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Dr. Michael E. Shery, Clinical Psychologist
2615 Three Oaks Rd, Cary, IL 60013, Ph: 847 275 8236
Re Subject: Mr. John Doe
Date of Birth: 07-03-61
Situation Leading to Referral: In late
November of 2009, the subject's ex-wife called to inform him that his son had over-dosed and died. The wake was
held on December 6, 2009 and that evening, shortly after his son's services, he discovered that his mother who was
residing in Las Vegas had had an accident and was in the hospital intensive care unit, (ICU); his mother
passed-away on March 24, 2010. Exacerbating the situation, his long-term live-in girlfriend had moved out of his
house the weekend after Mother's Day, 2010 because the subject had evicted him from his house in Oct,
S.N., one of his deceased son's friends, would call him
intermittently and finally in June, 2010, asked the subject if he could move in with him because of personal
problems. The subject acceded to the request, provided his stay would only be short term. In mid-July he permitted
a female friend who was living in a bad environment to also move in and in mid-August, S. N's girlfriend was also
given permission to move in because of problems at home.
The subject reports having multiple conversations with them about several problems
regarding day-to-day maintenance, cleaning etc. At one point, SN was taking too long in the bathroom when the
subject was in a hurry to leave the house and an altercation broke out: The subject reported that when he finally
started going into the bathroom, SN grabbed him around the neck in a choke hold and the both fell to the floor.
SN called the police and the subject reported hearing him
screaming that he had guns. The subject ordered SN to get out of his house and then further reported that SN then
charged at him; the subject then reported pushing him away.
After the police arrived and while the subject waited outside,
they interviewed SN inside the house. Upon concluding the interview they returned outside and asked the subject if
he had indeed, pushed SN. The subject had admitted that he had and the police subsequently arrested him.
This report is the culmination of his complying with the court's order that he
receive a psychological exam containing assessments of grief and anger issues and comply with its
Overview of the assessment: The assessment
process consisted of interviews with the subject, a review of the situations causing the evaluation to be mandated
and the review of psychological testing data and other relevant information.
Subject’s Presentation during the Interviews: The subject was punctual in
keeping his appointments. His initial appointment was on June 9, 2011 and a subsequent one took place on 7-26-11.
He arrived alone and was appropriately and casually attired for both. He was respectful, cooperative and at the
initial appointment, appeared mildly frustrated with the legal process.
Caveat: The interview data is valid only
insofar as the subject was not prevaricating or deceptive during the interviews.
The client is a 49-year-old white male. He reports
that he has no religious preference. He lives in a house and has lived there for more
than five years. He lives alone.
When asked about his dietary
habits, he indicated that his diet is nutritious. He says he eats breakfast, lunch, and dinner. In his
spare time the client enjoys outdoor, mechanical, technical, and domestic activities and
While pregnant with him, his
mother smoked tobacco. As a child the client was somewhat happy and recalls that he was ill no more often than
his peers. As a teenager he was somewhat unhappy but remembers being healthy.
Before age 18 he had close
friends with whom he could discuss nearly anything. He has more than one such friend now. The client is not
aware of childhood problems with toilet training or with learning to sit up, crawl, stand, walk, talk, feed
himself, or dress himself.
He does, however, report a
childhood problem with enuresis. He recalls being very afraid of dying. He does not report having any
difficulties with coordination, excitability, or overactivity before age 13. He does recall getting into many
The client does not report a
history of running away from home, having suicidal preoccupations, or attempting suicide as a child or teenager
and he reports no unusual eating habits as an adolescent.
He recalls physically maturing
at roughly the same time as most of the boys he knew. He felt that he could discuss only certain aspects of sex
with his parents and began dating before the age of 18. He usually dated every week, one person at a time and
remembers that his parents objected to the individuals he dated but did not interfere.
After the first time he had
heterosexual intercourse he reportedly felt happy and satisfied. Currently, he enjoys sexual intercourse. He
reports not having a homosexual experience.
FAMILY OF ORIGIN
The client was raised by his
natural parents and having brothers and sisters.
He reports that his mother
loved him too much and gave him more than enough time and attention. He recalls that he could always talk to his
mother about problems and claims that his mother accepted him but criticized him when
He reports that she always
praised him for his accomplishments, though she was reasonably strict and always wanted to know where he was
going and what
he would be doing. She usually
psychologically punished him when he misbehaved by yelling at him or making him feel that he had hurt
The client reports that his
father gave him very little time and attention and that he was never able to talk to him about problems. He
claims that his father criticized everything he did, though occasionally praising him for his
His father was an extremely
strict disciplinarian who always wanted to know where he was going and what he would be doing. Punishment always
resulted when his father discovered that he had misbehaved.
