Polytechnic University of the Philippines Sta. Mesa Manila Mabini Campus
College of Arts Department of Psychology
In Partial fulfillment in the subject Psychological Assessment and Evaluation
BATTERY OF PSYCHOLOGICAL TEST REPORT
Submitted by: Arah Rachielle Pineda John Kenly Regio Joseph Roldan Julie Anne Roldan Ross Ann M. Romasanta Group 5 BSCP IV-3
Submitted to: Prof. Serafina P. Maxino Professor
September 26, 2008
ANAMNESIS IDENTIFYING DATA SGV is a 26 years old female, single mother from Tacurong, Sultan Kudarat third in the brood of seven. She was college undergraduate of midwifery.
CHIEF COMPLAINT According to patient: “sumunod lang ako sa kanila kung saan nila ako dalhin” According to her aunt: “lagi siyang tulala, walang gana kumain at gustong laging madilim” According to her brother: “hindi siya kumakain at laging tulala at nagkukulong”
HISTORY OF PRESENT ILLNESS The The pati patien entt is a coll colleg ege e unde underg rgra radu duate ate who who used used to take take up midwifery grows up to be an independent, rebellious and strong willed person. At the age of 18 she stowed away from home because of her strict dad who is a military. She went to manila to find her luck; she used sed to work in some sta stalls in divisor soria as a sale alesla slady. But unfort unfortuna unatel tely y she got pregna pregnant nt courte courtesy sy of her boyfrie boyfriend nd who is a seam seaman an.. She She late laterr on brok broke e up with with him him afte afterr real realiz izin ing g that that her her boyfriend is having an affair with her best friend. After that incident she was not able to see her boyfriends face again. She decided to go back to her home town to raise her child. When her child turned two years old, she realizes that she needed to work harder for her child’s future future.. Once Once again again she went to manila manila without without the knowle knowledge dge and consent of her family. In manila a friend offered her to work abroad. She then grabbed that opportunity in thought that she will be able to give her son and her family a good future. March 2006, the patient decided to work abroad because of financial diffic difficult ulties ies.. She had two emplo employer yers s in Lebano Lebanon. n. Her first first employ employer er treated her nicely but she needs to give up because at that time there was an ongoing war between Israel and Lebanon. She stayed to her employer for 10 months. Her employer recommended her to another agency. February 2003, she started to work on her second employer, on her first month with her second employer was smooth and treated her good but all of that changed when the employer noticed about her text mate. Her employer does not want to see her texting nor holding her cell phone because her employer would always get jealous. The employer gets mad of her because she caught texting. Because of that
it starts to treat her differently. He would lock her up to his house and sometimes in her room. Her employer started to say bad words about her. The employer would tell her that she is crazy and stupid. Because of that she started to feel hopelessness . She thought that she will not be able to get out from her employers house and with that situation. She was not able to go to sleep because of different ideas would come to her mind on how she could escape from her employer. Because of that that diff differ eren entt idea idea that that come comes s to her her mind mind sh she e woul would d alwa always ys get get confused. And that confusion would not let her sleep. She was forced to take take 5 para parace ceta tamo moll just just to make make her her slee sleep. p. Afte Afterr sh she e take take the the medicine it makes her sleepy, sometimes when she woke up in the morning she would feel as if she was magnetized to her bed. She was unable to move. In addition to that, her employer’s house was full of security cameras because of that she finds it hard to take a bath in thought that someone might be watching her. She didn’t eat the food she gave to her because she thinks that the food has poison. Then an idea just came to her mind. She went near the security camera and started acting like she is out of her mind. According to her she did it for her employer to think that she is useless and that she is crazy. When she finally convinced convinced her employer employer she was immediate immediately ly sent back to the the Ph Phil ilip ippi pine nes s on Au Augu gust st 16 16,, 20 2008 08.. Satu Saturd rday ay after afterno noon on her her aunt aunt fetches her up from the airport. According to her aunt she saw the patie patient nt cryi crying ng hyst hyster eric ical ally ly.. Her Her aunt aunt imme immedi diat atel ely y got got a cab cab and brought her home. When the patient was calmed her aunt asked her if something was wrong. She said that she thought that all the people in the the airp airpor ortt were were Leba Lebane nese se and and that that sh she e felt felt help helple less ss abou aboutt it, it, in thought that they would hurt her. August 17, 2008, the patient’s aunt heard her crying again and when her aunt asked her she told her aunt that her stomach was aching. On the same day, her aunt decided to bring her to the hospital for a check-up. The doctor’s finding “kaya sumasakit ang tiyan nya kasi hindi ito kumakain”. Evening of August 17,, whil 17 while e eati eating ng dinn dinner er,, her her aunt aunt noti notice ced d a stra strang nge e beha behavi vior or like like “kumakain sya pero nakatulala pag tinanong kung ano nangyari sa kanya sa Lebanon malayo ang sagot nya. Nagsasalita pa ito ng parang Arabo”. The next day (August 18) the patient still manifest a strange behavior like taking a bath with lights turned off, switching on of the radio but she does not want to hear the music and turning on the television and does not want to see the program. She was always caught cleaning the house because she does not want to see dust. She would also close the door and the window. Those behaviors were still seen in the patient for days until August 20 her aunt called the brother of the patient to tell him what was happening to her sister. August 21, the patient’s brother came for a visit. When the patient first saw her brother she immediately hugged her brother and told him how much she misses their family. She volunteered to get a chair for her brother so that they could talk more. But when she comes back she all of a
sudden shouted at her brother “Hindi ikaw ang kapatid ko”. She thinks that the brother is a Lebanese. Because of that her brother decided to bring her to the hospital. She was first brought to Ospital ng Maynila where where she underwe underwent nt pregna pregnancy ncy test they they though thoughtt that that she was a victim of rape. Next was in San Lazaro Hospital where they do not have a psychi psychiatr atrist ist.. She was also also brough broughtt to UST Memori Memorial al Hospit Hospital al but refuse to accept her due to overcrowding of patients. In Manila Doctors Hospital, the patient was referred to UERMMMC and at exactly 2 in the morning she was admitted to the female psychiatry ward of the said hospital.
