The specific case that I observed was of an East Indian male who is a survivor of a motor vehicle-pedestrian accident. From my studies, I know that individuals who experience a serious motor vehicle collision (MVC) are at increased risk for psychological problems such as, posttraumatic stress disorder (PTSD) and chronic pain syndromes (McLean, Clauw, Abelson, & Liberzon, 2005). The biopsychological model has conceptualized the cognitive-behavioral factors, such as pain-related fear and avoidance, which influence the development of chronic pain in many individuals (McLean et al., 2005). Moreover, McLean et al. (2005) suggests that there is increasing evidence that specific neurobiological mechanisms within central stress systems may participate
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Gill, an elderly male in his early sixties and his middle-aged daughter. Mr. Gill has been attending counselling sessions for the past 4 months and this was his second last closing session. He has been suffering from PTSD and chronic illness from the injuries he incurred during the motor vehicle-pedestrian accident. He was not provided with adequate care after the accident, as the counsellor described him to have “fallen through the cracks of the medical system”. This counselling support was initiated by Mr. Gill’s daughter who was advised by the doctor to obtain support for her father’s depression. The counsellor described Mr. Gill’s hesitation of attending counselling alone, therefore a plan was made to include Mr. Gill’s daughter to attend the counselling sessions as necessary. In this session, Mr. Gill appeared relaxed as he sat back in the couch with his hands folded in front of him. During the 50 minute session Mr. Gill occasionally laughed and smiled, but in other moments he appeared to be quiet and in deep thought. The counsellor described his initial counselling session behaviors as being nervous, sweating and trembling. Thus, these improvements in his body language, behaviors and thinking were admired during the session. He looked happy and shy as these accomplishments were
Gill, an elderly male in his early sixties and his middle-aged daughter. Mr. Gill has been attending counselling sessions for the past 4 months and this was his second last closing session. He has been suffering from PTSD and chronic illness from the injuries he incurred during the motor vehicle-pedestrian accident. He was not provided with adequate care after the accident, as the counsellor described him to have “fallen through the cracks of the medical system”. This counselling support was initiated by Mr. Gill’s daughter who was advised by the doctor to obtain support for her father’s depression. The counsellor described Mr. Gill’s hesitation of attending counselling alone, therefore a plan was made to include Mr. Gill’s daughter to attend the counselling sessions as necessary. In this session, Mr. Gill appeared relaxed as he sat back in the couch with his hands folded in front of him. During the 50 minute session Mr. Gill occasionally laughed and smiled, but in other moments he appeared to be quiet and in deep thought. The counsellor described his initial counselling session behaviors as being nervous, sweating and trembling. Thus, these improvements in his body language, behaviors and thinking were admired during the session. He looked happy and shy as these accomplishments were