Statement of the Problem
Munira Punjuani was seen for an evaluation at the Family Counseling Center on April 11th in order to assess if criteria for Posttraumatic Stress Disorder are present and to determine current psychological stability in determination for visa eligibility .
Background Information
Ms. Punjuani is a 27 year old female who was a victim in a robbery about a year ago. Ms. Punjuani recalls that she was helping her cousins at their convience store outside of Knoxville when two teenage males came in between nine and ten o’clock at night. She reported that her memories are a bit “foggy” due to the timeframe since it has occured. She went on to report that the two males, one white and one african american, wore masks and
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Punjuani presented self in an appropriate manner. At times throughout the interview, she became slightly emotional while discussing her history and traumatizations. Ms. Punjuani appeared open to questions. The clinician conducted the diagnostic interview and had Ms. Punjuani complete the TSI-2 in order to determine if Ms. Punjuani fit criteria for PTSD.
Mental Health Interview:
Ms. Punjuani presented in a forthright and appropriate manner. Her affective responses were appropriate to the occasion. Her thought processes were logical and sequential. Ms. Punjuani was able to demonstrate knowledge of right and wrong; appropriate and inappropriate situations; healthy and unhealthy behaviors. There was no evidence to suggest a formal thought disorder or delusional thinking. At the time of interview, Ms. Punjuani denied suicidal or homicidal ideation.
Ms. Punjuani reported that she continues to experience overwhelming feelings of stress; experience flashbacks related to recent trauma experiences; and anxiety regarding current situation. She has indicated that she continues to work through her past choices and identify patterns of unhealthy behaviors in order to become a better person. Ms. Punjuani demonstrates a strong work/school ethic. This has allowed her to reflect on her past, where she is presently, and what she needs to change in order to have a better
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Punjuani has an extensive education background, in which she has earned a graduate degree in Psychology from India. Upon moving to the United States in 2011 on a student visa she found herself striving to become a nurse. This led her to her current achievement of being a graduate student at Carson University in which she is majoring in Mental Health Counseling. At time of assessment, Ms. Punjuani was completing her internship at Health Connect. She reports that although her traumatization has affected her on many levels, that she finds that it doe snot consume her, that her studies in the field have helped her to identify patterns, symptoms and coping skills in order to function fully and achieve her goals. Stating that she has begun the process of normalizing the incident, educating self on actions and the kind of people who victimize
Nimi Feghabo is an Atlanta-based consultant in Capgemini’s Custom Software Development service line. She has worked and acquired knowledge in many different industries spanning from Accounting to the Legal Industry. She brings significant leadership experience along with a proven track record. Prior to Capgemini, she has had experience in various industries which include legal, manufacturing, and international professional services. Her contributions include software implementation, ERP development, and facilitating changes. Through these projects, she has gained valuable insight and is able to develop transformative solutions into an effective facilitation strategy.
