CLINICAL

REPORT

PRESENTED BY

Roll No .9783
M.Sc Psychology

The clinical report is presented to Bahauddin

Zakariya University Multan in partial
 fulfillment of the requirements of the paper
"Clinical Psychology" of M.Sc Psychology
Part-11

CERTIFICATE

It is the certified that this clinical report is carried out under the

rules and directions of Department of Psychology, Bahauddin

Zakariya Universty, Multan.

Department of Psychology,
Leads Universal College,
Khanewal.

2
 ACKNOWLEDGEMENT
Allah, the most gracious, who helped me in most crucial time

and enable me to complete my research project in the shortest time.

Having been much obliged and grateful to my teachers of

Leads Universal College Khanewal for their precious instructions,

directions and Encouragement that enable me to complete this

report.

NOREEN KANEWAL

ROLL NO. 9783

3
 TABLE OF CONTENTS

Chapter No. CONTENTS

Chapter No. l INTRODUCTION
Chapter No. 2 Clinical Reports
Case No. 1

Schizophrenia
Case No. 2

Depression
Case No. 3

Disorganized Schizophrenia
Case No. 4

Somatoform
Case No. 5

Drug Abuses

Chapter No.1

4
 Introduction

Clinical Psychology

Clinical psychology is concerned with the understanding and

improving human functioning along with other fields of psychology and the

5
behavioral science. It share task of increasing knowledge about the principle
of psychology functioning of person in particular as one so called mental
health wellbeing of psychologically troubled people. As a clinical field it is
dedicated in improving a lot of individual's distress using the best
knowledge. The technique needed for the improvement of the future.
Mental disorders are characterized by abnormal behavior, thoughts
and feelings. The term abnormal literally refer to any departure from norm.
Expert in the field of abnormal psychology do not agree completely about
what behavior constitute psychological disorders. The judgment someone
has mental disorders in typically based on the evaluation of the individual's
behavioral functions of the people who have special authority or power. The
temi used to describe this phenomena mental disorder, mental illness or
abnormality depends on particular perspective, training and cultural
background of the evaluator on the situation and on status of the person
being judge (Zimbardo & Weber, 1997).
The most important features of mental disorder is not whether a
person's behavior is "Abnormal". Mental disorders caused distress of
discomfort and often interfere with people's ability to hold lead Useful
productive lives. They often make it impossible for people to hold jobs, raise
family or related socially (Carlson, 1997).
Maladaptive behavior is deviant behavior however; deviant or unusual
behavior is not necessarily maladaptive. There are many causes of
maledictions e.g. brain damage, undesirable past or present relationship,
stressful events, abnormal behavior, thoughts and emotions are those violate
a society's idea about proper Functioning.

6
DSM-IV was published in 1994. hi June 2000 "Text Revision" DSM-1V-TR
was published. Almost no changes were made to the diagnostic Categories
and criteria. What were changed some discussion bearing on issues such as
prevalence rates, course and etiology based on recently published research.
DSM-IV is mutinied classification a Multimodal system involves an
assessment several axis, each of which refer to different domain of
information that may help the clinician Plan treatment and predict outcomes.
There are five axis included in DSM-IV multimodal classification.

Axis I Clinical Disorder:

1. Disorder usually first diagnosed in infancy, childhood or adolescence.

a) Pervasive Disorder
b) Learning Disorder
c) Attention Deficit Disorder
d) Conduct Disorder
e) Separation Anxiety Disorder
2- Delirium, Dementia, Amnesic and Other Cognitive Disorder
3- Mental Disorder due to general medical condition
4- Substance related Disorders
5- Schizophrenia & Other psychotic Disorders
6- Mood Disorder
7- Anxiety Disorders
8- Somatoform Disorders

7
Introduction of
the Tests
8
INTRODUCTION
Three tests were administered for diagnostic purpose; these three
tests are psychological tests, which are followings.

1. R.I.S.B (Rotters incomplete sentence blank)

2. M.M.P.I (Minisota multiphasic personality inventory)

3. H.T.P .(House, tree, person test)

INTRODUCTION OF R.I.S.B.

It is a personality test. The name of the author of the test is Julaion

B.Rotter. He published this test in 1950. It is a projective
technique. The test consists of 40 incomplete items. Each item
consists of two parts. One an incomplete sentence or words and the
other response of the examinee. This test attempt to measure the

9
unconsciousness, hidden desires, feelings, attitude, wants and other
affairs on an individual.

