Object Relations Case Formulation
1. Identifying details
Name: Katrina Katryn
Age: 20
Gender: Female
Marital status: Single
Dependents: N/A
Highest level of education: Matric
Present occupation: Student (Psychology 1st year)
Reason for referral: Self exploration, dealing with the past, improving interpersonal experiences.
Referral source: Self-referred
2. Presenting problem
She experiences considerable anxiety in interpersonal situations. In addition she has feelings of inadequacy, worthlessness and hopelessness. These difficulties lead to academic concerns and relational problems in her current situation. Her self-esteem is extremely low and she expressed that she hates doubting herself constantly.
3. History of presenting problem.
She was sexually abused when she was between 6 and 9 years old. The rest of the time she was emotionally and physically abused. She has always felt inferior and had low self-esteem as long as she can remember. She was diagnosed with depression at age 15 and was put on medication. She cannot remember the name of the anti-depressants and did not remember the exact diagnoses. The feelings of hopelessness and her academic problems has started relatively recently according to her.
4. Past illnesses
Psychiatric Mood disorder (She cannot remember the exact diagnoses.)
Medical
Nothing significant Anti-depressants (unknown)
Adaptive features and Strengths
She is intelligent and ambitious. She has shown courage in confronting her father about the abuse and her decision to mend their relationship show courage. She seems to have insight into her difficulties and the processes that keep them alive. She seems to be willing to change and to explore these difficulties in depth. The fact that she removed herself from her deleterious environment in adolescences is indicative of her self-preservative abilities. She is currently in therapy on a self-referral which again
Name: Katrina Katryn
Age: 20
Gender: Female
Marital status: Single
Dependents: N/A
Highest level of education: Matric
Present occupation: Student (Psychology 1st year)
Reason for referral: Self exploration, dealing with the past, improving interpersonal experiences.
Referral source: Self-referred
2. Presenting problem
She experiences considerable anxiety in interpersonal situations. In addition she has feelings of inadequacy, worthlessness and hopelessness. These difficulties lead to academic concerns and relational problems in her current situation. Her self-esteem is extremely low and she expressed that she hates doubting herself constantly.
3. History of presenting problem.
She was sexually abused when she was between 6 and 9 years old. The rest of the time she was emotionally and physically abused. She has always felt inferior and had low self-esteem as long as she can remember. She was diagnosed with depression at age 15 and was put on medication. She cannot remember the name of the anti-depressants and did not remember the exact diagnoses. The feelings of hopelessness and her academic problems has started relatively recently according to her.
4. Past illnesses
Psychiatric Mood disorder (She cannot remember the exact diagnoses.)
Medical
Nothing significant Anti-depressants (unknown)
Adaptive features and Strengths
She is intelligent and ambitious. She has shown courage in confronting her father about the abuse and her decision to mend their relationship show courage. She seems to have insight into her difficulties and the processes that keep them alive. She seems to be willing to change and to explore these difficulties in depth. The fact that she removed herself from her deleterious environment in adolescences is indicative of her self-preservative abilities. She is currently in therapy on a self-referral which again
References: Erskine, R. G. (2007). Unconscious process, transference and therapeutic awareness. Workshop on Institute IPSA. Ljubljana, Slovenia. Little, R. (2001). Schizoid Processes: Working with the defences of the withdrawn child ego state. Transactional Analysis Journal, 31 (1), 33-43.