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2) Case 1: a, Read Chapter 9 Case Karen and the intervention section of the chapter

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2) Case 1:
a, Read Chapter 9 Case Karen and the intervention section of the chapter. In a Word document, in 2-3
pages double-spaced, answer the following questions. Points will be removed for poor writing and
spelling. .
b. Given Karen's presenting problems, what interventions do you think are most suitable for her and why?
Be sure to cite information from the textbook or readings to support your opinion.
3. Case 2: |
a. Read Chapter 10 Case 1: Jack and the intervention section of the chapter. In the same Word document,
in 2-3 pages double-spaced, answer the following questions. Points will be removed for poor writing
and spelling.
b. Given Jack's presenting problems, what interventions do you think are most suitable for him and why?
Be sure to cite information from the textbook or readings to support your opinion.
4. Submit your assignment. To do this:
a. Save your document as LastName_FirstName_A4.DOCX.
b. Select the assignment link above.
c. Select the “Browse My Computer” button.
d. Select the Word document.
When finished, make sure to click Submit.

Karen is 20-year-old white female that presents with flat affect and a stiff demeanor as she describes the
fact that she has “a thing" about cleanliness. She said she washes her hands about 50 times a day and avoids
touching her phone, computer, and books so she will not have to wash. The reason behind all the cleanli-
ness isa deathly fear of germs. She is most animated when she shudders about possible exposure to germs.

Karen further relates that she stacks her books under her bed so that the covers do not touch each
other. She said that book covers amass a surprising amount of germs, which people do not realize.

Karen said that she has been like this for about the last 5 years. Before that time, she remembers
crying easily in school. In fact, an elementary school counselor inquired whether she was being
abused at home because she was so shy and fearful. Karen denied any abuse then and now.

Karen's biological parents were together for only a short time until Karen’s father left when Karen
was a baby. Karen had some minimal contact with her father in childhood, and he did not provide
any financial remuneration to Megan, Karen's mother.

Karen's stepfather, Enrique, married Megan when Karen was 5 Asa result, Karen reports, their
ives changed for the better. He was much more involved than Karen's father and made good money
as acomputer programmer. Enrique and Megan never got psychiatric or psychological help for Karen
because they said she was “no trouble,” receiving good grades in school and acting obediently.

Karen said that even though she knows, at times, that her hand washing is extreme, her family is
also obsessed with cleanliness. For instance, the house is kept immaculate, no one Is allowed to wear
shoes, and there is a lot of talk about “germs.”

Karen is a second-year college student majoring in life sciences. Her parents wanted her to go
to college locally, although they did allow her to live in the dorms. However, they require that she

| return home every weekend. Karen does not always want to do this, but she Is afraid of her parents

! being “mad” if she was to raise the issue.

| Karen reported that she has been romantically involved with a woman for the last 6 months,
although was tentative about identifying herself as lesbian. The only significant negative event of the
relationship was when her girlfriend went back to an ex-boyfriend for about 4 weeks midway into the
relationship. Karen said she felt "devastated” and suicidal at the time.

Karen's parents are not accepting of this relationship. They blame the girlfriend for Karen's bout
of suicidality and do not think she is a positive influence. They say they have no problem with homo-
sexuality and give evidence by saying they had attended a Gay Pride parade as a family. Karen's father
said that the only reason Karen was with a woman was because a man had not shown her interest.

Enrique spent most of the time in the session downplaying Karen's symptoms and pointed out

how intelligent Karen was, getting a scholarship for academics. He was mainly concerned about
! Karen's diet. Dad required the household to be vegetarian, and he did not like that Karen had eaten
| meat and junk food at college.
| Megan mainly sided with Enrique but seemed more concerned about Karen's well-being. She said
: that she and Karen sometimes had arguments over her constant washing; Karen would get mad at her
mother for touching Karen's phone and putting germs on it, and for not keeping her own phone clean.

| and Resilience Assessrrierit tor tne rollowing cases. | Os myiasis alll Ue BIOPSyChosocial Risk

! Jack Krull is a 26-year “old white male pr esenting with a shy demeanor. He made only fleeting eye

: contact and did not smile as he told the therapist in his first session that he knew he was overdue for

: getting help, mentioning that one of his problems is procrastination. He identifies that he has a lot of

| anxiety, which has worsened lately.

| Jack has a degree in engineering and has held a job as a government patent examiner for the
past 3 years since finishing college. He said that he gets very little work done, frustrated by the fact
that each patent is different in scope and to find out how to approach it, he has to get information
from others. Jack described how difficult it is to call people to do this. He does not know what to say
and is afraid of stumbling over his words and sounding “stupid.” He also thought he would be judged
for not knowing more.

