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Project Report Indira Gandhi National Open University Submitted to IGNOU in Partial fulfillment for award of Diploma in Rehabilitation Psychology (2012- 2013) By Dr. Rupa Talukdar PGDREPYDL, Enrol. No. 127577569 VISION INSTITUTE OF ADVANCED STUDIES Plot No. 4, PocketA-1, Sector-8, Rohini, Delhi-110085 INDIRA GANDHI NATIONAL OPEN UNIVERSITY, NEW DELHI

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Page 1: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

Project Report

Indira Gandhi National Open University

Submitted to IGNOU in Partial fulfillment for award of

Diploma in Rehabilitation Psychology (2012- 2013)

By

Dr. Rupa Talukdar PGDREPYDL, Enrol. No. 127577569

VISION INSTITUTE OF ADVANCED STUDIES

Plot No. 4, PocketA-1, Sector-8, Rohini, Delhi-110085

INDIRA GANDHI NATIONAL OPEN UNIVERSITY,

NEW DELHI

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VISION INSTITUTE OF ADVANCED STUDIES, NEW DELHI

POST GRADUATE DIPLOMA IN REHABILITATION PSYCHOLOGY

Certified that this is a bonafide record work done by

DrRupaTalukdar with Enrolment No. 127577569 towards

Internship for the Third Semester of the course Post Graduate

Diploma in Rehabilitation Psychology (PGDREPYDL), held by

Indira Gandhi National Open University, New Delhi, December,

2013.

DIRECTOR STAFF IN-CHARGE

EXAMINER HEAD OF THE DEPARTMENT

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Acknowledgement

I must be thankful to IGNOU to offer a course like this (PGDREPYDL) to the student like me who wanted to change her profession after a long period just because she liked to explore the world around in more than single way.

During the upbringing period of my son I was advised to know some psychological reasons of the behavior of a child-it was the first entry of me to the world of Psychology-it gave me immense pleasure – this was the first time I took interest to know the subject in detail-a big challenge to manage a problem whose root is psychological and management is the only weapon to keep the problem away-my son first helps me appreciating ‘life is beautiful’-so I am grateful to My son.

, an organization who works on people suffering from psychological anguish–I am also thankful to it for giving me scope to continue my 6-Month internship period and also to deal with people analytically-the staff of the organization were equally helpful to write a full time project on INTERNSHIP without them it could not be happened.

I am thankful to my supervisor giving me his/her precious time for guiding me.

Last not the least I am grateful to my family to be with me in the entire process of my living with the project.

DrRupaTalukdar …………2014, Kolkata

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To my beloved son

Ritam Talukdar, who inspires me topick up this blissful vocation

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CONTENT

Sl. No.

Items Page No.

1. Organizational Structure 6

2. Daily Schedule 8

3. Date Wise Job Report 9

4. Brief Introduction Of The Tests i. Interview ii. DAP iii. Ink-Blots iv. TAT v. Big-Five vi. Behaviour Modification vii. CBT viii. AMS

10 10 11 12 13 13 14 16 17

5. Case Records 1. Case 1 2. Case 2 3. Case 3 4. Case 4 5. Case 5 6. Case 6 7. Case 7 8. Case 8 9. Case 9 10. Case 10

18 23 31 39 48 55 64 75 84 91

6 References 99

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Organizational Structure

, a centre of psychological wellbeing and rejuvenation works on common people who are psychologically alienated.

The AIM: The aim of the organization is to keep harmony in the life of community people who have psychological dilemma in systematizing life as per demand.

Objectives: To enhance the skill of living To find out the strength To cultivate strength for better pursue of life To share the findings by publishing articles To develop literature for popularizing the ideas of alternative way of

living To establish a DAY-Care Centre for the children who need to enhance

life skill To train parents/support group of special children

Permanent Staff

Sl. No.

Post Name & Qualification

Areas of Interest

Assignments

1 Chief Executive Counsellor

Dr Rupa Talukdar, MSc. Chemistry Phd, Chemistry, MS in Counselling & Psychotherapy, Graphologist

Education, Career Relationship, Parent-Child Depression

Finding the way of different frames of references to develop appropriate model for a particular cause

2 Psychotherapist Pritha Banik, MSc (Applied Psychology), PGD in Guidance and Counselling, Graphologist

Behaviour Modification( BM), Assessment( Paper-Pencil) and CBT

Noting down different Behaviour Modifications (BM) Techniques according to crisis

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Sl. No.

Post Name & Qualification

Areas of Interest

Assignments

3. Graphologist Susmita Mukherjee, MS in Counselling & Psychotherapy, Graphologist

In-charge of Projective Test,

Giving alternative way by changing strokes of letters-called Grapho

Handwriting, DAP, Grapho-Draw

therapy for BM.

4. Graphologist Mrs Sunira Singhi, MS MS in Counselling & Psychotherapy, Graphologist

In-charge of Projective Test, Handwriting, DAP, Grapho-Draw

Giving alternative way by changing strokes of letters-called Grapho therapy for BM.

5. Front Office Mrs Minu Mitra, PGD in Counselling

Make people who come comfortable before meeting Counsellors and note down the details of them

Providing papers for recording details of counselees, assessments and projective tests and tele-communication with the prospective clients

6. Psychologist

Mrs Ushna Pal chowdhury

Helping in assessments and managing child counselees

Taking the note of observation specially child behavior during the session.

7. Helper Ms Maya Sen Office work Arranging refreshment, Xerox, record files etc.

Contract and Outsourced Staff Sl No.

Post Name & Qualification

Areas of Interest Assignments

1. Computer Data

communicator

Dr Aparajita Laha, Homeopath Doctor and Graphologist

Preserve the Clients’ Record and Database

Helps to supply details of counselees and in-charge of the publication of newsletter of Organization

2 Art Therapist Chandrima Guharoy, Teacher &an Established Painter

Acts as an art therapist for the children

In Group counseling of children and Youth Awareness Programme she takes initiative to organize entire progrmme

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Daily Schedule Sl

No. Time Work

1. 12 noon Centre Opening

2. 12.30pm-4pm Registration Case History Assessment Behaviour Modification Counselling

3. 4pm Tiffin Break

4. 4.30pm-6.30pm

Registration Case History Assessment Behaviour Modification Counselling Recording the data in Computer Data Base

5 6.30-7pm Discussion among the staff Note down the next day priority Get ready the paper work for paper/magazine/project work

publication

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Date wise Job Report Date Brief Description of the Chief Complaints

01.11.2013 Case Study-(1)-Forgetfulness-feeling sleepy; Lack of concentration; Weird thoughts inspired her to draw-avoidant; Lacks confidence; Only likeness in Physical Science ( Physics and Chemistry)-she has difficulties in managing other subjects; School results not up to her own previous standard( which is highly impressive)

04.11.2013 Case Study-(2)-No job satisfaction; Always worried-insecure, overburdened; Repeated thought process; Degraded emotional relationship with wife –no conjugal life; less enthusiasm to get back from crisis-depressive mood

18.11.2013 Case Study-(3)-Slow depression-low self esteem; Competitive mindset Confused, skeptical-likes to change very frequently (first change done); High ambition-restless in approach; Never satisfied soul-always anxiety prone

04.12.2013 Case Study-(4)-Extremely restless and always playful; Likeness in fast food; Inattentive- cannot study at a stretch-not even for half an hour; Complaint from school –because of class disturbances; Procrastination

17.12.2013 Case Study-(5)- Disharmony in marital relationship; Fiercely Self –right conscious (Aditi); Differences of opinions in every aspects of joint living; No understanding from Aditi’s side-argumentative, always bring parents in their tiff-suffering from insecurity; Aditi develops cleanliness habit-rigid to follow her own opinion-finds no harm of it on others; After marriage Aditi has habit to live with parents for three days and parents-in-law place for another three days regularly; Maladjustment ( Aditi)

10.01.2014

Case Study-(6)-Manipulative, telling lies; Highly disorganized; Tantrums before going to school; Watching TV; Parental Pressure to be ranked within 1-10

25.01.2014

Case Study-(7)- Highly ambitious Husband; No family time from husband/father; Irregular daily routine of wife; Mother’s over consciousness towards elder son; Dissatisfaction from wife side; Deteriorated study grade of elder son; Strict parenting from mother and permissive parenting from father for elder son( Aditya); Regular fighting between mother and Aditya; Overburdened by daily routine feelings of insecurity in mother

03.02.2014

Case Study-(8)- Addicted-marijuana/alcohol; Low self esteem; Inattentive in study; Many friends; Busy with mobile-always busy in talking; Rough and rude attitude; Not at all respectful to seniors; Stay nearby pool/other solitude places at dead night; No target, no aim in life

19.03.2014 Case Study-(9)-Depression; Lack of motivation; Anxiety; Anger 20.04.2014 Case Study-(10)- Depression; Restlessness; No peace of mind;

Feelings of detachment from family (wife and son); Conflict with anyone at slightest cause of dissonance; Trust problem

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Brief Introduction of the Tests

Interview (Clients and Informants)-

An interview is a face-to-face technique of obtaining information for a variety of

purposes.

It helps to build rapport by securing the trust and confidence of the interviewee

It is a therapeutic device along with being an information obtaining device

It is non-judgemental and non-evaluative

It is unconditional acceptance

This process helps counselor to clarify, interpret and understand the

counsellees’ feelings, ideas and longings:

o The counselees may appear to be rambling in his conversation which may

seem senseless

o The counselors may obtain a significance insight when reviewing opening

and closing remarks

o When counselees refers to a particular idea or experience in the course of

counseling it may be of special significance

o Counselors may note down the inconsistencies and gaps in the process

that could suggest resistance or traumatic experiences

The non-verbal part of interview helps counselor to develop insight into

problem areas or disturbances in the clients. It includes gestures, like body

movements, smiling, blushing, weeping and other postural movements,

scratching the head, resting the face on the hand, crossing the arms across the

chest, cracking the knuckles, fiddling with fingers, rubbing the thumb with

finger, closing the nostrils or placing the index finger on the nostril, biting the

index finger, biting the lip, holding the chin, playing with such things e.g., key

chain, ring, pencil etc.

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Projective Tests (Handwriting, DAP and Grapho-Draw)-The

psychological analysis of handwriting, or graphoanalysis, consists in the study and

practice of advanced graphological techniques which offer a scientific interpretation

of an individual’s personality based on handwriting and, in part, on doodles and

drawings. Through a graphoanalytical personality diagnosis, one can obtain the

percentile of the predominant temperament as well as character and psychoanalytical

combinations, making it possible to offer a complete report on the psychosomatic,

volitional, moral, intellectual and mental characteristics of the piece of writing being

examined.

About DAP-

Definition: Typically used with children, the subject is asked to draw a picture of a

man, a woman, and themselves. No further instructions are given and the pictures are

analyzed on a number of dimensions, aspects such as the size of the head, placement

of the arms, and even things such as if teeth were drawn or not are thought to reveal a

range of personality traits (Murstein, 1965). The personality traits can be anything

from aggressiveness, to homosexual tendencies, to relationships with their parents, to

introversion and extroversion (Machover, 1949). There are many versions of the test,

we use Goodenough -Goodenough first became interested in figure drawing when

she wanted to find a way to supplement the Stanford-Binet intelligence test with a

nonverbal measure.

With the Draw a Person test as a base, a number of other tests (Grapho-Draw)have

developed using figure drawing as a personality assessment tool. For example, the

House-Tree-Person test similarly just asks the person to draw those three objects and

then inquires about what they have drawn. The questions asked for inquiry include

what kinds of activities go on in the house, what are the strongest parts of the tree,

and what things make the person angry or sad. The KFD (Kinetic Family Drawing)

tells the drawer to draw their family doing something (Murstein, 1965).

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All of these tests have the important element of not only the assessment of the

pictures themselves, but also the thematic variables involved. Every figure drawing

test asks the drawer to include some kind of description or interpretation of what is

happening in the picture. These elements are also analyzed accordingly (Weiner &

Greene, 2008).

Advantages:

o Easy to administer (only about 20-30 minutes plus 10 minutes of inquiry)

o Helps people who have anxieties taking tests (no strict format)

o Can assess people with communication problems

o Relatively culture free

o Allow for self administration

Disadvantages:

o Restricted amount of hypotheses can be developed

o Relatively non-verbal, but may have some problems during inquiry

o Little research backing

Ink blots (Rorschach)- The Rorschach Inkblot Test is a projective psychological test consisting of 10 inkblots

printed on cards (five in black and white, five in color) created in 1921 with the

publication of Psychodiagnostik by Hermann Rorschach. During the 1940s and 1950s,

the test was synonymous with clinical psychology. Throughout much of the 20th

century, the Rorschach inkblot test was a commonly used and interpreted

psychological test. In surveys in 1947 (Louttit and Browne) and 1961 (Sundberg), for

instance, it was the fourth and first, respectively, most frequently used psychological

test.

Despite its widespread use, it has also been the center of much controversy. It has

often proven to be difficult for researchers to study the test and its results in any

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systematic manner, and the use of multiple kinds of scoring systems for the

responses given to each inkblot has led to some confusion.

Thematic Apperception Test (TAT) –

There are 20 TAT cards, but it is common practice to administer 8-12 selected cards. It

is advisable to use the same core battery of cards in a standardized sequence, with

cards added based upon the specific referral question and the “pull” of the card.

Organize the cards in numerical sequence before you begin to administer the test.

Even though some of the cards are gender-specific, the following combination of

cards is recommended as cards that yield the richest stories.

Female: 1, 2, 3BM, 4, 6GF, 7GF, 8BM, 12M, 13MF and 16

Male: 1, 2, 3BM, 4, 6BM, 7BM, 8BM,12M, 13MF, and 16

Instructions: Instructions for adults are: (Murray, 1943)-“I am going to show you

some pictures, one at a time, and your task will be to make up a story for each card. In

your story, be sure to tell what has led up to the event shown in the picture, describe

what is happening at the moment, what the characters are feeling and thinking, and

then give the outcome. Tell a complete story with a beginning, middle, and end. Do

you understand? I will write your stories verbatim as you tell them. Here’s the first

card.”

Big Five Indicator (BFI)-Personality Test by John, O. P., &

Srivastava, S.(1999)-

44-item inventory that measures an individual on the Big Five Factors (dimensions)

of personality (Goldberg, 1993). Each of the factors is then further divided into

personality facets. The big five personality traits can be summarized as follows:

Neuroticism - A tendency to easily experience unpleasant emotions such as

anxiety, anger, or depression.

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Extroversion - Energy, surgency, and the tendency to seek stimulation and the

company of others.

Agreeableness - A tendency to be compassionate and cooperative rather than

suspicious and antagonistic towards others.

Conscientiousness - A tendency to show self-discipline, act dutifully, and aim

for achievement.

Openness to experience - Appreciation for art, emotion, adventure, and unusual

ideas; imaginative and curious.

These traits are usually measured as percentile scores, with the average mark at 50%;

so for example, a Conscientiousness rating in the 80th percentile indicates a greater

than average sense of responsibility and orderliness, while an Extroversion rating in

the 5th percentile indicates an exceptional need for solitude and quiet.

Management-Behaviour Modification-

Impairment in adaptive behavior often leads to disability in appropriate performance

in social zone-these terms as either deficit behavior or an excess behavior.

Any person when lacks adaptive behavior s/he develops inability to cope up with

environment. These are called Behaviour Deficit-persons having coping incapacity

has to be learnt or deficit has to be made up for effective functioning.

There five major steps in implementing a Behaviour Modification programme for

undesirable and deficit behaviours:

Indentification of the problems

Defining target behaviours

Behavior recording( baseline and treatment)

Functional analysis

Treatment procedures & their evaluation.

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Behaviour Modification for Decreasing Undesirable Behavior:

The techniques can be classified as follows:

Restructuring the environment

Extinction

Punishment

o Time out

o Response cost

o Over correction

o Aversion

Differential Reinforcement

Behaviour Modification for increasing desirable Behavior:

Behavior is often determined by its consequences. We tend to continue a particular

behavior if its consequences are pleasant. Parents, teachers make children learn by

encouragement, praise and rewards-which are known as reinforcement.

Reinforcement is defined as any event which when followed by a behavior

strengthens the probability or the frequency of occurrence of that behavior-

reinforcement does not mean something nice or pleasant-it is any event which

increases the probability of a particular behavior..

There are three types of reinforces,

Primary reinforces: food, drink, sleeps etc.

Secondary reinforces: token, cards points-which can pair with a primary

reinforces

Social reinforces: it acts at the emotional level, attention, praise, smile, pat,

hugging etc.

All the techniques mentioned for increasing desirable behavior are always used in

combination in teaching new skills.

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Cognitive/Behavioural Therapy CT/CBT-

Cognitive Therapy focuses on changing dysfunctional cognitions (thoughts),

emotions and behavior. Individuals with depression, anxiety and other emotional

disorders have maladaptive patterns of information processing and related

behavioural difficulties. The target of cognitive therapy is the identification of

negative or distorted automatic thoughts which are frequently based on faulty logic

or errors in reasoning. CT helps clients recognize and change the cognition errors

which are called cognition distortions.

