Plummer, S. -B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
“The Johnson Family” (pp. 11–13)
The Johnson Family
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. 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 her emotional distress. We talked about strategies she could use to protect herself, and she agreed to walk with a friend while on campus for the time being. She also agreed she would avoid the gym where she had seen Eric before.
The Johnson Family
Erin Johnson: mother, 40
Dave Johnson: father, 43
Talia Johnson: daughter, 19
Lila Johnson: daughter, 16
Nathan Johnson: son, 14
During our second meeting, Talia seemed very anxious. We talked about how she had been feeling over the last week, and she indicated she was still not sleeping well at night and that she was taking long naps during the day. She had missed days at work, something she had never done before, and was in jeopardy of losing her job. Talia reported experiencing several anxiety attacks as well. She described the attack symptoms as feeling unable to breathe, accompanied by a swelling in her chest, and an overwhelming feeling that she was going to die. She said that this was happening several times a day, although mostly at night. I provided some education about trauma responses to sexual assault and the signs and symptoms of post-traumatic stress disorder (PTSD). We went over a workbook on trauma reactions to sexual assault and reviewed the signs and symptoms checklist, identifying several that she was experiencing. We practiced breathing exercises to use when she felt anxious, and she reported feeling better. I told her it was important to identify the triggers to her anxiety so that we could find out what exactly was causing her to be anxious in a given moment. I explained that while the assault itself had brought the attacks on, it would be helpful to see what specific things (such as memories, certain times of the day, particular smells, etc.) caused her to have anxiety attacks. I gave Talia an empty journal and asked her to record the times of the episodes over the next week as well as what happened right before them. She agreed.
We met over several sessions and continued to address Talia’s anxiety symptoms and feelings of sadness. She told me she was unable to talk about what happened on the night of the rape because she felt ashamed. She said that it was too difficult for her to verbalize what happened and that the words coming out of her mouth would hurt too much. I reassured her that we would go at her pace and that she could talk about what happened when she felt comfortable. We practiced breathing and reviewed her journal log each week.
It had become clear that the evenings seemed to be the peak time for her anxiety, which I told her made sense as her assault had occurred at night. I described how sleep is often difficult for survivors of sexual assault because they fear having nightmares about what happened. She looked surprised and said she had not mentioned it, but she kept having dreams about Eric in which he was talking to her at the party. The dreams ended with him holding her hand and walking her away. She said she also thought about this during the day and could actually see it happening in her mind. We talked about the intrusive thoughts that often occur after trauma, and I tried to normalize her experience. I told her that often people try to avoid these intrusions, and I wondered if she felt she was doing anything to avoid them. She told me she had started taking a sleep aid at night. When I asked about her exercise habits, she said that right after the assault she had stopped running and going to the gym. We set a goal that she would run one to two times a week to help her with anxiety and sleeping. I also suggested that now would be a good time to start writing her feelings down because journaling is a very useful way to express feelings when it is difficult to verbalize them. Talia mentioned that she had decided not to go to the police about the sexual assault because she did not want to go through the process. I informed her that if she wanted to, she could address the assault in another way, by bringing it to the campus judicial system. She said she would think about this option.
During another session weeks later, Talia came in distraught. She said she had been feeling better overall since working on her breathing and doing the journaling, but that a few things had happened that were making her more and more anxious and that her attacks were increasing again. Talia said her parents were pushing her to drop out of school and to come home. She said they had been calling and texting her often, something she found annoying but understandable. They were very upset about what had happened, although they were more upset with her that she had waited for weeks to tell them about “it.” Her father threatened to come and beat the guy up, and her mother cried. She avoided talking with them, but they had become relentless with the calls. Her mother had shown up with her sister unannounced the previous weekend and had treated Talia like she had a cold—making chicken soup and rubbing Talia’s feet. The pressure from her parents was weighing on her and upsetting her. Talia was also distressed by a friend who kept pushing her to talk about what happened. When Talia finally relented, her friend asked her why she had gone upstairs with him. Talia said this made her feel terrible, and she started to cry. This friend also told her that Eric had heard she had gone to the hospital and was telling people that she had wanted to have sex. Eric had been telling people she was “all over him” and that she had taken her own pants off. This made Talia very angry and upset.
