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SOWK 657
Melissa Degenhardt
Treatment TV series.
The client is Alex (42), an African-American pilot for the US navy currently inactive
with the force. Alex is a father of two children, and husband to Mikayla for the past 15 years.
Recently this week, Alex has decided to separate from Mikayla. Alexs mother is deceased and
There are several important contextual factors to consider within Alexs life. Alex reports
that his last mission with the Navy was a bombing mission in Iraq. Alex explains that he
correctly hit his target as directed within his mission, but later learned that the target that he hit
led to several children dying. Alex has mentioned within session that he does not feel anything
for the victims of the bombing and has even returned to the bomb site and claimed not to
experience emotion. Alex relates his lack of feelings in this matter as a result of his military
training and demonstrates an ability to compartmentalize his duties as a navy pilot from the
Alex had a heart attack after this mission while running due to alleged overexertion. Alex
indicates that he has not returned to duty for this health reason, but in session # 3 indicates that
he was suspended from the force. This contradicting information has not yet been addressed.
Alex has been married to his wife Mikayla for fifteen years and reports a sudden and
recent realization that he no longer wants to be with her. Alex describes Mikayla as being
repressed and behaves in a very structured and scheduled manner. Alex has said within session
that he loves Mikayla and attributes positive qualities to her such as being a selfless person.
Alexs decision to leave Mikayla appeared impulsive. Alex commented that he told Mikayla that
he was leaving casually without emotion and that she responded in a similar sense.
Alex began therapy indicating a concern regarding his lack of emotion and feelings
Alex is also aware that there are problems surrounding his Dad but has protected this
issue from the exploration of the therapist up until the third session where he begins to talk about
his fathers infidelity, lack of guilt, and lack of emotion demonstrated in his ability to remarry
quickly following his wifes death and the fact that Alexs father, killed his own father, and
experiences within the navy, his recent separation from his wife and family, and past relational
issues with his father. Alex displays perfectionist tendencies, as displayed by his choice of wife,
career, and coffee. Alex displays an ability to compartmentalize and use logic to separate himself
any emotion that he experiences. When asked to empathize and imagine the perspective of others
in session, Alex displays a difficulty doing so. At times, Alex is avoidant of questions or
attempts to take the attention off himself in session, especially when asked questions about his
father.
What is the plan? What would I do next time with him in the next session?
Alex is making progress and appears to be becoming a bit more vulnerable within
therapy. By session #3 Alex begins to open up more about his father where in the initial session,
Alex made a point to indicate that he was not ready to discuss his father. For session number four
it could be beneficial to acknowledge and commend Alex on his openness in the last session. In
the next session, the therapist could see if the client is ready to explore some of the issues that
exist within his relationship with his father and some of hurt and resentment this is likely present
within their relationship, and this is likely when Alex first began to repress his feeling. Exploring
this guarded area of Alexs life could be beneficial for Alex if he is able to explore his own
feelings, even the feelings he experienced as a child, regarding his fathers infidelity towards his
mother. The similarities between Alexs fathers reported emotional presentation and the way that
Alex presents emotionally in session appears similar. This connection is one that has been eluded
to in therapy, and one Alex has denied. It is suspected by this writer that Alex has focused his
whole life on being different from his father, and recognizing these similarities could be
alarming for him but simultaneously beneficial and possibly motivating to make changes to
expand his emotional capacity and strive to get in touch with his feelings. This approach is
related directly related to Alexs presenting problem that he does not feel anything towards the
victims of his bombing mission and his separation from his wife Mikayla.