Procedure of CT:

1. A strong therapeutic relationship is encouraged between client and therapist

2. This relationship is collaborative as the two in relationship need to work

together as a team

3. In the early phase focus in on the establishing a good relationship and on

teaching the clients the basic principles of the treatment approach.

4. Therapy is more often focused on the here and now is directed at specific

problems of areas of concerns

5. The middle portion of therapy is means to modify dysfunctional patterns of

information-processing and behavior

6. Frequently used cognitive interventions and thought

7. Recording, identifying, cognitive errors

8. Examining the evidences

9. Developing rational alternatives

A number of behavioural techniques are used,

Activity scheduling

Graded task assignments

Desensitization

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The final phase of treatment reinforces skills learned earlier in therapy and in

preparing the clients for managing problems on their own.

Achievement Motivation Scale (AMS) - by Dr Shah Beena

Currently TAT technique has been used by Various Psychologists like McClelland et

al., (1953). Hurley91955), Heckhausen(1963) and Morgan(1964), to measure need for

achievement(n-ach). But this effort raised controversies with TAT technique itself.

Some other psychologists like French and Thomson (1958), Aronson (1958) etc. had

used the verbal cues instead of picture cues. Although, self-rating method either

direct or indirect has been a subject of criticism yet, several recent inventories have

been coached in this manner by various researchers.

Some efforts have also been made by Indian Psychologists and Educationists in the

construction of n-ach, test e.g., Mukherjee(1965), Aaron(1969), Mehta(1969), De and

Singh(1970), Pandey and Singh(1971), Kureshi(1972) and Bhargava(1984). B Hut, all

these used either TAT or Self-rating methods.

After going through some studies, e.g., Entwistle(1968), Rusell(1969) and Schlesser

and Finger(1972), the following four factors of need for achievement motivation were

chosen to develop the ‘Achievement Motivation Scale’-

1. Need for Academic Success

2. Need for Vocational Achievement

3. Need for Social Achievement

4. Need for Skill Achievement

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CASE RECORD-(1)

1. Demographic Data (Adolescent)

Name: Sohini Mukherjee

Date: 01.11.2013(First Day)

Age/DOB: Born in Dec, 1999

Regn. No.

Sex: -F Informant: Parents

Education: Class-XI Ref.by: Just Dial Network

Occupation: Student Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data (Parents/Guardians)

Father’s Name: Mr Kanai Mukherjee

Father’s Education: B Tech Engineer

Father’s Occupation: Service

Mother’s Name: Kanak Lata Mhkherjee

Mother’s Education: Graduate

Mother’s Occupation: Homemaking

Present Address:--56/1B Sitaram Ghosh Street, Kolkata-700009

Mobile. No. 9836207053

Income/Month: Rs 67, 900/- per month

Source of Income: Service

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3. Chief/ Presenting Complaints

Forgetfulness-feeling sleepy

Lack of concentration

Weird thoughts inspired her to draw-avoidant

Lacks confidence

Only likeness in Physical Science ( Physics and Chemistry)-she has difficulties in

managing other subjects

School results not up to her own previous standard( which his highly impressive)

4. Childhood History: Development is on time-no significant problem

5. Family History: Living in a family of 4 members-parents, she and her

grandfather-her mother is bit anxiety prone, father is busy in profession-grandfather

is too old to be active-she is close to her mother with differences of opinions-they

both are very argumentative.

6. Pedigree Chart: Regularity was maintained as told in the chart-immunization

had been taken appropriately

7. Developmental history: Her development is on time-no delay had been

found in age wise physical &motor and cognitive development and reflexes.

8. School History:In early childhood days her performance was extremely good,

but nowadays she cannot cope up with study pressure-her performance in some

subjects is really poor.

9. Occupational History: She is regular in classes, has leadership skill-is interested

to know more about cosmic evaluation-it becomes her passion and she is eager to

explore cosmic world.

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10. Behaviour Problem: Sometimes she remains depressed and before exam

she becomes nervous of not being able to complete the syllabus.

11. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis, Social Style Assessment, O.P John BFI Assessment

a) General Behaviour during Assessment

Attentive

Inquisitive

Tries to understand on own

Sometimes asked for more detail

b) Emotions & Behaviour

Not in hurry; responded being composed.

12 . Identification of problems:

The information was collected partly from parents and partly from the candidate

herself and also partly from the assessment scale used during the process. The

following are the problems.

Analytical soul-keeps on analysis-head over heart attitude, more ambitious,

sometimes cannot cope up with situation/classmates/study pressure-shows

rough and rude attitude-intelligent but extremely anxiety prone

Her assertiveness is low and so also social responsiveness-always stays after to

be correct frame of mind.

Expanded soul and high demand to know more of her preferred option; average

agreeableness with moderate motivation-but she prefers stay after constant

digging into matter which she likes. Highly anxiety prone and sometimes she

absorbs so much that cannot come out easily-instable and too much sensitive.

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13. Recommendations/ Suggestion

Target Behaviour identified for Management:

Extremely anxiety prone

Scattered type-disorganized

Competitive attitude

Shocked easily by the unpleasant remarks/comments of others

Intolerance –sometimes rough and rude attitude

Rewards identified:

She likes to be praised for her achievement

Loves study on cosmology at a stretch

Passionately likes to write as well as read poetry

Loves travel

Behaviour Package Programme:

Based on findings the behavioural package is developed for target behaviour

Organized way of living: During study hour at home she needs to arrange a

ROUTINE –always needs to be organized

Reward offering: For her every success she needs to be rewarded by mother

according to her way of likeness

Source of Relaxation: Hobby practice

Cognitive counseling

Procedure:

Parents and also the candidate were asked to follow the task which we put after

discussion with Sohini in a sheet mentioning date and time. The candidate was

advised to strictly follow her daily routine in the organized way with the help of her

mother as she is responsible to take care of her at home. At completion of each

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schedule she should be appropriately rewarded consistently- Sohini is required to

grow always with a plan-as she is basically scattered type. Weekend relaxation or in

between two hard works she needs to have bit pleasure/indulgence as that brings her

anxiety to come down for a moment which is very essential to have for a extremely

anxiety prone adolescent like her.

Praise/reward/indulgence is selected on the basis of likeness/demand of Sohini.

She had been asked to sit with the working sheet for a thorough analytical discussion

after each 20 days with us.

The discussion helped her to know her upgrading as a person and also as a student as

it simultaneously also increased her performance level- entire session was continued

for 8 sessions.

Evaluation:

Evaluation was made each 20 days after separately and on the 8th session we sat for

comparison of the data of scores she obtained per subject after each 20 days

observation. It was found that her performance level at home tutor and also in school

unit tests were improving day by day from a slow initial progress to rapid

advancement at the end.

She is basically an intelligent girl and competitive type-when she observed following

daily routine would bring good score in exam she developed a highly assertive

attitude and tried to follow it at best. She also likes to have praise for her

achievement –her mother was attentive to give her appropriate reinforcement after

each achievement that also bought extra mileage to the mother-daughter joint effort.

Sohini’s score card’s gradual up-gradation reflects the success of CBT.

---------------------------------- (Signature of the Student)

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CASE RECORD-(2)

1. Demographic Data (Adult)

Name: Arindam Guha

Date: 04.11.2013(First Day)

Age/DOB: Born in March, 1978

Regn. No.

Sex: -M Informant: Wife

Education: MBA Ref. by: Just Dial Network

Occupation: in Service Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (Wife)

Wife’s Name: Priti Guha

Wife’s Education: Graduate with specialization in Public Relation

Wife’s Occupation: Service

Present Address:--13, Kalupara lane, Salkia, Howrah-711106

Mobile. No. 033 2655 7962 / 9836276464

Income/Month: Rs 80,000/- per month (His)

Income/Month: Rs 30,000/- per month (Her)

Source of Income: Service (both)

3. Chief/ Presenting Complaints

No job satisfaction

Always worried-insecure, overburdened

Repeated thought process

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Degraded emotional relationship with wife –no conjugal life

Less enthusiasm to get back from crisis-depressive mood

4. Childhood History: Development was on time-no significant problem

5. Family History: Living in a family of 4 members-parents, wife and he himself-

his family members are very supportive-specially wife; she tries her best to recover

his original emotion which was very passionate and bright. He married a lady out of

love after 7-year courtship-during the time he was very gentle and soft-spoken- now

becoming irritated and pre-occupied.

6.Developmental history: His development is on time-no delay had been

found in age wise physical & motor and cognitive development and reflexes as told

by his wife.

7.School History: He was bit aggressive type in school days-bit anxiety

prone-but was always a good performer in examination

8.Occupational History: No job for a year-very recent, three months ago

joining a private sector with an expected salary-but he has been suffering from

repeated thought process since joining-recheck gets him late in execution and also

irritated him at the time of fast response. In his college life he also had this type of

repeated thought that his wife did not know previously. One and ½ year back he

develops same symptoms of anxiety, repeated activities even for a minor cause, say,

placing the glass on a Dining Table repeatedly etc. Only when he is extremely busy

in office he can consciously avoid it -not allowing himself to act repeatedly. He

thought that leaving the previous job without having alternative might be the

triggering factor of his present unwanted irritated activity.

9.Behaviour Problem: Always in depressed mood, no enthusiasm and has

developed an insecurity finding him incapable to stop his repeated activities when

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he has no busy schedule. He has no active family life with his wife and becomes less

confident.

10. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis, O.P John BFI Assessment

a) General Behaviour during Assessment

Impatient

Restless

Turn over the next page keeping incomplete the previous page time to

timehe did it again when counsellor marked it.

b) Emotions & Behaviour

Partly willing to attend the assessment

Comprehends the statement

Sharp in respond

Tendency to complete in hurry

11. Psychological Report

Graphological analysis revealed the fact that he became unexpressive, silent and

withdrawal; physically stressed, kept himself separated from close relations and

turned into apprehensive.

BFI by O.P John assessed him as a highly instable person with low self motivation

skill; non-assertive in approach with high agreeableness. He is other-directed type

who is easy-going, somewhat lazy drifters from his own opinions and principles. He

is basically relaxed, outgoing, and unlettered. High instability and low consciousness

make him emotional. He is in touch with both positive and negative feelings. He can

be easily considered as sentimental, affectionate, sensitive, soft, passionate, romantic,

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feminine, emotional, and gullible. He is also scattered types showing emotional

instability that affects both their thinking and their social relationships.

Internally he is inconsistent, erratic and forgetful;

In groups he can be impulsive, nosy, gossipy, and self-indulgent.

On the job, his unpredictability may annoy co-workers and supervisors.

Being intelligent he can understand his own faults and strength-but could not be

goal/target oriented. He is really hanker for HELP as he thinks he is dominated by

second mind neglecting original emotion that wants to get rid of second.

12. Identification of problems:

The information was collected partly from wife and partly from the candidate

himself and also partly from the assessment scale used during the process. The

following are the problems.

Suffering from repeated activities-always and everywhere

On and off day/holiday no social life-avoids house-keeping, interested to sleep

at a stretch without bothering others’ need-but no sound sleep

No family life-avoids communication with other members

No enthusiasm-depressive mood

13. Recommendations/ Suggestion

Target Behaviour identified for Management:

Extremely anxiety prone

Scattered type-disorganized

Non-assertive

Over burdened by job pressure

Insecurity

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Rewards identified-stress buster:

Music-Hindi/Bengali listener

Cricket and Soccer lover

Party lover-free of all anxiety

Behaviour Package Programme:

Based on findings the behavioural package is developed for target behavior

Simplify-helping him to come out from job pressure

Cut his to-do list in half-just by asking him this question after every item: “Will I die

tomorrow if this doesn’t get accomplished?” The answer will be obviously ‘No’.

Every morning he needs to immediately jot down his to-do list. Once he experiences

the first heart palpitation, the list gets cut in half.

Prioritize

Let’s say he has got five huge work projects due next week, two commitments

promised to son, to his parents’ overdue taxes on his desk, his wife’s 36th birthday

celebration to plan, and his sister’s computer to fix. What does he does then? He

needs record all the tasks on a sheet of paper or on his computer and he gives each

one a number between 1 and 10: 10 being the most important (life threatening as he

uses to think so) to one (stupid bloody thing he likes to sign up for). He needs to start

with the 10s. If he never gets beyond the 8s, that’s also okay initially and beyond 5 is

absolutely appropriate.

Use Pencil, Not Pen-helping him to be flexible

If he relies on his to-do list as much as he does, then he’ll want to start using pencil

instead of pen. Because one important stress buster is to try to stay as flexible as he

can. Things change! And change is not his enemy, even though his brain categorizes

it as such. He wants to be able to erase a task or reminder at any time, because who

the heck knows what his day will be like.

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Please think a little-coming out from anxiety

‘Know your limitations’ as it’s not required to join human race which means

surrendering to limitations and conditions-no human being is super hero implying

supernatural qualities and capabilities.

Collaborate and Cooperate

He is advised to work in cooperation with others in job place and also in family front

as it is natural –it endorses a person in many ways:

o More work can accumulate in a collaborative way

o All are responsible for the work done

o Every individual can have scope to execute different projects at a time

o Growth of an Institute/ House/Individual will be multi-dimensional

Laugh, Party and gathering

After a loaded week everyone needs to be happy and relaxed mood in emotional

level-so arrangement of such occasion is also essential either being around close

family members or in some other places with friends and same age group as chronic

& severe stress have chances to damage organic systems of our body-humour and

laugh can heal it.Laughter can also boost the immune system, as it has been found to

increase a person’s ability to fight viruses and foreign cells, and reduce the levels of

three stress hormones: cortisol, epinephrine, and dopac. And having fun is its own

stress buster.

Exercise

Exercise relieves stress in several ways. First, cardiovascular workouts stimulate brain

chemicals that foster growth of nerve cells. Second, exercise increases the activity of

serotonin and norepinephrine. Third, a raised heart rate releases endorphins and a

hormone known as ANP, which reduces pain, induces euphoria, and helps control

the brain’s response to stress and anxiety. A quick stroll in the morning or in the

evening might be just enough to tell the stress hormones in blood to scatter.

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Stop cope up with everywhere( Juggling)

Some multi-tasking is inevitable in our rushed culture. But do we really have to

simultaneously having dinner, talk to wife, help with project work, and check e-

mail? If collaborative work is maintained in some places in life (domestic help, peon,

and driver in some cases) any one can act more efficiently (chewing mouth freshener

while writing at computer is harmless multi tasking).

Build Boundaries-assertive way of living

“Speaking of activities, get some boundaries, ASAP”–are meaning designate a place

and time for certain things so that brain doesn’t have to wear so many hats at the

same time. He needs to stop when he feels it is not either required/his part of

work/should not be requested by his higher authority/sister/parents as it is not due to

him. If anyone tries to live assertive way of living his brain is adjusted nicely and

appreciated the notice of when and where each hat was required, and it actually

started to relax a tad.

Think Globally

Globally opens up a wide horizon to look through the personal problem with respect

to others living miles apart and feelings of insecurity will be vanished after

comparison. “What he means here is a simple reminder that compared to other

problems in the world today (abject poverty in Somalia or Cambodia) the things that

he stresses about are pretty minor. In other words, if he shifts his perspective a little,

he can see that there are far worse dilemmas than mine”.

Procedure:

Arindam was asked to follow the task which we put after discussion with Arindam

in a sheet mentioning date and time. The candidate was advised to strictly follow his

daily routine in the organized way with the help of his wife and himself as she is

also responsible to take care of him at home. At completion of each schedule he

should be appropriately rewarded consistently with stress busters. Arindam is

required to grow always with a plan-as he is basically scattered type. Weekend

relaxation he needs to have in his preferred but checked forms as that brings

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hisanxiety to come down for a moment that is indispensable to have for an extremely

anxiety prone adult like him.

Process of relaxation is selected on the basis of likeness/demand of Arindam.

He had been asked to sit with a working sheet for a thorough analytical discussion

after 20 /30/45/60 days.

The discussion helped him to know his upgrading as a person and also as a

performer as it also increased his performance level- entire session was continued for

4 sessions.

Evaluation:

Evaluation was made each 20 /30/45/60 days after separately and on the 4th session we

sat for comparison of the data of scores he obtained per successful attempt after each

20 /30/45/60 days observation. It was found that his performance day by day

increased with a slow initial progress to rapid advancement at the end.

He is basically an intelligent boy and competitive type-when he observed following

daily routine would bring comfortable feelings he developed a highly assertive

attitude and tried to follow it at best. He also likes to have stress buster for his

achievement –his wife was attentive to give his appropriate reinforcement after each

achievement that also bought extra mileage to the husband-wife joint effort.

At each counseling session he confessed that he could increasingly overpower his

second mind confidently.

Arindam’s score card’s gradual up-gradation reflects the success of CBT.

