???Gathering Collateral Information
Note** Shutter Island was my chosen movie character
Question:
Each assignment in this course will help you prepare your Final Paper. For all assignments, you will use the movie character or historical figure that you used in your Week Two assignment and selected in your Week One journal.
After gathering your patient's history, it is considered good practice to contact people who interact with the patient on a regular basis and/or are related to the patient. These people often provide valuable insights into the patient's behavior(s) and mindset. Typically, the gathered information provides a context for the patient's environment.
For this assignment, you will write another section of your Final Paper. View the complete instructions for the Final Paper in the link within Week Five of your online course or the "Components of Course Evaluation" section of this guide. Your assignment this week must cover the following section of your psychological report and include the heading as listed:
Collateral Within this section, you will interpret specific collateral information as it relates to your patient's abnormal behavior and behavior patterns. You will also integrate information and knowledge regarding the patient's culture in your evaluation of the maladaptive behavior as reported by the collateral sources.
Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
What do other people have to say about the patient's behavior?
Are there any commonalities between the collateral sources' reports?
Do the collateral sources have any psychological issues that might exacerbate the patient's problems?
Are there any police reports?
Are there any personality testing or intelligence testing reports available?
Your assignment should be a minimum of one page and include sufficient depth and detail to support and inform your diagnostic impression. A title page is not necessary; however, a reference page must be included. A cursory or surface level investigation of the patient's interpersonal relationships will not provide enough information for your diagnostic impression. If no collateral information is available, create collateral information on your own to inform your diagnostic impression.
Any sources used in the paper must be cited and referenced in APA style
Case:
Identifying Information
Person's name - Edward "Teddy" Daniels
Sex - Male
Sexual orientation - Straight
Age - 40
Race - American
Occupation - U.S. Marshal
Location of residence - Unknown
The movie does not clearly present the background of the patient. Little can be gauged about his life prior to his wife's death. The only thing that we are able to understand that he is a reformed alcoholic and as a result he refuses to touch a drink.
Presenting Problem
Though we have limited information available about Teddy and little can be analyzed about him based on his childhood but it is a possibility to examine him on the basis of many elements that are related to Sigmund Fred's theories about the unconsciousness. The problem that can be seen is that of Dissociative Identity Disorder i.e. DID and it is seen that he is living in a fantasy world.
The patient keeps on dreaming about his wife and another character that wants his help in disposing off the bodies of children. He sees that as he holds the bodies of his children they become alive and ask him why he didn't save them. This is how we can comfortably see that it is the psychoanalytic theory where his dreams have two levels of content.
The guilt feeling is also referred to in the patient as he always knew about his wife's insanity and mental instability but due to his own problems of being an alcoholic and the post-traumatic stress after the experiences he had had at WWII, he neglects his wife and later on loses his children.
The patient only complain of being unable to sleep and having this dream of his wife trying to keep him away from something that might hurt him and also his children asking him why he couldn't save him. This is giving him mental stress and he believes that he needs to be able to move around to forget things. He also has a notion that he is here on the Shutter Island as he is investigating some case.
Personal History (Observational and Imaginary)
Where did the patient grow up?
It seems that the patient grew up in the countryside where most of the young boys had the dream of joining army and work at the front as the war progress.
What cultures did the patient experience throughout life?
The patient seems to have gone through the catholic lifestyle. He seems to believe in the Christ. The theme also suggests that the patient led a disciplined life with proper Church Sundays.
What was the patient's school life like?
The patient's seems to have a difficult time at school but his disciplined family background made him turn out to be a genius in the later stage.
What were his or her grades? What is his or her highest level of education?
The grades and the highest qualification do not seem to be too good.
What is the patient's interpersonal relationship history?
The interpersonal relationship of the patient seems to be having trouble as he was too busy with alcohol and it suggests that he had seen as an alcoholic who might have mistreated his mother.
What was/is the patient's romantic relationship history?
The patient's romantic relationship seems to be fine in the beginning but at the later stage it seems that he had to struggle with it due to his psychological troubles.
What was/is the patient's friendship history?
It seems that the patient had a good friend and used to keep his friendship stable. He shows his partner Chuck to play an important role in his life and also during his work.
Family History (Observational and Imaginary)
How old were the patient's parents when the patient was born?
It seems that the patient's parents were in their early thirties when he was born. This provided him with enough time to settle down the and also enabled him to spend good amount of time with his parents while growing.
Who were the patient's primary caregivers?
The patient's primary caregivers seem to be the parents of the patient.
What was/is family life like? (Include any information relevant to your diagnostic impression.)
According to my diagnosis the family of the patient must have a little difficult one with abuse and alcohol related problems. The patient in his later stage became abusive and got solace through alcohol consumption.
Did the family move often?
It doesn't look like the family moved from here to there. It gives an impression that they were located at the same place for a very long time.
What was/is the patient's relationship with their siblings (if applicable)?
The patient was the only child of his parents.
What culture did/does the family come from?
The family was Catholic but uneducated.
What belief systems are attached to that culture?
The Catholics are of a belief that there is a Pope who serves the purpose of being the messenger of God and is to be looked upon as the God's living form.
Therapy History (Observational and Imaginary)
Who was the previous therapist (if any)?
The patient did not receive any therapy before being directed to Shutter Island, which was a hospital for criminally insane people and looked after those who have psychological problems.
How long did the previous therapy/therapies last?
There was no previous therapy.
What was the patient's diagnosis?
The patient was diagnosed as being suffering from Dissociative Identity Disorder i.e. DID and it is seen that he is living in a fantasy world.
The patient keeps on dreaming about his wife and another character that wants his help in disposing off the bodies of children. He sees that as he holds the bodies of his children they become alive and ask him why he didn't save them. This is how we can comfortably see that it is the psychoanalytic theory where his dreams have two levels of content.
What interventions did the therapist(s) use?
The therapist tried to distract the patient by using a story and made him feel as if the patient is investigating a case of someone's disappearance. This helped him analyze the situation and go through the past again and again.
Were those interventions appropriate for the patient's culture?
The patient wasn't very happy with the process going on and he denied taking any drugs for the persistent headache.
Was treatment successful?
In the end it is found that the patient did not successfully recover fro the disorder.