Psychology Diagnostic Film Goodwill Hunting Essay

Diagnosis The lymph gland is a male in his early 20s. He takes with a piece of symptoms associated with antisocial temperament unhealthiness. The lymph gland has a history of breaking the law. He has been arrested a round of clips for charges ranging from assault to grand theft auto. The invitees cozy to recent arrest was the result of a street fight which direct to the thickening punching the arresting officer.After buildting out of jail on bail the leaf node started picking a fight with a nonher individual, however, this take on did non lead to physical violence. In addition to this history, the node partakes in a number of full(prenominal) risk behaviors including drinking and smoking. He has a history of being in and out of foster homes and juvenile clutch as a child. There is a history of physical hatred. He currently lives al adept. The leaf node is very precocious, quiet, and guard. He has a nonice qualified fuss with any authority figure. The node al so has a tendency to manufacture up stories.According to the DSM criteria, it is clear that this customer has a personality dis hunting lodge. frequent criteria for personality disorders are detailed in the fol haplessing paragraphs (Morrison, 1995). The individual must(prenominal)inessiness(prenominal) present with symptoms that deviate from their culture. Specifically, they must exhibit at least deuce of the following deviation in affect, cognition, impulse control, or interpersonal functioning. This node displays deviation in cognition and impulse control. He is extremely nimble however, he did not continue on to college and currently works as a janitor. Based on his fighting behavior, it appears the invitee feels others are against him.During therapy sessions, the client made up stories and jokes due to his negative thoughts toward therapy. It is also clear that he feels others were against him or trying to hurt him. This is seen in his inability to form close relatio nships. He also displays impulse control, again certify by his perennial fighting. For these symptoms to be categorized as a personality disorder they must affect the individuals personal and social life and last a life-size time, departning in childhood.This clients fighting ca apply him to spend time in jail. Additionally, his lies, guardedness, and poor cognitions resulted in the break up of him and his girlfriend. These symptoms have been present since childhood, as the client has spent time in juvenile detention. Finally, these symptoms mess not be attributed to any other mental health disorder or medical checkup condition. Neither of these types of conditions is present. Specific to Antisocial Personality Disorder, symptoms must have began before 15 years old. These include repeated violations of rules, epoch appropriate norms, or others rights. Specific symptoms in maturity include aggression against people or animals, property destruction, lying or theft, and seriou s rule violations. To meet criteria the individual must display at least three of these symptoms. The client clearly had aggression issues toward other, as evidenced by his repeatedly starting fights. He also had a number of prior arrests for assault. It was also noted that he had been arrested for grand theft auto. This client also has a tendency to lie. He was not selective to who he lied to either. One example of this was with his girlfriend.He told her he was from a big family and has 12 brothers. The client also lied in the beginning of his therapy sessions. As noted this client does not appear to have any axis vertebra I diagnosing, however additional information is needed. His axis of rotation II diagnosis is Antisocial Personality Disorder. There was no report of any medical condition. This client is experiencing a number of Axis IV psychosocial stressors.The client is intelligent however he has a low paying job. His educational stressors begin with the professor begins pu tting besides much pressure on him regarding the numeral proofs. Finally, he lives alone and there is a history of physical affront. The abuse may be a root cause of his behaviors as an adult. The clients GAF is 80. His behaviors are causing problems in his life however, the client is able to care from him ego and hold down employment.Axis I 799.9 DeferredAxis II Antisocial Personality DisorderAxis III noneAxis IV psychosocial stressors occupational, educational, lives alone, history of abuseAxis V 80 morals There are a number of ethical violations throughout the runway of the film. One condition of the clients release from jail was that he attends therapy sessions. During the first two therapy sessions the professor and his graduate student were in the room with the client and the healer. Even though the professor was legally responsible for the client, clients muted have the right to confidentiality. Finally, the third healer honored the clients rights. When the therapy se ssion began he asked the other two to leave. This healer, however, also violated morality on a number of occasions. During the first session with the client, he took the clients comments about his wife personally. To stand up for his wife, the healer lunged at the client and choked him at the same time threatening him. In a less direct way the healer was harsh with the client in the beginning. He did not seem to treat the client in an unbiased helping way.There is also the issue of physical contact. The healer knew the client had experienced physical abuse as a child. However, he forced the client to hug him near the end of the film. While this terminate up to be the therapeutic push the client needed to ab thrashd up it could have caused more emotional harm. This therapist also used derogatory language with the client which is a violation to ethics. The main percentage was not the only character in this story who