A
19-year-old youth was admitted to the psychiatric service. When he was admitted
to us the boy's parents told us that over the past few months
- The boy's parents
told us that over the past few months their son's behaviour had changed
drastically
- the patient has
spent most of his time staring vacantly out of the window.
- He has also become
careless about his personal appearance and habits.
- He had been an
average student at college, but was forced to leave recently as he was
failing all his subjects.
- While at college
he had done well at non-team sports and won several medals, but now he
does no exercise at all.
- Further
conversations with his parents have indicated that his childhood and
adolescent adjustment had not been healthy.
- The personnel of
the psychiatric service found it difficult to talk to the patient.
- He volunteered no
information except to answer direct questions in a flat, toneless way,
with no emotion.
- Often his answers
were not logically connected to the questions.
- The observers who
took part found it difficult to record their conversations with the
patient. Often after the conversations the observers themselves were left
wondering what the conversations had been about.
- While speaking
about a serious illness which had left his mother bedridden for a
considerable period, the youth constantly giggled.
- At times he became
agitated and spoke with a curious intensity.
- The patient said
he felt that he was somehow being influenced by a force outside himself
to commit an act of violence -as yet undefined -towards his
parents."
Questions
relevant to Wundt's model:
- As you read this case story,
what might make you think that there were changes in the young man's
sensations? What sensations might be affected? Why do you think so?
- If there are perception
distortions what consequences will that have upon the person's behavior,
feelings, general state of consciousness, way to interpret the world?
- What are the main feelings
present in this person, it seems? Are there dominant feelings? Is there a
balance between the different kinds of feelings?
- What emotions seem to be
present? Are the emotions appropriate? Why might they not be?
- What are this person's
volitional processes?
- What is this young man's
apperception like? What does he pay attention to and notice? What does he
not notice? What volitional processes (i.e. motives etc.) might underlie
the structure of his field of consciousness?
- Having thought this through,
has this model helped you gain some understanding of the young man's
possible condition?