Vignette essay
Midterm:
CHOOSE TWO out of the five Vignettes to write about.
Please review the following vignettes. Use your text and class notes as a reference to determine what theoretical approach can assist you in providing an explanation to the reasons why the following individuals have the coping mechanisms and behavior that they do. Identify all the major issues with each scenario. Define the interventions that can assist in each case. Are there any identifiable strengths with each case? Lastly point out any ethical issue s and standards that apply and what legal mandates need to be considered.
Vignette # 1 Janet, a 42-year-old accountant, presents for therapy on the advice of her husband. Janet states that for the past year she has suffered from headaches, irritability, frequent tearful episodes, and insomnia. She sometimes sleeps during the day, missing work due to tiredness. Subsequently, Janet has started drinking. She admits to having four or five drinks most nights to help her fall asleep and to taking supplements during the day to stay alert. At work, Janet has been reprimanded by her supervisor for her arguments with co-workers and tearful outbursts. Janet sobs, “My husband can’t stand me this way, and I can’t stand to go on this way, either. I’ve even thought about separating until things can get better.” Continuing, she adds, “What would my friends and co-workers think if they knew I came in for help?”
Vignette # 2
A 72 year old grandmother, Mary, is raising her 13 year old grandchild, Jenny. Jenny’s mother rarely visits with the family as she is involved in a drug life style. Jenny’s father is incarcerated for possession and sale of illegal substances and does not maintain contact with Jenny or Mary. Mary complains that she has no transportation to run the errands needed for her and Jenny. Mary also has diabetes and it is not sure if she is taking her medication. Jenny is often seen in the same clothes and appears to be unkept
CHOOSE TWO out of the five Vignettes to write about.
Please review the following vignettes. Use your text and class notes as a reference to determine what theoretical approach can assist you in providing an explanation to the reasons why the following individuals have the coping mechanisms and behavior that they do. Identify all the major issues with each scenario. Define the interventions that can assist in each case. Are there any identifiable strengths with each case? Lastly point out any ethical issue s and standards that apply and what legal mandates need to be considered.
Vignette # 1 Janet, a 42-year-old accountant, presents for therapy on the advice of her husband. Janet states that for the past year she has suffered from headaches, irritability, frequent tearful episodes, and insomnia. She sometimes sleeps during the day, missing work due to tiredness. Subsequently, Janet has started drinking. She admits to having four or five drinks most nights to help her fall asleep and to taking supplements during the day to stay alert. At work, Janet has been reprimanded by her supervisor for her arguments with co-workers and tearful outbursts. Janet sobs, “My husband can’t stand me this way, and I can’t stand to go on this way, either. I’ve even thought about separating until things can get better.” Continuing, she adds, “What would my friends and co-workers think if they knew I came in for help?”
Vignette # 2
A 72 year old grandmother, Mary, is raising her 13 year old grandchild, Jenny. Jenny’s mother rarely visits with the family as she is involved in a drug life style. Jenny’s father is incarcerated for possession and sale of illegal substances and does not maintain contact with Jenny or Mary. Mary complains that she has no transportation to run the errands needed for her and Jenny. Mary also has diabetes and it is not sure if she is taking her medication. Jenny is often seen in the same clothes and appears to be unkept