Jack said he could not concentrate at work, spending most of his time procrastinating. He has
received a warning from his supervisor for not meeting his quota. His job is solitary, and he does not
interact with others at work, although everyone else there are “nerds’ like him. However, some of
them go to lunch with each other. He wonders whether it would be nice to join them rather than
eating alone at his desk, but he does not feel he can do this since he is always so behind. |

Jack is the product of a dating relationship between his mother and father, who had just come
out of a divorce. His father indicated that Jack was a “mistake,” and Jack has had very little contact

with him throughout the years and no monetary support. From his mother's previous Matria
has a half-sister, who is 3 years older. From his father, he has a half-brother from the Previous meg sack .
and another half-brother from a subsequent marriage. Tage, |
Jack said that his mother remarried when he was about 7 to a critical stepfather to whom he 4. :
not feel close. His stepfather was physically abusive to Jack's mother. During these SPOradic abe old
episodes, Jack would remain in his room, feeling guilty for being unable to help. His mother eftan |
man when Jack was 12. .
Jack described his mother as overprotective growing up, exhorting him to do well in School a
disallowing his attending social events because she did not want him getting into trouble. They ive ,
in an isolated, rural setting.
Currently, Jack speaks to his mother about once a month on the phone, and he says they are Not
close. He tends to avoid her as much as possible and dreads talking to her. He says that he does not
feel connected to any of his half siblings either.
Jack was diagnosed with ADHD as a child but could not describe any behaviors that Warranted
the diagnosis. He took stimulants for years but could not tell whether they helped or not. He is Cur-
rently not on any medication. He says that he does not remember much about his childhood, byt
that, in general, he has a terrible memory. He has one memory of speaking in front of the class for a
presentation when he was about 11 and starting to cry because he became so anxious.
Jack is currently living with his ex-girlfriend. They broke up after dating for 4 years, Primarily because
he was not interested in her sexually. She has been diagnosed with bipolar disorder, but from what he
reports, she is stable on her medication and high functioning. (She is in a graduate studies Program.)
Their lease will soon be up and Jack agonizes whether to get an apartment on his own or move
with her to another place. On one hand, he feels very dependent on her but he also would not
mind exploring what it would be like to be on his own. He has been with her since his senior year of
college. However, he has a long-time fear of cockroaches and is afraid of choosing a place that has
cockroaches.
Jack says he has some friends in the area to socialize with, but he does not feel close to them.
He says he starts stammering, blushing, and shaking if he talks to more than one of his friends ata
time. He does not know what to say or where to put his hands, and he focuses heavily on how he
walks, believing he is doing it “wrong.” He also worries about what he will say and how he will handle
interactions with clerks and shopkeepers. He goes to social events at times but usually “talks himself
out” of going or leaves after a short time. He does not try to approach any women because he is afraid
they would think he is being “obnoxious” and “hitting on them.” His self-talk is negative in that he calls
himself “stupid” and that no one would like him. He is suspicious of people, thinking they are “fake”
and “trying to get something.” Although Jack does not feel close to anyone except his ex-girlfriend,
he says he feels more comfortable around women. He admits to feeling afraid of men, that they will
yell at him or try to physically threaten him.
Jack says his appetite is fine, and he usually has three meals a day, but he does not eat as health-
ily as he should. He has a hard time sleeping at night and then has a difficult time waking up in the
morning. He reports sporadic feelings of suicidality although he does not have an active plan and ha
never attempted suicide. He finds work so stressful that he is glad to retreat to his apartment in the
evening. Still, he does not enjoy what he is doing there and constantly beats himself up about why he
Is not more productive at work so he can be rewarded with a more flexible schedule.

a Case Analysis Rubric
| Content
There are 4 case analysis this term, each is worth 10 points. While the content for each analysis is
| different, all should respond to the posed questions, highlight important information for effective social
work practice, and note implications for practice. Each analysis should be approximately 2 - 3 pages in
p
length.
7 points
Grammar
| Id be clearly written with no grammar or spelling errors.
| Case analysis shou y 3 points
| Total: 10 points