Apply Dsm-Iv to William Styron

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Human Behavior in the Social Environment III

Client: William Styron

Axis I 296. 25 Major Depressive Disorder, Single Episode, In Partial Remission

Axis II 799.9 Deferred

Axis III Deferred

Axis IV Recent awarding ceremony Problems related to the social environment: Death of friends Problems with primary support group: Unsolved grief

Axis V GAF= 50 GAF= 65 SOFAS = 45 SOFAS = 70

Defensive Functioning Scale

A. Current Defenses styles or Coping Style: 1. Self –observation 2. Sublimation 3. Affiliation 4. Intellectualization 5. Devaluation 6. Passive aggression

B: Predominant Current Defense level: High adaptive level

William Styron has laid out a detailed description about the signs and symptoms of his illness. The concluded diagnosis is based on William Styron’s illustration and his current mental state. Styron’s symptoms have fulfilled the criteria of depressive disorder. The basic abnormality in depressive syndrome is the alteration in mood with a group of vegetative symptoms (Andreasen & Black, 2011). He chronicles “the leaden and poisonous mood” (Styron, 1990) that occupies most of his days. He reflects his diminished interest and pleasure towards “exceptionally island’s pleasure”, his “beloved home”, writing and other activities that he used to enjoy. He wonders how his friendly place seemed so hostile and forbidding. As a writer it felt helpless and painful to him when he found out “the writing becomes more difficult and exhausting, finally ceased” because depression has made him unable to concentrate. Styron’s statement of “two or three hours of sleep I was able to get at



Cited: American Psychiatric Association. (2000). American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition ed.). Washington: American Psychiatric Association. American Psychological Association. (2010). Publication Manual of the American Psychological Association (Sicth Edition ed.). Washington, DC: American Psychological Association. Andreasen, N., & Black, W. D. (2011). Introductory textbook of psychiatry (5th Edition ed.). Washington, D.C: American Psychiatric Publishing. Dorfman, A. R., Lubben, J. E., Mayer-Oakes, A., Atchison, K., Schweitzer, S. O., Jong, F. D., et al. (1995). Screening for Depression Among a Well Elderly Population. Social Work , 40 (3), 295-304. England, S., Ganzer, C., Foster, P. R., & Tosone, C. (2006). " The Speech of the Suffering Soul": Four Readings of William Styron 's Darkness Visible. Psychoanalytic Social Work , 13 ((1)). Gottlieb, P. (n.d.). Men and Depression. Retrieved 11 6, 2011, from National Institute of Mental Health: Transforming the understanding and treatment of mental illness through research : http://www.nimh.nih.gov/health/publications/men-and-depression Ma, K. (2006, 12). Attachment Theory in adult psychiatry. Part 1: Conceptualizations, measurement and clinical research findings. Retrieved 11 7, 2011, from Advances in Psychiatric Treatment: http://apt.rcpsych.org/content/12/6/440.full Marowitz, C. (2009, April 20). Swans Commentary: Depression Redux. Retrieved 11 06, 2011, from swans.com: http://www.swans.com/library/art15/cmarow135.html Pittenger, C., & Duman, R. S. (2008). Stressm Depression, and Neuroplasticity: A Convergence of Mechanisms. Neuropsychopharmacology (33), 88-109. Styron, W. (1990). Darkness Visible: a memoir of madness. New York: Random House, Inc.,.

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