Dissociative Identity Disorder Case Study for Interventions

divisible Identity derange Case Study for InterventionsElizabeth FloresSTUDYClaireese Jones is a 16 year ancient Afri asshole America teenager b see and butter in Harlem, New York. She is the solely child of Mary Jones. Claireese has twain children, one boy and one girl. Claireese daughter, Mango, is quartette years old and is diagnosed with Down syndrome merely lives with Claireese grandma. Her youngest pa image, Abdul is eight months old. Claireese is attending, Each One, tutor one, pick School and is currently in the eight grade. She is currently non working.B. SettingHarlems Women Center is a shelter for women who need children and were physically or mentally abuse. They work with women to reduce the physical, psychological and emotional trauma and the recurrence of domestic violence, sexual assault and incest see by umpteen an(prenominal) of their customers. They work to secure their physical, emotional well being, unmarried freedom and economical equality. Th e agency offers counseling, legal services, child palm services, p atomic number 18nting classes, support groups and transaction readiness and job send offment for their lymph glands. The agency receive 97% of their revenues from goernment grants.C. Reason for referralClaireese was referred because she was belatedly homeless and was placed in a half elan field. She was referred by Ms. Rain, her teacher, who report that she found Claireese in school, sleeping with her 3 day old son because her fetch tried to kill her when she return home from the hospital. Claireese needs various services so she locoweed eventually get her own place and support her children independently. She will need dayc atomic number 18 services, so she weed serene continue to attend school, and earn her high school diploma. The favor qualified actor from the Welfare department account that Claireese needs counseling to address experiences that were traumatic to her life. She will need extensive cou nseling. She needs to hold in how to manage and care for her well being since she is already overweight and possible future wellness issues she will encounter in the future because of her diagnosis of HIV. Claireese has similarly experience episodes of blanking out and daydreaming.D. Description and Functioning of lymph glandClaireese is considered overweight for her age. Her c readinesshes are clean and she is al routes wearing cosmetic jewelry to match her outfits. She has her fuzz done and wears it differently. She can be verbal and nonverbal when talking to her at whiles. Client seems to be daydreaming when we discussed certain events in her life. She uses a lot of inappropriate language to describe how she feels.E. Physical and economic surroundClaireese lives in a half trend house with her two children in Harlem, New York rigid in Manhattan. She receives a stipend while she attends school. She is also on eudaimonia where she receives cash assistance and food stamps. She attends, Each One Teach One, Alternative school, Monday through Friday, in the day time.F. Current Social Functioning (as reported by parents/caregivers or child/teen or obtained from written reports)Claireese is estrange from her mother due to her disgraceful behavior towards her and her children. She has non seen her father since he last raped her, which is before she was pregnant. She knows that her gran would like to help her but is aware that she is also afraid of Mary. Clients daughter, Mango, lived with great grandmother so lymph gland can attend school. Mary blames Claireese for being raped by her father and even accuses Claireese of stealing Marys boyfriend. Mary told her she is fat because she take excessively much. Her mother never encourage her to attend school and told her it was a waste of time. Her mother is always telling Claireese, she is too stupid to keep an eye on anything. Claireese reported she never had a boyfriend but wish that she can have one in th e future even though she feels she is too ugly and fat. She had two pregnancies that occur from her being raped by her father.Claireese is a currently attending Each one, Teach One, alternative school, pursuing her broad(prenominal) school Diploma so she can teach her children something. The guests teacher, Ms. Rain, motivated Claireese to want read and write by encouraging her to do her best. She was surprised by her success in her great power to read and that she was very beginning to write. Her sense of personal competence is in development she states that she did not think that she was very smart, but that her class work and successes are ever-changing that opinion of herself. She is grateful for having John, Ms. Rain, her friends for their support and encouragement. She never thought that there would pack who would really care for her. The clients primary social supports are her peers and her teacher in the school.G. Personal and family history relevant to focus of sound j udgementClaireese was sexually abuse since the age of three by her biological father, which produced two children. She has also been mentally and physically abuse by her mother. There is also a possibility of sexual abuse by her mother. Claireese honest deep learned that she contracted the HIV disease from her father who recently died of the disease. Claireese grandmother took cared of Mongo, so Claireese can go to school and Mary can nevertheless collect public assistance based on fraud. Claireese has always depended on her mother up to now, even though moms have lived off of Claireeses welfare check. ASSESSMENTPsychological mathematical operationIntellectual functioning- Client was not able-bodied to read or write but express interest in Math. Since attending the alternative school, client has been able to im present her reading and compose skills.Reality testing- pathetic, client seems to suffer from delusions. Whenever the client is pilinging with stressful experiences , she is not listening and seems to be out of tune at the moment. She explains that she daydreams and imagines that she is someone else living a different lifestyle. She is not aware what is happening to her at the time of incident. She also images that the pictures in her photo album talks to her.Coherence Unimpaired, disrespect the client having delusions and has an whim she can maintain on task whenever she is not dealing with stressful events.Impulse control-Good, Client tries to control her behavior by not getting herself in any more trouble than she has to. She has gotten herself transplant from her old school not only because of her being pregnant over again because she threaten the principal.Judgment- Good client have been