Peer Responses

Response to Peer (BW)

Hello,

Thank you for your post. Your case exposes the complex inter-relational dimensions of trauma, emotion regulation, and self-efficacy, and your intervention as a strengths-based, client-focused, cog-behavioral maneuver is visceral and pragmatic. The use of guided journaling and narrative therapy is a good strategy for empowering the client to regain their voice and discern their strength (Ruini & Mortara, 2021). It was appropriate to use the Connor-Davidson Resiliency Scale (CD-RISC) because of its reliability, ease of use, and standing with adult clients with trauma-related symptoms: Peer Responses.

I would use the data obtained from the CD-RISC to track my client’s progression of increasing resilience and coping over time. If the evidence indicated that the practice is effective, I would use it as evidence of an effective intervention to generalize to similar experienced clients. I would look at the intervention design to see if there were minor alterations. Possibly, I would review the approach by supplementing this with a trauma-informed care approach targeting underlying barriers more responsively.

Reference

Ruini, C., & Mortara, C. C. (2021). Writing technique across psychotherapies—From traditional expressive writing to new positive psychology interventions: A narrative review. Journal of Contemporary Psychotherapy, 52(1), 23–34. https://doi.org/10.1007/s10879-021-09520-9

Response to Peer (JH)

Hello,

Thank you for your post. Your case illustrates just how influential resiliency theory can be for supporting recovery, especially for clients with a long history of misuse of substances. The client’s potential for a return to sobriety after relapse was predicated on the identification of triggers, and the building of personal strengths indicates a high level of inner growth. The use of the Connor-Davidson Resiliency Scale (CD-RISC) is logical given that it measures core elements of resilience such as adaptability, grit, and personal mastery, all areas that are amplified throughout the client’s process (Ismail et al., 2022).

I would use the CD-RISC information for the subsequent phase of the client’s recovery plan to identify her subsequent course of action based on trends across time, enhancing her resilience score. I would use these trends within the CD-RISC score to determine whether the current interventions keep her on a sustaining course or if some novel support, such as relapse prevention counseling or peer support groups, is required.

References

Ismail, N. E., Hui, W. M., Goh, K. W., Jimam, N. S., Hermansyah, A., & Ming, L. C. (2022). Resilience among Malaysian community pharmacists and general medical practitioners using the 10-item Connor-Davidson Resilience Scale (CD-RISC): The first national survey. Behavioral Sciences, 12(8), 272. https://doi.org/10.3390/bs12080272

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Peer Response (BW) 1:

Case Description

During my fieldwork, I worked with a middle-aged woman who was navigating the aftermath of intimate partner violence while also managing financial instability as a single parent. She presented with chronic anxiety, self-doubt, and a history of childhood trauma, and would have benefitted from a structured resiliency-based framework to support healing and promote long term stability.

Presenting Problem

The presenting problem involved emotional dysregulation and hopelessness stemming from repeated relational trauma and a lack of perceived self-efficacy.

Intervention to Promote Resiliency

To promote resiliency, I would implement a strengths-based cognitive-behavioral intervention focused on increasing coping skills, reframing negative core beliefs, and fostering a greater sense of internal control. The intervention would also incorporate guided journaling and narrative therapy techniques to help the client identify personal strengths and moments of resilience across her life span.

Instrument to Evaluate Resiliency

To evaluate the effectiveness of this intervention using a single-subject design, I would use the Connor-Davidson Resilience Scale (CD-RISC), which is one of the validated instruments reviewed by Smith-Osborne and Whitehill Bolton (2013).

Rationale for Instrument Selection

The CD-RISC is an appropriate tool for this case because it was developed for use with adults and measures multiple dimensions of resilience, including personal competence, tolerance of negative affect, and positive acceptance of change. It is relatively short, using twenty-five items, easy to administer in clinical settings, and can be completed without significant cost or training, making it feasible in both community mental health and private practice contexts. Most importantly, the CD-RISC is sensitive to change over time, which makes it a strong fit for evaluating progress through a single-subject design, particularly when tracking client outcomes over multiple sessions (Smith-Osborne & Whitehill Bolton, 2013).

Reference

Smith-Osborne, A., & Whitehill Bolton, K. (2013). Assessing resilience: A review of measures across the life course. Journal of Evidence-Based Social Work, 10(2), 111–126. https://doi.org/10.1080/15433714.2011.597305Links to an external site.

Peer Responses

PEER RESPONSE (JH) 2

Reflect on your fieldwork or other professional experience and identify a case where it would have been beneficial to employ resiliency theory. Describe the case in 2 sentences.

At my job there is a woman who previously used crack cocaine and was clean for 20 years until she met a guy and relapsed. Using resiliency theory we identified her triggers, adjusted in her life, and identified her strengths which has encouraged her to leave the man alone and has been clan from crack for six months.

Describe the presenting problem in one concise sentence.

The client relapsed into crack cocaine use after 20 years of sobriety due to a new relationship but has since regained sobriety for six months by identifying triggers and building on personal strengths.

Describe an intervention you would implement to promote resiliency.

Interventions include identifying and avoiding triggers, developing healthy routines, and strengthening her support system.

Identify an instrument from the Smith-Osborne and Whitehill Bolton’s article that would be appropriate when employing a single-subject design to evaluate how effective the intervention is in increasing the client’s level of resiliency.

From Smith- Osborne and Whitehill Bolton’s (2007) article I would utilize The Connor-Davidson Resilience Scale which proposes health contributes to resilience and can be treated when mental illness is the cause of ongoing struggles.

Explain why you selected the instrument.

Once the client decided she wanted to make changes and get clean her resilience increased, giving her the strength to leave the toxic relationship and maintain her sobriety.

In other words, why would the instrument be appropriate? (Consider the age of the client and for whom the instrument was designed, how feasible it would be to administer the instrument such as cost, time to administer it, etc.).

This tool would be appropriate because once she stabilized her substance usage, she developed the strength to leave the toxic boyfriend, identify her strengths and trigger, and developed coping skills.

Reference

Smith-Osborne, A., & Bolton, K. W. (2013). Assessing resilience: A review of measures across the life course. Journal of Evidence-Based Social Work, 10(2), 111–126. https://doi.org/10.1080/15433714.2011.597305