
Order Requirements for the Current Case Study and References
This order is about writing a doctoral level 50-page psychotherapy case study, using the materials I will provide (format: APA 7th, font type: Times New Roman, font size 12, spacing: double, layout and other formats: current Microsoft Word 365 version default). The final document must not exceed 50 pages in total (one cover page included), excluding the reference section. I am going to provide a COMPLETE SAMPLE PAPER you can use as an ideal reference (you are encouraged to follow its format, flow, and other features of the document because it is a model case study paper). The final paper should be consisted of 6 sections (A: case summary, B: case conceptualization using 3 theories – theoretical understanding, C: treatment conceptualization – clinical intervention, D: cross-cultural issues, E: ethical issues, F: impact on subsequent thinking – how this whole process affected your thoughts/beliefs of working with clients) and the details of how to write what is written below. If you need any questions/clarification, please do not hesitate to reach out through messaging system., please highlight the psychological process of how counter-transferences change within the therapist. For example, (1) how negative counter-transference was recognized at first because of the patient’s inconsistent scheduling and her behaviors cutting her therapist’s words in the middle (narcissistic personality features), (2) the moment where the therapist recognized and felt the “pain” of the patient and understood why the patient had to implement such behaviors/personality features in order to survive psychologically, (3) how this informed and changed the understanding of the patient, clinical interventions toward the patient in the session, and impacted on overall the course of the treatment.
* Finally, please do not hesitate to reach out/communicate with me via messaging system whenever you need any information about this order (e.g., details of the therapy process/missing information, etc.). This is the most important work I’ve ever placed so I’d like to cooperate with you closely. Thank you.
• Throughout:
o All references should be in APA 7th format. All references in text must correspond to those in the References section.
o All quotations and significant assertions about the writing of others must be referenced.
o Check grammar throughout. Tenses must agree; in the main this means past tense.
o Focus on clarity of thought and expression. The reader should have no doubt about what you think.
o You can make up conversations between the therapist & patient in Section C when necessary.
• Section A (10 pages): CASE SUMMARY
o Criteria: Discussion of the presenting problems is described with the appropriate level of detail. Description of the family history and patient’s personal experiences are presented and lay the foundation for important theoretical linkages throughout the document. Diagnostic formulation accurately describes presenting symptoms and is linked to descriptions of behavior.
o For this paper: The current paper lacks a clear picture of what happened in the treatment (i.e., a Course of Treatment section), including an account of relevant countertransference factors that are mentioned later but not explicated.
o References to be cited in this section:
None
Case Information
Demographics
• Client Pseudonym: Ann
• 25-year old, single, half-Greek, half-Brazilian American, cis-gender, heterosexual female
• Full-time graduate student in her 2nd year of a speech-language pathology program
• GPA: 4.0, but received one incomplete rating by the end of Spring 2021
• Reported to speak English and Greek fluently and identifies them as her first language
• Identifies herself, along with immediate family members, Greek Orthodox Christian
• No history of psychiatric diagnosis or severe physical injury
Presenting Problems
1. Emotional distress that stems from:
a. Her parent’s divorce
b. High family conflict
c. Her dismissal from another speech-language pathology graduate program in 2020
2. Heightened level of anxiety about:
a. Giving testimony in court for a case that was being tried between her parents
b. Dealing with her parents and aunt’s lacing into her
c. Maintaining good academic standings
d. The possibility that irreversible damage has been done to her in the course of her development and thus there is “something wrong” with her
Additional Problems
1. Lack of autonomy and tendencies to involve others to deal with her own anxiety
2. Conflictual feelings toward coming to sessions and closet narcissistic personality features, including the denial and avoidance of her inner experiences that can undermine her sense of self (“I thought to myself there is nothing wrong with me.”), her unwilling tendency to recognize or empathize with the feelings and needs of others, and her exploitative aspects of interpersonal communication such that she responds to her counselor’s scheduling emails selectively, cancels her sessions without prior notice, and downplays the importance of reflecting on these behaviors.
Developmental/Family Background
• Born and raised in New York City, has an older brother and two younger sisters, and currently resides with her mother and a younger sister
• One of her younger sisters has speech problems that led her to pursue her graduate major in speech-language pathology
• Dismissed from a speech-language graduate program in summer 2020 due to receiving more than one C in the first two semesters
• Before her parents divorced, she witnessed her mother being arrested by police officers after her father made a call in December 2020
• Her parents tried to convince her to believe that the other parent was responsible for the divorce
• She was asked to testify in court about her parents’ relationship, but the case was closed in advance of her testimony
• Both her parents and her aunt blamed her for the divorce of her parents
DSM-V Diagnoses
F41.1 General Anxiety Disorder
F60.89 Other Specified Personality Disorder, with narcissistic features
Inactive: F43.22 Adjustment Disorder, with anxiety
• Section B (15 pages): CASE CONCEPTUALIZATION (3 theories: 1. Family Systems Theory (Bowen), 2. Mentalization & Attachment-based Psychotherapy (Fonagy & Target, Slade & Holmes), and 3. Developmental, Self, and Object-Relation Theory of Narcissism (Masterson))
o Criteria 1: Discussion in this domain is thoughtful, integrative, and has depth and complexity. The student’s perspective on how his/her observations relate to theory is clearly articulated.
o Criteria 2: Discussion of this domain is thoughtful, integrative, has depth and complexity. The student’s perspective on how the empirical literature is linked to case conceptualization is clearly articulated.
o Criteria 3: The student’s document provides a complex, integrated picture of an individual’s internal world. The thoughtful discussion of the specific impact of deficits in a given domain on relevant others are well articulated. Bonus: the student’s document weaves an evocative narrative thread which flows throughout the case; similarly, apparent discrepancies between findings are grappled with and woven together, presenting a complex picture of the individual’s functioning.
o For this paper: Each theory needs a clear summary of what it contributes to the case formulation. Make sure you accurately describe each approach. Focus on the main ideas of the theory and describe how it explains the patient’s clinical presentation generally, before addressing particulars such as differential diagnoses and subtypes. Each needs a clear discussion of the pros and cons in relation to this case. Explain how each relates to the others. Clearly explain any overlaps or contradictions.