Read the “Canyon Family Case Study: Final Session” and review the previous two case studies.Complete the “Canyon Family Case Study Worksheet.” Once the worksheet is done, complete a Discharge Summary for the Canyon family by incorporating information gleaned while completing the short answer worksheet.Submit the worksheet and discharge summary.This assignment uses a scoring guide. Please review the “Family Case Study Final Session” scoring guide prior to beginning the assignment to become familiar with the expectations for successful completion.While APA style is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.
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mft_621_rs_t5canyoncasestudy5thsession__3_.docx
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Running head: INCORPORATING INFORMATION FROM THE CASE STUDY
Incorporating information from the case study
Student’s Name
Institutional Affiliation
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INCORPORATING INFORMATION FROM THE CASE STUDY
2
Incorporating Information from the Case Study
From the case study, it can be denoted that Anne and Clark Canyon are attending their
first therapy which helps us to know that they have been married for four years with Anne being
twenty-eight years old while Clark, on the other hand, is yet to turn forty years old. It is also
denoted that Clark has a son who is fourteen years old with Cody who is no longer having an
intimate relationship together. They have problems which include Clark believing that Anne
does not trust him despite the fact that he has not betrayed her before (Carson, & Casado-Kehoe,
M. (Eds.), 2013).
Consequently, Anne had invited Rosita and her baby, Carlos, over one evening for dinner
with the family after the two had spent the day together. According to Anne, Lilly and Carlos are
best friends. Anne said that the evening had gone exceptionally well. She reports that “Rosita
and Cody even had a good time” and that they both seemed excited to learn they will be
attending the same high school. You learn that Rosita is 17, lives with her mother, and has two
younger twin brothers. Her sister, Maria, and Maria’s child, Ben, also live in the home, along
with Rosita’s Abuela.
Both provide details surrounding the previous two sessions, which they had canceled.
Harvey suffered a massive heart attack and died three weeks ago. Since then, Daisy has been
staying with Clark and Anne, too distraught to return to the home she and Harvey shared. Clark
is exasperated with Max’s continued tantrums, especially given the numerous explanations he
has given him regarding the intentionality behind his big brother’s antagonism. They ask if
perhaps Cody might be a psychopath Clark shares that Daisy’s unsolicited parenting advice
INCORPORATING INFORMATION FROM THE CASE STUDY
3
contributes to the existing problems; he and Anne promote accountability and autonomy over
fear and militant obedience.
In this regards, there was a need to come up with a lasting solution to their problems.
Clark and Anne, therefore, decided that the most significant action for the improvement is to be
made in their marriage to be successful. It is worth noting that their work therapy helped in
making them t realizes the way each other have always contributed to the perpetual feelings of
individuals. These were the feelings of mistrust and insecurity which had been planted in each
other’s mind.
This was attained by ensuring that they start understanding each other. Clark after a short
while reported that there had been an improvement of understanding especially on the side of his
wife and this was attained through the considerations of the childhood experiences. Moreover,
the report showed that both Clark and Anne have been pleasant with each other with the way
such improvement came so fast. It is also found out that the mother of Clarks son Cody no longer
antagonizes the Max, as well as the children, being seen to enjoy staying together with the
grandmother (Carson, & Casado-Kehoe, M. (Eds.), 2013).
The report adds that Cody continues to enjoy his church youth group, which includes his
friend, Rosita, and her brothers Juan and Miguel. In fact, the families often enjoy meals together
following church on Sunday. Daisy takes this opportunity to learn Spanish from their Abuela. On
special occasions, Lisa and Pat also join the families and together they formed a happy home.
INCORPORATING INFORMATION FROM THE CASE STUDY
Reference
Carson, D. K., & Casado-Kehoe, M. (Eds.). (2013). Case studies in couples therapy: theorybased approaches. Routledge.
4
Topic 5: Canyon Case Study: Fifth Session
You have met with the Canyon family four times since the initial session. During this fifth
session, you concur that some improvement has been made. There are also some new challenges.
After consulting with Anne’s obstetrician following the initial session, you both agree with the
likelihood that Anne is suffering from Post-Partum Depression. Upon your recommendation,
Anne was evaluated by a psychiatrist who confirmed the diagnosis. You learn that Anne is
responding well to the prescribed medication, is exercising regularly, and taking part of the
Mother’s Day Out program at church. Overall, Clark is pleased with her improvement, but he
expresses concern with Anne’s new friendship with a young Mother, Rosita, whom she met at
the church program.