MENTAL MENTAL STATUS STATUS EXAMINAT EXAMINATION ION (INITIAL (INITIAL INTERVIE INTERVIEW: W: SEPT. SEPT. 3 2008) A. General Appearance, Appearance, Attitude Attitude and Behavior Behavior The patient was wearing blue t-shirt and gray pajama. Her hair was neatly tied. Her nails are clean. The patient voluntarily went to the hospital hospital accompani accompanied ed by her aunt and her brothe brotherr for admiss admission ion.. She respe respectf ctfull ully y talks talks with with the nursed nursed and doctor doctors s and she is also also friend friendly ly with with the other patients patients.. When When under under dire direct ct obse observ rvat atio ion n sh she e is quie quiett but but when when bein being g aske asked d sh she e volunt voluntari arily ly give give inform informatio ation. n. The patien patientt does does not show show any psychomotor abnormalities. B. Stream Stream of of Talk Talk When being asked, she voluntarily gives information which is relevant to the topic. She speaks clearly. C. Emotio Emotional nal Statu Status s The patient’s affect was appropriate throughout the interview. D. Contents Contents of of Thought Thought Hallucination Auditory Tanong: May naririnig, nakikita, naaamoy o nalalasahan ka ba na sa tingin tingin mo ay hindi totoo o yung ikaw lang lang ang nakakaramdam? Sagot: Meron noon. Siguro ngayon 3 days ng wala nakakatulog na ako ng mahimbing. Tanong: Ano yun? Pwede mo ba ikwento? Sagot: Naririnig ko pa rin yung mga boses ng Lebanese, sinasabi pa din that girl is crazy and stupid. E. Sensorium Sensorium and Intell Intellectu ectual al Resources Resources Orientation
Tanong: Anong araw ngayon? Sagot: Miyerkules. Tanong: Nasaan ka ngayon at bakit ka nandito? Sagot: Sa ospital, nagkasakit kasi ako sa ulo. Para akong nabaliw. Tanong: Natatandaan mo pa ba kung sino ako? Sagot: Nakalimutan ko na kasi kakikilala ko pa lang sa’yo kanina. Tanong: Anong pangalan mo? Sagot: Stenily Grace Villanueva. Tanong: Sinong nagbabantay sa’yo? Sagot: Si Tita Alice, sa hapon si kuya k uya ko dumadalaw. Alvin ang pangalan gwapo yun kahawig ni Jericho Rosales.
Memory General Information Tanong: Ano ginawa mo pagkagising mo? Sagot: Naligo, kumain at nag-exercise. Judgment Tanong: Anong plano mo ngayon at sa hinaharap mo? Sagot: Gusto kong ituloy ang pagiging midwife ko. Insights Tanong: Ano sa tingin mo ang dahilan kung bakit andito ka sa ospital? Sagot: Nawala ako sa pag-iisip dahil sa nangyari sa akin na masasamang bagay sa Lebanon. Mental Status Examination (Final Interview September 5, 2008) A. General Appearance, Appearance, Attitude Attitude and Behavior Behavior The patient is wearing black blouse and ¾ length pants. Her hair was tied neatly. Her nails are clean. She looks as if she is ready to leave the hospital with the way she dresses. B. Stream Stream of of Talk Talk The patient is more talkative than the last time. It seems that she is completely at ease with the interviewee. Then she added “Gusto ko na gumaling. Miss ko na and pamilya ko lalo na ang anak ko”. C. Emotio Emotional nal Statu Status s She is happy and in the mood. Her affect still is appropriate throughout the interview. D. Contents of Thought
No Hallucination, Delusion or Illusion for more or less 5 days. According to her What filled her mind was the thought of her family most especially her son.
E. Sensorium and Intellectual Resources Orientation Tanong: Anong araw ngayon? Sagot: Biyernes ngayon. September 5, 2008 2008 Tanong: Nasaan ka ngayon at bakit ka nandito? Sagot: Sa ospital, nagkasakit kasi ako sa ulo. . Tanong: Kilala mo pa ba ako? Sagot: Oo di ba ikaw si Jhay? Siya naman si Ross. Nakilala ko kayo nung Sept. 3. Tanong: Anong pangalan mo? Sagot: Stenily Grace Villanueva. Tanong: Sinong nagbabantay sa’yo? Sagot: Si Tita Alice, sa hapon si kuya k uya ko dumadalaw. Alvin ang pangalan gwapo yun kahawig ni Jericho Rosales. Memory General Information Tanong: Ano ginawa mo pagkagising mo? Sagot: Naghilamos tapos kumain tapos nag-exercise kami dati Judgment Tanong: Anong plano mo ngayon at sa hinaharap mo? Sagot: Gusto ko maging mabuting ina sa anak ko. At gusto ko ituloy ang pagiging mid wife ko. Insights Tanong: Ano sa tingin mo ang dahilan kung bakit andito ka sa ospital? Sagot: Nawala ako sa pag-iisip dahil sa nangyari sa akin na masasamang bagay sa Lebanon. CLINICAL DIAGNOSIS: Major Depression Symptoms
> Hall Halluc ucin inati ation on (audi (audito tory ry)) - Nar Narir irin inig ig ko pa rin rin y yun ung g mga mga bose boses s ng ng Lebanese, sinasabi pa din that girl is crazy and stupid
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- She was not able to go to sleep because of different ideas would come to her mind on how she could escape from her employer - She took 5 paracetamol just to make her sleep Confused - thinking different ideas would come to her mind on how she could escape from her employer Lack ack of of in insight - Ta Taking a bath ath wi with lliights tu turned of off, sw switching on of the radio but she does not want to hear the music and turning on the television and does not want to see the program - She was always caught cleaning the house because she does not want to see dust - She would also close the door and the window Lang Language uage dis disord order er - Kapag Kapag tinano tinanong ng kung kung ano nangya nangyari ri sa kany kanya a sa Lebanon malayo ang sagot nya. Nagsasalita pa ito ng parang Arabo. Appetite changes - Her stomach was aching, the doctor’s finding “kaya sumasakit ang tiyan nya kasi hindi ito kumakain” - Kumakain sya pero nakatulala Illusion - When the patient first saw her brother she immediately hugged her brother and told him how much she misses their family. She volunteered to get a chair for her brother so that they could talk more. But when she comes back she all of a sudden shouted at her brother “Hindi ikaw ang kapatid ko”. She thinks that the brother is a Lebanese.