INTRODUCTION OF M.M.P.L

It is objective type of test. It was published in 1939 by Hathaway and

Mchinley. The purpose of this test to diagnose psychotically problems of
a person, this test consists of 339 items. Person should be response in
yes or no and cannot say categories. Every response is the sign of some
characteristic of a subject.

INTRODUCTION OF H.T.P.

It is a projective type of measure. It is also called expressive

technique. It is used to measure sexual and social attitude, aptitude,
and style of making, perception and time. Subject draw four
pictures one by one. Then gives the score according to the manual.

10
 Clinical report
case 1

Case Study
Name ___________ Age ____________________

Education ___________ Marital Status ___________

Residence_______________________________________

________________________________________________

11
Presenting Complaints (given by):

Patient ________________

Informant ________________

History of Present illness;

Duration_________________________________________

Precipating factors
______________________________________________

History of past illness:

________________________________________________

Past psychiatric illness:

Sympotoms:
________________________________________________

________________________________________________

Diagnos:
________________________________________________

Treatments:
________________________________________________

12
Family History:

Father___________ Age____________

Occupation_____________________________________

Relationship with Client: __________________________

Sepration: _____________________________________

Reason________________________________________

Duration_______________________________________

Siblings _______________________________________

Birth order, normal / surgical aided _________________

Death ________________________________________

Age__________________________________________

Relation with client ______________________________

Family system:

Joint Family _________________Solitary______________

Sepration _______________Reasons _________________

Personal History:

Birth order_____________________________________

13
Normal________________________________________

Surgical aided__________________________________

Early development______________________________

Milestone of development________________________

Started______________________________________

Walk age________________ Talk age_____________

Normal growth________________________________

Any abnormality______________________________

Childhood:

Normal growth______________________________

Interested school____________________________

Family ____________Peer group_________________

Supports______________________________

Neurotic traits:

Thumb sucking___________________________

Nail biting ________________________________

14
Bed-wetting __________________________________

Fearful attitude ________________________________

Adolescence:

Body changes occur normally:

Male ____________ Deep voice ________________

Others________________________________

Female______________ Feminine attitude__________

Menstrual started_________________________________

Normal period ___________________________________

Attraction to opposite sex___________________________

Passiveness______________________________________

Aggressive_______________________________________

Education_______________________________________

Stopped______________ Reasons _______________

Adulthood:

Normal growth__________________________________

Age________________ Marriage___________________

15
Love________________ Arrange___________________

Girl age________________ Difference_______________

Children________________________________________

Relationship_____________________________________

Psychosexual History:

Attraction_______________________________________

Homosexual_____________________________________

Heterosexual____________________________________

Multiple partners_________________________________

Present Social Circumstances;

Culture__________________________________________

Language_______________________________________

Income_________________________________________

Class__________________________________________

Social interest__________________________________

Premorbid personality:

16
Inter Personal relationships_______________________

Social relations_________________________________

Pleasures source_______________________________

Hobbies______________________________________

Friends______________________________________

Activities_____________________________________

Characteristics________________________________

Type of personality_____________________________

Hyperactive___________________________________

Aggressive___________________________________

Stubborn_________________________________________

Dependent/independent_____________________________

Passive_________________________________________

Extrovert / introvert________________________________

Pessimist / optimist________________________________

Attitude and standard:

Normal___________________________________

17
Rigid_____________________________________

Flexible__________________________________

Religious_________________________________

Politician_________________________________

Mental State Examination;

Psychological assessment:

General Appearance_____________________________

Behavior______________________________________

Well dressed___________________________________

Healthy look________________________________

Clean_____________________________________

Sitting Comfortable__________________________

Cooperative______________________________________

Report established ________________________________

Anxious_________________________________________

Trusting_________________________________________

Lethargic________________________________________

18
Normal talk______________________________________

Normal tone______________________________________

Relevant_________________________________________

Irrelevant________________________________________

Mood:

Subjective:

Happy : (base on person self)

Sad :

Objective:

Low mood

High mood

Thought process;

Form:

Delusion of grandeurs

Suspiciousness

Paranoid

19
Content:

Something aid

God image

Evil thing

Possession / alienation:

Possessive ideas____________________________

Suspicious__________________________________

Doubt on others_______________________________

Perception:

