Cultural  information can be found in the DSM-5. You are also encouraged to use  outside Cross Cultural sources as needed, but please reference if doing  so.  

Assignment 4

Vignette Analysis I:
This  assignment focuses on vignette analysis and direct application of  course concepts to the persons and situations presented in the  vignette.   All discussions must take into account the legal and ethical  considerations, as well as cross-cultural issues that pertain to the  situations presented below.

Use  the reading assignments thoroughly in an integrative discussion. All  assignments MUST be typed, double-spaced, in APA style, and written at  graduate level English. Be sure to cite your work according to APA  format. Please keep your responses focused on what is presented in the  vignette. Do not add information but use your creativity to support what  you see in the vignette as written. Avoid elaboration and assumptions.

The  course text is the primary resource for this assignment. You should be  citing the text often to support your discussion (along with the DSM-5).  Outside references should be minimal, except for culture.

Note:  Cultural  information can be found in the DSM-5. You are also encouraged to use  outside Cross Cultural sources as needed, but please reference if doing  so.  

Discussion must be 6-7 pages plus a title and reference page. 

Vignette Analysis I

Vignette Analysis I will be covering Chapters 1 through 3 in the course text and the relevant DSM-5 disorders.

Your discussion must include at least five (5)  of the following areas covered in the text that you see relevant,  directly and specifically to the persons and situations presented in the  vignette:

(Please identify which areas you are choosing)

· Type I, II, III Trauma

· Developmental and lifespan trauma

· Anxiety, depression and anger Reactions

· Physical and somatic problems

· Emotional dysregulation

· Loss of self-integrity

· Compromised relationships with others

· Safety and the therapeutic relationship
Vignette One
Roni is a 25-year-old female of Asian descent who has been diagnosed with Post Traumatic Stress Disorder (PTSD). Roni  and her family came to the United States when she was 17 years old  after her paternal uncle was killed.  She does not remember the details,  but she has fleeting memories of “gunshots, people screaming and all  the children being pushed into a car and taken to some strange  place”.  No one in the family was allowed to mention her uncle’s death  once they arrived in the U.S.  Roni also tells you, “I hate July 4th in this country. The only way I can cope with that horrific noise, is by taking medicine my doctor gives me”. Roni  also reports that she has overwhelming fears of abandonment and is  terrified of being alone. During the history taking, Roni tells you that  when she thinks of her uncle’s death, she has great relief and,  “sometimes I am glad he is dead. I feel so guilty for admitting that,  but he was creepy and I hated being alone with him.”

Roni  is now married for 4 years to a wonderful man she met in junior  college. The couple has a 2 year old daughter whom she loves dearly. At  times when Roni and her daughter are in the neighborhood playground,  Roni has the sensation that she is being stalked and fears that someone  is going to hurt her daughter. She knows this is irrational, but these  terrifying thoughts come over her and, “I must run home to protect my  daughter from bad people.” She claims that her life is fulfilling and  meaningful but that sometimes she finds herself numb for no reason and  feels like her life is a movie.  

References:

Courtois, C.A. & Ford, J.D.    (2015).   Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.   The Guilford Press.      ISBN 978-1462524600