Test Administered: Administered: Date Given: Draw A Person Test September 3, 2008 Sach’s Sentence Completion Test September 3, 2008 Bender Visual Motor Gestalt Test September 4, 2008 Rorschach Inkblot Test September 4, 2008 Thematic Apperception Test September 5, 2008
GENERAL BEHAVIORAL OBSERVATION
The patient was wearing pajama set when she underwent the Draw A Person Test last September 3, 2008. She was cooperative though she keeps on complaining “Naku hindi talaga ko marunong mag-drawing”. But she really is persistent and really exerted effort to her drawing. Her vision was good, and so is her hearing. She gives an adequate amount of speech when being asked about her drawing. She had fair manual control but was able to finish her drawing and give a little detail about it. On the same day the subject took Sach’s Sentence Completion Test. The patient was slightly tired but still cooperates well. She was willing to take the test but does not want to write. So she asked somebody to write her answer. On the first part of the test it seems that she has no idea on the purpose of the test. Confusion was drawn on her face. But when she was given instructions on how to answer the test she was already able to give proper answer. On some items confusion was still in her mind. She finds it hard to answer some of the questions. In the midst of the exam the patient fell sleepy due to her vitamins. But she wanted to finish the test before she goes to sleep. Though it is obvious there is a sudden rush in her while answering the test, she was able to finish it and give good answer when the inquiries were made. September 4, 2008 the subject is wearing a blouse and a red short. The patient was given the Bender Visual Motor Gestalt Test. The patient was given proper instruction to the test. She was interested in it. She was cooperative. When she first saw the card it seems that she is very well interested in the test. Her vision is good. She draws the object fast. On the second part of the test the patient was given another sheet of bond paper and was ordered to draw what she had remembered from the first part. She was able to recall 5 objects out of the 8 objects that were shown to her. On the same day the Rorschach Inkblot Test was administered to the patient. She was still in the mood. Again she was given proper instructions to the test. She listens to it carefully. She cooperates well. But when she saw the cards confusion was drawn on her face. Though her vision is good she keeps on putting the cards near her face. As if she had poor eyesight. It seems that she had no idea on the purpose of the test. It’s as if she was not given instructions and that she is not well oriented to the test given to her. In the midst of the exam words came out from her mouth, complaining that above all the test given to her that was the most difficult one. She added that her favorite card was the one with the picture in it, referring to the Thematic Apperception Test. After that she closed her eyes and tightly and rubbed her head gently. When asked if she is ok she said that she was
alright. She was just confused and that she really wanted to finish the test and take a rest. After the test she immediately lay down to her hospital bed. The next day September 5, 2008 the patient was very noticeable that she is in the mood. She was even the first to ask if she will have a test. She was wearing black blouse and pants. Her hair is fully fixed. As if she was going somewhere. When she was given a piece of paper for the Thematic Apperception Test, the subject was first given proper instruction on how to answer the test. When she first saw the card she was amazed. It seems that she is excited. She was able to give good answers to the cards shown to her. But when she saw s aw the blank card confusion was drawn to her face then she asked a sked “Ano yan?” but when she got the explanation, she was able to answer a nswer it well. When she was done with the test she was able to give good answer when the inquiries were done. She correlates most of her answers to her life.
BENDER VISUAL MOTOR GESTALT TEST Personality Evaluation
Interpretation
Margin based drawing lack of self confidence Rotation traumatic psychosis followed by head injury Curvilinear distortion affect display Crossing Crossing difficu difficulty lty at at junctur juncture e of figure figure 5 indecisio indecision n Placement of design a in extreme Upper left hand corner of page timidity Large space between figures detachments from others Lateral elongation of figures difficulty of interpersonal relationship Heavy pressures externalized hostility Figures co confined to up upper half pa page insecurity Left to right placement of the figures unresolved need for sustaining interpersonal association Difficulty of angles emotional liability Irregular sequence inadequate impulsive control Crowding lack of empathy Very large figure show ge general la lack of of co control an and inhibition
Overall Findings
Lack of self confidence
Indecision Timidity Difficulty of interpersonal relationship Insecurity Show general lack of control and inhibition Emotional liability Unresolved need for sustaining interpersonal relationship
Summary of Findings When the patient was in Lebanon her employers doesn’t treat her well because she had an affair with her employer’s relative which her employers are against it. They always make them feel that she is lack of self self – the the most ost stup stupiid per person son that that is why sh she e had had a lack confidence. She was scared to do things because she thought that she will make a mistake and her employers will yell at her and tell her again “you’re stupid” and you’re crazy”. She doesn’t believe in herself and in her ability anymore because of what happened. She doesn’t able to show other people her ability because she think that she might disappoint them. Aside from being treat her bad of her employers why she lose self- confidence is when her boyfriend cheated on her. Her boyf boyfri rien end d had an affai affairr with with her her best best frie friend nd.. It hurt hurts s her her so much much because she and her boyfriend had a baby. She does not know why her boyf boyfrriend fool fooled ed her even ven if sh she e done done her her par part to make ake thei heir relationship work and she loved him so much. She wondered why her boyfriend had the guts to have an affair with her best friend. She both trusted them that’s why she really hurts. Then she started to compare her her self self with with othe otherr woma woman n and even eventu tual ally ly had insecurities. She always feels insecure with the people around her especially to woman whom she thinks thinks are better better than her. After what what she experienc experienced ed in Lebanon she had indecision. She really doesn’t know what to do. She can’t make decisions on her own because she was confused. She felt that her emplo employer yers s chased chased on her whereve whereverr she goes. She always always hears their voice even if she’s alone. When her employer thinks that she is insane they decided to bring her back to the Philippines to where difficul culty ty of interp interpers ersona onall her her fami family ly liv lives es.. She She then then had had a diffi relationship. She doesn’t act well in front of other people because she was being trauma by her experienced in Lebanon. She doesn’t want to be with other people even with her family because she thought that they hurt her like what other people done to her. She also thinks that even her brother was a Lebanese. When she was alone she always list listen en to musi music c beca becaus use e sh she e does doesn’ n’tt want want to hear hear voic voices es of her her employer. Because of what she is experiencing her family decided to avoi avoid d her her to inte intera ract ct with with othe otherr peop people le even even with with thei theirr rela relati tive ves s because she might hurt them and show general lack of control and
