NAME: Tom Fevrier AGE: 27 years OCCUPATION:   Graphic designer/web designer CASE: Motorcycle accident. Right hand amputated (below elbow). Lower jaw smashed.

NOTES

Handsome and lively. Very popular. Plays bass guitar in a group. Part of his style is his motor cycle – a Harley-Davidson. It's his pride and joy next to his guitar.

Victim of evening RTA. Cruising wearing open-face crash helmet. Car driver on mobile runs into him. Bike falls onto him. Right arm and hand crushed. Hand has to be amputated; jaw is pinned and screwed to aid repair. He makes a good recovery, physically, and his fitting for his artificial hand goes well.

During treatment and afterwards he becomes depressed. Two things going on?

1: Sees little point in life – can’t do design, can’t pay bass guitar.

2: Anger at driver – not caught.

Tom won’t talk about this. How to enable him to regain his life?

RELEVANT FACTORS:

• Injury to his arm. Who is involved in this throughout treatment?
• Injury to his jaw. Who is involved in this throughout treatment? He will have difficulty eating and perhaps swallowing early on.
• How might Tom be enabled to rebuild his creative life? Think here of two main areas. One is his creative work – design and music. The other is the anger he feels about the accident.