Friday, September 7, 2007

Ind Sup - Sept 6 & 7

Case #1 (B)
* How to get support without full disclosure;
* Minimodeling: What else do I do? "I know I might be ... (over-reacting, etc.), but I do feel ..."

Case #2 (C)
* Use the cognitive part to process past trauma. * imagine, seeing it back then. What do you think you would say to her? to the boys?" Older, maturity, power, control, resources;
* "You were doing the smartest thing you knew at the time."
* Ask the CL to talk to the little girl part. Defending, protecting
* Empathy for the offender
* "If that were your daught, how would you have responded?"
* Move on to adulthood. Self-care, seek support, choice, greater independence from the system.
* What would happen if you don't ..."
* Who is being taking care of?
* Anchor the complicated system on tx focus (fear).
* Stressor - have control vs not
* Live through the tough stuff

Case #3 (A)
* Welbutrin side effect - seizure, esp. in ppl w/ bulimia;
* Dependent personality
* PRN = Pro re nata, a medical term for "As the situation arises." (used by doctors on prescriptions to mean "take as needed")
* Encounter her fresh.
* Past experience and demonstrated strength
* Safety, sense of agency; give alternatives and ask her to make the decision.
* Past coping re sources.

Case #4 (I)
* Model openness.
* Anger as energy to be channeled to solve the problem; as a sign of sth not right, the person not being treated right; recognize, not act out.
* BehReh: "How would you like for you to behave?" - options: ignore, eye contact - break off; say 'hi,' keep walking, deep breathing, hateful look;
* Manner reflects value. Get along well not need. Get tough - manners important.
* Cordinal but not close; decent but not inviting

Case #5 (L)
* "Seem to be open. Pieces not fit together --> not enough info;
* Challenge: friend vs. (beh.)
* Choose how close to relate with family
* Balance self life with family
* fallback position to excuse yourself.

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