---------------------------------- (Signature of the Student)

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CASE RECORD-(3)

1. Demographic Data (Young Adult)

Name: Arunangshu Das

Date: 18.11.2013

Age/DOB: 21 years

Regn. No. ……………………………

Sex: -M Informant: Dr Shitangshu

DasEducation: BBA ( IEM in Servic , Kolkata) Ref.by: Physician

Occupation: Student

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (Elder Brother)

Elder brother’s Name: Dr Shitangshu Das

Brother’s Education: Dentist

Brother’s Occupation: Attached with many Nursing Home and practising

Present Address: G/5, Bediadanga Lane, Kolkata: 700039

Mobile. No. 8013867098 / 8013867098

Income/Month: Rs 65,000/- per month (His brother)

Income/Month: student (no income)

Family Source of Income: Service and practice (both)

3. Chief/ Presenting Complaints

Slow depression-low self esteem

Competitive mindset

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Confused, skeptical-likes to change very frequently (first change done)

High ambition-restless in approach

Never satisfied soul-always anxiety prone

4. Childhood History: Development was on time-no significant problem

5. Family History: Living in a family of 4 members-parents, Elder brother and he

himself-his family members are very supportive-both the parents were in service but

now retired and stayed at home only. Elder brother Shitagshu is head of the family

and he organizes everything in home front; Arunagshu, the younger brother of

Shitagshu is a student of BBA in IEM, Kolkata. Previously they lived in Chittaranjan,

outskirt of Kolkata.

6. Developmental history: His development is on time-no delay had been

found in age wise physical & motor and cognitive development and reflexes as told

by his elder brother.

7. School History: He was like general student till Class-V, after that he became

depressive seeing his elder brother very good in studies and got chance in Medical;

as in ordinary middle class family people also praised his brother that also brought

competitive mindset in him and he became anxiety prone and thought himself as

letdown to follow brother’s trail.

8. Occupational History: He himself believed that he develops many

psychological problems which are according to him is, bipolar as he remains

sometimes depressed and sometimes is in usual good mood; he becomes

perfectionist, cannot be convinced easily; always needs to have just right solution to

each attempt he made. He is highly confused- so cannot communicate his concept

firmly. He has difficulties in following his present studies also-he likes to pursue

LAW as he wants to change some law of society in future being a legal person-he

already changed his career option from engineering studies to BBA after two years

gap.

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9. Behaviour Problem:

a. Confused-hesitates in taking decision

b. Never satisfied soul-depressed in approach

c. Wants a perfect solution at the end of each effort he has made

d. Restless, anxiety prone and depressive

e. Low self esteem, stubborn and trust problem

10. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis, O.P John BFI Assessment

c) General Behaviour during Assessment

Slow to respond

Usual mood

Completed on time

d) Emotions & Behaviour

Attentive

Asked minimum times

Can comprehend statements

Analytical

11. Psychological Report

Graphological analysis revealed the fact that he has problem in initiating

spontaneously in maximum cases-choosy-cannot express as he percepts; intelligent

but disorganized type-stressful, anxiety prone, cannot socialize but likes to

communicate. Now he likes to cut off all social connection being irritated and

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frustrated. But he is basically a good performer and can link up intelligent ideas-is

interested to know more.

BFI by O.P John assessed him as a highly instable person with a moderate self drive

skill; basically an introvert guy having good agreeableness and he wants more to

know-his horizon is wide open.

HUMBLE in approach peace-loving, somewhat timid, and seek social acceptance by

going along with what others want, calm, agreeable, cooperative, composed, warm,

preserving, and submissive. He is discouraged types, not happy with his present life

situation but feels there is no way out because he lacks the ability to improve his life

circumstances. He is Bookworm’s type who is highly intellectual, introspective, self-

examining loners. He is Emotional Type. He is in touch with both positive and

negative feelings..He is Tolerant Type, opens to, and accepting of, differences in

other people. He cares about the feelings of others and tends to take their opinions

into account when making decisions. His social skills are reasonably well-developed

and he normally relates well to others in both co-worker and supervisory roles. He is

Sensitive Type very bright but emotionally sensitive. He pays attention to, and is

strongly affected by, things that happen in the world around them. He opens himself

to his environment; consequently he enjoys many positive sensory experiences, but

on the other hand he is vulnerable to having his feelings hurt.

He is always late in taking decision and has a confusing mindset-has longing for

achieving great successful careers but always turns into a most confusing boy in the

world when he needs to draw a firm decision-that pins him day- in and day -out and

he becomes depressed finding no solution of it.

12. Identification of problems:

The information was collected partly from elder brother and partly from the

candidate himself and also partly from the assessment scale used during the process.

The following are the problems.

Depression and sudden blast of anger

Whimsical related to career options-tendency to leave in midway

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Dissatisfied soul-high ambition

Inferiority complex-low self-esteem- skeptical

13. Recommendations / Suggestion

Target Behaviour identified for Management:

Extremely anxiety prone-instable and highly sensitive

Living in a shell-always doubtful-has many unsolved queries

Emotional type-more emotional than logical

Extremely vulnerable –getting affected soon-self-pity

Rewards identified-stress buster:

Day to day chart of his improvement-will be reward of him –seeing is believing

Score sheet of self study-analysis of skill escalating factor

Behaviour Package Programme:

Based on findings the behavioural package is developed for target behavior

Career Counselling by

MBTI Personality Type Test & Career Orientation By John Holland Studies

It facilitated him to know his career options on the basis of his personality and

preferences; it revealed that his personality (ESFJ) is suitable for Management

Studies and Social Services; his career preference summary code is ESC, that tallies

with personality based professional options. So a study (BBA) he follows now is

exactly appropriate for him and there is no need to change his career studies again.

Categorize the subjects /Chapters according to his order of preferences-giving

score out of 10

It helps him to have precision in his preferences and also reasons of his likeness and

also his weakness in that particular subject. Making a chart keeps him always

knowledgeable of his feelings connected to each subject /Chapter and aptitude per

subject.

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Analysis and recommending how to tackle the weaker zone and also enhance the

skill of learning

He is advised to keep equal day of learning process for each subject according to

previously made routine or chart-and after the learning session arrange for self test

and put the score against each subject-that will give him how long time will be

required to learn per subject syllabus wise- he needs to wipe out anxiety by pre-plan

schema and be confident to know his standard of learning per subject syllabus wise.

He has been advised to follow a self made routine (either daily basis or weekly) in

his usual way of living-which will wipe out anxiety.

Short term goal will be helpful instead of long term goal

He has tendency to see his ambition in a big aspect-so he is recommended to set short

term goal initially to fulfill his big dream- so step wise achievement will aspire him

finally.

Collaborate and Cooperate

He is advised to work in cooperation with others in college and also in family front

as it is natural –it endorses a person in many ways:

o More work can accumulate in a collaborative way

o Group discussion enhances the skill of learning

o Studying all subjects at the beginning will give him a judgement how to put

more emphasis on subjects which seem less interested to him. Over learning is a

process of exercising/brain teasing with a less interested subject that becomes

more interesting at time.

Laugh, Party and gathering

After a loaded week everyone needs to be happy and relaxed mood in emotional

level-so arrangement of such occasion is also essential either being around close

family members or in some other places with friends and same age group and having

fun is its own stress buster.

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Think positive and act positively

Being humble and sensitive he has been asked to react positively with others-that

will facilitate him to know original life situation which is very important to know.

Assertive behavior wills compose a person to be more confident and augment his/her

self-respect.

Procedure:

We made a discussion with Arnangshu and set 5-program of 10/15 days gap from one

program to next with the consent of him. Each program fabricated according to the

progress of Arnangshu-as he grew his program schedule automatically altered to the

next step –its aim was to facilitate his challenging performance to modify to more

adaptive behavior.

The candidate was advised to strictly follow his daily routine in the organized way

by himself and he is also responsible to take care of him at home. At completion of

each schedule he needs to be appropriately rewarded himself consistently with stress

busters. Arunangshu is required to grow always with a plan-as he is basically

emotional type and gets hurt by negative impact. Weekend relaxation he needs to

have in his preferred but checked forms as that brings his anxiety to come down for

a moment that is indispensable to have for an extremely anxiety prone student like

him.

Process of relaxation is selected on the basis of likeness/demand of Arunanshu.

He had been asked to sit with a working sheet for a thorough analytical discussion

after 20 /30/45/60/120 days.

The discussion helped him to know his upgrading as a person and also as a

performer as it also increased his performance level- entire session was continued for

6 sessions.

Evaluation:

Evaluation was made each 20 /30/45/60/120 days after separately and on the 8th

session we sat for comparison of the data of scores he obtained per successful attempt

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after each 20 /30/45/60/120 days observation. It was found that his performance day by

day increased with a slow initial progress to rapid advancement at the end.

He is basically an intelligent boy and emotional type-when he observed following

daily routine would bring comfortable feelings he developed a highly assertive

attitude and tried to follow it at best. His stress buster is his gradual positive growth

as it helps him to be confident that one day he could achieve his goal/target;

Arunangshu’s score card’s gradual up-gradation reflects the success of CBT.

---------------------------------- (Signature of the Student)

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CASE RECORD-(4)

1. Demographic Data (Adolescent)

Name: Avik Das

Date: 04.12.2013

Age/DOB: 17 years

Regn. No. ……………………………

Sex: -M Informant: Parents

Education: Class-X (Kolkata) Ref.by: Just Dial Network

Occupation: Student

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (Parents)

Father’s Name: Mr Sankar Das

Mother’s Name: Mrs. Soma Das

Father’s Education: Computer Hardware Engineer

Mother’s Occupation: Homemaking

Father’s Occupation: Service

Present Address: 115, P.C. Lahiri Sarani, Kolkata-700050

Mobile. No. 9831185168/9432215533

Income/Month: Rs 80,000/- per month (Father)

Income/Month: student (no income)

Family Source of Income: Service

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3. Chief/ Presenting Complaints

Extremely restless and always playful

Likeness in fast food

Inattentive- cannot study at a stretch-not even for half an hour

Complaint from school –because of class disturbances

Procrastination-interested to involve in more pleasurable activities

4. Childhood History: Development was on time-no significant problem

5.Family History: Living in a family of 3 members-parents and he himself-his

mother is anxiety prone-there is always brawl between Avik and his mother in

executing daily routine of Avik; one of Avik’s maternal uncles has attention deficit

problem and he does nothing profession wise-his mother explores Avik like her

brother and it brings again anxiety in her.

6. Developmental history: His development is on time-no delay had been

found in age wise physical & motor and cognitive development and reflexes as told

by his parents.

7.School History: He was like general student till Class-V, after that he became

restless and talkative-cannot sit properly in bench-keeps busy himself in either

raising hands, talking with other students in the class, making jokes with someone or

laughing loudly at slightest possible cause-he was marked by his teachers everyday

in the class for his behavioural diversion.

8. Occupational History: Being a student he also reported that teachers in

his school always suspected him for class disturbances –sometimes it was not

for him-usually he could not read at a stretch, if he tried he felt like physical

pining in his body. He liked physical activities in play ground and loved

doing activities which he liked to do –his mother always restricted him from

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doing so-had tendency to keep him under routine-bound which made him

claustrophobic sometimes.

9. Behaviour Problem:

a. Restless

b. Inattention

c. Always playful

d. Concentration problem

e. Less energetic-sleepy type( as his parents told so)

10. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis,

O.P John BFI Assessment,

Achievement Motivation Scale by Beena Shah,

Adult ADHD Self-Report Scale (ASRS-VI-I) symptoms Checklist Insttructions

by Lenard Adler, MD, Ronald C. Kessler, Thomas Spencer

11. General Behaviour during Assessment

Prompt response

Usual mood

Completed on time

12. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

o Prompt

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13. Psychological Report

Graphological analysis revealed the fact that he is friendly, but has coping up

problem; unpredicted emotion, always keeps himself busy, not a good performer, in

hurry to complete his task-bold and enthusiastic-creative and communicative-likes to

socialize.

BFI by O.P John assessed him as a highly stable person with high demand of

socialization-expanded soul –is always busy with someone, ideas or object-poor

motivation and cannot focus-distracts soon. He is Personable Type enjoying

interaction with other people and expresses positive emotions and is therefore

typically well-liked by others. He is Impulsive Types acting outrageously in order to

attract attention from others. Often rather unconventional, risk- taking, flamboyant,

he also needs and enjoys social stimulation. He is Socially Self-Confident Typewho

is extravert with high levels of energy and self-confidence. He has good leadership

skill. He is intelligent extraverts. In their worldliness they can be quite witty and

charming. They have a flair for the dramatic, and can be exaggerated and theatrical.

Therefore, this type is generally described with positive terms such as enterprising,

eloquent, forward-looking, and confident but can also be described as critical,

candid, and intense. He is Other-Directed Type who is easy-going, somewhat lazy

drifters who lack strong opinions and principles. He prefers simply to hang out with

their social crowd. He is emotional type. Others describe them with terms such as

sentimental, affectionate, sensitive, soft, passionate, romantic, feminine, emotional,

and gullible. Avik is tolerant Types who are open to, and accepting of, differences in

other people. They care about the feelings of others and tend to take their opinions

into account when making decisions. Avik is Carefree Type who

is folksy, simple, happy-go-lucky persons. They are unconcerned about rules,

schedules, and routines, but are not actively antisocial or hostile to authority. He is

also Fanciful/Imaginative Types who are unconventional nonconformists who pride

themselves on being different from others. They are not so much openly antisocial

and disruptive in their behavior as they are fanciful, impractical, and unconcerned

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about the general welfare of others. He is also Down-To-Earth type who avoids

anxiety by not thinking and reflecting on things very often.

In Achievement Motivation Scale it was found that Need for

Academic/Vocational/Social Achievement Scale is high whereas Need For Skill

Achievement is low-childish in approach and fanciful type-he has difficulties in

holding his emotion and cannot concentrate for long time during study.

Adult ADHD Self-Report Scale (ASRS-VI-I) Symptoms Checklist revealed

that he has Attention Deficit Syndrome.

14. Identification of problems:

The information was collected partly from candidate and partly from the parents and

also partly from the assessment scale used during the process. The following are the

problems.

Talkative-chatty type

Less concentrated

Restlessness in class room-complains from school teachers

Degraded subjects’ scores in school Report Card

Playful, sleepy, less interested to study at home

Under almost 18 hrs watchfulness of parents

15. Recommendations / Suggestion

Target Behaviour identified for Management:

Medication to control inattention-consultation with a psychiatric for ADD

Restlessness and fluency

Parents behaviour towards him

Lacks in concentration

Less interested to study all allotted subjects in school level

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Spontaneous behavior in classroom/coaching

Lazy in writing after study

Tendency to submit/prepare ignoring dateline-last moment strain

Feeling sleepy at study table

Rewards identified-stress buster:

He likes to have fancy dishes

Avid lover of playing football in the field

Watching English Movie in TV/INOX

Participating in Stage Show for giving lecture with Projector on his favorite

subjects

Outing with friends/familyorganized by school/by themselves

Attending public SHOW on his favourite option

Playing computer game

Wants to have a great career in future-he thinks big

Behaviour Package Programme:

Based on findings the behavioural package is developed for target behavior

Parents Behaviour towards him

Parents specially mother was requested to give him relieve after the completion of

allotted assignment as he really could not study at a stretch for a fixed time. She is

homemaker and anxiety prone-she needs to control her anxiety when she is going to

deal with Avik who is basically a stable boy. She was given lesson on Parenting that

enhanced her skill of parenting towards Avik. Avik needs appropriate vigilance from

parents that will help him to grow with a goal and target.

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Teachers/school was requested to take special care for Avik

He has really problem in holding attention for a long time and also to be confined in

a bench in classroom like other students as ADD student needs behavior

management program. He is restless type.

Facilitating Avik how to study

He is advised to keep maintain a work sheet for keeping a note of his subject wise

improvement on a regular basis-improvement means achiever and loser means failed

to attain the target study. At certain no. of achievement Avik is entitled to enjoy his

way of stress buster within a limited time under the vigilance of parents. He is asked

to follow his routine till final examination (Plus-II -level).

Mock Tests

Avik is advised to sit for a mock test after finishing chapter/subject/ regularly and

also he needs to draw a Graph after 5 or 6 mock tests of every subject and observation

of rise and fall of line will be his eye-opener of his preparation.

Short term goal will be helpful instead of long term goal

He has tendency to see his ambition in a big aspect-so he is recommended to set short

term goals initially to fulfill his big dream- so step wise achievement will aspire him

finally.

Collaborate and Cooperate

He is advised to work in cooperation with students in coaching/school/home tutors–it

endorses a student in many ways:

o Healthy Competitiveness among students

o Group discussion enhances the skill of learning

o Comparison of marks of his with others may be a boost of further development

o Studying all subjects at the beginning will give him a judgement how to put

more emphasis on subjects which seem less interested to him. Over learning is a

process of exercising/brain teasing with a less interested subject that becomes

more interesting at time.

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Weekend enjoyment-family/friends

After a loaded week everyone needs to be happy and relaxed mood in emotional

level-so arrangement of such occasion is also essential either being around close

family members or in some other places with friends and same age group and having

fun is its own stress buster.

Think positive and act positively

Being down to earth and stableperson he has less tension prone-so he needs to have

some knowledge of assertive way of living- at every success there is hardship and

without it no one can be an achiever-Avik wants to be a great achiever, so his driving

force is “being achiever”-he acts nicely, he writes flawlessly-so keeping Avik in right

track is only the challenge which Avik can overcome with the help of his support

system.

