CASE STUDY

A. PERSONAL INFORMATION

NAME: Cherry ann T. Malutao

AGE: 6 years old

GENDER: Female

BIRTHDAY: November 26, 2004

BIRTHPLACE: Nodado General Hospital

ADDRESS: Phase 10-A PKG.2 Blk.27 Lt.1 Bagong Silang Caloocan City

RELIGION: Catholic

PARENTS: Juvy Malutao and Marilyn T. Malutao

GUARDIAN: Florencio Gutoman and Marichu T. Gutoman

SCHOOL RECORD

SCHOOL LEVEL: Kinder II

SCHOOL NAME: Emmanuel Learning Center

MEDICAL HISTORY

          PAST ILLNESSESS: Primary Complex

PRESENT ILLNESSESS: Mumps

FAMILY HISTORY: High-blood Pressure and Diabetic

VACCINES: Complete

DENTAL RECORD: N/A

B. JOINING PROCESS

        My relationship with my client as a therapist can be considered healthy because my client seemed to pay attention with the whole therapy session. There were moments that my client seemed to be out of focus but the therapy went on smoothly.

        At first, I expected my client to be somewhat hard-headed because of her family background but she was really obedient and kind to me.

C. PRESENTING PROBLEM

         The presented problem accurate by the client according to the guardians is her naughtyness, hard-headed and disobedience. According to them, my client tend to disobey them, sometimes most specially when she’s in front of the computer.

           According to her Teacher, she’s good in the class but sometimes my client is not attentive. Also my client did not finish the task that her teacher gave to her like writing.

        According to my client’s Uncle, she’s naughty, hard-headed, and disobedience also.

D. PSYCHOSOCIAL THERAPY

D.1 TIME LINE

                             

D.2 GENOGRAM

•  GRAND PARENTS - Lea and Julito Sr., separated since 1992.They have four children namely Marilyn, Marichu, Julito Jr. and Fernando. In 1997 Julito Sr. wanted to back to his family but the eldest daughter refused. 1998 Julito Sr. died. Lea died in 2010. My client was spoiled to her Grand mother.
• Marilyn is the eldest daughter. Married to Juvy Manlutao and separated last 2008. Cherry Ann is their only child, who was my client. Their have no news to Juvy Manlutao since 2008.
• Marichu is the second daughter. Married to Florencio Gutoman. Stands as Guardians of my client since her mother left for abroad. Andrea Coleen is their only child. 
• Julito Jr. is the third son. A bachelor and sometimes he is looking to my client if their guardians at worked. Julito Jr, had a good relationship to his Dad when their parents separated.
• Fernando is the youngest son. Also a Bachelor, Security guard somewhere in Fairview. He always bring "pasalubong" to my client. And also had a good relationship with his Dad. 

D.3 SOCIOGRAPH

SCHOOL

• According to my client Deo and Jextre are the people she doesn't like because they always bully her friends namely Jayson, Cherry Mae and Sophia.

HOME

• According to my client, Marichu and Florencio are the people she doesn't like because they always scold her. Julito, Fernando and Yolanda are the people she likes because they always beside her and giving what she wants.

D.4 PERSONALITY DYNAMIC

• FOR MASTERY

       My client seems to excel in coloring and drawing because while I was interviewing her, she took her crayon, pencil, paper and started to draw. Also, she showed me her drawing on our second session and they were neatly drawn it.

She do not cry because according to my client she is strong person. Her weakness, she do not know how to dance and sing.

D.5 RELATIONSHIP TO OTHERS

        During the session with my client, I have observed that she has a healthy relationship with her guardians and teacher although sometimes she tends to be disobedient and hard-headed. She is not allowed to play outside the house without the supervision of her guardians.

D.6 FOR ACTION

• At home the client always wanted to play some computer games. She love to draw and to color her drawing. She eat her food while playing the ball or watching television.
• In school, the first instruction given by her teacher is to write on their notebook the lesson written the board prepared by the teacher. Seven children already done their works earlier than expected that one them is my client.

