Mr. Z was referred by his internist for a psychological evaluation to determine his level of depression and psychological adjustment after cardiovascular concerns that resulted in an angioplasty and insertion of a pacemaker. At the time of the evaluation, he was experiencing a preoccupation with death, difficulties concentrating, self-doubt, marital discord, ruminative tendencies, and difficulties making decisions.
III. Tests Administered
Clinical Interview
Rorschach Inkblot Test (Exner System)
IV. Background Information
Mr. Z is a 67-year-old, married, Caucasian, male who lives with his wife in Phoenix, Arizona. He reported he received his Master’s degree in political science and described himself as a liberal. He worked for several years in a government job, primarily enforcing civil rights policies. He reported he had warm relationships with co-workers and received several commendations for his high-quality work. Following his retirement 7 years ago, Mr. Z retained part-time positions. He was recruited for his most recent position at a community service center because of his connections and community reputation. He disclosed he feels the center currently has poor management and suggested he could do a far better job.
Mr. Z reported there was a discrepancy in how others …show more content…
Z was cooperative throughout the assessment and was able to complete the Rorschach Inkblot Test without any breaks. Throughout the evaluation, Mr. Z displayed difficulties with impulsivity and decision-making as evidenced by him changing his responses to the inkblots periodically. Mr. Z provided only one response to the majority of the inkblots, most of which were simplistic in nature. However, he provided elaborate and verbose answers in what appeared to be an attempt to convince the evaluator that he was correct. Mr. Z’s responses were consistent and he provided enough responses with adequate elaboration to render valid and interpretable test