Psychology diagnostic film goodwill hunting essay
Prognosis
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The client can be described as male in the early 20’s. He reveals with a number of symptoms linked to antisocial character disorder. Your customer has a history of breaking the law. He has been imprisoned a number of instances for costs ranging from strike to grand theft car. The customer’s most recent arrest was the reaction to a avenue fight which in turn led to the consumer punching the arresting official.
After stepping out of jail about bail the customer started choosing a fight with an additional individual, however , this face did not lead to physical violence.
Additionally history, the consumer partakes in many high risk actions including drinking and smoking. He includes a history of getting in and out of foster homes and teen detention since a child. There is a good physical misuse. He currently lives exclusively. The client is extremely intelligent, quiet, and protected. He has a noticeable problem with any expert figure. The client also has a tendency to make up stories.
In line with the DSM conditions, it is obvious that this consumer has a persona disorder. Basic criteria to get personality disorders are detailed in the following paragraphs (Morrison, 1995). The must present with symptoms that deviate from their lifestyle. Specifically, they have to exhibit in least two of the following: deviation in have an effect on, cognition, impulse control, or perhaps interpersonal operating. This customer displays change in expérience and behavioral instinct control. He could be extremely intelligent; however , this individual did not carry on to college and currently works as a janitor. Based on his fighting behavior, it appears the client seems others will be against him.
During therapy sessions, your customer made up tales and jokes due to his negative thoughts toward therapy. It is additionally clear that he feels others were against him or aiming to hurt him. This is observed in his inability to form close relationships. This individual also shows impulse control, again proved by his continual struggling. For these symptoms to be categorized as a persona disorder they need to affect the people personal and social lifestyle and last for many years, beginning in child years.
This customer’s fighting triggered him to invest time in prison. Additionally , his lies, guardedness, and poor cognitions ended in the breakup of him and his partner. These symptoms have been present since child years, as your customer has spent time in teen detention. Finally, these symptoms can not be attributed to any other mental health disorder or sickness. Neither of such types of conditions exists.
Particular to Égo?ste Personality Disorder, symptoms will need to have began before 15 years old. These include repeated violations of rules, age appropriate rules, or other peoples rights. Certain symptoms in adulthood consist of aggression against people or perhaps animals, real estate destruction, resting or robbery, and critical rule infractions. To meet conditions the individual must display in least three of these symptoms. The client evidently had hostility issues toward other, as evidenced by his repeatedly starting battles. He likewise had a number of prior busts for invasion. It was likewise noted that he had recently been arrested intended for grand thievery auto. This client has a tendency to lie. He was not selective to whom he lied to you to possibly. One example of the was along with his girlfriend.
He told her having been from a big family and has 12 friends. The client also lied in the beginning of his therapy lessons. As noted this client does not may actually have virtually any Axis I actually diagnosis, even so additional information is required. His Axis II prognosis is Égo?ste Personality Disorder. There was no report of any medical problem. This customer is experiencing a number of Axis IV psychosocial stressors.
The consumer is intelligent however this individual has a low paying job. His educational stressors commence with the professor begins placing too much pressure on him regarding the statistical proofs. Finally, he lives alone and a history of physical misuse. The misuse may be a root cause of his behaviours as a grownup. The customer’s GAF is usually 80. His behaviors will be causing challenges in his life however , your customer is able to care from himself and keep down employment.
Axis I: 799. being unfaithful Deferred
Axis II: Antisocial Personality Disorder
Axis 3: none
Axis IV: psychological stressors: work-related, educational, lives alone, good abuse
Axis V: 70
Ethics
There are a number of ethical infractions throughout the span of the film. One current condition of the client’s release by jail is that he attends therapy sessions. During the 1st two therapy sessions the professor and his graduate student were in the room with the consumer and the specialist. Even though the teacher was legitimately responsible for your customer, clients have the right to confidentiality. Finally, another therapist privileged the client’s rights. If the therapy session began he asked the other two to leave.
This therapist, however , also broken ethics on a number of situations. During the first session together with the client, he took the client’s remarks about his wife in person. To fully stand up for his wife, the therapist lunged at the consumer and clogged him concurrently threatening him. In a much less direct way the therapist was tough with the consumer in the beginning. He did not manage to treat the customer in an neutral helping approach.
/em>There is also the issue of physical contact. The therapist understood the client experienced experienced physical abuse since a child. However , he forced the customer to larg him close to the end in the film. Although this ended up being to be the therapeutic push the consumer needed to clear it could possess caused more emotional harm. This kind of therapist as well used derogatory language while using client the violation to ethics.
