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Case Study Report of a Patient in a Psychiatric Facility

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CASE REPORT
SUBMITTED TO:
Dr. Normaliza C. Ramirez
SUBMITTED BY:
Aguilar, Abegail D.
Joven, Krizzia
DATE OF SUBMISSION:
March 3, 2017
I.
Personal Information:
Name: Gerard L. Tirador
Age: 63 yrs. old
Gender: Male
Marital Status: Married
Educational Attainment: College
Spouse: Marilyn Tirador
No. of Children: 2 girls
II.
Personal History
Mr. Tirador is a 63 yrs. old man who resides in Clinic of the Holy Spirit, Inc. “Sir
Gerard” as what he wants to be called brought to the institution on March 6, 1996. He
was complained to be very picky with what he eats and does not eat food cooked from
the said institution. He said that living with the CHSI is like survival of the fittest. He said
that he is married to Marilyn Tirador and a father to two girls who resides now in
America. He said that he they are nine children in the family and he is a middle child.
According to him, he is an American Diplomat in the United States but he didn’t
graduate Business Administration degree. He also said that he was a former agent from
a company.
The patient claimed that he came from a wealthy family and they live in America. He
told the interviewer that his four siblings forged his signature to get their inheritance.
Because of this, he felt depressed and experience poverty. The setback he experienced
cause him mental breakdown.
III.
Psychological Tests Administered:
a. The House-Tree-Person test (HTP) is an expressive test developed by John N.
Buck in 1947. This test is used as a technique to aid the clinician in gathering
data regarding an individual’s degree of personality integration, maturity and
efficiency.
b. The Draw a Person test is a projective drawing task that is often utilized in
psychological assessments of children. This tool helps clinicians to identify the
individual’s personality. The test relates to the impulses, anxieties, conflicts and
compensation characteristics of an individual. Moreover, the test is an expression
of the self’s concept, the ideal self and his attitudes and feelings of the body
when drawn symbolized feelings, needs, attitudes and emotional maturity.
c. Rotter’s Locus of Control Scale - This is a questionnaire to find out the way in
which certain important events in our society affect different people.
d. Pasao Self-Concept Rating Scale – it is used to measure self-concept of
Filipinos.
IV.
Examinee’s test taking behavior
Mr. Tirador is answering the test while murmuring the questions. He was
silent and focused during the test. Sometimes he corrects some grammars from
the questions. Sometimes he was telling a story out of the blue and asks some
guidance in answering the tests. He finished the test in the time we allotted him
to.
V.
Result’s and Interpretation
Gerard’s house was drawn with great details and indicates several portions of the
house. It was drawn too big suggesting that he is overwhelmed in his family life and
reality. It also signifies strong conflict with people in the home and the tendency to
act out against the home and/or overcompensated for fantasy or strong feeling. It
was drawn in a bird’s eye view perspective which indicates rejection of home
situation. The garage implies his needs for motor activity. The emphasis on the door
and it’s tiny structure indicates he is only on his own terms and demonstrates
defensiveness. He is also timid and fearful but was contradicted with the open
window that symbolizes strong needs to engage others.
The tree is drawn in a simple manner but lacking the indication of leaves
and short branches. The drawing signifies ungratified needs and great needs of
dependency. He was also feeling depressed and inadequate about himself. The
heavy lines suggest anxiety and the club-like branches implies hostility and
aggression.
The person was a female drawn in a side a view but seemingly abstract. It has
complete features such as eyes with lashes, mouth with detailing teeth and tongue.
Nostrils showing, ears enlarge decorated with an earring and indication of belly
button and anus. The arms are drawn like claws and the girl is bare feet. He
somewhat omit the neck, genitalia, shoulders and chin. The drawing symbolizes her
oral needs, grandiosity, head pain or somatic symptoms, introspection and is fantasy
ridden. There was a hint of hostility and effort to be socially accepted.
He has indication of homosexual tendencies but feeling of sexual impotency. He
was suspicious experiencing auditory hallucinations and denial of drives and shows
defiance.
The first person drawn by Gerard in DAP is a woman. It has similar features like
the person in HTP. The drawing implies strong oral dependency, being
individualistic, having high self-esteem. It indicates grandiosity and aggression as
well as poor reality contact or an organic condition. The bizarre drawing suggests
psychosis or alienation. The drawing also revealed his suspiciousness and being
paranoid to what other people are saying. The large ears indicate possible
hallucinations and paranoid reactions.
There is also an indication of repressed hostility, sexual conflict, and strong
emotional attachment to opposite sex, as well as withdrawal and regression. The
second drawing is similar with the first drawing in DAP but is a man and appears to
be genderless. The lines drawn shows that he’s extremely tense individual and
somewhat aggressive but he has low security feelings. In addition to these, he have
withdrawal tendencies, feelings of inadequacy, showing his defenses and insecurity.
He is depressed but has food faddism, and experience social and sexual conflict.
The homosexual tendency is consistent with the other drawings and the
inability to establish relationship with other people. He is evasive and suspicious of
his environment showing paranoia.
The results from Rotter’s Locus of Control Scale signify an external locus of
control. He believes that aside from himself there are more forces that control his
life. He is affected by the external factors that influence his behavior and attitudes.
That is why he is not trustful of the people around him.
The Pasao Self-Concept Rating Scale revealed that he has below average rating
suggesting that he has poor insight of himself. He himself can’t understand and selfactualize because of his bizarre ideas of the self and his thoughts.
VI.
Recommendations
According to the institution his family already advises them that if something
happens to him, he should not be revived. But even if it’s what the family wants, he
should be allowed to continue what his hobby are such as reading, playing scrabble and
talking about his interests. He needs someone to talk to be able to express his thoughts.
His irrational beliefs should be corrected.
Prepared by:
Aguilar, Abegail D.
Joven, Krizzia
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