Topic: Case Analysis

  1. Case Study: Case Vignette: Rob (page 398-400)

Biopyschosocial (spiritual) Assessment: Please use the Biopyschosocial  Assessment for assistance. Feel to add information that is not covered in the Case study.

Define DSM IV diagnose:

Evidenced-based practice intervention: Cognitive behavioral therapy for trauma-related guilt.

Focuses on helping people become more aware of the thoughts or beliefs that

underlie feelings of guilt (e.g., through self-monitoring).

Helps the person come up with more realistic interpretations of the situation.

The goal of cognitive therapy for trauma-related guilt (CT-TRG) is to help the client achieve an objective and accurate appraisal of his or her role in the trauma.

CT-TRG focuses on correcting thinking errors that can lead trauma survivors to draw faulty conclusions about the importance of the roles they played in traumatic events.

Three Phrases of CT-TRG

Assessment

Guilt incident debriefings

  • CT proper—involves separate, semistructured procedures for correcting thinking errors that lead to faulty conclusions associated with guilt

 The development of a phase-oriented, culturally responsive, research- informed practice plan that involves diverse practice modalities (e.g., individual, group, couple/family therapy and/or clinical case management) should also be included.

 * Assessment is an integral part of the CT-TRG model*

 Issues of diversity, gender, race, ethics and use of professional self (including transference/countertransference phenomena) should be explored.

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