Anne had invited Rosita and her baby, Carlos, over one evening for dinner with the family after
the two had spent the day together. According to Anne, Lilly and Carlos are “best friends.” Anne
said that the evening had gone exceptionally well. She reports that “Rosita and Cody even had a
good time” and that they both seemed excited to learn they will be attending the same high
school. You learn that Rosita is 17, lives with her mother, and has two younger twin brothers.
Her sister, Maria, and Maria’s child, Ben, also live in the home, along with Rosita’s Abuela.
Anne said that she was “completely shocked” at how upset Clark had gotten “for no reason at
all” after they left. Clark attributes the argument to Anne “overreacting” to his suspicion that 6month-old babies can be “best friends.” Anne reports that the argument escalated leaving her
feeling defensive and especially hurt by Clark’s comment, “Cody can make his own friends; he
doesn’t need yours.”
They also provide details surrounding the previous two sessions, which they had cancelled.
Harvey suffered a massive heart attack and died three weeks ago. Since then, Daisy has been
staying with Clark and Anne, too distraught to return to the home she and Harvey shared. Both
agree that Cody’s mood has been increasingly sullen since being forced to temporarily surrender
his bedroom for grieving Grandma. Anne describes Cody as being “selfish and insensitive” for
complaining about being surrounded by “baby toys” due to having to share a room with twoyear-old Max. Anne and Clark express concern that Cody seems amused at being able to elicit
dramatic shrieks of “No! No! I not baby!” from Max, just by calling him “a baby.” Clark is
exasperated with Max’s continued tantrums, especially given the numerous explanations he has
given him regarding the intentionality behind his big brother’s antagonism. They ask if perhaps
Cody might be “a psychopath?” Clark shares that Daisy’s unsolicited parenting advice
contributes to the existing problems; he and Anne promote accountability and autonomy over
fear and militant obedience.
The session ends with both parents being able to identify strengths of compassion and validate
the importance of shared goals. The parents were provided information to increase their
understanding of developmental norms and learn strategies to assist with transitional periods
across the life span.
© 2017. Grand Canyon University. All Rights Reserved.
Topic 8: Canyon Family Case Study: Final Session
Anne and Clark Canyon attend their final session and report feeling somewhat conflicted
regarding the end of therapy. Though they have met most of their goals, they share some
reluctance about their ability to maintain the progress without therapeutic assistance. This normal
response was discussed followed by a review of their therapeutic progress.
Anne had returned to work three months earlier on a reduced schedule, which requires spending
only two nights per week away from home. Anne shares that she appreciates this time away and
has enjoyed reconnecting with many of her coworkers. On those nights, Daisy stays with the
Canyons to help with the children. She has recently moved back into the home she shared with
Harvey; this arrangement is helping her cope with the loneliness. Clark reports some lingering
challenges related to generational differences in parenting styles but states that he tries to avoid
the topic. Anne confirms that her mother has been more sensitive since Harvey’s death and
inquires about available resources. A variety of options are explored; Anne and Clark express
optimism with the plethora of community supports.
Clark and Anne agree that the most significant improvements were made in their marriage. They
share that their work in therapy has led them to realize how they were each contributing to
perpetuating feelings of insecurity and mistrust. Clark reports a greater understanding of Anne’s
perspective when considering the experiences of her childhood. In addition, they both report
being pleasantly surprised at the positive impact their improved relationship has had on the
children. They report that Cody no longer antagonizes Max and that, overall, the children seem
to be enjoying spending time with their grandma. They add that Cody continues to enjoy his
church youth group, which includes his friend, Rosita, and her brothers Juan and Miguel. In fact,
the families often enjoy meals together following church on Sunday. Daisy takes this opportunity
to learn Spanish from their Abuela. On special occasions, Lisa and Pat also join the families.
© 2017. Grand Canyon University. All Rights Reserved.
Topic 8: Discharge Summary
Directions: Complete the Discharge Summary form by addressing the fields below.
Client Name:
Date of Birth:
Date of Admission:
Date of Discharge:
Presenting Problem upon Admission:
Initial Goals for Therapy:
Summary of progress (or lack thereof) toward goals, interventions used, client response:
Therapist recommendations for aftercare:
Resources & Referrals:
, ##/##/##
Client Signature & Date
Therapist Signature & Date
© 2016. Grand Canyon University. All Rights Reserved.
