Individual Case Studies
Case One: Violet
Violet is a 20-year-old woman with a history of difficult relationships. She was in foster care from 12 to 18 years old. She attended a career college and is employed as a dental assistant. This is her first real job. She was referred to you after a patient at her dental office had a stalking complaint. She apparently began dating a young man (John) after meeting him at the dentist’s office.
When she arrives for her appointment with you, she is dressed provocatively in a low-cut blouse and tight pants. She has heavy eye makeup on and seems to be very needy, becoming tearful several times during the session.
At the start of the interview, she states that this thing would not be a problem if those “idiots” in the office were not jealous. She reports feeling like they were talking about her and feeling like they were out to get her. When asked why they would want to get her, she states that all girls are like that. She reports early sexual abuse in her home by an uncle. She also reports conflict with her mother. Apparently she had been in an incestuous relationship and had gained favor from her uncle. She would receive cash and get to go out to eat with her uncle, who was abusing her. She stills denies any abuse and claims that he was only 12 years older than she was at the time of the abuse. After some reluctance, she admits that she was 12 and he was 24 when the abuse started.
When asked about depression, she stated that she has a hard time knowing what she is feeling. She says that she needs to have a man to feel safe and secure. She reports that she has been in a number of relationships with men and several with women. She usually becomes sexual early on in the relationship. She has used self-harm in an attempt to regulate her emotions.
After some conversation, she stated that she met John at her office while she was helping the dentist prepare for a filling. She said that she