Case study | cuiutral | Herzing University

  

NM230 In-Class Case Study 2

Mr. and Mrs. Lahud have come to the clinic to initiate family therapy. The whole family is under stress because their youngest daughter, 10-year-old Elia, loses her temper “almost constantly,” the parents say.
 

“In fact, she seems to be always seething under the surface, even when she’s laughing and seeming to have a good time, just waiting to explode. She argues about the simplest things you can try to give her choices, like, instead of saying, ‘time to get dressed for school,’ you might say, ‘Elia, do you want your green sweater or your yellow one today?’ She just starts screaming and says, ‘You can’t tell me to get dressed!’ And she’s ten.”
 

Jaival, their new therapist, asks, “Can you tell me how often, on average, you’d say Elia loses her temper? Can you make an average guess at, say, how many times a week?”
 

Elia’s mother says, “It would be easier to estimate how many times per day.”
 

Mr. Lahud nods, “Yes, I’d say about 18 times a day, at least once for every hour that she’s awake.”
 

“And that’s on a daily basis?” says Jaival.
 

Both parents nod without hesitation.
 

“How long has it been like this?”
 

“Well,” Mrs. Lahud tilts her head. “She was always kind of a fussy baby. She’s never slept much and has just kind of always thrown tantrums and never stopped.”
 

Jaival takes some notes and then asks, “Is there anything else about her behavior that fits a pattern that’s fairly long-standing?”
 

Mr. Lahud sighs. “It just feels like she wants a big fight, then blames everyone else for something that she started-even when it’s clear no one else is even participating in the fight. It’s getting to be really hard on the other two kids because she just never lets up from the time she wakes up until late into the night; she tries to annoy us and them pretty equally, and now they’re having trouble with her at school too. She’s not getting along with other kids there either.
 

“We’ve tried positive reinforcement, like a sticker chart for good behavior—”
 

“-but after a while,” Mrs. Lahud adds, “We just took it down. The other two kids would have rows of stickers, but she defies even the simplest of rules, so she’d have maybe one or two stars to their eight or ten. It started to feel like the sticker chart was just making her feel worse about herself. Her teachers say the same thing.”
 

Mrs. Lahud’s eyes fill with tears. “We don’t know what to do anymore. I feel sorry for her. We can’t help feeling that this is not the ‘real’ her if you know what I mean.”
 

She looks at her husband, who nods and squeezes her hand.
 

“She does some pretty mean, spiteful things to ‘get even with everyone.'” Mrs. Lahud continues, “but then the other night, she was quiet and thoughtful when I cuddled with her at bedtime, and while we were alone, she whispered, ‘Mom, why does it have to be so hard to be good? It’s really hard.'”
 

She breaks down and cries, and her husband hugs her.

  1. Java meets with Elia subsequently, and though she is very charming and intelligent at first, she does make an effort to annoy him, but he doesn’t take the bait. The next day, with her parents’ permission, the school counselor also calls Jaival, asking if she can share some concerns of her own, which confirm for Jaival that Elia’s parents have pretty accurately described her behavior. Subsequent testing does not reveal a psychotic or      mood disorder, and Jaival initially makes a tentative diagnosis of      “oppositional defiant disorder.” Do you agree or disagree? What criteria would you cite to support your opinion?
  2. What can cause oppositional defiant disorder?
  3. Over a period of years, Elia continues to see therapists; and as adolescent hormones are added into the mix, times get a little rougher for her and her family. What kinds of comorbidity might she be at risk for?

  

Case Study   Rubric For NM 230

 

Organization

40%

All   questions answered with information organized in logical sequence (20 points)

All   questions answered with information generally organized in logical sequence (15 points)

All   questions answered and information intermittently organized

(10 points)

All   questions answered but information disorganized

(5 points)

All   questions not addressed

(0 points)

 

Analysis and Evaluation

40%

Presents   an insightful and thorough analysis of the issue with scholarly support

(20 points)

Presents a thorough analysis of the issue with   scholarly support

(15 points)

Presents   an incomplete analysis of the issue by failure to address one aspect OR failure   to provide scholarly support

(10 points)

Presents   an incomplete analysis of the issue by failure to address multiple aspects and failure to provide scholarly support

(5 points)

Presents   a superficial analysis of issue; No scholarly support

(0 points)

 

Writing Mechanics

10%

Demonstrates   clarity, conciseness, and correctness; Minimal to no spelling or APA errors

(10 points)

Majority   of the information is clear with some questions left to reader interpretation;   Minimal spelling or APA errors

(8 points)

Sentence   structure proper but the paragraph is disorganized; Major spelling/grammar or   APA errors 

(6 points)

Poorly   organized and does not follow proper sentence structure;  Major spelling/grammar or APA errors

(4 points)

Unfocused and rambling; Major spelling/grammar or APA   errors

(2 points)

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more