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With Narrative Therapy focus is placed on the language used to construct our realities. Understanding our truth is important, just as understanding that our truth, or reality, is unique and may or may not align with someone else’s. Focus is placed on the effects of the problem and not the cause. Constructing narratives and deconstructing narratives are commonplace in this type of therapy.
DISCUSSION: Thinking of what you have learned so far, how could you implement aspects of Narrative Therapy in this current case as a Mental Health Therapist ?
Narrative Therapy Hypothetical Case:The case of Jamie Sanders-11-year-old female-Mother: Janet; Father: Lewis / Sister: Jana (16)-6th grade at local public school;A/B student whose grades have recently began dropping-Prior diagnosis of ADHD at the age of 9-Medical Diagnosis: Juvenile Diabetes-Chief Complaint: Reluctantly, Jamie presents to therapy after she was encouraged to attend by her parents. When speaking with Jamie first, she says that she does not know why she is there other than her grades have dropped below honor roll recently. She states “my parents are just being jerks and making me come here to figure out what is wrong with me, but nothing is wrong with me. I just don’t care about school anymore.”Jamie states that she cannot give a reason why her grades have been dropping this school year, but does briefly mention that she is having problems with a couple of girls at school. She reports, “they are the popular girls. You know, the ones who all the boys like but they are mean to everyone. I’m just the weird girl who likes comic books.”As the first session goes on she begins to open up a bit more and mentions that she wishes she was not “weird”and could be like the other girls, specifically more like her older sister who she says is really popular.Her parents were also interviewed during the initial session. They reported that they divorced2.5 years ago after being separated for over a year. Before their separation, they reported consistent episodes of conflict in the marriage, but never anything physical–“more like heated disagreements…all the time”they state. Lewis has recently remarried and now has a blended family with his wife’s two sons (8 and 14). Lewis reports that recently he has noticed that Jamie “does not want to come and visit as much and when she does come visit she is not involved with the family.”Lewis said he had always been close with his daughters so the distance from Jamie is really becoming a problem for him. Janet, her mother, agrees that despite his shortcomings as a father, Lewis has always been an involved and nurturing father.Both parents state that they have brought Jamie to therapy to help with the changes in her attitude toward the family, her reluctancy to look after her diabetes/health, difficulties in school, and just overall “change from who she used to be….it isn’t healthy for our family dynamic that is already strained.”
Also, pose a discussion question for your fellow classmates that relates to what you read.
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