Read the case and create a diagnosis
based on DSM 5. In your annotated bibliography, introduce your case (what are the criteria for making
that diagnosis). Then you start with the scholarly articles you will use to present your case.
If you want to clarify your diagnosis before working on the annotated bibliography assignment, email your. course faculty with the case number, diagnosis, and criteria on which you made the diagnosis.We will use the same rubrics for the annotated bibliography.This will be the case for the Panopto case presentation also. Please do not hesitate if you have questions. Be proactive in asking questions about the assignment sothat you can meet the expectations of the assignment, which will, in turn, meet the learning objective.
Anthony D’louise is a 44-year-old single, unemployed white man brought into the emergency
room by the police for striking an older woman in his apartment building. He stated, “That damn
bitch—she and the rest of them deserved more than that for what they put me through.”
He has been continuously ill since age 22. During his first year of law school, he gradually
became more and more convinced that his classmates were making fun of him. He noticed that
they would snort and sneeze whenever he entered the classroom. When a girl he was dating
broke off her relationship with him, he believed that she had been “replaced” by a look-alike. He
called the police and asked for their help to solve the “kidnapping.” His academic performance in
school declined dramatically, and he was asked to leave and seek psychiatric care.
Mr. D’louise got a job as an investment counselor at a bank, which he held for 7 months. While
working in that position, he had been getting an increasing number of distracting “signals” from
coworkers, and he became more and more suspicious and withdrawn. It was during this time that
he first reported hearing voices. He was eventually fired and soon thereafter was hospitalized for
the first time, at age 24. He has not worked since.
Mr. D’louise has been hospitalized 12 times, the longest stay being 8 months. However, in the
last 5 years he has been hospitalized only once, for 3 weeks. During the hospitalizations, he has
received various antipsychotic medications. Outpatient medication has been prescribed, but he
usually stops taking it shortly after leaving the hospital. Aside from twice-yearly lunch meetings
with his uncle and his contacts with mental health workers, he is totally isolated socially. He
lives on his own, cooking and cleaning for himself, and manages his own financial affairs,
including a modest inheritance. He reads the Wall Street Journal daily.
He maintains that his apartment is the center of a large communication system that involves all
of the major TV networks, his neighbors, and apparently hundreds of “actors” in his
neighborhood. There are secret cameras in his apartment that carefully monitor all of his
activities. When he is watching TV, many of his minor actions (e.g., going to the bathroom) are
soon directly commented on by the announcer. Whenever he goes outside, the “actors” have all
been warned to keep him under surveillance. Everyone on the street watches him. His neighbors
operate two different “machines”; one is responsible for all of his voices except the “joker.” He is
not certain who controls this voice, which “visits” him only occasionally and is very funny.
The other voices, which he hears many times each day, are generated by this machine, which he
sometimes thinks is directly run by the neighbor whom he attacked. For example, when he is
going over his investments, these “harassing” voices constantly tell him which stocks to buy. The
other machine, which he calls “the dream machine,” puts erotic dreams into his head, usually of
“black women.”
He describes other unusual experiences. For example, he recently went to a shoe store 30 miles
from his house in the hope of getting some shoes that would not be “altered.” However, he soon
found out that, like the rest of the shoes he buys, special nails had been put into the bottom of the
shoes to annoy him. He was amazed that his decision concerning which shoe store to go to must
have been known to his “harassers” before he himself knew it so that they had time to get the
altered shoes made up, especially for him. He realizes that great effort and “millions of dollars”
are involved in keeping him under surveillance. He sometimes thinks this is all part of a large
experiment to discover the secret of his “superior intelligence.”
At the interview, he is well-groomed, and his speech is coherent and goal directed. His affect is
only mildly blunted. He was initially very angry at being brought in by the police. After several
weeks of treatment with an antipsychotic medication that failed to control his psychotic
symptoms, he was transferred to a long-stay facility with the plan to arrange a structured living
situation for him.