Rewriting the Trauma Narrative: A Case Study on the Effects of Narrative Therapy for a College Student with a History of Childhood Domestic Violence

Childhood exposure to domestic violence has long-lasting negative effects on mental health and social functioning, often leading to depression, anxiety, low self-esteem, and difficulties in relationships. The university stage is a critical transitional period in which unresolved trauma may become more pronounced. This study examines the effectiveness of narrative therapy in improving the physical and mental well-being, as well as social functioning, of college students who experienced domestic violence in childhood. A single-case intervention was conducted with a 20-year-old male sophomore who reported repeated physical and verbal abuse by his mother. Pre-intervention assessments indicated symptoms of moderate depression, negative self-awareness, and a lack of future direction. The intervention was based on narrative therapy and integrated nonviolent communication and collaborative learning according to the specific needs of the case. Evaluation included both qualitative feedback and quantitative assessments using the Beck Depression Inventory II and the Self-Rated Health Measurement Scale. Results showed that depression scores decreased from 23 to 14, and to 13 after one year. Health scores increased from 265 to 306, and to 308 one year later. The individual also showed improved communication and interpersonal relationships. These findings highlight the potential of narrative therapy in addressing trauma among university students and offer practical implications for social work and campus mental health support.