Cognitive Detections: A Case Study

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Per Bitter, there are 10 behaviors related to cognitive distortions (2014). There are four participants in our example and for identification purposes, they are referred to as therapist, dad, mom, and daughter. Family background starts with a couple that had their first daughter when they were relatively young compared with the other children. This eldest daughter is helpful in many regards, however, her increased responsibilities have left her feeling confused about her role in the household. The power struggle is born out the parenting force being extended through the daughter resulting in the daughter’s sense of entitlement.
The initial exchange begins with the daughter combining several distortions. First, she overgeneralizes about
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He asks the daughter if the only time her parents pay attention to her is when she is being the “responsible oldest child”. She responds by saying, “I don’t know about that”. He counters by asking her if she thinks this might be why she assumes these roles and she only responds with “possibly”. The therapist takes an additional step by posing the idea if the daughter didn’t fill that role, would she get any attention from her parents? It seems to create doubt in her assertions.
The overview of the situation is a good example of tunnel vision. The daughter is strong-willed and wants things her way. Here, the daughter makes mind reading statements believing she knows what her parents are “up to” (Bitter, 2014). Ultimately the daughter believes being less confrontational is a sign of weakness. The therapist leaves her with the task of discovering if that, in fact, is really true.
When working with Hispanic families social worker should always remain culturally sensitive to the client culture and address the problem from the client point of view. The social worker should be able to aid the client in finding their strength and using self-efficacy to solve their problems. The social worker should assist the client in the needed resources and services that will help them to manage or solve the problem or issues that they are

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