PYB306: Psychopathology- Dean Case History- Report Writing Assignement

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Added on: 0000-00-00 00:00:00Order Code: Question Task Id: 0

Internal Code: MAS1788
Report Writing Assignment:

Task:

Case History:

Dean, an 18-year-old university student, was referred to a psychologist after being involved in a car accident 2 weeks earlier. On the day of the accident, Dean was riding in the front passenger seat when, as the car was pulling out of a driveway, it was struck by an oncoming car that was speeding through an amber light. The car he was in was hit on the driver’s side, which caused the car to roll over once and come to rest right side up. The collision of metal on metal made an extremely loud noise and there was a lot of broken glass at the scene. The driver of the car, a university classmate, was knocked out briefly and there was a lot of blood coming from a gash in his forehead. Upon seeing his injured friend, Dean became afraid that his friend might be dead or dying. His friend in the back seat of the car was frantically trying to unlatch her seat belt and was screaming. Dean’s door was jammed, and Dean feared that their car might catch fire while he and the others were stuck in it. After what “seemed like hours”, according to Dean, but could have been just a few minutes, the driver, Dean, and the other passenger were able to exit through the passenger doors and move away from the car. They realised that the driver of the car that hit them was unharmed and had already called the police. An ambulance was on its way. All three were transported to a local hospital. All
three underwent a number of tests at the hospital including a brain CT scan. Dean was also asked to recall the details of the accident, but he found it difficult to explain what happened, and was not able to say how he exited the car. Dean was kept under observation for about 30-minutes, and then he was released from hospital into his parents’ care.

Dean had not had a good night’s sleep since the accident. He often awoke in the middle of the night with his heart racing, visualising oncoming headlights. He was having trouble concentrating and was unable to effectively complete his studies. Since the accident, he complained of headaches daily. His girlfriend, who had begun to drive him to and from university, noticed that he was anxious every time they pulled out of a driveway or crossed an intersection. Although he had recently received his “L plates” for driving, he refused to practice driving. He was also unusually short-tempered with his girlfriend, parents, his younger sisters, and his friends. A week before seeing the psychologist he had gone to see a movie but had walked out of the theatre before the movie started; he complained that the sound was too loud and the lighting was disturbing. His concerned parents tried to talk to him about his behaviour, but he would irritably cut them off. However, after doing poorly on an important exam and discussing it with his favourite teacher, he accepted their encouragement to go to a psychologist.

When seen, Dean described additional difficulties. He stated that he was “jumpy” around loud noises, and he could not shake the image of his injured and unresponsive friend. He had waves of anger toward the driver of the car that hit them. He said that he felt a strong urge to take “revenge” for the harm done. He reported feeling embarrassed and disappointed in himself for being reluctant to practice driving. He said the he had previously had to deal with stressful situations, including an event about 5 years earlier (he had witnessed the near-drowning of one of his younger sisters), and that this past month was the first anniversary of his grandfather’s death. He described himself as “a bit snappy lately” in the way that he was responding to others, but “on the inside” he was “at breaking point.” He was even contemplating quitting study, apparently because of a feeling that “his life was ruined” and everything was “badly affected.”

Task:

1. Get ‘introduced’ to the assignment; why are we doing this assignment?
2. Refresher on interviewing/questioning skills, including when used as part of a diagnostic reasoning process
3. Develop an understanding of the diagnostic reasoning process; including developing your ideas about how
clinical interviews are conducted and the reason for their focus/content.
4. Come up with a provisional diagnosis (keeping track of hypotheses you rejected along the way)
5. Write-up the report.

Uploaded By : jack
Posted on : February 01st, 2018
Downloads : 17

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