PSY 303: Abnormal Psychology
Instructor: Dr. Edward Fischer
Client name: Ernest Hemingway
DOB: July 21, 1899
Race: White Ethnical affiliation: Caucasian
Residence: Ketchum, Idaho
Sex: Male Gender: Male Orientation: straight
Religious affiliation: Catholic
Marital status: Married # of children: 3
Occupation: Author Education: High School
PRESENTING PROBLEM (Clearly specify the situations and events precipitated and/or resulting from the client’s struggles. Include issues relating to self, family, health, education, housing, employment, social, and coping skills. Primary complaint verbatim to identify the main source of his or her distress and/or concerns. Chief complaints.)
Ernest Hemingway presented himself with bipolar disorder, alcohol dependence, traumatic brain injury, and possible borderline and narcissistic personality traits. Hemingway also developed symptoms of psychosis likely connected to his basic affective illness and superimposed alcoholism and traumatic brain injury. Hemingway developed a variety of defense mechanisms, like self-medication with alcohol, a lifestyle of aggressive, risk-taking sportsmanship, and writing, in order to cope with the suffering caused by the complex comorbidity of his interrelated psychiatric disorders
His father committed suicide
SYMPTOMS (Within this section, you will interpret specific behavioral issues and intrapsychic conflicts as they relate to abnormal behavior, behavior patterns, maladaptive thought processes, and potential unconscious conflicts. Interpret and comment on the patient’s chief complaint and/or presenting problem in the context and language of the symptoms found in the DSM-5. (e.g., the patient who complains about feeling on edge might actually be experiencing symptoms related to post-traumatic stress disorder or generalized anxiety disorder).
Hemingway’s first show of mental illness came upon his return from WWI where he was suffering from PTS. His health issues of Hep B, diabetes with liver failure along with his alcoholism quickly torn down his mental state. He was involved in 2 major plane crashes that left him pretty severely injured. He sprained his arm, leg and shoulder, received a severe concussion, lost his eye sight and hearing temporarily plus ruptured his spleen, kidney and liver along with 1st degree burns to his skin. All these massive injuries caused him to start losing his mind.
He was diagnosed with different mental disorders: amnesia, bipolar disorder, depression and paranoia
He even had a failed suicide attempt in early 61. It put him back into the hospital for therapy.
PERSONAL HISTORY (Personal background and history of abnormal behavior(s) that inform your diagnostic impression; cultural background and cultural norms. Also see list in directions.)
When he was younger would lie about things he had done, being notorious for his exaggerations of experiences he had supposedly had. His upbringing was also disturbing and abusive. Hemingway's mother was delusional and believed that he was the twin of his older sister, Marcelline.
FAMILY HISTORY (familial relationship(s) and identify any abnormalities that might affect future treatment. You will also integrate information about the patient’s family and cultural background to identify any maladaptive behaviors and relational patterns. Include family history of mental illness or substance use. Also see list in directions.)
Ernest’s other would dress him up as a girl in dresses and kept his hair at girly lengths until Ernest demanded to be treated as a boy at age 6. Ernest’s father committed suicide while he was 29 years old. His brother and his sister also committed suicide.
THERAPY HISTORY (Therapy history to identify the effectiveness of previous treatment(s). Evaluate previous treatment interventions based on information and knowledge of