Procedure:

We made a discussion with Avik with his parents and initially set 7 programs of

10/15 days gap from one program to next with the consent of him. Each program

fabricated according to the progress of Avik-as he grew his program schedule

automatically altered to the next step –its aim was to facilitate his challenging

performance to modify to more adaptive behavior.

The candidate was advised to strictly follow his daily routine in the organized way

by himself and parents are also responsible to take care of him at home. At

completion of each schedule he needs be appropriately rewarded himself

consistently with stress busters. Avik is required to grow always with a plan-as he is

basically impulsive and other directed type and gets easily distracted from his target.

Weekend relaxation he needs to have in his preferred but checked forms as that there

is chance of self indulgence in indefinite time.

Process of relaxation is selected on the basis of likeness/demand of Avik.

He had been asked to sit with a working sheet for a thorough analytical discussion

after 7 /10/25/35/60 /120days.

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His gradual upgraded score cards helped Avik to be interested to study because of

this he remained energetic.

The discussion helped him to know his upgrading as a person and also as a

performer as it also increased his performance level- entire session was continued for

8 sessions. His parents were requested to guide him throughout his studentship

following routine, plan.

Evaluation:

Evaluation was made each 7 /10/25/35/60 /120 days after separately and on the 8th

session we sat for comparison of the data of scores he obtained per successful attempt

after each 7 /10/25/35/60 /120 days observation. It was found that his performance day

by day increased with a slow initial progress to rapid advancement at the end.

He is basically an intelligent boy and emotional type-when he observed following

daily routine would bring confidence he developed a highly assertive attitude and

tried to follow it at best. Avik’s score card’s gradual up-gradation reflects the success

of CBT. Impulsive Avik needs occasional counseling for enjoying quality life.

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(Signature of the Student)

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CASE RECORD-(5)

1. Demographic Data (Marriage-Counselling)

Name: Saptarsi Ghoswami/AditiSanyal

Date: 17.12.2013(First Day)

Age/DOB: 34/35 years

Regn. No. ……………………………

Marital Status: For 7-year they married with a male child of 7-month old

Sex: -M /F Informant: One for other

Education: Software Engineer (both) Ref.by: Just Dial Network

Occupation: In Service

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (One for Other)

a) Saptarsi Ghoswami

Present Address: 69 B Amherst Row, Kolkata-700009

Mobile. No. 9836065470

Income/Month: Rs 60,000/- per month

b) Aditi Sanyal

Present Address: 37/2A, Canal West Road/10, Reserve Park, Kolkata-

700004

Mobile. No. 033 65408319/9874214141

Income/Month: Rs 75,000/- per month

c) One male child of 7-month living with Aditi - Saptarsi is visitor there

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3. Chief/ Presenting Complaints

o Disharmony in marital relationship

o Fiercely Self –right conscious (Aditi)

o Differences of opinions in every aspects of joint living

o No understanding from Aditi’s side-argumentative, always bring parents

in their tiff-suffering from insecurity

o Aditi develops cleanliness habit-rigid to follow her own opinion-finds

no harm of it on others

o After marriage Aditi has habit to live with parents for three days and

parents-in-law place for another three days regularly.

o Maladjustment ( Aditi)

4. Family History: Both live separately –Aditi is at her parents place and

Saptarsi is his own residence with his parents-Saptasi is bit conventional guy and

likes to live in a traditional way of living. He is not a strict person but he personally

believes in conventional living. Aditi is self right conscious person-sometimes it

sounds too loud to tolerate for Saptasi. Aditi’s parents take interest in Aditi-

Saptarsi’s personal tiff which aggravate their differences of opinions-they cannot sit

together to solve their relationship disharmony personally-Aditi always brings her

parents, specially mother to get it solved. This annoys Saptarsi who becomes fed up

with the acting up of Aditi and wants an optimistic solution of their marital

disharmony. Moreover, Aditi’s mother has domination over her family-she left her

vocation because of family as her husband was frequent in overseas-so she reined her

family and brought up her two daughters on her way-she has control on them.

5. Occupational History:Both came separately to save their marriage and

gave their statement independently. They married to each other after 7 years of love

affair. But from the very first day Aditi had trouble to live in Saptarsi’s place with his

parents-she had many specifications which she did not get there after marriage. At

the same time she could not open it to Saptarsi who had no idea of Aditi’s troubles

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and difficulties. But Saptarsi found Aditi behaving strange all of a sudden at

minimum crisis and left his place for her mother’s residence for someday. They

purchased a 1200 sq. ft. 2-BHK Flat after someday to live a separate life without the

interference of their own parents; but still they had crisis to live an self-regulating

life as Aditi’s had no interest to live a life on the basis of joint discussion and

decision-she either takes decision on her own way or pokes her nose in Saptarsi’s

after accepting his decision- she has always her opinion on his part and tries to

execute it according to her. So no solution is there-again they left their flat and went

away their old nest and begin to live a separated life as before marriage.

6. Behaviour Problem:

o Saptarsi’s part: Traditional

o Aditis’s part: Insecurity, parental dependence, rigid, double checking

habit, rigid, fiercely self-right conscious-sometimes sensed like selfish,

mal-adjustment, argumentative for no genuine cause, fault finder

7. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis,

O.P John BFI Assessment,

Conflicting Management Style Questionnaire by Johnson

8. General Behaviour during Assessment

Prompt response

Usual mood

Completed on time

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9. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

o Prompt

10. Psychological Report

Graphlogical analysis revealed the fact that he (Saptarshi) is friendly, introvert,

energetic and traditional type; good administrative skill but loner in nature. Both

Aditi and Saptarsi has balance emotion-Aditi also does not believe in taking risk,

choosy in nature abrupt listener, has her own concept/idea and likes to stay in her

own world. Sometimes she acts rigidly. Aditi projects herself sacrificing but actually

she has urge to acquire whereas Saptarshi is self right conscious person.

BFI by O.P John assessed Saptarshias an introvert person with humble type- peace-

loving, somewhat timid; He is industrious nature implying businesslike, self-

disciplined, orderly worker who prefers to achieve on his own effort than as part of a

team. He is Satisfied Types who feelshe has risen above the problems of living and is

content with things as they are. He likes to see little point in getting involved in a rat-

race to struggle to the top of the heap. To him stability and security are as more

important than getting ahead and is likely to be content with a respectable job in

home town, earning just enough money to make a living. He is bit Compromising

Type oriented toward getting along with others. Valuing interpersonal harmony, he

is more likely to compromise than confront in a difficult situation.

BFI by O.P John assessed Aditi is Dominating Types enjoying exerting power and

influence over others and strive to control them without taking their feelings into

account. She is also Discouraged Types and is not happy with her present life

situation but feels there is no way out because shelack the ability to improve her life

circumstances. Aditi is bit Indiscreet Types who is extravert and impulsively talk and

boast without knowing what she is talking about. She is pompous and full of bluster.

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Talkativeness and ignorance is an unfortunate combination not tolerated well by

others.She is basically Moody Type and tends to report experiencing many negative

emotions and few positive emotions.

Conflicting Management Style Questionnaire by Johnson described Saptarsi as

collaborative or accommodating and Aditi as competing or forcing.

11. Identification of problems:

The information was collected partly from candidates and partly from the

assessment scale used during the process. The following are the problems.

Saptarsi

o Traditional

o Easily satisfied

o Compromising

Aditi

o Fiercely dominating

o Lethargic in solving crisis on immediate basis

o Talkative without knowing what she is taking about-no detailing

o Moody -brings about many negative emotions with few positive

emotions

o Forcing

12. Recommendations / Suggestion

Target directions identified for Management:

They need to live together again with an aim to give patience hearing to other

needs

Both of them are quite grown-up persons-so no intervention of parents in crisis

time is needed-intervened by themselves only through discussion

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Equal Sharing of parental care of their child-distribution of role depending on

their skill and care

Arrangement of scopes for weekend enjoyment giving emphasis on both sides

alternatively

Instead of fault finding in other partner’s duty/role it is advisable to follow

quick solution procedure by discussion

Always mindful to long term target to enjoy marital relationship and child’s

welfare

No more shift to parental place in crisis time-new home is “ our home”

At home each one has right to enjoy independence without hampering other’s

interest

Evaluation by clients of the specific changes in their

actions/behaviour:

Mutual discussion brings easy solution of crisis and the couples canbestow

patience hearing of other’s need. It also helps them to know other more

evidently

Absence of third man (parents/parent-in-law) intervention helps to wipe out

irritation, anger a dissatisfaction-they become more confident and also learn

how to make decision without the outside help-they feel it is also a big triumph

of them.

Regarding parenting Saptarsi is easier to take care of child as Aditi has already

developed an over-checking behavior that turns her tired soon-so she cannot

play her role confidently-she keeps an Ayah for compensating her absence from

allotted work.

Both of them are willing to take weekend break, sometimes they can arrange it,

sometimes fails in arranging it for weeklong dumping household work-

Saptarsi is in mood to enjoy son’s company in the evening in the adjacent

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park/nearby open place. They make it possible sometime to go to shopping

plaza for usual daily marketing-it gives a scope to enjoy togetherness

Now they try to solve any tiff between them without being argumentative

keeping in mind the purpose of living together.

During the session both of them, specially Aditi restrict her from going to and

interacting with her parents –this works marvelously in their relationship as

they have no other scope except discussion between them only.

Procedure:

We made a discussion with Saptarsi and Aditi initially jointly and sometimes

individually to chalk out the plan of action on the basis of reality and evaluation of

their problem-they act accordingly and doing so Aditi had many issues to solve; she

came and discussed with us. Saptarsi followed the action as it planned. They came

20/40/35/45/60/120 days after as they/she required. Aditi has innumerable numbers of

doubts and being argumentative initially she met huge problems to sort out her own

limitations. But as she took lesson from us how to be always purposeful in life and

tried hard to confront her own crisis.

Evaluation:

Evaluation was made each 20/40/35/45/60/120 days after separately and on the 8th

session we sat for comparison of the data recorded by us and it was observed they

also could enhance their skill of staying together-specially Aditi now slowly uses to

give reasons to her quick action attitude and intolerance behaviour.

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(Signature of the Student)

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CASE RECORD-(6)

1. Demographic Data (Early- Adolescence and Parenting)

Name: Bibhore Goshwami

Date: 10.01.2014(First Day)

Age/DOB: 13 years

Regn. No. ……………………………

Sex: -M Informant: Parents (Both)

Education: Class-VII Ref.by: Just Dial Network

Occupation: Student

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (Parents)

Father’s Name: Mr Dinabandhu Goswami

Mother’s Name: Mrs. Chandrima Adhikari

Father’s Education: MSc. in Maths

Mother’s Education: MA in English

Father’s Occupation: Maths Teaching in HS School

Mother’s Occupation: English Teaching in HS School

Present Address: Uttarchara Sankarara, PO-Tamluk, Dist: Purba Medinipore,

Pin: 721636

Mobile. No. 9733037441

Income/Month: Rs 37,000/- per month (Father)

Income/Month: Rs 30,000/- per month (Mother)

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Income/Month: Student (no income)

Family Source of Income: Service

3. Chief/ Presenting Complaints

Manipulative, telling lies

Highly disorganized

Tantrums before going to school

Watching TV

Parental Pressure to be ranked within 1-10

4. Childhood History: Development is on time-no significant problem

5. Family History: Living in a family of 4-member-parents, younger brother

and he himself-his maternal house is very near to their place-so initially Bibhore was

under their care when his parents were in service-grand-parents indulged him a lot.

Now he lives in his own family set up of four-formerly father involved in home

tuition, now after school he comes back to home-her mother school is far away from

home ; so she comes usually late in the evening. Father tries to give enough time in

bringing his two sons up after school hour.

6. Developmental history: His development is on time-no delay have been

found in age wise physical & motor and cognitive development and reflexes as told

by his parents.

7. School History: No complaint came from school till date

8. Occupational History: Bibhore is highly talkative, fascinates about

detective stories, movies and serials; cannot accept his fault easily, is less interested

to read book-impatient to read but enthusiast to listen to others; can recite and sings

well. He likes practising Maths with interest but due to impatient nature he often

commits silly mistakes. He took no interest going to school.

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9. Behaviour Problem:

a. Restless

b. Inattention

c. Always playful

d. Highly disorganized

e. Talkative

f. Disobedient but not arrogant

10. INTELLECTUAL /PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis( both parents)

O.P John BFI Assessment for both parents

DAP by Goodenough

11. General Behaviour during Assessment

Prompt response

Usual mood

Completed on time

12. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

o Prompt

13. Psychological Report

Graphological analysis revealed the fact that father always tries to adjust with

changing situation, not willing to take unnecessary tension, analytical but cannot

forget past episode of life-being fearful in nature he has tendency to play safe game.

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He is choosy and introvert by nature-he feels challenging in managing his elder son,

Bibhore up to his demand.

Mother is bold type-not skilled to cope up with changing world, basically worried,

sometimes she plays unpredictably; has warmth but sensitive to criticism-has

potential but being anxiety prone she sometimes becomes less confident.

BFI by O.P John assessed Bibhore‘s father as Moralistic Types who is rule-oriented

achievers who sometimes ignore the feelings of others in order to get the job done.

Principles are more important than people to moralistic types, and they can be

equally hard on themselves. This achievement-oriented, hard-driven type has great

initiative and moves readily into positions of authority. They believe in working

with and through the system and in advancing upward through hard work. They are

unlikely to take risks, and their leadership style is likely to be seen as no-nonsense

and instrumental.

He can enjoy time with others but also time alone. Stressful and frustrating situations

are somewhat upsetting to him, but he is generally able to get over these feelings and

can cope with these situations. Average openness indicates that he can enjoy

tradition but is willing to try new things. His thinking is neither simple nor complex.

To others he appears to be a well-educated person but not an intellectual.

BFI by O.P John assessed Bibhore‘s mother as of moderate personality; indicating her

are neither a subdued loner nor a jovial gossip. She enjoys time with others but also

time alone. She has high level of agreeableness indicating a strong interest in others'

needs and well-being. She is pleasant, sympathetic, and cooperative. She is

reasonably reliable, organized, and self-controlled. Stressful and frustrating

situations are somewhat upsetting to her, but she is generally able to get over these

feelings and cope with these situations. She enjoys tradition but is willing to try new

things. Her thinking is neither simple nor complex. To others she appears to be a

well-educated person but not an intellectual.

Father is stricter than mother and Bibhore after coming back from school remains

under the control of father whereas mother is more conscious of others’ need than

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herself-father’s achievement need is very high, so sometimes he becomes harsh to his

son to reach his expected goal.

DAP test on Bibhore describes him as assertive, forceful, ambitious persons; healthy

personality, possibly suggesting distaste for conventional; he is bit insecure,

persistent, ambitious. His behavior is generally controlled and sometimes to point of

inhibition. He has aggressive tendencies, expansive, ostentatious tendencies, feelings

of inadequacy with compensatory defenses, is possibly hyperactive. He has good

observation, detailing and sensitivity. Bibhore is generally a stable boy.

From DAP Test it revealed that his mental age is 2 years ahead of his chronological

age.

14. Identification of problems:

The information was collected partly from candidate and partly from the parents and

also partly from the assessment scale used during the process. The following are the

problems.

Disorganized type

Cannot hold interest for a long time

Bit impatient and aggressive

Developing manipulation-becoming secretive

Under strict parenting of father

Over ambitious parents

Minimum friends in school

15. Recommendations / Suggestion

Target Behaviour identified for Management:

In absence of parents he is under the supervision of ayah whom Bibhore takes

for granted

Parents are over ambitious and likes to keep their son under strict parenting

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Differences of opinion of parents in presence of Bibhore

No structural base is followed by Bibhore at home

Parents are vocal in criticizing Bibhore at slightest mistake, no appreciation he

got from them when he really achieved something great

Likes to talk with elder person

Impatient and bit restless

Rewards identified-stress buster:

He likes watchinghis favorite movie in TV

He likes to get recognition for his activities-very goodin Drama, Recitation and

Drawing

He likes to roam around with parents

He likes to talk

Behaviour Package Programme:

Based on findings the behavioural package is developed for target behavior

Either reduce the time of supervision of Ayah or father should give quality time

after his school

Father is used to give tuition to his students after school hour; as Bibhore is on the

verge of adolescence and he needs to be under intense emotional care –father as his

school is nearby should be responsible to give quality time to his child Bibhore after

school hour.

Both the parents are over ambitious

Parenting to children demands appropriate nurturing-raising children more

rewarding

o Be honest and direct with your teen when talking about sensitive subjects such

as drinking, smoking, and sex.

o Meet and get to know your teen’s friends.

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o Show an interest in your teen’s school life.

o Help your teen make healthy choices while encouraging him to make his own

decisions.

o Respect your teen’s opinions and take into account his thoughts and feelings. It

is important that he knows you are listening to him.

o When there is a conflict, be clear about goals and expectations (like getting good

grades, keeping things clean, and showing respect), but allow your teen input

on how to reach those goals (like when and how to study or clean)

Differences of opinion between parents before child

Two adult persons staying together may invite conflicts time to time-it is a natural

scenario; but they both need to be respectful to each other even in quarrelling time

and before children they never turn the circumstances into a awful shape-both the

parent need to maintain it and it is advisable that they can solve their own crisis in

favourable time in absence of their children-disagreement before child only brings

insecurity and indecisiveness in child and he will grow as an immature person.

