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2025 (635198) - DUE 25
September 2025
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, Task 1: Karen's Case Study from a Gestalt Perspective
1. Karen's Basic Conflict Karen's basic conflict is the struggle between the introjected values
of her religious and cultural upbringing and her own emerging, authentic self. She has absorbed
the values of her parents, church, and culture without fully assimilating or questioning them.
This has led to a major internal split. The nature of her struggle is a conflict between her "top
dog" (the internalized voice of authority, guilt, and expectations) and her "underdog" (her
authentic desires, feelings, and the part of her that yearns for freedom and self-determination).
She is stuck in a state of un-integrated polarity and is experiencing a powerful sense of
incongruence between who she is and who she feels she "should" be. This results in feelings of
guilt, anxiety, and a sense of being paralyzed and unable to act.
2. Karen's View of the Therapist as an Authority Figure Yes, it is highly likely that Karen
sees the therapist as another authority figure. She has a history of seeking approval and direction
from people she considers authorities, so she may be unconsciously looking for the therapist to
give her "permission" to reject her past teachings.
Testing this possibility: I could test this by gently confronting her with her requests for
guidance. For example, when she asks "What if I am wrong? Who am I to decide?", I
might respond with "What do you want me to tell you about that?" or "It sounds like
you're asking me to be the authority here. What are you hoping I'll say?" This helps to
bring her dependency into her conscious awareness.
Helping her without becoming a source of approval or disapproval: I would not give
her advice or tell her what to do. My role would be to increase her awareness of her own
feelings and desires. I would focus on the "how" of her experience—how she is stopping
herself, how she feels the guilt, how she "hears voices in her head." By helping her
become more aware of her own process, she can begin to find her own answers from
within, rather than looking for them from an external source. I would use "I" statements
and make observations rather than judgments, helping her to understand that the answers
lie with her.
3. Key Issues for the Therapist a. Respecting cultural values while promoting change: I can
absolutely respect her cultural values while helping her make changes. The goal is not to tell her
to abandon her culture, but to help her integrate her identity. I would not encourage her to reject
her past, but to fully own her feelings about it and decide for herself what to keep and what to
change. The Gestalt approach would focus on helping her find her own authentic integration of
her values, rather than blindly following or rejecting them.
b. Adjusting to cultural norms vs. new standards: My role would be to help her become aware
of her feelings and desires, not to push her towards any specific set of standards. I would not try
to adjust her to cultural norms or encourage a new set of standards. I would simply help her to
recognize her own voice and to see that she has a choice. If she wants to be more assertive, I
would work with her on what that feels like and how she is stopping herself. The decision to
change is hers alone.