Can someone help me with the attached case study? I have to consider important client characteristics for developing an Axis I and II diagnosis as well as think about the rationale for assigning a particular diagnosis on the basis of the DSM-IV-TR.
Also, I need an explanation of what other information is needed about the client to make an accurate diagnosis.
"Axis II: Personality Disorders"
MALE SPEAKER: Tell you the truth, I don't even want to be here. My mother, she nags. She pushed me to come. Of course she's 86. She nags and complains about everything. I came just to keep her quiet.
FEMALE SPEAKER: You mentioned that she's concerned about you not having very many friends.
MALE SPEAKER: I don't have a girlfriend. That's what bothers her. She comes over to my apartment, starts talking how I don't take care of myself, how I need to meet someone, get married.
FEMALE SPEAKER: Sounds like you're dealing with some frustration, some annoyance. What do you think about it when she's talking about these things?
MALE SPEAKER: She's my mom. I know she cares, but a woman. I've been alone too long to change now. I don't want a relationship. I never have. It's not a big deal.
FEMALE SPEAKER: What about your other friends? How would you characterize your social life?
MALE SPEAKER: I mean, I know people. They're friends.
FEMALE SPEAKER: But what do you like to you when you guys get together?
MALE SPEAKER: I don't need other people to do things. I can be my own best friend. I like my privacy.
FEMALE SPEAKER: What about the rest of your family? Do you spend a lot of time with them? Are you close with them?
MALE SPEAKER: My mom's my family. I don't care about my father or my sister.
FEMALE SPEAKER: How about when you were in school and college? How would you describe your social life back then? Students often have opportunities to socialize, do activities, make friends.
MALE SPEAKER: I didn't have much use for all that. I was busy studying. You don't get on the Dean's list by playing around.
FEMALE SPEAKER: No, you don't. And what was your major?
MALE SPEAKER: Electrical engineering. I didn't finish, though. I went three semesters. That was it for me. Trust me, I learned a lot more when I stopped going to classes. The other students, they were complete idiots. I'm not kidding. I taught myself everything I do now at my job--math, statistics, computers, data analysis.
You want to know how long my commute is? 10 steps. 10 steps to my bedroom and my desk. I do all my job right there at home. It's perfect.
FEMALE SPEAKER: So besides work, what do you like to do in your free time?
MALE SPEAKER: World of Warcraft, an online role playing game. 20 levels, incredibly complex. It has the most incredible special effects. I've been playing it for years, and I still get shivers every time I turn it on and hear that theme music.
FEMALE SPEAKER: What do you like about it so much?
MALE SPEAKER: It's hard to explain if you've never played it. Basically, you go exploring and you get to create your own fantasy world, whatever it is. Sky's the limit.
FEMALE SPEAKER: And how do you feel as you're playing it?
MALE SPEAKER: You know how they say there's nothing left, nothing more left to explore or discover on Earth except maybe at the bottom of the ocean? But I've always imagined myself making some great new discovery. You know, like--I don't know. Something great. This game lets me do that.
FEMALE SPEAKER: It sounds like you spend a lot of time playing it.
MALE SPEAKER: It's time well spent as far as I'm concerned.
FEMALE SPEAKER: Let's go back to your family a little bit. You had mentioned some strong feelings about your father, your sister.
MALE SPEAKER: My father. You want to know why I didn't have any friends when I was young? My old man. I'd be hanging out in the yard with some kids in the neighborhood, throwing the ball around, goofing off, and he'd come out and start yelling at me for no reason. He's just make up an excuse. His voice. It was like having razor blades thrown at you. And after that, nobody would be hanging out in the yard anymore. Just me. And at night, sometimes I was afraid just to come out of my room because I didn't know how he was going to be. Was I going to get a smile or the back of his hand?
Hi and thank you for using BrainMass.
As always, the solution below should get you started. In this particular problem, you are being asked to show that you understand what it takes to diagnose clients with Borderline Personality Disorder, ensuring that the rationale provided for that follows DSM IV. How should you do this? The attached material you have with this posting is not about a case, it is focused on the assignment of BPD, which is helpful but not enough to provide an answer to this task. First, we need the particulars of the 'male' to have yielded the diagnosis. You will need to do further research, utilize your course materials as well as provide your own analytical view of what is indicated in the DSM IV. How then should you do this? I suggest utilizing this outline:
1. On BDP - provide a background on it.
2. AXIS 1 - what does an AXIS 1 analysis yield?
3. AXIS 2 - what axis 2 implications does DSM IV yield?
4. Conclusion & rationale - what can you conclude regarding assigning a BPD diagnosis, especially on males? What will be the characteristics that you will look for?
I suggest, using your materials, to create a short profile of the male subject and using this short profile as an additional basis for part 4. In this solution, I am providing some general ideas, but applicable enough so that you can use it in this problem. Good luck with your studies.
AE 105878/Xenia Jones
On Borderline Personality Disorder
Borderline Personality Disorder is a type of personality disorder that is deeply characterized by the variability and depth of moods wherein the individual endures an extended and prolonged dysfunction to personality. Personality disorders (PD) are mental illnesses (AllPsych, 1999) that are enduring and impact a sizable chunk of a person's life. Unlike other ...
The solution provides information, assistance and advise in putting together a case study on a a given problem (see above) based on the DSM-IV-TR. The solution suggests and outline and then provides information, arguments and ideas that shows how a review of the case can be done using the information provided by the student on Axis 1, 2 and 3. Conclusion and a rationale is also provided. Resources are listed for further exploration of the topic.