New Assignment – PSY 300
INSTRUCTIONS: Elaborate discussion by answering the following question (400 words or more / Times New Roman, 10 / *double spaced not necessary for non-essay questions*) The public often perceives people with schizophrenia as dangerous and violent even though most people with this disorder are far from dangerous. Why does the public hold such a perception?
INSTRUCTIONS: You will be required to read the assigned case study and answer a series of multiple choice questions related to the case study. You will type the letter of the correct answer next to the question.
Anthony is a 19-year-old single white man, who has recently been admitted for inpatient psychiatric treatment. He has a history of harming other people, and often feels incredible guilt for the pain and suffering that he has caused many people. The first time it happened, he was walking home from school, and turned down a street near his home. Mr. Walters was out front mowing his yard, and Anthony had his baseball bat. After hitting the man in the knee from behind with the bat, he vaguely recalls kicking him while he lay on the ground, and then running away. After this incident, similar events occurred every few weeks. Anthony has been extremely worried that the police are going to arrest him, but so far he has not even heard that anyone in the neighborhood has reported the incidents. Because this has happened in several areas in his neighborhood, he has had to find a new way to walk to and from school each day, which is beginning to be a problem because the incidents continue to occur. Anthony also suspects that his parents know what he’s been doing, as they keep asking him if he’s okay, and he suspects they know he’s hiding something. Anthony has always been a high-achieving student, and has been on the honor roll each semester throughout high school. Over the past two semesters, however, he has been struggling with his grades, and does not understand why. When his parents question him about this change, he says, “The teachers just don’t understand how I think. They tell me I’m stupid.” He storms into his room and his parents follow him, asking him about this, but he does not answer. They also ask him if he has started using drugs. While Anthony has begun vaping nicotine daily, he has only smoked marijuana on a few occasions, and has only tried alcohol a handful of times. He has not enjoyed smoking marijuana as he is paranoid that he will get caught, but he has enjoyed drinking alcohol on a few occasions, and definitely feels that vaping helps to keep him relaxed. He denies having ever used drugs, and asks his parents to leave so he can study. Over the next month they begin to worry even more about drugs, as Anthony has begun to avoid them, staying in his room anytime he’s at home, and has begun saying bizarre and incoherent things. They have also noticed that he does not seem to care about anything they say to him, and believe that the drugs have begun to rob him of his emotional life. They tell him that they think he should see a
therapist, and refuses, telling them that he is fine, and has just been putting more time into his studies to raise his grades. His efforts to improve his grades do not seem to help, and as he’s entering the last semester of his senior year of high school, he begins to think that he might have to repeat the 12th grade. On his way home from school one day, shortly after a break-up with his girlfriend Jessica, he sees a police car in his neighborhood, and he is sure that they are looking for him. He turns down a street to avoid them, but unfortunately, this takes him right past Mr. Walters’ house. As he passes by the house, Mr. Walters waves at him and says, “Good afternoon!” Anthony cannot understand how Mr. Walters would not be mad at him, and so he speeds up his pace, concerned that he is being led into a trap. As he passes Mr. Walters, Anthony waves and hears, “Why did you hurt me so badly? You are supposed to treat elderly people with respect.” He is further confused by why Mr. Walters’ leg does not seem hurt and why he has no bruises on his face. He begins to panic, and starts running quickly to his house. When he arrives home, he finds that his mother is at the house, and as he is clearly exasperated, she asks him if everything is okay. He stares blankly at her, and says, “The police are after me for what I did to Mr. Walters’ head.” She asks him what he did to Mr. Walters, and he says, “The thing I had was in his knee and then I heard him scream. The kicks came from Jessica.” This response frightens his mother, and she suggests that they call Anthony’s father to talk about it. Anthony refuses. She suggests that they call Mr. Walters and he refuses again. As she picks up her phone to call his father, Anthony grabs the phone and throws it across the room, and he hears his father say, “Anthony, why are you frightening your mother. You are a bad son. Why have you done such terrible things to your own mother?” She tells him that she is going to call the police if he does not let her call his dad, to which Anthony replies that he will fly away if she calls the police. She agrees to wait until her husband is at home and Anthony goes to his room. As he waits in his room for the impending doom of his father’s return from work, he begins thinking about calling Jessica and begging her to forgive him. She says, “You have never been there for me when I needed you. You were a terrible boyfriend! Why did you abuse me?” He thinks about how he’s lost the thing that makes him go, and wonders if his computer might do the trick. He waits and waits until he finally falls asleep. When he awakes to find his father home, he also finds that his parents have spoken to Mr. Walters, who confirmed that Anthony had done nothing to harm him. He remains quiet throughout this discussion, and simply repeats, “I’m sorry, I’m sorry, I’m sorry,” over and over again. He is told by his parents that he must see a psychologist for an assessment if he wants to continue receiving support from them, and while hesitant, he agrees.
