Conceptualization in Practice: Trauma and Healing.

Conceptualization in Practice: Trauma and Healing
Name
Conceptualization in Practice: Trauma and Healing
Summary of Client Narrative
Room is a 2015 film that focuses on the life of a kidnapped mother and her son. The film's main protagonist, Joy, is played by Brie Larson. She is a woman who is held captive, and she is also living with her five-year-old son (Jacob Tremblay) while being forced to live in a small garden shade (Abrahamson, 2015). Her son refers to her as Ma. They spend all their time in the shed, and the women undergo many issues as she explains to her child that the shed is everything that exists. Jack's entire world is based on the things he can touch and see within the tiny shed, and with assistance from Ma and his imagination, he believes that he lives in a fairy-tale kingdom. Ma influences her son to think that inanimate objects in the surroundings, such as the television or sink, are his confidantes or cherished friends. Ma was kidnapped as a teenager, and she has been in the shed for over seven years. Her captor often sexually assaulted her.
Additionally, her captor also impregnated her, and she tries her best as a mother to protect her son's innocence while ensuring that he has everything he needs (VanDerWerff, 2015). For instance, she agrees to have sex with Old Nick, her captor, so that she can get supplies and groceries. During the sexual encounters with Old Nick, she ensures that Jack is hidden in a cupboard so that he does not see what goes on. Ma considers the room to be a shared universe with her son until his fifth birthday (Abrahamson, 2015). She decides to explain to him the reasons why they are living in the shed. It is difficult for her to convince Jack that a larger world exists beyond the shed, filled with a wide array of things that he has seen on TV. For Jack, anything that exists in reality as a magical object that comes from the TV.
Preliminary Diagnostic Opinions
Based on her behavior, the preliminary diagnostic for MA is that she has PTSD. Based on the first DSM5 criteria, Ma underwent a direct experience of a traumatic event. This is through sexual violence, whereby she was raped, giving birth to her son while still in captivity. Based on the second criterion of intrusion, Ma is re-experiencing emotional distress since she tries to protect her son from what she is undergoing (Center for Substance Abuse Treatment, 2014). However, she reaches a breaking point and decides to tell him about the truth. Based on the third criterion of avoidance, Ma tries to avoid reminders such as places, activities, conversations, objects, and situations which are linked with the traumatic event. For example, she agrees to be interviewed for a television show. However, she becomes upset when the reporter asked her why she chose to keep Jack rather than letting him go to the hospital so that he can be adopted.
Based on the fourth criterion, Ma also has negative alterations in mood and cognition. She began to have negative feelings and thoughts after the trauma (Center for Substance Abuse Treatment, 2014). This was a factor why she wanted to commit suicide since she felt guilty about what she underwent. She blames herself for the life that Jack experienced. She continues to have exaggerated an...