45. Instructions: read the vignette and answer the questions below.
Theoretical Models in Clinical Psychology
vignette-based question.
Instructions: read the vignette and answer the questions below.
Rhiannon is a 57-year-old woman who was dismissed from her job as a healthcare manager in a learning disabilities residential service approximately 18 months ago.She claims she was unfairly treated by her company and was blamed for an incident involving a resident: a resident assaulted Rhiannon but he was injured when Rhiannon and a colleague restrained him. The incident was reported in the local papers. Rhiannon successfully pursued for a case of unfair dismissal three months ago, although she has not returned to work. She spends most of time in her own home because she is fearful of how people might react to her. When she does leave her home she goes to towns where she is unlikely to see people she knows. In the past year she has shoplifted on several occasions and was cautioned by the police three months ago: she has not shoplifted since. Rhiannon has sought psychological therapy because her husband is worried about her. He describes her as acting out of character in shoplifting; she rarely leaves home; and she is obsessed with cleaning. Since her dismissal from work she has lost considerable weight, her sleep is impaired and she finds no enjoyment in any day-to-day activities.Her GP has prescribed anti-depressant medication, although she does not feel these have helped her symptoms. She feels that she can no longer return to her career, and that his future is very uncertain. Rhiannon reports that the only thing that helps her manage her anxiety is to clean the home and to keep busy.
(a) How might Rhiannon’s problems be understood from a cognitive-behavioural perspective?
(b) Which cognitive-behavioural therapy interventions might follow from this understanding?
Briefly comment on any problems you think might arise in the course of therapy.
=========================