Core Skills Meeting 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 mcheung@uh.edu.

© Love Publishing: Monit Cheung & Patrick Leung Functions of Genograms To track family relationship patterns To identify repeated patterns in health, family functions, and significant events To interpret family structure To analyze family conflict and triangles To assess family roles, functioning, balance, resilience, and resources To track families through the life cycle To apply in clinical situations To collect data for family research © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Genogram Format © Love Publishing: Monit Cheung & Patrick Leung

Exercise: Construct a Genogram © Love Publishing: Monit Cheung & Patrick Leung

How to construct a genogram interview? © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Genogram Interview Start with the presenting problem Move to questions on household context Gather information on parents’ birth families Inquiry about other generations Probe ethnic and cultural variables Elicit attitudes about gender Ask about major life events Inquire about family relationships Inquire about family roles Inquire about family strengths Include questions on individual functioning (work, school, medical, psychiatric addictions, and legal problems) © Love Publishing: Monit Cheung & Patrick Leung

Therapeutic Outcomes Family Structure and Composition Family Place in the Life Cycle Pattern Repetition Across Generations Balance in Family Roles and Functioning © Love Publishing: Monit Cheung & Patrick Leung (c) Monit Cheung & Patrick Leung

Therapeutic Outcomes 1. Family Structure and Composition Marital Configurations Single-parent households Remarried households © Love Publishing: Monit Cheung & Patrick Leung (c) Monit Cheung & Patrick Leung

b) Siblings Birth 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? (c) Monit Cheung & Patrick Leung © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Therapeutic Outcomes 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 © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Therapeutic Outcomes 3. Pattern Repetition Across Generations Patterns of Functioning Adaptive: creativity, resilience, strengths Maladaptive: battering, child abuse, alcoholism, suicide © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung (c) Monit Cheung & Patrick Leung

-Patterns of closeness, distance, cut-offs, b) Patterns of Relationships -Patterns of closeness, distance, cut-offs, or conflicts repeating over generations. (e.g., triangles) b) Patterns of Relationships - (c) Monit Cheung & Patrick Leung © Love Publishing: Monit Cheung & Patrick Leung

The Triangular Relationship His grandfather His mother Self © Love Publishing: Monit Cheung & Patrick Leung (c) Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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/ © Love Publishing: Monit Cheung & Patrick Leung

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/ (c) Monit Cheung & Patrick Leung © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Reference McGoldrick, M., Gerson, R., & Petry, S. (2008). Genograms: Assessment and Intervention (3rd Ed.). New York:. © Love Publishing: Monit Cheung & Patrick Leung

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. © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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 © Love Publishing: Monit Cheung & Patrick Leung

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 © Love Publishing: Monit Cheung & Patrick Leung

Mary’s Case Demonstrations I am… © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Rapport Building Tell me about... I am here to… © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Structuring By the end of this session today, … © Love Publishing: Monit Cheung & Patrick Leung

Information Gathering Tell me about… Give me an example of… Who, When, Where… Whose, Who else, What, How… © Love Publishing: Monit Cheung & Patrick Leung

Reflecting Content and Clarifying I noticed you … It seems to me that… © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Reflecting Feelings It is hard to… You feel… I feel… © Love Publishing: Monit Cheung & Patrick Leung

I have had an experience that… Self-Disclosure I get upset about… I have had an experience that… © Love Publishing: Monit Cheung & Patrick Leung

You said you didn’t care, …. Confrontation You said you didn’t care, …. You laughed when… © Love Publishing: Monit Cheung & Patrick Leung

From what you’ve told me, … Redirecting Before you continue, … From what you’ve told me, … © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Summarizing You said …. Let me summarize … © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Closure Thank you for… Would you … © Love Publishing: Monit Cheung & Patrick Leung

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 © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung Self-Disclosure Functions When to use it How to use it © Love Publishing: Monit Cheung & Patrick Leung

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 (c) Monit Cheung & Patrick Leung

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. © Love Publishing: Monit Cheung & Patrick Leung

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 © Love Publishing: Monit Cheung & Patrick Leung

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: © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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.” Give an example here: © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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…” Give an example here: © Love Publishing: Monit Cheung & Patrick Leung

(c) Monit Cheung & Patrick Leung

Overview of Theories Three Theory Types Thinking Feeling Doing In social work, what type of theories do we use? © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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 © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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. © Love Publishing: Monit Cheung & Patrick Leung

© Love Publishing: Monit Cheung & Patrick Leung 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. © Love Publishing: Monit Cheung & Patrick Leung