Structure, routine and plan

As both the parents are working their child needs always a structural base to follow

whole the day- routine is important. Having an unpredictable lifestyle is time

consuming and unsettling for everyone. Young children become frustrated,

overwhelmed, and rushed when routines are frequently changing (understandably,

sometimes it cannot be helped).Day start and Day end should be structured and it

always consequences a smile-routine does not mean ‘all day work no play’-relaxation,

play and free time is always be there to bring more creativity in following routine.

Pat, praise and reward

If a parent criticizes a child that makes him depressed and insecure-rewarding a child

for his praiseworthy work which always brings enthusiasm in him and he will be

encouraged to step forward with a happy mood-so at every small success Bibhore

should be well praised in his way-and failure of which means he will remain

deprived of having pleasure in chatting, taking part in his preferential hobbies.

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Parents, child and his tutors’ relationship needs to be Collaborate and Cooperate

Parentsare advised to work in cooperation with Bibhore in coaching/school/home

tutors–it endorses a Bibhore in many ways:

o Healthy Competitiveness among classmates

o Discussion enhances the skill of learning

o Comparison of marks of his with others may be a boost of further development

o Studying all subjects at the beginning will give him a judgement how to put

more emphasis on subjects which seem less interested to him. Over learning is a

process of exercising/brain teasing with a less interested subject that becomes

more interesting at time.

o Collaborative supervision of senior group will give best result and Bibhore

will feel comfortable.

Weekend enjoyment-family/friends

After a loaded week everyone needs to be happy and relaxed mood in emotional

level-so arrangement of such occasion is also essential either being around close

family members or in some other places with friends and same age group and having

fun is its own stress buster.

Think positive and act positively

Bibhore has many creative skill-that help him to grow bit earlier as he can get scopes

to come closer to many people and also have more experiences-so nurturing his skill

will boost him to develop positively- Bibhore is blessed by almighty with lots of

originality and now it is the responsibility of his parents to lend a hand for

prosperity.

Procedure:

We made a discussion with Bibhoreand his parents and set 3 programs of

7/10days gap from one program to next with the consent of Bibhore. Each program

fabricated according to the progress of Bibhore-as he grew his program schedule

automatically altered to the next step –its aim was to facilitate his and his parents

challenging performance to modify to more adaptive behavior.

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The candidate was advised to follow his daily routine in the organized way by

himself and parents are also responsible to take care of him at home. At completion

of each schedule he needs be appropriately rewarded by parents.

Process of relaxation is selected on the basis of likeness/demand of Bibhore.

He had been asked to sit with a working sheet for a thorough analytical discussion

after 7 /10. His gradual upgraded score cards helped his parents to be interested to

follow. The discussion helped his parents to know causes of his upgrading as a

person and also as a performer as it also increased his performance level- entire

session was continued for 3 sessions. His parents were requested to guide him

throughout his studentship following routine and Plan.

Evaluation:

Evaluation was made each 7 /10days after separately and on the 3rd session we sat for

comparison of the data of scores he obtained per successful attempt after each 7

/10days observation. It was found that his performance day by day increased with a

slow initial progress to rapid advancement at the end.

He is basically an intelligent boy and emotional type-when he observed following

daily routine would bring contentment in him as he is bit competitive and the family

set up is better than earlier he agrees to obey structural way of living and give

patience hearing to parents’ words. Parents also feel that change of their behavior to

each other and with their child only the cause of miraculous harmony in family

environment.

Warning:

Human emotion is dynamic, so deviation may happen sometimes-so parents are alert

to take care of it without being nervous and overwhelmed.

--------------------------------- (Signature of the Student)

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CASE RECORD-(7)

1. Demographic Data (FamilyCounselling)

Name: Aditya Nag

Date: 25.01.2014(First day)

Age/DOB: 15 years

Regn. No. ……………………………

Sex: -M Informant: Parents (Both)

Education: Class-X Ref.by: Just Dial Network

Occupation: Student

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data- Parents

Father’s Name: Mr Anindya Nag

Age : 38 years

Mother’s Name: Mrs. Soma Nag

Age : 33 years

Age of second child: 6-month old( Baby)

Father’s Education: Graduate

Mother’s Education: Graduate

Father’s Occupation: Real Estate Business

Mother’s Occupation: Homemaking

Present Address: 3/37 East Mall Road

Mobile. No. 9830076226

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Income/Month: Around Rs.1, 00, 000/- (Father)

Income/Month: Student (no income)

Family Source of Income: Promoting building

3. Chief/ Presenting Complaints

Highly ambitious Husband

No family time from husband/father

Irregular daily routine of wife

Mother’s over consciousness towards elder son

Dissatisfaction from wife side

Deteriorated study grade of elder son

Strict parenting from mother and permissive parenting from father for elder son

(Aditya)

Regular words of fighting between mother and Aditya

Overburdened by daily routine feelings of insecurity in mother

4. Family History: Anindya and Soma met each other in college days during

their degree level studies in the same college; after someday they married to each

other with the negotiation of parents. but situation had been totally changed when

Anindya’s father expelled his son after immediate marriage of him from their

ancestor house saying that he needed to establish independently now onwards and

he also divided his business from him. Struggle began and Soma was always being

there besides Anindya with full support and Aditya was born after two year of their

married life. Anindya struggled a lot and at last could establish himself as a

successful person in the same area where his father was also in the same business.

Anindya believed that his turning point of life was his father’s throwing out; at the

same type it produced a frightful experience-he always feels insecurity and exploits

his time in earning money only.

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Soma after gaining usual life style wanted to enjoy family life and bring up her son

Aditya giving sufficient availability in shaping him up. But because of insecurity

Anindya tried for second child and birth of second child brought confinement of

Soma at home-it could not be taken easily by Soma who now suffers from depression

and becomes late in home making and also in caring her two sons.

Aditya being neglected by father who is overly busy in his profession and mother

who being depressed and anxiety prone has become an unattended boy at home and

student in school. His result is not like before and is criticized by teachers. He

himself is now a confused boy.

5. Developmental history: Aditya’s development is on time-no delay have

been found in age wise physical & motor and cognitive development and reflexes as

told by his parents.

6. School History:Till date no complaint came from school. In last exam

Aditya failed in Maths.

7. Occupational History:Aditya is anxiety prone-he is regular in school-but

he needs teachers’ help in some subjects after school hour-his mother has tendency to

compare Aditya with other boy-that irritates him very much as he tries best to do

better. After school hour his mother tries to confine him at home and does not allow

him to go outside even for minimum necessary-but he likes playing cricket/football

in the field. After the birth of his brother Aditya has less scope to go outside with

family like before –but he likes to have family fun sometimes-life becomes dull

nowadays to Aditya. Really he wants to come out from all these discomfort. Soma,

mother of Aditya being frustrated cannot believe anyone and tries to keep Aditya

under her direct vigilance by keeping him confined home only as she herself because

of second child cannot be free as before. This way mother-son relationship turns

stained and argumentative.

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8. Problem arise:

a. Anindya-as usual always in jovial mood, enjoys life full toss with

friends and occasional drink, dislikes home environment, feels sad at the

last school result of Aditya and the behavioural change of wife Soma.

b. Soma- anxiety prone, believes in being deceived by Anindya, irritation

not being able to take care Aditya and younger child as par her demand,

frustration.

c. Aditya-anxiety prone, cannot cope up with the varying environment of

home, anxiety for having degraded marks in school exam, feelings of

insecurity, irritation being stuck at home all the day after school hour, no

outdoor play and no sharing with same age friends.

9. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis( both parents)

O.P John BFI Assessment for both parents

DAP by Goodenough

10. General Behaviour during Assessment

Prompt response

Usual mood

Completed on time

11. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

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12. Psychological Report

Graphological analysis revealed the fact that Anindya is highly ambitious and wants

to achieve fast; basically balanced and friendly he has determination to take care of

his own persuasion. Fearful in nature he does not like to be in crisis-so he has

tendency to escape from any turmoil situation instead of settling it down.

Mother keeps her in isolation; basically broad minded person-wants to enjoy life,

becoming choosy in nature. Soma being basically analytical and anxiety prone has

been suffering from anger and irritation.

Son Aditya is average performer, warm nature and ambitious-he is intelligent -he

needs intense care to do better his performance in school-by nature cultured boy and

likes socialization very much-sometimes to become unnecessary adventurous. He

becomes confused and being hopeless finding him irritated and failed in subjects he

nowadays shows anger, irritation at home with mother Soma and behaved roughly

with father Anindya-there are differences of opinions with both the parents.

BFI by O.P John assessed Aditya‘s fatherAnindya as a stable person with Persistent

Types-hard-working, stable individual who performs well in structured, rule-

governed environments. He is described by others as rule-abiding, composed,

persevering, conscientious, trustworthy, cooperative, traditional, predictable, simple,

and down- to-earth.

BFI by O.P John assessed Aditya‘s mother as a muddled type tends to be anxious

about things that lie beyond her limited scope of understanding. She protects herself

by living in the past and showing contempt for novel or foreign ideas. She is

described by son and husband as irritable, anxious, nervous, reminiscent, apathetic,

unambitious, self-centered, unreliable, and negligent.

BFI by O.P John assessed Aditya resembles to his mother as muddle type; also he is

Immature Types have a history of problems with self-discipline and self-control. He

is likely to be restless and unable to concentrate in the classroom, and therefore

performed poorly. He gradually developsas rough and uncouth as well as impulsive.

He likes thrills, adventure and action and frustrating and boring. Aditya is also

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Scattered Types showing emotional instability that affects both his thinking and

social relationships. Internally he is inconsistent, erratic and forgetful; in groups he

turns to be impulsive, nosy, gossipy, and self-indulgent.

13. Recommendations / Suggestion

Target Behaviour identified for Management:

As Anindya is head of family he needs to know pay patience hearing to the

members of his family

Anindya instead of escaping from situation needs to solve the problem in family

affair

Soma being anxiety prone and irritated needs to be under CBT time to time to

know how to lead a satisfying life

Aditya being an adolescent boy needs to be under behavior modification

technique as he is immature, scattered and anxiety prone

Rewards identified-stress buster for Soma and Aditya:

For Soma:

Making scopes for enjoying life in her way: family time, shopping in Mall and

organization of interior of her residence/flat

For Aditya

Week end family enjoyment

Arrangement of time bound out- door game

Watching TV for his own preferred programme

Make his friends to come at home for indoor game.

Cognitive Behaviour Package Programme:

For Anindya:

Taking the emotional responsibility of family

Anindya being a stable person, sometimes misses the clues, so he needs to give time

for analysis of the behavior of his family members separately. If he is careful he can

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realize the crisis that generates in his family and if he realizes he can solve

appropriately-Anindya is required to be attentive in the role of head of the family

and only then he can put the crisis end.

Demand for more emotional connection with the family members

Anindya loves socialization and is a busy fellow- but family likes to be emotionally

connected with him – family members also like his company; Anindya needs

reciprocating emotionally with them.

As father and as husband

Two roles are different- as husband Anindya needs to give importance to the words

of wife Soma-understanding husband will be able to create win-win situation

instead of forcing husband. As father he needs to know every bit of his son Aditya

who is an adolescent, he needs father figure in his life for guidance and counseling-

his availability to his son’s life is very crucial at this phase. Anindya as a stable

person and successful professional has capacity to guide his son appropriately-only

criteria is that he needs to give specific time for this.

For Soma

Distribution of job

Soma likes homemaking by herself only-it is impractical approach and being the

mother of two sons she needs to distribute job to her domestic help as otherwise it

brings everything haphazard, incomplete, not up to the standard and also irritation.

Soma needs to learn how to prioritize her daily work.

Be hopeful-nothing is impossible in life-may be you are late in achieving

Anything can happen on any day-nothing is impossible-so it is advisable to be

hopeful-one can miss the chance of today-but tomorrow is there-so hope is there.

Soma is always anxiety prone-she needs to have cognition that can be brought by his

husband in a family set up-continuous empathetic approach of her husband will be

beneficial to her emotional health-she needs to be always hopeful what she expects

that she can achieve oneday in future-her husband is responsible to give her the

scopes to achieve it.

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As wife and as mother

Role has been changing as a person grows in a family environment-so being in a

family each one needs to take care of individual role and so is also for Soma; family

helps a person to grow with a supporting environment-this supporting environment

needs to be relevant in every person’s life in a family set up. Soma needs to have this

cognition in her life- as wife and as mother. As mother she cannot always restrict

Aditya instead of making him understand- constant analysis is necessary before

implementing anything and Soma is responsible to give causes of her behavior

towards her husband and so Aditya.

For Aditya

Differences of opinion between parents before child

Two adult persons staying together may invite conflicts time to time-it is a natural

scenario; but they both need to be respectful to each other even in quarrelling time

and before children they never turn the circumstances into a awful shape-both the

parent need to maintain it and it is advisable that they can solve their own crisis in

favourable time in absence of their children-disagreement before child only brings

insecurity and indecisiveness in child and he will grow as a immature person.

Structure, routine and plan

As both the parents are busy, their child needs always a structural base to follow

whole the day- routine is important. Having an unpredictable lifestyle is time

consuming and unsettling for everyone. Young children become frustrated,

overwhelmed, and rushed when routines are frequently changing (understandably,

sometimes it cannot be helped). Day start and Day end should be structured and it

always consequences a smile-routine does not mean ‘all day work no play’-relaxation,

play and free time is always be there to bring more creativity in following routine.

Pat, praise and reward

If a parent criticizes a child that makes him depressed and insecure-rewarding a child

for his praiseworthy work always brings enthusiasm in him and he will be

encouraged to step forward with a happy mood-so at every small success Aditya

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should be well praised in his way-and failure of which means he will remain

deprived of having pleasure in playing football, socialization with friends, watching

favourite movie in TV and enjoying family time.

Parents, child and his tutors’ relationship needs to be Collaborate and Cooperate

Parents are advised to work in cooperation with Bibhore in coaching/school/home

tutors–it endorses Aditya in many ways:

o Healthy Competitiveness among classmates

o Discussion enhances the skill of learning

o Comparison of marks of his with others may be a boost of further development

o Studying all subjects at the beginning will give him a judgement how to put

more emphasis on subjects which seem less interested to him. Over learning is a

process of exercising/brain teasing with a less interested subject that becomes

more interesting at time.

o Under collaborative supervision of senior group will give best result and Adtya

will feel comfortable.

Weekend enjoyment-family/friends

After a loaded week everyone needs to be happy and relaxed mood in emotional

level-so arrangement of such occasion is also essential either being around close

family members or in some other places with friends and same age group and having

fun is its own stress buster.

Think positive and act positively

Aditya needs to develop hobby just to enjoy time in creativity-so

encouragement is necessary to find certain likeness other the school study-as

he is basically anxiety prone-some pleasureful activity may bring contentment

in his mind.

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Procedure:

We made a discussion with Aditya and his parents and set 3 programs of 45/60

days gap from one program to next with the consent of Aditya. Each program

fabricated according to the progress of Anindya and his family members -as they

grew the program schedule automatically altered to the next step –its aim was

to facilitate his and his family’s challenging performance to modify to more

adaptive behavior.

The Anindya and his family were advised to follow their daily routine in the

organized way by themselves and parents are also responsible to take care of

Aditya at home. At completion of each schedule they need to be appropriately

rewarded by themselves.

Process of relaxation is selected on the basis of likeness/demand ofAditya.

Aditya had been asked to sit with a working sheet for a thorough analytical

discussion after 45/60.

His gradual upgraded score cards helped his parents to be interested to follow.

Anindya and his family also felt relaxed following their lifestyle as we told

them-as they are adult persons and the two started complimented to each

other as the demand and specially Anindya when he found it helpful and

comforting he tried to follow his lifestyle in an assertive way.

The discussion with counsellors helped Aditya’s parents to know causes of

his improvement as a person and also as a performer as it also increased his

performance level- entire session was continued for 3 sessions. His parents

were requested to guide him throughout his studentship following routine,

plan and also told to follow their lifestyle in a more promising way.

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Evaluation:

Evaluation was made each 45/60 after separately and on the 3rd session we sat

for comparison of the data of scores he obtained per successful attempt after

each 45/60 days observation. It was found that Aditya performance day by day

increased with a slow initial progress to rapid advancement at the end.

He is basically an intelligent boy and anxiety prone-when he observed

following daily routine would bring contentment in him as he is bit

competitive and the family set up is better than earlier he agrees to obey

structural way of living and give patience hearing to parents’ words. Parents

also feel that change of their behavior with each other and with their child

only the cause of miraculous harmony in family environment.

Warning:

Human emotion is dynamic, so deviation may happen sometimes-so parents

are alert to take care of it without being nervous and overwhelmed.

