Friday, March 11, 2011

case study

A .PERSONAL DATA

Name: Sam Galvez
Age: 4 years old
Gender: male
Birthday: May-21-2006
Birth place: Lopez,Quezon
Ordinal position: Only Child
Siblings: None
Grade: Preparatory
Father’s name:  Elvis Galvez                                                     occupation: No permanent work
Mother’s name: Rosario Morello                                                 occupation: OFW


B. Joining Process

Ø  My client child is being referred to me by his guardian, because she notices that the client child behaves differently among other child in their neighborhood. According to his guardian the client child has a mistaken behavior that leads to develop low self -esteem.



C. PRESENTING PROBLEM


Based on the information I gathered, interviews and statements given from the guardian and teacher of my client child; the child possess the characteristics of being unattended on possess short attention span, especially when discussion was on going. According to the client child he was hated by his classmate therefore he don’t want to attend school

          He is familiar with numbers 1-10 but often forget it when he was asked.. he still need visual presentations like flashcard or other instructional materials  that will let him remember the numbers on other words, has poor ability to organize information for recall.
         
          Therefore in lined with, he tends to withdraw and isolate himself inside the educational process and often establishes limited relationship inside the class, he is may timid in performing activities which involves socialization towards other kids in the classroom.

          Whenever he decided to go out in order to play with other kids in the neighborhood was being bullied by other kids like “bobo and walang mama at papa”, therefore, he was prohibited by his guardian to go outside in order to avoid skirmish towards other kids,

D. PSYCHOSOCIAL HISTORY

D1. Major events in the life of the child
                 
Ø  On the conception stage wherein his mothers do not have good relationship with his father, during his birth his parents is already loss their hope to save relationship for the sake of their child.
Ø  When the client child turn his 1 year old his parents decided to be separated to each other and the responsibilities of taking care of him goes to his mother.
Ø  When the client child reached 2 years old his grandma died
Ø  When the client child reached 3 years old his mother decided to go abroad to support his needs and wants, and leave him to his auntie.
Ø  In his new environment although it’s hard for him to adopt a new environment little by little he make an adjustment but in a kind of attitude wherein he develops low self-esteem and the state of being aloof.
            D2.genogram







Ø  In the visual representation shown above, the client child do not have good relationship with his father and also to his grandparents on the father side because in the timeline (D.1) his parents got separated when he was 1 year old, so the client child doesn’t have the chance to see his father and also his father doesn’t have the chance to see his son grows old.
Based on my interview to the client child according to him, he doesn’t love his father because he did not give any support to the client child ( a supposed financial support)

            D3. sociograph






Ø  In figure 1, the client child choose these 3 person that he like or love his auntie and he called it as his mama, his uncle he called him as his papa lando and her ate carol, and when I ask him who are the person he doesn’t like or love is his papa Elvis because the client child told me that his father didn’t give any support (a financial support to buy him a milk).



 

Ø  In figure 2, the client child have 3 names that he doesn’t like because these 3 children are his tormentor, they make tease on the client child, their day will not be completed if they will not make tease on the client child.

            D4.self-mastery
Ø  The client child have the self mastery because based on the interview, I ask him what is his name, he answered me “Sam Galvez”, I also ask him if how old is he?
 Where does he lives?
What is his father’s name?
What is his mother name?
Where is his father?
Why does your “Kalaro” keep on teasing on you?  The client child replied and says, I am 4 years old, I live at 1569 san simoun st. cby barracks II tala caloocan city, my fathers name is Elvis Galvez, my mothers name is Rosario Morello, I don’t know where my father is?! Because I don’t have mama and papa and I always got low scores in math.

            D5. Relationship towards everyone else.
Ø  Based on the interviews that I conduct the client child don’t have any good relationship with his classmate, tends to be bullied by other kids around and prefers to be alone.
            D6.action
Ø  The client child can perform other work that his classmates can do. He can follow command, he likes to write, he can use fork to separate food, he can button front buttons on clothing, he can dress and undress with the supervision of his guardian, he likes to draw, doodle and make a sketch
E. THEORITICAL FRAMEWORK

INPUT
PROCESS
OUTPUT

low self-esteem due to unpleasant treatment from the other kids around

Counseling
-put him into large group activity

Mingle with other kids
Make an interpersonal relationship



-based on the INPUT on the theoretical framework the problem of the client child is the result of being bullied (verbally) by other kids around  and his classmate that leads him to develop low self-esteem.The concept that covers with this is the INTERNALIZING BEHAVIORAL DISORDER that creates a serious impediment to their development. The client child manifest withdrawn behavior, lack of social skills, this concept involves mental and emotional conflicts.
            The other problem of the client child is the memory problem because the client child shows difficulties in remembering his assignment, the client child forget the lesson easily and show deficits in memory. The concept that cover these problem is memory, cognitive and meta cognitive problems, because the client child shows difficulties in remembering which refers to his memory, by this his cognition covers different aspect of thinking and problem solving, which connected to the meta cognitive that result from lack of awareness of skills, so the client child are not aware of his skill.
          
            I think the client child was emotionally disturb because he undergo being verbally bullied by his classmate and other kids, that result him for anxiety withdrawal and immaturity, which support the concept QUAY’S STATISTICAL CLASSIFICATION, where in the anxiety withdrawal or anxiety disorder is manifested by social withdrawal, anxiety, depression, feelings of inferiority, guilt, shyness and unhappiness. And immaturity shows a short attention span, extreme passivity.
            Due to the reason of being rejected, the client child loss his interest in participating in the discussion, for he may feel that his doing was all wrong and because  of his guardian are not allowing the client child to go outside, he may feel that going outside the house will cause him harm. Since the client child are not allowed to go outside by his guardian, he develops shame and doubt, because he thinks that he is not accepted by the society for he don’t have “mama and papa”. Which support the theory of PSYCHOSOCIAL DEVELOPMENT of ERICK ERICKSON in his stage two the autonomy vs. shame and doubt, where in this stage, the task is to achieve a degree of autonomy while minimizing shame and doubt. it was also in lined with the other stage of Eric Erickson-the intimacy vs. Isolation wherein the client child "SAM" tried to isolate for intimacy was basence from him. he don't have the ability to make closer relationships to other kids inside the school environment, as a friend and even participant of the society for he haven't established sef-efficacy. on the other hand, self-efficacy define as peoples beliefs about their capacity to produce designate performance that influence over events that affects their lives (BANDURA 1991)



         Since the guardian of the client are over protected they limits the freedom of the client child to explore the world, letting the client child to go outside and play with other children that who didn’t bullied others or maybe ignore those children, the client child feels that he learn from himself that he was brave enough and those kind of situation are only one of the situation that he will encounter in his life. So he will not be ashamed of what he is.



F.PROGNOSIS
            I think the problem of the client child is very common to other children, he was being bullied (verbally) by his classmates that make him so depressed, he can’t focus on their lesson, so the client child think of himself negatively with self reproaches and blame. His activity level may shift to either apathetic or agitation, he avoid social contact. In line with this the client child tends to be antisocial in terms of school settings.

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