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