Illusions_______________________________________

Visual ________________________________________

Hallucinations__________________________________

Visual________________________________________

Auditory______________________________________

Somatosensory________________________________

Delusions_____________________________________

Pattern of thinking:

20
Blocking___________________________________

Stereotype_________________________________

Flight Of ideas______________________________

Imaginations_______________________________

Control___________________________________

Not control________________________________

Cognitive function:

Decision Power _______________________________

Problem Solving ______________________________

Attentive_____________________________________

Not Responsive_______________________________

Concentrated_________________________________

Follow Instructions_____________________________

Memory:

Short Term_____________________________________

Long Term___________________________________

21
Registration Maintain______________________________

Orientation:

Time________________________________________

Place _______________________________________

Person ____________________________________

Intelligence / General Knowledge;

Name of Country _____________________________

Name of City_________________________________

Name of President____________________________

Name of Prime Minister________________________

Utilised skills________________________________

Intact______________________________________

Impaired___________________________________

Level of Insight;

Self inform_________________________________

Knowledge of illness_________________________

Prepared for therapy______________________________

22
Attitude towards therapist __________________________

Upset__________________________________________

Diagnosis:

________________________________________________

Management:

Duration________________________________________

Method used for assessment clinical interview

Test applied______________________________________

________________________________________________

Prognosis________________________________________

Clinical Report of the

1st Patient:

Bio Data:

Name Muhammad Rehman

23
Age 18 years

Sex: Male

Education Matric

Mental State Unmarried

Religion: Islam

Occupation Carpenter

Presenting complaints;

As given by the patient;

Duration:

He had mental illness since childhood .He had sexual disorder

since 2 years. He had inferiority complex since childhood. He had
aggression since childhood. He had suicidal thoughts since 2 years.
He had delusional thoughts since 2 years. He had hallucination
since 2 years.
He had odd behaviour since 2 years.

24
Behavioural Observation:

When i meet with my client he looked very co-operative but in

tense condition. He was agreeing t condition. He was not much
clean yet not dirty. He appeared to be very concerned about his
problem. He seems anxious.
He wanted to detail about him self.

Family Data:

Father:

My client's father name was Muhammad Rehman . His father had

been died.

Mother:
The mother of my patient named Rashidah. She was alive. His
mother was abnormal. In his family she was only mentally ill and
he him self.

Siblings:

My patient had 2 brother and 8 sisters. He was 3rd by birth order in

his family.

25
Education of brothers and sister's:
N his family only he was matric passed. All family member Were
uneducated

Personal History:

As reported by the patient's information, he had good relation, with

his mother and siblings. He also liked a girl and had sexual relation
with her. He used drugs.
Mantel State of the patient:

Perception and thought process:

As my client complained that he thought any other power

controlled him. He had courage to do some thing positive and want
to stop drugs immediately. He wanted to get money. He thought
that other people especially his relatives felt jalousie from him.

Level of insight:

As i observed my patient he was fully aware about his illness or

habit.He fully knew about the nature of illness or habit. He was
ready for any kind of co-operation in the procedure. He was agreed
to improve his health by stopping drugs and sexual relation.

26
Appearance and behaviour:

The client dressed in normal cloths. His cloths were neat but not
pressed. He had eye contact. He walked normal. He came himself.
He had no abnormal movements.

Orientation:

When I inquired about time, place, person and date, his orientation
was good. He told me about the correct time, place name, date and
about himself.

School education:
The patient got religious education. He started his schooling by the
age of 4 years. His attitude towards institution in which he got
education was positive. The patient thought he had not fulfilled the
hope of his parents.

Relationship with her other Family

Members:

The patient thought that other family members were sup ported or
co-operated to her.He had positive feelings about his father.He

27
belong to a religious family. He was pleasant relationship with
parents. His parents had defective relationship.
Family system:
As reported by the patient they belong to a separate family system.
General Health:
The patient had physical complaints during his childhood. The
patient showed anger and hostility in reaction to this physical
complaints. The patient had problem of sleep disturbance. He was
addicted. He was habitual smoker.

Psycho sexual history:

The patient loved a girl and had sexual relation with her.

Pre-morbid personality:

He was an energetic person and aggressive person. He had sexual

desires. He had feelings of ashamed due to his sexual relation. He
was not satisfied with his environment.

