Case Study Assignment1

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Psychology

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Jul 2, 2024

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1 Case Study Assignment Amy Meade Department of Psychology, Liberty University CRIS 303: Acute Stress, Grief, and Trauma Instructor Tiffany Furbush June 17, 2024

2 Case Study Assignment Upon examination of this case study, it is evident that Rachel has undergone a great deal of loss and has encountered significant emotional and physical struggle. The loss that Rachel is experiencing does not stem from one thing but rather a combination of events. From experiencing memory loss of her accident, having to endure physical therapy for her broken legs, and having to close her counseling practice that she dedicated a lot of time to, as well as the total upset in the life of her family. Rachel’s reaction immediately following her crisis was positive. She seemed to be in good spirits in the initial aftermath of the crisis, as she had had previous training with her counseling that equipped her with tools and resources to help aid her through this tough time. Though Rachel more than likely had many emotions during this process such as anger, anxiety, and guilt, those emotions did not surface until sometime later. As time elapsed, Rachel began to start grieving all that was lost, including her job, memory, and the loss of control of her life's entirety. Rachel would have done well with the crisis intervention of grief counseling. Though her family was supportive, and she met regularly with her pastor, Rachel still struggled with depression and anger deep inside, withholding these emotions from everyone. She would have benefitted from grief counseling intervention as it would have facilitated awareness of the loss and the crisis's overall impact (Worden, 2018). Grief counseling could have provided Rachel with an understanding that the loss did happen and that things have been affected and will be different from before the loss. Rachel would also have benefitted from group therapy to give her validation for her feelings of frustration and vulnerability. Group therapy provides a secure, intimate environment that allows group members to repair their self-esteem and sense of control in their lives (Dass-Brailsford, 2016). Group

3 therapy would aid Rachel in coming to terms with her losses and providing comfort that she is not alone, that others have been in similar situations. Finding an appropriate way to cope with the loss is something Rachel thought she was equipped to handle, but she soon discovered she was having days where she was really struggling, and her resources were not sufficient. Rachel could have pursued active emotional coping in which she could have accepted her supportive system that in turn could have helped build her self-efficacy and esteem (Worden, 2018). Another way Rachel could have coped with the underlying feelings of her crisis is by venting to her support system. By utilizing both coping mechanisms, Rachel may have been able to look at her crisis in a new light, by redefining her situation and finding something positive or redemptive about what has happened to her (Worden, 2018). These coping mechanisms could have given Rachel a new sense of purpose or meaning, giving way to establishing resilience. Rachel, however, did prove to struggle in establishing resiliency as her grief was not handled very well. Resilience, which is the ability to bounce back after experiencing something difficult, was not what was happening with Rachel. Rachel began to think of all the negative things that transpired out of her crisis, consequently allowing her to feel even more defeated. Coping and resilience build upon one another, as one would be difficult to achieve without the other. The lack of proper coping mechanisms also played a role in Rachel being less resilient. Resilience is an intertwined web of nature and nurture that is promoted through supportive relationships (Choi, et al., 2022). Rachel could have established resilience by leaning on her support systems such as her husband and her pastor, as social support can nourish one’s inherent resilience (Dass-Brailsford, 2016). If Rachel had intervention, her likelihood of resiliency could have been identified and methods to improve her resilience could have been implemented.

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