displayed overt behaviors. The therapist and the professor b oth(prenominal) expressed their own personal vises throughout the film. The professor was a perfectionist and tried to instill this onto the client. He became visibly frustrated when the client was not interested in continuing with his mathematical work or attending the job interviews.There was also tension between him and the therapist due in part to this perfectionist attitude. However, throughout the film, the professor learned that not everyone had the same ambitions as he and sometimes being perfect did not matter. The therapist also expressed some overt behaviors. The main one was when he lost control during the first meeting with his client. Throughout the therapy sessions the therapist also disclosed information about him self.Second Diagnosis most of the symptoms this client displayed could be diagnosed as Major Depressive disorder. To met criteria for this disorder the individual must experience five of the following symptoms with in the same two weeks dismay mood almost everyday, loss of interest in regular activities, weight down gain or loss exceeding 5% of their typical weight, too little or too much sleep, fatigue, feelings of worthlessness, poor concentration, or d elicitous ideation. Additionally, these symptoms are such that others notice changes in the individuals behavior. This client exhibited a number of these symptoms. When suspension out with his friends, he was typically sooner and withdrawn. He also seemed to lose interest in typical activities specifically, expenditure time at the bar with his friends. On one such occasion, he stated that he didnt want to hang out and on the dot wanted to go home.The client also displayed a loss of sleep. In one scene the client was still awake after hanging out all night. His self worth was also low. He did not feel that he was worthy for happiness. This attitude was seen throughout the film, specifically, when he was talk of the town to the therapist and during a fight with his girl friend. There also was a conversation with his best friend regarding his potential. He stated that he was not going anywhere and their kids would grow up to hold fasther. Finally, he exhibited a push aside problem with his concentration. During therapy sessions the client tended to jump from one topic to another. Taking these symptoms into consideration, this clients official diagnosis would be as followsAxis I Major Depressive DisorderAxis II deferredAxis III noneAxis III noneAxis IV psychosocial stressors occupational, educational, lives alone, history of abuseAxis V 80 This diagnosis was not chosen, however, due to the onset of the clients symptoms. He began exhibiting symptoms in his childhood. Typically disorders such as conduct disorder which involves behaviors such as fighting and rule violations as a child lead to personality disorders as an adult. While this client may have presented with some depressive symptoms, this is not the strongest diagnosis for this client. preaching ii different types of treatment are presented in this film. First, with one of the first therapist was hypnotism. This treatment is typically used to take an individual back to a previous time, usually childhood. The inclination is for the client to relive a traumatic event in a safe environment in order to come to terms with what happened. This client however, was guarded and against treatment and made jokes during the treatment. psychoanalysis was used with the other two therapists. Again with the first therapist, the client was guarded and did not cooperate with the treatment, making a joke and putting the therapist down. The last therapist however, made progress with the client. With this type of treatment, the address is to get the client talking about the events of their life in order to solve problems on their own. It is also often helpful for clients to have a seem board. This treatment was successful because the therapist met the client on his level.He did not try to pr y into the clients history prematurely. One historic aspect to psychoanalytic therapy is building a relationship between the client and the therapist (Andreason & Black, 2006). This therapy technique also involves verbal communication (Andreason & Black, 2006). This is helpful with high functioning clients who are capable of introspection. When the therapist is nonjudgmental the client feels pleasant to disclose information. Knowing that the client is very high functioning, this is the best therapy for him.Goals for Treatment One of the clients issues was his recurring run-ins with the law. The first goal for this client would be to decrease number of arrests. Objectives would include the following (a) attend anger management group therapy, (b) avoid situations that may provide the opportunity to get in trouble, and (c) continue with individual therapy to get to the root of the clients anger issues. Another problem the client has is his negative attitude toward authority. The goal for this issue would be to increase respect for authority.This would be achieved by (a) go on individual therapy and (b) finding a male role model. Finally, the client has low self esteem which may be leading to his lack of ambition. The goal here would be for the client to participate in activities to increase his self esteem. This can be achieved with the following objectives (a) positive self affirmations on a daily basis and (b) introspection exercises. This client experienced a deal out of trauma as a child which has negatively affected his adulthood. Therefore, both the therapist and the client must be patient to see changes.ReferencesAndreasen, N. C. & Black, D. W. (2006). canonic textbook of psychiatry 4th ed. Washington DC. American Psychiatric Publishers.Bender, L. (1997). respectable Will Hunting.Morrison J. (1995). DSM-IV made easy. The Guilford Press New York.