Service Record:
Having no service record.

28
Maritial status:
He was unmarried.

Social behaviour:
He was not very social. He was an introverted person. He had not
many friends in his school days.

Self analysis:
The patient had complete unrealistic thinking about himself. He
had hallucination and delusions.

Observational assessment:
The patient was looked very depressed. He was an aggressive and
suspicious person. He was co-operative and
answered my questions in a short words. He was not very
suggestive.

Formulation of the case of according

To DSM-IV-TR:

29
 1. Two or more symptoms delusions, hallucinations,
disorganized speech and contain behaviour and symptoms.
2. Duration of symptoms should be more than six month.
3. Social and occupational functioning have declined.
4. Disorganised speech.
My client fulfills the criteria of schizophrenia. We know that
schizophrenia is irreversible brain disorder that is why we cannot
care.

Test Administration:
Despite case study from the Following psychological test were
administered to the patient for diagnosis purpose.
1. R.I.S.B..... ...Rothers Incomplete Sentence Blank
2. M.M.P.T......Minnesota Multiphase Personality Inventory.
3. H.T.P. .House. Tree. Person Test.

R.I.S.B
It is personality test. It is a projective technique. It consist of 40
items each items consist of 2 parts one in a complete and other the
response of the examinee. The incomplete part regarded as a
stimulus which directs the examinee towards a particular

30
Response. In it all 40 items to reflect of a person hidden Feelings,
desires and other fairs.

Test Analysis:
1: Family Attitude.
The family attitude of the patient was pleasant and good.
Item # 2. The happiest time……………. when I fell in love
Item # 4. Back home. ………….Family members will be happy.
Item # 11. A mother. ………………...can do every thin.
Item # 35. My father…………………… was very nice.

2: Social Attitude.
The results indicate that the social attitude of the patient was not
good and bad.He had positive and negative attitude towards
people.
Item # l. Like............... Kaiynat.
Item # 6. At bed time................ 10pm to 4 am.
Item #10. People............... good and bad.
Item #16. Sports........... Kabaddi.
Item #19. other people........... are good.
Item # 23. My mind.............. always in thoughts.

31
3. Conflicted Response:

The patient was a conflicted person.

Item # 9. What annoyes me........... mother.

Item #13. My greatest fear............ is to kill any body.

Item #19. Other people........... are good.

Item # 23. My mind.............. always in thoughts.

4: General Attitude.
He was simple and very co-operative person.
Item # 4. Back home……………… Family members will be
happy.
Item # 8. The best. ………………is very good.
Item # 24. The future. ……………… i want to do something good.
Item # 27. I am best when. ………………when,why,how.
Item # 34. I whish. ……………… my mother should go to
Makkah.
Item # 38. Dancing. ……………… is very nice.
Rotter incomplete sentence blank
Complete these sentences to express your real feelings. Try to do
everyone. Be sure tomake a complete sentence.
1. Like

32
2 the happiest time
3 I want to know
4 back home
5 I regret......
6. at bedtime
7. Boys........................................................
8. The best........... ........;.............................
9. What annoys me.........................................................
10. People................
(11. Mother........
12 feel................................
13. My greatest fear
14. In high school...............................................................
15.1 cannot.........................................................................
16. Sports............................................................................
17. When I was child...............................................................
18. My nerves....................... ..................................................
19. Other people......................................................................
20.1 suffer................................................................................
21.1 failed.............................................
22. Reading........... .:.:.::.......................
23. My mind.. ......'.'.............. .........................................
24. The future..... ........ .......... ..... ......:........................

33
25.1 need.. ....................................................................
26. Marriage.........:..,.
27.1 am best........
28. Sometimes.....
29. What pains me
30; l hate............
31. This school............
32.1 am very............:.
33. The only trouble.......................
34.1 wish.......:....................................................
35. My father....................................................
36.1 secretly.........................................................................
37.1................................................................................
38. Dancing..........................................................
39. My greatest worry is.........................................................
40. Most girls....................................................
Scoring Table

CONFLICT POSITIVE NEUTRAL OMISSION

4 5 6 3 1 1 N 0
C1 C2 C3 P1 P2 P3 3

34
 16 45 24 16 4 4 4 6

Conclusion:
The patient had conflicted personality.

