Topic > Genital Herpes Case Study Essay - 1585

The case study introduces me to a couple in crisis because the woman, Carol, 28 years old, was diagnosed with genital herpes by her gynecologist. Carol believes she contracted the STD from her 31-year-old boyfriend, Francisco, because he claims she had been sexually monogamous. Now, Carol thinks her boyfriend is a "dog," a "player," and a "liar" because he seems to flirt with other women when they are in social settings; although she loves him, she is not sure about staying in the relationship. However, Francisco claims he was not unfaithful and cannot explain the diagnosis of genital herpes. The first thing I would do is use normalization with Carol because it makes sense to feel a sense of betrayal. For example, instead of reinforcing blame, it would be more beneficial if they banded together and addressed the problem together. Through the process of externalizing the problem, the couple will be able to become closer, stronger and will now be able to act as a team. The couple could also give their personal name to the diagnosis, so that it is a moment of empowerment; this will help the couple shift their focus from blame to empowerment. Once I have explored my clients' stories, irrational beliefs, and hostile emotions, I will move on to giving both clients some psychoeducation. I strongly believe that in this case psychoeducation can be extremely helpful in this situation so that both clients can begin to develop rational beliefs about genital herpes. For example, I will present to clients the fact that it is possible for herpes to remain dormant in the body for many years. Additionally, I will inform clients that tests for STDs often do not detect herpes and that it is still possible to contract herpes even if a condom is used during sexual intercourse (Fisher & Holzapfel, 2014, p. 484). Introducing this idea will reduce hostile guilt. Therapists in general “must acquire a knowledge base about STD prevention, prevalence, natural history, testing, treatment, and sexual and medical consequences to be able to do so. The reason I deconstructed and reformulated their stories is because I would like to address from the perspective of questions of how “individuals in the relationship behave towards the stigmatizing condition, the emotions they feel about the condition, and the attitudes they hold towards the condition” (Newton & McCabe, 2005, p. 53). So rather than continue to build on their negative history of betrayal and infidelity; I would build a completely new story with them that will include the themes of positive life change and closeness within the relationship. For example, through exposure to positive reframing, clients will likely feel empowered and motivated to change their lifestyle, in terms of diet or stressful triggers; Furthermore, clients will be able to view genital herpes differently, rather than as a curse, they will see it as a learning experience for both of them, and they will see it as something that is now part of their lives (Newton & McCabe, 2008, page 866). Additionally, I will introduce the client to the fact that there are antiviral medications and suppressive therapies for the virus, which they will likely need to obtain from their gynecologist. According to Shepherd, “suppressive therapy is prescribed taking into account the frequency, severity and duration of relapses, as