Narrative Therapy Deidre

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Walden University *

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Psychology

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Jul 3, 2024

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Case Conceptualization Deidre’s Case Theory/Theorist: Narrative Therapy Presenting Problem: Diedre a 21-year-old female of mixed African American and Latina heritage. She is working part-time while also currently being a sophomore in college. Deidre was referred to counseling by her doctors because of her symptoms of anxiety. Her parents are currently divorced and have been since she was 11, and she has no siblings. She described her mother as moody and emotionally unpredictable while describing her father as having a calm presence and being overall closer with her father. Diedre lost her father suddenly at 15 years old due to a heart attack. Currently, Diedre has reported not having many friends in college, having trouble seeing her career path, and missing her father's presence. She also became pregnant at 18 during a friend's party and was unsure of who the father's baby was, so Deidre chose to have an abortion. She is now dreaming often about her child and what life would have been like if she had become a mother and worries about whether she will have a promising future. Hypothesis: Deidre has experienced negative experiences with her child. She described her mother as moody, her parents divorced, and losing her father at 15 years old. She described her relationship as being closer with her father, so his death and having an abortion have caused her to have anxiety and regrets about her decision for the abortion and caused her to be worried about the future. According to West-Olatunji and Butler (2022), these negative experiences Deidre has had throughout her life have caused anxiety because of her negative narrative and attitude. Goal: According to West-Olatunji and Butler (2022), Deidre is the true expert in her life; narrative therapy aims to help her reconstruct during her counseling, not only to transform her stories but to empower her. We will focus on the solutions to help give her a more positive attitude towards her narratives to help her thoughts and feelings towards herself and her future. Interventions:  Externalizing Questions: This intervention aims to separate Deidre's identity from the problems in her life (West-Olatunji & Butler, 2022). Diedre speaks about her having a more distant relationship with her mother, being regretful of the choices she has made, and losing her father as a teenager. This has caused her to have anxiety and negatively impact the relationships that she could potentially form in college. Ask Diedre questions such as "Tell me more about the anxiety and grief you have been feeling," "When does this usually occur," and "How do you feel about the impact this has had on your life" (Ryan et al., 2015). This would be helpful in separating her identity from her problems while also helping her to identify, describe, and evaluate the effects of the problem.  Reminiscence: Deidre has a negative attitude towards her life because of her past experiences, which is causing anxiety and resentment within herself due to her past decisions. This intervention will help Deidre have a more positive perspective on her life experiences, better her self-identity, and be more content and happier overall (West- Olatunji & Butler, 2022).

Expected Outcome : Deidre will rewrite her narrative for herself more positively. She will also create distance between herself and her problems, empowering her to change her life. This will result in a reduction of anxiety and her looking forward to her future. References: Ryan, F., O’Dwyer, M., & Leahy, M. M. (2015). Separating the problem and the person. Topics in Language Disorders , 35 (3), 267–274. https://doi.org/10.1097/tld.0000000000000062 West-Olatunji, C. A., & Butler, T. (2022). Constructivist theories: Solution focused and narrative therapies. In D. Capuzzi & M. D. Stauffer (Eds.), Counseling and psychotherapy: Theories and interventions (7th ed., pp. 335-358). American Counseling Association.

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