Topic 1 and 2: Canyon Family Origins Case Study
When Anne and Clark Canyon attend their first therapy session, you learn the following:
Anne and Clark Canyon have been married for 4 years. Anne is 28 and Clark will be turning 40
next month. Clark has a fourteen-year-old son, Cody, who splits time between living with his dad
and Anne, and his mother, Lisa, and her partner Patricia. Lisa and Clark were never married,
much to the disappointment of Lisa’s parents, who are devout Catholics. In fact, they met at a bar
the night Lisa graduated from college, and conceived Cody that same night. Their relationship
has always centered on Cody and they are committed to parenting him to the best of their
abilities. Despite the dual-living arrangement, Anne, Clark, and Cody continue to attend mass
together and share some holidays as well. Until recently, Lisa and Clark have had limited
support. Clark’s parents live 600 miles away and care for his only sibling who is disabled. Lisa’s
parents distanced themselves from her when she had a child out of wedlock. When her lesbian
relationship with Pat began three years ago, they completely disowned her. Pat has a ten-year-old
daughter, Sadie, who spends most of her time with Lisa and Pat. Sadie’s father is incarcerated for
domestic violence against her mother, but she is very close to both sets of grandparents who live
nearby.
Anne and Clark have a 2-year-old son, Max, and a newborn daughter, Lilly. Currently, Anne is
on maternity leave but she plans to return part time to her job as a flight attendant. Anne is the
eldest of five children. Her father Eric, who was eleven years older than her mother, left the
family when she was 13-years-old and nobody has seen him since. Her mother Daisy did not
have an education; she married young, and Eric insisted that she stay at home with the children.
When Anne’s father left, Daisy had to work two jobs, which left Anne responsible for caring for
her younger siblings. While Anne was at school, her grandmother watched her twin sisters, who
were too young for school. Anne walked her other two siblings to and from school every day,
then would care for all of her siblings, since her grandmother worked evenings. Anne put herself
through college, working in the lab at the hospital where she met Clark, who was there when
Cody was getting his tonsils out. She was impressed by how attentive he was to his son; he
admired her ambition. They instantly fell in love and were married within six months,
immediately following Anne’s college graduation. Clark sells real estate and is most grateful for
his flexible schedule, which allows him to spend time with his family. Ten years ago, Anne’s
mother married a wonderful man, Harvey, who is fifteen years her senior. They spend their
winters in the desert and enjoy the summers in Montana, where Harvey’s children and
grandchildren live.
Anne and Clark report several challenges. According to Clark, Anne does not trust him, yet he
has never betrayed her. Clark states that Anne “never” trusted him, but that he initially found her
frequent calls and texts to be a sign of her affection, not her insecurity, as he feels it is now.
Anne admits that she has been known to “jump to conclusions” but states that she has always
been “the suspicious type.” She complains that Clark “never answers his phone” and will
frequently “ignore” her texts. Clark disputes this and believes it is rude to answer his cell phone
while he is with clients. He admits that he is not diligent about checking messages, especially if
© 2017. Grand Canyon University. All Rights Reserved.
he is spending time with the children, and insists that Anne is being irrational. Both agree that
things are worse when Anne is out of town, traveling for work.
The recent changes in her mood, however, are of added concern. Anne reports feeling
increasingly “sad and unmotivated” and is questioning her desire to return to work. She admits
feeling lonely and “unfulfilled” at home, and becomes tearful as she shares feelings of guilt. She
questions her ability to be a good mother but insists that she loves her children dearly. As she
cries, Clark does not attempt to soothe her, but sits with his arms crossed, nonplussed by her
emotion. He rolls his eyes as Anne reports feeling “exhausted all the time” then he sarcastically
adds, “She’s even too tired to shower most days.” Anne does not respond.
Clark expresses frustration saying he has “given up” trying to help her. He complains that she
rejects all of his suggestions, such as Mother’s Day Out at church and stroller exercise classes,
yet she won’t come up with her own ideas. Anne claims that Clark is always angry with her.
Clark agrees that it is annoying to return home from work to find the house unkempt with no
plan for dinner. He admits to getting angry with Anne when she goes straight to bed, leaving him
alone to care for both children for the remainder of the evening. On a few occasions, Sadie’s
grandparents have offered to help, but Anne refuses to accept their offer. Daisy and Harvey are
also concerned, and are planning to help when they return for the winter. Clark fears that their
marriage is in serious trouble and can’t help but take Anne’s overall apathy personally. Anne
agrees to attend therapy, hoping it will put an end to Clark’s constant complaints.
© 2017. Grand Canyon University. All Rights Reserved.
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