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Child sexual abuse effects in adulthood
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Patrick
Patrick is a 30-year-old black male who grew up in Lowell, Massachusetts with his little sister and a single mother. Patrick was the product of rape and grew up in a hostile environment. His mother has always been depressed and was emotionally detached. Patrick has developed a complex trauma because of prolonged exposure to physical, and emotional abuse. Now, Patrick struggles and has feelings of low-self-esteem, emotional regulation, and has a hard time trusting people. This issues have made it difficult for Patrick to function at his job (manager at TGI Fridays) and with relationships. Patrick is very irritable and can become anxious in emotionally charged situations. He cut-off his relationship with his mother and sister about 8 years ago. 2 years ago Patrick met Sarah, who he has grown close to but finds himself having fights with constantly. Patrick has never said that he loves Sarah and feels anxious about talking about this thought. He feels like he is losing Sarah and wants to work on the relationship.
Sarah
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Sarah grew up in a loving house hold throughout her childhood. Sara suffered from “the blues” from time to time, but her parents were not sure if this were full-scale “depressive episodes” or if it was just normal teenager-ish stuff. Now, Sarah has been working as a teacher at the Andover High and finds fulfillment in what she does. Sarah met Patrick 2 years ago and is very much in love with him. She finds herself having many augments with Patrick. She describes heightened reactions to normal relationship issues. She finds that Patrick is withdrawn and distant most of the time. While Sarah wants to work on the relationship, she has grown tired of repeated reassurance of love towards Patrick. Sarah took the initiative in getting additional help from a couples’
- If all of the options were explored, and patient is given antibiotics and is treated without any pain or suffering than the treatment identifies with the ethnical principles of autonomy, non-maleficence, and veracity. In turn, Mrs. Dawson will be happy with the outcome of the procedure.
This is the tenth time that Lisa has been admitted to the hospital within the past two years. At least this time there aren’t any broken bones or concussions to worry about. Lisa only has two black eyes, a patch of her beautiful long hair forcibly yanked from her head, a nasty black and blue bruise on her neck and a few nails ripped directly from the newly manicured nail beds. Lisa swore to God and her best friend Brandy that this was the final straw. Actually, she made that exact same pledge under oath just three months ago, yet she is coincidently in the same position she vowed never to return to. This time was different though. She was making plans to move her things out of the small apartment that she shared with her boyfriend the minute she was discharged from Sinai Grace Hospital, and what seem to be her home away from home. Lisa has made plans for her mom to babysit her 2 year old daughter while she searches for work, and Brandy has already told Lisa she can stay with her as long as she needed to. Yet, the very next day, Lisa calls to inform Brandy that she decided to stay with Jason despite of the awful things that he has done to her. Lisa believes that Jason has changed overnight and that he deserves a second chance, besides a child needs to be raised with both parents in the home. Unfortunately Brandy was not at all surprised by the phone call, in fact, she was expecting it. As the wave of guilt and the “should’ve, could’ve, would’ve” attempts to overcome Brandy again, she quickly snapped back into reality, wiped the tears off her face and placed the white roses on Lisa’s tombstone. A story like Lisa’s usually raises the million dollar question; why do women stay in abusive relationships? Across the nation...
The case study on Kevin Miller is very challenging. Kevin Miller is White 5th grade student, and his parent are very supportive. Kevin has a problem with attention span; consequently, he I has been identified as a candidate for Greentree Elementary School Gifted and Talented Program. I will attempt to describe the issues related to Kevin’s moral judgement and self-concept; furthermore, I will make recommendations on his part.
Chapters 5 and 6 in Extraordinary Relationships gave a good introduction into new concepts relating to Human Interactions and Relationships. These new concepts give a better idea in understanding relationship patterns and the various emotions that come along with relationships. Two concepts that stood out to me that were discussed throughout the chapter were relationship patterns and relationship emotions. Over time many relationships develop their own unique patterns. In many cases these patterns have been part of the individual all along. Gilbert (1992) states “Usually what people do in a relationship crises is more of the same thing they have been doing, only more intensely and more anxiously” (pg.36). When individuals go through relationship
...d direct Pat back to the exploratory phase. I would try and instill to her the idea that it is ok for her not to be sure. I would then help Pat create a narrative so she can foster a sense of who she really is. I would want her to conceptualize and create her own story without the external forces. I would use that as a starting point to help her generate assessment and research opportunities for possible career opportunities. Importantly, I would help her make the bridge for any possible career options that she would get into immediately to help the urgency of her situation. I would tap upon her strengths and resources to help her realize a job that she could peruse that would fit into potential future career options.
