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Learning Goal: I’m working on a education & teaching discussion question and need the explanation and answer to help me learn.

Media Vignette Sam or Lisette

Watch the media vignette with Sam or Lisette, Student Case Studies (linked in the resources). Choose one and discuss the presenting disorder by noting characteristics, critically examining the connections between factors that affect human development, functioning, and behavior including the etiology. Consider any cultural impacts. Choose a theory (from Chapter 2) to guide your development with intervention strategies.


Sam R. is a 16yearold African American high school student. He has recently moved to a new town with his parents and younger sister due to his father’s promotion and job transfer. Sam’s old high school included a mix of students from many racial, ethnic, and economic backgrounds. At his new school, there are few African American students and Sam feels like an outsider.

Sam has always been a quiet and serious person. Although he usually has one or two close friends, he feels awkward trying to start conversations with others and has never mixed easily in large groups. A good deal of activity at this new school takes place around sports and student government; two areas Sam has little interest in.

Sam also feels unprepared for the level of work that is expected of him at this school, particularly the emphasis placed on presenting oral reports and participating in debates in front of the class. He becomes embarrassed and tonguetied when he has to speak in front of others. Sam often gets sick on the day of an oral report so he can stay home from school, and he is worried this will impact his grades


Lisette is a 6th grade Muslim female whose home was destroyed after a recent hurricane causing flooding to her entire neighborhood. Her family lost everything so they had to go stay at a local shelter. Lisette witnessed many people getting sick while living in the unclean shelter including her mom. Now, Lisette and her family have a new home and she is going to a new school.

Lisette is constantly fearful of coming into contact with anything that might be contaminated. Concerned about bacteria and viruses from the shelter she stayed at, Lisette hurries to the bathroom to wash her hands after each class. She is convinced the bacteria on her hands will cause an illness, serious or fatal, eventually leading to her being sick like her mom then she won’t be able to help take care of her younger siblings. Lisette spends up to ten minutes each time washing her hands. This has caused delays in getting to class on time. Despite spending a significant part of her day washing and using hand sanitizer, Lisette constantly doubts her cleanliness. If she accidently touches something she believes is dirty, she immediately washes her hands. This has resulted in bleeding and skin abrasions.

Lisette refuses to sit next to students who may appear sick or work in groups. Lisette’s teachers are concerned about her tardies to class along with her reaction to classmates who are sick

Response Guidelines

Respond to one other offering further suggestions for supportive interventions.

Please respond to this post:

Kim Vadnais


Lisette is a sixth grade Muslim female who presents with obsessive compulsive disorder (OCD). Ever since she and her family were displaced in an unkempt emergency shelter after losing their house in a hurricane, she has worried about germs and illness. She watched her mother and others in the shelter become sick due to the dirty conditions and now fears she herself will get sick, and she will then be unable to help care for her younger siblings. Lisette spends up to ten minutes washing her hands between each class, and fears touching surfaces or sitting near others who may be ill. The constant hand-washing has lead to bleeding and abrasions on her hands. Being in the classroom and group projects are also difficult for her due to the fear of bacteria and viruses. Her fears and constant need to wash her hands have begun to interfere in her school day. She is often tardy to class and her refusal to sit next to peers prevents her in participating in group assignments and may lead to future problems with isolation.

The cognitive behavioral theory (CBT) states that in order to change our behaviors, we must change our way of thinking. Lisette would benefit from individual and possibly even group therapy utilizing CBT. There are three categories of CBT to be addressed to help change Lisette’s way of thinking. First, developing coping skills can help Lisette acquire the skills needed to deal with the stress of her fears. Second, cognitive restructuring can help Lisette learn to modify and replace her maladaptive thinking with more adaptive, healthy thoughts. Finally, having problem-solving skills can help Lisette think of more appropriate ways to address challenges she faces (Henderson & Thompson, 2015).


Henderson, D. A., & Thompson, C. L. (2015). Counseling children (9th ed.). Cengage Limited.

Parritz, R. H., & Troy, M. F. (2017). Disorders of childhood: Development and psychopathology (3rd ed.). Cengage Learning.