inhibition because she can’t take what she hears and even want to bump her head on the wall just to avoid hearing those voices. Then her family decided to bring her to psychiatry which she done voluntarily because she doesn’t want that experience affects her life. After it she feels timidity toward toward other other people people because because she don’t don’t want want other others s know about what happened to her. She feels ashamed because some people there in Lebanon knew what happened because her employer humiliated her in front of many people and feel her she’s the worst pers person on in the the worl world. d. She She don’ don’tt want want othe otherr peop people le misj misjud udge ged d her her because for her she done nothing wrong. She then had emotional liability . She She real really ly cant cant take take what what happ happen ened ed to her, her, sh she’ e’s s bein being g depr depres esse sed d and and alw always ays thin think k of what what othe otherr peop people le done done her her sh she e sometimes see her self crying. She don’t know how to face again the world because she think that nobody likes her because she is a bad person and a bad influence, she then badly miss her child so much because it’s been a year or two that she’s not able to see her son. She unreso sollved ved need need for sust susta aini ining inte nterper rperso son nal had an unre association. She then felt felt that that every everybod body y knows knows what what she’s she’s been been through she don’t know how to confront other people and her closest friends because she thinks they might hate her for being involved in that situation. That is why she temporarily chose not to interact with them until she ready to face the world again. Then she had lack of empathy. She sometimes talked about her problems with her auntie but she don’t want to talk about it again and again because it’s her way of forgetting everything happened and move on with her life. DRAW A PERSON TEST Personality Evaluation First Draw Male Figure Placement of figure – (left side) self oriented Drawing opposite sex first – strong attachment to or dependency on parent or person of opposite sex Shape dot pupil – denotes penetrating worriness and limited range efficient of paranoid personality Omission of ears – appears frequently in well adjusted people but then is low intelligence or it maybe a desire not to be hear something Omission of neck – prey victim of body impulses Omitted trunk – helplessness Short arm – absent of adequate striving fear of being hurt Small legs – sexual ambivalence Stick figures – self-distrustfulness Many sharp edges- poor adjustment Younger figure than subject-wish to return to youth
Drawing opposite sex first- strong attachment to or dependency on parent or person of opposite sex Second Drawing Female Figure Shape dot pupil- denotes penetrating worriness and limited range efficient of paranoid personality Omission of ears- maybe a desire not to be heard something (Hair) long but only outline- ambivalence toward sexuality One dimensional neck- poor control of emotional expression Omission of trunk- helplessness Short arm- absent of adequate striving fear of being hurt Placement of figure (middle)- paranoid with high self-esteem Dim line- timidity Short neck- associated with gruffness bull-headedness Erasure- expression of anxiety Boundaries of clothing- conflict in the large body conceal fear to expose body Full face figure- social accessibility Transparency- poor judgment Head enlarge- introspection Centered drawing- emotionality Stick figure- negativism Older figure than subject- identification with parent of same sex s ex Over all findings
Distrustfulness Poor adjustment Helplessness Emotionality Worriness Dependency on parents Wish to return in youth Maybe desire not to hear something Timidity Poor control of emotional expression
Summary of findings The patient work in the Lebanon as a maid, she’s been there for 2 yrs. and 5 months. In that years or working in the Lebanon there are things that happened to her like having a relationship with a Lebanese
that cause to her employer got angry to her because it is against to their religion. And it makes her distrust to people who believe that she is a stupid and crazy. Because of this, the patient find it hard to adjust sh she e don’ don’tt know know if the the pers person on that that sh she e alon along g with with can can be trusted. A weeks before she came back to manila, she stayed in the agency she feels helpless when she was there, no one help her they believe that the murmuring about her was truth that she was crazy, unkind and stupid. The patient was emotionality when it comes to her son, she cried when she misses her son who was far away from her. Her son was in her mother guidance. Her mother was the one taking care of her son instead of her. She loves her son very much. Every time she missed her son she worried about the situation of her son beca becaus use e sh she e in not not ther there e for for her her son son when when he need needs s a moth mother er’s ’s affection. She worried that may be her son will have lack of affection towards her. She was dependency to her parents, she left her son to her parents to taking care of it because she will went to Lebanon for to work for her son because the father of her son left them after she got pregnant. The patient wishes to return to youth, she wants to be with her friends again and they played there favorite game. She misses her childhood time. There are times that the patient desired not to hear something like like by sayi saying ng that that sh she e was was craz crazy y and and stup stupid id with withou outt evidence so it makes her felt hurt because it is not true. Her employer just want to show to the Lebanese that she really crazy so she was been locked locked to an empty room with with surveilla surveillance nce camera. camera. Because Because of that she feels timidity coz she believe that her employer make gossip to the Lebanese that she was crazy and stupid. When she arrived in the Philippines, at the airport when she saw her auntie she hysterically cried she didn’t control her emotions.
SACH’S SENTENCE COMPLETION TEST Personality Evaluation
Attitude towards Father 1. Sa palagay palagay ko ang aking ama ama ay bihiran bihirangg- magalit magalit 15. Kung an a ng am a ma k o la lamang ay a y iis sang ma mabuting am a ma sana di ko nararanasan ang mga pinagdadaanan ko 30. Sana ana ang aki akin ng ama ay magi aging isan sang su superman para ara matulungan niya ako 45. May palag alaga ay ako na ang ang aking ama ay mabu abuting ama sa aming magkakapatid
ANALYSIS: ANALYSIS: Helplessne Helplessness; ss; according according to the patient patient that she she want her father to become super man, because she want her father to be able to help her in forgetting her worst experienced in abroad.
Attitude towards Mother 13. Ang ak aking in ina ay ay si siyang il ilaw ng ng ta tahanan, si siya ang ang tumutulong sa aming lahat para kami mapabuti 28. Ang aking ina at ako ay nagmamahalan at nagiintindihan 43. Sa ak aking p pa alagay kar karamihan sa mg mga in ina ay ay mabait ait at at maintindihin 58. Mahal ko ang aking ina ngunit ako ay l ok oko loko, minsan hindi nakikinig sa payo kaya heto! ANALYS ANALYSIS: IS: Ass Associ ociate ated d with with gruffn gruffness ess bull-h bull-head eadedn edness ess;; the patient patient deno denote tes s that that sh she e has has love love and and care care of her her moth mother er,, but but sh she e has has gruffness bull-headedness attitude toward her mother.
Attitude towards Family 11. Kung ihahambing sa ibang maganak ang akin aymabait, palabiro at matibay na pamilya 26. Ang p ak akikitungo s a ak akin n g ak aking mg m ga k aa aanak ay tulad sa isang gulong, minsan okay minsan hindi 41. Karamihan s sa a mg mga ma maganak na na ak aking na nalalaman ay ay tagapagpayo ko sa mga maling nagawa 56. Noong ako ay bata pa ang aking kaanak- naging mabait at tumutulong sa akin ANALYS ANALYSIS: IS: Strong Strong attachme attachment nt toward toward her family; family; accordi according ng to the patient, she has strong attachment of her family. And her relationship through her relatives was sometimes good and a nd sometimes bad.
Attitude towards Women 9. Para sa akin ang isang ulirang babae ay- mahalaga mahalaga 24. Sa aking palagay, karamihan sa mga babae aymaganda at magalang 39. Naniniwala ako na karamihan sa mga babae a-y maganda at palabiro 54. Ang hi hindi ko ko ga gaanong na naiibigan sa sa mg mga ba babae ay aybaliw, mangmang at unkind ANALYSIS: ANALYSIS: Self-disci Self-disciplin pline; e; according according to the patient, the ideal women women for her was influential (important). And she hates unkind and crazy women.
Attitude towards Heterosexual Relationships Relationships
10. Kapag nakakakita ako ng isang babae at lalaking magkasama- iniisip sila ay magkasintahan 25. Sa pa palagay ko ko an ang bu buhay ma may as asawa ay ay- hi hindi ba basta basta 40. Kung ako ako ay ma magkakaroon ng ka karanasan sa la lalakibigo sa pagibig 55. Ang ak aking hi hilig, p pag agn nana anasa sa is isang ba babae o lalaki ay pagmamahal o crush ANALYS ANAL YSIS IS:: Frus Frustr trat ated ed;; the the pati patien entt deno denote tes s that that she was was bein being g frustrated by her love ones.
Attitude towards Friends and Acquaintances Acquaintances 7. Sa aki aking pal palagay agay ang ang tuna tunay y na kaib kaibiigan gan ayay- siy siyang ang nagpapasaya at ito ay mahalaga 22. Hindi ko ibig ang mga taong- bastos na tao 37. Ang mga taon aong nais ais k ko o- main aintindihin hin, mag magal ala ang 52. Kung ako’y wala ang aking mga kaibigan ay malungkot ANALYSIS: ANALYSIS: Respectful; Respectful; according according to the patient, true friends friends are those whom make her happy and it is important, and she hates those who’s indecent and unkind
Attitude towards Superiors at Work / School 20. Sa paaralan ang aking mga guro ay mabait 35. Kung ma makikita ko kong d du umarating an ang p piinuno ko ko ak ako ay- relax lang 50. Ang mg mga tao taon ng iittinuturing ko kong mg mga pi pinuno ay ay- an ang aking mamamayan 60. Ang mg m ga taong n ak akatataas s a ak akin a y an ang a ki kingpanginoong Dios ANALYSIS: Rigidity; the patient denotes that every time she see her superiors coming, she is relaxed because she have a kind superiors.