To punish the client
psychologically, he would yell at him, take away privileges, embarrass him, or put him in "time-out". Corporal
punishment usually included spanking or slapping. At least once, his father hit him with an object as a form
He reports that his elementary
school performance was usually good. In general, he liked elementary school and describes himself as being
neither popular nor unpopular with most schoolmates. In high school he received mostly B's and his
extracurricular activities included athletics.
He reports no major antisocial
behaviors in high school and described himself as being neither popular nor unpopular with other students and as
being neither happy nor unhappy in high school. The client reports graduating from high school and
trade/vocational school. He reports attending but not finishing junior college.
The client reports his primary
sexual orientation to be heterosexual. He is currently divorced and is living alone. He reports being married
only once and having one natural child as well as stepchildren. He does not have a spouse or spousal figure at this
Employment: 3 years
Job Description- Chief Mechanic
Performance Reviews: He reports they have been satisfactory.
The client is employed
full-time, is paid in hourly wages and holds a skilled labor position in the service industry. He has had his
present job for more than eight years and reports being somewhat satisfied with his work. He reports thinking
about changing jobs and is currently looking for one.
He has quit and been laid off
from jobs in the past. He reports resigning from a previous job because of an opportunity for a better one and
dissatisfaction with his job. Over the past year his household income has increased somewhat and is more than
sufficient to pay for basic necessities
The client reports having been
charged with criminal offenses, though, there are no charges currently pending.
The client has
never served in the United States military.
The last physical examination
the client had was more than a year ago; he recalls having no problems at that time. His last dental exam was
within the last month, as he is currently having problems with his teeth.
He has never had surgery and
believes that he is currently in excellent health; he also reports that he is allergic to certain drugs. His
family history includes diabetes and heart trouble or stroke. His own history includes an ulcer; he has never
had prostate problems.
Lately he has experienced leg
cramps that wake him up. He also complains of recent constipation and reports that he has recently been troubled
by back pain.
He reports drinking alcohol
several times a year and usually drinks beer or hard liquor. He does not report any usual diagnostic signs of
current pathological alcohol use, and he has not experienced an increase in tolerance over
No usual diagnostic signs of
psychosocial impairment caused by alcohol use were reported. He has used cannabis but he does not do so now and
no usual diagnostic signs of current pathological drug use were reported. No usual diagnostic signs of
psychosocial impairment caused by drug use were reported either.
No episodes of depressed mood,
diminished energy, loss of appetite, sleep disturbance, or suicidal ideation lasting two or more weeks were
reported and no periods of elated mood or hyperactivity lasting one week or more were reported
He does not report having
experienced thought broadcasting, thought insertion, thought withdrawal, auditory distortions and
hallucinations, grandiose beliefs, persecutory beliefs, or feelings of being controlled and no phobias were
mentioned. He denies having had unwanted, repetitive thoughts or having performed repetitive acts. However, he
does have trouble falling asleep at times.
Mental Status: During my interviews with the subject he was alert, oriented to
person, place, time and situation. His levels of judgment and insight were normal, as was his ability to remember
and concentrate. He showed no signs of disordered thought processes and his manifested affect was appropriate to
the content of his verbalizations. Intellectually, he appears to function in the average to high average range.
Behavioral observations: Initially, he
appeared aware of the process of psychological dynamics and the purposes of testing. He provided detailed
responses, using many words. He was always compliant, accepting and respectful and he believes he is able to
function normally in the absence of any psychotherapeutic
During his interviews, he provided complete and detailed
information with little prodding by the examiner. He had no difficulty discussing his internal feeling states and
possible problematic behaviors.
Tests Administered and their Results:
Millon Clinical Multiaxial Inventory III (MCMI III)
The major complaints expressed
by the client's MCMI-III responses do not take the form of distinct Axis I symptoms.
This patient strives to be seen as proper and conventional in spite of
the ambivalent feelings that exist under his controlled surface. He has a strong sense
of duty, and it takes prolonged stress for him to display upsetting or angry feelings. He may have difficulty
sharing personal information.
appears to be an essentially well-functioning (i.e., "normal") individual with no major personality disturbances
who has been undergoing disturbing psychosocial stressors and is now exhibiting troublesome symptoms that are
He is likely
concerned with appearances, that is, with being seen by others as composed, virtuous, and conventional in his
behavior. He likely attempts to downplay or minimize distressing emotions.
profile of this man often indicates a fear of public humiliation, a rigid and tense compliance with social
conventions and propriety, and a receptivity to the beliefs and values of institutional authorities (e.g., church,
self-effacing, noncompetitive, and nonassertive. A strong sense of duty to others may typify his social
relationships. He strives to be a considerate and cooperative person, one who is, at times, even subservient and
unambitious; he may even tend to downplay his attributes and abilities.
disapproval from others upset him and he avoids negativism by appearing to be accommodating and respectful,
especially with those in authority. This man's efforts to appear unassertive and quite proper lead him to seek
institutions and persons with considerable power and control. By following their rules and guidelines, he hopes to
hide the rebellious feelings that occasionally slip through his front of respectability and
exposure of these feelings and seeking to check them, he has had to learn to lead a life of tense and disciplined
self-control. Certain forms of self-assertion would endanger the security and respect he seeks.
