PAS Seminar Session 15 - Case Studies Part 3 - Real Case with biography

pasc15a-01-3

Using NL is a common sense kind of thing
Can eyeball graph and then using calculation(s) and
  see what fits non-assessment (intuitive observation/background) best

Another case 24 year old male - real case
14(Eoc Rcc Uuc+) L

Graduate student. Started criminal justice. 
Good football player - wanted to coach so did grad in criminal justice
  since that was his major
  NL14 no problem doing masters
  Intellectually and Procedurally disciplined

  Have Uuc+ and L  (4th dimension Gcu - one that does not say much)

Referred in emergency state by old football coach.

Married in junior year. 1 child - girl

What might be going on?

DSY L - and E could be depressed
Adjustment is not a pathological bent

So distress likely situational (wife leaving?)

6'1" looks shorter - broad - Neanderthal posture. Dark complexion.
  handsome

Boyish - not smiling much but when he does, lights up

Expect conventional, Uuc+ knows can be inappropriate.
                          But does not have a good feel for what is.
Genuine vulnerability - not slick. 

Two younger sisters- Italian family in Boston. Lower middle class
  tough suburb. Father tough construction. Maybe some fringe connections?
  Worked there during summers for lots of money.
  Father pushed for football. Trained him hard.

Embarrassed by father
Mother alcoholic - since he was 9
  Got so could not cook. He couldn't get sisters to do it.
  Mother finally left when girls left home

(Note: extensive literature of adult children of alcoholics)

Recruited for football - linebacker. Joined animal house fraternity.
                                     People he felt comfortable with.
				     First time in life real bonded.
Married girl from home town. Tried to get her pregnant to get her to
   marry - she was getting a little "drifty".
   She had girl - they got married. Little girl love of his life.

He kept partying with the boys. When drank - no restraint and got funny
   till passed out. No appropriate social skills.
   Wife tolerated but did not like and then started to yell about it.

She decided she did not want him any more and he went down.

ERU
i* f* u   but i* is really mixed since Eo
i\ r° a'+

Think of myself as caring, interested in people, but know no social butterfly
Knows have to put on a good front (Uuc+)

He moved to dormitory. Got daughter often as wanted. 
  Still did things as family. Went on for months while Bob saw him.

(When junior a frat hazing killed a freshman and school shut down frats.
   Frat house ended up burning down.)

So support systems: No longer a football player. No fraternity.
   No wife.
   PANIC - ERU are vulnerable to panic.
           EU - I want them and they don't want me.
	        Lost social safe place - fraternity
           ERU - primitive lack insight into what is going on.
	         Worry about who will be my friend.
           (Actually worse for females - sort of acceptable for males)

   Primitive thinks he knows what to do - and when it does not work out,
       "what am I going to do?"

Two situations: 1. Fraternity support went away
                2. Wife left

Form of panic?
Hyper-active Eo Rc Uu - social inappropriate and active pulling back to basic
                        not as intellectually controlled, dependent,
			feeling (Rc) and socially inappropriate.
      Took it out on himself - not from formula but from upbringing.
        Overwhelmed with guilt. Looking for safe bonding with fraternity
	   brothers.
	
Doing a lot of things that looked psychotic. 
1. Believed he was a bad person.
2. Wife knew he was bad
3. Compulsion to tell everyone everything bad he had done - even sexual 
   thoughts. Friends uncomfortable with this and pushed him away.
So need for emotional dependency built up. Had sexual fantasies with anyone
   he met.
Raised strong Catholic. As an R it made sense - good and bad and I am bad.

-----------------
part 4

When saw he was basket case. Gave PAS and Rorschach to see how much
  reality was breaking down. Pretty healthy. 

Looked at formula so knew Eo needs emotional support so saw 3 times a week.
   He called occasionally.

He suggested get to twice a week. Slowly put things together.
  Wife moved to another part of the state.

(Initially worried about suicide - more about pre-crazy - homosexual panic
   by running past events in his mind. Gittinger says ERUs question whether
   they are homosexual. Bob: ERU finds those easiest to be friends with are
   males)

When asked if considered suicide- he asked Bob if he was crazy and smiled.

Bob said he did not thing this boy was crazy - just hurting a whole lot.

Could deal with by using the "boxing globes and hit over the head" - (R)

Wife moved away and generous with daughter. She ultimately wanted divorce
  could not move past history).

Was dating another girl - but not making commitments and told her.  

Will be finished up school. Saw only a couple times in recent months.
  Looking for assistant coaching job.
            
By fall Gcu kicks in and he functioned OK.

Suspect up to an "M" from "L"

Did not want to try medication - Bob - probably would have added another
  confusion factor.

So what looked like schizophrenic, but was really ERU PANIC.
  Indirect would unlikely have figured out the Eoc under this.

  Extreme environmental circumstances changes the behavior of almost anyone.

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