Solution\nfocused brief theory primarily focuses on finding solutions at the present time\nand exploring the hope for an individual in efforts to finding quicker\nsolutions to their problems (Gingerich & Eisengart, 2000). The theory\ncontradicts the traditional forms of therapy which usually take time to analyze\nindividuals problems and their past life events. Therefore it applies the\napproach in which an individual knows what they want in efforts to improve\ntheir own life, thus they are offered the most appropriate coaching and\nguidance to enable them find the best solution (Gingerich & Eisengart,\n2000). It was developed out of the interest that paying attention to what\npeople want and what works the best for an individual.<\/p>\n\n\n\n
The theory begins and pays attention to the\nefforts that the individual has embarked to facilitate their behavioral and\nlifestyle changes. The interventions used by the therapist in this case include\nspecific questioning methods ,empathy, scaling, and compliments which are aimed\nat helping the client to recognize their virtues that are likely to help them\nout of the troubled situation and in the future as well(Gingerich &\nEisengart, 2000). These interventions\nalso open up the minds of the clients and help them to think critically and\ncreatively and develop clear plans that will help in coming up with solutions\nthat will change their lives. Consequently, the clients concentrate on what\nthey can do as opposed to what they cannot, and this helps them to find\nsolutions to their problems and adjust towards positivity promptly (Gingerich\n& Eisengart, 2000). The theory can\nbe used alone as a therapeutic intervention or may be used along other styles\nof therapy and treatment <\/p>\n\n\n\n
How\nto Assess the Clients <\/strong><\/p>\n\n\n\n In\nthis case, I would use a sexual genogram to assess a myriad of factors that are\nrelated to the sexual behavior patterns of the couple which include the gender\nroles, secrets, behavior, communications and the history that is related to\ntheir sexual experiences (Gingerich & Eisengart, 2000). For instance, I would assess the aspects of\ncommunication the couple uses while expressing their sexual wishes, desires and\nfrequencies to determine whether that is the root cause of their strained\nsexual relationship. I would also be observant on the client\u2019s verbal and\nnonverbal behavior which is a critical in providing more insights to the\nunderlying couple\u2019s problem. For each of the client, I would be interested in\ntheir sexual history to assess their sexual behavior over the past years in\norder to determine whether they are contributing to the current woes. <\/p>\n\n\n\n Who\nWould You Meet With and In What Sequence <\/strong><\/p>\n\n\n\n I\nwould consider meeting with both Henry and Oni, in order to get the two sides\nof the story and their perspectives regarding their sexual relationships. This\nwill also help in the elimination of bias and favoritism as well as\nfacilitating a quicker way in finding the solution. I would organize to meet\nthem thrice per week for three hours in each session. <\/p>\n\n\n\n Assessment\nMethods to Gather Information<\/strong><\/p>\n\n\n\n First I would use the informal unstructured\nclinical interview method which would enable me interact with the clients on a\npersonal level to gather information on the client\u2019s comprehension, perspective\nas well as the feelings towards their problem. While applying this technique I\nwill be in a position to observe the non-verbal behavior of the clients as well\nas build a rapport which will be relevant in gaining further insights to their\nmarital affairs. In addition to this method, I would incorporate some few\naspects of the formal, assessment technique since I would require them to fill\nout questionnaires structured in a way that will enhance further information\ngathering. <\/p>\n\n\n\n Areas\nMost Important To Investigate <\/strong><\/p>\n\n\n\n In\nthis case, I would consider pornography addiction as most important to\ninvestigate because it is affecting the sexual frequencies and desires of the\nclients. Henry has admitted that he is addicted to online pornography and thus\nit would be important to understand why he uses pornography and now that it is\nstraining their relationship, it is in order to find out how he can get help\nand stop the behavior (Sun, Bridges, Johnson & Ezzell, 2016). In addition,\nthe aspect of desire and arousal is an important factor to investigate in this\ncase since it has a role to play in affecting the couple\u2019s sexual woes. <\/p>\n\n\n\n Clinical\nIssues