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Narrative Approach : A Boy With A Heart Video

Narrative Approach : A Boy With A Heart Video



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Published by Te-Erika
My reaction and analysis paper to the video Boy With A Heart. The case of therapist David Epston's interaction with Sebastian, a teenager accused of attempted murder. Epston's narrative approach.
My reaction and analysis paper to the video Boy With A Heart. The case of therapist David Epston's interaction with Sebastian, a teenager accused of attempted murder. Epston's narrative approach.

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Categories:Types, School Work
Published by: Te-Erika on Mar 31, 2009
Copyright:Attribution Non-commercial


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CSL 652 Narrative Therapy Response to
 A Boy With a Heart 
: The VideoBy Te-Erika PattersonBarry UniversitySpring 2009
Upon examining the case of young Sebastian, a child who was hospitalized in a mentalfacility after attempting to choke another child with a chord, we can recognize that thedominant story that he is dealing with about his life centers around violence as a releaseof aggression. Young Sebastian, whose native language is Swedish, sat down with anEnglish speaking counselor, David Epston, to discuss his life and behavior.From an early age he watched the tumultuous and often violent relationship between hismother and father. After his mother left his father and his mother remarried, the violenttensions at home ceased. Although his stepfather wasn’t violent, Sebastian had already been exposed to violence as a way of living and releasing aggression.This exposure plagued him in his interactions with others, creating the story that he was predominately a “Bad” child. Throughout the interview, the counselor used a myriad of techniques to discover the fact that Sebastian believed he was equal parts good and badand that he felt isolated within his self. The emerging alternative story line that wasconceptualized by the counselor, with the help of Sebastian, was that Sebastian was notalone and indeed had a team of people on his side to help his good side win out over the bad side of his personality.An excellent technique used by the counselor was the identification of a unique outcomewhich would be the antithesis of the dominant story that has plagued the client. InSebastian’s case, the counselor helped him to identify times when the “bad side” did notwin out over the “good side”. After a faulty beginning, the counselor helped Sebastian to
see that with the aid of the memory of his deceased sister Linea living within his heart, hecould use that as added strength to overcome the bad side.As a part of an extended treatment plan that not only involves one on one counselingsessions, individual sessions with the nuclear family could also be arranged withoutSebastian’s presence. By meeting with the nuclear family and setting goals for interactionwith Sebastian and reinforcement of support, the family can learn how to be a changeagent in his life. Emphasizing unique outcomes in the home on a consistent basis willturn the unique outcomes into consistent outcomes, reducing the former dominant storyto become the alternative story.The transcript of the conversation between Sebastian and the counselor is rich withexamples of creative intervention techniques. The counselor helped Sebastian externalizethe problem, which means to view the problem as an outside entity, completelyindependent of the person. By taking a marker and drawing on the white board, thecounselor helped Sebastian use symbols to identify the good and bad side of himself.Sebastian chose a heart to symbolize the good and a cactus to symbolize the bad.A strategic line of questioning is often necessary to gain a deeper insight into the psycheof the client. By using landscape of action questions like, “What would Tom Berlin do inthis situation?” the client will be empowered to imitate the actions of someone headmires. Another approach is the landscape of meaning question like, “What would itmean if you chose to hold your sister in your heart all the time?”

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