Legal Issues Related to Psychopathology: Use hypothetical case studies to evaluate ethical, legal, forensic, as well as diagnostic issues and their implications in clinical practice.Obtain and watch ONE of the following movies: What About Bob? or Saving Mr. Banks. Using the clinical information that is provided in the movie itself, write two case evaluations. If you choose to review What About Bob?, one evaluation will be on Bob Wiley, and one on Dr. Leo Marvin. If you select the movie, Saving Mr. Banks, one evaluation will be on P. L. Travers and the other on her father Travers Goff. In each evaluation, include the following sections:I.) Background Information: Family of origin, education level and school experiences, work history, current economic status, current relationship(s), information about children if any, trauma history, reported medical and mental illnesses, past treatments.II.) Behavioral Observations: Your observations of the patient, how they dress and care for themselves, how they interact with others, their mood, intelligence, insight into their problems, and any other relevant observations.III.) DSM-5 Diagnoses: (Remember that it is possible to have more than one diagnosis and be sure to account for psychosocial stressors with the use of v-codes.)IV.) Findings: Cite specific DSM-5 criteria to justify each of your diagnoses. What data from the Background Information and/or Behavioral Observations do you believe justifies diagnosis you have made. In other words, how does this information relate to the diagnostic criteria for each diagnosis you have made?V.) Treatment Recommendations: Using information obtained in this class or from other academic sources you locate, such as the KU Library or Google, write a brief list of issues you believe need to be addressed in treatment (taking into consideration all of the diagnoses) and what treatment will be used to address each issue. Include recommendations for medication if you believe this may be necessary to help the patient/client.VI.) Prognosis: Consider the patient’s level of motivation, insight, severity of their illness, and results of past treatment episodes, as well as what is generally known by psychologists about the illness(s) the patient has. Then indicate how well this patient is likely to do in treatment with you. List your prognosis as excellent, good, fair, or poor, and then provide your rationale for rendering this prognosis substantiated by an academic reference.VII.) Ethical/Legal Considerations: Is this patient a danger to self or others? Is this patient competent to make decisions for him/herself? Should involuntary hospitalization or treatment be considered for this patient and if so, why? Does this patient’s behavior warrant reporting to any government agencies and if so, why? If you were treating this patient, what ethical concerns would you need to address to assure that your work with the patient conforms to prevailing ethical codes and standards?The Assignment should:• Follow assignment directions (review grading rubric for best results).• Use correct APA formatting per the APA Publication Manual, 6th Edition. Be sure to include an Abstract.• Demonstrate college-level communication through the composition of original materials in Standard American English.• Be written in Standard American English and be clear, specific, and error-free. If needed, be sure to use the Kaplan University Writing Center for help.• Each evaluation report should be a minimum of 4-5 pages for a total Assignment minimum of 8-10 pages (not including Title Page, Abstract or References Page).
TO BE RE-WRITTEN FROM THE SCRATCH
Issues in psychopathology
Evaluation of Bob Wiley
Background information and behavioral observations
Bob Wiley is apparently a difficult psychotherapy patient who has had therapy for years. He lives in an apartment in the city, from where he also works. It is the only place that he is at ease, being fearful of almost all other places and their inherent germs. To avoid the germs, he uses tissue to hold everything he comes into contact with. Bob is aware about his problems, voicing his fears to Dr. Marvin during their only psychotherapy session. From his understanding of the book “Baby Steps”, he seems well-educated.
Bob is nervous, anxious and melodramatic. His neurosis is evident in his fear of almost everything, enacting possible outcomes of his fears as coping mechanism. He fakes Tourette syndrome and cardiac arrests, believing that doing so will help him curb the situation from actually happening. He is also cunning and deceitful, telling lies to track his new doctor. These habits would imply that Bob has learnt secondary drives and responses that influence his personality and behavior. The drives are linked to his need for reinforcement and the benefit of the therapist’s attention (Adler, 2012).
Nonetheless Bob depicts dependability, caution and persistence. He is also agreeable, friendly and trusting, with a pleasant demeanor and lively spirit. These attributes make him enchant Dr. Marvin’s family, the TV crew and their audience as well as doctors at a psychiatric facility.
Albeit being divorced, Bob is delusional and in denial about the causes of the divorce. As he gets cured, he is able to develop a new romantic relationship with Leo’s sister and ends up getting married to her.
DSM-5 diagnoses and findings
Bob presents symptoms and behavior for various anxiety disorders. These include multiple phobias (300.29), as pointed out by Dr. Leo Marvin in the film, with Bob fearing almost anything and everything. This is characterized by his avoidance of various situations, objects and activities. One of Bob’s prominent phobias is agoraphobia where he fears being in places where he cannot escape easily in case of panic. This leads to him having difficulty leaving his house and his behavior of working from there. He confides to Dr. Marvin that “public places are impossible”.
Bob also meets the criteria for nosemaphobia and spermaphobia, fears of illness and germs respectively. These fears are inherent in his behavior of constantly using tissue and disinfectants when in public areas as well as fear of his bladder exploding. Other phobias presented in Bob include acrophobia (heights), hydrophobia (water), achluophobia (darkness) and tonitrophobia (thunderstorms). Bob also fears riding in elevators and buses. All this fears make Bob an anxious and nervous man. There is no background information to show why Bob suffers from these multiple phobias.
Bob also meets the criteria for obsessive-compulsive disorder (300.30). This is evident in his uncontrollable thoughts that make him repeatedly talk to himself as a way of relieving his anxiety. He also obsesses about his new therapist, leading to him gatecrashing his vacation and clinging to him. Bob is also obsessive about germs, making him to continuously use tissue to wipe everything he encounters in public areas. He is aware of his irrational thoughts and behaviors, leading to him experiencing even more anxiety and becoming helpless.
Bob also presents symptoms and behaviors of dependence personality disorder. Soon after their first meeting with Leo, he follows him on vacation, depending on his therapist for everything. He becomes extremely attached and dependent on people and things, depicting some neurotic tendencies.
Further, Bob meets the criteria for generalized anxiety disorder (300.02), as evidence from his interaction with Sigmund, Dr. Marvin’s son as well as with the doctor. In these interactions, Bob confides about his worries on health, death and relationships.
Bob Wiley’s diagnoses are related to anxiety disorders. They seem to stem from unfounded fear and a lack of initiative in his personal life. There is no evidence of physical effect from amygdala or hippocampus. There is no mention…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. What About Bob? or Saving Mr. Banks ……
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