Key to Acronyms
HIV: Human Immunodeficiency Virus Infection
PEP: Post-Exposure Prophylaxis
PTSD: Post-Traumatic Stress Disorder
RCC: Rape Counseling Center
SART: Sexual Assault Response Team
We talked about how there are certain myths in society around sexual assault and that the victim is often blamed. We also talked about how the perpetrator often blames his or her victim to make himself or herself feel better. Talia said she has felt some sense of blame for what happened and that she should not have drunk so much. She started to cry. I gently reminded her that she was not at fault for Eric’s actions, and her drinking was not an invitation to have sex. I reminded her that he should have seen how incapacitated she was and that she could not have consented to sex. Talia continued to cry. She clearly had a number of emotions she wanted to express but was having difficulty sharing them, so I offered her some clay and asked her to use it to mold representations of different areas in her life and how she felt about them. We spent the rest of the session talking about the shapes she made and how she felt. Toward the end of the session she told me she had decided to put in a complaint with the campus judicial system about the assault. She worried that Eric would assault another woman and she would feel responsible if she did not alert the university. I offered my support and told her I would be there for her through the process.
Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA: Cengage Learning.
Review Chapters 1–9
Laureate Education (Producer). (2013). Johnson family: Episode 5 [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 2 minutes.
Discussion 2: Resiliency
Do you ever feel trapped by circumstances that you sense you are powerless to change? As a social worker, you can anticipate having to regularly address clients who feel trapped in adverse circumstances and have no clear direction on how to improve their situations. How do you address the needs of such a client?
Zastrow and Kirst-Ashman (2016) define resiliency as “the ability of an individual, family, group, community, or organization to recover from adversity and resume functioning even when suffering serious trouble, confusion, or hardship” (p. 17-18). For this Discussion, you apply the concept of resiliency to the real life scenario of Talia Johnson.
To prepare for this Discussion, review the major concepts from your HSBE I course (Chapters 1–9 in Zastrow and Kirst-Ashman). Then, view the media about Talia Johnson's visit with her social worker. As you reflect on the readings this week, imagine you are Talia Johnson's social worker and consider how you might apply the concept of resiliency to Talia's case. Also, consider how you might apply the concept of resiliencyto social work practice in general.
By Day 3
Post a Discussion that includes the following:
- An explanation about how you, as Talia's social worker, might apply the concept of resiliency to Talia and her situation
- Examples from the case study of Talia and the resources to support your strategy
- An explanation of how you might apply the concept of resiliency to your social work practice
By Day 5
Respond to at least two colleagues in one or more of the following ways:
- Add to your colleague's suggestion for applying resiliency to Talia's case by suggesting an adaptation of the strategy.
- Critique your colleague's suggested application of resiliency to social work practice, stating whether you might use the strategy in your own practice, and why.
Be sure to support your responses with specific references to the resources. If you are using additional articles, be sure to provide full APA-formatted citations for your references.
Ashley Burk RE: Discussion 2 – Week 1COLLAPSE
Talia is a college-age female, who was raped at a party. She is now struggling with the aftermath of her rape and the expectations and worries of her family (Plummer, Makris, & Brocksen, 2014). Resiliency is the ability of individuals, families, and communities have to work through and overcome obstacles and adverse events (Zastrow, & Kirst-Ashman, 2016). A social worker looks for sources of strength in a client’s characteristics, family, community, and environment to increase a client’s resiliency.
