Case Study

Readings

In your  text:

• Read “,” pages 749759. The core elements of assessing the cultural, racial, and ethnic context of psychodiagnostics are detailed in a standard fashion to support the effective use of the DSM-5 as a diagnostic system.
• Choose any single diagnostic code number listed in the classification, and read the full section describing that diagnostic code number within the body of the DSM-5. You will find these narrative sections about each Diagnosis Code in Section II. If you’re not sure which section the diagnosis is in, you can do a . This reading will serve two purposes: first, it will acquaint you in more depth with the structure of the DSM, and second, it will provide the context for you to use in the second discussion in this unit.

Carefully read the  to prepare for the first discussion in this unit.

Carefully read and study the following course resources:

• The  lists the factors which you will need to take into account when you work with and diagnose clients. While you will not be required to conduct an MSE in this course, this checklist can be considered when you read the cases and may be worth commenting on when you explain your diagnostic process.
• The  provides a format for you to use in applying the DSM-5 in discussions and assignments in this course. This means that when you respond to an assignment or discussion question that features the  in the Resources section, you should use that format in generating your submission for grading. The guide has four sections:
  1. Case Summary This is a brief summary of what you learned about the individual.
  2. Clinical Impression (Diagnosis) This is your clinical impression in the DSM-5 format that was explained in Units 1 & 2.
  3. Recommendations- Describe the next steps in the case, including further assessment and treatment.
  4. Question- Each Discussion Question or Assignment may include SPECIFIC questions that you are to cover. These are likely to be different from the default question in section 4 or the sample . You are to cover the specific questions listed in the Discussion Question or Assignment direction in this 4th section.
     

     Case Study of John

     The purpose of this discussion is to think through some of the ambiguities that can make the diagnostic process more complex than it might at first appear.

     Begin by carefully reading the Case Study of John. Pay particular attention to how the psychologist’s diagnosis changes as the case unfolds and more information is available about John. Imagine how much more difficult accurate diagnosis would have been if you had followed a particular diagnosis prematurely.

     1. What were your thought processes and reactions as you noted the changing picture presented in John’s case?
     2. Using the diathesis-stress model to assess John’s case, what salient vulnerabilities and stressors come to mind?
     3. Attempt a diagnosis for John, based on your current knowledge, providing the DSM-5 and ICD-10 codes, according to the format provided in Unit 1.

     Some suggestions to help you prepare your initial post: Since you have not yet learned diagnostic specifics, just describe your evolving impressions in whatever terms seem the most accurately descriptive, and the reasons for those impressions. Turn to the DSM Decision Trees and DSM-5 diagnostic categories for assistance. A combination of narrative comment and a highlighted encoding DSM-5 diagnosis would work well.

     Refer to the Case Study Response Guide to assist you with this discussion.

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