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Date: January 24, 2012Setting: At around 6:00 pm in Quirino HillObjective: To help the client understand the problem. To help the client address the problem.

Interaction Analysis Modification/EvaluationPatient Nurse

SN: Sabi mo last time, nanatuto kang magalit ngsobra.C: Oo.

Client agrees to thesummary of student nurseregarding the lastconversation.

SN summarizes the previousconversation and relays it tothe client. She is therapeuticin conversing with the client.

SN: Paano ka ba talagamagalit?C: Pag kaya ko pa,kinikimkim ko pero pagnasobrahan na yan nananggugulpi na.

Client is being honest withthe SN. He tells what hereally feels while in the saidsituation. According toFreud, in order to protectself and cope up withpainful feelings, ego usesego defense mechanisms.The client has poor angermanagement.

SN assesses the clients wayof managing anger.

SN: Nanggugulpi ka?C: Oo. Yung taong rason

kung bakit ako galit angginugulpi ko. Pag hindi konaman magawa, sarili konalang pinapatulan ko.

Client is aggressive andviolent when angry.

SN restates clients previousanswer to clarify answer and

to elaborate it. She istherapeutic in doing so.

SN: Ano ang nagprepreventsayo na gulpihin ang isangtao?C: Pag mahalaga sakin angisang tao, mahirap siya

Client is prevented fromhurting others if he hasestablished a relationshipwith them.

SN tries to extract moreinformation by askingquestions.

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patulan parang si gf. Pagibang tao naman parangandaling patulan at sarappatulan.

SN: Pag ba mas matandasayo ginugulpi mo din pagginalit ka?C: Depende sa kung gaanokatanda. Kung mejo bata-bata pa, oo kinakaya ko.Pero pag mejo matanda-tanda na, hindi. Bakaikamatay pa niya. Angginagawa ko nalang, awayin

sila sa salita.Tsaka pagbabae, hirap gulpihin kasimaarte.

Client is conscious of whoto hurt when angry. Hehurts only those who heknows can fight back.

SN tries to extract moreinformation by askingquestions.

SN: Panu pag sa ka-edadmo?C: Walang patawad ah.Parehas lang kami ng lakaskaya sakto lang.SN: Sa mas nakakabatasayo?

C: Ganun din lang, pagsobrang bata hinahayaan konalang at pinapagalitan nalang. Pag yung mejo malapitna sa edad ko, pede.

Client is not the submissivetype of person. He isaggressive so that he canadopt to the environment.

SN asks more questions tofigure out whats hes going todo.

SN: Bale ang gagawin natinngayon, hahanap tayo ngpedeng gawin mo pagnagagalit ka. Sabi mo

Client is trying to find a wayto control temper. But is notcommited in trying tochange his attitude towards

SN is trying to help the clientthink of ways to manageanger.

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nanggugulpi ka dba, so anoba pede mong gawin bagokaa manggulpi?C: Pag-isipang mabuti yung

gagawin.SN: Ano pa?C: Hinga na malalim omagbilang.O lumayo nalang para hindina mas lalong mabadtrip.SN: Kaya mong gawin yanpag galit ka?C: Susubukan ko.

anger since he did not say apositive answer,

SN: May galit ka ba ngayon?

C: Kanino?SN: Kahit sino. Kahit sa gfmo.C: Wala naman.SN: Yung mga kinikimkimmong galit ngai? Gusto moilabas?C: O sige. Paano ba?SN: Isulat mo lahat ngnararamdaman mo sa papel

na ito. Lahat ng galit mo atgusto mo sabihin sa kanya.Dito nalang ako sa tabi paramabigyan ka ng space atprivacy.

Client agrees to the

uncensored letter to let goof whatever feelings he has.He is reluctant at first butthen agrees. According toSullivan a non-satisfyingrelationship produce anxietywhich is a basis for allemotional problems. If theclient lets go, he will be ableto have more satisfying

relationship thus reducinganxiety.

SN tries to get the client to

speak up by askingquestions.

(Client is blinking eyes morethan normal.)

Client is preventing theemotions from beingexpressed.

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SN: Nasulat mo na?C: Oo.SN: Gusto mo bang basahinko?

C: Wag ahh.SN: Ano garud gusto moggawin natin sa papel na ito?C: Itapon nalang ay di pala,akin na sunugin ko nalang.(Burns the paper)

Client has let go of some ofthe bottled emotions insidehim. Maybe he burned theletter to symbolize letting

go.

SN tries to get the permissionfrom the client to read theletter.

SN: Ano nararamdaman mongayon?C: Mejo okay na pero maykonteng galit pa din.

SN: Sino ba sinulatan mo?C: Basta. Yun na yun(smiles).

Client is a relieved by theactivity. He expressed hisrelief by smiling.

SN tries to follow-up clientsfeelings after the activity. Shetried to assess if the clientwas okay after the activity.

Goal met since client participated well.