Presented to: Rev. Dr. G. Shobaham
Presented by:
Binu B. Peniel
VERBATIM: 4
Background of the client
Leela is showing withdrawal symptoms from all social life
and communications by pretending that she is having cold and fever. She is also
undergoing some emotional disturbances due to her son who is a psychiatric
patient showed some kind of up normalcy in the behavior. The church member referred to me this case understanding her need. I visited her
home and she was in the bed due to the shock of her son regaining the
psychiatric sickness.
Counsellor: 1.
Introduced himself.
Counselee: 1.
she also introduced herself and told me that she is not feeling well due to
cold and fever.
Counsellor: 2.
Aunty, I understand you are struggling due to the cold and fever.
Counselee: 2.
(She started crying). Yes I am struggling not because I have some cold and
fever but because I am thinking so much about my son and his future.
Counsellor: 3. Aunty beyond your sickness, you said you are concerned about your son and you are
anxious about his future.
Counselee: 3. I
have two sons. My eldest one is a pastor in a very reputed church. I am very happy
about him. My youngest son is now undergoing some psychiatric treatment in the
hospital. He was all right for many years.
It was last week again he started with some problems. (She is still
crying) Now he needs two hectors rubber estates and a brand new car. He was not
happy to get married but now he got a son. He doesn’t like his wife. Now he use
to trouble and persecute her and wants to send her home with the demand
for more money (Dowry system). Day before yesterday she was sitting near to him while in the
family prayer and he got irritated for no reasons and stated to beat her and he even physically harmed his own father. He chased me all the way near to the drinking well.
We all some have got into the house and we lacked the door putting him out of
the house that night. We tremble and fear staying at this house. Now he is
inside the house not talking or responding to anything. Showing the room in
which he is locked and saying. He never takes food or medicine. Now again I am
become a talk in the town and God’s name is spoiled.
Counsellor: 4. Aunty I can understand the pain and suffering you are going through. Your son’s
physical and emotional persecution you are not able to face it. You are in a shock and very much upset about this especially when this sickness struck him again
unexpectedly. And now you think this is creating shame for God’s name. You are
in a helpless situation.
Counselee: 4. We
can’t blame him for this. It is we who created this trouble. We send him to a
Bible college with out his genuine interest. Last month he was send out from the
Bible college because he showed some kind of up normality during the
prayer time. Now every one in the Bible College know about his problems, which
is a shame for my elder son. We suppose not to have done this....
Counsellor:
5. Aunty now you think and
interpret that it is your intervention created this trouble to him by sending
him to the Bible College and also regret and feel guilty about your son’s
situation especially thinking that your elder son’s name is spoiled due to this.....
Counselee: 5.
Now I also feel regretted much about his marriage. I almost troubled this girl
and the family and now not only him but his wife and a child.
Counsellor: 6.
Now you feel regretted and guilty about your son, daughter in law and about your
grand child because you think you have contributed much to this situation.
Counselee: 6. we
had arranged his marriage and it was at the last movement the marriage got
canceled, due to the brides party coming to know about my son’s past sickness.
There was only two days left and we almost arranged everything for his
marriage. We were almost had no clue about what to do. (Still crying)
Counsellor:
7.
After some time of silence, Ok then.
Counselee:
7. It
was my uncle who brought this alliance. This girl does not have a mother or
father. My son did not like this girl. The arrangement was done within two days. We
almost compelled him to go forward with this marriage. (Still crying)
Counsellor: 8. Ok
then (it feels like she wanted to continue to say something)
Counselee: 8. Then
after some time when they were in his uncles house, they talked about this
issue and he left her in that house and he came back. He also showed some kind
of up normality at that time. It was from there the issue started. Then some
time he was admitted in the hospital.
When she gave birth to this child (showing the child) he was admitted in
the hospital. Then he almost becomes normal and they were living a happy life.
Being at home, he again stopped taking medicine on a regular basis.
Counsellor: 9.
I think you carry the pain of your family and all that is happening in your
family. You take even the blame on you of your son’s marriage.