--------------------------------- (Signature of the Student)

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CASE RECORD-(8)

1. Demographic Data (Young Adult)

Name: Avikendra Roy

Date: 03.02.2014(First Day)

Age/DOB: 20years

Regn. No. ……………………………

Sex: -M Informant: Mother

Education: Study in Degree level with Ref. by: Just Dial Network

Chemistry Hons.

Occupation: Student

Language: Bengali

Cast/Religion: Hinduism

2. Demographic Data-Informant (Mother)

Mother’s Name: Mrs Sutapa Roy

Mother’s Occupation: Service

Present Address: 193, Alipore First Lane, PO: Nimta ; Kolkata-700049

Mobile. No. 8334070990

Phone: 033 2541 8160

Income/Month: Rs 55,000/- per month (Mother)

Income/Month: student (no income)

Family Source of Income: Service/Bank Interest

Father’s Name: Mr Sankar Roy

Father’s Occupation: Retired (Bank)

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3. Chief/ Presenting Complaints

Addicted-marijuana/alcohol

Low self esteem

Inattentive in study

Many friends

Busy with mobile-always busy in talking

Rough and rude attitude

Not at all respectful to seniors

Stay nearby pool/other solitude places at dead night

No target, no aim in life

4. Childhood History: Development was on time-no significant problem

5. Family History: Living in a family of 3 members-parents and he himself-

his mother is service holder and his father after retirement does some part time job.

He is intelligent in childhood days and as he grows old he becomes arrogant and

stubborn in attitude. His father is anxiety prone and ambitious about his son and his

mother is understanding person and Avikendra can relate with mother and he

becomes rough with father. He met an accident in college life by falling down from

bicycle and for this he injured in his left wrist and it brings permanent injury in his

left wrist. So from the day onwards he can use only his right hand for any purpose.

6. Developmental history: His development was on time-no delay had

been found in age wise physical & motor and cognitive development and reflexes as

told by his parents.

7. School/College History: In his school days he had no serious

complaint from his teachers, he is just like other students-but after leaving

school and before going to college his life style rapidly changed a lot-he starts

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socialization with so many friends, joins college politics, becoming inattentive

to study, keeps himself busy with activities which spoils him as a person. He

becomes addicted, met an accident, and had permanent injury in left wrist,

declines college performances and drops a year.

8. Occupational History: Now he is little bit depressed, sometimes

finds him unrestrained in certain areas; he himself likes to change for the

betterment but he simply cannot pursue. He wants a thorough discussion with

someone who likes to help him to come out from the grief situation.

9. Shortcomings he assembled:

Addiction

Depression

Feelings of incoherent

No enthusiasm

Insecurity

10. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis,

O.P John BFI Assessment,

11. General Behaviour during Assessment

Prompt response

Bit restless

Completed on time

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12. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

o Prompt

13. Psychological Report

Graphological analysis revealed the fact that he is friendly, but has coping up

problem; unpredicted emotion, sometimes depressed, choosy nature-can go at any

length when he becomes angry, creative and an intelligent fellow.

BFI by O.P John assessed him as a highly extrovert person- he is sociable, outgoing,

energetic, and lively. He prefers to be around people much of the time and likes to

live for the moment and does what he feels good now. He tends to be careless and

disorganized. His score on Agreeableness is low, indicating less concern with others'

needs than with his own. People see him as tough, critical, and uncompromising. His

score on Neuroticism is low, indicating that he is exceptionally calm, composed and

unflappable. He does not react with intense emotions, even to situations that most

people would describe as stressful. His score on Openness to Experience is average,

indicating he enjoys tradition but are willing to try new things. His thinking is

neither simple nor complex. To others he appears to be a well-educated person but

not an intellectual. He is Domineering Type enjoys exerting power and influence

over others and strive to control them without taking their feelings into account. He

is seen by others as critical, self-centered, stubborn, and bossy. He is Impulsive Type

exhibitionist who acts outrageously in order to attract attention from others. Often

rather unconventional, risk- taking, flamboyant, he also needs and enjoy social

stimulation. He is Socially Self-Confident Type who is extraverts with high levels of

energy and self-confidence. Their personality traits make them well-suited for

leadership and supervisory roles. He is easily other-Directed who is easy-going,

somewhat lazy drifter and lacks strong opinions and principles. He is Self-Centered

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Type indifferent to both conventional rules and the feelings of others, acting instead

on his own self-interest. Moreover he is also Unemotional Type--whether male or

female--is stereotypically masculine. Regarding emotions as a sign of weakness, he

sees himself as strong, stable, and unaffected by emotions. Carefree Types also stays

unaffected, simple, happy-go-lucky persons. He is unconcerned about rules,

schedules, and routines, but is not actively antisocial or hostile to authority.

14. Identification of problems: The information was collected partly from candidate and partly from the mother and

also partly from the assessment scale used during the process. The following are the

problems.

Needs socialization but cannot reciprocate properly

Easily distracted

Suffered from change of friends

Caught into addiction-he wants to come out

Feels lonely-cannot relate not even with friends

Depressive sometimes

Lacks interpersonal skill

15. Recommendations / Suggestion

Target Behaviour identified for Management:

As he understands his deficiency-he has been motivated appropriately.

He has been asked to follow first what we have told him-change of daily

routine-be under structural base made by himself on priority basis.

For addiction he is told to engage in some affirmative activities which he

himself enjoys most

As he lost his left wrist activities he is advised to learn the new process

using deformed left hand in an alternative way to ease his life

He has been asked to enhance his skill of interaction/communication with

people

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Rewards identified-stress buster:

He likes listening to music

Composing songs

Playing instruments-Guitar/mouth organ/keyboard

Travelling being alone

Chatting with friends

Cognitive Behaviour Package Programme:

Human being are social being-skill of living together-empathetic feel for others

Avikendra now feels alone as he cannot able to build up long term relationship with

anyone around him; his friends are always changing and that brings strain in him as

he has to give again effort to stay with the new relationship- now he tired of it-so he

needs to change his cognition and also the behavior of him with the others as he has

also demand to be with people for communication and feeling good.

Be with daily routine-structural living keeps him always be purposeful-that

will bring success in him

Avikendra likes to be whimsical and does not pay interest to the routine life; being

stable and having less self- control he has tendency to grow without any aim-but

repeated failure in achieving success in exam he now feels to get relief –so he was

told to stay with structural base and keep a score card of his small achievements

following a routine life- it will help him to be successful.

Prioritize the daily need

Avikendra has many involvements and according to him he needs to have it-but he

was directed to set his daily activities according to priority-that will help him to act

on the basis of immediate need and followed by others-as he previously was told to

keep score card for his every small success; so organizing his needs according to

necessary and subsequent achievement may lead him towards purpose of life bit by

bit.

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Getting rid of addiction

Avikendra is addicted to drink and marijuana; but he has not felt tremendous joy

when he addicts; the cause of addiction is to involve in some activities instead of

suffering of loneliness-but now he has been telling to engage in his daily pre

planned schedules so that he can remain in full of activity which he has chosen by

himself for gaining success in life. This way he can free of all sorts of addictions one

day.

Best use of deformed left wrist for decisive activity

As Avikendra is stable personality wise-the deformed left wrist could not spoil his

serenity of mind; but sometimes he felt sorry as he could not play his musical

instruments using his left hand- so he was told to employ his left deformed wrist in

different activities so that he could best exercise it for a purposeful life.

Interpersonal communication skill

Avikendra likes to be around with friends and people but sometimes he felt alone as

he cannot reciprocate with the people around him-he needs to learn it giving

emphasis on the needs of people whom he likes to close- he needs regular counseling

to enhance his skill of interaction to lead a successful life-as being extrovert he

necessitates to learn how to communicate wisely with people around.

Regular estimation of his life skill from daily living

After a loaded week he needs to enjoy- he may estimate his skill of living from the

process of enjoyment. More comfortable is he more is his learning skill-as he

develops his learning skill that brings more satisfaction in him-he becomes more

pleasing personality.

Think positive and act positively and

Being self confident and stable person he has less tension prone-so he needs to have

some knowledge of assertive way of living- at every success there is hardship and

without it no one can be an achiever-Avikendra wants to be a great achiever, so his

driving force is “being achiever”-he can think intelligently, he can compose

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flawlessly-so keeping Avikendra in right track is only the challenge which

Avikendra can overcome with the help of his intelligence.

Procedure:

We made a discussion with Avikendra with his parents and set 4 programs of 10 days

gap from one program to next with the consent of him. Each program fabricated

according to the progress of Avikendra-as he grew his program schedule

automatically altered to the next step –its aim was to facilitate his challenging

performance to modify to more adaptive behavior.

The candidate was advised to strictly follow his daily routine in the organized way

by himself and parents are also being watchful at home. At completion of each

schedule he needs estimating his activities by himself. Avikendra is required to grow

always with a plan-as he is basically impulsive and other directed type and gets

easily distracted from his target. Weekend relaxation he needs to have in his

preferred but checked forms as there is chance of self indulgence for an indefinite

time.

Process of relaxation is selected on the basis of likeness/demand of Avikendra.

He had been asked to sit with a working sheet for a thorough analytical discussion

after the end of programme.

His gradual upgraded score cards helped Avikendra to be interested to career because

of this he remained energetic and in full mood to be attentive to his future career

orientation.

The discussion helped him to know his upgrading as a person and also as a

performer as it also increased his performance level- entire session was continued for

4 times. His parents were requested to guide him throughout his studentship

following routine, plan.

Evaluation:

Evaluation was made each at 10 days after separately and on the 4th session we sat for

comparison of the data of scores he obtained per successful attempt after each 10 days

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observation. It was found that his performance day by day increased with a slow

initial progress to rapid advancement at the end.

He is basically an intelligent boy and confident type-when he observed following

daily routine would bring satisfaction and comfort he developed a highly assertive

attitude and tried to follow it at best. Avikendra’s score card’s gradual up-gradation

reflects the success of CBT. Unemotional Avikendra needs occasional counseling for

enjoying interaction and communication with the people he met in his life.

-------- ----------------------------

(Signature of the Student)

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CASE RECORD-(9)

1. Demographic Data (Adult)

Name: Subrata Kumar Dey

Date: 19.03.2014(First Day)

Age/DOB: 40years

Regn. No. ……………………………

Sex: -M Informant: He himself

Education: Software Engineer. Ref.by: Just Dial Network

Occupation: Service holder

Language: Bengali

Cast/Religion: Hinduism

Present Address: Flat No. 3c; Anjani Plaza; 4A, R.K. Chatterjee road; Kolkata-700092

Mobile. No. 9830454804

Income/Month: 80,000/- per month

2. Chief/ Presenting Complaints

Depression

Lack of motivation

Anxiety

Anger

3. Childhood History: Development was on time-no significant

problem

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4. Family History: Living in a family of 5 members-Mother, wife and two

daughters and he himself- is nowadays becoming depressive and less motivated. He

has working relationship with his wife but his relationship with his daughters and

wife is not usual emotional relationship nowadays as previously he felt for them. In

his family life he was ditched by his close relatives that might not happen if he gave

important to his wife’s preventive words. Now he thinks himself defeated

professionally and for this he could not achieve his usual professional height like

others or his other colleagues.

5. Developmental history: His development was on time-no delay had

been found in age wise physical & motor and cognitive development and reflexes as

told by his parents.

6. School/College History: In his school days he had no serious

complaint from his teachers, he was just like other students-he stood first in

his class-but he could not enjoy his study-was always anxiety prone because

of parents’ pressure of having good result in classes’ final exam. His both the

parents were in service and he was always lonely after coming back from

school/college.

7. Occupational History: He is in service for past 16 years and was in

place professionally; but his old colleagues are ahead of him within a short

period unlike him-it brings unhappiness in his life. Very recent he was close

to his supervisor and made a family connection with him family wise-Mr

Subrata prefers giving more emphasis on relationship with him than to his

own professional duties and soon became ‘YES’ man to him; but at the same

time felt pressurized because of personal relationship with him-this brought a

rapid professional lift. But with the time he could not tolerate the pressure

and ultimately dismayed –this spoils his further improvement job wise and

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for this he feels depressed in most of the time. He also lacks motivation

nowadays.

8. Shortcomings:

Prefers short cut route

Impulsive

Struggle denial

Ambitious

Impatient

9. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis,

O.P John BFI Assessment,

10. General Behaviour during Assessment

Prompt response

Bit restless

Completed on time

11. Emotions & Behaviour

o Attentive

o Asked minimum times

o Can comprehend statements

o Prompt

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12. Psychological Report

Graphological analysis revealed the fact that he is compulsively busy with work-he

loves to work, can take calculated risk, highly creative person, but very lazy/slow in

approach; basically loner and has strong administrative skill.

BFI by O.P John assessed him as a highly introvert person with moderately open to

ideas; anxiety prone and instable basically. He is Distant Type shows an active

disinterest in other people. He is detached, skeptical, cynical loner who finds little

joy in human relations-bit workaholic person. He is bit Apathetic Types lacks energy

and direction in life- he is described by others with terms such as passive,

unenergetic, sluggish, indecisive, aimless, and wishy-washy.. Mr Subrata is on the

whole discouraged type is not happy with his present life situation. He is Self-

Centered Type who is indifferent to both conventional rules and the feelings of

others, acting instead on their own self-interest only. Depending upon their degree of

self-centeredness, he may be simply impolite or can be downright abusive

sometimes. He is also Moody Type tends to report experiencing many negative

emotions and few positive emotions. He is also Scattered Type shows emotional

instability that affects both their thinking and their social relationships. Internally

they are inconsistent, erratic and forgetful; in groups they can be impulsive, nosy,

gossipy, and self-indulgent. On the job, their unpredictability may annoy co-workers

and supervisors.

13. Identification of problems:

The information was collected from candidate, interviewing him and also

assessments He is always defencive-but he needs to learn how to manage situation without

being apprehensive

To be successful he needs to take step to move ahead-goal and target

orientation-future plan of actions

Skill of interaction and communication

Needs to be more open to ideas and taking into the account of others’ interest

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14. Recommendations / Suggestion

Target Behaviour identified for Management:

As he understands his deficiency-he is given cognition first

He has been asked to follow first what we have told him-change of daily

routine-be under structural base made by himself on priority basis.

To have long term Goal first-after that to achieve it he needs to split it into short

term Goals which will be helpful to accomplish fast.

He is required to learn how to be assertive always at every attempt

To be a responsible guy and make other to be so

Rewards identified-stress buster:

Likes isolation time to time

Sometimes enjoy family togetherness

Cognitive Behaviour Package Programme:

Road to success always the course of struggle

Mr. Subrata is struggle denial- so he has tendency to find the easy way out which is

absolutely not possible; to be a successful person everyone needs to be ready to face

hardship; if a person can apply his skill and experiences may be his time to attain

goal will be bit earlier but no one can get easy way out.

Be with daily routine-structural living keeps him always be purposeful-that

will bring success

Mr Subrata has to change his way of thinking and be focus always-as he is easily

distracted from his purpose of life- he needs to be under self-made routine and

follow it without quizzical; as he experiences affirmative result more he will be

structure oriented in his daily life.

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Short term Goals to Long term Goal

Mr Subrata needs to learn how to set long term Goal first and to achieve it he is

necesseciated to split it into little short term Goals-achievement of short term goal

may bring contentment to go for the subsequent steps; it will reduce his anxiety of

being loss-less is the anxiety more he becomes confident.

Overcoming non-assertive attitude

Mr Subrata is requested to analyze various situations to get most favoured responses

and least possibility to follow. Theses Situation Analysis may be helpful to be

assertive in responding to the various life situations in his life-he may act confidently

afterwards.

Grow as a responsible guy and help others around to be more responsible

Mr Subrata is asked to act as a responsible person –responsible to himself first

and then to the people whom he cares- being responsible implies being

independent to live on own strength and helping others to achieve the skill of

independent living- skill of independent living brings always a happiness –

the two independent persons can lead a blissful combined life.

Interpersonal communication skill

Being introvert Mr Subrata needs to develop interpersonal skill which he lacks and

that invites many unwanted incidents in his life- what he thinks and what have been

stored in his memory he needs to express it with clarity to the people.

Regular estimation of his life skill in daily living

After a loaded week he needs to enjoy- he may estimate his skill of living from the

process of enjoyment. More comfortable is he more is his learning skill-as he

develops his learning skill that brings more satisfaction in him-he becomes more

pleasing personality.

Think positive and act positively and

Being moderately open to ideas and self centred person he has tension pronenes-so

he needs to have some knowledge of assertive way of living- at every success there is

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hardship and without it no one can be an achiever-Mr Subrata is competitive nature;

so his driving force is “being achiever”-he can think intelligently, he can sense

quickly- so if he tries to think assertively and can enjoy purposeful hardship he can

be a winner some day.

Procedure:

We made a discussion with Mr Subratafree and frankly. He is intelligent fellow; he

has been asked to follow as we told him. He agreed. He came to us forgetting relief at

any cost as he could not tolerate his way of living-he needed someone to help him out

from his miserable condition. Free discussion with us made him to know how he did

mistake in past life; he understood the process he followed to achieve his goal was

not the only way to success; there were many alternatives which he could attain; three

hours cognitive discussion with us made it clear to Mr Subrata that

No short cut way to success

Being responsible for every action

Prioritize the actions of the day

To have meticulous plan before implementation

Evaluation:

Evaluation was made after one month and we sat for comparison of the data of scores

he obtained per successful attempt after 30 days observation. It was found that he

could manage better than before and also gained tranquility of mind that he missed

for days long and even could not sleep well at night.

