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Case Study

Each of the two following case studies will be presented in depth. In each case study, your assignment will be to choose one of the diagnoses for the person in the case study from the three diagnoses presented (10 pts.) and then to explain in detail your choice of this particular diagnosis (10 pts). Case One: Early Childhood: Jack’s mother had been diagnosed with schizophrenia prior to his birth. His father was distant and periodically physically abusive towards Jack. Jack’s mother was involved in his nurturing and development, although her thoughts were often confusing. She also spent significant periods of time in her bedroom each evening following the completion of dinner. Jack had two other siblings; one younger brother and one younger sister. Adolescence: Jack made a couple of friends, yet while being interested in spending time with others, he remained emotionally distant. Some students accused Jack of having peculiar or unusual thoughts. Others thought that Jack’s eccentricities were interestingly unusual. At home, he occasionally reflected on TV commercials as if they referred specifically to him, and began believing in his own psychic powers and their unquestionable accuracy. Jack desired friendships but had difficulty understanding some of the traditional interests of his adolescent friends. Jack began to believe that if he wanted something, all he needed to do was wish for it, and that the thing or person he wanted would come to him. Early Adulthood: Jack began hearing voices that told him he was Jesus, then Buddha. He began sharing these thoughts with friends, at first believing in their veracity. Jack’s friends told him that this sounded strange and that he should seek assistance. Jack received this feedback but was not initially bothered by the voices. Jack then began to believe that everyone in his neighborhood desired to have sex with him and began developing a calendar for these potential exchanges of intimacy. In reality, nobody in the neighborhood had approached Jack in a sexual manner. One morning, Jack told his girlfriend that bugs were crawling on his skin. He said that he saw these bugs on his skin at different times during the day. Jack’s girlfriend took him to the emergency room. Please choose the best diagnoses for Jack from the choices listed below (choose only one, i.e, a), b), c) or d): (10 pts) Schizoid personality disorder progressing into Schizophrenia Dependent personality disorder progressing into Schizotypal personality disorder Schizotypal personality disorder progressing into Schizophrenia Paranoid personality disorder and Schizotypal personality disorder Please explain, in detail, your choice of the diagnoses above. (10 pts) STUDENT NAME_____________________________ Case Two: Infancy: Sara was raised in an adoptive home, following her mother’s (Angelina) abandonment of her at age two. Sara’s father had left the family and her mother felt unable to care for the needs of a young infant. She placed Sara up for adoption when she was one year of age and Sara was adopted by another family member, Nancy and her husband, when she was two. Sara’s biological mother developed a cocaine addiction shortly after the adoption and seldom visited Sara. Her adoptive mother, Nancy, reported that Sara seemed frightened frequently and often avoided her attempts to care for Sara. Nancy stated that Sara refused to eat her evening meal several times during the week, even though she was surrounded by herself, her husband, and two older caring siblings. School Age: Nancy stated that Sara had bonded more closely with her prior to beginning kindergarten. However, Nancy also reported that following her allegedly more secure connection with Sara, Sara became somewhat indiscriminant in her looking to others for help. When Sara went to kindergarten, Nancy stated that she demonstrated a high level of ambivalence about leaving Nancy and then reuniting with her following the end of the mid-school day. Sara would often become irritable when reuniting with Nancy and sometimes this type of interaction continued throughout the evening. Sara would sometimes say “mommy” over and over again and appear to gain little if any comfort from Nancy’s assurance that she was her mother and was there to care for her. Late Adolescence: Sara was more identified with her adopted family during her late adolescence and had developed relatively close relationships with her siblings. Her relationship with her adopted mother remained somewhat ambivalent and at times highly conflicted during Sara’s adolescence. Normal assertions of independence seemed exaggerated and Nancy became concerned about whether Sara would be easily influenced by the wrong group of other teenagers. Sara was asked to prom by a nice young man from a respectable and caring family. Following the prom, he wanted to date Sara again and she refused. Sara told Nancy that the boy was boring and that she had no interest in going out with him again, although she admitted feeling a little sad about this decision. Another boy in High School, known for his drug and alcohol involvement, asked Sara out and she became quite interested in him. She told her friends that he accepted her as she was and never asked to talk about conflicts or problems. In truth, this man liked Sara as long as she participated in his addictive behaviors and went along with his sexual advances without complaint. Early Adulthood: In spite of her adopted parents’ objection, Sara became engaged to the man she was dating in High School, in spite of his continuing with his drug and alcohol behaviors. Sara said she felt comfortable with him because he was seldom around at the apartment and didn’t demand much of her, except to participate in the parties that he sponsored at their apartment. Sara had become addicted to cocaine and began spending a lot of money securing adequate amounts of this drug for her enjoyment. Her adopted parents recommended that she go to inpatient rehabilitation and Student Name: ________________________ suspected that her mother’s putting her up for adoption and then making only very sporadic contact with Sara may be part of the problem. Diagnosis: Please circle the most appropriate diagnosis for Sara from the choices below Separation anxiety disorder and cocaine addiction Dependent personality disorder and cocaine addiction Reactive attachment disorder and cocaine addiction Narcissistic personality disorder and cocaine addiction Please explain below your reasons for selection of this diagnosis for Sara in the space provided below. Please be thorough in this explanation. (10 points)
Each of the two following case studies will be presented in depth. In each case study, your assignment will be to choose one of the diagnoses for the person in the case study from the three diagnoses presented (10 pts.) and then to explain in detail your choice of this particular diagnosis (10 pts).
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Assignment ID
23974
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CREATED ON
May 3, 2016
COMPLETED ON
May 5, 2016
Price
$40
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