Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video response 2

Your point on the practitioner needing to improve on encouraging communication between the minor client and the parent is a valid one, while I do not think the intention of the practitioner was negative, through his statements he actually encouraged further contention between the client and his mother. Adolescents are at a phase of development where they seek validation for their feelings and actions and the practitioner gave validation to the feelings of the client that were negative towards the mother without first seeking clarification or at the very least having a family session with the mother present to observe the family dynamics before giving a premature analysis. According to Karver, De Nadai, Monahan & Shirk (2018), “although parents occupy varied roles in youth therapy ranging  from the youth’s transport to collateral participation, failure to maintain a strong alliance with parents/caregivers can have serious implications for treatment continuation and early dropout.” Seeing as though the practitioner discussed with the client that he would maintain confidentiality regarding their conversations unless the risk of imminent danger to the client or others, how would the client go about discussing the concerns of the client with the mother without breaking confidentiality? Would this create further bias against the mother if the practitioner cannot delve deeper into the family dynamics without discussing what the client has said in the private sessions? Comprehensive Integrated Psychiatric Assessment discussion essay examples – YMH Boston Vignette 4 video. Does the mother even know what is contributing to her son’s increasing anger? According to Sadock, Sadock & Ruiz (2014), “in some cases, especially with older children and adolescents, the parents may be unaware of significant current symptoms or social difficulties of the child.

References

Karver, M.S., De Nadai, A.S., Monahan, M., & Shirk, S.R. (2018). Meta-analysis of the prospective relation between alliance and outcome in child and adolescent psychotherapy. Psychotherapy, 55(4), 341-355.

Sadock, B.J., Sadock, V.A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.