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Psychoanalysis Case Study

In: Philosophy and Psychology

Submitted By joshchoi07
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Mary seems to have experienced inexplicable, horrendous experiences, which have undoubtedly led to some form of psychological impairment; her history is marked with uncommon happening—beginning with her father’s murder, to her marriage at the age of 16. Abnormal behavior is defined as follows: it deviates statistically from typical behavior; it interferes with a person’s ability to function in a particular situation; it is labeled as abnormal by the society in which it occurs; lastly, it is characterized by perceptual or cognitive dysfunction. In all these components, Mary’s current conditions are applicable. During Mary’s first session, she tore a tissue into shreds, never looked me in the eye during our discourse about her husband, and, at one point, stopped blinking for a period of time. All these strange activities may point to a type of anxiety disorder or possibly a multitude of these disorders. In my second opinion with Mary, I utilized a different method of psychoanalysis—free association. I made sure to exclude all my feelings from the conversation so that no countertransference existed. Highly connotative words like death, clean, and hurt were repeated multiple times, giving further credit to my suspicions of her having anxiety disorders. I believe she suffers from OCD, post-traumatic stress disorder, and certain phobias which she developed during childhood. In my viewpoint, Mary developed OCD from her grandmother. Her grandmother’s constant insistence that Mary kill all the “diseases” that she brought in from outside and the continuous ablutions she had to go through may have led to her belief that everything must be clean and that clean was necessary and good. Further reinforcing this notion was when she let her speech slip essentially a Freudian slip; she said suddenly that she had to “wash the floor, I mean sheets.” Post-traumatic disorder was most likely caused by the exposure to her father’s death followed by the unprecedented suicide by her mother that ensued soon afterwards. Her continual usage of the word death during our second session empowers this idea. She may still have thoughts about the occurrences of her childhood, even after all these years. Phobias, I believe, are apparent in Mary’s present condition. She probably developed fears of many things: fear of germs during her stay with her grandmother and unparalleled fear of hurt or death due to her parents’ deaths. All these anxiety disorders most likely led her to become anorexic due to her confusion and distortions about reality. Violence may be another driving force in Mary’s present, psychologically damaged state. She would not look at me when asked about her husband and was admitted to the emergency room for a myriad of injuries including a gash to her cheek. Her husband may be the source of this violence, however, it is scabrous to assume this idea without more evidence. Treatment will be simple. I will meet with Mary and continue the sessions using free association as my sole method. I will pinpoint the precise causations of her problems and attempt to slowly eliminate those deep, inner thoughts of the unconscious mind. After a while, however, I will ask her to consider family therapy. In this way, I could see the effects of her conditions on the rest of her family and possibly see the attitudes and feelings that the children and the husband have towards her. I will work with the family as a whole and put Mary on the road to a slow but definite recuperation.

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