E. THEORETICAL FRAMEWORK

  

F. PROGNOSIS

• The Mother-child relationship acts as a model for subsequent relationships with others. If the mother maintains a positive, cooperative atmosphere, the child will tend to develop social interest. But if mother binds the child exclusively to her, the child will learn to exclude other people from  her life and develop low social interest. A person's lifestyle and fictional goals must consider the improvement of society. Otherwise the person ends up being neurotic.
• The parents demonstrate genuine affection and warmth toward the child, there by satisfying its needs for safety. This condition leads to normal development.
• The parents demonstrate indifference, rejection, or even hatred, thereby frustrating the child's need for safety. This condition leads to neurotic development.

G. THERAPEUTIC PLAN

• G.1 Knowledge Building
• At the end of the cases the client must be able to build knowledge about
• Identifying people in her society to develop social awareness.

• G.2 Skills Building
• Initiating action for the task given to her

• G.3 Attitude Building
• Show respect for the feelings of other members of the family

H. THERAPEUTIC INTERVENTION

Identifying people in her society to develop social awareness.

" Show and Tell" show pictures of different people in her environment and let the child tell their responsibilities towards her and her responsibilities toward them. example: - Parents - Relatives - teachers - classmates - friends

March 25, 2011 2-4 pm

I. THERAPEUTIC PROGRESS

Initiating action for the  task given to her	“Story telling” about values that will teach a child about obedience.	March 26, 2011 2-4pm
Show respect for the feelings of other members of the family	“Show me your face activity” Show different facial expressions and let the child express when is she feeling these emotions. Ask also why do she meet respect other feelings.	March 24, 2011 2-4pm

J. THERAPEUTIC RESULT

• Base on the information gathered, the therapeutic plan is successfully achieved because the clients know how to socialized to the people around her. The client now follow what her guardian to her to do. And the client know how to respect the feelings of other members of her family.

K. SUMMARY

• A six-yr old girl kindergarten. An only child of Marilyn and Juvy Malutao. When her parents separated, Her mom left going abroad and she left to her grandmother's care but her grandmother died last year. Because of what happen to her family she tends to be disobedience, hard-headed and naughty girl. The therapeutic intervention has a big impact to her behaviour. Her maladaptive behaviour change everyday.
• I recommend the client guardian to give the client chance to interact to other children outside their home.
• I therefore conclude that maladaptive behaviour of the children will probably a mistaken behaviour. It is very important to understand the behaviour of every children around you.

L. IMPLICATION TO EDUCATION AND ASSESSMENT OF YOUNG CHILDREN

• Teacher has a big impact to every children future especially in school scenario. The teacher must be careful on her action and words so that the children will continue to trust the teacher strength. Contact talk, friendly touch, different therapeutic approach are not only the things to remember how to handle those little children. The collaboration is very important to the learning of the children.

Learning Questions

PSYCHOANALYTIC THERAPY

1.    According to Freud, we are all  “a little neurotic”  Do you agree in this phrase? Why?

2.    Can you share some of your dream that is bothering you until now?

3.     Do you agree that using Defense mechanism always is already a neurotic person? 

     Justify your answer         

4.    What are the two experiences led to Freud first using the term Psychoanalytic in 1896?

5.      What is the ultimate goal of Psychoanalysis?

ADLERIAN THERAPY

1.     Why Adler described his childhood as unhappy?

2.    Freud believe that human behavior is pushed by the past, and Adler believe it is pulled by the future. Which do you prefer? Why?

3.    The function of the therapist also confront clients with their basic mistake, misplaced goals, self-defeating behaviors and restrictive belief. How can help client to resolve his/her problem by confronting your client?

4.    What are the four  elements of Adler’s concept of life style?

5.    How can be develop inferior complex to the child?

EXISTENTIAL  THERAPY

1.    What are the goals of therapy?

2.    In your own opinion, Why Frankl add a seventh characteristic to May’s description of “existing person”?.

3.    What are the differences of Psychoanalytic, Adlerian and Existential therapy?

4.    What is applicable to use in student problem? Why?

5.    Can you give some example?

PERSON-CENTERED THERAPY

1.    Why Roger’s used the term client than patient?

2.    “We are loved conditionally, not unconditionally”. Do you think it is true? Give example?