Presented By the Case<\/strong><\/p>\n\n\n\n One\nof the clinical issues that I have identified is the effect of masturbation in\ndecreasing sexual pleasure. Unarguably, due to the adverse effects it is\ncausing to the couple\u2019s sexual health and life, it requires clinical assessment\nand intervention, whereby he will acquire coping strategies for the excessive\nmasturbation and consequently manage this sexual behavior. <\/p>\n\n\n\n How\nthe Issue Would Have Been Viewed In The Past<\/strong><\/p>\n\n\n\n The\nissue of masturbation in the past could be classified among the sexual\nbehaviors that were viewed as deviant and were also considered taboo. It was an\nissue that was pestering people but they could not address it using dialogue\nsince it was and still is surrounded by myths, beliefs and misconceptions as\nwell as causing feelings of guilt and embarrassment. Compared to the past, the\nview of masturbation has changed in the contemporary society due to the results\nof research which has delineated it from the said myths and misconceptions.\nResearch has indicated that other than being associated with a plethora of adverse\neffects, masturbation has more benefits for the sexual and overall health\nbenefits to an individual and is normal but becomes a problem only when\ninterferes with the daily life ad relationships with family, romantic partners\namong others. <\/p>\n\n\n\n Diversity Issues in the Case<\/strong><\/p>\n\n\n\n The\nissue here could be the different cultural aspect of the clients. Given that they originate from different\ncultural backgrounds, it is possible that cultural aspects such as beliefs,\nvalues, behavior and gender roles among others have contributed to their\ncurrent sexual difficulties. I would explore on the role of beliefs informed by\neach client\u2019s culture and how they regard sexual activities to determine\nwhether they are playing a role in the couple\u2019s sexual satisfaction. In addition,\nthe behavior of each individual regarding sexual activities is an important\nfactor of consideration in this case. <\/p>\n\n\n\n Ethical, Legal or Crisis Issues\nIdentified<\/strong><\/p>\n\n\n\n The\nseemingly ethical and crisis issue identified in the case is pornography which\nhas contributed to Henry being unfaithful to Oni emotionally. Pornography could\nbe a symptom of a deeper issue that he is using to cope with unresolved\nemotional pains among other problems (Sun, Bridges, Johnson & Ezzell, 2016).\nThe problem in this case has led to him attempting to get intimate with his\npartner while asleep which could be an indication of other underlying\nproblems. He seems to have turned to\npornography instead of facing the rejection of his wife since it is easier and\ndoes not require an emotional relationship to meet his basic need. Even though\nthe act made him feel guilty and defeated, he feels as if he has no other\nalternative to meet that physical basic need. <\/p>\n\n\n\n Issues Raised By This Case That\nWould Require Clinical Research<\/strong><\/p>\n\n\n\n The\ncase presents a myriad of clinical issues that would require more research for\nbetter comprehension. For instance, the role of depression and rejection in an\nintimate relationship and how they can be solved are among the issues raised by\nthe couple\u2019s case and calls for prompt research. Depression has been identified\nto interfere with a person\u2019s daily routine and overall functionality, and thus,\nit would be essential to research on how it contributes to issues such as\nbonding with the loved ones, low sexual energy, sensitivity in terms of\nemotions and lack of pleasure when it comes to intimacy. <\/p>\n\n\n\n In\naddition, the role of rejection and how repeated rejection can ruin\nrelationships. There is need to explore whether it is the fear of rejection or\nthe actual rejection that hurts the sexual relationship. Clinical research\nwould assist to determine the perpetrators of rejection in intimate\nrelationships and how it brews bitterness and consequently hate and hurt in the\nrelationship. Research will also inform partners on the effective strategies on\nhow to deal with sexual rejection to promote overall health and improve the\nsexual strains among romantic partners. <\/p>\n\n\n\n Supervision\nNeeded To Remain In the Area of Competence <\/strong><\/p>\n\n\n\n In\nthe course of helping the couple revive their sexual frequencies, there are\nareas I feel i would need supervision to remain on course of therapeutic\ncompetence. For instance, in my personal opinion, the case presents a man who\nseems selfish and cares of his needs gratification