2: M.M.PI

It is objective type of test. It was published in 1939 by Hathaway

and Mchinley. The purpose of this test is to diagnose psychological
problems of persons this test of 399 Items. Person should be
response in Yes, No cannot say categories. Every response is the
sign of some characteristics of a subject. It can be used both in
individual and groups Level successfully.

Scale T-score
L 64
F
K 70
Hs 77
D 85
Hy 89

35
Pd 74
Mf 80
Pa
Pt 73
Sc 92
Ma
Si
Analysis of MMPI:
As clear in the table of MMPI interpretation the client's score is
high on the scale of Sc that is schizophrenia scale. So we can call
the client he is the patient of schizophrenia.

H.T.P
It is a projective type of measures. It is used to measure self, sexual
and social attitude. Aptitude , style of making perception and time
must be note is this test subject draw 4 pictures one by one then
gives the scores according to the Manual.
Test Analysis:

36
1: Sexual Attitude:

The patient had sexual desires.

He had distorted self image among the people.

He had greater anxiety conserving the self.

He had sexual conflicts.

He had problems in sexual sphere.

2: Social attitude:
He had subject difficulty to approach.
He had fantasy and ideation.
He had strength of ego
He felt insecurity.

3: Self Identification:

37
He had limited ego strength.
He had anxiety towards oneself.
He had traumatic injury.
He was disconnected to reality.
He was aggressive.
He had difficulty to reach out in all efforts.
He had split ego functioning.

Diagnosis:

Schizophrenia (Disorganised type)

Characteristics (according to DSM.iv)

• Thought disturbance
• Emotionally disturbed
• Disorganised speech
• dellusion of grandious
• Bizarre behaviour
• Sleep disturbance
Suggested Therapy:

38
• Cognitive therapy
• Behavioral therapy
• Drug therapy Case Study

39
 Clinical report
case 2

Case Study
Name ___________ Age ____________________

Education ___________ Marital Status ___________

Residence_______________________________________

________________________________________________

40
Presenting Complaints (given by):

Patient ________________

Informant ________________

History of Present illness;

Duration_________________________________________

Precipating factors
______________________________________________

History of past illness:

________________________________________________

Past psychiatric illness:

Sympotoms:
________________________________________________

________________________________________________

Diagnos:
________________________________________________

Treatments:
________________________________________________

41
Family History:

Father___________ Age____________

Occupation_____________________________________

Relationship with Client: __________________________

Sepration: _____________________________________

Reason________________________________________

Duration_______________________________________

Siblings _______________________________________

Birth order, normal / surgical aided _________________

Death ________________________________________

Age__________________________________________

Relation with client ______________________________

Family system:

Joint Family _________________Solitary______________

Sepration _______________Reasons _________________

Personal History:

Birth order_____________________________________

42
Normal________________________________________

Surgical aided__________________________________

Early development______________________________

Milestone of development________________________

Started______________________________________

Walk age________________ Talk age_____________

Normal growth________________________________

Any abnormality______________________________

Childhood:

Normal growth______________________________

Interested school____________________________

Family ____________Peer group_________________

Supports______________________________

Neurotic traits:

Thumb sucking___________________________

Nail biting ________________________________

43
Bed-wetting __________________________________

Fearful attitude ________________________________

Adolescence:

Body changes occur normally:

Male ____________ Deep voice ________________

Others________________________________

Female______________ Feminine attitude__________

Menstrual started_________________________________

Normal period ___________________________________

Attraction to opposite sex___________________________

Passiveness______________________________________

Aggressive_______________________________________

Education_______________________________________

Stopped______________ Reasons _______________

Adulthood:

Normal growth__________________________________

Age________________ Marriage___________________

44
Love________________ Arrange___________________

Girl age________________ Difference_______________

Children________________________________________

Relationship_____________________________________

Psychosexual History:

Attraction_______________________________________

Homosexual_____________________________________

Heterosexual____________________________________

Multiple partners_________________________________

Present Social Circumstances;

Culture__________________________________________

Language_______________________________________

Income_________________________________________

Class__________________________________________

Social interest__________________________________

Premorbid personality:

45
Inter Personal relationships_______________________

Social relations_________________________________

Pleasures source_______________________________

Hobbies______________________________________

Friends______________________________________

Activities_____________________________________

Characteristics________________________________

Type of personality_____________________________

Hyperactive___________________________________

Aggressive___________________________________

Stubborn_________________________________________

Dependent/independent_____________________________

Passive_________________________________________

Extrovert / introvert________________________________

Pessimist / optimist________________________________

Attitude and standard:

