Instructions Please ensure you have reviewed the media activity on Marvin’s case and address the following questions: Share how you selected and prioritized your target of interventions in working with Marvin. How did you feel using the framework provided to help specify your targets of intervention? For example, did using the framework make things clearer or more confusing? Were you more anxious or more calm and secure? How did you select your ultimate goals? How did you move from the ultimate goals to the specific objectives to work on with Marvin? What criteria did you use? If Marvin were in front of you right now, how would this change your goal specification? Share how you selected your measures. What criteria did you use? Do you feel confident that the measures you selected are able to provide valid and reliable data? Why? What did you learn from the process of constructing your client log and the individualized rating scale? Do you expect to get accurate and reliable information using these measures? Why? As you worked on Marvin’s case, did you experience any particular “aha” moment that you would like to share? Do you think this exercise will help you with your final project? In what ways was this exercise helpful to you? Case Study – Marvin No referrence Slide 1: Marvin is a 21 year old college student at a local state university. Marvin’s major is in Chinese Mandarin. Screen: Image of depressed male Slide 2: His mother Tammy is the chair of foreign languages at the same university where Marvin has studied Chinese for 4 years now. Screen: Image of an older female business woman sitting in front of a computer at a desk Slide 3: He is nowhere near graduation and the vast majority of his classes are very boring to him. He has little interest in learning Chinese and if it was not for the work study trips to China that Tammy insisted that he took and she paid for, he would have switched his major to something more “normal” long time ago. Screen: Image of male sleeping in a classroom on top of books Slide 4: Marvin does not like living on campus, has only one friend who is not currently in college and whom he sees every 4-6 weeks or so. Marvin never had a job and finds this thought overwhelming and unachievable. He spends most of his time at Tammy’s home, in the basement, playing video games and browsing randomly online. He feels that there is no purpose or meaning to his daily activities. He gets easily bored and his days are gloomy and never fun. Screen: Image of male on bed with head on laptop Slide 5: Marvin has struggled with depression on and off since his middle school years. Actually several years earlier, when he was a third grade student, he had to be temporarily moved into a special education setting to help him deal with angry outbursts directed at the teachers and with short episodes of anxiety. Screen: Image of frustrated young boy sitting in front of books Slide 6: Marvin grew up with a two parent family and has a younger sister, who never had problems and who was always the main priority of her parents. Ever since she was born, Marvin learned that he was the imperfect child, while his sister Anika got all the hugs and kisses, was told that she was beautiful and a joy to be around every single day of her life. Screen: Image of mother, father and baby smiling, while image of young boy sad and head in knees is on the side. Slide 7: Marvin’s mom, Tammy is a university professor. She met her husband, Curtis while they were both in graduate school and despite the obvious notion that she always had that her husband had major issues with anger management, depression, anxiety and self-esteem, she thought that she will be able to save him and build a family life with him that will turn out happy and enjoyable. Screen: Image a man and woman arguing on one side and them hugging on the other side. Slide 8 to 12: Several years into the marriage, Curtis started drinking rather heavily. Each time he drank, he took his anger and frustration out on Marvin calling him a retard and lazy and telling him that he was not the kind of son that he wanted. Some of these verbal episodes turned physical every once in a while. The mom failed to protect Marvin every time and tried her very best to pacify her husband and keep the family intact. Screen: Image of male gripping boys arm and pointing a finger in his face with image of frustrated woman to the side. Slide 13: One night when Marvin was in the fourth grade, he was working on a project in Geography and after he spent hours drawing on a world map, he spilled milk on it and everything was ruined. Screen: Image of boy doing homework Slide 14: To avoid a new violent episode with his dad, Marvin ran to the next door neighbor and asked the neighbor to help him redo the map before his dad came home. At 9PM, they were still working together at the world map (with his mothers permission and knowledge) when the dad came to the door. Screen: Image of teenage female helping young boy with homework Slide 15: He stated to the neighbor that the assignment was stupid, the teacher had no idea what she was doing with these kinds of dumb assignments and there is no point in helping his son redo the project, because he never gets a good grade in school anyway. He stated that helping Marvin do his homework is a useless proposition. Screen: Image of sad young boy with hands in arms over books. Slide 16: When Marvin was a junior in high school, Tammy left the family one day and did not return home for 2 months. Screen: Image of woman walking down street Slide 17: While Tammy was gone, Curtis reluctantly took care of the kids, but Anika was the focus of his attention, because he considered that Marvin was old enough to take care of himself. Screen: Image of father with daughter on his shoulders at the beach smiling Slide 18: Tammy eventually came back home and announced that she was divorcing Curtis and she was in a new relationship and very much in love with her new partner. Confronted with the news, Curtis had a major angry outburst when he knocked down the living room door and destroyed several pieces of furniture in the living room and dining room. Because there were financial problems and the parents could not separate right away and make other living arrangements, these violent outbursts repeated themselves quite often during the next few months that followed the divorce announcement. Screen: Image of frustrated male and female with ruined furniture. Slide 19: The parents eventually separated and Curtis moved into another house nearby. That’s when the bouncing around of Marvin and especially his sister started to unfold on a weekly basis, which was frustrating and exhausting to Marvin. Screen: Image of house with sold sign on lawn Slide 20: As much as he never appreciated Curtis with his violent behaviors and his constant criticism of him, when he saw his mother kissing her new boyfriend in the backyard, he thought he was going to have a heart attack right there and then. Screen: Image of male and female silhouette embracing in sunset Slide 21: Today Marvin finds no joy in anything he does and even when invited to join an activity, has thoughts like: “these people really do not want me to attend this birthday party. They are just being polite. I am not going to have any fun at all. I am tired anyway, because I stayed up last night until 4 a.m. to play video games. I would rather take a nap and call it a day”. Screen: Image of male holding his head frustrated Slide 22: Marvin has low self-esteem and even though he would like to have some money in his pockets to not have to ask any of his parents to buy new games or pay for any of his school supplies or whatever, he thought that there was absolutely no way that he could make it through a job interview and make it in any kind of job, including the ones that are very low paid in the food industry or in factories. Screen: Image of sad male with hand on jaw looking away
https://www.nursingschoolwritings.com/wp-content/uploads/2021/09/logoww2.png 0 0 admin https://www.nursingschoolwritings.com/wp-content/uploads/2021/09/logoww2.png admin2021-09-30 16:13:462021-09-30 16:13:46Share how you selected and prioritized your target of interventions in working with Marvin. How did you feel using the framework provided to help specify your targets of intervention?