
This study discusses acceptance and commitment therapy (ACT) (Keinonen, Puolakanaho, Lappalainen, Lappalainen, Kiuru, 2021).
Briefly paraphrase, in 2-3 sentences, the methodological structure of the study and its findings.
Adolescents completed self-report questionnaires to provide the following information: depressive symptoms, experiential avoidance, as well as some physical health information. Based on their reported depressive symptom and avoidance scores, adolescents were split into three groups and provided each with a 5-week online ACT intervention. Adolescents with the most severe symptoms appeared to benefit from ACT treatment, adolescents with average levels of these symptoms did not see a decrease with the implementation of ACT, and adolescents at low levels of symptoms saw a decrease when treatment was implemented (Keinonen, et. al., 2021).
Explain how the findings are applicable or appropriate for the client in your case study.
The researchers learned about the effectiveness of ACT when provided online to adolescents, which Ella is. She also may be experiencing depression or experiential avoidance.
Determine whether you would or would not use the therapy you selected for the client in your selected case study and explain why.
Due to the fact that this study shows effectiveness in adolescents with high and low levels of symptoms, but not in adolescents with moderate symptoms (Keinonen, et. al., 2021), I am not yet sure if I would apply this therapy for her intervention. I would first want to give her a chance to fill out the self-assessments used in this study to help determine if ACT would be beneficial to her.
References
Keinonen, K., Puolakanaho, A., Lappalainen, P., Lappalainen, R., Kiuru, N. (2021 September 4). Developmental trajectories of experiential avoidance and depressive symptoms and association to health behaviors among adolescents during brief guided online acceptance and commitment therapy. Journal of Contextual Behavioral Science, 22. 24-31.
Colleague 2
Provide the reference and link for the study you found using APA guidelines.
Michael, T., Schanz, C. G., Mattheus, H. K., Issler, T., Frommberger, U., Köllner, V., & Equit, M. (2019). Do adjuvant interventions improve treatment outcomes in adult patients with posttraumatic stress disorder receiving trauma-focused psychotherapy? A systematic review. European Journal of Psychotraumatology, 10(1), 1–11. https://doi.org/10.1080/20008198.2019.1634938
Identify the chosen therapy
Trauma-Focused Psychotherapies TF-PT specifically, trauma-focused cognitive behavioral therapy (TF-CBT) (Schanz et al., 2019).
Briefly paraphrase, in 2–3 sentences, the methodological context (i.e., research method, how data was collected, and the instruments used) of the study and the findings.
The research method for exploring the effectiveness of adjuvant interventions that lead to more symptom reduction in adult PTSD patients receiving TF-CBT was literature and systematic review. The data was collected electronically by searching databases for controlled clinical trials. Of these, thirteen trials fit the inclusion criteria and were evaluated for internal risk of bias using the Cochrane Handbook for Systematic Review of Interventions (Schanz et al., 2019).
Explain how the findings are applicable or appropriate for the client in your case study.
Sam is a combat veteran, and because of this event, he is suffering from PTSD, anxiety, and depression. He turned to alcohol to cope with what he had experienced during his deployment. TF-CBT will help when discussing the traumatic event, assist in the gradual learning to control his cravings, and learn a coping skill that will enable him to talk about what happened and his feelings without his anxiety levels and negative emotions increase.
Determine whether you would use or not use the therapy you selected for the client in your selected case study (consider how culturally relevant it is, how aligned it is with social work ethics, etc.) and explain why.
Considering the effectiveness of cognitive behavioral therapy specifically focused on trauma, I would utilize this therapy. Turner (2017) explains that behavior is taught and can be both defined and changed through significant others in the person’s environment or environmental transactions. In considering cultural relevancy, this therapy is adequate because it focuses on behaviors and education of behaviors. However, the social worker must know what the client’s culture constitutes as unacceptable behaviors and which coping mechanisms are acceptable and appropriate. CBT aligns with the person’s ethical standards of dignity and worth by seeking to enhance clients’ capacity and opportunity to change and address their own needs (NASW, 2021).
References
Michael, T., Schanz, C. G., Mattheus, H. K., Issler, T., Frommberger, U., Köllner, V., & Equit, M. (2019). Do adjuvant interventions improve treatment outcomes in adult patients with posttraumatic stress disorder receiving trauma-focused psychotherapy? A systematic review. European Journal of Psychotraumatology, 10(1), 1–11.
Turner, F. J. (Ed.). (2017). Social work treatment: Interlocking theoretical approaches (6th ed.). New York, NY: Oxford University Press.