How to write a psychological paper: the case study of Miriam

How to write a psychological paper: the case study of Miriam

Miriam Case Study discussion prompt
From your perspective as Miriam’s psychiatric nurse practitioner, answer the following questions in a three-page double-spaced paper (not including the reference page) in APA format. Include at least two peer-reviewed, evidence-based references (not including your textbooks).
1. Identify what interview questions you would have used to determine the underlying eating disorder, self-mutilation, and rape.
2. Using the interpersonal psychotherapy model, identify three specific goals for Miriam’s treatment, and in which phase each goal should be accomplished.
3. Sarah, Miriam’s mother, asks why you are choosing interpersonal psychotherapy and how it will be beneficial for Miriam. How do you respond? Compare and contrast it with humanistic-existential or solution-focused psychotherapy.
4. What are the legal and ethical implications for you relative to a patient reporting a sexual assault? What is the best way for you to proceed? Reference your state (Arizona) of practice\’s laws.

How to write a psychological paper: the case study of Miriam Solution

Question one

Miriam has bulimia nervosa. Various interview questions can be asked to the patient about the impending eating disorder (Flynn et al., 2021). They include

  • Do you always induce your vomiting after every meal when you feel uncomfortably full?
  • Do you worry that your behaviour might affect your health and wellbeing?
  • Have you realized any sudden loss of more than 12 pounds within the last three months or so
  • Would you say that food dominates your entire life
  • Would one of your best friends do this
  • Are you satisfied with your eating behaviour or pattern
  • Do you ever eat in secret
  • Have any members of your family suffer from an eating disorder
  • Have you ever been diagnosed with an eating disorder

Interview Questions to Determine Self-Mutilation

Self-mutilation or self-harm is a condition in which one deliberately hurts their own body either through burning, cutting or other ways. It is usually done when one tries to cope with frustration, anger or emotional pain.  Various interview questions can be used to determine the self-mutilation behaviour. They include

  • How do you deal with stress?
  • Does cutting yourself make the pain or anger go away
  • Have you ever thought of killing yourself
  • What other strategies do you use to cope with stress
  • Do you feel guilty after hurting yourself
  • Do you feel any pain after self-harming your body

                       Interview questions to establish when one has been raped

  • Where would you like to start
  • Would you tell me what you remember about the incident
  • Can you tell me if you had been drinking or taking drugs at the time of the assault
  • Did the boys’ behaviour change after hanging with them
  • What was going on in your mind when you realized you were in danger
  • How did you feel about the scenario
  • Did you seek any medical help
  • What helps you to not think about the scenario

Question Two

The interpersonal psychotherapy approach can be used when managing Miriam Rosen. The therapy will enable her to experience relief from the symptoms by improving her interpersonal functioning. The treatment addresses the current problems and relationships instead of developmental and childhood issues.

In Miriam, the therapy will focus on specific areas. Firstly the conflict in the relationship between her and the family. The tension is the cause of distress and tension she is experiencing. Miriam is trying to please her family as she explains that sometimes she has to eat to get the family members off her back.  Secondly, the therapy will focus on changing the patients eating behaviour and help her cope with stressful situations.  Thirdly the therapy will help her to cope with the traumatic experience (rape). Effective coping will boast his mental wellness. Finally, the therapy will help Miriam deal with difficulty sustaining and starting a relationship with family members and friends. The dad is concerned that her sweet daughter is always indoors and even refuses to go shopping. On previous occasions, Miriam would never refuse such offers.

ITP Goals

IPT sessions have three sessions. Throughout the session, the psychiatrist needs to work with Miriam to plan and set specific, measurable, realistic and attainable goals. The sessions include the opening sessions, middle sessions, and final sessions.  In the first session, the goal of the therapy is to enable Miriam to create a list of key relationships in their life. In the middle session, the goal of therapy will be to improve her ability to cope with stressful situations, change her eating behaviour and increase her social interaction with family members and friends. In the final session, the goal will be to enable Miriam to cope with the traumatic experience and prevent it from interfering with other health domains.

Question Four

Importance of Interpersonal Therapy

Interpersonal therapy will enable your daughter to focus on the current problems rather than past or childhood experiences. The therapy will improve the relationship with the family members (CAMH, 2021).  Finally, the therapy will enable Miriam to cope with her stressful conditions in the best way possible.

Interpersonal therapy and humanistic-existential therapy varies and compares significantly. Firstly, humanistic-existential therapy helps individuals discover their uniqueness and greater awareness of themselves and the surrounding world. At the same time, interpersonal psychotherapy focuses on the patient’s current problems rather than associating them with other variables in the client’s environment. Secondly, the two therapies enable a client to identify and develop relationships as it will help them cope with their condition.

Legal And Ethical Implications For Reporting Sexual Assault.

Providing care to rape victims is a medico-legal emergency. However, various legal and ethical implications may arise in this scenario. The implications are related to autonomy, informed consent, confidentiality and privacy (Jagadeesh et al., 2016). The client does not require the parents to know that she has been raped. It may be difficult as informing the parents may be the best thing to do as the patient may require the parents to be involved in her care. If the parents are informed, then the patient’s right to confidentiality and autonomy is breached. Culture in this specific case is an obstacle to effective care of the patient. The culture is interfering with the ability of the client to confide. My role as a nurse is to educate the client on the importance of mandatory reporting to be helped in numerous ways. 

 

References

Flynn, M., Austin, A., Lang, K., Allen, K., Bassi, R., Brady, G., & Schmidt, U. (2021). Assessing the impact of First Episode Rapid Early Intervention for Eating Disorders on the duration of untreated eating disorder: A multi-centre quasi‐experimental study. European Eating Disorders Review, 29(3), 458-471.

Jagadeesh, N., Bhate-Deosthali, P., & Rege, S. (2016). Ethical concerns related to mandatory reporting of sexual violence. Indian J Med Ethics, 2, 1-5.

The center For Addiction and Mental Health (CAMH) (2021) Interpersonal psychotherapy (IPT). https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/interpersonal-psychotherapy

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