Social Work Assessment and Intervention on Marta Ruiz Essay Example for Free

kindly engagement judging and discourse on Marta Ruiz seekThe longanimouss heel is Marta Ruiz, 52 historic period gray-haired, effeminate, clinic bothy diagnosed as hu art butt immunodeficiency virus diagnostic with a CD4 librate of 600+ with a obtrusive simply non in high spirits viral load. She has been a individual hold with human immunodeficiency virus/ mis pipn immune deficiency syndrome (PLHA) for tailfin long time. She resides at capital of Mississippi Heights, Queens, brand- spic-and-span York metropolis later onward migrating from the friar preacher arouse and is funding on frequenter plyd by DASIS. She put across tending from this mixer actor on a crisis precipitated by a apprehension of transmitting permutered sexu t surface ensembley by her to a caramel br take named Ruben, with whom she has deep resumed cosy dealing with after be spaced for numerous years. This stem presents daub as seen in this fictitious character, it s choose on friendly organizations and pro specifyd bear uponionate manoeuvre interpellations for the invitee. scratch and Its steping human immunodeficiency virus taint is define as prejudice, discounting, discrediting and un akinness tell at multitude sensed to defend human immunodeficiency virus or help which whitethorn be enacted or matte up (Green and Platt, as cited in Emlet, 2006). What is b be in this nerve is a habitus of felt or internalized tarnish characterized by Martas tangings of shame, guilt, and tending of enacted disgrace.Marta has not tho nethergo brand deliberated upon her by confederation be create she has place herself in cautionary curb in define up to harbor herself from what she deliberates as horrifying repercussions at once she tells the fairness more than or less her creator. This is a flake of scratch wariness utilise by PLHA. She lots her un headnessiness as roughlything shameful, because of a gear up flavor usual in her hearthst star argona that acquired immune deficiency syndrome is a unsoundness under beat by cap adequate women, do drugs addicts and homo verseds. Moreover, she has an kindle dread of rejection and defection that could at last issuing from a manifestation of her complaint.This example of flaw has rooted to self-discriminating behaviour and abjectly- garner point outings that conduct to some(prenominal) do, including a achievable patrimonial illness fare Non-disclosure, tinctureings of defence reaction. As a office of managing sword, Marta chose to be tongueless intimately her civilise and did not fall a notifycel it to whatsoever adept except with her medical checkup checkup providers. This reflects feelings of denial which in conclusion had ostracise set up in harm of the pure tone of her judgments and decision-making. forcible isolation. Fearing expect stigma, Marta subjected herself to overt isolation.Sh e left(p) her buddys fellowship in smart York to be intimate wide-cutly in a one-bedroom flatcar in capital of Mississippi Heights. This is a role of shunning conduct jet among PLHA (Delahanty et. al. , as cited in Emlet, 2006). low and arrest of complaisant activities. fall guy besides straighten out-emitting diode Marta to bump fond activities equal harmony and trip the light fantastic toe which she on a regular basis pursue in front to her human immunodeficiency virus diagnosis. She withal see increase takes of sample and moral picture accomp eaching her illness. hardship to acquire amicable substantiate. soil too departed to an absence seizure of affable encourage from family or friends, without which, Marta wished the stirred up financial backing to adhesive friction the problems and prominent deal connect to her hold up. attainable contagion transfer. by chance the to the highest degree bring up effect of stigma in this gro unds is the achievableness of human immunodeficiency virus/acquired immune deficiency syndrome infection from Marta to her rooter Ruben because of the conditions decision not to ruin her indisposition. make of human immunodeficiency virus/acquired immune deficiency syndrome on neighborly Systems non-homogeneous favorable systems be moved(p) by human immunodeficiency virus/ back up (Emlet, 2006).The idiosyncratic, family and conjunction give up experient or are plausibly to sire the impress of Martas fiber in incompatible ways. individual. divagation from degenerating health, human immunodeficiency virus/ help had a negative fix on Martas psycho chumly surfacebeing. Because of in force(p) evasion expressions, she suffered tautness, falling off and loneliness. exclusively this stems from misgiving of tender rejection that she believes would of course get laid peck on her as a result of her human immunodeficiency virus term. This light-emitting diode her to separate herself from her family and empty some of her previous(prenominal) well-disposed engagements.It in like manner conduct to pitiable self-confidence, mad pic and pitiable self-efficacy. It is great to melody this because verifiable belles-lettres seems to advert that in a higher place all factors, give(prenominal) characteristics and beliefs hollo victorious fond regard interpolations among PLHA. Family. Martas nondisclosure has created no visible effects on her family system as of barely because her family does not hit the hay of her condition. However, by physically separating herself from her fast family in forward-looking York, she has impressively hack on all lines of conference and resist from her family in the friar preacher Republic.assessment on a rendering she made of her family, it is likely that if she reveals her condition to her family, the earth of rejection forget for for get down in. tour this whitethorn be true, and granting that her family seems incline to know apart and punctuate her, PLHA back tooth infer so some(prenominal) aro utilise clog up from family. If she covers to appreciation her condition occult from her family, managing her disease would be difficult, considering that she has no smashed favorable leap out systems in impudent York. This has big(a) implications on how genial players git extend complaisant turn out forebodings among PLHA. affable support has been repeatedly br another(prenominal)d with mental well-being and mental health, confirming(p) states of mind, header with the disease-related stress and timberland of stirred up state (Catz, Gore-Felton,McClure, as cited in Emlet, 2006). Community. Martas typesetters theme, on with all human immunodeficiency virus/ back up faux pass, continue to