Linda: Case Vignette Review
Review the “Linda” case vignette and attempt the discussion questions.
Assume that you are a counselor in a community mental health clinic, that you have a Gestalt orientation, and that the counselor at the local high school tells you about Linda, a 15-year-old client he has seen several times. He feels that she needs further counseling, but he is limited by a school policy that does not permit personal counseling of any duration. He would like you to see her for at least three months because she is facing some difficult decisions. Here is what you learn about her from the counselor:Linda comes from a close-knit family, and in general she feels that she can seek her parents out when she has problems. But now she says that she just cannot turn to them in this time of crisis. Even though she and her boyfriend had been engaging in sexual intercourse for a year without using birth-control measures, she was convinced that she would not get pregnant. When she did learn that she was pregnant, she expected that her 16-year-old boyfriend would agree to get married. He did not agree, and he even questioned whether he was the father. She felt deeply hurt and angry about this. On the advice of a girlfriend, she considered an abortion for a time. But she decided against it because she felt she could not deal with the guilt of terminating a life within her. The possibility of putting her child up for adoption was suggested to her. But she felt this to be totally unacceptable because she was sure she could not live knowing that she had created a life and then “abandoned” the child. She considered having her baby and becoming a single parent. Yet when the counselor pointed out all the realities involved in this choice, she could see that this option would not work—unless she told her parents and lived with them, which she was sure she could not do. Now her pregnancy is moving toward the advanced stages, and her panic is mounting.
Linda agrees to work with you for several months, and you will be using Gestalt procedures with her.
1. At some point you might work with Linda’s feelings of anger and hurt toward her boyfriend. What Gestalt techniques can you think of to help her explore these feelings? What techniques could you use to work with her feelings of guilt over not having lived up to her parents’ high expectations? What other Gestalt approaches might you use (with what expected outcomes) to explore with Linda her other feelings associated with being pregnant?
2. As you proceed with Linda, what importance will you place on her nonverbal communication? Can you think of examples of how Linda’s body messages might contradict her words?Please include in your answer some of the following “gestalt” terminology: “why” questions, awareness, catastrophic expectations, dream work, empty chair technique, exaggeration exercise, figure-formation process, here-and-now experiencing, impasse or “stuck point,” integration of polarities, internal dialogue exercise, introjection, making the rounds, playing the projection, projection screen, resistances to contact, reversal technique, staying with the feeling, the “now ethos,” the dialogue experiment, the rehearsal experiment.