Reality Therapy Case Study

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REALITY THERAPY CONCEPTS continued
Using the case of Aaron, you will again be applying several Reality Therapy concepts to the information in the case
1. Step 2 is identifying what the client is DOING to get their WANTS (related to each NEED) met.
Belonging-Aaron may want a relationship with his peers as well as to have fun and play; what he is doing is achieving passing academic grades like his peers, and he plays alone. However, Aaron actions meet his want to belong at school which is disrespectful and unkind toward his peers and teachers. Also, he wants his mother’s love and positive attention to strengthen their relationship. Nevertheless, Aaron is demonstrating negative behavior at home to gain his mother’s attention by being destructive.
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Additionally, he is not meeting his desire for achievement in social skills by acting disruptive and rude to peers in school.
Fun/enjoyment- Aaron is meeting the want for fun by playing games. He is not meeting his want in staying on task by going game to game and acting out when others try to join him or make suggestions. This behavior limits Aarons want for fun and enjoyment.
Freedom/Independence- He is meeting his desire for freedom in his effort toward attention-seeking and is not meeting his want for boundaries. He seems to want limits and boundaries set by his mother and may need to set his own through a choice of self-control.
2. The next step in RT is to assist the client in EVALUATION. You will need to use the handout titled "RT Practice" to answer this question.
Note that there are many types of evaluation (i.e., evaluating their wants; how well their behavior is working for them in getting their stated wants; the direction their behavior is taking them in meeting the wants and in their life; whether their wants are desirable; their level of commitment to making the change, etc.). The counselor would point out or confront the discrepancy between what the client says they want and what they are doing and would ask them to make several types of
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He also wants set limits or boundaries, and this may be an accomplishment through the choices Aaron makes. The evaluation of his wants shows that Aaron wants to meet his needs through negative attention and negative behavior. Therefore, a plan might include that before the next counseling session, he will do three nice deeds for a family member in one week, which is simple, attainable and may report as successful (measurable) by Aaron (self-report) or his mother. However, for a level three of commitment to be simple, Aaron may do three nice deeds; what may likely happen is these actions will be achievable and not something that Aaron will stop doing. If Aaron choices to act impulsively, disrespectful or unkind, he can count slowly from 1-10 before he decides to be unkind or disrespectful. Therefore, giving him an immediate chance to de-escalate and think before making unhelpful choices. Subsequently, one of Aaron’s goals may read that he will do three nice deeds of his choosing for others three times per week for six

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