Anthony grew up as an only child and has lived his entire life with his mother and father in a major metropolitan area in the Northeast. While they occasionally argue, the household has generally been pleasant throughout most of his life. Anthony’s mother seems to be frequently sick, and occasionally recalls how sick she was with the flu while pregnant with Anthony. Anthony, on the other hand, has been the epitome of health and success throughout his life, until his recent decline, but has been a bit of a loner for much of his childhood. This being said, he has had several friends throughout childhood, and a few girlfriends in high school, and he has had
meaningful and mutually fulfilling relationships with many of these friends. While Anthony excelled in academics throughout childhood, he was also good at sports, and began playing piano and guitar very young. He has always been described by family and friends as having “a lot of potential” and has felt a bit of pressure to live up to the expectations that have been put on him. Anthony and his parents have always had a good relationship, though he has often thought that he feels closer to his mother, as she seems to understand him better. His relationship with his father has been normal, but they are a bit more distant than Anthony and his mother. The family always has dinner together each night, and Anthony has not experienced any kind of abuse from his parents or anyone else. His favorite memories of his father involve going to work with him, and going out for lunch to their favorite local pizza shop. He has always felt a need to make his father and mother proud, and has put a great deal of effort into everything he does. This drive has led him to have an outstanding academic record, and to flourish at sports, and music. Growing up, he has always loved to see his parents’ reaction when he scores a goal or learns a new song, as this would fill him with a great sense of accomplishment. When he was 12 years old, Anthony and his father were involved in a serious car accident, leaving Anthony with a concussion, though he did not lose consciousness, and has had no permanent brain damage from the accident. After this incident, his mother and father took a great deal of care to keep an eye on Anthony to assure that he was not having any long-term cognitive difficulties or delays after the accident, and have been pleased that he has not. Recent events have caused his parents to again be concerned about his mental well-being, which is why they are insisting that he be assessed by a psychologist. While their care and concern has always been able to help him through difficulties in the past, they feel much less certain that they can help him overcome his recent struggles.
Write the letter of the correct answer in the blank space left of the question number.
_____1. The symptoms recently experienced by Anthony are sufficient for a diagnosis of Schizophrenia. His ongoing belief that he has harmed people that he has, in fact, not harmed, are an example of:
A) Somatic hallucinations B) Command hallucinations C) Persecutory delusions D) Grandiose delusions
_____2.Which of the following medications would likely be most helpful to Anthony before he would make much progress in psychotherapy?
A) Benzodiazapine B) SSRI C) Lithium D) Haloperidol
_____3.Which of the following psychotherapy treatments has been shown to have strong empirical support to help Anthony with his symptoms?
A) Psychodynamic Therapy B) Cognitive Behavioral Therapy C) Emotion-Focused Therapy D) Adlerian Psychotherapy
_____4.Generally, when working Anthony and other individuals on the schizophrenia spectrum, his therapist will focus primarily on which of the following:
A) Tapping into unconscious motivations for his behavior B) Deepening Anthony’s emotional awareness and blocked emotions C) Existential crises that may have led to the development of the disorder D) Life skills and disease management
_____5.The fact that Anthony has experienced delusions, hallucinations, and disorganized speech for more than the required 1 month is best represented by which of the four Fs?
A) Frequency B) Feeling Pain C) Function D) Fatality