This paper seeks to discuss and further explore Susan Brison’s argument on the self and how violence can have an impact on us and change how we see ourselves, interpret our identity, and, in some cases how the self can be so altered as to no longer be the same. Brison explains when the trauma is of human origin and is intentionally inflicted, it not only shatters one’s view of the world, one’s safety in it, but it also severs the sustaining connection between the self and the rest of humanity, destroying the belief that one can be oneself in relation to other people (p. 14). This paper will attempt to explore further the traumatized self. That said, when we are speaking for others there is a concern that in doing so it would be unethical, arrogant, and politically illegitimate (Alcoff, p. 6). Nevertheless, if I spoke from a personal position, would this be anymore ethical with respects to this paper? I would be speaking authentically, but would this be inappropriate? Yes, it would be unethical and inappropriate. It is considered unacceptable to talk personally in a classroom. Then I
Rosen currently holds a position as a clinical associate professor in the Departments of Psychology and Psychiatry at the University of Washington while doing his independent practice as a clinical psychologist in Seattle, Washington. Rosen obtained his PhD in 1972 from the University of Wisconsin. Rosen discusses a study that focused on the over diagnosis of posttraumatic stress disorder, also known as PTSD, from a traumatic event. There were a few contributing factors to the result in the order diagnosis of the disorder. The clinicians only relied on the patient’s self-reports and did not administer any psychometrics throughout the case. They also failed to check medical records and involved biased judgment errors. The results of the findings show concern in the accurate diagnosis of PTSD. The author seemed to be subject to the biased effects. The purpose of this text is to bring awareness to the over diagnosis in patients and the symptoms that resulted in it’s diagnosis. Rosen provides information about the several contributing factors that caused the misdiagnosis of the PTSD in patients. A comparison of sleep-related symptom rates of other marine disasters proves that the Aleutian sinking had a higher percentage of reported symptoms than the others. The purpose of this case is to bring awareness to clinicians to focus more on the communications between the attorney and the client. It’s to observe those communications for consideration of the contributing
The current criteria for assessment of PTSD is only suitable if criterion A is met. Every symptom must be bound to the traumatic event through temporal and/or contextual evidence. The DSM-5 stipulates that to qualify, the symptoms must begin (criterion B or C) or worsen (symptom D and E) after the traumatic event. Even though symptoms must be linked to a traumatic event, this linking does not imply causality or etiology (Pai, 2017, p.4). The changes made with the DSM-5 included increasing the number of symptom groups from three to four and the number of symptoms from 17 to 20. The symptom groups are intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and
The prevalence of trauma of all types is widespread throughout much of the world and includes trauma from accident, child abuse and neglect, domestic violence, political conflict, war, or other human struggles. The many faces of bullying, hatred, economic insecurity and oppression (racism, sexism) leave a steady stream of survivors carrying the burdens of fear, anxiety, rage, and physical illness.
“Trauma is used when describing emotionally painful and distressing experiences or situations that can overwhelm a person’s ability to cope” (John A. Rich, Theodore Corbin, & Sandra Bloom, 2008). Trauma could include deaths, violence, verbal and nonverbal words and actions, discrimination, racism etc. Trauma could result in serious long-term effects on a person’s health, mental stability, and physical body. Judith Herman, from Trauma and Recovery, said “Traumatic events are extraordinary, not because they occur rarely, but rather because they overwhelm the ordinary human adaptations to life” (John A. Rich, Theodore Corbin, & Sandra Bloom, 2008). Trauma does not involve the same experiences for everyone; each individual is unique in that they, and only they, can decide what is traumatic for them.
The Children's PTSD Inventory is a sophisticated interview composed of a series of open and closed questions. Appropriate administration requires that the examiner have a thorough knowledge of the onset and progression of PTSD because, once each question is asked as written, the examiner must follow-up with appropriate probes and inquiries to more fully describe the child's experience. Only examiners familiar with the assessment and treatment of PTSD will know how to respond to children's answers. Completion of the interview usually requires 15-20 minutes, but can take much less time for some children because the interview is discontinued at any point if the child's answers rule out a diagnosis of PTSD.
When faced with a life altering situation although Molly’s characteristics and personality aid her in courageously defying them, the effects of facing this traumatic event will lead to long term psychological repercussions. When severe harm is inflicted on a person’s psyche, it is viewed as an emotional trauma (Levers, 2012). The emotional harm inflicted on Molly’s psyche originates from different dimensions; like her upbringing, her trauma is multidimensional too. As a child of the Indigenous community, whose ancestors and elders were killed violently in inter-group conflicts, and whose children were forcefully removed from families, Molly is would experience intergenerational trauma (Atkinson, 2002). Intergenerational trauma is trauma passed down from one generation to another; as a close knitted community group, the grief experienced by family members of losing their loved ones, would have been transferred across generations (Atkinson,
The diagnosis of Post –Traumatic Stress Disorder (PTSD) involves clusters of symptoms. They include persistent re-experiencing of the trauma, avoidance of traumatic reminders/ general numbing of emotional responsiveness, and hyper-arousal (American Psychiatric Association, 2000). In order for the possible diagnosis of PTSD the individual needs to have exposed to a
Everyone has been impacted by crime victimization at some point in their life. While not all will experience first-hand victimization, the impact effects many people. Understanding a person’s past victimization will aid in determining their strengths and needs. The world we live in is not perfect, people are messy, everyone has a story, and it is our job as human service professionals to serve each client with a holistic approach. It is often said that human service professionals enter the field because their own past experiences led them to want to help others through traumatizing, victimizing experiences as they were helped.