3.    How many essential ingredients Roger used?

4.    Define each essential ingredients?

5.    What are the difference between counselor-centered and client-centered approaches to therapy?

GESTALT  THERAPY

1.    Pearl studied that three Germans whom the origins of Gestalt Therapy. Who are they?

2.    What is Catalyst?

3.    What is the purpose of Catalyst?

4.    A therapist may choose from a smorgasboard of method: If you are the therapist what will you choose?

5.    Why did you choose that kind of method?

TRANSACTIONAL  ANALYSIS

1.    What is Psychopathology according to Berne?

2.    When Confusion occur?

3.    What are the Psychological hungers?

4.    Identify those Psychological hungers?

5.    In your own opinion, Why Berne called it Psychological hungers?

BEHAVIOR THERAPY

1.    “  A long past but a short history “ . What do you mean by this?

2.    Do you think positive reinforcement is the most successful of all the behavior modification techniques?

3.    Do you think it is applicable to use every time? Why?

4.    How about the token economeis, do you think it is necessary?

5.    What are the three paradigms of behavior therapy?

RATIONAL-EMOTIVE and other cognitive THEORIES

1.    What are the differences between RET and Behavior therapy?

2.    Which do you prefer to use? Why?

3.    Why do we need to use ABC theory in RET?

4.    Do you think it will help you a lot? Why?

5.    What is the ultimate goal of RET?

BEHAVIOR THERAPY

FUNCTION OF THERAPY

            The Function of the behavior therapist focuses mainly in counseling or she/he serves as a consultant in behavior change, a supporter and motivator in the process of change, as a resource in clarifying the problem and designing change strategies and as a model of more functional behavior. A behavior therapist may also work with people around the client environment to ensure continuous and effective behavioral therapy.

            Behavior therapy has four major steps which a behavior therapist should follow when dealing with his/her client. First, the behavior therapist attempts to define the problem accurately and concretely. After defining the problem of the client, the therapist conducts a developmental history of the client. Next step is helping clients establish their specific goals. Lastly, the behavior therapist determines the best methods for change.

GOALS OF THERAPY

            The goal of behavior therapy is to extinguish the clients identified maladaptive behavior and to introduce or strengthen adaptive behavior that can serve as a replacement and enable him/her to live a productive, happy life. The key to reaching this goal is to help the client learn new behaviors.

            The behavior therapist must view the process of change through the three behavioral lenses of learning three paradigms that can stand alone but are often integrated.

            Respondent learning occurs when a stimulus that is neutral in paired with a stimulus that has an effect until the neutral stimulus begins to elicit the same effect primer of stimulus.

            In operant conditioning a behavior occurs and some event follows the behavior that is reinforcing. Positive reinforcement increases the change of the behavior’s reoccurring in the future. Negative reinforcement on the other hand, is anything that increases the probability of a response as a result of avoiding not been emitted. While punishment refers to the aversive consequences of a response and is followed by a decrease in that response.

            In social modeling or vicarious learning occurs independently of reinforcement and when a person sees another behavior that teaches him/her a new way of behaving.

            The general goal of behavior therapy is to create new conditions for learning to ameliorate problem behavior.

Summary of ECED 13 reports

GROUP MEMBERS:

Bardinas, Evelyn

Rencio, Jomalou

Tolentino, Leopoldo

Tanayan, Geraldine

Rieza, Fredalyn A.

              

CREATING A SENSE OF MOVEMENT

            A primary goal for beginning practitioner is creating a sense of movement along the continuum. To achieve this, the therapist makes a timeline from the client’s experiences then explore it using the most relevant questions. Then the treatment plan is formed with the issues role by the client.

            The time line allows an emotional issue to be explored in its original context as a point along the continuum rather than as an end in itself. One advantage of using a timeline is that it helps the therapist keep a sense of direction during stages of exploration when emotional issues may be raised before a therapeutic direction has been defined.

Summary in ECED 11 report

GROUP MEMBERS:

Agunoy, Maylet

Gega, Riza

Santander, Marlyn

Garais, Eloisa

Mundala, Liezel

Rieza, Fredalyn