Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings NRNP 6650

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings NRNP 6650

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings NRNP 6650

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings
Whether used with individuals or families, the goal of cognitive behavioral therapy (CBT)
is to modify client behavior. Although CBT for families is similar to CBT for individuals,
there are significant differences in their applications. As you develop treatment plans, it is
important that you recognize these differences and how they may impact your therapeutic
approach with families. For this Discussion, as you compare the use of CBT for families
and individuals, consider challenges of applying this therapeutic approach to your own
client families.
Learning Objectives
Students will:
 Compare the use of cognitive behavioral therapy for families to cognitive behavioral
therapy for individuals
 Analyze challenges of using cognitive behavioral therapy for families
 Recommend effective cognitive behavioral therapy strategies for families
To prepare:
 Review the media, Johnson Family Session 3, in this week’s Learning Resources and
consider the insights provided on CBT in family therapy.
 Reflect on your practicum experiences with CBT in family and individual settings.

Note: For this Discussion, you are required to complete your initial post before you will be
able to view and respond to your colleagues’ postings. Begin by clicking on the Post to
Discussion Question link and then select Create Thread to complete your initial post.
Remember, once you click submit, you cannot delete or edit your own posts, and you cannot
post anonymously. Please check your post carefully before clicking Submit!
By Day 3
Post an explanation of how the use of CBT in families compares to CBT in individual
settings. Provide specific examples from your own practicum experiences. Then, explain
challenges counselors might encounter when using CBT in the family setting. Support your
position with specific examples from this week’s media.
Read a selection of your colleagues' responses.
By Day 6
Respond to at least two of your colleagues by recommending CBT strategies to overcome
the challenges your colleagues have identified. Support your recommendations with
evidence-based literature and/or your own experiences with clients.
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 5 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 5 Discussion

Making Connections
Now that you have:
 Explored solution-focused and cognitive behavioral therapy and challenges related
to these therapeutic approaches
Next week, you will:

 Explore group therapy and consider how you might apply current literature to your
own clinical practice

To go to the next week:
Week 6

 

Learning Resources
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and
standards of practice (2nd ed.). Washington, DC: Author.
 Standard 5F “Milieu Therapy” (pages 60-61)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental
disorders (5th ed.). Washington, DC: Author.

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review:
The effectiveness of solution focused brief therapy with children and families: A systematic
and critical evaluation of the literature from 1990-2010. Journal of Child Psychology &
Psychiatry, 54(7), 707-723. doi:10.1111/jcpp.12058

Conoley, C., Graham, J., Neu, T., Craig, M., O'Pry, A., Cardin, S., & … Parker, R. (2003).
Solution-focused family therapy with three aggressive and oppositional-acting children: An
N=1 empirical study. Family Process, 42(3), 361-374.  doi:10.1111/j.1545-5300.2003.00361.x

de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with
suicide. Journal of Marital & Family Therapy, 34(1), 93-106. doi: 10.111/j.1752-
0606.2008.00055.x.

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA:
Pearson.
 Chapter 9, “Cognitive-Behavioral Family Therapy” (pp. 132-149)
 Chapter 12, “Solution-Focused Therapy” (pp. 175-188)

Patterson, T. (2014). A cognitive behavioral systems approach to family therapy. Journal of
Family Psychotherapy, 25(2), 132-144. doi:10.1080/08975353.2014.910023

Perry, A. (2014). Cognitive behavioral therapy with couples and families. Sexual &
Relationship Therapy, 29(3), 366-367. doi:10.1080/14681994.2014.909024

Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents
establish appropriate boundaries using a variation of the miracle question: An integration
of solution-focused therapy and structural family therapy. Journal of Divorce &
Remarriage, 50(7), 481-495.  doi:10.1080/10502550902970587

Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents
establish appropriate boundaries using a variation of the miracle question: An integration
of solution-focused therapy and structural family therapy. Journal of Divorce &
Remarriage, 50(7), 481-495.  doi:10.1080/10502550902970587

Washington, K. T., Wittenberg-Lyles, E., Parker Oliver, D., Baldwin, P. K., Tappana, J.,
Wright, J. H., & Demiris, G. (2014). Rethinking family caregiving: Tailoring cognitive–
behavioral therapies to the hospice experience. Health & Social Work, 39(4), 244-250.
doi:hsw/hlu031

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-
to guide for evidence-based practice. New York, NY: Springer.
 Chapter 12, “Family Therapy” (Review pp. 429–468.)

Document: Group Therapy Progress Note

Required Media
Laureate Education (Producer). (2013c). Johnson family session 3 [Video file]. Author:
Baltimore, MD.

Note: The approximate length of this media piece is 5 minutes.
Accessible player