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Click to edit Master subtitle sty= le
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------=_NextPart_01C57D84.4A5B0000 Content-Location: file:///C:/B1345C82/tab_files/pres.xml Content-Transfer-Encoding: quoted-printable Content-Type: text/xml; charset="utf-8" ------=_NextPart_01C57D84.4A5B0000 Content-Location: file:///C:/B1345C82/tab_files/slide0001.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Slide 1
Against all Odds
A Case Presentati= on on a
Dynamic Survivor = of Torture
Tabet= hah Mack, M.A.
F.I.R= .S.T. Project
Univer= sity of Nebraska-Lincoln
Department of Educational Psycho= logy
To rem= ain alive or in existence.
To car= ry on despite hardships or trauma; persevere
To rem= ain functional
To live longer than; outlive
To liv= e and persist

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The Survivor
Identifying Infor= mation
lMiss “B”
l= Miss “B” is an adolescent female born and raised in Central America. She resides in Nebraska with her parents and siblings. Miss “B” is a student and has limited  proficiency in English. She began counseling at F.I.R.S.T Project in October, 2004. To date s= he has attended a total of 16 individual sessions and 1 family session.
For th= e purposes of this presentation the client, whom refers to herself as a survivor will be referred to as Miss B
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Presenting Problem
lMiss “B” was referred to FIRST Project by her school counselor lMiss “B” sought treatment as a result of flashbacks, incre= ased nightmares, suicidal ideation, and poor academic performance lIn addition, Miss “B” reported feeling extremely depressed and lost with no hope for the future
Miss B= ’s teachers noticed her behaviors and reported their suspicions to the school counselor
After = disclosing her traumatic experiences to her school counselor and two other teachers it w= as determined that further services were needed and upon the school counselor’s search for resources FIRST Project was discovered and an immediate referral was made.

Other = symptoms included: depressed mood, lack of concentration, sleep disturbance, unhea= lthy body image, physical numbness, fear of males, frequent headaches and stom= ach discomfort


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Client Symptoms
<= span class=3DBB style=3D'position:absolute;left:-4.77%;top:.3em'>lFluctu= ation of Miss. B’s symptoms
lInflue= nce of external stimuli (well-being of siblings, class-mates, television viewing, parental mood shifts) lLimite= d coping skills with respect to daily stressors in school and at home =
l
<= span style=3D'visibility:hidden'>l
Some g= ood days and bad days
Exposu= re to violence directly or indirectly
Coping= method was to go somewhere to be alone and cry then not talk about it
Didn&#= 8217;t want to upset mother by talking about feeling sad
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History and Contributing Factors
l1st=  born of six siblings
lEscaped to the U.S. due to death threats upon family members
lFather was forced to be a part of the governmental forces
lMemories include harsh conditions of threats and beatings perpetrated by soldiers upon mother and father separate= ly and then upon her personally when parents were gone =
l
l
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History and Contributing Factors
lAs a result of her father’s military history client experienced a horrific sexual assault  by several soldiers lMiss B experienced the unthinkable as she was dragged out of her hom= e, into the woods and forcibly raped
<= span class=3DBB style=3D'position:absolute;left:-4.12%;top:.3em'>lSepara= ted from parents during time of crisis
<= span style=3D'visibility:hidden'>l
One af= ter the other holding her down took turns violating her
Robbin= g her of her rights and attempting to destroy her spirit as they reduced her to what s= he refers to as a shameful full of nothingness or unworthiness. She suffered physical wounds of bruises and vaginal bleeding which eventually healed, however, the social, emotional, spiritual and psychological continues.
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Complexity of the Case
lClient’s experience of torture as politically motivated = sexual violence
lLoss:  Self, trust, basic human rights and her funda= mental freedom