A Case Study of Major Depression: Conflict with Primary Support Group

摘要: The study demonstrates the case of a 45 year old man. He was brought to psychiatry ward on account depressive behavior; such as agitation, dryness mouth, isolation, loss appetite, sleep, weight loss, lack energy, pleasure, feelings worthlessness, deterioration from previous level functioning, and inactivity. His symptoms fulfilled DSM-IV-TR criteria Major Disorder (recurrent), relational problems with primary support group (DSM-IV-TR, 2000). recent episode triggered before wedding his daughter. assessed informally (with Mental Status Examination subjective rating several symptoms) formally Beck depression Inventory, Hamilton Rating Scale, House Tree Person Test, Rotter's Incomplete Sentence Blank). These measures revealed severe depression, maladjustment, acute interpersonal conflict, suicidal ideation feeling loneliness. intervention plan comprised Cognitive Behavior Therapy (e.g., Restructuring, Graded Task, Mastery Pleasure Technique), physical exercise family psycho education. client showed marked improvement in areas dysfunctioning significant decrease severity depression.Key words: behavior, group, ideation, cognitive behavior therapy.Childhood circumstances leave crucial impact an individual later life. Early separation parents influence surrogate aggravate situation cause psychological dilemma for children, especially mother while under age 20 predicts (Kivela, 1996). (1987) argued that negative schemas depressed individuals develop result adverse childhood experiences, specific parent figure, stressful these experiences will reactivate. Epidemiological studies have strongly supported association experience during childhood, abuse, neglect or dramatic increases risk relationship between number experienced adversities presence lifetime chronic (Chapman et al., 2004; Edwards, Holden, Felitti, Anda, 2003). Role traumas development major has also been twin (Kendler 1993, 2000; Nelson 2002). Childhood distress is potential factor developing adulthood; particularly response additional stress, neuroendocrine changes secondary early life stress likely reflect potentially due failure connected neural circuitry implicated emotional, neuroendocrine, autonomic control challenge (Heim 2008).MethodParticipantThe present Mr. X: A school teacher belonging lower middle class family. only child parents. X's died when he 12 old, father married widow sister law four children. step used abuse X verbally physically, always beat him complaints mother. According X, never satisfied demands like toys, new dress, story books etc after death real siblings maintained distance physically. developed loneliness self-pity mother, stated, "I felt lonely at my own home attitude siblings". reported it all made very reserved, isolated, shy, coward child. hesitated face guests still had no close friend avoided interacting strangers.After passing matriculation local Government High School, …