Case Conceptualization Cruella De Vil
Introducing the Character
Cruella is the top of the London fashion house called House of De Vil. Cruella has two passions smoking cigarettes and hair. Anita Dearly is one of Cruella's employees and hinted to be her best designer. Cruella first had taken involvement in the Dalmatian puppies when Anita drew areas on one of the designs. Anita, motivated by her dog designs a coating made with noticed fur. Cruella, leaps on the idea of making clothing but out of genuine Dalmatians. Cruella learns that Anita's Dalmatian, Perdy has given birth to 15 Dalmatian puppies, Cruella supplies the Anita's family a huge look for the newly born puppies, nevertheless they decline. Cruella is outraged and fires Anita and place programs to get even. Cruella has hires man, known as Mr. Skinner, a taxidermist. She hires him to destroy and skin area the puppies for the designs. Cruella directed Horace and Jasper Badun to capture the puppies, nonetheless they fail because of the participation of the plantation pets. Cruella herself then proceeded to go following the puppies after her henchmen were defeated, and located the puppies to the farm. She attempted to wipe out them but dropped sufferer to the farm animals, who were able to key and outwit her and defeated her by knocking her into mud. Cruella was later arrested for her crimes along with her henchmen.
Identifying Information. Cruella is a 60 something year old Caucasian female who was accepted to Gibson Middle for Wellness mandated within her probation. She often known for her stylish but loud and flamboyant demeanor. She actually is known to be vain, egotistical, and her mental unpredictability. Her employees have stated she has a harsh personality, a terrible temper, and bizarre preference, and it is cruel without concern or remorse.
Goals for treatment: Cruella found with allocated therapist for a formal Broad Clinical Assessment to find out most appropriate analysis base on client interview and medical record review.
Primary Medical diagnosis: 301. 81 (F60. 81) Narcissistic Personality Disorder
Additional Associated Factors: Z65. 1 Imprisonment or other incarceration, F17. 209 Unspecified tobacco-related disorder, Z65. 3 Problems related to legal circumstances
Discussion of Diagnostic Impression
Cruella has been mandated by the court to seek mental health services anticipated to her pervasive routine of grandiosity, need for admiration, and lack of empathy. Her habit led to imprisonment credited to believing she was above the law. She is a wealthy female and has usage of a variety resources to reap the benefits of mental health treatment.
Cruella's presenting actions are consistent with Narcissistic Personality Disorder per DSM-V (Connection, 2013, p. 669). The identification of Narcissistic Personality Disorder, is included in section with several other personality disorders, Paranoid personality disorder, Schizoid personality disorder, Schizotypal personality disorder, Antisocial personality disorder, Borderline personality disorder, Histrionic personality disorder, Avoidant personality disorder, Dependent personality disorder, Obsessive-compulsive personality disorder, and Personality change due to condition. Regarding to DSM-V, a personality disorder is identified by a routine of interior experience and habit that deviates markedly from the expectation of the individual's culture, is pervasive and inflexible, has an starting point in adolescence or early adulthood is secure overtime, and brings about distress or impairment (Connection, 2013, p. 645).
Cruella is a single sixty something year old women who is demonstrating symptoms that are compatible for an individual which has a grandiose sense of self-importance. She often known for her stylish but noisy and flamboyant demeanor. She is observed to be vain, egotistical, and her mental unpredictability. Her employees have mentioned she has a harsh personality, an awful temper, and bizarre tastes, and is cruel without concern or remorse.
A clinician may consider the differential examination of Antisocial personality disorder. The identification can be eliminated because Antisocial personality disorder is distinguished from Narcissistic personality disorder because the symptoms patter must be observed beginning since time 15 years (Connection, 2013, p. 659). Another medical diagnosis that may be eliminated is Mania or hypomania but grandiosity may emerge as part of manic or hypomanic episodes, but the association with spirits change or functional impairments helps identify these shows from narcissistic personality disorder (Relationship, 2013, p. 672).
Once demographic information is collected during intake and clinical interview is completed by counselor, evaluation of diagnostic conditions and customer symptoms was confirmed for Narcissistic Personality Disorder. Cruella concerns and earlier behaviors were defined Narcissistic Personality Disorder. Next, her counselor developed an instance conceptualization. The purpose of the diagnostic impressions is to describe the client's concerns, the target or circumstance conceptualization is to better understand and clinically explain the person's experience (Schwitzer, 2015).
Cruella presents for scientific interview it is observed that she's two toned coloured hair. Her locks is colored black on one aspect and white on the other. She is using a skintight dress, and an oversized mink coat which includes a long train. She constantly smoked just about everywhere she went and often would thump ashes on others or on the floor.
