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Psychology Case Study: Angelica's Struggle to Fit In

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5 Questions

Dartnell Clients like Angelica find ______ components of the psychodrama helpful in becoming aware of their habitual dysfunctional thought patterns and belief systems.

CBT

The schema-focused techniques present an opportunity for a deeper level of ______ and merge well with the psychodramatic framework.

insight

Teens with severe social anxiety may initially find ______ too demanding and may opt to seek individual therapy prior to joining a group.

CBEGT

It is important that the facilitator be cognizant of participants’ ______ scores to ensure a client is ready to act as the protagonist.

BDI

Individuals with self-centered personality traits and ______ disorders who display strong resistance to group work are recommended to be excluded.

conduct

Study Notes

Case Study: Angelica

  • Angelica, a 16-year-old, struggles to fit in at her new school and neighborhood after her parents' divorce.
  • She emerges as the protagonist in a psychodrama session, with other group members serving as auxiliaries.
  • Group members include teenagers dealing with various issues, such as social anxiety, recent loss of a loved one, and fear of graduation.

Case Conceptualization

  • A case conceptualization based on Beck's rubric (2011) is used as an ongoing therapeutic tool.
  • Group members complete the case conceptualization form, which helps them reflect on their rules, conditional assumptions, beliefs, and coping mechanisms.

Cognitive Triad

  • The cognitive triad is a visual representation of negative thoughts, reflecting themes of loss, emptiness, and failure, creating a depressive/failure mindset.
  • This characterization is often distorted and can be challenged through case formulation.

Psychodrama Technique

  • The technique involves Angelica walking around the room with her double, exploring her thoughts and feelings about her parents' divorce and recent move.
  • She recognizes her need for acceptance from others and her lack of self-confidence.
  • The facilitator uses role reversal and interview techniques to help Angelica gain insight into her strengths and good qualities.

Integrating Psychodrama and CBT

  • The integration of psychodrama and CBT helps clients like Angelica become aware of their habitual dysfunctional thought patterns and belief systems.
  • Schema-focused techniques provide a deeper understanding of the etiology of clients' presenting problems and form the basis for treatment planning.

Drawbacks and Exclusions

  • Teens with severe social anxiety may find the group therapy too demanding and may need individual therapy before joining a group.
  • Facilitators should be aware of participants' BDI, BAI, and BHS scores to ensure they are ready to participate as the protagonist.
  • Individuals with self-centered personality traits and conduct disorders may not be suitable for group work.

This quiz is based on a case study of Angelica, a teenager struggling to adjust to her new school and neighborhood. The session involves other group members, including Riley, serving as auxiliaries to help Angelica. Test your understanding of psychology and group therapy dynamics.

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