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Here attached Ben\'s case study:Ben is the oldest child in a sib-ship of three.

ID: 131895 • Letter: H

Question

Here attached Ben's case study:Ben is the oldest child in a sib-ship of three. His father had frequent bouts of psychotic behavior while Ben was growing up. He often witnessed intense angry outbursts from his father that seemed to come out of nowhere. Throughout his childhood, his mother emphasized that he must be careful about making mistakes and impressed upon him that he was different from other people. In high school he was noted to be a troublemaker and often got into physical altercations with other students. His frequent defense was that they were “ganging up on me.” He did very well academically and believed he was intellectually superior to his teachers. He was once under investigation by the local police because his neighbor reported that he continuously let her dog out of the fenced yard as he constantly complained that she let it out to specifically bark and annoy him. He never held a job very long although he did earn several advanced degrees. He was once fired because after being passed up for a promotion he verbally attacked his co-worker, who was promoted, accusing him of stealing his ideas. Ben avoids crowds and social events. He attributes this to his mistrust of people and feeling as though he always has to watch his back. He was married once which ended quickly in divorce after he constantly accused his wife of cheating even though he sought ways to be with her almost 24 hours a day. He has only one close friend who describes Ben as “tense and ready to pounce at the smallest perceived slight.” He indicates they get along well as long as they do what Ben wants and on his terms.

the question is what is the mental health issue here with Ben, according to Freud psychoanalytic approach ,in terms of the following :

. Brief introduction of the client (as attached scenario).

Discussion of the client's symptoms/behaviours from the chosen perspective.

Case conceptualization:

a. case formulation paragraph identifying origins, mechanisms, symptoms, and precipitants

b. problem list

c. mechanism hypothesis

d. integrate key terms from your chosen theory

e. treatment planning and

F. treatment

Explanation / Answer

Sigmund freud was a psychologist who believed in the conscious understanding of the unconscious behavior which is present in people. People tend to hide their motivations and go towards repressing their thoughts and opinions in society. They tend to isolate themselves from meeting other people is situations of deception ,duping or opening the past negative experiances of the person by other people in the society like relatives, friends and colleagues.

INTRODUCTION: The patient Ben is suffering from psychosis and depression due to constant scolding and argument with his father is childhood. The child Ben is not provided a proper enviroment by his father at home. This has led to the changes in the behavior and mentality of the child, where the child has started blaming others for the problems created at work and at home. He has started fighting with his neighbour on seeing her dog. He got frightened by the barking of the dog. He is intelliegent, smart with lots of advanced degrees but has a habit or tendency of indulging in arguments with smaller colleagues at workplace. This had led to the changing of his jobs a number of times. The pavlov reflex in dog analyzes the salivation in dog as a reflex on hearing the sound of the bell. Ben should not get disturbed by the barking of dog in the neighbor and he should try to show love and care towards the dogs. He can even provide them some food so that the dogs become friendly with him. Dogs even provide security to the house if proper care and food is provided to the dog.

a) Origin- The scenario is prevalent due to the adverse environment at home. The father used to scold the child everyday. This had led to the development of psychosis and depression in the child which has affected the career,communication and the health of the child.

b)Problem list--The child is suffering from depression,anxiety, stress and faces problems in communicating with colleagues and friends in the society and workplace.

c) mechanism--The patient Ben is intelligent than many of his other friends. He has developed a dominating attitude over the other smaller colleagues at the workplace. He should not argue, harass or humiliate his other smaller colleagues at work and should try to understand their problems regarding their work. He should communicate with them regularly and try to find out the problems they are facing, leading to the problems at work. He should explain and give analysis and help them so that the problems related to work can be improved.

d) The terms include-- coordination and good communication with colleagues at work, sincerety, honesty at work, understanding and helping attitude at work, care and friendly behavior with friends and other people at work.

e)treatment planning-- Psychobehavioral therapy should be given to Ben. He should be given exercise therapy to improve the personality traits. He should be given some tranquilizer drugs like barbiturates, mood elevators and antidepressants.

f)treatment--psychobehavioral therapy ,counseling therapy by psychologist and psychiatrist, use of anti-depressant and mood elevator drugs.

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