He is basically an intelligent person -when he observed following daily routine

would bring satisfaction and comfort he developed a highly assertive attitude and

tried to follow it at best. Impulsive and moody Mr. Subrata needs occasional

counseling for enjoying purposeful interaction and communication with the people

he met in his life.

-------- ----------------------------

(Signature of the Student)

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CASE RECORD-(10)

1. Demographic Data (Adult)

Name: Mr Souvik Ghosh

Date: 20.04.2014(First Day)

Age/DOB: 41years

Regn. No. ……………………………

Sex: -M Informant: He himself

Education: Master in Business Management Studies Ref.by: Just Dial Network

Occupation: Business, Distributorship of soft toys

Language: Bengali

Cast/Religion: Hinduism

Present Address: 11A, Ultadanga Road, Kolkata: 700004

Mobile. No. 08697572743

Income/Month: 1, 00,000/- per month

2. Chief/ Presenting Complaints

Depression

Restlessness

No peace of mind

Feelings of detachment from family (wife and son)

Conflict with anyone at slightest cause of dissonance

Trust problem

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3. Childhood History: Development in on time-no significant problem

4. Family History: Living in a family of 3 members-he himself, wife and one

son–he nowadays remains depressive and less motivated after being separated from

his parents very recently to his newly purchased flat-very recent he feels no

attachment with his wife and son; his hardship against poverty started from his

childhood days when he was in middle level in school; they had family business of

supplying sports goods in retail shops in Kolkata and nearby places. But there was

business tiff between his father and his uncle and uncle took the undue advantages

of his father’s quiet and non-conflicting nature and deceived his father. Souvik being

tough and having keen practical sense he understood the entire causes of fall down

of his father’s business and at class VIII he took the responsibility of business and

worked on it efficiently. After someday he extended business in Soft Toy World and

does very efficiently within a few months. But now his success turned his mother

suspicious about him as she has second son who is not so bright like her elder son

Suavik. His mother now asked him to separate business from her younger son-it was

very painful to Sauvik as he loved his mother very much.

After that he took prompt decision of being separated from his extended family,

purchased a flat on his own capacity and left his old Sports Goods business on his

younger brother with whom he has very cordial relationship till date.

But behavior of his mother towards him was like bluster in his life and he could not

accept it till date. Today he is extremely successful in his Soft Toys Business, but he

realized that his relationship with his wife and son are becoming distant and he also

sometimes behaves irritatingly with his own staff and stays without peace in usual

time-feelings of deprivation creeps in him and cannot trust easily. He always thinks

now that everyone who he meets has some motives in mind.

5. Developmental history: His development was on time-no delay had

been found in age wise physical & motor and cognitive development and reflexes as

he told.

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6. School/College History: In his school days he had no serious complaint

from his teachers, he was just like other students in studies; but by nature he was

aggressive and was always goal oriented from his childhood days; to achieve his

goal/aim he was bit merciless at time. During study time he took care of his family

business and also school/college studies-during the period he never felt pressurized,

rather he enjoyed the load very much. His motivation and aggressive nature invite

success early in his life.

7. Occupational History: He is in business and runs it productively in all

over India. He likes travel and when he gets time he goes out being alone throughout

his journey -he enjoys bike riding heartily. Finding him a successful person in a

short time members of his family specially his mother becomes suspicious and they

could not take it easily. In joint family set up mother kept secret many dealings from

him which brought lots of unwanted issues in his life without giving him time to

take appropriate actions in time. Nowadays he himself cannot believe any one not

even his pet staff that turns his present life miserable as he fails in time management

bringing pressure on him, shorten his personal time and also making him

unavailable from his emotional relations.

8. Shortcomings:

Workaholic

Short of scopes of enjoyment on his own way

No time for bike riding

Trust problem

Irritation from past misbehavior of his mother

No control over his own temperament

Feeling of isolation when being in family

Opinionated at each family issue which brings unhappiness in family

life.

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9. PSYCHOLOGICAL ASSESSMENT

Psychological Tests Used

Handwriting Analysis,

O.P John BFI Assessment,

10. General Behaviour during Assessment

Prompt response

Bit restless

Completed on time

11. Emotions & Behaviour

o Attentive

o Can comprehend statements

o Prompt

12. Psychological Report

Graphological analysis revealed the fact that he is in balanced emotion in most of the

time; worried nature, friendly and has warmth for others, can take calculated risk and

bold in approach, energetic; loves talking and has crisis management skill-ambitious

and optimistic-faces many struggles in life and analytical, can act intelligently.

BFI by O.P John assessed indicating him neither a subdued loner nor a jovial

chatterbox. He enjoys time with others but also time alone. His connection with

people is on need base and generally he is unwilling to sacrifice himself for others;

he likes to live for the moment and does what feels good now. His work tends to be

careless and disorganized sometimes. Sometimes he becomes spontaneous in

behavior. His level of emotional reactivity is typical of the general population.

Stressful and frustrating situations are somewhat upsetting him, but he is generally

able to get over these feelings and cope with these situations. His Openness to

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Experience is high, indicating he enjoys novelty, variety, and change. He is curious,

imaginative, and creative. He is fanciful/imaginative type and is unconventional

nonconformists who pride himself on being different from others. He is fanciful,

sometimes impractical, and unconcerned about the general welfare of others. He is

described by others as complex, imaginative, and critical.

13. Identification of problems:

The information was collected from candidate, interviewing him and also

assessments

Sense of deprivation

Feelings of detachment

Intolerance and anger proneness

Trust problem-he himself becomes suspicious

Get no time as he loves to explore new places

No time to be absolutely isolated from others

Finding no space even in his newly purchased flat absolutely his own

14. Recommendations / Suggestion

Target Emotion/Behaviour identified for Management:

Effort to get back from the past episode of life

Make time for family enjoyment

Nothing is perfect in the world-he has traits to have the whole thing in shape

Arousal of temperament at slightest chance-give effort to think thoroughly

He needs to have scope to enjoy life as he wants

For daily work he has demand of being isolated from all connections for

a specific time-it acts as fuel to recharge him

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Rewards identified-stress buster:

Travelling

Bike riding

Isolation for spirituality

Cognitive Behaviour Package Programme:

Nothing rewarding is there in keeping anxiety infuriating remembrance in mind

Mr Souvik is told to live in present with a future plan-past episode of life only helps

a person to be experienced more and teaches him not to commit same mistake again.

He has been given cognition accordingly.

Family likes to have husband and father like him in their life-he needs to be

careful

Mr Souvik misses wife and son –he is responsible for them-so he needs to be careful

as father and as husband to them.

A great perfectionist

Mr Souvik is extremely skilful professionally-he has tendency to generate

anything to the perfect form- he also expects so from his close one-this

perception is not realistically valuable- he needs to realize it.

Being perfectionist sometimes he cannot tolerate any distortion

Mr Souvik fails to behave normally as he becomes intolerance as slightest

cause of distortion of original-there are many reasons of not getting end

product/concept according to his own way-he needs to know first the reasons,

give others scope of explanation and also being in tolerance levels.

Being introvert and less agreeable nature he needs to have time for

recharging himself for doing better

Being anxiety prone and competitive nature he always has demand to stay on

his own for the time being for refueling himself with a fresh beginning. As

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Mr Sauvik himself can only make it possible by reshuffling his professional

schedules.

His belief in spirituality

Mr Sauvik can achieve peace of mind by surrendering his all anxiety to almighty-for

that he needs to have a quiet place for meditation-he is told to arrange it on an

immediate basis as he is only the pillar of his family-without him no one can survive.

Regular estimation of his life skill in daily living

After a loaded week he needs to enjoy- he may estimate his skill of living from the

relief he sensed. Travelling is his stress buster-after a gap he may enjoy it on his way.

Think positive and act positively and

Highly innovative and explorer he needs to parctise how to be positive.

Procedure:

We made a discussion with Mr Sauvik free and frankly. He is intelligent fellow; he

was told to arrange his days work as we told him-by nature creative and analytical

Mr Sauvik agreed to regularize his lifestyle in a way so that he can find out

satisfaction which he had missed for a long time. He tried it and came after one

month gap to report and also to solve remaining discomforts. He felt relieved and

made it arranged for recharging him positively. He did followings:

Finding out a quiet room isolated from all cumbersome.

Making space for others for easy expression

Making time for family enjoyment

Feeling free to accept others views

Can positively charged himself by changing professional schedule/decision

Evaluation:

Evaluation was made after one month and we sat for discussion. It was found

that he could manage better than before and also gained tranquility of mind

that he missed for days long and even could not sleep well at night.

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He is basically an intelligent person -when he observed following daily

routine would bring satisfaction and comfort he developed a highly assertive

attitude and tried to follow it at best. He stopped poking nose and intervening

unnecessarily into others’ matter if he did not ask for. He can now act as

listener to other needs and can give suggestions appropriately.

-------- ---------------------------- (Signature of the Student)

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References 1. Kramer, Geoffrey P., Douglas A. Bernstein, and Vicky Phares. Introduction to

Clinical Psychology. 7th edition. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 117-118.

2. Jump up^ Kramer, Geoffrey P., Douglas A. Bernstein, and Vicky Phares. Introduction to Clinical Psychology. 7th edition. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 117-118.

3. Jump up^ Kramer, Geoffrey P., Douglas A. Bernstein, and Vicky Phares. Introduction to Clinical Psychology. 7th edition. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 117-118.

4. Jump up^ Hilsenroth MJ & Cromer TD (2007). Clinical interventions related to alliance during the initial interview and psychological assessment. Psychotherapy: Theory, Research, Practice, Training, 44, 205-218.

5. Jump up^ Kokotovic AM & Tracey TT (1987). Premature termination at a university counseling center. Journal of Counseling Psychology, 34, 80-82.

6. Jump up^ Alcázar Olán, R. J., Deffenbacher, J. L., Guzmán, L., Sharma, B., & de la Chaussée Acuña, M. (2010). The impact of perceived therapist characteristics on patients decision to return or not return for more sessions. International Journal Of Psychology & Psychological Therapy

7. Jump up^ Wierzbicki M & Pekarik G (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24, 190-195.

8. Jump up^ Kramer, Geoffrey P., Douglas A. Bernstein, and Vicky Phares. Introduction to Clinical Psychology. 7th edition. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 117-118.

9. Jump up^ Kramer, Geoffrey P., Douglas A. Bernstein, and Vicky Phares. Introduction to Clinical Psychology. 7th edition. Upper Saddle River, NJ: Pearson Prentice Hall, 2009. 117-118.

10. Jump up^ Nakash, Ora, Dargouth, Sarah, Oddo, Vanessa, Gao, Shan, Alegría, Margarita. (2009). Communication: Observational Study: Patient initiation of information: Exploring its role during the mental health intake visit. Patient Education And Counseling, 75220-226.

11. Burgoon JK, Guerrero LK, Floyd K. Nonverbal Communication. Boston, MA: Allyn and Bacon; 2009.

Page 100: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

100

12. 2. Philippot P, Feldman R, Coats E. The role of nonverbal behavior in clinical settings. In: Philippot P, Feldman R, Coats E, editors. Nonverbal Behavior in Clinical Settings. New York, NY: Oxford University Press; 2003. pp. 3–13.

13. 3. Knapp ML, Hall JA. Nonverbal Communication in Human Interaction, Seventh Edition. Wadsworth, Canada: Cengage Learning; 2010.

14. 4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Press Inc; 2000.

15. 5. Shea SC. Psychiatric Interviewing: The Art of Understanding, Second Edition. Philadelphia, PA: Sanders; 1998.

16. 6. Ekman P, Friesen WV. Constants across cultures in the face and emotion. J Personal Soc Psychol.1971;17(2):124–129. [PubMed]

17. 7. Ekman P, Friesen WV. Unmasking the Face. Englewood Cliffs, NJ: Prentice-Hall Inc.; 1975.

18. 8. FACS vs. F.A.C.E. The differences between FACS and F.A.C.E. [April 15, 2010]. traininghttp://www.paulekman.com/products/facs-vs-f-a-c-e/

19. 9. Scherer KR, Banse R, Walkbott H. Emotional interferences from vocal expression correlate across languages and cultures. J Cross-Cultur Psychol. 2001;32:76–92.

20. 10. Pell MD, Monetta L, Paulmann S, Kotz S. Recognizing emotions in a foreign language. J Nonverb Behav.2009;33:107–120.

21. 11. Tickle-Degnen L, Gavett E. Changes in nonverbal behavior during the development of therapeutic relationships. In: Philippot P, Feldman R, Coats E, editors. Nonverbal Behavior in Clinical Settings. New York, NY: Oxford University Press; 2003. pp. 75–110.

22. Robert M. Krauss: The Psychology of Verbal Communication

23. Comm Gao: Nonverbal Communication

24. Edward G. Wertheim, Ph.D.: The Importance of Effective Communication

25. American Psychological Association. (2010). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073. Retrieved from http://www.apa.org/ethics/code/principles.pdf

26. Aron, L. (1991). The patient’s experience of the analyst’s subjectivity. Psychoanalytic Dialogues, 1, 29–51.

27. Barnett, J. E. (1998). Should psychotherapists self-disclose? Clinical and ethical considerations. In L. Vande Creek, S. Knapp, & T. Jackson (Eds.), Innovations

Page 101: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

101

in clinical practice: A source book (Vol. 16, pp. 419–428). Sarasota, FL: Professional Resource Exchange.

28. Bernstein, A. C. (2000). Straight therapists working with lesbians and gays in family therapy. Journal of Marriage and Family Therapy, 26, 443–454.

29. Bridges, N. A. (2001). Therapist’s self-disclosure: Expanding the comfort zone. Psychotherapy, 38, 21–30.

30. Brown, L. S. (1984). The lesbian therapist in private practice and her community. Psychotherapy in Private Practice, 2(4), 9–16.

31. Brown, L. S. (1994). Boundaries in feminist therapy: A conceptual formulation. In N. K. Gartrell (Ed.), Bringing ethics alive: Feminist ethics in psychotherapy practice (pp. 29–38). New York: Haworth Press.

32. Bugental, J. F. (1987). The art of the psychotherapist. New York: Norton.

33. Burke, W. (1992). Counter transference disclosure and the asymmetry/mutuality dilemma. Psychoanalytic Dialogue, 2, 241–271.

34. Burns, D. D. (1990). The feeling good handbook. New York: Plume.

35. Campbell, C. D., & Gordon, M. C. (2003). Acknowledging the inevitable: Understanding multiple relationships in rural practice. Professional Psychology: Research and Practice, 34, 430–434.

36. Cooper, S. (1998). Counter transference disclosure and the conceptualization of analytic technique. Psychoanalytic Quarterly, 67, 128–154.

37. Dryden, W. (1990). Self-disclosure in rational emotive therapy. In G. Stricker & M. Fisher (Eds.), Self-disclosure in the therapeutic relationship (pp. 61–74). New York: Plenum Press.

38. Fisher, C. D. (2004). Ethical issues in therapy: Therapist self-disclosure of sexual feelings. Ethics and Behavior, 12, 105–121.

39. Freeman, A., Fleming, B., & Pretzer, J. (1990). Clinical applications of cognitive therapy. New York: Plenum Press.

40. Gabbard, G. (Ed.). (1989). Sexual exploitation in professional relationships. Washington, DC: American Psychiatric Press.

41. Geyer, M. C. (1994). Dual role relationships and Christian counseling. Journal of Psychology and Theology, 22, 187–195.

42. Goldfried M. R., Burckell L. A., & Eubanks-Carter, C. (2003). Therapist self-disclosure in cognitive–behavior therapy. Journal of Clinical Psychology, 59, 555–568.

Page 102: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

102

43. Goldstein, E. G. (1997). To tell or not to tell: The disclosure of events in the therapist’s life to the patient. Clinical Social Work Journal, 25, 41–58.

44. Greenspan, M. (1986). Should therapists be personal? Self-disclosure and therapeutic distance in feminist therapy. In D. Howard (Ed.), the dynamics of feminist therapy (pp. 5–17). New York: Haworth Press.

45. Greenspan, M. (1995, July/August). Out of bounds. Common Boundary Magazine, 51–56.

46. Grohol, J. M. (1999). Best practices in e-therapy: Definition and scope of e-therapy. Retrieved April 5, 2005, from http://psychcentral.com/best/best3.htm

47. Grosskurth, P. (1991). The secret ring: Freud’s inner circle and the politics of psychoanalysis. Toronto, Ontario, Canada: Macfarlane Walter & Ross.

48. Gutheil, T. G., & Gabbard, G. O. (1993). The concept of boundaries in clinical practice: Theoretical and risk-management dimensions. American Journal of Psychiatry, 150, 188–196.

49. Gutheil, T. G., & Gabbard, G. O. (1998). Misuses and misunderstandings of boundary theory in clinical and regulatory settings.American Journal of Psychiatry, 155, 409–414.