able to make broad(a) judgments. She continues to go to school, so she can teach her children and earn her diploma.Memory/recall- Poor she can recall some but not all development that pertains to her traumatic experiences and whenever she addresses those experiences she goes into her fantasies.Coping style- Poor Client has never been able to deal with her traumatic experiences in a healthy way, even though she uses her imagination to forget what happened.Defense mechanisms Poor Client daydreams and uses her imagination as a way to cope with stressful experiences.Insight- Poor Client has no desire how her traumatic experiences contributes to her mental issues.Self-Perception-Fair client has the confidence that she needs to complete school and even with her illness she is confident she can still provide for her children. steamy FunctioningAbility to express feelings- Good, she is able to express how she feels.Rage of emotions-unimpaired Client can express herself if she is more open to talking about how she feels. at a time she sees that people care for her she can discuss how she is feeling.Appropriate of affects-Impaired Client seems to subjugate talking about specific events, she will change the topic so the focus is not on her. This may be the client way of denying what happen.Predominant mood- Poor Client is depress and sad.Social/behavior functioning1. Ability to form relationships Unimpaired client demonstrates an ability to form relationships as evidenced by her ability to develop friendships with peers in her school. She also actual a friendship with one of the male nurses at the hospital.2. Social skills/social competence Poor client demonstrates a lack of social skills.3. general role performance Improving clients role as mother is improving, she is now taking care of both her children and continues to attend school. Her role as a student is great she continues to improve her grade level reading. She went from reading at a second grade level to an ordinal grade level.4. Other functional behaviors, if appropriate Good client has actual relationships through her school. Client has no other friends other than school.D. Environmental issues and constraints bear on the situation.1. Famil y Poor family is not supportive mother is emotionally unstable and abusive towards Claireese. Her grandmother is too afraid of Mary, so she would not be able to assist Claireese.2. Agency Great this agency is able to provide portentous support in providing necessary services that Claireese needs. She has the availability of a daycare, so she can continue her education. She will receive housing assistance, so she can transition from the halfway house into her own place.3. Community Moderate clients neighborhood provides affordable housing and it is near public exile and the school that she attends.5. Physical Constraints, if appropriate Poor client recently discovered she is HIV positive and future health concerns associated with the illness will expire a problem for her.6. Economic Constraints, if appropriate Fair client has restrain income from TANF and food stamps and she is currently living in a half way house.E. Motivation and commitment to servicesClaireese is very mo tivated in continuing her education. She wants to get her High School diploma. She wants to be able to learn how to read and write. She feels that if she continues to learns how to read and write, she can teach her children. Despite the fact that she has HIV, she clearly feels she still can be successful and do for her children, what her mother didnt do for her. She wants to prove to her mother that she is wrong. Her motivation is influence by her wanting a recrudesce future for her children.F. workers understanding of clients presenting situation/problem (person-in-environment)Client seems to be experiencing symptoms of Dissociative Identity Disorder. These symptoms include flashback, amnesia and emotional numbness. When dealing with stress, client escapes verity by daydreaming. She may have developed this disorder due to her traumatic experiences, starting with her being raped by her father. Whenever the client experience stressful events, she has fantasies about her being famo us and being someone else, she even sees herself as a white blond girl. Client has no control over her daydreaming. She seems to not remember how she was first raped.Psychoanalytic theory help explains that clients problems can be associated with painful childhood experiences that can sometimes be repressed. These repressed memories can shape the clients feelings, thoughts and behavior. These repress memories can be seen as defense mechanism (Robbins, Chatterjee, Canda, 2012). The client uses her fantasies as a way of ignoring what is happening at the present time, which is not healthy as the client condition can worsen and create maladaptive behaviors. Client inhibitory these traumatic experiences may explain how the client coped with these experiences.It is important to look at Ericksons stage theory because it recognizes the importance of a persons social location and the interaction between other individuals rather than just the family system. (Berzoff et al., 2011). Since, th e client family system is not the strongest support system, the school staff and students are important people that provides positive feedback to the client. This will help the client learn to establish positive future relationships.Strengths Perspective is an approach to understanding the client in terms of her strengths, abilities, motivations, knowledge and available resources. (Guo Tsui, 2010) These qualities help the client the ability to solve their problems. This also can give you an idea how the client, who experienced many events in her life, overcame these obstacles and continues to attend school. (Robbins et al., 2012) They also talk about the courage an individual may have. She had the courage to confront her mother and finally leave the house in order to protect her children.Strengths Perspective focuses on the social environment as having many resources that can help individuals overcome obstacles. People have the ability to learn, grow and change. Client has the abil ities to continue to grow so she can provide for her children.ReferencesBerzoff, J., Flanagan, L. M., Hertz, P. (2011). Inside Out And Outside In (3rd ed.). Maryland Rowman Littlefield.Robbins, S., Chatterjee, P., Canda, E. (2012). contemporaneous Human Behavior Theory (3rd ed.). Saddle River, NJ Pearson Education.Guo, W., Tsui, M. (2010). From resilience to fortress A reconstruction of the strengths perspective in social work practice. outside(a) Social Work, 53(2) , 233-245. http//dx.doi.org/10.1177/0020872809355391