without considering the\nsexual needs and desires of his wife. He substitutes sex with pornography and\nfinds reasons such as rejection to blame the wife instead of dealing with the\nroot cause of their sexual woes. Therefore, in order to remain fair and avoid\ndiverging into such issues that would lead to offering therapeutic counseling\nwith an element of bias and being informed by emotions, supervision is\nessential. <\/p>\n\n\n\n Need\nfor referral to community services<\/strong><\/p>\n\n\n\n There\nis need for the couple to be referred to a crisis intervention and crisis and\nadditional community resources to ensure follow up and prevent relapse. The resource\nwill also assess the outcomes of the sex therapy and ensure they are following\nthe recommended interventions to maintain a healthier sexual relationship. <\/p>\n\n\n\n Part\n2<\/strong><\/p>\n\n\n\n Case\nconceptualization <\/strong><\/p>\n\n\n\n The Clinical Goals for the Clients<\/strong><\/p>\n\n\n\n In the application of the solution- focused\nbrief theory, it will be possible to identify the couple\u2019s attitude regarding\nsex and the specific problem to be addressed. The clinical goals will be\ntailored to help the couple in specific exercises that will help the couple to\nrefocus their attention, expectations and desires regarding sex. In this case, the clinical goals include\nembracing open and positive communication that will identify what they want\nsexually, increasing and enhancing sexual stimulation and learning. These goals\nwill help the couple to understand how to recognize and communicate their\npreferences sexually. In addition, it\nwill include the revitalization of their sexual desire for one another and help\nthem maintain that sexual desire which will in turn result in an increase in\nthe erotic flow and achieve sexual satisfaction. The goals will enable the\ncouple to develop a comfortable style and become an intimate team that will be\nresponsible in communicating what each wants to give and receive sexually without\nfeelings of pressure, guilt and blame. <\/p>\n\n\n\n Systematic Based Treatment for the\nCouple<\/strong><\/p>\n\n\n\n In\napplying the Solution Focused Brief Theory to solve the sexual issues for the\ncouple, I will develop a systematic treatment plan and interventions that will\nbring to life the sexual life of the couple. The treatment will be structured\nin sessions that will lead to the ultimate solution as well as a follow up plan\nto enhance they couple does not relapse. <\/p>\n\n\n\n The\nfirst session will begin with the problem free talk which will enable the\ncreation of the good relationship with the couple as well as enhancing a\nfriendly and respectful climate therapy where they will feel safe and relaxed\nto enable them talk freely about their sexual problems (Althof, 2006). The\nproblem free talk will involve a small talk on general issues and then invite\nthem to talk about the therapy session to inquire about the therapy to\ndetermine whether it is their first experience and comprehending how to\nmake them feel comfortable since it is hard to discuss issues pertaining sex.<\/p>\n\n\n\n The\nsecond stage of treatment will involve the pre-session change to determine\nwhether there are changes that the couple has experienced since the time they\ndecided to attend therapy sessions (Gingerich & Eisengart, 2000). If the\nreplies are positive, the solution talk will begin from there into digging\ndeeper to get the details on what has happened and what actions they took to\nachieve these changes and know whether they would like it to continue that\nway. If the replies are negative, I will\nproceed on asking the couple the kind of help they would like from me as well\nas understanding their hopes for the therapy session. <\/p>\n\n\n\n The\nnext step would be looking for previous solutions. The couple may have\nexperienced such sexual problems in the past and tried solving it but they did\nnot come up with a successful solution. If they had faced such a problem\npreviously, it will be important to note down how they dealt with it and\nwhether it was helpful at the time and if not, they might as well have\nexceptions to their problem in that the time when such a problem could have\noccurred and it did not.