Discussion 1: Cultural Perceptions Intergroup Competence and the Dual Perspective Model
Cultural identities such as race and ethnicity religious persuasion sexual orientation and ability and the cultural perception of these identities often influence individuals interactions with others in society. When cultures differ bicultural socialization represents an individuals ability to integrate positive aspects of his or her culture with the prevailing societal culture. Think back to the systems theories you examined earlier in the course. How might these identities affect an individuals interactions within the family or immediate community system or what the dual perspective model refers to as the nurturing system? Would these identities affect an individuals interactions within the larger social system that includes commercial political economic and educational subsystems or what the dual perspective model refers to as the sustaining system? The answers to these questions exist in your ability to understand your clients experiences and your understanding of the interconnection that exists among your clients cultural identities otherwise referred to as level of intergroup competence.
For this Discussion review this weeks resources including the Petrakis Family video case. Consider the cultural influences depicted in the video and how Helen and the interns ethnic and racial identities might be relevant to their interaction. Then think about any video evidence of the interns perception of Helens culture and how it might compare to the interns level of intergroup competence. Finally reflect on how the intern might apply the dual perspective model in the interns approach to Helen.
Post a summary of the cultural influences depicted in the video and explain how Helen and the interns ethnic and racial identities might be relevant to their interaction.
Then explain any video evidence of the interns perception of Helens culture and further explain how the interns cultural perception might reflect her level of intergroup competence.
Finally explain what social work skills the intern might use to apply the dual perspective model in her approach to Helen.
Petrakis Family Episode 1
Program Transcript
FEMALE SPEAKER: OK Mrs. Petrakis what I’d like to do is ask you a few
questions just so I get a good understanding of what’s going on. First let’s start
with what brings you here today.
HELEN PETRAKIS: [LAUGHS] What brings me here? Let’s get down to
business. I will tell you what’s going on.
My husband and I are Greek. Petrakis big surprise right? We’re Greek
Orthodox. You know what that means? It means tradition and family the old
fashioned way. Nothing is more important than family nothing. Young people
today they don’t seem to care so much. For me it’s everything to my last breath.
FEMALE SPEAKER: Yes but
HELEN PETRAKIS: So that means I take care of my family not just my husband
my children too. We have three. There’s Alek he’s 27 and Dimitra she’s 23
and Athena 18. They all live at home and so I take care of all of them. A
mother’s work is never done.
FEMALE SPEAKER: Mrs. Petrakis
HELEN PETRAKIS: Oh no no. Call me Helen please. Let me finish. So is it all
too much for me? Of course it is. I also work full time at the hospital billing
department. [LAUGHS] You have no idea how much that place overcharges. Let
me tell you. Don’t get sick at a hospital. They will bleed your money.
Anyway I’m already feeling overwhelmed like a crazy person. Sometimes I find
myself crying for no reason. And now my mother-in-law’s got dementia and I’m
running over to her place every chance I get to look after her too.
FEMALE SPEAKER: Wow. You certainly have your hands full. May I ask
HELEN PETRAKIS: Magda.
FEMALE SPEAKER: Excuse me?
HELEN PETRAKIS: Oh that’s my mother-in-law’s name. She’s 81. But dementia
is not the worst of it. She fell in her apartment and broke her hip and how she
can’t go out. So I’m running over there every chance I get to make sure she has
what she needs.
And then last night I had a thought. Alek my 27-year-old. He’s not working right
now. What if he moved in with grandma and helped take care of her? That way I
can relax a bit know she’s OK and not be going out of my mind every day like a
crazy person. I mean what do you think? Grandson gets to know his
grandmother a little bit gives his mom a break. It’s a good solution right? Right?
FEMALE SPEAKER: Yes. Yes it sounds real good.
Reference (use 3 or more)
Robbins S. P. Chatterjee P. & Canda E. R. (2012).Contemporary human behavior theory: A critical perspective for social work(3rd ed.).Upper Saddle River NJ: Allyn & Bacon.
Dominelli L. & Hackett S. (2012). Internationalising social work theory and practice.International Social Work55(2) 151153.
Bernal G. Jiminez-Chafey M. I. & Domenech Rodriguez M. M. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice.Professional Psychology: Research And Practice40(4) 361368.
Laureate Education (Producer). (2013).Petrakis family: Episode 1[Video file].
Discussion 2: Treating Psychotic Disorders
There are two major types of antipsychotic medication. Typical antipsychotics are older drugs such as chlorpromazine and haloperidol. Typical antipsychotics tend to be highly effective yet they often have severe side effects. Older clients are more likely to have been prescribed typical antipsychotics before newer atypical antipsychotics became available. However as long as the client is tolerating the medication generally the treatment will continue.
Atypical antipsychotics or newer drugs tend to be tolerated more readily and the side effects are less severe (Perry Alexander Liskow & DeVane 2007). Since typical antipsychotics often have severe side effects they are used as a last resort when the atypical antipsychotics are not effective. Nevertheless both antipsychotic medications manage thepositivesymptoms of schizophrenia or other psychotic disorders including hallucinations and delusions.
For this Discussion review the media programs Psychotic Disorder Case Study: Harry andPsychotic Disorder Case Study: Ralphand consider the case studys current antipsychotic drug treatments. Next you will be placed into one of two groups (i.e. Group A: Harry case study or Group B: Ralph case study). You then will post to your specific group about your assigned case study. You will then respond to a colleague from the opposite group about their case study.
Post an alternative antipsychotic drug treatment for your assigned case and explain why you think it is more appropriate.
Explain the potential negative side effects and identify symptoms that may not be relieved by the treatment.
Then explain one potential ethical concern related to this clients treatment and your role as a mental health professional once the client has been stabilized on his medication.
Psychotic Disorder Case Study: Harry
Program Transcript
[MUSIC PLAYING]
HARRY: Hey. I’m Harry. I guess I need to talk to you about the voices. I’m
schizophrenic. And I tried Seroquel. I tried Zyprexa. I’ve taken Geodon and
Risperdal the whole shoot and shebang.
They work or they work pretty well for a while. I’m having trouble controlling the
voices again. The voices are getting stronger. I can hear them now.
Dr. Davis says he’s going to try to have to dig deeper into his bag of tricks to find
something that will work. I don’t know he’d want to play a trick on me. I’m not
going down that rabbit hole. What?
So I’ll take these stronger drugs that used to be on thestop. Stop. Stop. Stop.
Stop. Stop that. The drugs from that bag are golden. These are dark and cloudy.
I’m ready for it to stop.
Sorry. [MUMBLING] How can I live alone if the voices keep getting stronger?
How can counseling help me other than to help me keep a straight thought for
five minutes and figure out about this newI mean old pill in the rabbit hole?
References (use 3 or more)
Laureate Education (Producer). (2012f).Psychotic disorder case study: Harry[Video file].Baltimore MD: Author.
Lichtblau L. (2011).Psychopharmacology demystified. Clifton Park NY: Delmar Cengage Learning.
Preston J. D. ONeal J. H. & Talaga M. C. (2017).Handbook of clinical psychopharmacology for therapists(8th ed.).Oakland CA: New Harbinger.
Lieberman J. A. Stroup T. S. McEvoy J. P. Swartz M. S. Rosenheck R. A. Perkins D. O. Hsiao J. K. (2005). Effectiveness of antipsychotic drugs in patients with chronic schizophrenia.New England Journal of Medicine 353(12) 12091223.