Apply Dsm-Iv to William Styron Essay

He chronicles â€Å"the leaden and poisonous mood† (Styron, 1990) that occupies most of his days. He reflects his diminished interest and pleasure towards â€Å"exceptionally island’s pleasure†, his â€Å"beloved home†, writing and other activities that he used to enjoy. He wonders how his friendly place seemed so hostile and forbidding. As a writer it felt helpless and painful to him when he found out â€Å"the writing becomes more difficult and exhausting, finally ceased† because depression has made him unable to concentrate. Styron’s statement of â€Å"two or three hours of sleep I was able to get at night† indicated that he suffered from insomnia and the everyday sleepless was â€Å"a rare torture† to him. It was clear that his insomnia evolved from middle insomnia to severe insomnia just right before his hospitalization (Andreasen & Black, 2011). Styron also stated his slowed psychomotor functions that manifested in â€Å"slowed-down responses, near paralysis, psychic energy throttled back close to zero†. Styron further describes his mental illness severity as â€Å"reached the phase of the disorder where all sense of hope had vanished, along with the idea of a futurity†. While these particular descriptions depict Styron’s hopelessness and despair, he also proposed a question â€Å"Why wasn’t I in a hospital† which implies his later voluntary hospitalization and improvement in his illness. In addition, Styron constantly thinks about death and suicide evidenced by â€Å"Death, was now a daily presence†. His house has also become a place that was filled with possibilities of committing suicide. These core symptoms in Styron’s case defined major depression and has presented for more than two weeks (American Psychiatric Association, 2000). Styron stated by himself that there was no manic episode occurs. And there were no evidence for a Mixed Episode. Although it was clear that client’s alcohol abuse history and his overuse of sleep medication play roles in his depression client’s depression are not due to the direct physiological effects of the substances or any general medical condition (American Psychiatric Association, 2000). It is interesting to address that client’s symptoms are not better accounted for by Bereavement but the unresolved grief Styron had toward his mother can be consider a major factor that contributed to his depression. The childhood trauma and the unresolved grief will be discussed later in this essay. In Styron’s case his depression began gradually during the six to eight month time frame. â€Å"Styron is on point in his astute description of milder dysthymic states that evolve into physiologically engaged forms of sever, endogenous depressions† (England, Ganzer, Foster, & Tosone, 2006). Based on client’s current situation it is reasonable to give Styron â€Å"moderate† with current GAF score of 65. Styron stayed in hospital for nearly seven weeks and discharged with an improvement in his illness and his functions. All of his statements of â€Å"I began to get well, gradually but steadily† â€Å"the fantasies of self destruction disappeared† â€Å"suicidal notions dwindled then disappeared† â€Å"had first dream in many months† indicated that he was in the process of Partial recovery. Not only he started to feel â€Å"peace† in his mind but also he was able to attend hospital group activities. Styron has high adaptive level of defensive functions at current state. The understanding of the causes of depression has evolved over centuries. While Styron was detecting his â€Å"forgotten or buried events† that underlay his depression it will be important to look into his case through the biopsychosocial lens. From biopsychosocial model perspective the three major factors which all play a role in causing depression are biological, psychological and social factors. There are three aspects that contribute to Styron’s biological factor: genetic, alcohol use and medication. Based on Styron’s memory, his father, a shipyard engineer, suffered from clinical depression. When Styron was a young boy he have witnessed his father’s depression and hospitalization. Recent genetic research supports earlier studies reporting family links in depression (Pittenger & Duman, 2008). If one or both of child’s parents have a vulnerability to depression, then it can be transmitted to the child. Therefore Styron’s father’s depression can be viewed as a risk factor to Styron’s later depression. In the narrative of Styron, he stated his dependence on alcohol and the overuse of Halcion for his sleeping problem. Excessive alcohol consumption significantly increases the risk of developing major depression (Gottlieb). Similar to alcohol, the increased risk for developing depression in benzodiazepines might be due in part to effects of drugs on neurochemistry, like decreased levels of serotonin and norepinephrine (Pittenger & Duman, 2008). Styron himself acclaims that â€Å"more significant factor† (Styron, 1990) to his depression was the death of his mother when he was thirteen. In order to view psychological factor in Styron’s case Styron’s early mother lost has strong affect on his depression. Attachment theory predicts a relationship between depressive disorder and the early bond between the child and parents. Particularly the experiences of early loss, separation may all lead to insecure internal working models (Ma, 2006). To Styron, the death of his mother has â€Å"created nearly irreparable emotional havoc† (Styron, 1990) for him. This huge hole in his life may lead to his insecure and self-worthlessness. This insecure internal working models manifest through depressed individuals often blaming themselves for negative events and may not taking credit for positive outcomes. Styron reaction towards can be interpreted as he subconsciously felt he was not worthy of the honor (Marowitz, 2009). Regarding Styron’s own insight of â€Å"incomplete mourning† (Styron, 1990) he is right about the unsolved grief can keep bring the â€Å"insufferable burden of rage, guilt and sorrow†. â€Å"The Styrons were a dignified Southern WASP fanily and open displays of grief were tacitly discouraged† (England, Ganzer, Foster, & Tosone, 2006). Since Styron was stuck in the phase of unresolved grief and using rage, guilt, and sorrow as the fuel for his work he never really learned a correct way to release his negative repeating emotions. Social factor in Styron’s case may be his social isolation during his early life from childhood to adolescent. As an only child in the family Styron’s social support can only come from his depressed father and mother with terminal illness. There was no one to share the burden and loneliness with him. As a pre mature and gifted child Styron went to school’s grade that did not match his developmental stage.