Attitude towards People Supervise 4. Kung ako ang mamamahala- totolongan ko ang mahihirap at papaaralin ang mga bata 18. Kung ma may mg mga ta taong ga gagawa pa para sa sa ak akin- gu gusto ko ko tolongan nila akong kalimutan ang nangyari 33. ang ang mga taon aong gumagawa awa par para a sa aki akin ay- maba abait 47. Sa pag-utos sa ibang tao ako ay- magalang kailangang magplease
ANALYSIS: Helplessness; and inability to forget. The patient wants to overcome her fear. According to her that if someone work for her, she will please to help her to forget her fear. Attitude towards Colleagues at Work / School 12. Sa Gawain, ang kasundong-kasundo ko ay- ang aking mga kaibigan 27. Ang mga kasamahan ko sa Gawain- kami ay nagtotolongan 42. Nasisiyahan ako akong mak makipagtrabaho sa mg mga tao taongmabait, magalang at mabuti 57. Kadalasan a ng ng a ki king m ga ga k as asama sa G aw awain a yymagalang at mahalong palabero ANALYSIS: Friendliness / attentive to others; the patient always work with her friends. According to her, she is happy to work with good, respectful, and kind friends.
Attitude towards Fear 6. Alam Alam kong kong kata katawa wata tawa wa,, su suba bali litt ako’ ako’y y tako takott sasa- akin aking g pinagdaanan doon sa abroad 21. Maram aramii s sa a ak aking mg mga kai kaib bigan ang ang h hiindi nak naka akaal aalam na ako’y takot sa- lebanon 36. Hinahangad kong mawala sa akin ang takot sadibdib at isipan para maging mabuti ako 51.. Sa akin 51 aking g pagk pagkat atak akot ot,, kada kadala lasa san n ako’ ako’y y napi napipi pili lita tang ng-magdramadramahan or naiiyak ANALYS ANAL YSIS IS:: Obse Obsess ssiv ive; e; the the pati patien entt is unab unable le to forg forget et her her past past experienced in abroad.
Attitude towards Guilt Feelings 14.. Gaga 14 Gagawi win n ko ang ang kahit kahit anuma anuman n upang upang mali malimu muta tan n ang ang sandaling- nagging parang baliw me sa abroad 29. Ang p piinkamabigat kon kong pag pagkakamali ay ay- yo yong llo oko ako, diko natapos ang pagaaral ko 44. Nuo Nuong ak ako’y bata pa pa pal palag aga ay ko ko’y nagk agkasala ala ako ako saaking mga magulang 59. Ang pinakamabigat kong pagkakamali ay- yong nagm nagmah ahal al ako ako at pumu pumunt nta a sa Leba Lebano non n dahi dahill dito dito ako ako ay nagsisisi ANALYS ANALYSIS: IS: Regret Regretful fully ly;; accord according ing to he patien patient, t, the worst worst thing thing she done in her life was when she go to the Lebanon and be committed to a Lebanese, now she regret it.
Attitude towards Own Ability
2. Kung ang mga suliranin ay nakapipinsala aking- buhay 16. Naniniwala akon ako’y may kakayahan samagtrabaho 31. Ako’y napakahina sa- kung ang pagibig ang pagusapan 46. Kung ako ay mawalan ng magandang kapalaran- di ko matanggap ANALYSIS: ANALYSIS: Weakness; Weakness; the patient patient believed believed that she has the ability ability to work, but weak in her love life.
Attitude towards Past 8. Noon Noong g ako ako ay bata bata papa- gust guston ong g magin aging g isan isang g wond wonder er woman 23. Bago magdigmaan, ako’y- masayahin 38. Kun Kung ako ako ay magi agiging bat bata a mu muli- gu gusto ko kong mag magllaro sa ulan 53. Ang masidhing alalala ng aking kamusmusan ayyong nagloko ako at naglayas sa bahay ANALYSIS: Regression; the patient was very very imaginative, in in the reason she wish to be a wond wonder er wome women. n. Ac Acco cord rdin ing g to the the pati patien ent, t, if she returns of being child again she will play in the rain.
Attitude towards Future 5. Sa palagay ko ang aking hinaharap ay- siyang mapapabago sa akin buhay 17. Ako’y magiging pinakamaligayang nilalang kungMakita ko ang mahal kong anak at pamilya 34. Balang ar araw ak ako ay ay- ma maging ga ganap na na mi midwife or or responsableng ina 49. Kung ako’y tumanda tanda pa- nag mga bagay bagay ANALYSIS: Open to change; she is prepared to face her future to forget her worse experienced. She wants to see her family especially her son, and if that will happen, the patient will become a responsible mother.
Attitude towards Goals / Ambitions 3. Sa simula simula pa,y ibig ko ng magingmaging- isang isang mabuting mabuting babae babae 19. Pinananabikan ko kop an ang mg mga sa sansaling- ma masaya ak ako kasama ang aking pamilya at anak 32. Ang li lihim ko kong mi mithiin sa sa bu buhay ay ay- ma maging ga ganap na midwife 48. Ang p piinakam kamimithi ko ko sa sa aki akin ng b bu uhay ay ay- mag magka karroon ng isang pamilya or mabuo mayron ama ang anak a nak
ANALYSIS: Self seeking; the patient was putting her own interest and advantage first. She wants to be with her her family and son, and to have a father for her son.
Overall Findings
Need help and affection Insane and hard headed Family dependent Perfectionist and insecure Frustrated Seek attention Relaxed Helplessness Attentive to others Poor control of emotional expression Regretful Lack of self confidence Regression Open to change Self seeking
Summary of Findings THEMATIC APPERCEPTION TEST PERSONALITY EVALUATION 1.) Parang nagiisip kasi nalulungkot siya mayroon siyang book, baka nalulungkot parang ako kasi umalis ako papuntang ibang bansa katulad ng buhay ko ANALYSIS She feels sad to her chosen career, because she did not finished her studies, she sacrificed her family and went to other country to work as a Domestic Helper in Lebanon, although it is against to her feeling to work in far place and be separated to her love ones’ she don’t have a choice, but to work there for her son and to fulfill her ambition. 2.) Babae may dalang book pupunta siya sa school yung tatay nagaararo sa farm yung nanay nakatindig sa puno tinitignan ang asawa niya parang ganon ang buhay ng mahirap, parang buhay sa probinsya ANALYSIS
She She was was forc force e to fini finish sh her her stud studie ies, s, supported her studies. And her father is she sh e wasn wasn’t ’t able able to do the the thin things gs sh she e rebellious to her parents. And her father he is so strict to them.
