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A Beautiful Mind: Mental Health Assessment
Eilis Weber
September 17, 2014
Scene Summary
John Nash was asked to present at the Mathematics Conference at Harvard University when his hallucinations start to chase him and he runs out. Confronted by the doctor outside he is sedated and taken to a mental institution. There he is disoriented and in denial. Later, his doctor says to his wife “Imagine if you suddenly learned that the people, the places, the moments most important to you were not gone, not dead, but worse, had never been. What kind of hell would that be?”
Medical Diagnosis
Paranoid Schizophrenia; Paranoid type schizophrenia is a mental illness in which someone experiences auditory and/or visual hallucinations
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His facial expressions changed dramatically from a calm, collected professor to an expression of panic and aggression.
Thought Process and Content
He could not differentiate between his delusions and reality. He believes the Russians are sending codes through the newspapers to attack the United States (psychosis).
John Nash displayed coherent but illogical thought process, insisting Dr. Rosen was part of the Russian army. Appears to be thought blocking in order to keep his work with the government confidential.
John Nash is delusional and experiencing auditory and visual hallucinations. Believes the Russians are after him because he knows too much from his work with the government. Sees imaginary people (Charles, Marci, Parcher).
Does not appear to be suicidal however is violent towards other people such as Dr. Rosen and his wife.
Sensorium and Orientation
John Nash was not oriented to the environment he was in after being admitted to the hospital. He believed he was captured by the Russians when awoken from sedation and speaking with Dr.
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He believes he has been captured by the Russians when in Dr. Rosen’s office.
He is in denial as he does not recognize that he is ill until his wife brings him the packages he tried to send to the government and that Marci never gets old.
He understands abstract concepts…
Self-Concept
Does not like people as stated at the beginning of the movie when describing his colleagues in school.
He is very competitive, when he doesn’t win the prestigious award and his teacher doesn’t believe in him.
He is socially awkward and arrogant as seen at the bar he says “I don't exactly know what I am required to say in order for you to have intercourse with me. But could we assume that I said all that. I mean essentially we are talking about fluid exchange right? So could we go just straight to the sex.”
“Despite my privileged upbringing, I'm actually quite well-balanced. I have a chip on both shoulders.”
Roles and Relationships
Married and soon to be father (possible stressor). John Nash does not have any friends outside his hallucinations. Claims to be an “odd
The character’s demeanour changes the entire atmosphere of the movie due to experiencing serious trauma through bullying in childhood. The
Once people was alerted to his disorder, they treat John Nash like they did not know how to act around him. His wife assumed he was hallucinating when he was talking to someone she did not see, but it was not the case all the time. For example, she thought he was hallucinating a garbage man collecting garbage late at night, but the garbage man was outside their house. His wife was also getting frustrated with him, while also trying to take care of him. She was frustrated that his senses, emotions, and sex drive was dull. She was truly upset and worried about his hallucinations and delusions. She wanted him to get better. Martin Hansen tried to help him by providing him with opportunities to work with
Clifford is referred to as a “scapegoat” in this story. He 's the character the group picks on and projects their own inadequacies onto. He 's not penurious, nor depressed, and he doesn 't break his back being a workaholic; in fact, he 's happy go lucky, “They savage Clifford; it is as if he is meat and they are eating him” (Bass, 45). For example, in Exploring Psychology, “Following the 9/11 terrorist attacks, some outraged people lashed out at innocent Arab-Americans. Others called for eliminating Saddam Hussein, the Iraqi leader whom Americans had been grudgingly tolerating. (David G. Myers, 513) Bass uses Clifford in a similar way; that, and as contrast to his other characters. He seems to have everything just given to him, or at least that 's how he 's portrayed. He 's over all the rest of them in their office, yet he seems to do less work then the others, and his job position would fit either one of them better, due to them being more unyielding workers in their eyes. Furthermore, “Negative emotions nourish prejudice. When facing death, fearing threats, or experiencing frustration, people cling more tightly to their in group and their friends. As the terror of death heightens patriotism, it also produces loathing and aggression toward “them”-those who threaten our world (Pyszczynski et al. 2002, 2008)” (David G. Myers, 514). So it makes
This is because he has received over 200 electro-shock treatments and has been physiologically beaten to think that he is an inferior being to all others but he is not alone. All of the patients in the ward have had this done to them, some more than others. Another thing that sets the Chief apart is the fact that he has led everyone to think he is deaf and mute. This has enabled him to hear some of the secrets of the ward because everyone thought it was safe to talk around him. The Chief has also been in the army and in WWII. He claims to hear and see machinery in the walls of the ward that track and monitor all action that goes on in and around the hospital.
Case introduction: A 19 year-old gentlemen, SS, presented to station 20N through the emergency department, following what was described by friends and family as “bizarre behavior.” SS had recently begun college at a local liberal arts school. He had done well during the first semester, but began to struggle academically during the second semester. Family attributed the decline in academic success to an increase in class size, which made SS uncomfortable. Several weeks prior to hospital admission, SS became increasingly isolated, spending the majority of his time in the dorm room and less time in class. Friends and roommates reported that SS was exhibiting bizarre behavior, often confiding in friends that he was being “spied on” by others and that people around him could “read his thoughts.” SS also endorsed a strange delusion in which those around him would blink simultaneously as a form of communication. All of the aforementioned events became overly distressing to SS and his family, so they sought medical help. SS had a limited psychiatric history for which he had seen a psychiatrist. The psychiatrist had put him on an anti-psychotic medication some months prior, but SS self-discontinued the medication after just a several week trial. As a result of the above, and a lack of explanation regarding the past psychiatric referral, the events were described as “first-episode psychosis.” Discussion regarding the diagnostic work-up followed.