Purpose: The concentrate of today's procedure was on developing a level of trust with the client by setting up a restorative environment. Consistent eye contact, active tuning in, unconditional positive regard, and warm approval were used to help build trust with your client. An emphasis was located on the client having the ability to express problems, would like, and goals.
Intervention: Your client was employed using the cognitive behavioral remedy methodology. The client's record of illegal activities was gathered. Your client was asked to list negative effects that have accrued to her habit. The clients level of information toward the presenting problems was assessed. Open-ended questions were used to help the client explore her own motivation for change.
Assessment: Your client reported that she acquired a history of rule breaking, lying down, physical aggression disrespect for others and the law. The client acknowledges that her disregard for the law led to serious problems. The client, after explaining her routine of disrespect for others feelings, confirmed no remorse on her behalf behavior. The client refused to have responsibility on her behalf decisions and activities. The client defined an inclination to dominate al cultural and business situations by be too direct and overbearing. The client described a style of perpetual impatience with any waiting around, delay, or interruptions.
Treatment Goals and Objectives
- Develop and display a wholesome sense of esteem for communal norms, the privileges or others, and dependence on honesty.
- Accept responsibility for own tendencies and keep tendencies within the appropriate limits of the rules of contemporary society.
- Achieve an overall diminished in pressured, driven behaviors.
- Develop cultural and outdoor recreation as a usual part of life.
- Alleviate sense of energy urgency, free-floating panic, anger, and self-destructive actions.
- Cruella will verbalize an understanding of the benefits for self as well as others of living within the laws and regulations and guidelines of society.
- Therapist will instruct the client that the basis for relationship is trust that the other person will treat one with respect and kindness.
Evidence Based GUIDELINES (EBBP) Type of treatment
Narcissistic personality disorder is described as a debilitating and hard-to-treat condition. Often, social relationships can be brutally distressed, both socially and occupationally, which makes it very difficult for folks with this disorder to experience a fulfilling life and appreciate their wishes. Research suggest, effective treatment of narcissism includes aggressively resonating with the client's self-definition and the way the client observes the presenting problem; producing self-reflection in the client during the prep phase; identifying the many possible therapy detours and useless ends that can derive from overactivation of security; identifying and treating core experiences of early nonengagement, overlook, and trauma that might have been initially covered (i. e. , blocked from understanding) by defenses; figuring out and empathetically fixing distortions in the client's conception of the therapist; and dodging nontherapeutic countertransference reactions originating within the therapist (Mosquera, 2015). EMDR uses an eight-phase procedure and addresses memory, current causes, and future situations (Mosquera, 2015).
Cognitive-behavioral remedy (CBT), the counselor helps the client acknowledge negative and distorted thoughts and replace them with positive ones structured. CBT methodology commonly integrates have a discussion therapy to bring awareness to harmful interior dialogues and repeated maladaptive behaviors. Once recognized, the therapist helps the client in substituting these with healthy ones (Christensen, 2014).
Psychodynamic therapy approach emphases on unconscious thinking functions that influence a person's behavior. The goal is to increase the client's self-awareness of the unconscious ideations and help him make the bond between these and distorted conscious thought functions and behaviours. When used in narcissistic personality disorder remedy consultations, the clinician leads your client in exploratory unanswered issues from connection in previous dysfunctional connections, usually beginning with the individual's parents or other most important caregiver (2014).
There are no medications specifically used to take care of narcissistic personality disorder. Nevertheless, if you have symptoms of depression, nervousness or other conditions, drugs such as antidepressants or anti-anxiety drugs may be accommodating. Thus, psychiatrist, nor use medication as treatment for narcissistic personality disorder straight. In its place, the provider may recommend medication to handle any co-occurring mental disorders, such as depression or obsessive-compulsive disorder (Magazines, 2016).
Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (5th Ed). Washington DC: American Psychiatric Connection.
Christensen, J. F. (2014). Behavioral medication helpful information for scientific practice. NY: Mc Graw-Hill Education.
Jongsma, A. E. (2006). The complete adult psychotherapy treatment planner. New Jersy: John Wiley and Sons, Inc.
Jongsma, A. E. (2014). The adult psychotherapy improvement records planner. New Jersy: Wiley.
Mosquera, D. K. (2015). Understanging and treating narcisism with EMDR therapy. Journal of EMDR Practice and Research, (9) 46-63.
Publications, H. H. (2016). Drugs. com. Retrieved from Drugs. com: www. drugs. com
Schwitzer, A. M. (2015). Analysis and Treatment Plainning Skills. LA: Sage.
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