beca becaus use e her her brot brothe herr very strict to them so want wanted ed;; sh she e beca became me is a soldier that’s why
3.) Yun Yung g Baba Babae e umii umiiya yak k ata ata siy siya para parang ng may may prob proble lema ma masakit ang ulo dahil sa maraming problema kaya siya umuiyak, halimbawa pagnalulungkot siya, umiiyak nagdadramadramahan, maraming problema, parang ako noong pumunta ko ng Lebanon ANALYSIS During the time when she was in the Lebanon, she always cries, she makes up stories to her employer to let her go back to the Philippines. But the real reason why she wanted to go back home because she was afraid to her employer when they yell and hurt her, because they knew already that she had relationship with one of the relative relatives s of her employe employer, r, and she knew that that it is a prohibited in that country. 4.) Yun Yung g magmag-as asaw awa a nila nilala lamb mbin ing g niya niya ang ang asawa asawa para parang ng nagtampo, tinanong ano ba may problema ka ba? Halimbawa sa tatay at nanay ko o sa mag-asawa, naalala ko yung mama at papa ko ANALYSIS She remembers the situation of her parent’s quarrel and they are the reason why her parents having a conflict. She remember that her mother is always who calm down her father and fixed their misunderstanding. Her mother was not really that strict to her, but but her her moth mother er had had no choi choice ce but but to agre agree e to her her fath father er’s ’s decisions for he has always the last say to their family. 5.) Si lola binuksan ang pintuan tinignan kung maayos ang kwar kwarto to,, mga gami gamit, t, tini tinig gnan nan kung ung may tao, tao, par parang ang may hinahanap o wala o may magnanakaw, kung malinis. Ang lolo ko ay wala na, ang lola ko ay laging malinis sa kwarto ANALYSIS She sees that it is her Lola, who always checks their room and make sure that it is clean, and she thought her lola always look for her to ask her do the house hold choires 6.) Parang mag-asawa sila, nakaupo sila sa upuan dumating yung husband niya nabigla siya may tinanong yung asawa niya basta meron magasawa na ganon.
ANALYSIS She viewed this card when she told her boyfriend that she was pregnant, and her boyfriend is shock after she told that she was pregnant. 7.) Ang alaga niya parang may problema, tinanong kung may problema siya, Anong problema? Bakit ka malungkot? Yaya at alaga, yung alaga niya parang may problema, naglalambing sa kanaya may hinahanap na doll, tinatanong niya ang problema ANALYSIS She relate relates s this this card card to the childre children n of her emplo employer yers, s, becaus because e when her employers having a quarrel their children are sad and she was asking why they are sad, she already knew that she is the reason why her employer is having a conflict. 8.) Isang Isang kasintahan
baba babaen eng g inlo inlove ve nag-ii nag-iima magi gine ne,, inii iniisi sip p niya niya ang
ANALYSIS She was dreaming of her boyfriend that they will be together in futu future re,, and and they they goin going g to buil build d a fami family ly incl includ udin ing g her her son son and and making imagine that they are in that situation, 9.) Magkaibigan sila yung isa kaibigan niya tumatakbo tinitignan kung ano ano reak reaksy syon on ng kaib kaibig igan an.. Tina Tinata tano nong ng kung kung baki bakitt tuma tumata takb kbo o yung yung kaibigan kung may nangyaring karumaldumal sa kasintahan. Si racel yung kaibigan kaibigan nya sa Lebanon, Lebanon, naiisip nya bakit bakit siya tumatakbo tumatakbo papuntan papuntang g embassy.
ANALYSIS The patient viewed card # 9 as she think her situation, during the time she was in Lebanon, she to her best friend to ask help for there was trying to escape to their employer, she going to the embassy to go back here in the Philippines. 10.) Mag asawang asawang lolo at lola nagmamahal nagmamahalan, an, nagyayaka nagyayakapan pan parang parang wala alang prob roblem lema. Par Parang ang lola lola ko tula ulad ng ibang bang lolo lolo at lola lola na nagmamahalan nagmamahalan dahil matanda na till death do us part.
ANALYSIS The patient viewed the card # 10 as her grand parent, when her lolo is still alive, like other grand parent who are loving each other
11.) Sa falls maraming bato, may bee umiinom ng tubig, nauuhaw yung bee tinitignan tinitignan ng snake yung bee.
ANALYSIS She does not expect bad things to happen to her while she is Lebanon and she doesn’t aware to the people and her environment. Isang babae babae may may kalulu kaluluwa wa ng nanay nanay tiniti tinitign gnan an yung yung anak anak para para 12.) Isang bantayan, tumatawa habang tinitignan yung anak.
ANALYSIS She relates this card to her mother who was wishing that she was guided when she grew so it would not happened to her, to have early pregnancy and to go to other country to work as Domestic Helper. 13.) Naka Nakahi higa ga sa bani banig g yung yung baba babae, e, nama namata tay y yung yung baba babae e hind hindii matanggap ng lalaki na mali yung ginawa ng kasintahan nya ni rape.
ANALYSIS She think that her male employer abuse her sexually, because she saw it’ lying in front on her body while she is sleeping s leeping Isang tao mula mula sa kadili kadiliman man pumaso pumasok k sa pintua pintuan, n, pumun pumunta ta sa 14.) Isang liwanag para makita ang kaliwanagan
ANALYSIS She wants to start a new life and forget what happened to her in Lebanon, 15.) Isang Isang taong taong pumu pumuta ta sa puntod puntod,, isang isang kalulu kaluluwa wa na nakitn nakitngin gin sa puntod nya, iniisip niya kung siya namatay gusto nya ng justice.
ANALYSIS She viewed the person in card # 15 as herself .where in that situation that she think was already dead. Because she do not it, she continue her work while she was hurting her employers and when she go back to the Philippines she was looking for justice even ven tho though ugh sh she e know knows s that hat sh she e can’ can’tt do it bec because ause her her employer is powerful than her but she work hard there but she doesn’t earn money when she go back here in the Philippines.
nagmamalinis, may tinatagong masamang ugali. 16.) May isang tao nagmamalinis,
ANALYSIS
She viewed card # 16 as her superior in Lebanon, she think that her employer is so kind, but then a few months ago it suddenly chance the way she treat by her employers.
17.) Nasa bridge yung babae, nakatingin sa ibaba parang gusto niyang mag pakamatay pakamatay dahil dahil maraming maraming problema problema pansaril pansarilii at pampamil pampamilyang yang problema
ANALYSIS She relates card # 17 as herself. Back in Lebanon she thinks to commit suicide because she can’t take her situation and she is afraid to her employers 18.) Isang babae nawalan ng buhay yung ina sa ilalim ng hagdanan, na heart attack yung ina may nasabi kasi siyang masamang balita.
ANALYSIS She thinks that if her mother knows what happened to her it will feel so sad for her. 19.) Isang bahay na may snow, inapuyan nila yung chimneya para magpainit ANALYSIS She wants to have a wealth life, live in a big house in other country, have a happy family, and have a father for her son and that her friend never betrayed her boyfriend Isang g post posten eng g ilaw ilaw tina tinali li yung yung kala kalaba baw w sa post poste e kasi kasi gabi gabi na 20.) Isan magpapahinga na sila.