The American Revolution Essay - 2121 Words

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Many progressive movements were developed within the American Revolu tion, especially since it was a time where slavery was still considered popular among many states (Mays 253). From 1765 up until 1783, the American Colonies, went through a radical transformation into an independent nation in which they fought for, after many years of being controlled by the English government (Greene and Pole 251). The outcome of the American Revolution not only affected the colonies, economically, but as well as culturally, politically, and would bring upon many changes thatShow MoreRelatedThe American Revolution : The Revolution1367 Words   |  6 PagesThe American Revolution Revolutionizes the World It was the first revolution to majorly succeed and change how people saw their countries, it was the American Revolution. 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Karl Marx And The Communist Manifesto - 1453 Words

In the Communist Manifesto, a document that first proclaimed the ideology of communism itself, Marx declared that the â€Å"history of all hitherto existing society is the history of class struggles† (Marx, Karl and Frederick Engels). As a man who spurred resentment of governments and inspired revolutionaries, Karl Marx is often regarded as a man who led to the rise of 20th century tyrannical dictators such as Stalin and Mao to take power. His ideas are regarded as failures and, by some, are seen as pure evil. However, the ideas of Marx were not evil and did not solely bring about the rise of dictators. Rather, Karl Marx dedicated his life to bring economic equality to Europe and wanted to bring an end to the corrupt inequality that the†¦show more content†¦Furthermore, Marx’s upbringing also showed him religion s â€Å"seductive tyranny†. 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Community College Tuition Plan Raises Doubts - 789 Words

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Lord Capulet Soliloquy After Act free essay sample

Paris is wealthy, young and handsome, an excellent match for her. She cannot disobey my order, this is my decision, (point to chest) not hers. Does she have any idea how many girls would die to marry Paris? Juliet would become part of royal family, which will be great for me and our name too. Our Capulet name will be seen as peaceful and loving if she marries Paris. And if she doesn’t she will be ruining my plans for her. She is mine and always will be mine. As long as she does not marry a Montague, everything will be fine; there could be nothing worse than for her to be a part of that family. (shake head) But she needs someone like Paris with her. Paris is willing (show willing actions) to take the role as Juliet’s husband. He is just as excited as I am to take Juliet’s hand in marriage. We will write a custom essay sample on Lord Capulet Soliloquy After Act or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If it weren’t for Paris’ words, I would never have agreed to let Juliet marry Paris as (point index finger) â€Å"Too soon married are those so early made† (1. 2. 3) I used to say. But I see now that Juliet needs to have a husband to help the family name. This marriage will benefit everyone, and if doesn’t marry Paris, she will be letting many people, especially me. My sorrow for Tybalt’s death is affecting my family, and from a tragedy must come a joyful event. This is Juliet’s fault, I wouldn’t need to be this angry if she had only just agreed in the first place. She has no right to disobey my order, I am her father, I make her final decisions. I only want what is best for her and if I believe that marrying Pairs is best for her, then that is what she will do. If Juliet doesn’t marry soon, she could ruin my family name. Nothing will change my mind; she must marry Paris this Thursday morning even if I have to drag her to the church.