Interpersonal Processes in Psychotherapy

Presenting Problem\n pitch is only a a few(prenominal) months shy of his 18th birthday. He presents emotionally as a confused, anxious and angry youngster of about half his somatogenetic age and yet his tangible appearance is that of a or so large rather scare young man. jacks was referred by his Youth Justice proletarian to seek therapy for his anger issues and concomitant violent outbursts toward his family, in special(prenominal) his niggle and overly in public assaults. rogues referral was suggestive of reactive appendix disorder and post-traumatic stress disorder.\n\n effect Factors\n diddlyshit has a annals of violence and substance yell within the family setting - scram (Mark 51 years) is an alcoholic and ignominious toward Jacks mother (Jill 45 years), his mother also malignments alcohol, self medicates and has been diagnosed with Bulimia and depression. Jack has two siblings, Jane (21 years) and Max (20 years), twain have substance abuse issues and Jane h as also been diagnosed and treated for Anorexia Nervosa.\nJack was diagnosed with epilepsy at age lodge years, Asperger syndrome at 15 years, psychosis and behavioural issues also at 15 years. At the age of 13 years, Jack had a fond(p) removal of his frontal lobe in order to reduce his wicked epileptic seizures. Whilst this was successful in seizure reduction, it unfortunately grossly impaired Jacks ability to reason and interfered with his psychic thought processes of consequence. Since the procedure, Jack has bend increasingly violent and irrational. Although, precedent to the surgery, Jack was constantly victimized and bullied by his peers making his shoal life a breathing hell and making surgery a necessity.\n\nDiagnosis and appraisal\nTaking into consideration the total of Jacks telescope and precipitating factors, it would be white to assume that Jack has suffered portentous complex trauma as a result of quaternate negative experiences in his lifetime.\nJack pres ents as somewhat hyper-vigilant and hyper-aroused,...