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Case Study
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XGBCYP5212 Mental Health Today - Literature Review Amira Case Study

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Introduction

This case study examines Amira, a Syrian refugee experiencing trauma-related symptoms after witnessing bombing. It explores PTSD, positive psychology, resilience, and culturally sensitive interventions using Seligman’s PERMA model. Recommended strategies include positive emotions, engagement, relationships, meaning, accomplishments, social support, volunteering, self-awareness, and emotional resilience development. The discussion can also support students seeking assignment help in UK when exploring psychological wellbeing and resilience in diverse populations.

Key features and context of the case study

The case study features the case of Amira, a 14-year-old girl who experiences traumatic symptoms that impede her potential for participating in academic life and personal life in society. Her case explains the migration of her family from Syria to a refugee camp in Iraq, and presently in the UK. Her symptoms of trauma appear to relate to her experiencing an apartment block bombing during her time in Syria, the event which catalyzed her family to leave Syria for the refugee camp in Iraq. Her reactivity to loud noises, loud voices and anxiety symptoms indicates her subconscious re-experiencing of the traumatic bombing event, which accounts for the rationale in her reactivity to loud sounds and general anxiety. While she is physiologically located to safety within the UK, her psychological conditioning remains rooted in her past traumatic experiences, leading to present-day isolation and anxiety-related behaviours. These symptoms indicate Amira has Post-Traumatic Stress Disorder, caused by witnessing violence during her earlier childhood years in Syria (Kanan & Leão, 2022).

NICE guidelines standards for positive psychology intervention

The NICE guidelines express the quality statement for evidence-based psychological interventions for afflicted individuals (NICE, 2014). In using it as a first-line of treatment, psychological intervention becomes a more sustainable choice compared to first-line pharmacological treatments (NICE, 2014). This indicates the NICE guidelines favour the least intrusive and most efficient balance of treatments for the first line of intervention (Higa-McMillan et al., 2016). The NICE guidelines also state that a cognitive behavioural therapy (CBT) approach is observed for the treatment of anxiety (NICE, 2014). In the case of Amira, her culturally distinct background of Syrian origin makes it necessary to involve cross-cultural considerations towards approaching her with positive psychological intervention, as it will allow her to develop her psychological resilience more securely in her present UK cultural background. It will be necessary to pay attention to this outcome to ensure Amira can succeed in her childhood development to integrate as a resilient functioning adult.

Positive psychology intervention challenges and rationale

The rationale for a positive psychological intervention is given in favour of Amira’s present residence in the UK, which favours her long-term growth and development through continued assistance from service providers into her adult life (Bolier et al., 2013). Her current age of 14 is also indicative of a potential for intervention through positive psychology, as psychological interventions are more receptive among children and young teenagers compared to adults whose psychological profile has become more solidified and set in its conditioned way of thought and perception (Higa-McMillan et al., 2016). This makes salutogenesis more effective as a front-line method of intervention for Amira (Bolier et al., 2013). The differences in national culture between Syria and the UK indicate a greater success likelihood for Amira in her present location in the UK, as the UK individualism and power distance dimensions are more progressive and individualistic, as well as egalitarian, supporting such interventions for Amira’s well-being (Hofstede Insights, 2023).

Discussion

Explaining resilience interventions for Amira

Firstly, strategies for coping towards self-efficacy can be taught for Amira to develop a basic level of resilience. These strategies will enable her to maintain momentum in resilience by limiting the vulnerability to self-isolation through inertia in her individual life (Elmer et al., 2020). The case study notes that Amira acts withdrawn and reserved in her school life as well as in her personal life, raising concerns among her family members. Developing a habit of a positive mental attitude will enable Amira to increase her resilience outcomes. The generation of positive emotions forms one of the five dimensions of Seligman’s ideas of self-care under the PERMA model (Seligman, 2018).