50. Hargrove, D. S. (1986). Ethical issues in rural mental health practice. Professional Psychology: Research and Practice, 17, 20–23.

51. Isay, R. A. (1996). Becoming gay: The journey to self-acceptance. New York: Henry Holt.

52. Jones, M., Botsko, M., & Gorman, B. S. (2003). Predictors of psychotherapeutic benefit of lesbian, gay, and bisexual clients: The effects of sexual orientation matching and other factors. Psychotherapy: Theory, Research, Practice, Training, 40, 289–301.

53. Jourard, S. M. (1971a). Self-disclosure: An experimental analysis of the transparent self. New York: Wiley-Interscience.

54. Jourard, S. M. (1971b). The transparent self. New York: Van Nostrand Reinhold.

55. Kessler, L .E., & Waehler, C.A. (2005). Ethical issues in professional practice: Addressing multiple relationships between clients and therapists in lesbian, gay, bisexual, and transgender communities. Professional Psychology: Research and Practice, 36, 66–72.

56. Knapp, M. L., & Hall, J. A. (1997). Nonverbal communication in human interaction (4th ed.). Fort Worth, TX: Harcourt Brace.

Page 103: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

103

57. Knox, S., Hess, S. A., Petersen, D. A., & Hill, C. E. (1997). A qualitative analysis of client perceptions of the effects of helpful therapist self-disclosure in long-term therapy. Journal of Counseling Psychology, 44, 274–283.

58. Lambert, M. J. (1991). Introduction to psychotherapy research. In L. E. Beutler & M. Cargo (Eds.), Psychotherapy research: An international review of programmatic studies (pp. 1–11). Washington, DC: American Psychological Association.

59. Langs, R. (1982). Psychotherapy: A basic text. New York: Aronson.

60. Lazarus, A. A. (1994). How certain boundaries and ethics diminish therapeutic effectiveness. Ethics and Behavior, 4, 255–261.

61. Lazarus, A. A., & Zur, O. (Eds.). (2002). Dual relationships and psychotherapy. New York: Springer.

62. Liddle, B.J. (1997). Gay and lesbian clients’ selection of therapists and utilization of therapy. Psychotherapy, 34, 11–18.

63. Llewellyn, R. (2002). Sanity and sanctity: The counselor and multiple relationships in the church. In A. A. Lazarus & O. Zur (Eds.),Dual relationships and psychotherapy (pp. 298–314). New York: Springer.

64. Mahalik, J. R., van Ormer, E. A., & Simi, N. L. (2000). Ethical issues in using self-disclosure in feminist therapy. In M. M. Brabeck (Ed.),Practicing feminist ethics in psychology. Washington, DC: American Psychological Association.

65. Mallow, A. J. (1998). Self-disclosure: Reconciling psychoanalytic psychotherapy and Alcoholics Anonymous philosophy. Journal of Substance Abuse Treatment, 15, 493–498.

66. McDermott, D., Tyndall, L., & Lichtenberg, J. W. (1989). Factors related to counselor preference among gays and lesbians. Journal of Counseling and Development, 68, 31–35.

67. Montgomery, M. J., & DeBell, C. (1997). Dual relationships and pastoral counseling: Asset or liability? Counseling and Values, 42, 30–41.

68. Nickel, M. (2004). Professional boundaries: The dilemma of dual and multiple relationships in rural clinical practice. Consulting and Clinical Psychology Journal, 1, 17–22.

69. Norcross, J. C., & Goldfried, M. R. (Eds.). (1992). Handbook of psychotherapy integration. New York: Basic Books.

70. Petersen, C. (2002). More than a mirror: The ethics of therapist self-disclosure. Psychotherapy: Theory, Research, Practice, Training, 19(1), 21-31.

Page 104: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

104

71. Pope, K. S., Tabachnick, B. G., & Keith-Spiegel, K. (1987). Ethics of practice: The beliefs and behaviors of psychologists as therapists. American Psychologist, 42, 993–1006.

72. Psychopathology Committee of the Group for the Advancement of Psychiatry. (2001). Reexamination of therapist self-disclosure. Psychiatric Services, 52, 1489–1493.

73. Renik, O. (1996). The ideal of the anonymous analyst and the problem of self-disclosure. Psychoanalytic Quarterly, 65, 681–682.

74. Schank, A. J., & Skovholt, T. M. (1997). Dual-relationship dilemmas of rural and small-community psychologists. Professional Psychology: Research and Practice, 28, 44–49.

75. Simi, N. L., & Mahalik, J. R. (1997). Comparison of feminist versus psychoanalytic/dynamic and other therapists on self-disclosure. Psychology of Women Quarterly, 21, 465–483.

76. Simon, R. I. (1994). Transference in therapist–patient sex: The illusion of patient improvement and consent, Part 1. Psychiatric Annals, 24, 509–515.

77. Stockman, A. F. (1990). Dual relationships in rural mental health practice: An ethical dilemma. Journal of Rural Community Psychology, 11, 31–45.

78. Stricker, G., & Fisher, M. (Eds.). (1990). Self-disclosure in the therapeutic relationship. New York: Plenum Press.

79. Sue, D., & Sue, D. (2003). Counseling the culturally diverse: Theory and practice (4th ed.). New York: Wiley.

80. Tantillo, M. M. (2004). The therapist’s use of self-disclosure in a relational therapy approach for eating disorders. Eating Disorders, 12(1), 51–73.

81. Tillman, J. G. (1998). Psychodynamic psychotherapy, religious beliefs, and self-disclosure. Journal of Psychotherapy, 52, 273–286.

82. White, M., & Epston, D. (1990). Narrative means to therapeutic ends. New York: Norton.

83. Williams, M. H. (1997). Boundary violations: Do some contended standards of care fail to encompass commonplace procedures of humanistic, behavioral, and eclectic psychotherapies? Psychotherapy, 34, 238–249.

84. Younggren, J. N., & Gottlieb, M. C. (2004). Managing risk when contemplating multiple relationships. Professional Psychology: Research and Practice, 35, 255–260.

85. Zelig, M. (1988). Ethical dilemmas in police psychology. Professional Psychology: Research and Practice, 19, 336–338.

Page 105: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

105

86. Zimbardo, P. G. (2004). Does psychology make a significant difference in our lives? American Psychologist, 59, 339–351.

87. Zur, O. (2000). In celebration of dual relationships: How prohibition of non-sexual dual relationships increases the chance of exploitation and harm. The Independent Practitioner, 2(3), 97–100. Independent Practitioner, 21(1), 96–100.

88. Zur, O. (2004a). A chicken for a session: Bartering in therapy. Voices, 40(1), 75–80.

89. Zur, O. (2006). Therapeutic Boundaries and Dual Relationships in Rural Practice: Ethical, Clinical and Standard of Care Considerations. Journal of Rural Community Psychology, V. E9/1.

90. Zur, O. (2007). Boundaries in Psychotherapy: Ethical and Clinical Explorations. Washington, DC: APA Books.

91. Zur, O. (2008). The Google Factor: Therapists' Self-Disclosure In The Age Of The Internet: Discover what your clients can find out about you with a click of the mouse. The Independent Practitioner, 28 /2, 82-85.

92. Zur, O. (2009). Psychotherapist Self-Disclosure and Transparency in the Internet Age. (Invited lead article to "Focus on Ethics" section) Professional Psychology: Research and Practice, 40, 22-26.

93. Zur, O. and Donnor, M. B. (2009). Google Factor: Therapists' Transparency In The Era of Google and MySpace. California Psychologist, Jan./Feb. , p. 23-24

94. Machover, K. (1949). Personality projection: in the drawing of a human figure. Springfield, IL: Charles C Thomas Publisher.

95. Murstein, B. (1965). Handbook of projective techniques. New York, NY: Basic Books Inc.

96. Scott, L. (1981). Measuring intelligence with the goodenough-harris drawing test. Psychological bulletin, 89(3), 483-505.

97. Weiner, I, & Greene, R. (2008). Handbook of personality assessment. Hoboken, NJ: John Wiley and Sons.

98. Framingham, J. (2011). Rorschach Inkblot Test. Psych Central. Retrieved on June 12, 2014, from http://psychcentral.com/lib/rorschach-inkblot-test/0006018

99. Rorschach, H. (1921). Psychodiagnostics: A Diagnostic Test Based On Perception (1951 translation).

100. Schott, G.D. (2013). Revisiting the Rorschach ink-blots: from iconography and psychology to neuroscience. J Neurol Neurosurg Psychiatry DOI: 10.1136/jnnp-2013-305672

Page 106: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

106

101. Cramer, P. (2004). Storytelling, narrative, and the Thematic Apperception Test. New York: Guilford Press..

102. Cramer, P (1991). The Development of Defense Mechanisms: Theory, Research, and Assessment. New York: Springer-Verlag.

103. Westen, Drew. Clinical Assessment of Object Relations Using the TAT. Journal of Personality Assessment, Volume 56, Issue 1 February 1991 , pages 56 - 74.

104. Holmstrom, R.W., Silber, D.E., & Karp, S.A. (1990). Development of the Apperceptive Personality Test. Journal of Personality Assessment, 54 (1 & 2), 252-264.

105. Narron, M. C. (2005). Updating the TAT: A Photographic Revision of the Thematic Apperception Test, Dissertations Abstract International, DAI-B 66/01, p. 568, Jul 2005

106. Saxon, Wolfgang (30 March 2000). "Leopold Bellak, 83; Expert on Psychological Tests". The New York Times.http://www.nytimes.com/2000/03/30/us/leopold-bellak-83-expert-on-psychological-tests.html?pagewanted=1. Retrieved 25 May 2010.

107. Cramer, 2004

108. http://en.wikiquote.orghttp://en.wikipedia.org/wiki/Daria#.22Esteemsters.22_.5B1.01.5D

109. John, O. P., & Srivastava, S. (1999). The Big-Five trait taxonomy: History, measurement, and

theoretical perspectives. In L. A. Pervin & O. P. John (Eds.), Handbook of personality: Theory and research (Vol. 2, pp. 102–138). New York: Guilford Press.

110. Wright, B.D. & Linacre, J.M. (1994). Reasonable mean-square fit values. Rasch Measurement Transactions, 8(3), 370.

111. Wright, B.D. & Mok, M.M.C. (2004). An overview of the family of Rasch measurement models, in E.V. Smith Jr & R.M. Smith (Eds). Introduction to Rasch measurement. Maple Grove, MN: JAM Press

112. Weiss, A.S. & Comrey, A.L. (1987). Personality characteristics of Hare Krishnas. Journal of personality assessment, 51(3), 399-413.

113. Whitworth, R.H. & Perry, S.M. (1990). Comparison of Anglo- and Mexican-Americans on the 16PF administered in Spanish or English. Journal of clinical psychology, 46(6), 857-863.

Page 107: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

107

114. Wong, N., Rindfleisch, A. & Burroughs, J.E. (2003). Do reverse-worded items confound measures in cross-cultural research? The case of the material values scale. Journal of Consumer Research, 30, 72-91.

115. Wright, B.D. (1966). Local dependency, correlations and principal components. Rasch Measurement Transactions, 10(3), 509-511.

116. Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall.Keller, W. (1924). The mentality of apes.

117. Skinner, B. F. (1938). The Behavior of Organisms: An Experimental Analysis. New York: Appleton-Century.

118. Skinner, B. F. (1948). Superstition' in the pigeon. Journal of Experimental Psychology, 38, 168-172.

119. Skinner, B. F. (1953). Science and human behavior. SimonandSchuster.com.Thorndike, E. L. (1905). The elements of psychology. New York: A. G. Seiler.

120. Beck, A. T., Rush, J. A., Shaw, B. F., et al (1979) Cognitive Therapy of Depression. New York: Guilford Press.

121. Blackburn, I. M., Bishop, S., Glen, I. M., et al (1981) The efficacy of cognitive therapy in depression: a treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181–189.

122. Department of Health (2001) Treatment Choice in Psychological Therapies and Counselling. London: Department of Health. For summary seehttp://www.doh.gov.uk/mentalhealth/treatmentguideline.

123. Evans, M. D., Hollon, S. D., DeRubeis, R. J., et al (1992) Differential relapses following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 802–808.

124. Garland, A., Fox, R. & Willaims, C. (2002) Overcoming reduced activity and avoidance. Advances in Psychiatric Treatment, 8, in press.

125. Paykel, E. S., Scott, J., Teasdale, J. D., et al (1999) Prevention of relapse in residual depression by cognitive therapy: a controlled trial. Archives of General Psychiatry, 56, 829–835.

126. Williams, C.J. (2001) Overcoming Depression. London: Arnold.

127. Williams, C.J. & Garland, A. (2002) Indentifying and challenging unhelpful thinking: a Five Areas approach. Advances in Psychiatric Treatment, 8, in press.

Page 108: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

108

128. Williams, J. M. G., Watts, T. N., Macleod, C., et al (1997) Cognitive Psychology and Emotional Disorders (2nd edn). Chichester: John Wiley & Sons.

129. Wright, B., Williams, C. J. & Garland, A. (2002) Using the Five Areas cognitive–behavioural therapy model in psychiatric in-patients. Advances in Psychiatric Treatment, 8, in press.

130. Beck, A.T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York: Hoeber. Republished as Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press).

131. Blackburn, I.M. Eunson, K.M. & Bishop, S. (1986). A two-year naturalistic follow-up of depressed patients treated with cognitive therapy, pharmacotherapy, and a combination of both. Journal of Affective Disorders, 10, 67-75.

132. Blackburn, I. M., Bishop, S., Glen, A.I.M., Whalley, L.J., & Christie, J.E. (1981). The efficacy of cognitive therapy in depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181-189.

133. Dobson, K.S. (1989). A meta-analysis of the efficacy of cognitive therapy for depression. Journal of Consulting and Clinical Psychology, 57, 3, 414-419.

134. Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J., & Parloff, M.B. (1989). National Institute of Mental Health Treatment of Depression Collaborative Research Program: General effectiveness of treatments. Archives of General Psychiatry, 46, 971-982.

135. Evans, M.D., Hollon, S.D., DeRubeis, R. J., Piasecki, J.M., Grove, W.M., Garey, M.J., & Tuason, V. B., (1992). Differential relapse following cognitive therapy and pharmacotherapy for depression. Archives of General Psychiatry, 49, 802-808.

136. Hollon, S.D., DeRubeis, R .J., Evan, M.D., Wiemer, M.J., Garvey, M.J., Grove, W.M., & Tuason, V. B., (1992). Cognitive therapy and pharmacotherapy for depression: Singly and in combination. Archives of General Psychiatry, 49, 774-781.

137. Anastasi, A., & Urbina, S. (1997). Psychological testing (7th ed.). Upper Saddle River, NJ: Prentice Hall.

138. Jump up^ Mellenbergh, G.J. (2008). Chapter 10: Surveys. In H.J. Adèr & G.J. Mellenbergh (Eds.) (with contributions by D.J. Hand), Advising on Research Methods: A consultant's companion (pp. 183-209). Huizen, The Netherlands: Johannes van Kessel Publishing.

Page 109: -Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

109

139. Jump up^ American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (1999). Standards for educational and psychological testing. Washington, DC: American Educational Research Association.

140. Jump up^ Mellenbergh, G.J. (1989). Item bias and item response theory. International Journal of Educational Research, 13(2), 127--143.

141. Jump up^ Standards for Education and Training in Psychological Assessment: Position of the Society for Personality Assessment – An Official Statement of the Board of Trustees of the Society for Personality Assessment. Journal of Personality Assessment, 87, 355–357.

142. Jump up^ Robert J. Gregory (2003). "The History of Psychological Testing". Psychological Testing : History, Principles, and Applications. Allyn & Bacon. p. 4 in chapter 1.ISBN 9780205354726.

143. Kenneth R. Morel (2009-09-24). "Test Security in Medicolegal Cases: Proposed Guidelines for Attorneys Utilizing Neuropsychology Practice". Archives of Clinical Neuropsychology (Oxford University Press) 24 (7): 635–646.Doi:10.1093/arclin/acp062. PMID 19778915. Retrieved 2009-11-08.

144. Jump up^ Pearson Assessments (2009). "Legal Policies". Psychological Corporation. Retrieved 2009-11-15.

145. McClelland, D. C., Atkinson, J. W., Clark, R. A., & Lowell, E. L. (1953).The achievement motive. New York: Appleton-Century-Crofts.

146. McCormick, R. A., Russo, A. M., Ramirez, L. F. & Taber, J. I. (1984). Affective disorders among pathological gamblers seeking treatment.American Journal of Psychiatry, 141 215–218.

147. Millon, T. (1981).Disorders of personality: DSM-III, Axis II. New York: Wiley.

148. Moravec, J. D. & Munley, P. H. (1983). Psychological test findings on pathological gamblers.International Journal of Addictions, 18 1003–1009.

149. Murray, H. A. (1938).Explorations in personality. New York: Oxford.

150. Ollendick, T. H. (1977). Achievement motivation: Development. In B. B. Wolman (Ed.), International encyclopedia of psychiatry, psychology, psychoanalysis, and neurology (Vol. 1). New York: Aesculapius Publishers