Ashford three: – Week 2 – Project
Taking the Affected person’s Historical past
Every task on this course will allow you to put together your Remaining Paper. For every task, you’ll use the film character or historic determine you selected in your Week One journal. Keep in mind, after submitting this week’s task, you’ll not be allowed to alter your film character or historic determine.
One of many first steps in any scientific evaluation is to assemble a radical historical past from the affected person. This historical past contains, at minimal, the affected person’s figuring out data, presenting drawback, and related private historical past regarding their presenting drawback.
For this task, you’ll write the primary few sections of your psychological report. View the entire directions for the Remaining Paper within the hyperlink inside Week 5 of your on-line course or the “Elements of Course Analysis” part of this information. This week, your task should cowl the next sections of your psychological report and embody the headings as listed:
- Figuring out Info
Inside this part, you’ll describe primary data in your affected person, together with the individual’s title, intercourse, gender, sexual orientation, age, race, occupation, and placement of residence (nation, state, and area).
- Chief Criticism/Presenting Downside
Inside this part, you’ll embody the affected person’s main grievance verbatim to determine and describe the principle supply of his or her misery and/or issues. If there is no such thing as a verbatim grievance, embody observable data to create an general image of the presenting drawback.
Usually, this part inside a psychological report seeks to reply the next query (additional elaboration inside this part is inspired the place attainable):
- What are the affected person’s complaints? (e.g., the affected person may complain about “feeling on edge” or experiencing stress)
- You’ll not be finishing part III of the Remaining Paper for this week’s task.
- Private Historical past
Inside this part, you’ll describe your affected person’s private background and historical past of irregular conduct(s) that inform your diagnostic impression. Additionally, you will collect details about the affected person’s cultural background and cultural norms.
Usually, this part inside a psychological report seeks to reply the next questions (additional elaboration inside this part is inspired the place attainable):
- The place did the affected person develop up?
- What cultures did the affected person expertise all through life?
- What was the affected person’s faculty life like?
- What have been his or her grades? What’s his or her highest degree of training?
- What’s the affected person’s interpersonal relationship historical past?
- What was/is the affected person’s romantic relationship historical past?
- What was/is the affected person’s friendship historical past?
- Household Historical past
Inside this part, you’ll describe the affected person’s familial relationship(s) and determine any abnormalities which may have an effect on future remedy. Additionally, you will combine details about the affected person’s household and cultural background to determine any maladaptive behaviors and relational patterns.
Usually, this part inside a psychological report seeks to reply the next questions (additional elaboration inside this part is inspired the place attainable):
- How outdated have been the affected person’s mother and father when the affected person was born?
- Who have been the affected person’s main caregivers?
- What was/is household life like? (Embrace any data related to your diagnostic impression.)
- Did the household transfer typically?
- What was/is the affected person’s relationship with their siblings (if relevant)?
- What tradition did/does the household come from?
- What perception techniques are hooked up to that tradition?
- Remedy Historical past
Inside this part, you’ll describe the affected person’s remedy historical past to tell your diagnostic impression. Analyze the affected person’s remedy historical past to determine the effectiveness of earlier remedy(s). Consider earlier remedy interventions based mostly on data and information of the affected person’s cultural background.
Usually, this part inside a psychological report seeks to reply the next questions (additional elaboration inside this part is inspired the place attainable):
- Who was the earlier therapist (if any)?
- How lengthy did the earlier remedy/therapies final?
- What was the affected person’s prognosis?
- What interventions did the therapist(s) use?
- Have been these interventions acceptable for the affected person’s tradition?
- Was remedy profitable?
Your task ought to embody each a title web page and reference web page, and be of enough depth and element to assist and inform your diagnostic impression, with an absolute minimal of 4 pages (not together with the title and reference pages). A cursory or floor degree overview of the affected person’s presenting drawback and historical past will unlikely present sufficient data to your diagnostic impression.
