The Johnson Family Case Study
The Johnson Family Case Study
Talia is a 19-year-old heterosexual Caucasian female, who is a junior majoring in psychology and minoring in English. She has a GPA of 3.89 and has been on the dean’s list several times over the last 3 years. She has written a couple of short articles for the university’s newspaper on current events around campus and is active in her sorority, Kappa Delta. She works part time (10–15 hours a week) at an accessory store. The Johnson Family Case Study
Talia recently moved off campus to an apartment with two close friends from her sorority. She is physically active and runs approximately three miles a day. She also goes to the university’s gym a couple of days a week for strength training. Talia does not use drugs, although she has smoked marijuana a few times in her life. She drinks a few times a week, often going out with friends one day during the week and then again on Friday and Saturday nights. When she is out with friends, Talia usually has about four to six drinks. She prefers to drink beer over hard liquor or wine, but will occasionally have a mixed drink.
Talia has no criminal history. She reports a history of anxiety in her family (on her mother’s side), and on a few occasions has experienced
heart palpitations, which her mother told her was due to nervousness. This happened only a handful of times in the past and usually when Talia
was “very stressed out,” so Talia had never felt the need to go to the doctor or talk to someone about it until now. Talia is currently not dating
anyone. She was in a relationship for years, but it ended a few months ago. She had since been “hooking up” with a guy in one of her
English classes, but does not feel it will turn into anything serious and has not seen him in several weeks.
Talia’s parents, Erin (40) and Dave (43), and her siblings, Lila (16) and Nathan (14), live 2 hours away from the university. Erin works at a
salon as a hairdresser, and Dave is retired military and works for a home security company. Erin is on a low-dose antidepressant for anxiety,
something she has been treated for all of her life.
Talia came to see me at the Rape Counseling Center (RCC) on campus for services after she was sexually assaulted at a fraternity party 3
weeks prior. She told me she had thought she could handle her feelings after the assault, but she had since experienced a number of emotions
and behaviors she could no longer ignore. She was not sleeping, she felt sad most days, she had stopped going out with friends, and she had
been unable to concentrate on schoolwork. Talia stated that the most significant issues she had faced since the assault had been recurrent anxiety attacks.
Talia learned about the RCC when she went to the hospital after the sexual assault. She went to the hospital to request that a rape kit be
completed and also requested the morning-after pill and the HIV prevention protocol (Post-Exposure Prophylaxis, or PEP). At that time, a
nurse contacted me through the Sexual Assault Response Team (SART) to provide Talia with support and resources. I spent several hours with
Talia at the hospital while she went through the examination process. Talia shared bits and pieces of the evening with me, although she said
most of the night was a blur. She said a good-looking guy named Eric was flirting with her all night and bringing her drinks. She did not want
to seem ungrateful and enjoyed his company, so she drank. She also mentioned that the drinks were made with hard liquor, something that
tends to make her drunk faster than beer. She said that at one point she blacked out and has no idea what happened. She woke up naked in a
room alone the next morning, and she went straight to the hospital. Once Talia was done at the hospital, I gave her the contact information for
RCC. I encouraged her to call if she had any questions or needed to talk with someone.
During our first meeting at the RCC, I provided basic information about our services. I let her know that everything was confidential and
that I wanted to help create a safe space for her to talk. I told her that we would move along at a pace that was comfortable for her and that this
was her time and we could use it as she felt best. We talked briefly about her experience at the hospital, which she described as cold and
demeaning. She told me several times how thankful she was that I had been there. She said one of the reasons she called the RCC was because
she felt I supported and believed her. I used the opportunity to validate her feelings and remind her that I did, in fact, believe her and that the
assault was not her fault.
We talked briefly about how Talia had been feeling over the last 3 weeks. She was very concerned about her classes because she had
missed a couple of assignment deadlines and was fearful of failing. She told me several times this was not like her and she was normally a very
good student. I told her I could contact the professors and advocate for extensions without disclosing the specific reason Talia was receiving
counseling services and would need additional time to complete her assignments. Talia thanked me and agreed that would be best. I introduced
the topic of safety and explained that she might possibly see Eric on campus, something that might cause
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