Read Case Illustration 17.3: Clarisa: Should We Be Concerned? on pp 347-348 of your textbook.
From your readings in Chs. 15-17, conceptualize Clarisa with regard to pysiological, cognitive, identity, emotional, and social models. From her case, what feels normative? What feels like it is outside the norms? How would you use the theories/models to help Clarisa and her parents?
Post initial response (300 words)
Case Illustration 17.3: Clarisa: Should We Be Concerned?
Clarisa was referred to the counselor by her father. He became very concerned over the possibility that his daughter was depressed and that the marks he saw on her arm were failed attempts at cutting herself. Eric, Clarisa’s father, said he became very concerned after viewing a documentary on television that covered the increase in ado-lescent suicide. He mentioned that when he confronted Clarisa about the marks, she got very angry and said, “What the hell is wrong with you? I burnt myself making your friggin’ grilled sandwich last week. I’m no wacko and not going to kill myself. Let it go!”
Intake Interview with Clarisa In the intake interview with Clarisa, the coun-selor discovered the following information. Clarisa is 14 years old and lives with her father, stepmother, and a 15-year-old stepsister. This living arrangement has only been since the be-ginning of the school year (now 8 weeks) and is the result of Clarisa transferring to the STEM (science, technology, engineering, mathemat-ics) school in her father’s district.
Clarisa has always been “obsessed” with becoming a neuroscientist and eventually getting her PhD. She has done well at school and is very self-motivated, often at the cost of her limited social relationships. Clarisa stated that she is happy with the school ex-perience but truthfully said she was having a horrible time with Linda, her stepmother. According to Clarisa, Linda is always on her case about the way she looks and is con-cerned that Clarisa is going to get “fat like your mother” and the fact that she is not popular like Annie (her stepsister). After one recent exchange, Clarisa called Linda a “bitch” and said, “You will be sorry when I’m not here.” Clarisa disclosed that she does experi-ence lots of ups and downs. She went on to say, “Yes, there have times when I thought about hurting myself, but never seriously. I would never be so stupid, but it does get frustrating, really frustrating.” When asked about her sleeping and eating she was quick to respond, “I eat fine. I hope you are not going to start on my weight.” Once assured that was not the intent, she shifted the When asked about the marks on her
arms, she became immediately defensive: “Shit, hasn’t anyone every burned them-selves?” The counselor again shared a genuine concern, stating, “I didn’t mean to upset you but I know that sometimes a per-son can get so frustrated or stressed that they look for ways to relieve the tension.” Surprisingly, this comment elicited tears from Clarisa, who stated, “I only did it once. A girl at school does it all the time and she says it helps.”
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