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Understanding Abnormality to kill Andrew 20 years old Drank RAID pesticide Befriended 3 Martians Was closed with lots of thorazine disconesia casses the loss of control of insects in the body facial muscles Every enconter with patient Psychoris break in reality profound disorder Andrew had taken LSD in hospital is recorded in the medical charts of thinking causes false beliefs which doesn t cause issues itself but can lead to views if there is a genetic vulurability Personal factors in life caused him to take LSD made him think he had bugs etc Biopsychosocial Model Biological factors genetics stimulants depressants or buys hormones diet sleep sickness age gender injures likeconcussions seasonal affective disorder Psychological factors trauma relationships Sociocultural factors expectations discrimination loss etc effects of media ete Diathesis stress model Andrew s Symptoms Hallerie Socioeconomic Greek family stressors Psychological cut from harball Biological factors LSD d breaking Treatment Biological medication Psychological Psychotherapy Sociocultural social family therapy group therapy community involvement Protective Factors choices decisions psychological L exercise diet sleep avoiding drugs stimulants depressants the decrea the risk of issues case of Stars A 10 year old married father Truck driver Son often away of 2 drunks for teens in Arrest Transcript of Steve of 3 kinds Tage from home fighting DUI and roudiness Steve is very the I could holdirues chame bold at starts asserts his issue opens up by bing kind and not being Doc Steve says he doesn t care and just Steve publically masturbates when woman the therapy that L although be admits stop this behaviour confrontational wants to be treated look at him how there are also suicidal looks good for the court case tendencies he also genuinely wants The underlying behaviour I thought you would ve is not sexual in nature rather for acie to love wanted left shows that this was how his thoughts with higher powers would go As a child he was assaulted by his uncle delt with Continess Symptoms Behavioural Exhititional Emotional Relevant History Precipitent Arrest Life History Abuse teen event Diagnosis Malingering no Exhibitionism Deppression MDD Formulation paragraph you write about why the policit got there history ofubuse and neglect impaired attachment history self hatred and eperate need to be wanted Self destructive behaviour Therapy Characteristics but emotionally Holding Environment not physically Itimate self disclosure has to be safe therapist cannot Coney true thoughts emotions Catharsis a cleansing kind of Safety experience Confidentiality frame and boudaries respect the bondaries set by therapist Therapeutic Relationship reaction to me transference your countertransference my reaction to you Microcosm a sample of who you are in the world 3 Part Model Prevent concerns issues that things that happened that Past exp Therapeutic Relationship caused you to seek help camed could ve present isenses hisIf is a prostitute smells like shit who works with the mob plotting to kill him Mental Status Examination Lass of Carlos 24 year old man of mixed ethnicity Came to therapy at insistance of hisgf katie Insisted that Apperance and behavior strong cologne neatly dressed acts sus looks for coneres misists that whones be off speaks rapidly in a whisper Bizarre explanation for coming to theory Orientation name identity dat location Content of thought between god complex and delusions of grandeur Obsessions unwanted recurring thoughts Delusions false beliefs unique to this patient L Persecutions Grandeur Q difference Reference Control Thinking style and yearning Loose associations Tangential Racing cabulation making up thoughts as you don t have the incoherence correct memories Affect expression of that feeling No Eithynic Depressed Anxious Angry Euphoric Irritable Full Constricted Flat Inappropriate Jubile Perception and Hallucinations Perceptual experiences Derealization Depersonalization Twight and Judgement Insight Blanes others from problems Afficultyknowledge psychologie Judgement impaired ability to make reasonable divious Riletorsment Suicidal Selection Danger to others Plan Hurt A tempt Selection Plan Hurt A tempt Hallucinations Auditory Visual Offactory Tactil Gustatory Sequence of Therapy command hallucinations thoughts voices telling you to do something mostly bad shared mychosis almost like a trance 18 sessions psychological testing the plot the plot 2 Moved out of Katies place because of 4 Provided evidence of 6 Paranoid thoughts 10 stopped for speeding Iwas being tracked 2 Proof 14 Wanted to bet others could sel him about of who wore a new perfume 16 Quits job because boss called him Dirty 17 Joins Sessions w Katie 18 Cancelling therapy Case of Ted executive financial marrie father of 2 month old daughter 45 year old Unexplained paralyses of the arms no feelings in his arm hand Job stress Prof believes it Ted feels as if he s Deep Secret he would cross psycho genic a biological incompetent becoming a father has to physically hassle u bass dress as a woman hold baby stress of is would change Mother forced him in this state at a young age sense derived a Freed and Psychodynamic calm and peace when doing this Id Pleasure principal Ego Reality principal Super Conscience sexual aggressive and self motivations mediates w reasoning and moral values learn taboos issue caused by mychological struors a conversion symptom during luch been doing it since 12 BeforeMechanisms Rationization Rationalize with a self serving relationship Displacement shift Reaction formation the action of unconsciously an unacceptable Repression forgetting stuff behaviours into something no this didn t happen transforms an unacceptable feeling behaviours I thought to its opposite Denial Projection Regression Psycho Sexual Stayes Oral 0 18 months Anal 18 months 3 years Phallic 3 5 Latency Genital 12 in the case of Ted his mothers desire for a girl as he would be more loved his desire to be loved caused this issue Psychoanalytic Technique Free association Dream interpretation Analysis of Resistance 12 Transference Object Relations Attachment Styles secure ws Holding Environment insecure Behavioural and Cognitive Perspective Case of Arthur 22 year old student Fearful about being alone at nightduring weekend with no roommates phobic about having Good pressure taken would either sleep on couch with machite or rent a hotel room History Age 3 grandfather s


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UMass Amherst PSYCH 380 - Abnormality

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