Therapy Case Study
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Last week, Deborah and her 17-year-old teenage daughter, Tiffany, came to therapy for the first time. Over the last year, Deborah had become increasingly concerned about Tiffany's decrease in communication with her. Even though Tiffany met her curfews, she went to places without letting Deborah know her whereabouts. Tiffany also refused to discuss important issues such as her plans after graduation. Whenever Deborah asked Tiffany what she planned to do after graduation, Tiffany simply dismissed her mother by saying: "It's none of your business, I am taking care of it." Whenever she was home, Tiffany spent most of her time after school, locked up in her bedroom, where she either watched television or surfed on the Internet. During the therapy session, Deborah expressed her concern about Tiffany's future after high school graduation. Since Tiffany had not been talking to her, Deborah was worried that her daughter had not formulated any plans for her future. She did not want Tiffany to remain dependent on her, even after high school graduation. Thus, Deborah was very frustrated that Tiffany refused to talk to her about her future plans and her interests. Even though they were living in the same house, Deborah felt as though they were becoming two strangers who were simply sharing a common space. While Tiffany was reluctant to express her thoughts during the session, I was able to elicit her perceptions about her mother's point of view with a deconstruction question (
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her?" Deborah stated that she would not feel so worried about her daughter. To help her rate her perceptions in a more concrete way, I then asked her a scaling question (Molnar & de Shazer, 1987): "On a scale of one to ten, if one is not worried at all and ten is very worried, how would you rate your feelings about your daughter now? And before you started this session?" Deborah said her worry level would decrease from eight to four.
Similarly, I also posed a hypothetical question to Tiffany: "If you knew for sure that your mother would give you more space and freedom to do your own activities (provided that they are not destructive in any way), how would that change your willingness to communicate with her?" Tiffany seemed happy about this possibility and said that it would be easier to talk to about her mother if the latter were not so worried and controlling all the time. Then, in response to my scaling question in which one represents the lowest level of willingness and ten the highest level of willingness, Tiffany said that it would be a seven, compared to three before the session.
With the establishment of the foundation for an alternative story, the first session was almost over. For their "homework," I suggeste
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Approximate Word count = 1318
Approximate Pages = 5 (250 words per page)
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