Eating Disorder Case Study: Chhaya Essay example -- Adolescent Role As

Chhaya is a senior in high school whose egotism identity problems began as a child with her mixed ethnic background. She blames her parents constant fighting (and threats of divorce) on her own behavior and, in turn, strives to become the perfect daughter. Chhaya therefore throws herself into her schoolwork where she repeatedly increases her goals despite the lack of disapproval of others. Social relationships and leisure activities are thrown to the wayside because Chhaya feels guilt whenever she experiences pleasure in non goal-directed activities. Although Chhaya has manifestly tried to control many aspects of her life, this tendency turned into an feeding disorder, anorexia nervosa, after two major life events finding out she did not receive valedictorian and the relationship with her first male interest ending. These events occurred within one month of each other at the end of Chhayas junior year in high school. Aside from her self-esteem and self-confidence plummeting, Chha ya also felt worthless and out of control of her life. When she discovered that she is very good at losing weight, she began using narrowing her dieting to an extreme. She has been hospitalized and is now receiving occupational therapy at the childrens hospital. In order to learn more about Chhayas roles, expectations, occupations, and the affect of these life aspects on her eating disorder, the occupational therapist used the Adolescent Role Assessment (Black, 1976) to interview Chhaya. This assessment is meant for clients who range in age from 13 to 17 years and has shown competent internal consistency reliability (0.75), test-retest reliability (0.91), and content validity (via a literature review of multiple areas of study) (Burke & Lomba, 200... ...onal Therapy 2nd ed (pp. 277-285). Thorofare, N.J. Slack, Inc.Kazarian, S. S. & McCabe, S. B. (1991). Dimensions of social support in the MSPSS Factorialstructure, reliability, and theoretical implications. Journal of Community Ps ychology, 19,150-160.Piers, E., Harris, D. B., & Herzberg, D. S. (2002). Piers-Harris childrens self-concept scale,second edition. Los Angeles, CA Western Psychological Services.Rigby, P., Cooper, B., Letts, L., Stewart, D., & Strong, S. (2005) Measuring environmentalfactors. In M. Law, C. Baum & W. Dunn (Eds.), Measuring Occupational Performance financial support BestPractice in Occupational Therapy 2nd ed (pp. 315-344). Thorofare, N.J.Slack, Inc.Zimet, G. D., Dahlem, N. W., Zimet, S. G. & Farley, G. K. (1988). The Multidimensional Scaleof Perceived Social Support. Journal of Personality Assessment, 52, 30-41.