Psychology Trauma Vignettes
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Psychology Trauma Vignettes
| Title | Psychology Trauma Vignettes | Prefered Language style | English (U.S.) |
|---|---|---|---|
| Type of document | Essay | Number of pages/words | 18 Pages Double Spaced (approx 275 words per page) |
| Subject area | Psychology | Academic Level | Master |
| Style | APA | Number of sources/references | 1 |
| Order description: | |||
| For this assignment there needs to be a discussion on three different vignettes. Each must be about 5-6 pages.The only reference that can be used is Courtois, C. A., & Ford, J.D. (2015) Treatment of complex trauma: A sequenced, relationship based approach. Guilford Press.Discussion must be 6-7 pages plus a title and reference page. Vignette Analysis I Vignette Analysis I will be covering Chapters 1 through 3 in the course text and the relevant DSM-5 disorders. Your discussion must include at least five (5) of the following areas covered in the text that you see relevant, directly and specifically to the persons and situations presented in the vignette: (Please identify which areas you are choosing) • Type I, II, III Trauma • Developmental and lifespan trauma • Anxiety, depression and anger Reactions • Physical and somatic problems • Emotional dysregulation • Loss of self-integrity • Compromised relationships with others • Safety and the therapeutic relationshipVignette OneRoni is a 25-year-old female of Asian descent who has been diagnosed with Post Traumatic Stress Disorder (PTSD). Roni and her family came to the United States when she was 17 years old after her paternal uncle was killed. She does not remember the details, but she has fleeting memories of “gunshots, people screaming and all the children being pushed into a car and taken to some strange place”. No one in the family was allowed to mention her uncle’s death once they arrived in the U.S. Roni also tells you, “I hate July 4th in this country. The only way I can cope with that horrific noise, is by taking medicine my doctor gives me”. Roni also reports that she has overwhelming fears of abandonment and is terrified of being alone. During the history taking, Roni tells you that when she thinks of her uncle’s death, she has great relief and, “sometimes I am glad he is dead. I feel so guilty for admitting that, but he was creepy and I hated being alone with him.” Roni is now married for 4 years to a wonderful man she met in junior college. The couple has a 2 year old daughter whom she loves dearly. At times when Roni and her daughter are in the neighborhood playground, Roni has the sensation that she is being stalked and fears that someone is going to hurt her daughter. She knows this is irrational, but these terrifying thoughts come over her and, “I must run home to protect my daughter from bad people.” She claims that her life is fulfilling and meaningful but that sometimes she finds herself numb for no reason and feels like her life is a movie.Discussion must be 6-7 pages plus a title and reference page. Vignette Analysis II Vignette Analysis II will be covering Chapters 4 through 6 in the course text and the relevant DSM-5 disorders. Your discussion must include the relevance of the following areas covered in the text, directly and specifically to the persons and situations presented in the vignette: • Assessment issues and approaches to further explore PTSD • Treatment goals • Treatment phases 1, 2 and 3 Vignette Two Anthony is a 32-year-old American war veteran from a strong Latino family. He came to see you because his wife told him that if he doesn’t get help, she and the children are leaving. Anthony’s wife, Rosa, is present for the initial interview. She tells you, “Anthony is not the same man I married. Since he came back from serving our country, he is a stranger. He drinks vodka and beer daily and has been getting violent in the home. He has punched holes in the walls has broken furniture.” She tells you that, “Anthony has always had a bit of an anger problem because his father was a mean drunk and would beat his wife and kids. Anthony has been nothing like his father until now. He scares me.” Anthony has been accusing Rosa and their 2 children of stealing his money and believes they are in a conspiracy to make him “go crazy”. Rosa also tells you that Anthony has not been going to work. He believes there is evil lurking out in the world and that he rarely leaves the house, except to buy his alcohol. Anthony admits that he lives in terror, since he returned from the war 5 years ago. He saw several of his buddies killed in an explosion, suffers from debilitating migraines, has recurring nightmares and horrific thoughts of his war experience. You find Anthony to have good reality testing but occasionally during your interview, he has odd and eccentric ways of explaining things. You suspect a diagnosis of PTSD.Discussion must be 6-7 pages plus a title and reference page. Vignette Analysis III Vignette Analysis III will be covering Chapters 7 and 8 in the course text and the relevant DSM-5 disorders. Your discussion must include the relevance of the following areas covered in the text, directly and specifically to the persons and situations presented in the vignette: • Group, couple and family therapy • Inner emptiness • Working in the breach • Unresolved trauma and lossVignette ThreeVirginia is a 45 year old African-American woman who was referred by her medical doctor. Her doctor is concerned about Virginia’s suicidal gestures and weight loss. Virginia tells you that her doctor is, “overreacting. I’ve always been afraid of being fat, so I like to be on the thin side. Where I come from, a woman’s looks were her ticket to freedom. My dad left mom and I when I was 8 because he found a young skinny woman. I begged him not to leave, but he just laughed at me. I never saw him again.” Virginia has memories of her dad beating her mom, “it seemed like every day, but it was probably not that often. He never touched me. If my mom would only have taken better care of herself, stayed thin and pretty, my dad would have never left.” Virginia tells you that her mom remarried when she was age 13, “to some jerk with a teenage son who thought I was a sex toy for him and his friends. I tried telling my mom but she told me to be quiet, that I had it good and to just put up with it. So, I learned that if I cut myself, the pain would go away. My mom and I are very close today, and she is worried about me.” Virginia is currently married to her second husband of 6 years. The couple has a 5 year old son who she describes as a “miracle baby given my age and history.” She admits to having a history of several tumultuous, abusive relationships. She describes her current husband as “sweet and patient. I don’t know why he puts up with me. He’s a great father, like the one I wish I had.” She knows that she deserves to love and be loved, but she is afraid to allow her husband to get close, “I just know he is going to walk out on me. I feel like I’m lost in some time warp. The only way to protect myself is to start screaming and cussing, while at the same time, begging him to never leave me.” Virginia denies suicidal ideation at present, though she does admit to some, “not serious attempts as a teenager.” Your diagnosis for Virginia is PTSD. |
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