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Case Presentation. Jodeci Farrington. John Doe. 12 years old Stays with her father Mom left when she was eight years old Case worker is in her life Helps her financially and emotionally. History of cutting herself Engaged in having sex Smoking illegal substances.
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Case Presentation Jodeci Farrington
John Doe • 12 years old • Stays with her father • Mom left when she was eight years old • Case worker is in her life • Helps her financially and emotionally. • History of cutting herself • Engaged in having sex • Smoking illegal substances
I believe that due to the experience of her mother leaving at such a young and vital age, John Doe is hurting and doesn’t know how to deal with the feelings that she is experiencing. • Therefore she expresses her hurt through pain, practicing self harm and engaging in activities that are not appropriate.
Problem Statement • “Due to the detachment of being without her mother, John Doe has resorted to expressing her emotions through self-harm and engaging in inappropriate behavior.”
Services? • Counseling (group or individual) • Preferably group so that she can take notice to others that are going through the some of the same things that she is and to know that she has their support whenever it was needed. • Psychiatric unit inside the hospital • John Doe has experienced this. • Said she loved it because she had people to talk to, and they understood her.
Strengths and Limitations • Strengths: • Support when needed • Better perspective on life • Build her confidence up. • Limitations: • She may not take what she learns inside group therapy back home and apply it. • Her father has to be on board with change and acceptance as well. • How she will deal when she is alone and she cant pick up the phone to call on someone.
Assessment Goals • Root of Issue? • What bothers her that drives her to cut herself? • Prevention tactics.
Intervention • Positive Rewards for a better attendance. • Alternatives to cutting herself.
Biases? • Hearing John Doe’s story did not make me pose any biases against her. I understand the situation of not having a mother present, as well as seeking a way out of the pain. • What I didn’t realize is causing pain on yourself the way she was.
Value Differences? 2. I realized that the client did not care much about life, whereas I value my life. • I understand that life is too short, and have dealt with, to the best of my knowledge, my past. • Praying that she deals with hers in a positive light as well.
Life experiences that have shaped John doe? • Opportunities, losses, poverty. • Having her mom disappear out of her life at a time where she was becoming a young woman and going through advanced stages of growing up, caused her to resort to anger and pain. • From that, she began cutting herself to deal with the pain of thinking about it. • Her father has not always been there in ways that she needed him to be. • Started hanging out with the wrong crowd to feel that love.
Staff recommendation? 4. The staff here at Fairmont Middle believe that she needs to begin seeing someone on a fixed schedule for at least two or three times a day. • They believed the psychiatric ward did her some good. • Monitor her behavior in school • Give positive feedback when they see her in the hallways • Check up’s
What does research have to say about it? 5. Dualism in self-harm 1. Private self harm (rooted in real distress). 2. Public (sell-indulgent attempts to seek attention). • Happens more with young women than men. • Lesbian, gay, and bisexuals. • School and peer relationships. • “Storm and stress of adolescents” • Cry out for attention or saving ones own life (coping). • We have to deal with children delicately. • How we deal with them and their emotions while experiencing the changes of growing up, deals with how they will handle situations that approach their values and character.
“So perhaps most important of all for practitioners is an acknowledgement that self-harm is a complex and multifaceted phenomenon and therefore it is useful to consider multiple ways of understanding self-harm” (Scourfield, J., Roen, K., & McDermott, E. (2011). • Telling someone to not cut themselves is like taking a bottle away from a hungry child. • The bottle cures the hungry child, such as cutting is the only coping skill known to those who cut themselves. • Our job as practitioners is to help develop other alternatives other than cutting. • Pay critical attention to what stimulates someone to want to resort to harming themselves, then try slowly transitioning into another coping alternative that is less harmful and more beneficial.
Changes or recommendations • More involvement with John Doe from case supervisor. • More positive role models to introduce her to. • Attention and confirmation.
references • Doe. John, personnel communication, March 12, 2014. • Scourfield, J., Roen, K., & McDermott, E. (2011). The non-display of authentic distress: public-private dualism in young people's discursive construction of self-harm. Sociology Of Health & Illness, 33(5), 777-791. doi:10.1111/j.1467-9566.2010.01322.x
