Due 9/12/19

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psy645week2discussion.docx

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· Case Study 18: Julia

Hello Julia, My name is Mrs Jordan.  It is a pleasure to meet you in person.

Just to let you know in this session I would like to give you a 15 minute biographical assessment.  This is just a questions about relating to your personal life and how you see it.  Then after I look at it I will ask you a few questions on things I may need extra clarity on. So here is the assessment, I will step out and be back in 15 minutes to read over your answers and talk about  them.

I exit the room and return after 15 minutes to look over Julia's assessment.

Okay Julia I need clarity on a few things before I can see where we need to go from here.  Is that okay with you?

Julia:  I guess so.

Me: Okay since you guess so, I will ask my first question.  

I your initial call the the center you said that as a child everyone called you chubby, with the weight your now when you look in the mirror what do you see?

Julia:  I still see that chubby kid everyone always made comments about back than.  When people say I'm getting to thin I go back to my dorm look in the mirror and still see areas that need improvement.  I won't be known as the chubby girl even again.

Me: As far as your workouts, How often and how many days a week do you workout?

Julia:  Oh to stay in good condition for track I make sure I workout twice a day EVERYDAY.  I sometimes workout twice a day for about an hour or two.  I have to run well to keep my scholarship.  My coach mention I should change my diet and add a few more workouts because first semester I put on that freshman 15 and was not running well at all.

Me: Really,  when the coach said this to you, what is it that went through your mind?

Julie:  Well I guess in my mind I thought he was calling me fat without actually saying "Julia your not running well because your to fat".  Like I said before I don't ever want for people to see me as the chubby girl.

Me: okay Julia I know I said I have a few questions but do you mind if I ask you just one more question?

Julia: Yeah sure but I rather be working out or studying.  

Me: Okay Julie one last quick question,  How is your eating habits?  In your initial call you said when you went home your mother keep talking about how little you ate. How often would you say you eat a day?   

Julia:  Here we go, I think I eat fine. I mean I eat salads, vegetables, fruit things of that nature.  I drink lots of water, diet soda's, and with the long hours of studying lots of coffee.   I snack on stuff like that whenever I feel hungry.  I do have to admit I only eat until I don't feel full anymore.

My rational for the questions I chose to ask Julia is after looking at Julia's appearance I really wanted to hear her tell me about how her see her self,  how others opinion of her affected her thoughts about her appearance, appearance and what she is doing to keep her weight down.

Anorexia nervosa, which primarily affects adolescent girls and young women, is characterized by distorted body image and excessive dieting that leads to severe weight loss with a pathological fear of becoming fat. The criteria have several minor but important changes: • Criterion A focuses on behaviors, like restricting calorie intake, and no longer includes the word “refusal” in terms of weight maintenance since that implies intention on the part of the patient and can be difficult to assess. The DSM-IV Criterion D requiring amenorrhea, or the absence of at least three menstrual cycles, will be deleted (APA, 2013). 

American Psychiatric Association (2013) Feeding and Eating Disorders

https://www.psychiatry.org › Psychiatrists › Practice › DSM › APA_DSM-...

Gorenstein, E., & Comer, J. (2015).  Case studies in abnormal psychology  (2nd ed.). New York, NY: Worth Publishers. ISBN: 9780716772736. Retrieved from https://redshelf.com

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Case Study 1

8: Julia

Hello Julia, My name is Mrs Jordan.

It is a pleasure to meet you in person.

Just to let you know in this session I would like to give you a 15 minute biographical

assessment.

This is just a questions about relating to your personal life and how

you see it.

Then after I look at it I will ask you a few questions on things I may ne

ed

extra clarity on. So

here is the assessment, I will step out and be back in 15 minutes

to read over your answers and talk about

them.

I exit the room and return after 15 minutes to look over Julia's assessment.

Okay Julia I need clarity on a few things

before I can see where we need to go from

here.

Is that okay with you?

Julia:

I guess so.

Me: Okay since you guess so, I will ask my first question.

I your initial call the the center you said that as a child everyone called you

chubby, with the weigh

t your now when you look in the mirror what do you

see?

Julia:

I still see that chubby kid everyone always made comments about back

than.

When people say I'm getting to thin I go back to my dorm look in the mirror

and still see areas that need improvemen

t.

I won't be known as the chubby girl even

again.

Me:

As far as your workouts, How often and how many days a week do you

workout?

Julia:

Oh to stay in good condition for track I make sure I workout twice a day

EVERYDAY.

I sometimes workout twice a day for about an hour or two.

I have to

run well to keep my scholarship.

My coach mention I should change my diet and

add a few more workout

s because first semester I put on that freshman 15 and was

not running well at all.

Me:

Really,

when the coach said this to you, what is it that went through your

mind?

Julie:

Well I guess in my mind I thought he was calling me fat without actually

sayin

g "Julia your not running well because your to fat".

Like I said before I don't

ever want for people to see me as the chubby girl.

Me: okay Julia I know I said I have a few questions but do you mind if I ask you

just one more question?

Julia: Yeah sure bu

t I rather be working out or studying.

 Case Study 18: Julia

Hello Julia, My name is Mrs Jordan. It is a pleasure to meet you in person.

Just to let you know in this session I would like to give you a 15 minute biographical

assessment. This is just a questions about relating to your personal life and how

you see it. Then after I look at it I will ask you a few questions on things I may need

extra clarity on. So here is the assessment, I will step out and be back in 15 minutes

to read over your answers and talk about them.

I exit the room and return after 15 minutes to look over Julia's assessment.

Okay Julia I need clarity on a few things before I can see where we need to go from

here. Is that okay with you?

Julia: I guess so.

Me: Okay since you guess so, I will ask my first question.

I your initial call the the center you said that as a child everyone called you

chubby, with the weight your now when you look in the mirror what do you

see?

Julia: I still see that chubby kid everyone always made comments about back

than. When people say I'm getting to thin I go back to my dorm look in the mirror

and still see areas that need improvement. I won't be known as the chubby girl even

again.

Me: As far as your workouts, How often and how many days a week do you

workout?

Julia: Oh to stay in good condition for track I make sure I workout twice a day

EVERYDAY. I sometimes workout twice a day for about an hour or two. I have to

run well to keep my scholarship. My coach mention I should change my diet and

add a few more workouts because first semester I put on that freshman 15 and was

not running well at all.

Me: Really, when the coach said this to you, what is it that went through your

mind?

Julie: Well I guess in my mind I thought he was calling me fat without actually

saying "Julia your not running well because your to fat". Like I said before I don't

ever want for people to see me as the chubby girl.

Me: okay Julia I know I said I have a few questions but do you mind if I ask you

just one more question?

Julia: Yeah sure but I rather be working out or studying.