Vargas Family Case Study: Second Session
Vargas Family Case Study: Second Session
Based on the collected information related to the Vargas family, it is evident that the family has major problems. This includes Frank’s behavior, which has led to other problems in the family. The other problem includes the marital issues that Bob and Elizabeth are having which have led to frequent arguments between the couple. This second session will involve a deeper analysis on the impact of Frank’s behavior to the other family members. Cognitive and psychoanalytic behavioral perspectives will be used to examine the Vargas family to evaluate the relationship between theoretical framework and the therapeutic aspect (Goldenberg & Goldenberg, 2013).

Main Presenting Problems for the Vargas Family
These problems have been determined after a careful analysis of the information collected in the first session (Goldenberg & Goldenberg, 2013). From the information collected, it is evident that Bob and Elizabeth have issues in their marriage as well as problems with their children, which are attributed to Frank’s behavior. This has led to lack of peace between the family members as Frank is restless which keeps his mother in constant worry in fear of her son hurting herself. Frank also harasses his sister, which is seen when he snatches a phone from his sister.
Frankie also tore up her sister’s school paper with the gold star in it, which made Heidi who is her sister to cry. Frank’s behavior has negatively affected everyone in the family except his father who thinks that he is just a normal boy who is just creative. Bob’s marriage to Elizabeth has also had negative effects since the start of Frank’s behavior change. This has led to conflicting opinions regarding Frank’s behavior with his mother arguing that the boy has ADHD while her father thinks that the boy is normal and just being creative.
How Are the Problems Maintained From the Psychoanalytic Perspective?
A psychoanalytic perspective is based on the reason that individuals have unconscious thoughts, which influence their behavior. Bringing these thought into the conscious mind can help in addressing some of the negative thoughts stored in the unconscious mind (Wegman, 2014). From the psychoanalytic perspective, Elizabeth’s thinking that her son is suffering from ADHD and that his behaviors are the reason behind her marriage issues has maintained the problems in the Vargas family. Her husband Bob on the other hand sees no problem with her son, which makes him reluctant to solve her marital issues with his wife (Wegman, 2014).

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How Are the Problems Maintained From the Cognitive-Behavioral Perspective?
A cognitive-behavioral perspective involves a therapy approach, which states that learning processes play an important role in the development and maintenance of certain behaviors. The learning process influences our thoughts, our emotions, and our behavior, which is evident in the Vargas family (Wegman, 2014). Elizabeth’s thoughts about her son have negatively affected her emotions and her relationship with her husband. With the thoughts that her son’s behavior has contributed to her marital problems, she believes that addressing Frank’s behavior will address her problems with Bob. Bob on the other hand believes that her son is normal and sees no reason to seek counseling help. Due to these different thought patterns between Bob and Elizabeth, the problems have continued to persist (Wegman, 2014).
Interventions to Use in the Next Session from the Psychoanalytic Perspective
Psychoanalytic treatment interventions aim at bringing the restrained conflict to the conscious mind, which is the first step to address the current issues. It is difficult to address a conflict if the individuals involved do not understand the unconscious mind (Kellerman, 2014). One of the psychoanalytic interventions is the transference interpretation, which involves helping the patients to relax then collecting information about their experiences and emotions. This helps in identifying unmet needs of clients in their unconscious mind (Kellerman, 2014). The second analytic intervention will involve a free association, which is a technique, which involves allowing the patients to talk about any issue in their mind. During this process, a counselor is able to grasp some of the information from the client’s unconscious mind, which will help in determining some of the issues affecting the client (Kellerman, 2014).
Interventions to Use in the Next Session from the Cognitive-Behavioral Perspective
Cognitive behavioral perspective will involve interventions to examine the association between thoughts and behaviors, which is used to identify negative thoughts, which may contribute to issues affecting clients (Craske ; American Psychological Association, 2017). Information collected from this approach is used in developing skills and goals to address the arising issues, which include implementing strategies to develop new behaviors. One of the cognitive behavioral interventions includes behavioral experiments, which are used to test a client’s thoughts. This can be conducted on Frank to determine Frank’s thoughts, which have led to the behavior change (Craske ; American Psychological Association, 2017).
This experiment can be used to change the thought process of Frank, which has led to problems that his family is facing. A second cognitive behavioral intervention will include skills training which involves providing remedy skills to address any deficits identified which can include social skills and training on better communication (Craske ; American Psychological Association, 2017). The Vargas family has communication problems, which have contributed to the current situation, and these skills should be taught to this family to improve how they communicate and solve any arising issues. Frank has also social problems, which are seen with how he relates with his sister and mother (Craske ; American Psychological Association, 2017).
The Role of the Counselor in the Change Process from the Psychoanalytic Perspective
The counselor will have a role of helping patients in remembering and repeating positive behavior. This process involves the counselor implementing strategies to transform the thought process of patients, which can be achieved by studying certain variables and controlling the variables to achieve certain goals (Wegman, 2014). This can be achieved by an analysis of the current problems and how desired change can be achieved. In the Vargas case, it is important to transform the thought process of Frank to adopt the expected behavior, which will not cause any harm to the family members. Bob and Elizabeth should also be taught to understand their child and solve their marriage issues (Wegman, 2014).
The Role of the Counselor in the Change Process from the Cognitive-Behavioral Perspective
From a cognitive-behavioral perspective, the counselors will have the role of helping the clients in understanding their thoughts and feelings, which influence their behavior that leads to negative outcomes (Nezu, Martell, ; Nezu, 2014). The counselor will help the Vargas family in dealing with Frank’s problem, which has led to the problems currently facing the family. This perspective allows a counselor to focus on a specific problem, which is the case in the Vargas family (Nezu, Martell, & Nezu, 2014). The counselor will help Frank in changing from the destructive thoughts, which have led to negative effects on her sister and her mother. This behavior has negatively influenced her mother, which has led to problems with her husband. This counseling approach focuses on the thought process, which is believed to influence the behavior patterns of an individual (Nezu, Martell, & Nezu, 2014).
Craske, M. G., & American Psychological Association. (2017). Cognitive-behavioral therapy. Washington, DC: American Psychological Association.

Goldenberg, I., & Goldenberg, H. (2013). Family therapy: An overview. Belmont, CA: Brooks/Cole, Cengage Learning.

Kellerman, H. (2014). Psychoanalysis of Evil: Perspectives on Destructive Behavior. Cham: Springer International Publishing.

Nezu, C. M., Martell, C. R., & Nezu, A. M. (2014). Specialty competencies in cognitive and behavioral psychology. Oxford: Oxford University Press.

Wegman, C. (2014). Psychoanalysis and Cognitive Psychology: A Formalization of Freud’s Earliest Theory. Saint Louis: Elsevier Science.