Normal___________________________________

46
Rigid_____________________________________

Flexible__________________________________

Religious_________________________________

Politician_________________________________

Mental State Examination;

Psychological assessment:

General Appearance_____________________________

Behavior______________________________________

Well dressed___________________________________

Healthy look________________________________

Clean_____________________________________

Sitting Comfortable__________________________

Cooperative______________________________________

Report established ________________________________

Anxious_________________________________________

Trusting_________________________________________

Lethargic________________________________________

47
Normal talk______________________________________

Normal tone______________________________________

Relevant_________________________________________

Irrelevant________________________________________

Mood:

Subjective:

Happy : (base on person self)

Sad :

Objective:

Low mood

High mood

Thought process;

Form:

Delusion of grandeurs

Suspiciousness

Paranoid

48
Content:

Something aid

God image

Evil thing

Possession / alienation:

Possessive ideas____________________________

Suspicious__________________________________

Doubt on others_______________________________

Perception:

Illusions_______________________________________

Visual ________________________________________

Hallucinations__________________________________

Visual________________________________________

Auditory______________________________________

Somatosensory________________________________

Delusions_____________________________________

Pattern of thinking:

49
Blocking___________________________________

Stereotype_________________________________

Flight Of ideas______________________________

Imaginations_______________________________

Control___________________________________

Not control________________________________

Cognitive function:

Decision Power _______________________________

Problem Solving ______________________________

Attentive_____________________________________

Not Responsive_______________________________

Concentrated_________________________________

Follow Instructions_____________________________

Memory:

Short Term_____________________________________

Long Term___________________________________

50
Registration Maintain______________________________

Orientation:

Time________________________________________

Place _______________________________________

Person ____________________________________

Intelligence / General Knowledge;

Name of Country _____________________________

Name of City_________________________________

Name of President____________________________

Name of Prime Minister________________________

Utilised skills________________________________

Intact______________________________________

Impaired___________________________________

Level of Insight;

Self inform_________________________________

Knowledge of illness_________________________

Prepared for therapy______________________________

51
Attitude towards therapist __________________________

Upset__________________________________________

Diagnosis:

________________________________________________

Management:

Duration________________________________________

Method used for assessment clinical interview

Test applied______________________________________

________________________________________________

Prognosis________________________________________

Clinical Report of the

1st Patient:

Bio Data:

Name Sheikh Akram

52
 Age 34 Years
Sex Male
Education Matric
Marital Status Married
Religion Islam
Residence Rawalpindi
Occupation Unemployed

Behavioral Observation:
When I met my patient he was not cooperative. He was very anger
Person but sometime he was agreeing to conversation with me.

Presenting Complaints;
(As given by patient)

History of present illness:

At the age of 16 when he was the student of 10th class. He started
smoking continuously with his friends. He did not tell his parents
about it until he left the school. He left the school and started to
going different places like hotels, clubs. In spite of that he was

53
enjoyed the bad company of boys and girls there. They took large
amount of "Drinks" and took drug injections. His parents could not
stop him to do so.
History of Past illness:
According to my patient he never got mental illness before except
one year before when he was driving car after taking drugs an
accident occurred with touching a tree. He admitted the fracture of
spinal cord. His parents admitted him in a hospital, he could not
recover. He had come to Fountain House Lahore with the help of
parents and friends.

Family History:
Father:
My patient's father name was Sheikh Akram. He was 60 year old.
He was a Government servant. He was a strong man. His
relationship with his wife was very good. He loved with all the
children's.
Mother:

54
The name of my patient’s mother was Majida. She was 50 years.
She was very kind women. She loved very much with my patient,
She was uneducated and house wife.
Siblings:
My client has 5 brothers and 3 sisters. They were all educated and
they had been successive business.
Family System:
He had a joint family system. He belongs to a religious family.
Relationship with other Family Members:
According to my patient the other family members were
cooperative and supportive to him. My patient had negative
feelings about peoples. During his childhood he was attached to his
youngest sister.

