A Case of Infidelity: Treatment Plan

The purpose of this report is to provide details of alternative treatment plans for a dysfunctional married couple, Luis and Rachel, who present to therapy with a history of marital infidelity, mistrust, physical abuse of the wife, and unemployment and frequent absences on the part of the husband. While Luis and Rachel have agreed to participate in treatment designed to facilitate marital stability and maintenance of the marriage union, Luis has expressed in preliminary sessions his feeling that it is "only" because of the children that he will contemplate treatment and that he continues to feel contempt for his wife due to her infidelities. Rachel, on the other hand, appears sincerely committed to making the marriage work not solely for the children's sake. These attitudes must be addressed in any treatment plan that id developed for the

The report will first identify the specific treatment goals, accompanied by outcome statements and indicators of success. It will then describe behavioral, cognitive, and solution-focused interventions. Evaluation of intervention efficacy will be addressed as well. Measures of progress, both formal and observational, will be described. Professional theoretical and empirical literature will be employed in describing treatment plans and potential outcomes.

There are several specific treatment goals for all of the treatment strategies that are

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that cognitive therapy assumes that maladaptive behaviors or disturbed moods and emotions are the result of inappropriate or irrational thinking patterns called automatic thoughts. Instead of reacting to the reality of a situation, an individual reacts to his own distorted viewpoint of the situation. Cognitive therapists work to make their patients aware of these distorted thought patterns and to change them through the process of cognitive restructuring. In the case of Luis, the fundamentally flawed cognition is that Rachel is a "worthless" person - a belief based on the fact that when Luis met Rachel she was living away from home, selling his drugs, and engaged in an affair with him that led to a pregnancy. Her two subsequent infidelities simply functioned to confirm Luis' belief that she was unworthy as a wife and as a mother. To challenge this cognitive distortion and reformulate a dysfunctional belief, the therapist must dispute Luis' beliefs, focusing on the positive actions that Rachel has undertaken to salvage their marriage, care for their children, and acquire the education and job experience needed to support her family. Ford-Martin (1999) contends that cognitive rehearsal can be used to achieve this reversa
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Approximate Word count = 4328
Approximate Pages = 17 (250 words per page)

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