Firstly, is Mary’s addiction, she has social factors such as unemployment, a history of abuse, also family disparagement, (Toates, 2010, p3), and It is important to improve them for intervention, (Toates, 2010, p7). Researches confirm the association between unemployment and poor mental …show more content…
Psychologically, he has intrusive thought that without his rituals, his family would be in danger, (Toates, 2010, p1). Stress at work and family misunderstanding are his triggers. (Toates, 2010, p2). Improvement of social factors is a basis for a successful treatment, (The Open University, 2016). Biologically, Researches found increased activity in regions of the brain of OCD people. (Toates, 2010, p34). Also, there is a history of OCD in John’s family, because some individuals are genetically prone to mental illnesses, (Toates, 210, p18). Side effects ceased the use of medication. A psychological intervention is the gradual exposure to the anxiety-evoking thoughts, and at the same time, John is encouraged to decrease the time spent on hands washing gradually, and then urged to abstain from performing his ritual (Toates, 2010, p23). In one study, a lowering of metabolic activities in the specific OCD regions of the brain was found with all previous treatments, (Baxter et al., 1992, cited in Toates, 2010, p35), to confirm the psychological and biological …show more content…
An evidence of that is Mark’s case. Although biology plays a key role in dementia, proven by brain images showing the presence of shrinkage in the brain’s regions, (Toates, 2010, p32), and Mark is taking medication (Toates, 2010, p6), there are psychological aspects to his situation as he is aware of the deterioration in his memory and his life‘s quality, and he is emotionally not happy. Also, his social surrounding and his family attitudes towards him are of a positive impact. (Toates, 2010, p3,