Learn the following case examine about John to ascertain a diagnostic formulation of the shopper. The task questions observe the case data.
John grew up in the Midwest with his mother Dana and his father Ed. His father was a cargo pilot who would usually be away from the residence for days or perhaps weeks at a time. When John’s father was residence, he would severely whip John with his belt and hit him with a closed fist for minor errors reminiscent of forgetting to flush the bathroom or not consuming all of his dinners. Nevertheless, his father could be lenient about extra vital varieties of behavioral points reminiscent of ingesting from his mother’s beer or entering into fights with the neighborhood kids.
John’s mother Dana was a city clerk and was additionally bodily abused by Ed, and she usually consumed massive quantities of alcohol to manage with the results of the abuse. She divorced Ed when John was 6 years outdated, and John solely noticed his father one different time in his life.
John’s mother remarried when he was eight years outdated, and his stepfather started sexually abusing him shortly thereafter, which lasted till John was 12. John says that he tried to inform his mother about the abuse however that she turned irate and insisted that her husband “was not homosexual.” At age 10 John tried to set hearth to his stepfather’s mattress whereas his stepfather was sleeping in it.
By age 15 John was spending his time principally throughout the day breaking into individuals’s houses as an alternative of going to high school for “a spot to hang around.” Generally for “enjoyable” he would minimize brake traces on parked automobiles and conceal close by as he watched unsuspecting drivers crash into issues whereas making an attempt to drive.
When he was in college, he was suspended twice for bodily fights with the different college students and as soon as for theft. He was arrested at age 16 after stealing a automotive. He was additionally excessive on methamphetamines at the time and obtained drug fees as nicely. He was then positioned in a juvenile detention facility the place he obtained further fees for fights with different residents and one occasion of sexual assault on one other resident. He knew that the state was legally unable to carry him at the facility after he turned 18. So he minimally participated in therapy and waited till his 18th birthday to be launched.
As a younger enticing and gregarious grownup, John frolicked making associates and staying with them for just a few weeks or months till stealing from them after getting access to their financial institution accounts. John additionally received into occasional fights in bars, and at age 21 was convicted of assault and battery on a roommate, for which he severed four months in jail.
At age 23 he married a girl in her 30’s with three kids ages 5, 7, and 9, two of whom had been boys. He sexually molested each of his male stepchildren for a number of years. His spouse didn’t consider her sons once they informed him about the abuse. It wasn’t till she got here residence early from work someday and caught him bare in a bed room with her two sons that she acknowledged the sexual abuse. She divorced John, however sexual fees weren’t introduced towards him as a consequence of an absence of proof. When John’s mother remarried when he was eight years outdated, his stepfather started sexually abusing him, which continued till John was twelve years outdated. The abuse, in response to John, was found when he tried to tell his mother about it. She turned enraged and argued that her husband “was not homosexual.” When John was ten years outdated, he tried to set hearth to his stepfather’s mattress whereas his stepfather was sleeping in the mattress.
By the age of 15, John was spending the majority of his time all through the day breaking into individuals’s houses reasonably than attending college in order to have “someplace to hang around.” He would typically minimize the brake traces on parked cars and conceal close by whereas watching unsuspecting individuals crash into issues whereas making an attempt to drive for “enjoyable.”
His college information present that he was suspended twice for bodily clashes with different college students and as soon as for stealing whereas he was there. He was arrested when he was 16 years outdated for stealing a automotive. He was additionally underneath the affect of methamphetamines at the time, and he was charged with narcotics possession. He was subsequently transferred to a juvenile jail centre, the place he was charged with quite a few offences, together with fights with different inmates and one occasion of sexual assault on one other inmate. He was finally launched. He was nicely conscious that the state could be unable to detain him at the facility as soon as he reached the age of eighteen. Because of this, he solely engaged in a small quantity of therapy and was not freed till his 18th birthday.
After his divorce, at age 25 John supported himself by working odd jobs in building. He finally started posing as a contractor underneath a false title to present estimates for jobs solely to by no means begin them after cashing the massive deposit that he insisted upon having. He even situated and started dwelling with an aged nice uncle in order to steal his social safety earnings from him. John additionally usually discovered girlfriends with younger kids whom he would molest whereas babysitting.
At age 29 John was arrested for possession of kid pornography. He had ordered on-line a bootleg journal with kids partaking in sexual acts. The merchandise was seized in the mail and delivered to John by an undercover police officer posing as a mail provider. After receiving the package deal, John was promptly arrested. Because it was his first baby pornography offense, John was given one 12 months of probation as an alternative of a jail sentence.
John was additionally required to attend weekly particular person remedy as a situation of his probation. John informed his therapist all about his bodily abusive father, sexually abusive stepfather, and alcoholic mother. He portrayed himself as a caretaker of his aged uncle. He didn’t point out his fights, thefts, or sexual assaults of kids. Happily, John’s therapist acknowledged the problems that he introduced with and recognized that group remedy could be a extra acceptable therapeutic setting for him.
CASE QUESTIONS
Discover the diagnostic impressions of the shopper and tackle the following questions.
Formulate a diagnostic impression for John with coding and specifiers from the DSM-5. Clarify your reply in phrases of how he meets diagnostic standards for the dysfunction or problems that you just gave.
What had been a few of the contributing components for John’s problematic behaviors?
What makes John so harmful?
If you happen to had been a therapist in this case, what therapeutic modality would you utilize to deal with him? Use 1-2 scholarly sources to help your reply.
Why do you suppose somebody like John would profit from having confrontational group remedy reasonably than particular person remedy alone?
Utilizing 1-2 scholarly sources, in what methods may variety variables (reminiscent of age, race, gender, and many others.) have an effect on how an individual with these kinds of problems is handled inside the legal justice system?
