Sunil in Treatment: Sunil Intake, Essay

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Sunil's willingness to return indicates that this approach was effective. As a therapist, I would not judge Sunil and would allow him to direct the initial phases of the process. Rather than immediately delving into the loss he had experienced after his wife's demise, for example, I would allow Sunil to talk about what might seem like rather petty grievances attached to his immediate living situation. Sometimes talking about external, mundane circumstances are a conduit to exploring to deeper issues; moreover, it is not my place as a therapist to judge what is 'most significant' or insignificant.

ESSAY 4: Bronfenbrenner's (1976, 1988) description

On the microsystem of Sunil's immediate psychological conflict, through talk therapy and perhaps the use in the future of some antidepressants (depending on Sunil's feelings about the use of medication), Sunil's mood disorder may be treated. The mesosystem of dealing with family conflicts may require equipping Sunil with more effective techniques to cope with the conflicts between his children or a family-wide therapy session to create a more effectively integrated and responsive family structure.

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The exosystem of larger cultural awareness requires an understanding of the therapist's part of how not all cultures are equally supportive of therapy and that many cultures support a more patriarchal dynamic than is acceptable in the west or would be acceptable to Sunil's larger family. A non-judgmental, culturally sensitive approach during all individual family situations is required.

Finally, a macrosystem-level approach demands that the therapist work to create a family dynamic and living situation which is acceptable to all persons living in Sunil's house, based upon the current economic and social pressures that often leave older adults in the care of younger children, including directing Sunil to support groups or suggesting other activities for him. The overall desire change is to allow Sunil to function in a positive and empowered fashion, given his current life limitations, and build a new life in the United States. The family must also be able to function as they normally did, but reconstitutes the dynamic so that Sunil feels a part of the family, rather than peripheral to its.....

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