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Client: Samantha A.
Date: 4/28/14
Session #: 1-5
Educational Impact: How does the students issue or concern impact his or
her ability to learn?
Samanthas grades are not very impressive. She talks about switching medications
frequently which could be making an impact on her concentration and ability level
in school. She has also been suspended from school for acting out with other
classmates and getting into fights and physical altercations. This is a result of her
anger issues, which she claims are improving. Since we have been meeting,
Samantha has not been in trouble for bad behavior in school. Also, it doesnt seem
as though Samantha has a constructive learning environment at home. Based on
her descriptions of home-life, Samanthas parents often have parties and invite
friends from the neighborhood over, which could be very distracting to Samantha
when trying to do homework or study outside of class.
Impressions and Understandings: What is the student like? Attitude,
degree of concern, willingness to work on problem, etc.)
Sometimes, the student is really hyper and eager to speak with me. Her eyes get
really big when she is talking, and she is smiling a lot. Other times, the student is
pretty spaced out and it seems like her mind is wandering throughout our sessions.
It could be that her medication is impacting her moods. She almost always seeks
me out during advisory period and always has something very important to talk
about, although most of the time she just talks about her friends and typical
teenager things. She is most concerned with her friends and her relationships, even
though her grades are really suffering and she may have to be in high school for an
extra year. Even though her grades are suffering, she gets very excited about
pursuing post-secondary education options such as massage therapy school. To add
an academic focus to our sessions, the client agreed to collaborate on an essay that
she could use for admission to colleges or institutions and for scholarship
consideration. We decided to focus the essay on her cultural identity and personal
experiences.
Strategies Implemented During Session: What did you do? What areas
were explored?
We used a lot of REBT during our sessions, particularly when she was reflecting on
her former friendship with the girl that was described as a party animal. For
instance, Samantha would often put a lot of pressure on herself to be a big sister
figure to her friend and would constantly be trying to give advice and look after her
and would just end up being stressed out by her friends choices. We talked about
the things that Samantha could control and not control, as well as restructuring her
belief systems. Why did she feel that she needed to look after her friend? What are
some of the statements that she would tell herself that made her believe that it was
her responsibility to make sure her friend was making good choices? Once
Samantha would verbalize these statements, I would ask her what else she could
say to replace the statements so that they are still true, but more relevant to her
personal well-being. We also discussed the lessons she learned from the
experiences she had with her former friend, and we would incorporate those lessons
into the new belief statements that Samantha would form.
We also spent an entire session writing her essay for scholarships. Samantha talked
about her childhood experience of realizing racial barriers, coping with being a
refugee and learning tough lessons in high school that have better prepared her for
life after graduation. At the end of the session, we had a very insightful essay that
only needed some minor tweaking that she could use for multiple career and
educational opportunities.