Dagmar Berman's Case Study

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Understanding the therapeutic relationship Engagement Dagmar Berman does the work with Lars and collaborates to create a very dynamic helping relationship. Dagmar takes the position of an appreciative ally and stands with Lar being ever curious and attentive to how she could give further support (Madsen, 2007). Dagmar’s stance is evidenced by her support of Lars’ belief that Bianca is real by her animated interactions with Bianca, agreement to treat Bianca for low blood pressure, and attendance at her funeral. Dagmar’s curiosity is evidenced through the discoveries of Lars’ dislike of being touched, anxiety surrounding Karin’s pregnancy, and fear of maternal death. Dagmar’s support for Lars and stance as appreciative ally is evidenced in her …show more content…

Berman respected Lars’ self-determination, she did not express to him that he possessed the ability to refuse services or withdraw consent for the services he received. The lack of informed consent was a factor in the dishonesty and deception about who the recipient of treatment was and what type of treatment was being provided. Dagmar identified herself to Lars as a medical doctor and not once onscreen mentioned her presence in his life as a therapist. This is deceptive and fraudulent as she omits the portion of her identity that is most applicable to the relationship that the two have. Dr. Berman breached privacy and confidentiality by using Gus and Karen as informants without Lars’ knowledge or approval. Dagmar asks Gus and Karen questions that are pertinent to a full assessment including information regarding the presenting problem and family context. Dagmar also keeps Gus and Karen current on Lars’ treatment answering specific questions about Lars’ delusion and some of the changes that happen within it over time which is a breach of confidentiality. Dagmar also breaches confidentiality and privacy by answering Karen’s question as to why things were happening as they were with the situation being Lars’ decision because “he is the one who is in control.” Possible Practice Approaches Cognitive Behavioral Therapy is an approach that focuses on the connection between behavior, thoughts and feelings. The approach seeks to ameliorate difficulties by changing unhelpful thinking patterns. This approach would be helpful to work with Lars as he has a struggle with the belief that Bianca is a human being and that he and her are in intimate relationship. Structural

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