Secondly, Amira can develop the habit of facing problems and overcoming difficulties in an action-driven manner that is distinct from her avoidance-type behaviour through self-isolation. Such interventions will develop resilience as an effort to capitalise on individual “strengths and assets” for increasing her recovery from PTSD (Park, 2012). The performance of self-isolation leads to greater internal withdrawal of Amira, reducing opportunities for interactions and interventions with external individuals (Liu et al., 2022). As Amira is a victim of strife and wartime bombing from Syria, she should be given the opportunity for positive adaptation through positive psychological intervention (Liu et al., 2022). The development of self-awareness will enable her self-regulation of thought and behaviour, increasing her propensity for being proactive and action-taking over self-isolating and reactive. This satisfies the second dimension of engagement from Seligman’s PERMA model of positive psychology (Seligman, 2018).

Thirdly, positive adaptation requires forming sustainable and positive influence through social support across formal and informal institutions. Amira must develop positive relationships for social support among her family and friends at school. This will ensure she has the opportunity to seek emotional support and open up about her experiences, which will reduce her tendency for self-isolation (Rubin et al., 2004). The case study notes that Amira’s reactivity to loud noises influences her likelihood of being withdrawn; this can result in Amira avoiding high-energy social interactions at school and elsewhere. Therefore, it is recommended to begin with an introversion approach to connect Amira with introverted peers at school, as it will be a sustainable source of social support that coincidentally shares a similar dislike for loud noises and forms connectivity for bonding experience (Rubin et al., 2004). This satisfies the third dimension of positive relationships under Seligman's PERMA model (Seligman, 2018).

Fourthly, Amira can develop meaningful experiences in her personal life by attaining a common source of well-being. Her cultural background may provide a means for sharing meaning by developing religious or spiritual connections, possibly with the help of community leaders, clubs and groups (Torralba et al., 2021). Her state of vulnerability requires attention to developing a psychologically fulfilling sense of elevation to create the basis for resilience, and studies have shown that religious practices and spirituality are positive sources for developing resilience through belief in higher faith (Torralba et al., 2021). It will also inspire optimism and a greater likelihood of permanency in resilience, as CBT interventions through spirituality offer such outcomes. This satisfies the fourth dimension of meaning under Seligman's PERMA model (Kovich et al., 2022).

Lastly, the fifth dimension of accomplishments under Seligman’s PERMA model can be satisfied by developing positive life experiences (Kovich et al., 2022). In Amira’s case, volunteering to work in local animal shelters is a highly beneficial approach to developing a positive psychological response. This will develop Amira’s resilience in a positive manner by leveraging empathy and gratitude to increase her psychological wellbeing (Lasota et al., 2020). Her present vulnerability offers her an opportunity to empathise with similar vulnerabilities that shelter animal’s exhibit, owing to their unfortunate circumstances such as being rescued from abusive owners (Ballard et al., 2021). Amira can develop constructive habits and accomplishments by caring for shelter animals in this way, and transmute her anxiety by helping out vulnerable animals in shelters (Ballard et al., 2021). This approach will also help her to introspect her anxiety condition more responsibly and gain greater self-awareness and self-regulation, which leads to the development of emotional intelligence. Emotional intelligence, in turn, gives individuals a higher level of resilient psychological behaviour which is an advantage for Amira as well (Collado-Soler et al., 2023).

Conclusion

The essay has discussed positive psychology-based intervention strategies for the case of Amira, through the PERMA dimensions of positive psychology by Martin Seligman. The interventions ensure that different areas of interventions are considered for Amira’s case, as they attend to her basic mental health needs of emotional support and a sense of community. To this end, the suggested interventions account for the development of friends across introverted peers at school, as well as increasing her emotional support resiliency by volunteering to serve at animal shelter homes. In addition, the interventions also consider the pillars of positive psychology such as positive experiences, traits and institutions. The positive experiences will be developed by Amira through her continued association with like-minded peers and developing practices at her volunteering responsibilities, while her traits for self-awareness and self-regulation will instil a higher level of emotional intelligence. This will allow her to develop sustained resiliency for maintaining her positive experiences in different formal and informal social institutions such as her household and school.

