Tuesday, November 24, 2009

Paranoid Schizophrenic

Grey's Anatomy Ep. 4 Tainted Obligation
Thursday, November 8, 2009
9:00 P.M.

In this episode of Grey's Anatomy a mother and her schizophrenic son are introduced. The mother is in for a stomach issue and her paranoid schizophrenic son believes that aliens have impregnated his mother (delusion of influence). The son has been diagnosed with the disorder since he was a young boy and has been in the care of his mother ever since. The son can not stay with his mother during the pre-op and Lexi Grey volunteered herself to watch over him since she has knowledge of psychology and his disorder. Earlier in the show Lexi had to change her cloths and forgot to put her name tag back on. When the son and her are alone in a room his begin to panic and immediately notices that she doesn't have a name tag on. He than becomes aggressive and saying that she's one of them. He escapes her and not to be found until he falls down a set of stairs and puts himself in a bed and room. He then believes that the doctors put cameras in his stomach, but Lexi disproves his theory by showing him on a imagining monitor.
I choose this episode of Grey's Anatomy because it showed a paranoid schizophrenic and it traits. It showed his psychotic disorder in which he had a hard time perceiving what is real and fantasy. His delusions of aliens and cameras that aliens were trying to contact him, and the paranoid that relates to the delusions (delusions of persecution). It show also how other objects would object would draw his attention; television, other people, were talking about hurting him (delusion of reference). The way this is related to our course is in chapter 14 Psychological Disorders pg. 582-583, Schizophrenia: Altered Reality.

Friday, November 20, 2009

Electroconvulsive Therapy (ECT)

Private Practice Ep. 6 Slip Slidin' Away
Thursday, November 11, 2009
10:00 P.M.

In the beginning of this episode Pete has a patient named Barbara. Barbara is seriously depressed, And Violet has offered a possible quick fix; ECT. The show proceeds to show her laying down while Violet places the electrodes on her head. Barbara is also given anesthesia to help from the convulsions. The ECT cured her depression, and Barbara was a whole nether person; smelling anything, the sky color, and so all seemed new to her. The only problem that was occurring after the treatment was her memory. Barbara could not remember anything up to the treatment. Not only that but she didn't remember her finance Jimmy. Violet was becoming concerned because the treatment isn't suppose to target specific memories. Violet suspect that Barbara was hiding or repression the memory of Jimmy. Then Pete was determine to find out the cause of the hidden memory by asking Barbara to remember what it is that Jimmy did to her. Barbara laughs out loud at the fact that they believe that Jimmy would hurt anybody. Pete and Violet, confused and her statement find out that Barbara intentionally forgot about Jimmy. She doesn't want to be with Jimmy anymore, but doesn't want to hurt him at the same. So she was just going to pretend that she didn't know who he was. Pete and Violet go along with Barbara's wish and tell Jimmy that she can remember him but atleast she's happy.
Barbara was suffering from severe depression and they treated her depression with ECT. It showed briefly Violet placing the electrode on both sides of the patients head (bilateral ECT), and what was going to take place. It showed the side effects of ECT, memory. The cause of retrograde amnesia that lasted probably a few weeks after treatment before completely clearing. This episode relates to psychologial therapies (chapter 15-10 pg. 626) on electroconvulsive therapy.

Thursday, November 19, 2009

Reaction Formation

Private Practice Ep. 2 The Way We Were
Thursday, October 8, 2009
10:oo P.M.