The second stage she is struggling in is Stage 6 Intimacy vs Isolation in young adulthood (Rogers, 2013). She is 28 years old, and is isolated from her family and her son, Joey, who her parents now have custody due to her drug abuse. The other reason she is isolated from her family is due to her having an abortion, and her parents feel she has committed a mortal sin and they do not want her in their home. She has the lost the intimacy of being with her son and her
Gabriel disclosed his sexual assault history to his caseworker and it appeared as though the information went no further than that (Miller, 2010). Although behaviorally Gabriel was asking for help. This is an error because the caseworker did not address this particular traumatic event in Gabriel’s life as it was an added stressor in his life. The caseworker denied Gabriel the chance to work through his emotions with his psychiatrist by retaining that information to himself. By not communicating, this experience to Gabriel’s foster parent, he left Gabriel in an environment where he wasn’t
After noticing Pat’s uncontrollable anger and mood swings, he was diagnosed to be bipolar. Upon being released from the hospital, Pat was very compulsive and persistent in reaching out to his wife. Throughout this movie we saw him go from extreme euphoria to being ballistic. For example, One night Pat could not find his wedding video and his anger went through the roof, which left the house torn apart and his parents hurt. He also had a trigger that regularly set him off making him rash and angry. He walked in on his wife cheating on him while their wedding song was on, so every time he hears the song he lashes out. Although it is normal for something like this to affect someone strongly, Pat’s emotional outbursts were scarily difficult to be handled and
The ethical discernment model described by Slosar (2004) and developed for use at Ascension Health will assist us as we analyze this case. It reminds us that discernment engages our spirituality, intellect, imagination, intuition, and beliefs. It is decision-making that reaches into the heart of our beliefs about God, creation, others, and ourselves. It therefore requires structured time for reflection and prayer from the beginning and throughout the process.
At the onset of assessment by a staff-counseling psychologist, the woman seemed to relax and share some of her thoughts and feeling. As the assessment process continued, the psychologist was able to ascertain that the issue with depression appeared to be a relevantly recent development. Additionally, the depression appeared to be the result of heighten conflicts between the woman and her husband pertaining to alleged extra material affairs. In conversation with the psychologist, the woman claimed to feel “overwhelmed”; her husband filing for divorce triggered the feelings she inferred, which reportedly lead to her breakdown. However, the psychologist has since discovered that the husband denies the affairs and attributes this to the depression. Additionally, the husband claims that the termination of the marriage is a result of the deterioration of his wife’s mental state.
Crissy is a 21-year-old, Caucasian, working female in college at the University of North Texas. She has been in a relationship with her 29-year-old boyfriend for 2 years now. They live in separate apartments but often stay with each other for days to weeks at a time. When Crissy agreed to play the part of an abused victim, she did not know quite where to begin. To help her begin thinking about an IPV situation between her and her boyfriend, I had Crissy think about where most of the quarrels between her boyfriend and her took place. Crissy decided that the arguments mostly happened in her room or the living room. I also had Crissy think about what resources she had available around her every day. For ex...
Fairy tales tell us that once upon a time a girl met a boy; they fell in love, and lived happily ever after. Reality is not that simple. Long-term relationships force couples to get to know each other, involve themselves in each others’ worlds, fight through the hard times, and eventually develop deeper connections as noted through distinctive stages of Knapp’s relationship model. Although I have dated the same person for over two years, our communication through relationship stages makes it seem as though I am now dating a different person than the one I met years ago. Following dissolution and subsequent repair, I realize the most exhilarating of roller coaster rides develop through sets of ups and downs, much like the stages on how our relationship is built.
Adult development is crucial to the success of an individual and their quality of life. But there are many factors that can delay a person from reaching certain milestones. When accessing a person who has experienced child abuse, these delays become prominent. Because individuals have to suffer trauma during childhood development, these events can cause lifelong issues. One of the major issues that develop is that of mental health disorders. These disorders ultimately have both lasting results and can correlate to other major issues. From the beginning, because of the lack of establishing healthy emotional bonds with adults, it can often cause mental health disorders. These mental health and attachment disorders can continue to affect the developmental process in adulthood in the areas of maintaining maintaining healthy relationships. Gainful
With this in mind, and being adversely affected by the dynamics of stepfamilies (Falci, 1997), Tina displays an inferiority complex which is associated with timidness, withdrawal symptoms, being overly obedient, procrastination, observer-oriented and not producer-oriented and constant questioning of own abilities in the micro – and macro systemic environments (Walker, 2011). Furthermore, she does not have a positive and close relationship with her mother - who regards her as the cause of her divorce from Tina’s father -, she has no relationship with her father who walked out on them when she was three years old and she is sexually abused by her 21 year old stepbrother, John (Schoeman, Jansen, Dreyer, Swanepoel, Van As, Vogel, Steyn, & Kruger, 2011). Thus, all the positive outcomes as highlighted by Erikson in his developmental stages, such as trust, autonomy, initiative and competency are issues that Tina struggles with. Hence, she is afraid of confiding in her mother about the sexual abuse and finds it difficult to build relationships with others. Her lack of confidence and trust has been compounded by having no relationship with her biological father creating a sense of abandonment and rejection (Gindes, 1998). In future, because of her sense of ab...