The case of Amira features multiple considerations for cross-cultural adjustments, as well as her uniquely traumatic experiences compared to her peers. Her continued growth and development in the UK will allow her to experience more opportunities for positive development, as indicated by the national cultural dimensional differences between the UK and her Syrian origins. Consideration of this factor was noted in the essay before developing the positive psychology interventions, ensuring cultural differences are accounted for while maintaining relevancy for Amira’s case.

References

Ballard, P. J., Daniel, S. S., Anderson, G., Nicolotti, L., Caballero Quinones, E., Lee, M., & Koehler, A. N. (2021). Incorporating Volunteering Into Treatment for Depression Among Adolescents: Developmental and Clinical Considerations. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.642910

Bolier, L., Haverman, M., Westerhof, G. J., Riper, H., Smit, F., & Bohlmeijer, E. (2013). Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-119

Collado-Soler, R., Trigueros, R., Aguilar-Parra, J. M., & Navarro, N. (2023). Emotional Intelligence and Resilience Outcomes in Adolescent Period, is Knowledge Really Strength? Psychology Research and Behavior Management, Volume 16, 1365–1378. https://doi.org/10.2147/prbm.s383296

Elmer, T., Geschwind, N., Peeters, F., Wichers, M., & Bringmann, L. (2020). Getting stuck in social isolation: Solitude inertia and depressive symptoms. Journal of Abnormal Psychology, 129(7), 713–723. https://doi.org/10.1037/abn0000588

Higa-McMillan, C. K., Francis, S. E., Rith-Najarian, L., & Chorpita, B. F. (2016). Evidence Base Update: 50 Years of Research on Treatment for Child and Adolescent Anxiety. Journal of Clinical Child & Adolescent Psychology, 45(2), 91–113. https://doi.org/10.1080/15374416.2015.1046177

Hofstede Insights. (2023). Country comparison tool. Www.hofstede-Insights.com. https://www.hofstede-insights.com/country-comparison-tool?countries=syria%2Cunited+kingdom

Kanan, J., & Leão, T. (2022). Post-traumatic stress disorder in youth exposed to the Syrian conflict: A systematic review and meta-analysis of prevalence and determinants. Journal of Health Psychology, 135910532211231. https://doi.org/10.1177/13591053221123141

Kovich, M. K., Simpson, V. L., Foli, K. J., Hass, Z., & Phillips, R. G. (2022). Application of the PERMA Model of Well-being in Undergraduate Students. International Journal of Community Well-Being, 6(1), 1–20. https://doi.org/10.1007/s42413-022-00184-4

Lasota, A., Tomaszek, K., & Bosacki, S. (2020). How to become more grateful? The mediating role of resilience between empathy and gratitude. Current Psychology, 41. https://doi.org/10.1007/s12144-020-01178-1

Liu, Y., Di, S., Shi, Y., & Ma, C. (2022). Meaning in life and adolescent self-control: Effect of perceived social support and its gender differences. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.1087668

NICE. (2014, February 6). Quality statement 2: Psychological interventions | Anxiety disorders | Quality standards | NICE. Nice.org.uk; NICE. https://www.nice.org.uk/guidance/qs53/chapter/Quality-statement-2-Psychological-interventions

Park, N. (2012). Adversity, resilience, and thriving: A positive psychology perspective on research and practices. Trauma Therapy in Context: The Science and Craft of Evidence-Based Practice., 121–140. https://doi.org/10.1037/13746-006

Rubin, K. H., Dwyer, K. M., Booth-LaForce, C., Kim, A. H., Burgess, K. B., & Rose-Krasnor, L. (2004). Attachment, Friendship, and Psychosocial Functioning in Early Adolescence. The Journal of Early Adolescence, 24(4), 326–356. https://doi.org/10.1177/0272431604268530

Seligman, M. (2018). PERMA and the building blocks of well-being. The Journal of Positive Psychology, 13(4), 333–335. https://doi.org/10.1080/17439760.2018.1437466

Torralba, J., Oviedo, L., & Canteras, M. (2021). Religious coping in adolescents: new evidence and relevance. Humanities and Social Sciences Communications, 8(1), 1–9. https://doi.org/10.1057/s41599-021-00797-8

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