Case Study: Exploring Problem Behaviors In Adolescence

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LO

Dylan Shapiro
GR 10 D

Exploring Problem Behaviors in Adolescence

/100 Marks
Diagnostic formulation on Kip Kinkle

There were many factors that contributed to Kip's mental state, previous to his violent actions at his school. Many of these factors manifested during his preschool years, and some were genetically determined such as his dyslexia.

His dyslexia and learning difficulties were compounded by his parents' one year trip to Spain. This trip may have had long-term impact on his language skills, social skills and self-confidence. One of the primary reasons for this negative effect was the decision of his parents to send him to attend a completely Spanish speaking preschool. This impacted his language skills because having only
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These events were however only a small contribution to the total situation in terms of Kip's mental state. Due to his experience in Spain and his dyslexia, he had to repeat grade one. This would have further decreased his self-confidence. He was not just also just performing poorly relative to his peers, but relative his old sister too. His older sister performed very well in language and humanities subjects, which were specifically some of Kip's weaknesses. He may have felt compared to her, despite his parent's efforts to the contrary, which would also further his feelings of …show more content…
However, in the referenced interview his sister confuses the role of a psychologist (who can not prescribe any kind of medication) and a psychiatrist. She also indicating that he was on the SSRI class antidepressant fluoxetine. Fluoxetine is known to cause a marked (50%) increase in suicidal behavior in persons under the age of 25, which may be a factor in this case. There is not evidence to show a specific increase in violent behavior towards others, although.

Discontinuation of SSRIs often causes withdrawal and an increase in depression symptoms, past the severity of what they were originally. His use of antidepressants was discontinued about 5-6 months before his shooting. Shortly after the discontinuation, two other school shootings occurred and were widely publicised. During this period of withdrawal and increased depression these incidents may have interested Kip and prompted him to plan a shooting of his own. The choice to discontinue his use of antidepressants was a mistake in hindsight, and if it was not done, the shooting probably would have not

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