Complete a “presenting problem” and “personal status” for the Chapter 5 reading. I have also uploaded an example

Complete a “presenting problem” and “personal status” for the Chapter 5 reading. I have also uploaded an example of how it should look.


Chapter 5
The Coldest Heart
This chapter introduces us to Leon. He is in prison, 16 years old, convicted of murdering two
teenage girls, and is awaiting his sentencing. Dr. Perry was asked to meet with Leon and the
family to help determine if there is a psychological disorder that may be used in Leon’s defense
to try to avoid the death penalty for him. Leon, even after conviction, even after all the on-record
court statements, is still lying, posturing, and doing whatever he can think of to trick Dr. Perry
into giving him what he wants. Leon seems unremorseful. After Leon recounts what happened
the night of the murder, Dr. Perry asks him “Now looking back on all this what would you have
done differently?” Dr. Perry is expecting him to respond with something about controlling his
temper or not hurting people, and Leon says “Throw away those boots… it was the blood on the
boots that got me (caught].”
Leon has two loving parents and an older brother. When Dr. Perry subsequently goes to meet
with them to try to get more information, the three of them are embarrassed, guilty, sorry, for the
actions of Leon. They tell about his upbringing, Mom and Dad had Frank first when they lived
in their home town with multiple aunts, uncles, and family around and helping out at any time
needed. This allowed Maria (mom) to take a break from a crying baby occasionally and offered
Maria a loving support system as she learned to be a parent for the first time. Through the
interview Alan (dad) monopolized the answering of questions. Dr. Perry directed questions to
Maria and Alan would interject, taking over. Finally, Dr. Perry, suspecting that she may be
cognitively impaired, asked Maria “Did you like school?” Alan responded “She is maybe a little
slow in that way.” And, so determined that having all these family members around, while good
and important for another mother, was probably very important for Maria. About three years
later, shortly before Leon was born, Alan lost his job and the family had to move into the city for
Alan to get work. They lived in a run-down apartment complex filled with drug use and
poverty. Now Maria was pregnant and alone most of the day with only three-year-old Frank as
company. He family supports were gone, and she had no friends in the new community. She
developed a pattern with Frank, walking to the park and sometimes riding the bus to the museum
on free days, stopping at the grocery store and otherwise spending as little time as possible in
their lonely apartment.
Once Leon was born Maria was overwhelmed. Leon cried, and Maria would try to feed him, but
sometimes he would still cry, so Maria would put him in his crib and she and Frank would go on
their normal “walk” returning late in the day, leaving Leon alone, crying in his crib for hours,
unattended. After some time, Maria recounted that Leon stopped crying so much, so she
believed that this regimen had helped him. In reality, her neglect, however innocent, had
deprived Leon of the important loving and physical affection experiences an infant needs to form
family bonds and later maintain healthy relationships.
From then on, things spiraled for Leon, at 2 his behavior problems qualified him for a special
preschool, and from then on his schooling was alongside peers who were equally unable to form
appropriate relationships or make good choices. This further exacerbated Leon’s
behavior. While his parents and brother attempted to strengthen their relationships with him, he
was unable by this point to feel love or disappointment in “normal” ways. He was only able to
see others for what they could give him. Similar to a child with autism, his ability to understand
others’ emotions was different from normal, this led him to irregular relationships and inability
to see why others felt sad or happy about different things. When he witnessed his parents and
brother crying at his trial he asked “Why are they crying, I’m the one going to jail.” Unable to
see or understand their feeling in relation to himself.
In the end Dr. Perry testified that Leon had ASPD and ADHD. But unlike some mental illness,
these diagnoses would not account for Leon’s behavior. Perry testified that Leon had been
unintentionally neglected as a baby and spoke to the damage that can do to a person including
reduced empathy and heightened violence. He spoke to the fact that Leon was drunk at the time
of the murders, and that Perry believe Leon would not have committed the crimes had he been
sober. But he could not say that he believed Leon was no longer a threat to society.
Chapter 6
PSYCHOSOCIAL ASSESSMENT-EXAMPLE–EXAMPLE—EXAMPLE
Presenting Problem
Stan is a 32 year-okl, homosexual, white make. Stan has been using methamphetamine
for the past eight years. Initially, he was smoking the drug. Five years ago he began
using intravenously. Stan injects methamphetamine 3-5 times daily.
Personal Status
Stan is the middle of three siblings. He has an older sister and a younger brother. Stan
Was bom and raised in Arkansas. He moved to the West Coast at the age of 20. He was
thrown out of the family home after revealing his honxsexuality. Stan became sexually
ative at the age of 13. He has been engaging in promiscuous, unprotected sexual
activity since the age of 20. Stan was involved in the gay party circuit in the San
Francisco Bay area during the ten years he lived there. Upon moving to NJ, he began
frequenting the gay bathhouses in NYC The majority of Stan’s social circle is made up
of individuals he met in these establishments. Stan reports that they are all
methamphetatuine users. Sun has been sexually involved with several of them.

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