Abnormal Content of Thought

Overall Findings:

1. Analysis

1. Impaired overall functions
2. Abnormal content of thought
3. Illogical form of thought
4. Distorted perception
5. Mood and affect
6. Impaired sense of self
7. Altered volition
8. Impaired interpersonal function
9. Changes in psychomotor functions

B. Depression

1. Depressed or sad
2. Guilt feelings
3. Feeling of worthlessness
4. Hopeless and helplessness
5. Feeling of inadequacy
6. Suicidal ideation
7. Anxiety or anxious feeling
8. Social withdrawal
9. Low self-esteem
10. Low frustration tolerance
11. Feeling of rejection

C. Schizophrenia

1. Auditory Hallucination
2. Thought withdrawal/ thought insertion/ thought broadcasting
3. Paranoid
4. Poor interpersonal relation
5. Dependent
6. Regression
7. Feeling of inferiority
8. Mutism
9. Ideas of reference
10. Withdrawal

D. Personality Profile

1. Low intelligence
2. Emotionally unstable
3. Weak ego strength
4. Submissive
5. Lack assertiveness
6. Striving for autonomy

Summary of Findings with Psychodynamics:

1. Analysis

Impaired overall functions

        The patient

Abnormal content of thought

        The patient’s abnormal content of thought includes all of his delusions and his wrong perception about himself as an aswang, and being Judas. He een thought that some of his classmates were NBA agents and the people around him kept on talking behind his back and conspiring against him. This showed when the patient had bizarre thoughts which started when he had schizophrenia. The patient became delusional and had perception that exceeds the reality because the patient cannot control his own thoughts anymore and was more controlled by his conscience. His delusions were his way of accepting what was really happening to him and this justified the guilt feelings he was experiencing such as being a sinner. Since the patient lost his control with his mind, the patient also lost his hold with reality and was preoccupied by bizarre thoughts. He was unable to think precisely and cannot filter what is true and what is just made up by his mind.

Illogical form of thought

        The patient’s illogical form of thought was evident when the patient experienced thought withdrawal, thought insertion and thought broadcasting. There were caused by the overinclusiveness of thoughts that are not that relevant and was out of the reality. There was also loosening of association wherein the patient thought that his own words and thoughts were sometimes taken away. This rooted from the patient’s impaired sense of self and inability to control his own mind. The patient cannot identify reality and what was only made up by his mind. The patient became unable to think in a precise manner since he was unable to keep unnecessary elements outside his perception. The patient lost his control of his thoughts that it led to the patient’s illogical form of thought.

Distorted perception

        The patient’s distorted perception was shown when he had auditory and tactile hallucinations. He heard and felt things that were really present. The patient’s senses became abnormal and felt and heard stimuli that are not there. The patient heard voices commanding him and telling him derogatory remarks. There was also an instance wherein the patient felt that someone is touching him. The patient’s perception about himself was also distorted that he perceived himself as an “aswang” which was not true. This rooted from the patient’s decreased of sense of self-worth and think that he was a sinner. He heard voices calling him names that are degrading which show the patient’s guilt of being the names given because of his misdeeds before and guilt of being not a good child to his parents.

Mood and affect

        The patient became anxious and depressed when he suffered Schizophrenia. This rooted from the patient’s guilt feelings towards the people he had done wrong and his guilt feelings about himself such as being a sinner and his misdeeds before. He became depressed as his anxiety increased when he thought that everyone is conspiring against him including his parents. Feeling hopeless and helpless, the patient lost his will to live and even tried to kill himself. He felt guilty in lots of things even though it happened a long time ago. His guilt feelings led to his depression when he lost interest in everything and withdrawn his self in the people around him. He also became depressed his auditory hallucination persisted calling him derogatory remarks which show the patient’s preoccupation and guilt feelings of his misdeeds before that he perceived himself as “gago”, “walang kwenta”, and being the black sheep of the family.

Impaired sense of self

        The patient showed impaired sense of self when lost control of his own mind and was more controlled by his conscience and guilt. He even perceived himself differently and thought that he was an aswang which was very bizarre and illogical. The patient lost touch of himself and cannot control his thinking. He had his own logic and perception which was caused by his guilt feelings that he cannot bear anymore. The patient’s anxiety with his condition is also one of the factors on the patient’s impaired sense of self because he over think things and even exceed the reality. Because of the patient’s over thinking of his guilt, the patient lost control of his own self and was controlled by his superego. The patient always believed what his conscience is telling him even though it sometimes exceeds the reality.

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