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Tommy's Case Summary

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Tommy is a female who is in a therapy session. Tommy started by introducing herself as a Native Alaskan. The counselor asked Tommy about her tribe, and she stated that she belongs to the Yupik tribe with a patronizing facial expression and clicking noise. The therapist, later in the video, perceived Tommy’s gesture as a sense of relief and pride for her tribe. However, she appeared to be more of patronizing towards the therapist who could not even remember her tribe name. The therapist then continues with broaching about Tommy’s tribe and unique ethnicity. The broaching was done well. However, I believe that the therapist could have done a better job by accurately pronouncing the tribe’s name since this information was available to him before the session started. She expresses that she is moody at times and also feels bored. Tommy states she has difficulty falling asleep, but once asleep will sleep for long periods of time. This statement could …show more content…

An emotional pattern could be developed around a primary or secondary emotion. Tommy’s primary emotions occur in direct reaction to her parent’s lack of compassion for her. If Tommy is angry at her father, this anger is a primary emotion. However, if immediately upon experiencing the anger Tommy experiences fear that her parents once again would abuse her if she expresses anger, then suicidal ideation becomes a secondary emotion that serves to cover up the primary emotion of parent’s lack of compassion for her. To gain practical meaning from these experiences, Tommy failed to work through the fear of expressing herself to her parents until the primary emotion surfaces and then fully process her feeling of not being paid attention to. Negative emotions always serve as cues to areas of experience that need further processing for meaning. Tommy exhibits unresolved emotions related to her parent’s

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