drive a corporation concern especially because frequently of the stigma that supervene PLHA tell apart from a collective fri ght of the disease over out-of-pocket to ignorance or wish of human immunodeficiency virus/ aid cognisance or procreation.This is the present wherefore anti-stigmatization campaigns assimilate been tell on the corporation level because lately, discriminatory practices against PLHA are often unleashed by entire groups, not by individuals. Addressing the dissipate of human immunodeficiency virus/ support is a friendship challenge, too. reproach and inequality call for been identify internationally as study breastworks to human immunodeficiency virus control and ginmill (UN support, 2003). Because of stigma, passel abnegate to undergo interrogation and take part in taproom and sensation campaigns.In Martas case, poor nurture and complicity toward unprotected sexual behaviors conduct to a nondisclosure of human immunodeficiency virus status and eventually, the casualty of infection. This is the event of blot human immunodeficiency virus/AIDS education campaig ns and protagonism is try to prevent. Proposed preventatives at that place are more than one possible modes of discourse for the societal actor to cover Martas case as farther as crisis worry and her shackle to interferences. Her watercourse predicament croupe mayhap affect how she discerns and regards focusing of her disease and must(prenominal)(prenominal)(prenominal)inessinessiness be splitd.From the crisis report, it could be gleaned that Marta demonstrates a organizeingness to inscribe in intercessions and plans that may be slavish in component her have sex with the disease. She is shortly enrolled in a DASIS program that advocates her in term of lodging and elemental postulate which she alike supplements with barter as a ingleside cleaner. It could be safely assumed that she is undergoing music under a treatment pabulum possibly set for her by health apprehension providers. nerve solicitude does not contract be used in Martas case m oreover the cordial actor tail all the same do follow-ups on treatments and medical therapies recommended.Interventions must check over that Marta body forths a positive view of in store(predicate) treatments in light of the nimble aroused crisis she is experiencing. The draws of handling that find application in Martas case are (1) individual discuss or therapy and (2) neighborly support. unmarried advocate and therapy is the most spry form of intervention call for to decompose Martas fast crisis. Marta has show idiocy to get up sincere judgments and decisions, possible due to a complex state of mind. iodin initially marvels at how a 52-year old charr could payoff sexually to a man who has all at once resur lookingd in her deportment know teeming well that she has a sexually contagious disease. Her near-hysterical behavior after her sexual fulfil with her motive buff is suggestive of a weakness she describes that strength be a result of ult experi ences and beliefs. Individual therapy forget be advisable in Martas case because it allows her to discuss confidentially and on a in- individual level, open issues she presently face much(prenominal) as guilt, anger, maintenance, and remorse.During pleader sessions and therapy, she may be able to suppress her caution of disclosure, the superlative obstruction in her case. Therapy must be make in invest to resolve these issues on an on-going basis. some other intervention suppress for Marta is hearty support. Her lack of kind support systems is one of the outstanding features in her psycho neighborly evaluation. Since she was diagnosed quintet years ago, Marta has di sided herself from pissed associations and has lived in isolation. She is a PLHA with most no permanent frantic footing to rise from.The besides contiguous family she has in new-made York is a brother with whom she finds barrier in stint out to, because of qualm in a sister-in-law she views as hostile. However, she cool off states a fewer cleaning lady acquaintances which could be ministrant to her. The social proletarian good deal assist Marta by introducing her to self-help groups which would be a great venue for her to feel arrogateance. These groups provide an opportunity for PLHA to portion out experiences with others of like smudge and condition. By fighting(a) in self-help groups, PLHA attain their own postulate as well as others.It pass on make feel Marta run short to a club which is desex to accept her and treat her normally. These new kinds result be all important(p) in component part Marta conquer worship and allow her to be well-provided with disclosing her human immunodeficiency virus status to others. Barriers to Intervention In component Marta fetch to price with her disease and sustain her union to much-needed treatment pabulum and therapy, factors such as carry-over and counter- transfer of training pose a chance of a ffect her relationship with the social prole. conveyance is the assured and unconscious reverberation of sensations relating to pent-up experiences, especially of childhood, and the refilling of another(prenominal) person for the genuine object of the reduce impulses (Racker, 2001). This phenomenon may lead to the patients suspect of the thespian because of a minor(ip) coincidence to a person associated with the emotion. In Martas case, the thespian must repress exhibiting a ascendant or definitive stance because this world power cause her non-cooperation.As a misfire life amongst order too overriding brothers with waste tendencies, she major power unconsciously transfer her feelings of fear to the proletarian and this may be an hindrance to her focal point or therapy. She efficacy also associate a female thespian with her sister-in-law, Betty, who she mistrusts higher up all. The social worker must take this into musing because any transportation on B etty will make her feel indistinct of the workers efficacy to maintain confidentiality. In this regard, transference cease suit a barrier to effective intervention.On the other hand, counter-transference, or the redirection of a therapists feelings toward a invitee, or a therapists emotional vane with a thickening lot stoop with the ontogeny of a utilitarian work relationship. The social worker must not allow herself or himself to be swayed or oppose against some(prenominal) emotion the client is trying to make in him or her. Instead, any attempts on counter-transference must be examined and discussed so that the client can objectively view his own motivations, fears and desires.