It is possible that this man
lacks appreciable psychological insight into himself and others. Therefore, he may be quite indecisive and
easily upset. Deviations from his routine often produce anxiety. He strongly desires to appear favorably to others.
Furthermore, he dreads making
mistakes or taking risks, lest they provoke disapproval and punishment. Contributing to these fears is a
conscience that serves to counter his negative urges and embarrassing
He tends to constrain his
feelings and deny any significant emotional conflicts.
is his inclination to exhibit an unusual adherence to social conventions and propriety,
leading to a preference for polite, formal,
dutiful, and "correct" personal relationships. He is deferential, ingratiating, and even obsequious at times, going
out of his way to impress them with his kindness and serious-mindedness. He seeks the reassurance and approval of
others, experiencing considerable anxiety when he is unsure of their wishes or expectations.
markedly with his treatment of subordinates, with whom he can be quite autocratic and condemnatory, often appearing
self-righteous. Also salient is his habit of constructing the world in terms of rules, regulations, time schedules,
and social hierarchies, which results in his being upset by unexpected changes in routine and the sudden appearance
of certain inconveniences.
He tends to be
rigid and stubborn about adhering to convention which is associated with the ease with which he can become upset by
having to deal with novel customs and ideas. In these circumstances, he feels unsure of what course of action he
should take and thereby often ends up immobilized and frustrated.
Quality of Life Inventory (QOLI)
OVERALL QUALITY OF LIFE
This individual's satisfaction
with life is average. This person is basically happy, content, and satisfied with life. People scoring in this
range are generally successful at getting what they want out of life, are able to get their basic needs met, and
achieve their goals in most important areas of life.
If they have a list of goals
they want to achieve in their lifetime, their overall success in doing so is good. They believe that their lives
have meaning and purpose, and they usually feel energized about fulfilling their personal
They set realistic goals for
themselves and are optimistic about their chances for eventually achieving them. In fact, people scoring in this
range have generally found positive and rewarding environments or circumstances in the areas of love, work, and
They also have useful skills
and strategies for fulfilling their most cherished needs, goals, and wishes. In particular, they have rewarding
relationships, satisfying leisure activities, and meaningful work or retirement pursuits.
People with scores in this
range usually have good physical and mental health. They also tend to live longer than people who are
chronically unhappy. When health problems or disabilities do arise, people with scores in the average range tend
to adapt. They usually accept their limitations and find new sources of joy, meaning, and satisfaction in their
The Aggression Questionnaire (AQ)
The results suggest that the
subject is average in his overall tendency to be abnormally
aggressive. He also scored in the average range on the Physical
Aggression Scale, which would suggest that he reports about the same
tendency as others his age to use physical force when expressing anger.
He scored in the high
range on the Verbal Aggression
Scale, suggesting that, when faced with conflicts, he is likely
to be more verbally argumentative than others his age when confronted with frustration and stress. He should
be encouraged to learn and use stress-reduction methods..
He scores in the average
range on the Anger
scale suggests that he does not
experience an unusual amount of anger, but his high
the Hostility scale, suggests he may experience anger, suspicion, resentment and alienation in
somewhat higher ranges as others in his chronological peer group; oppositional tendencies may exist when
confronted with stressors.
The Indirect Aggression score is also in the
average range, suggesting that he has about the same tendency to express
aggressive feelings in ways other than direct confrontation, such as passive-aggressiveness, as others his
On the basis of the test data
(assuming denial is not present), it may be reasonable to assume that the patient is exhibiting psychological
dysfunction of mild to moderate severity.
Axis I: Clinical
The major complaints expressed
by the patient do not take the form of distinct or isolated symptoms but rather appear to reflect pervasive
Axis II: Personality
Obsessive Compulsive Personality
Axis IV: Psychosocial and Environmental
This individual has the
following problems which complicate or exacerbate his present emotional state:
Recommendations: Therapy for this subject does not
reach the threshold of being absolutely necessary. Whereas he may benefit from psychotherapy to raise his
frustration tolerance, he does not appear to be sufficiently motivated and, therefore, would not benefit from
psychological treatment at this time.
Also, therapy is not necessary to resolve his grief or
Is any treatment or further evaluation
Dr. Michael Shery, Psychologist Date
Illinois Psychologist, 71-1937
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