Associate Level Material App H

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Associate Level Material
Appendix H

Case Study 1

Josephine is a 47-year-old single woman. The hardest times of the year for Josephine's family are holidays and family gatherings; Josephine never seems to enjoy herself. She seldom smiles, laughs, or reacts to people and events around her. She remains detached and often goes into a room and plays video games or watches TV by herself, even when the rest of the family is eating. Her family members say that she is rude and do not want her around. Josephine lives by herself. She has held several jobs, but lost them because of her inability to interact with others. Her cool demeanor makes her difficult to approach. Josephine has no significant relationship in her personal life and cannot name any close friends. DSM-IV: Schizoid Personality Disorder

Schizoid personality disorder is one of the disorders who's causes are still unknown. There is speculation that the disorder may be related to schizophrenia, it even shares many of the same risk factors. Talk therapy is an option that has been discussed as a treatment but then quickly weeded out since individuals with schizoid personality disorder have a challenging time connecting well with others. There really isn't much known about treatments for this disorder and the majority of people who have schizoid personality disorder do not seek treatment. One thing that does help people who have this disorder, is to not make the person feel pressured by expecting them to be emotionally or sexually close to another individual. They can focus positively in a relationship in all other aspects besides the emotional and sexual categories.

Case Study 2

When 38-year-old Luis enters a room, everyone knows it. Shortly after making an entrance, Luis is sure to let everyone know about his successful business ventures, his many ideas for new inventions, and his latest expensive purchase. At the last office party, Luis sought out the CEO of the company and monopolized her time with accounts of his valuable contributions to the company. Luis has no patience with others and is often described by his coworkers as a man who uses people to get what he wants. Although he has been an office assistant for 10 years, Luis is always impeccably dressed because he often says that one day he will be the CEO, and he insists on looking the part now. DSM-IV: Narcissistic Personality Disorder

Narcissistic personality disorder is again, a disorder that there is no exact known cause. There have been studies done and researchers found a few factors that may be related to people with this disorder. Some of these factors that may possibly increase the likelihood of gaining a narcissistic personality may generally stem from childhood. It is possible that a child who gets too much praise, are around their parents all the time, and also that have unreliable parents. This is another disorder in which individuals do not often seek out treatment, but there are some things that can be done to help a person with this disorder. Treatments for narcissistic personality disorder include individual psychotherapy and cognitive behavioral therapy. I feel that the cognitive behavioral therapy is the most effective of the two because it helps change the person's destructive behavior and thinking patterns and turn them into a more positive self image.

Case Study 3

Two years ago, 23-year-old Anissa survived a horrific car accident in which two passengers of the car she was driving were killed. Her car was hit broadside by a drunk driver. Anissa was thrown from the car on impact. She was treated for cuts, bruises, and a broken arm, but recovered quickly and appeared otherwise unhurt. Three months after the cast on her arm was removed, Anissa began experiencing numbness in both hands. Extensive neurological tests eventually ruled out medical reasons for the numbness. Anissa was surprised when her neurologist referred her to a psychiatrist. DSM-IV: Somatoform...
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