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Case Study: Beth
Beth is an eight-year-old minor who has undergone significant trauma, including sexual abuse. As a child, understanding the significance of the sexual abuse she has suffered at age six at the hands of an acquaintance of her biological father must be viewed in age-appropriate terms. Cognitive behavioral therapy (CBT) is often used to replace irrational versus rational coping mechanisms in both children and adults. Despite the fact that her father Dustin is incarcerated for dealing and using drugs, Beth still desires a relationship with her father. She also blames her mother Tara for depriving her of contact with Dustin, and for perceived and real abandonment, even though Tara is struggling to stay sober.
The counselor must understand the extent to which Beths concrete way of looking at the world as a child in black and white terms is normal. From a relational perspective, the counselor should also realize that he or she cannot automatically assuming that Beth will extend trust in an unconditional fashion, given the extent to which she has felt betrayed by the adults in her life. According to Halder & Mahato (2019), while adults who voluntarily come in for counseling usually have an idea of how to prioritize problems, set an agenda, and have goals for treatment, this is not always the case with children. Children often struggle with discussing their concerns and putting their needs into words. Also, in...…for children, consistency in parental response (affirming when a child engages in a desirable behavior and affirming the childs realistic sense of self-worth) is critical, and Beths mother may struggle with such consistency, particularly given the adversarial relationship she has with her daughter.
Also, acting out may be one way for Beth to cope with her frustration about not being able to see her father, versus complying with a behavioral modification plan. In this instance, an eclectic approach of identifying positive nurturing authority figures in Beths life (teachers as well as parents) and working through feelings about her mother, and identifying her mothers and fathers strengths and weaknesses is important. The goal of CBT is a realistic view of the self and,…
References
Lewis, L. (2020, February 21). ACA offers guidance for counselors working with unaccompanied minors. ACA. https://www.counseling.org/news/updates/2020/02/21/unaccompanied-minors-q-a#
Halder, S., & Mahato, A. K. (2019). Cognitive behavior therapy for children and adolescents: Challenges and gaps in practice. Indian Journal of Psychological Medicine, 41(3), 279–283. https://doi.org/10.4103/IJPSYM.IJPSYM_470_18
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