Question
My client Bella Sky, is a 12 year old adolescentAfrican American female who has dissociative identity disorder(DID).Dissociative identity disorder is also known as multiple personality
My client Bella Sky, is a 12 year old adolescentAfrican American female who has
dissociative identity disorder(DID).Dissociative identity disorder is also known as multiple
personality disorder and it is physical,sexual,or emotional abuse during childhood distressing or
painful events.This disorder causes my client to disconnect from her thoughts,feelings,memories
or her sense of identity.My client identifies herself as having 2 distinct personality
identities,which came from trauma in her childhood.My client disclosed to me in a recent session
that her stepdad was molesting her at night when her mother would not be at home and this
abuse has been going on for 6 months..My client revealed to me that during the abuse she
would picture she was somewhere else whenever the abuse would happen.My client disclosed
in the session that she would even pretend she was someone else so she did not have to be
present during the abuse she was going through at the time.My client stated she was scared to
tell her mother about the abuse because her abuser told her he would harm her and her mother
she told.My client stated she is also a lesbian and she is afraid her mother will not be
accepting because her mother is a christian and she would not agree with her sexuality.
My observation of my client from the most recent session was that she was
hurt,sad,confused and she does not trust easily.My client is sad and confused because she would
like to tell her mother about the abuse and also about her sexuality but she feels as if her
mother would not believe her and abandon her.Although my client feels this way,she alwayshave a smile on her face.My client loves to draw and she has very good grades in school.She is
a very strong 12 year old girl,but i do believe she is going to have a hard time trusting adults.
- Provide feedback on which systems or factors might be added or removed to the ecomap to get a better idea of the client's situation related to group needs. What patterns are you seeing in the ecomap that would indicate the need for interventions through a social work group?
- What kind of social group would you propose for the client described in the ecomap if you were their social worker and why? How might the person described in the ecomap fit the proposed social work group?
- How does the information from the ecomap connect to the design of a social work group? Which group models or intervention strategies might you recommend to support the family's needs?
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