Description of the Client
Client is an African-American male in his late teens, currently enlisted in the United States Navy. When he first arrives to therapy, the client presents himself cleanly in uniform, but he refuses to talk. The client has been mandated to the therapist after getting into a series of violent altercations with fellow officers. After several more sessions, the client starts to engage.
Engagement
The first several sessions did not yield any information, as the client was resistant to therapy and was not in therapy of his own volition. However, the client eventually reveals the details of his childhood. His story unfolds from the beginning, even from the time before the client was born when his father was killed. The client’s mother was arrested, convicted, and sent to prison, causing the client to have been born in jail. As the client’s mother was unable to take care of him from prison, the client spent his early childhood in foster homes. The foster parents were both physically and emotionally abusive, causing the client to run away at the age of 14. The client joined the United States Navy as soon as he was old enough, perceiving military service as a means to improve his life. The client got into many fights with his fellow Naval officers, often over petty verbal interactions, leading to disciplinary action. The client is not yet sexually active but recently became involved with a female Naval officer, and professes strong feelings for her.
Assessment
Using a biopsychsocialspiritual approach is helpful for revealing the multiple dimensions of the client’s status. The client is physically/biologically in good condition, according to Navy reports. He also affirms his overall good physical health. The client’s psychological and emotional functioning are impeded by early childhood and middle childhood trauma. Not only was he abandoned, but his foster parents systematically and repeatedly abused him. The client also lost one of his best friends when he was young, giving rise to trust and attachment issues.
Macro issues are critical concerns when dealing with this client. Institutional racism has played a major role in the...
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