Counselee: 9. I
have gone though much pain in life. My husband was a drunkard. I have faced
countless sleepless nights in my life. (Again crying) I know my God will not
leave me nor forsake me. Even though Daniel was thrown into the burning fire
and the den of lions God was with him, the same God whom I am serving will also
help me I am sure about this.
Counsellor: 10
On the one side you have the confidence about what God will do but on the other
side you continue to struggle with present problems and I also understand you
are as a person someone gone through much pain in life.
Counselee: 10. My
husband was working very hard physical job. He uses to go for tapping the rubber for collecting milk. But almost all the money he use to spent in the toddy shop. He uses to
beat me very badly. It was very difficult for me to rise up the two of my
son’s. I use to go for the house cleaning jobs and with that little money I raised them
up. But now you see my situation has not developed from that end. Only one good
thing happened to me in life is my Christian personal experience. My husband also
use to doubt me and about my faithfulness as a wife. I was from a Hindu
background came to the Lord when I was twenty years old. Before that my family had the plan to send me
married to my cousin. (Muracherukkan-
according to Hindu customs). My husband knows about that. We dropped that plan
when we become Christians and it was after two years I got married to him. Last
35 years of my married life I was doubted by my husband.
Counsellor: 11.
I understand the trouble you have gone through due to having a husband who is
doubtful, a drunkard, and beating you.
Counselee: 11. He uses to beat me very
badly after all the occasions when I meet with that cousin and I use to avoid
all the possibilities to meet that person. Even I use to avoid going for any of
my family functions.
Counsellor 12. On the one side I can understand the behavior
of your husband and his reaction towards you being a doubtful person.
Counselee: 12. I
use to withdrew from the society and he never use to talk to me for some time.
Even though we had a married life of 35 years, at least half of the time we
never talked or interacted.
Counsellor: 13. In psychology we call it as a game people play. Some relationship issues happen. The person
think or interpret this in the irrational logic and the end result both the
parties withdrew from the situation and go into solitude, it goes for sometime
and then the person come back to the normalcy. This became a repeated
behavioral pattern and then the person develops this as his or her own
personality behavioral pattern.
Counselee:
13. That is
true, this is my behavioral pattern.
Counsellor: 14.
I wanted to make certain things clear to you at this point.(Stigmatization)
·
First of all the connection between
your present behavioral pattern of withdrawing from the society when the issue
of your son has came up: Becoming violent being a psychiatric patent.You regret about the wedding you
conducted for your son. Is there any thing you can do to resolve that problem.
Are there any other resources other
than your spirituality (God) to resolve your present problems? The few things I wanted to make it
clear to you especially about the Psychiatric sickness. Some have make sure at
any cost you refer your son a good doctor and make sure from your part that he
continue the medicine and the treatment till the doctor say him to stop the
medication. If you still face the problem from
your husband, let me refer and tell you some thing about the sickness called
paranoia. Can you consult some good doctors in order to find out the possibility
of paranoia prescribe some medication.
Counselee: 14. No I will pray for that and I prefer to do that.............(This signifies her problem to be in that pattern of life, this need to be explored further......)
Counsellor:
15. I am also happy that you have a great faith and expectation in God.
Counselee: 15. My
God shall help me for sure. He will never leave me nor forsake me. My God is with me at this juncture.
That is the only thing I need in life.
Counsellor:
16. Can I pray for you (prayed for the client and for her family).
Clinical understanding
and counselor’s evaluation:
1. The paranoid symptoms need to
be addressed further: Paranoia is a mental disorder characterized by extreme
suspiciousness and delusions of persecution. If these signs are accompanied by
delusions and obvious disorder of thought and flatness of affect, they need to
seek psychiatric treatment and, possibly, hospitalization.
2. The client’s Son need to
undergo psychiatric help and continue the medication.
3. We need to further rollout the
external problems, its affects and withdrawal symptoms of the client. The
client is only an IP (identified patient in the family system).
4. It is ok to rollout the
possibility of over dependent on the spirituality and blaming it on God for
what is happening in the surrounding situation without the client taking the
responsibility over it.
5. Explore further about the clients part to be submissive in undergoing that situation.
