However, in saying that she went to Baylor Medical Center Emergency room, someone could check the date and probably find out who she was if they were looking. This is one area where the clients confidentially is compromised. Also, stating the entire information about the trial, the fact that it was "lengthy" and the fact that the stepfather denied having done anything wrong would possibly be traceable to a well publicized court case. It is not necessary in this writers opinion to give all the details of the rape. Although it is important to note that she comes to the counseling session because of "anxiety, hypervigilence, nightmares, flashbacks of the rape, and ruminative guilt" are what should be emphasized in the report instead of the exact details of the rape.
Also, the report is not written in a professional manner but has the tone of someone wanting to make sure all the "juicy details" are present in the report. According to Nail (1990) an intake interview should have enough relevant information to lead the counselor towards a conclusion about the type of therapeutic interventions that are needed. In order to do this, it is important to organize the data into a logical structure and to develop it chronologically (Nail, 1990). In this sense, the information about the rape should have been categorized differently and it should have been more professionally written.
I would feel very uncomfortable showing this report to the client. I would think that they would be upset about all the details in it and this could escalate her anxiety. I think that the report reads like a soap opera rather than a formal intake review. Harvey (1997) states that reports can be readable and without much jargon so that anyone can understand them (p. 273) but this therapist was reporting more than was comfortable for this writer. I also think that the therapist may have been appalled at what