ANALYSIS She is treated her employer’s as an animal by abusing her, not treated as a normal, they don’t give her a food, hurting her OVER-ALL FINDINGS
Depression Lack of closeness in family situation Guilt Opposite sex viewed as stronger Well-organized Wish for protection feminine figure Loneliness
Illusion Desire to escape from situation Need security Lack of awareness(stupor) Ambivalence to same sex parent Delusion persecution Fear Confusion Doubt Anxiety Worthless Had needs Feeling of hopelessness
SUMMARY OF FINDINGS The patient has depression because she was depress because she is to far to her son and family, depress because she was abuse by her employer, when she was go back here in the Philippines she is sad she miss her boyfriend in the Lebanon, she believe that her boyfriend love her so much, and she miss her son because even she was here in manila she can’t go home because of her condition, Even though her father had a misunderst misunderstanding anding when she becomes rebellious rebellious because because of strictness of her father. She is not close to him. She always follows what what her her fath father er want wants s her her to be but but sh she e some someti time mes s diso disobe bey y him him because she felt that she has no freedom and she miss her family so much, that’s where her lack of closeness family in situation. she went to Lebanon without her father’s knowledge and when she got in Lebanon they don’t have any contact to her they don’t even know what happened to her She really got scared to her father that’s why she refused to go back home. She had guilt because she did not saw her son grow up and she doesn’t earned money when she goes back here in the Philippines. She then had guilt feelings towards her father because she didn’t fix their misunderstanding. viewed opposite opposite sex as stron stronger ger when The patient patient has a viewed when her father and mother had a quarrel it always her mother make calm down to her father, and always her father had a last say to their family. Even in a male she viewed that she need a man to be a father of her son, she was dreaming to have a happy family but her boyfriend ruin her dream. She always wants her things in house to be well-organized which she inherit with her grandmother, she always ask to do their house holds and she obey her grandmother. She wish for protection for feminine figure because because when she was in Lebanon Lebanon she feels she don’t have privacy and she’s not able to take a bath properly because of security cameras all over the house. On her first month in Lebanon
she feels the loneliness because she doesn’t know anybody. She also has an Illusion. She always having a fantasy to her boyfriend, having a good life when they will be in the end, they always seek each other in a hide places so her employers didn’t see them. The patient has a desire to escape from situation because of that it change her life. She wants to forget about her conflict with her boyfriend and forget about about her her expe experi rien ence ce in Leba Lebano non. n. It was was hard hard for for her her to move move on because it was a big trauma for her. She doesn’t want her son to know about it when he grows up. She doesn’t want to hear any voice from her employer anymore. She need security it terms of relationship, she is seeking for a guy who will marry her to be a father of her son, who will help her in life, that she didn’t see to her boyfriend her in the Philippines, who never cheat to her, she see lebanist boyfriend that even it cheated to her, it has a wealth that can provide a beautiful life for her and her son. She had lack of awareness, she didn’t know what happened to her when she do something like having an affair to her her empl employ oyer ers s rela relati tive ves, s, and when when her her empl employ oyer er plan plantt a secu securi rity ty camera all over the house, she do not know that her employer watch her moves even she is in the shower, she had ambivalence same sex paren parent, t, beca becaus use e sh she e does doesn’ n’tt have have a care care for for it even even sh she e comm commit it mistake, her mother is always agree to her father, so her father always yell them. She love it for a not so strict to them and for caring them. She had delusion of persecution, she think that she was rape by her male employer coz she think when she awake when she was their she was her employer lying lying front of her body body but then when she admit to othe otherr hosp hospit ital al they they test test them them for for preg pregna nanc ncy y test test and and the the resul resultt is negative fear, sh she e think hink that that sh she e wil will be sex sexuall ually y abu abuse by her her empl employ oyer er and and ther there e are are phys physic ical ally ly abus abuse e are are invo involv lved ed,, sh she e had had confusion she is confuse that she was still in the Lebanon even she is here in the Philippines she heard her employer voices talking, she had also insertion that her employer telling her something against to her and she put in to her mind so until she go back here she was hearing those voices she had doubt to her employer because she think her employer want her, and doubt to her boyfriend in Lebanon having an affair to other girls, she also have doubt to her relative like her brother she did not recognized recognized it after a few minutes minutes in there there first meet when she go back here she had suicidal tendency, she attempt to kill herself because of what happened to her, having miserable life in other country, she had Anxiety because she had a fear to her employer when she caught having an affair to the relative of her employer, she was afraid what will happened to her, or she will not allowed to go back into the Philippines, she had a feeling of worthlessness, when she is here because she don’t have earn money for her family, and she was suffering this condition, she don’t know what to do when she is here she don’t want to tell her family what happened to her, because her father will get mad on her. She had needs being women, a mother
need for a man who can accept her for a partner in life, her son who needs her care, she miss it so much her family attention and care and financial she need money to start her new life, she had feeling of hopelessness when she was in the Lebanon, during the time that she is abuse physically physically,, emotionall emotionally y and sexually, sexually, she think that she can’t go home and she will die there.
RORSCHACH INKBLOT TEST Personality Evaluation Computation of Response LOCATION: W=9 pretentiousness D=2 dd = 6 W=1
W/R = 9/18x100 = 50% - intellectual D/R = 2/18x100 = 11.11% dd/R = 6/18x100 = 33.33% W/R = 1/18x100 = 5.5% 100 %
DETERMINANTS: F- = 6 Fc= 2 F=6 C=2 F+ = 1 Fm =
F- = 6/18x100 = 33.33% - overcompensation Fc = 2/18x100 = 11.11% F = 6/18x100 6/18x100 = 33.33% - anxiety C = 2/18x100 = 11.11% - shyness F+= 1/18x100 = 5.55% - inability to concentrate Fm = 1/18x100 1/18x100 = 5.55 - conflict 100%
CONTENTS: Obj = 2 H =3 Hd = 4 A=8 N=1
Obj = 2/18x100 2/18x100 = 11.11% H = 3/18x100 3/18x100 = 16.67% - weakness Hd =4/18x100 = 22.22% - anxiety A = 8/18x100 = 44.44% - discouragement N = 1/18x100 1/18x100 = 5.55% 100%
POPULAR: O/R= 15 P/R= 3 impracticality
15/18x100= 83.33% 3/15x100= 3/15x100= 16.67% 100%
POSITION: ^/R = 10 v/R = 7 >/R = 1
^ = 10/18x100 = 55.56% v = 7/18x100 = 38.89% > = 1/18x100 = 5.55% 100%
Interpretation Monster content – helplessness Mouse content – shyness Emphasis of big feet on card IV – feeling of inadequacy possibly Hd content – apprehensive Dd – anxiety H content – immaturity Blood content – poorly controlled emotional impulses X-ray content – absence of negativism Original responses – degree of contact with reality F+ content – ego strength Butterfly (non popular) – mood of well being Octopus content – active striving for independence Mouth content – dependency Fish content – maternal over protective Eyes content – suspicion Over all findings Active striving for independency Immaturity Helplessness Shyness Inability to concentrate Mood of well being Anxiety Absence of negativism Degree of contact with reality Feeling inadequacy possibly
Summary of findings The father of the patient was so strict to them. They experience military discipline by her father because of that she active striving for independ independency ency, sh she e will tel tell a lie lie stor story y to make ake her her fathe atherr believed, she can make a good stories just to escape from her father. Her Her fathe fatherr was was very very stri strict ct to them them.. Beca Becaus use e of that that she sh show owed ed immaturity just just like like a chil child d that that maki making ng stor storie ies s for for to beli believ eve e by others. When she came to the Manila from Mindanao, she stayed in her
relatives and she work in divisoria where she knew the father of her son. She feels helpless when her employer locked her in a room and no one help her to escape. Because of what happened to her she feels shyness towards her parents because she disobeyed them. She left her son to her mother because she is inability to concentrate on what she needs to do to make her life be in good. After weeks in hospital where she admitted she feels a mood of well being. She cooperated because she wants to cure but there are times that voices of the Lebanese is she still hears she feels anxious about that. She feels that the Lebanese was near to her. But she still fight she don’t want to be negativism for the reason that she want to cure cure and and want ant to go back back in the the Mind Mindan anao ao to her her fami family ly and and especially her son who really she missed. She knew that there was war that happened in the Mindanao it shows that she has now a degree of contact to reality, she knew what happened on her surroundings especially on their place. On the other hand, she feel inadequacy possibly towards her father when she will went back to Mindanao beca becaus use e when when went went to Leba Lebano non n sh she e don’ don’tt have have perm permis issi sion on of her her father. She thinks that her father will be angry to her.