The movie, A Beautiful Mind, depicts the life of John Nash and his struggle with the disorder, showing the symptoms and treatment methods used during the time period. In the movie, the main character, John Nash, experiences positive symptoms in which bizarre additions are added to the person’s behavior like disorganized thinking or in Nash’s case, hallucinations. At one point in the movie, John could be considered to have tactile hallucinations (sensations of tingling, burning) mixed with his visual and auditory ones when Parcher implants a device into his arm, causing a stinging or painful sensation. His visual and auditory hallucinations, although auditory hallucinations are considered more common in schizophrenics, the audience is not aware of these symptoms until mid-way through the movie, however, the nonexistent “people” he sees start in grad school with the first one being Charles Herman, his “roommate.” During this time, the main character would be in the prodromal stage of the disorder where the function is decreasing and the symptoms come on gradually at a rate unnoticeable to others, because he is
Each individual is subjected to hospital residency and treatment for behavior that is regarded as strange or unethical by society, be it immaturity, violence, promiscuity, hallucination, or even homosexuality. As an example, Randle McMurphy is admitted on the premise of psychopathology. His symptoms are excessive sexual activity and violence. “‘I got in a couple of hassles at the work farm...and the court ruled that I’m a psychopath...Now they tell me a psychopath’s a guy fights too much and fucks too much…” (Kelsey 19). Additional examples include Chief Bromden, who suffers from paranoia and hallucinations; the lifeguard, a former professional football player who deludes wild fantasies of his past career; Dale Harding, a homosexual; and Billy Bibbit, a man with the innocence and the mind of a young child. For all their drawbacks and flaws, McMurphy, Chief, Harding, Billy, and all of the patients become the cull of society and are forced into the hospital for
This novel is told from the first person point of view. George Walton begins narrating the story through his letter to his sister. After he rescues Victor from the ice and nurses him back to health, Victor begins to tell Walton his tale. As the story begins the perspective shifts from Walton's to Victor's point of view while still being told in first person. The first person narration really helps give the reader insight into the true state of the main character's mind, and it is indeed a dark place.
Michael Byrne is 5’10” and 160 pounds with short black hair and unshaved facial appearance. He wears unwashed clothing with a reeking order. Mr. Byrne has an average sized dog named Floyd. He has no assistive device and he does not wear glasses. Mr. Byrne trusts Floyd his dog because he protects him by sitting very close to him. Mr. Byrne Mental Diagnoses are Schizophrenia and PTSD and his Physical diagnosis is Hepatitis C and Gastrointestinal pain with severe headaches. Mr. Byrnes Function appears to be very agitated, severely depressed and he describes of having intense headaches when asking questions about his personal life. He feels invaded when people get to close or enters his area where he lives; he is homeless. He appeared paranoid
Nash showed much change in the way he was functioning through the movie. After treatment, it seemed like he had his disease under control, but he still had problems disbelieving in his hallucinations by still acting on them. For example, he still thought he was working for the government by helping them decode secrete codes in the newspapers. He tried to hide this from his wife by keeping all his work hidden in a shed. Eventually, Nash's life is seen as he returns to the college to teach and continues completing his mathematics work, while still seeing the delusions. This life is clearly far from normal. But for Nash, it also seems the best option.
John Nash is a brilliant mathematician who struggled with paranoid schizophrenia for several decades of his life. Nash displayed erratic behavior and suffered from auditory hallucinations. He believed he was receiving messages from outerspace and was convinced that there was conspiracy to undermine the American government. On one occasion, Nash burst into the office of the New York Times and accused them of preventing him from receiving important encrypted messages only he could decipher. Nash’s wife admitted him to a psychiatric hospital only two years after their marriage (Nasar, 2001).
There is no clinical evidence of psychomotor disturbance. At times he struggled to maintain adequate eye contact. Although he was apprehensive to speak at first his speech was coherent, spontaneous, appropriate with normal rate, volume and rhythm. He described his mood as “overwhelmed.” Objectively, his mood was a combination of sullen and angry. His affect is full range, appropriate, with spontaneous emotional reactivity. There were no clinical features of psychotic illness. His behavior is appropriate for a frustrated teenage male. His memory for recent and remote events is intact. He is well oriented to place, time and person. His concentration and attention were both adequate but he did disassociate at times. Additionally, he was preoccupied with the event and its ramifications. He was able to add and subtract figures without difficulty. His general level of intelligence and fund of general knowledge appears to be above average. His level of personal hygiene is adequate. He was able to communicate clearly and he was able to achieve goal directed ideas without difficulty. He denied any current suicidal or homicidal ideation. Client disclosed ideations of hopelessness, shame and guilt. I was able to maintain adequate rapport with him throughout the interview and he was able to follow directions. He denied any auditory or visual hallucinations. Client denied having “real time” flashbacks of the traumatic event. However, he disclosed unwelcome and intrusive memories of the event that occur sporadically outside of therapy. The client has poor insight into the nature of his
The movie A Beautiful Mind, directed by Ron Howard, tells the story of Nobel Prize winner, and mathematician, John Nash’s struggle with schizophrenia. The audience is taken through Nash’s life from the moment his hallucinations started to the moment they became out of control. He was forced to learn to live with his illness and learn to control it with the help of Alicia. Throughout the movie the audience learns Nash’s roommate Charles is just a hallucination, and then we learn that most of what the audience has seen from Nash’s perspective is just a hallucination. Nash had a way of working with numbers and he never let his disease get in the way of him doing math. Throughout the movie the audience is shown how impactful and inspirational John Nash was on many people even though he had a huge obstacle to overcome.
“ Oh dear! I did not know how hard it is for you to be judged based on wealth.”
John is afflicted with paranoid hallucinations; by the time he is taken to a mental hospital under the care of the mysterious Dr. Rosen, he is diagnosed as having an advanced case of schizophrenia.