The main character was not the only character through this story whom displayed overt behaviors. The therapist and the professor equally expressed their own personal vises throughout the film. The mentor was a perfectionist and attempted to instill this kind of onto the customer. He started to be visibly disappointed when the client was not enthusiastic about continuing along with his mathematical job or participating in the job interviews.
There was also tension between him plus the therapist thanks in part to the perfectionist frame of mind. However , through the entire film, the professor learned that not everyone had a similar ambitions as he and sometimes staying perfect would not matter. The therapist likewise expressed some overt actions. The main one was when he lost control through the first meeting with his client. Throughout the therapy sessions the therapist likewise disclosed details about him do it yourself.
Second Diagnosis
A number of the symptoms this client exhibited could be diagnosed as Key Depressive disorder. To fulfilled criteria in this disorder the must encounter five with the following symptoms with in a similar two weeks: stressed out mood almost everyday, loss in interest in standard activities, putting on weight or loss exceeding 5% of their common weight, too little or too much sleep, fatigue, thoughts of worthlessness, poor attention, or suicidal ideation. Additionally , these symptoms are so that others see changes in the individual’s behavior. This kind of client exhibited a number of these symptoms. When getting together with his friends, he was typically quite and withdrawn. This individual also seemed to lose interest in typical actions; specifically, spending time at the bar with his close friends. On one these kinds of occasion, this individual stated that he did not want to hold out and just wanted to go back home.
The client also displayed a loss of sleep. In one landscape the client was still awake after hanging out and last and last. His home worth was also low. He did not feel that having been worthy to get happiness. This kind of attitude was seen through the film, specifically, when he was talking to the therapist and through a battle with his girl friend. There also was a discussion with his closest friend regarding his potential. This individual stated that he was not going anywhere and their children would develop up with each other. Finally, he exhibited a small problem with his concentration. During therapy lessons the client were known to bounce from one theme to another. Taking these symptoms into consideration, this kind of client’s established diagnosis can be as follows:
Axis I: Major Depressive Disorder
Axis II: deferred
Axis III: none
Axis 3: none
Axis IV: psychological stressors: work-related, educational, lives alone, great abuse
Axis V: 70
This kind of diagnosis was not chosen, however , due to the start the patient’s symptoms. Started exhibiting symptoms in his child years. Typically disorders such as execute disorder which involves behaviors just like fighting and rule infractions as a child cause personality disorders as a grownup. While this kind of client may well have presented with some depressive symptoms, this may not be the best diagnosis for this client.
Treatment
Two several types of treatment will be presented from this film. Initially, with main therapist was hypnotism. This kind of treatment is normally used to take an individual to a previous time, usually childhood. The goal is for the customer to re-experience a disturbing event within a safe environment in order to fully understand what happened. This client yet , was safeguarded and against treatment and made jokes throughout the treatment.
Psychoanalysis was used with the other two experienced therapist. Again together with the first therapist, the client was guarded and did not interact personally with the treatment, making a joke and putting the therapist down. The final therapist however , made improvement with the client. With this type of treatment, the goal is to get the client discussing the events with their life to be able to solve complications on their own. Additionally it is often ideal for clients to possess a sounding plank. This treatment was successful because the specialist met the client on his level.
He would not try to pry into the client’s history prematurely. 1 important aspect to psychoanalytic therapy is building a relationship between the consumer and the therapist (Andreason & Black, 2006). This remedy technique likewise involves spoken communication (Andreason & Black, 2006). This is helpful with high functioning clients who are capable of introspection. When the specialist is non-judgmental the client feels comfortable to disclose information. Knowing that the consumer is very excessive functioning, this is the best therapy for him.
Desired goals for Treatment
One of the client’s problems was his recurring run-ins with the rules. The initial goal with this client will be to decrease number of arrests. Aims would are the following: (a) attend anger management group therapy, (b) avoid scenarios that may give you the opportunity to get in trouble, and (c) continue with person therapy to reach the root with the client’s anger issues. Another problem the client has is usually his unfavorable attitude toward authority. The goal in this issue is always to increase value for authority.
This would be attained by (a) ongoing individual therapy and (b) finding a guy role model. Finally, the consumer has low self esteem which can be leading to his lack of ambition. The target here will be for the consumer to be involved in activities to increase his self-confidence. This can be achieved with the next objectives: (a) positive personal affirmations on a regular basis and (b) introspection exercises. This client experienced a whole lot of injury as a child which has negatively damaged his adult life. Therefore , the therapist as well as the client has to be patient to determine changes.
References
Andreasen, N. C. & Dark-colored, D. T. (2006). Introductory textbook of psychiatryfourth ed. Washington DC. American Psychiatric Writers.
Bender, M. (1997). “Good Will Hunting.
Morrison J. (1995). DSM-IV made easy. The Guilford Press: New York.
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