SUMMARY OF A CASE FILE

Birthdate: 11-09-83 CA: 9-4 Sex: F

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Elizabeth was reported to the proper authorities for having been sexually abused by her mother's current live-in companion, to whom the child refers as "stepfather". Elizabeth was removed from her mother's care and placed in foster care where, again, she was physically and sexually abused. Shortly thereafter, she was returned to the biological mother, while her "stepfather" was jailed on abuse and drug charges.

Medical records indicate that Elizabeth was carried to term and appeared normal at birth, including with a normal birthweight. Unfortunately, developmental milestones are not available. School immunization records show regular vaccinations (primary and booster) against diphtheria, tetanus, polio, measles, rubella, and the mumps.

There are nine children in the family, the oldest being eighteen years of age. Elizabeth's mother had her first child at age twelve; she has had a number of male live-in companions. Elizabeth's biological father was physically abusive towards wife and children; he died of a drug overdose. Economically, the family has always had a hard time: at one point, they were homeless and lived out of their station-wagon with the so-called "stepfather"

Physical status. The child appears to be

. . .
ionally, sensory motor kinesthetic skills should be emphasized as a mode of skill (including cognitive) acquisition and of self-esteem development--thus somewhat compensating for limited intellectual skills. Moreover, this strategy is likely to deflect the child's constant preoccupation with psychological and interpersonal problems. Vocabulary can be enriched through the provision of kinesthetic, auditory, and visual stimuli as contextual elements of learning experiences. Measurement and arithmetical concepts can be acquired through learning to tell the time (with a large mechanical clock which the child can manipulate). Affectively, Elizabeth should be helped to achieve frequent successes, and to identify and express positive thoughts about herself. With a view to learning to tolerate a certain level of frustration, she should be helped and allowed to verbalize her frustrations and work them through physically. In terms of behavior modification, a positive approach should be used, viz. simple but responsible tasks in which the child experiences success and is praised therefor, should be assigned; and the level and role of responsibility explained. The need and advantages of obeying rules and authority will be deduced from the
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Approximate Word count = 2840
Approximate Pages = 11 (250 words per page)

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