Violet is now back at home after her almost death incident with a psychotic patient. Violet is still trying to rationalize what had happen to her. Pete is at her house in the opening of the show talking with her and getting some feedback on how she is doing. During there conversation the doorbell rings and Violet drops here glass and go running into the closet. After Pete answers the door and went to the closet to let her know that she could come out. Violet is suffering from a panic attack, relating to her answering the door and begin stabbed, though she denies it. Her panic attack can also be associated with agoraphobia (fear of begin in a place or situation from which escape is difficult), which would explain why she ran for the closet. Violet seem to be very depersonalized from her normal-self. She stays at home disregards affection (emotion) to hers infant and sleeps throughout the day (depersonalization disorder). If not more so from the psychological factors relating to stress (uncontrollability, frustration, escape or withdrawal, the conflict, appraisal of the stressor). Pete and other friends try to get her out of house and talk, and just get her out and a-bout. Violet denies the offers and concludes that she is fine (reaction formation).
The reason I choose this episode is because while watching Violet isn't herself, since the attack. She was very depersonalized and could tell that she is frustrated about the incident, and how uncontrollable the attack was. Also her attention to her new child and her lack of emotion toward it, a kind of postpartum psychosis without the delusions, but more of a frustration possibly. This relates to the psychology and this module (Chapter 11 Stree and Health pg. 430-466) because it is about stress and how it affects a person(s).

Wednesday, November 18, 2009

PTSD

Reign Over Me (Movie)
Wednesday, November 18, 2009
1:oo P.M.

Reign Over Me is a movie starring Adam Sandler as Charli Frinemen. Charlie lost his family on September 11, attack on New York. That terrible lost caused him to quite his job and isolate himself form everyone. He blocks everyone from conversation by listening to music and having head-phones on. He no longer stays in contact with anyone previous to the incident. If you were to recognize him, he would deny any relevant occurrence. As the move progress he routinely changes his whole kitchen because it was the last thing he and his wife talked about. Fortunately for Charlie he is reunited with his old college roommate Alan Johnson. Alan becomes determine to help Charlie face his past and return back to the real world. Charlie shortly goes to see a psychologist and began to speak about the death of his wife and three daughters. Though the memories nearly causes him to commit suicide. Charlie is put in a mental hospital but released shortly after. His in-laws confront him when he leaves the courtroom and tells them every pain and vision of his grief. Charlie then moves out of his apartment and into another to starts a new path.
The reason I chose this movie for an entry is because it shows how a major catastrophe can have tremendous affect of feelings. Charlie not only had the attack on New York 2001, but also his family death due to the attack. Charlie probably had developed acute stress with symptoms of recurring nightmares, sleep disturbances, and relive events in flashbacks. Flashbacks were shown in the movie, where Charlie would see his wife and children briefly. These symptoms lasted much longer than a month, then devolved into post-traumatic stress disorder. When it got to this point Charlie got tired of the daily hassles of people and their condolences, and pressure or demands of help for Charlie's behavior (PTSD). His external frustration along with the retrieval of memories lead to his aggression of harming himself (suicide attempt). He would have normally displaced that aggression into his escape of remolding the kitchen. This movie is a very good example of post-traumatic disorder and the symptoms from such a catastrophe. It relates to the class and module in Chapter 11 pg. 433-441.

Tuesday, November 17, 2009

Eclectic Therapies

Charlie Bartlett (Movie)
November 21, 2009
8:00 P.M.

Charlie Bartlett is a movie about a wealthy high school student. He constantly finds himself getting kicked out of every private school. Charlie then goes to a public school with normal everyday students. He doesn't really fit in at first until he begins handing out prescription drugs to those who have no way of getting them, also playing the role of a psychiatrist. Charlie begins having psychotherapy sessions in the boys restroom where he diagnosis the cause and gives out biomedical therapy to his peers. Though it doesn't take long for trouble to come his way and end. Charlie's private sessions and biomedical handouts come to an end when the principle can no longer ignore Charlie and his possible danger to the students.
This is a good movie even though is involves a young high school student who has the ability to get his hands on biomedical therapy prescriptions. Charlie does show that he has some limitation to who and what each student gets, he does do many kinds of therapies. He offers his peers free association of their troubles while showing his empathy for their conditions. With his psychotherapy and biomedical therapies Charlie was successful with his peers that a therapeutic alliance was created. This relates to the class because it had a relatedness to the class and the psychological therapies of chapter 15.