Lisa Rowe Case (Psychology) PDF

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The assignment posted was all about character analysis/case study about Lisa Rowe's mental disorder....

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PSYCHOLOGICAL EVALUATION REPORT STRICTLY CONFIDENTIAL

I.

IDENTIFYING INFORMATION

Name: Lisa Rowe Gender: Female Date of Birth: Unknown Chronological Age: 20 years old Nationality: American Occupation: None Civil Status: Single

II.

REASON FOR REFERRAL Lisa has been in a mental institution in Claymore for eight

years. There is no progress in her mental illness since she always sneaks out and refuses to take all her medications. She is the longest patient that has stayed in Claymore, and she has a close relationship with every patient in their ward. However, Lisa's life decisions were all failed, which is why she continues to go back to the hospital.

III.

HISTORY OF PRESENT ILLNESS Lisa's

illness

occurred

after

the

incident

wherein

she

lighted a match inside their house. Few details were mentioned about the history of Lisa's condition. In a span of eight years, 1

her

mental

illness

has

not

changed

because

she

manipulates

herself and never listens to anyone in their ward.

IV.

BACKGROUND INFORMATION

Family There is no information mentioned about the client's family history.

Personal Lisa continues to sneak out into the mental institution, but the police continuously catch her, which is why she keeps on coming back to Claymore. She can build a great relationship with other people even if she feels manipulative and insensitive. Lisa mentioned that no one gives her attention since she was a kid, and they want her to be dead. She refers to the nurses as fools, and she keeps on telling her new friend named Susanna not to follow those nurses. She knows that something is wrong with her mental

condition,

but

Lisa

continues

to

refuse

to

take

her

medications and therapy seriously. In fact, she is proud that she was diagnosed as a sociopath. She is a happy go lucky woman who does not consider her illness as worse. Lisa brings fantasy and manipulative behavior while saying harsh words toward people. V.

BEHAVIORAL OBSERVATIONS Lisa wore a fur coat and pants when she got caught by the

police and returned her to Claymore. Her face looks indecent and dirty. She noticed that her best friend was not in the mental institution anymore because her best friend got depressed when 2

Lisa

sneaks out

of

the mental

institution.

Her clothes

were

mainly plain t-shirt and denim pants. Lisa never wore anything aside from those kinds of clothes. In terms of her tone of voice, she speaks fast and loud. It sounds like she is threatening everyone,

and

she

often

laughs

for

no

reason.

If

the

other

patients were sitting quietly, she would use a hand puppet and mimic

a

child's

voice

while

catching

the

other

patient's

attention. Lisa has the most powerful personality in their ward. She never follows anyone, even the nurses in the hospital. Also, she is proud that she is a sociopath, and she continues to practice and do what is running in her mind. However, she is an attractive woman who loves to smoke. She has a lack of empathy, social awareness,

and

regard

for

consequences.

She

became

Susanna's

friend, and they did a lot of fun things together inside the ward. Her

past

sexual

partner's

wife

confronted

her

friend

Susanna, and Lisa helped Susanna in that situation. She is a great friend. However, when Lisa and Susanna planned to sneak out of the institution, they visited their other friend named Daisy. Lisa confronted Daisy since she's been cutting her wrist and asking for some medications. Lisa said harsh words towards her, and Daisy hanged herself on the ceiling the next morning. Susanna was so shocked, but Lisa has no feelings, and she gets the money from Daisy's pocket. VI.

DIAGNOSIS

As per the DSM-V (Fifth Diagnostic and Statistical Manual of Mental Disorders) the individual should have the accompanying standards to be analyzed as Antisocial Personality Disorder:

3

A. A pervasive pattern of disregard for and violation of the rights of others, occurring since age 15 years, as indicated by three (or more) of the following: 1. Failure to conform to social norms with respect to lawful behaviors,

as

indicated

by

repeatedly

performing

acts

that are grounds for arrest. 2. Deceitfulness, as indicated by repeatedly lying, use of aliases,

or

conning

others

for

personal

profit

or

pleasure. 3. Impulsivity or failure to plan ahead. 4. Irritability and aggressiveness, as indicated by repeated physical fights or assaults. 5. Reckless disregard for safety of self or others. 6. Consistent failure

to

irresponsibility, sustain

as

consistent

indicated work

by

behavior

repeated or

honor

financial obligations. 7. Lack of remorse, as indicated by being indifferent to or rationalizing

having

hurt,

mistreated,

or

stolen

from

another. B. The individual is at least age 18 years. C. There is evidence of conduct disorder with onset before age 15 years. D. The occurrence of antisocial behavior is not exclusively during the course of schizophrenia or bipolar disorder. Lisa experienced all of the criteria mentioned above. All of her friends were afraid because she can do things, whether it is right or wrong, without being affected emotionally. She does whatever she wants and does things that most of us would find unacceptable. She violates social norms and expectations without the slightest sense of guilt or regret. Lisa was diagnosed with Antisocial Personality Disorder. 4

VII. ETIOLOGY Genetics Antisocial

can

play

some

Personality

role

in

Disorder.

a

person

However,

who

there

has was

an no

information mentioned about Lisa's family history, and we cannot conclude that she got the mental condition from her parents. It is

possible

that

her

mental

illness

may

worsen

if

she

will

continue to refuse to seek help. Lisa mentioned that she was treated poorly when she was a child, and everyone wanted her to die. This means that Lisa was abused and neglected during her childhood.

VIII. RECOMMENDATIONS 1. Individual

and

Group

Therapy.

Lisa

can

practice

her

personality by socializing with other people while attending a therapy session. It will help her to change her life perspective and change her character in general. Lisa should attend

some

leisure

activities

to

develop

a

sense

of

positivity and to improve her socializing skills. This will also help Lisa to build a healthy relationship with her friends and other people. 2. Regular treatment and mediations. Lisa's personality may be changed

if

performing

she the

continues duties

to

and

seek

tasks

professional given

to

her

help

by

by

the

psychologist or therapist. 3. Assessment. Lisa should have an evaluation at least once a month to monitor her personality and behavior to see if there are changes. It will help the therapist to notice which aspects Lisa needs to improve. 4. Drugs. Psychiatrists may prescribe medication for Lisa to improve

her

personality

and 5

give

some

pills

that

will

enhance her mood. In this way, it would be easier for Lisa to perform other tasks if she has a good mood and can control her anger.

Thank you for referring Lisa to us. about

this

report,

please

get

in

If you have any questions touch

with

secretary at (09) 1579561, office mobile phone.

6

us

through

our...