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, 0688120934
PREVIEW
Case Study
Alisha (14 years old) was referred to a psychologist, for psychotherapeutic intervention,
because of concerning eating behaviour. Her mom, Tisha (45 years old) reported that she has
found chocolate bar wrappings hidden in Alisha’s room, and has also noticed the remnants of
vomit in the toilet bowls. In the parent intake interview, Alisha’s parents, Tisha and Clinton (53
years old) indicated that Alisha was sexually abused by an unknown offender at the age of
three. This was reported to the SAPS, and an investigation ensued, however, the perpetrator
was never identified. At the time, Alisha refused to go to school, threw violent temper tantrums
and had nightmares at night. Her parents took her for play therapy with a counsellor, and the
behavioural difficulties subsided. Alisha was never informed about the abuse, and the parents
decided not to tell anyone in the family. At age 13 years old, Alisha developed social and
performance anxiety, had very few friends and felt awkward around others. She performed
well academically, and was a competitive athlete and dancer. However, since beginning Grade
8 this year, Alisha has become more lethargic, and doesn’t have sufficient energy to compete
competitively. Her academic marks have remained stable; however, she no longer enjoys
school. In her first few sessions with the psychologist, Alisha disclosed that she struggles with
her anxiety and is feeling down, and has begun binging on certain foods, and then purging when
she feels “stuffed”. She is concerned about these behaviours, and said “I just want to feel
normal again, what is wrong with me”. She also reported that she feels her parents favour her
younger brother, Dante (11 years old), and that he gets all the attention.
Disclaimer
Extreme care has been used to create this document, however the contents are provided “as is”
without any representations or warranties, express or implied. The author assumes no liability as
a result of reliance and use of the contents of this document. This document is to be used for
comparison, research and reference purposes ONLY. No part of this document may be
reproduced, resold or transmitted in any form or by any means.
, 0688120934
Question 1
To answer Question 1, you are required to draw a comprehensive ecomap for the family
described in the case study. Here is a step-by-step guide on how to create the ecomap based on
the symbols provided and the relationships described in the family:
Symbols:
1. Males: Represented by a square.
2. Females: Represented by a circle.
3. Deceased: Represented by a circle or square with an "X" through it.
4. Ambivalence: Represented by a zigzag line.
5. Distant relationship: Represented by dashed lines ("------").
6. Close relationship: Represented by a solid line ("_____").
7. Conflictual relationship: Represented by a line with slashes ("//////").
Ecomap Components:
1. Alisha: (Circle for female)
Close relationship with her mother Tisha but also reports that her mother criticizes her
(potential for ambivalence).
Distant relationship with her father Clinton due to his disengagement.
Possible ambivalent relationship with her brother Dante due to her perception that he
receives more attention.
2. Tisha (Mother): (Circle for female)
Close but conflictual relationship with her husband Clinton. She appears stressed, and
Alisha reports arguments between the parents.
Close but critical relationship with Alisha. Tisha’s emotional outbursts may add strain to
this dynamic.
3. Clinton (Father): (Square for male)
Disclaimer
Extreme care has been used to create this document, however the contents are provided “as is”
without any representations or warranties, express or implied. The author assumes no liability as
a result of reliance and use of the contents of this document. This document is to be used for
comparison, research and reference purposes ONLY. No part of this document may be
reproduced, resold or transmitted in any form or by any means.
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