Respond to the colleagues by providing at least two ways that their strategies may be expanded or improved.
This post will focus on the case study provided, strategies to assess abuse, how exposure to social media affects individuals, and if abuse needs reported in this case study.
Strategies Employed to Assess Abuse?
For this client, the first strategy I feel is important to work on is providing a safe and trusting environment for this individual. He lacks relationships and is codependent. The client requires that rapport with the provider if the goal is for them to open. I have had similar experiences in practicum and the best approach I have found is beginning my comprehensive statement with “I would like to get to know you better, can you please tell me a little about yourself”. Usually this opens up the conversation and if I have difficulty I tend to focus on positive activities or hobbies the individual prefers. After that I build off their health. During this assessment I always provide a statement for example “do you mind if we discuss some personal topics and at anytime you can tell me to stop if you don’t feel comfortable”. This is usually a great strategy because I am asking their permission to ask them questions and if they do not want to answer they can tell me to move on.
One section of the assessment is the sexual history. After hearing his reaction in the case study about his cousin getting out of jail, I would project some negative history. According to Sadock, Sadock, and Ruiz, 2014, should be approached with a nonjudgmental approach when focusing on this section of the interview. I always ensure comfort and trust with the client prior to focusing on this section especially in clients that show signs of abuse. Providing a nonjudgmental environment provides individuals with support.
As a provider I rely on the solid foundation of the DSM5 manual when assessing for abuse. The DSM5 manual has certain diagnosis that are defined specifically be criteria that is useful when caring for individuals. For example of DSM diagnosis conditions that may be a focus of clinical attention include: problems related to family upbringing, parental child relational problem, upbringing away from parents, sibling relational problems, child affected by parental relationship distress, high expressed emotion level within family, child abuse whether it is sexual, physical or neglect, psychological abuse, parental violence, homelessness. The DSM explains that certain relationships such as caregivers, partners, or parents have a primarily significant impact on a child’s health whether that is promoting, protecting, or possible detrimental (American Psychiatric Association, 2013, pg. 715). The use of this book to guide providers in understanding the criteria for each diagnosis makes us more aware when we see the children in the office and they are displaying these signs. As a provider, I feel the better understanding we have, the better the outcome for the child. The American Psychiatric Association, 2013, states relationship closeness can be related to neglect or maltreatment (pg. 715, para. 2). The longer these signs are missed in abuse cases, the concern for the child’s medical and psychological health is affected.
How does exposure to social media/media affect the patient?
Exposure to media affects all individuals in the way they think and act. Children exposed to media are easily influenced by what is displayed. After some time of exposure to violence on social media/media, children become less responsive to seeing it and experiencing it and start to act on it. Study conducted shown exposure to media violence was related to aggressive behavior, aggressive ideas, arousal, and anger (Bushman and Huesmann, 2006). According to Bushman and Huesmann, 2006, state children who have repeated exposure to violence, need more protection from it as it can cause long term effects with aggression. For children, simple examples of exposure are with playing violent video game or tv shows. A child’s perception of how they view the world on violence is likely to influences other children. Bushman and Huesmann, 2006, believe the exposure of violence long term was a consequence from the child learning aggressive behaviors. Media affects the thought process of individuals. For example, children that feel like models such as fantasy characters, more of change imitation will take place as the action sequences of this is arousing for the individual
Mandatory Reporting In This Case?
The case study does not give any specific details to report such as who abused him or how. The client’s story was not focused on specifically who did it but was focused on his cousin getting out of jail and a cousin that molested him. As providers we cannot assume that was the cousin that molested him. At this time, from my understanding there is nothing to report but I would love to see what others feel about this section of the post.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed). Washington, DC: Author.
Bushman BJ, Huesmann LR. (2006). Short-term and Long-term Effects of Violent Media on
Aggression in Children and Adults. Arch Pediatric Adolescent Med, 160(4):348–352. doi:10.1001/archpedi.160.4.348
Sadock, B.J., Sadock, V.A., & Ruiz, P. (2014). P. (2014). Kaplan & Sadock’s synopsis of
psychiatry: Behavioral sciences/clinical psychiatry (11 ed.). Philadelphia, PA: Wolters Kluwer.
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