Family/Social History The client has resided with his adopted family since he was approximately 2 years old. His biological mother has a substantial history of alcohol and substance abuse and this client, as well as …show more content…
Often they are to keep people away. Some of the defense mechanisms I have observed in this client are acting out, projection, and displacement. This client acts out in extreme ways to express his thoughts or feelings because he is incapable of expressing them in a calm manner. Often instead of saying, he is angry he will become aggressive or run away. This client will often project negative statements to the other peers in order to get them in trouble because he is unable to acknowledge his own feelings. An example is he will get angry with another peer for playing the video game too long, when he does the exact same thing. This goes back to his lack of insight and supports his diagnosis of IED and ADHD. Often this client will displace his thoughts, feelings, and impulses on other people. For example when the client does something at school and gets in trouble instead of acting out at school he will come home and take it out on anyone who happens to be in his path. He cannot understand that this type of defense mechanism is ineffective because it causes him more problems.
c. …show more content…
Client will maintain appropriate interaction and boundaries by maintaining appropriate physical boundaries with peers and adults.
The client’s progress is tracked through narratives and daily activity indicators. This client also has in place an intervention that he needs to take his medication for bowel issues and do his laundry daily before being allowed to participate in leisure activities. The other intervention used with this client is that he is not allowed to be in the same room as female peers due to his inappropriate boundary issues.
Looking through the data collection for the interventions used the documentation shows a significant decline in all the objectives.
Ethical and Legal Issues As a social worker, I have the responsibility to know and comply with all local, state, and federal legislations and policies. There may issues that come up and may conflict with the best interest of the client. I will use the NASW Code of Ethics as a tool in my decision-making, along with seeking guidance from my