The attack occurred in July 1982, in a wooded area in Ashland, Virginia near the apartments where the victim lived. A young white woman had been attacked by a black man on a bicycle. The victim was beaten repeatedly and threatened with a gun. The victim was raped, and sodomized for an unknown amount of time. During the attack, the perpetrator had told the victim that she was nothing special; he’d been with a white girl before. The victim ran home and called police. The first officer on the scene was Ashland police officer W.L. Anderson to arrive at the apartment. Officer Anderson of the Ashland police department spoke with the victim there and at the hospital. Officer Anderson learned that the assailant knew enough about the victim to suggest he lived near her and that he had said he had a white girlfriend. Officer Anderson, who is black but is no relation to Marvin Lamont Anderson, then began asking around about black men living with white women at the apartments. Anderson 's name came up (KRISHNAMURTHY, 2001).
Rand, M. (2009, September 1). "Criminal Victimization, 2008". Retrieved April 25, 2011, from Washington, D.C: Bureau of Justice Statistics, 2009: http://bjs.ojp.usdoj.gov/content/pub/pdf/cv08.pdf
In the story of George Stinney Jr, were he was giving poor legal representation in court, He became the first youngest African American boy in the United States to be executed for a crime in the 20th century. March 23, 1994 a pair of young Caucasian females are declared missing, their names were Betty June Binnicker, who was 11 and Mary Emma Themes, who was 8. The girls were out riding their bikes and were looking for maypops. George was brought in for questioning because on their way there they stopped by the Stinney home where George and his younger sister were out playing and asked if they knew where to find the flowers and George knew where to find them. He was accused of beating them and dragging their bodies to a ditch. Once arrested without a trial being taken place George’s father was fired from his job and his family was forced to move out of the city for the fear of being lynched by angry Ca...
According to Tabor 2011, vicarious trauma is one of the leading contributor of burnout within forensic health care professionals. The term vicarious trauma was first utilized by McCann and Pearlman in 1990, when they used it to describe “the therapist’s reaction to a client’s traumatic events” (Tabor, 2011, p. 203). The study also suggests that nurse’s are at a risk of suffering from vicarious trauma due to the increased levels of mental exhaustion from prolonged exposure to high levels of traumatic stressor (2011). This is in turn may result in changes in the nurse’s beliefs, cognition, memory, sense of safety, trust and self-esteem (2011). The combination of the above mentioned effect and vicarious trauma may potentially result in the nurse developing post traumatic stress disorder (2011). The consequences for this would not only be detrimental to the health of the nurses but also for their family and
Trauma is a psychological reaction to sudden traumatic events and overwhelming issues from outside. Additionally, the exposure to activities that are outside the human’s normal experiences. Traumatic events become external and incorporate into the mind (Bloom, 1999, p. 2). Traumatization happens when the internal and external forces do not appropriately cope with the external threat. Furthermore, trauma causes problems because the client’s mind and body react in a different way and their response to social groups. The symptoms of trauma relate to irritability, intrusive thoughts, panic and anxiety, dissociation and trance-like states, and self-injurious behaviors (Bloom, 1999, p. 2). Childhood trauma happens when they live in fear for the lives of someone they love (Bloom, 1999, p. 2). Judith Herman’s trauma theory states that the idea of repressed memories relates to unconscious behavior. These repressed behaviors include those inhibited behaviors relate to memories of childhood abuse. From McNally’s point of view memories of trauma cannot be repressed especially those that are more violent (Suleiman, 2008, p. 279). In addition, one of the theories used to dealing with trauma includes the coping theory. With situations, people tend to use problem-solving and emotion-focused coping. Emotion-focused coping happens when people are dealing with stressors. When the stressors become more