Marie is working with a lesbian client who is in a dysfunctional relationship with another woman. She is seeking counseling to sort out her options regarding leaving her emotionally abusive partner. Marie can assist her client by:
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Marta is a 33-year-old woman who recently left her husband. Marta tells you that she and her three children (ages 3, 7, and 9) had to leave her home after physical and verbal abuse escalated in the past year. Marta reports that she and her husband were married for 11 years. Marta states that she and her husband met in college and agreed to wait for her to finish her degree in accounting before getting married. Marta’s husband is a successful engineer. Marta has not held a job since their first year of marriage because her husband resented her working and became furious when she was promoted. Marta reports that no one suspects that there has been violence in their home. The few times Marta had visible bruises, she explained them away as accidents while doing housework. However, Marta recently concluded that her family is skeptical of this explanation. Marta states that her husband is charming in public and at social functions, both to her and to others; however, it is at home that he becomes sullen, critical, and demanding, escalating the smallest problem into a shouting and punching episode. Marta has noticed that her children appear anxious around him, and their oldest child is not doing well in school. Several times, Marta has told her husband that she would leave him, but he then becomes remorseful and promises to reform his ways, stating he could not get along in life without her. Marta has a number of strengths that you can draw on to support her goals moving forward. What strengths will you leverage in your work with Marta?
Lottie A.
Mary is an African American woman who grew up in a religious Southern Baptist household where she experienced domestic violence. She married in her late twenties and was happy during her first year of marriage. Her husband was in the Marines and deployed to Iraq 1 year after their marriage. When he returned from his 9-month tour of duty, he had many symptoms of PTSD. Mary awoke one night to find her husband yelling and threatening her with a knife. Since then, her husband has sought treatment at the Veterans Health Administration. Mary has found herself feeling more and more helpless and is now struggling with flashbacks to violence from her childhood. She struggles with nightmares of her father beating her mother, and she has begun binge eating and secretly cutting her arms. She has become frightened to leave her house. She came to treatment because she can't regain her sense of calm and fears that she has no friends. She reports that her husband has not been violent and is doing well in his treatment program but that she still does not trust him or other people. She has increasingly isolated herself at home and reports feeling depressed. She feels unable to share any of her concerns with others, even her church friends because she fears they will humiliate her and tell her that she deserves abuse. Discussion questions 1) How do you begin forming a treatment alliance with Mary, attending to the influence of trauma and diversity? What are the steps you would take? 2) How might differences in culture, race, gender, age, class, and other aspects of identity and privilege affect the therapeutic process if you were the assessing therapist and this was your client? How would you address these differences?
Supreeta N.
Olivia approaches you for therapy as she is a self-described "outsider." Suppose Olivia is an African-American lesbian female, married to a Caucasian female, Britney. Olivia and Britney are parents to two biracial children. As a narrative therapist, how would you approach the intersection of different oppressed identities that Olivia has encountered? What kinds of questions do you think you might ask them?
Crystal W.
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