Personal History:
Birth and Childhood:
As my patient's information he was born normally. He looked a
Strong boy. In his childhood he had there was no history informed
about any accidental significant illness.
School Education:

55
He started his schooling at the age of 5 year old. He did not like the
study. His attitude towards the institute was not good. He thought
that he had not fulfilled the hopes of his parents regarding his
educational career.
Neurotic Traits:
He was habitual bed wet. He had sleep disturbance.
General Health:
The patient had not physical during his childhood but he feels
anxiety some times. He had oral fixation.
Adulthood:
As he reported he was a strong person but one year ago he has
significant changes in his thought. He reported that ideas of
hopelessness came in his mind he felt that he had some problems
in his behavior.
Service Record:
He had no service record.
Martial Status:
He was married and loves her wife very much but they had not
Good Relationships.
Psychosexual History:

56
He had high sexual desires due the company of bad friends. He
was Enjoyed the company of girls in clubs. He thought that he had
not fulfilled the desires of his wife.
Mental State Examination:
1 - Thought:
As my client claimed that he never thinks about any Special power.
He was not much optimist but was anxious about his health. He
wanted to stop drugs but he said that something carried me towards
drugs.
2 - Cognitive Functions:
My client decision power was good. Yet he was shortly depressed
about his condition. He had option of problems solving but could
not manage it. He was able to follow instructions; he could not
give answer about his family because he could not spend more
time with his family. His memory was good but he had eye
weakness.

3 - Orientation:

When I inquire about the time place and person his orientation was
not good.

57
4 - Insight:
As observed my patient he was fully aware about his illness. He
Fully Knew about nature of his illness. He was ready for any kind
cooperation. He agreed to improve his health by stopping drugs.

Test Administration:
Despite case study from the Following psychological test were
administerd to the patient for diagnosis purpose.
1: R.I.S.B...... ..Rothers Incomplete Sentence Blank
2: M.M.P.I......Minnesota Multiphasic Personality Inventory.
3: H.T.P.........House,Tree,PersonTest.

Analysis MSB:
1 Conflict Response:
He shows negative feelings towards the world and people. His
responses as a whole history show wide range of conflicting
thinking as
Item # 27:1 am best when ............. people love me.
Item# 28: Sometimes........... i scolded myself.
Item # 32:1 am very ............ want to good.
Item # 39: My greatest worry is........... The world is curled.

58
Family Attitude:
My client loves his family very much as he did not spend more
time with them. He feels alone. As shows
Item #11: Mother .......... weeping response.
Item #35: My father .......... if I live with him I may be better.

Social Attitude:
His social attitude was negative as he imposes on the society who
makes him addict as his response
Item# 10: People.............. Are cruel.
Item #19: Other people ......... are worst.

Scoring Table
CONFLICT POSITIVE NEUTRAL OMISSION
4 5 6 3 1 1 N 0

59
 C1 C2 C3 P1 P2 P3 3

4 35 0 14 10 8 0 11

Conclusion:

The patient had conflicted personality.

2: M.M.PI
It is objective type of test. It was published in 1939 by Hathaway
and Mchinlcy The purpose of this test is to diagnose psych-logical
problems of persons this test of 399 Items. Person should be

60
response in Yes, No cannot say categories. Every response is the
sign of some characteristics of a subject. It can be used both in
individual and groups Level successfully.

Scale T-score
L 60
F
K 42
Hs 52
D 58
Hy 47
Pd 95
Mf 67
Pa
Pt 49
Sc 57
Ma
Si
Analysis of MMPI:
The high score of the patient was 95 at on the scale of Psychopath
deviates. The result indicates that patient engage in antisocial
behaviour and lying. Sexual acting out, excessive use of alcohol

61
and drugs. He blamed others for his addiction. He had hostile and
aggressive experiences little guilt over behaviour and absence of
deep emotional responses

Analysis of House Tree Person:

1 - Sexual Attitude:
• He had expressive sexual conflicts impulsive tendencies.
• He had difficult in sexual area.
• He had suspicious tendencies reflected persons usually
• compensate their draw backs.
• He had rigidity of non receptivity and immaturity.
• He had a high sexual desire.
2-Self Identification:
• He had no ego and no sense of self identification.
• He had anxiety about himself.
• He had obsessive personality.
• He had split of ego functioning.
• He had aggressive behaviour.
3-Social Attitude:
• He had insecure feelings.

62
• He had avoidance of over powering and frightening fantacies.
• He had difficulty to approach.
• He had weak ego.
• He had not satisfaction of needs related to nourishment and
tendencies.

63