Talia has many strengths. She has a strong connection to her family. Her family could be a source of strength, but right now they are just adding to her stress. Her mother is calling multiple times a day and treating Talia as if she is ill, rather than trying to recover from a traumatic experience (Plummer, Makris, & Brocksen, 2014). As a social worker, I would get Talia’s permission to reach out to her family and facilitate discussions between Talia and her family to help reduce the immediate stress both parties are feeling. I would also ask to help inform Talia’s family about how Talia needs warmth, support, and to know she is loved, rather than the constant phone calls and surprise weekend visits (Zastrow, & Kirst-Ashman, 2016). I would also let them know that Talia needs to talk about her rape and the way she is feeling in her own time. She is more likely to come to them if she does not feel constantly badgered. This could also provide support for Talia while her complaint goes through the college judiciary (Plummer, Makris, & Brocksen, 2014). While a social worker can provide much needed immediate support and warmth, Talia will require help from others in the long term, and family and friends will play a crucial role in being her support (Zastrow, & Kirst-Ashman, 2016). Talia also has friends who are concerned for her well-being, even though they are showing this concern in unconstructive ways. Talia is already second-guessing and blaming herself. Her friends, like her family, need to take a step back and be a supportive, loving, and nonjudgmental presence. Talia, before she was raped, was an excellent student and shows concern for her falling scholastic performance. She is willing to seek and accept help from her social worker to make sure this difficult time does not negatively affect her future. Making plans for her future and keeping her school performance up show Talia will not allow her rapist to take her future from her. Resiliency is an essential aspect of social work practice. It gives social workers a way to help clients using a strengths-based perspective, which will help make the changes a client achieves while working with their social worker more likely to be permanent. It helps make seemingly insurmountable problems easier to overcome and tailors solutions to the client.
TambraAnn Sanders RE: Discussion 2 – Week 1COLLAPSE
Some of the worst statements to hear from a client are “I feel like these sessions are a waste of time” or “Nothing is changing” or “I’m done trying.” While these types of declarations and circumstances may seem like a dead end, there are several strategies a social worker can apply, to lessen the hopelessness of the client. These strategies will take their root under the context of resiliency. Kirst-Ashman and Zastrow (2016) define resiliency as the capability of a person to recuperate from hardship and restart. Additionally, Kirst-Ashman and Zastrow (2016) emphasize the use of strength in order to bounce back. For example, Angelina, after being in a physically and mentally abusive relationship, found strength in a local church group. It was there that she met Richie and is now in a beautiful 6-month relationship. Or, take for example, movie stars who are diagnosed with diseases for which there is no cure. Instead of being depressed and hiding, many actors are making their disease known to the public by forming support groups, or rallies, or fundraising.
Just as Angelina and actors found resiliency in an extremely tough situation, Talia can, too. I would begin with her individual strengths. I would point out to Talia how she has maintained fabulous grades in college throughout the horrible ordeal. I would also remind Talia of the rape support group she started at her college and all of the lives she has changed by sharing her experience. Secondly, I would shift the focus to family strengths. The video of Talia shows her rolling her eyes and making negative comments when her mom called (Plummer, Makris, & Brocksen, 2014). Perhaps encouraging Talia to understand that while her mom’s calls might be annoying, it was her mom’s way of being supportive. Maybe Talia and her mom could have a conversation regarding boundaries. Additionally, I would suggest Talia join a group that she would have never considered. For instance, I would come to the next session with a list of organizations such as female roller blading teams, or even crocheting circles. I would also promote getting involved with the community. Perhaps there are resources or events Talia could attend. Further assessing Talia’s strengths could lead to overcoming this dark time and inspire resiliency.
My intentions are to apply the concept of resiliency within my social work practice, not only for my clients, but for myself as well. While social work is a rewarding profession, it’s also a stressful one. There will be times when it might be hard to stay positive, and I have concerns about exhaustion and loss of commitment. However, I believe there are ways to be resilient and flourish by using strength-based approaches. I believe that being in tune with myself-my strengths, my values, my resources will make a huge difference if I should ever enter a time of despair. With the right tools, we could use difficult times to become more resilient and thrive.