X. Results of Evaluation
The Psychoanalytic Theory of Personality suggests that Hemingway's disorder(s) and maladaptive behaviors are the result of early childhood memories which have been repressed into his subconscious. The behaviors are caused by a subconscious desire to resolve the early childhood issues and trauma. This model could be a reasonable explanation for his disorder(s) The Behaviorism Theory of Personality suggests that his behaviors are a reaction to his environment in childhood and adulthood. These behaviors were learned and reinforced by that environment. He may have reacted to his traumatic experiences that were reinforced by external factors. As an example, he may have learned from his father's temper that people will …show more content…
His perceived rewards may have encouraged the negative behaviors. The Humanism Theory of Personality suggests that Hemingway did not receive unconditional positive regard from his parents and other figures while he was a child. His self-esteem may have been negatively affected and he has an internal conflict between the ideal self and self-image. His maladaptive thoughts and behaviors may have been a result of not feeling as though he were a worthwhile human being. The Diathesis-Stress Model is the most likely cause of Hemingway's disorder(s) because it takes into account both cognitive and biological factors. Hemingway grew up in a very stressful environment that continued throughout his adulthood. Mr. Hemingway suffered emotional and physical abuse as a child, he was also involved in three wars, multiple head injuries, close family members committed suicide (father, sister, and brother), and his family has a history of mental illness. His genetic predisposition, triggered by his trauma, caused his distorted perceptions and emotional imbalance. Mr. Hemingway is often hostile or otherwise maladaptive behaviors where a result of his childhood experiences. His adult experiences further exacerbated his condition. Hemingway's lifestyle, such as …show more content…
Upon 72 hours he should be evaluated for a WIC-5250 7 day involuntary psychiatric observation and treatment. His alcoholism treatment should begin with detoxification with an observation for withdrawals. He should also receive individual counseling and groups for relapse prevention and emotional support. He should receive inpatient group therapy for his Bipolar Disorder including symptom management, medication management, and relapse prevention. Hemingway should also be seen by the inpatient psychiatrist to review his medications for the Bipolar Disorder. Appropriate blood tests and urinalysis should be performed to check for substance abuse, medication levels and kidney and liver function. Due to the complicated diagnosis of Bipolar Disorder, PTSD, alcohol abuse, and Borderline Personality Disorder, Dialectical Behavioral Therapy is likely the best therapy to support the combination of treatment issues. He would benefit from both groups and individual therapy. Upon his release, follow up treatment with a counselor and a psychiatrist is recommended for follow up with symptom management, medication management, and appropriate coping skills strategies. Outpatient DBT is recommended as the most beneficial form of therapeutic treatment for him due to his
The Psychoanalytic Theory of Personality suggests that Hemingway's disorder(s) and maladaptive behaviors are the result of early childhood memories which have been repressed into his subconscious. The behaviors are caused by a subconscious desire to resolve the early childhood issues and trauma. This model could be a reasonable explanation for his disorder(s) The Behaviorism Theory of Personality suggests that his behaviors are a reaction to his environment in childhood and adulthood. These behaviors were learned and reinforced by that environment. He may have reacted to his traumatic experiences that were reinforced by external factors. As an example, he may have learned from his father's temper that people will …show more content…
His perceived rewards may have encouraged the negative behaviors. The Humanism Theory of Personality suggests that Hemingway did not receive unconditional positive regard from his parents and other figures while he was a child. His self-esteem may have been negatively affected and he has an internal conflict between the ideal self and self-image. His maladaptive thoughts and behaviors may have been a result of not feeling as though he were a worthwhile human being. The Diathesis-Stress Model is the most likely cause of Hemingway's disorder(s) because it takes into account both cognitive and biological factors. Hemingway grew up in a very stressful environment that continued throughout his adulthood. Mr. Hemingway suffered emotional and physical abuse as a child, he was also involved in three wars, multiple head injuries, close family members committed suicide (father, sister, and brother), and his family has a history of mental illness. His genetic predisposition, triggered by his trauma, caused his distorted perceptions and emotional imbalance. Mr. Hemingway is often hostile or otherwise maladaptive behaviors where a result of his childhood experiences. His adult experiences further exacerbated his condition. Hemingway's lifestyle, such as …show more content…
Upon 72 hours he should be evaluated for a WIC-5250 7 day involuntary psychiatric observation and treatment. His alcoholism treatment should begin with detoxification with an observation for withdrawals. He should also receive individual counseling and groups for relapse prevention and emotional support. He should receive inpatient group therapy for his Bipolar Disorder including symptom management, medication management, and relapse prevention. Hemingway should also be seen by the inpatient psychiatrist to review his medications for the Bipolar Disorder. Appropriate blood tests and urinalysis should be performed to check for substance abuse, medication levels and kidney and liver function. Due to the complicated diagnosis of Bipolar Disorder, PTSD, alcohol abuse, and Borderline Personality Disorder, Dialectical Behavioral Therapy is likely the best therapy to support the combination of treatment issues. He would benefit from both groups and individual therapy. Upon his release, follow up treatment with a counselor and a psychiatrist is recommended for follow up with symptom management, medication management, and appropriate coping skills strategies. Outpatient DBT is recommended as the most beneficial form of therapeutic treatment for him due to his