Unit 5 D1 & D2

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Question Description

Question 1

Reformulate Diagnostic Work-Up

We now revisit the case of Bill from the previous unit. Imagine you have conducted a second interview with him. After pondering the case presented in this unit's readings:

  1. Reformulate your diagnostic work-up of Bill, given the new information in Part 2 of his case study.
  2. Describe your decision-making process in arriving at this reformulation.
  3. Evaluate the difficulties in accurately diagnosing personality disorders.
  4. Discuss the difficulties in obtaining accurate information about clients' histories.

Review the Case Study Response Guide to assist you with this discussion.

Individual Differences

Find and report on psychological literature that addresses these three issues:

  1. Discuss the role that individual differences (gender, ethnicity, socioeconomic status, sexual orientation, religious commitment, age, geography, and so on) may play in behaviors or attitudes that might be considered signs of a personality disorder.
  2. Give examples to support your points.
  3. Examine in writing at least three of these individual differences, but give particular attention to one of your choice.

Be sure to cite references for each of these sections.

Tutor Answer

School: Rice University




Diagnostic Work-Up


Reformulate Diagnostic Work-Up

Case Summary
Bill returns for a second session with his wife, Pam. He appears visually and outwardly
agitated upon the start of the session. He states he feels betrayed by his son, who for a second
time has stabbed him in the back. His son was attempting to mediate an issue between Bill and
his eldest daughter, whom he has not spoken with for over a year. His daughter was having her
first child and wanted her parents to be involved. Bill was not having it. He actually became so
upset upon speaking about the matter that he began to tear up and excused himself, stating “it is
unseemly for a war hero of his stature to lose control.” This was only after attacking his sons’
character, stating his son was jealous of him because he was never able to get into West Point.
Upon leaving, Pam was questioned by the psychologist. Pam stated that Bill never attended West
Point and was never actually in combat in the military. The argument with his daughter started
because Bill walked out on a job, she had obtained for him through an in-law, making her look
very bad. He is also currently unemployed and has been fired from his last 5 or 6 jobs due to
what he claims as personality differences or nepotism.
Clinical Diagnosis
301.81 (F60.81) Egotistic Personality Disorder
291.89 (F10.14) Alcohol-Stimulated Depressive Disorder



V61.20 (Z62.820) Parent-Child Relational Problem

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