GENERAL OVER ALL FINDINGS CLINICAL DIAGNOSIS: Major Depression FINDINGS Hallucination
Insomnia
Confused
BASIS
REFERENCE S
EVALUATIO N
HPI
auditory
She was not HPI able to go to sleep because sleep because of different ideas would come to her mind on how she could escape from her employer Thinking HPI differ different ent ideas ideas TAT 15
ANALYSIS
she always hear the voices of the Lebanese even if she’s in the hospital Less sleep than she always usual remember on what happened to her in Lebanon when she come back here in manila,
Hard to escape
she was locked in her
would come to her mind on how she she could could escape from her employer
Lack Lack of insi nsight ght
-Tak -Takiing a bat bath HPI with lights turned off, switching on of the radio but she does not want to hear music and turn turnin ing g on the the tele televi visi sion on and and she don’t don’t want want to see the program.
Odd behavior
-she thinks that if there’s a dust around their house her boss will get mad to her.
-She always caught cleaning the house because she does does not not want want to see dust.
Language disorder
Appetite changes
-She would also clos closee the the door door and the window kapag HPI tinatanong kung anong nangyari sa kanya sa Lebanon malayo ang sagot nya , nagsasalitang parang arabo. Her stomach HPI was aching, the doctor’s finding
employer’s house, she don’t know how to go home and how she going to tell her family her situation -She feel her boss watching her by the security camera’s around the house.
-she is afraid to go out, because she think her she will find by her boss
Incoherent words
She don’t want to talk and to think what happened to her
Lose appetite
She can’t eat because she is depress and
“ kaya sum asakit ang tiyan niya niya kasi kasi hindi hindi ito kumakain
Illusion
Helplessness
Worthless
When the patient first saw her brother she immediately hugged her brother and told him how much she misses their family, she volun volunte teer ered ed to get a chair for her her brot brothe herr so that that they they could could talk talk more more.. But But when she comes back she all of a sudden shout shouted ed at her her bro broth ther er “hin “hindi di ikaw ang kapatid ko” she thin thinks ks that that her brother is a lebanese Walang tumulong sa akin para makaalis sa pode poderr ng amo, amo, hindi ko makayanan yung ginawa niya sa akin
she always remember what happened to her
HPI
Lose contact in She viewed reality her brother as her employer who was a Lebanese
DAPT SSCT # 18 RIT
problematic
Hindi ko alam TAT 18 kung anu gagawin ko inii iniisi sip p ko nga nga yung mama ko
She was thinking what her parent say to her parent can say to her, cause she don’t have a money when she came back here N ee d parent She was miss attention her parent and she want to help her in her problem
Hopeless
sana matulungan niya ako Akala ko din a TAT 20 ako makakabalikl dito sa pilipinas nung nung kinu kinulo long ng ako ng amo ko
Fear to superior
her She was afraid to her employ employer er that that she do not allowe allowed d to go home
GENERAL SUMMARY OF FINDINGS WITH PSYCHODYNAMICS When the patient came back here in manila they found out that her behavior was changing, when she pick up by her auntie in the airport, they know it had a problem in her work, because it was totally crying and she was walking around that she was looking was bothered to her self and after they got home in her auntie’s house she stayed their, they found out that its was not in herself and they seen a biggest changed in behavior, after her brother when in manila to see her to ask her to be able to under go check up in the hospital to know why her is behavior is changing, when they got in the hospital in her first week she was afraid because she was hearing a voice of a Lebanese in the hospital she had auditory hallucination, she heard the voices that telling her a bad things about her she put to her mind, for that she had insomnia she got got a less less sleep, sleep, becaus because e she was thinki thinking ng on what happened to her in Lebanon, she feel that she was still in the Lebanon even she was here in manila, she was confused if she was her in manila why she hearing the voices of Lebanese and she viewed her brother as a Lebanese, and she want to complain what happened to but she is afraid because her boss has known as powerful in their place in Lebanon, she want to have her salary but she was afraid to complain but she was thankful go back here in the Philippines, she had lack of insight because she feels that she is still watching when she was taking a bath so she was turning off the lights even she is here in manila, and she always clean her auntie’s house she viewed that she is still working as domestic helper but she was came back here and she is her auntie’s house she able to close the windows and close the door beca becaus use e sh she e don’ don’tt sh she e is hidi hiding ng to her her boss boss,, sh she e had had language disorder or incoherent word, she was jumping to other topic when they talk about what happened to her in Lebanon because she don’t was to recall or they don’t want to tell any body what happened to her because she thinks it was a humiliation for their family, and she had Appetite changes during during she was was in the Lebanon Lebanon she’s not not able able to eat because her boss will get mad and she is afraid that her boss is going to poison her because it was jealous to her boyfriend which is her her boss boss rela relati tive ves, s, sh she e cant cant eat eat beca becaus use e sh she e is depr depres ess, s, sh she e had
illusion, becaus because e she don’t don’t have a nutrie nutrient nt in her body body so she had illusion that her brother is a Lebanese and she is still in Lebanon, she had helplessness because she think nobody can understand her on what happened to her because it was her fault to work in other country and she cant blame other only her self, for that she had worthless feeling that she cannot start her life because people find her as insane, she can go out because people will humiliate her, and she cant recover her salary in a long period that she was working to her boss, to able to give that money to her family, and she had hopelessness because she wasn’t like before who can work to other country she don’t want to go back there again she want to stay here in her family even she can have a big salary and she was not able to see her boyfriend their because of her boss.
Test administered and interpreted by: REGIO, JOHN KENLY A. BSCP IV-3 Noter by: Serafina P Maxino Professor