<\/p>\n\n\n\n The\nnext stage would be identifying whether the couples problem is physiological or\npsychological (Althof, 2006) .It will also be essential to find out how the\nproblem occurs, when it began. After the response, it will be important to know\nhow the problem affects their relationship. The next stage will involve seeking\nexceptions and by doing so, sensitive questions regarding sex will be addressed\nto open ground for the couple to openly discuss their sexual issues such as frequencies,\nmotivators of sex among other issues that they cannot discuss openly in other\nforums. <\/p>\n\n\n\n Competence\nseeking is the next stage which will guide in finding out how the couple managed\ndeveloped competencies when they tried to solve a previous problem and how it\nhas changed them. The next stage of treatment will comprise of the miracle\nquestion which will be helpful in identifying the existing resources and\nsolutions as well as inviting the couple to come up with a vision of their\npreferred future in their sexual life and their marriage as well (Hawton, 2005).\nThe miracle question will prompt the couple to imagine how different their\nsexual relationship would be different if the miracle happened while in their\nsleep. After the miracle question and assessing how they would react to the\nmiracle scaling the couple on a scale of 1-10 to determine where things are\nstanding at the moment and what needs to be done to move their sexual\nrelationship one small step further as well as identifying how they will notice\nthey have moved the step further. <\/p>\n\n\n\n The\nlast stage of treatment according to the theory includes offering approaches\nand offering possible solutions that the clients should choose from (Hawton,\n2005). In this case, I will offer systemic interventions that will guide the\ncouple in implementing the goals that have been set in prior stages and will work\nwell to improve their sexual relationship. The interventions will include\ntraining them on embracing open communication when it comes to sex that may\ninclude the non-demand pleasuring activities that are not necessarily aimed at\nleading to sexual intercourse but for their own sake and well-being. <\/p>\n\n\n\n The\nexploration of the past sexual experiences of each client to determine whether\nthere are past experiences with their partners that may be contributing the\ncurrent woes is essential. The provision of a physical awareness and suggestions\nfor the couple on the sensuality exercises that are aimed at significantly\nchanging their negative attitude towards their intimacy will be vital (Hawton,\n2005). For the husband who has openly\nadmitted to engaging in sexual behaviors that are discouraging his partner from\ngetting intimate, counseling services that will help him to direct his efforts\ntowards her partner in order to achieve the satisfaction he needs other than\nopting to online pornography and masturbation ought to be offered. <\/p>\n\n\n\n In addition, there will be other factors that\nthe couple should put in in mind at the end of the therapy session to enhance\nsexual satisfaction. They include having realistic goals regarding their future\nsexual performances, for instances, they ought not to expect perfect episodes\nof sex every time, as well as being prepared to deal with sexual failures or\nsexual experiences that did not meet their expectations. <\/p>\n\n\n\n Cultural and Diversity Issues in\nthe Theory Used<\/strong><\/p>\n\n\n\n The\napplication of clinical social work knowledge and practice theories in the\ncontemporary society to people with diverse cultural background requires\nclinicians to be sensitive. During questioning, the role of aspects such as\nbehavior and the cultural background of the clients have been considered, to\ngather whether they have contributed to the current sexual relationship\nproblems. There were no questions that have led the clients to feel embarrassed\nor guilty of their values, behavior among other cultural aspects that inform\nthe conduct of the overall human being functionality. <\/p>\n\n\n\n Effect for Personal Identities on the\nCase<\/strong><\/p>\n\n\n\n Being\na lady, I might be biased while dealing with the case and lean on Oni\u2019s side\nwho seem to be suffering while her husband is content and he is quenching his\nsexual thirst elsewhere. Instead of focusing on addressing the deeper issues\nthat are possibly affecting their sexual relationship he focuses on a blame\ngame that escalates the problem further. <\/p>\n","protected":false},"excerpt":{"rendered":" Solution focused brief theory primarily focuses on finding solutions at the present time and exploring the hope for an individual in efforts to finding quicker solutions to their problems (Gingerich & Eisengart, 2000). The theory contradicts the traditional forms of therapy which usually take time to analyze individuals problems and their past life events. 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