Clinical Review

NEW YORK STATE

UNIVERSITY

STATEMENT OF PROBLEM:

Holden Caulfield was seen at N.Y Physiological Clinic, for psychoanalyses on his current situation. Dr. Navarro, his personal doctor, referred him. The client was accompanied by Mrs. Caulfield (mother). She wants to gain information about Holden’s physiological state. The following is the summary of results based on the case history form, parent interview, assessment results and observations obtained before or during the evaluation.

CASE HISTORY:

The following information was gathered from the parent interview and the child history form.

Birth History

Medical History

Developmental History

School Performance

Behavioral Issues

Evaluation History

Holden is the product of and unremarkable full-term pregnancy. He had no newborn difficulties that parents recall. He hadn’t been in any clinic except when he cut his hand with window glass. His parents don’t recall any special problems in growth. He suffered the death of his little brother whom he was really close with at age of 13. Holden has been kicked out of four high schools for not meeting their requirements and failing every subject. After being kicked out it seems any effort approach a change in his studies. Holden has been greatly affected after his brother’s death, change has been noticed since the incident according to parents.

BEHAVIORAL OBSERVATIONS:

When first approached by the clinician, Holden seem to ignore everything that was told to him, annoyed. He ignored most of the questions asked. When the questions were repeated, he would make up his name and his personal information.

At the start of the evaluation he seemed obligated and not wanting to be there, he would either use cursory words, or act as if he had a wound that was bleeding profusely. However, after a few activities he started to gain confidence and tensed down, talking more to the psychologist.

SUMMARY AND RECOMMENDATIONS:

Based on the results of this evaluation, Holden presents a physiological reassessment. He had a lack of attention of his parents while he growing up, and his brother’s death affected him because was very close to him and had a very good image for him. But because Holden is not a sociable person, he is not likely to talk about his feelings, so he basically leaves all his feeling inside him making him critical. He thinks really hypocritically, criticizing his around but not looking at himself, he had had so much problems and pressure in the past that he prefers not to take care of them. He is sensible (emotionally weak), so he gets depressed very easily thinking negatively, but small details make him happy. He being in boarding schools, and not sharing time with his family doesn’t let him feel love and support and that’s what he needs. He basically needs to feel more support morally. He is weak and sensible with his emotions so he feels that everyone in his surroundings is “phony”, to distract his problems, he notices other people’s so that he doesn’t have to worry about his. It would be good to do him some sessions of psychotherapy for him to express himself a little more.

Weekly therapy is recommended. The recommended time frame for therapy is forty-five minutes each week. Even though therapy has been recommended in this facility, actual results are expected long term because it is a very delicate situation; this will qualify his way of thinking and make more peaceful his daily life. Share a copy of this report with a staffing specialist at your child’s school to determine if he qualifies for therapy in that setting. Holden Caulfield may be placed on the waiting list at N.Y Department of psychoanalyses in the University of New York. Due to limited space at the clinic, services may not be available until a future date and enrollment is not guaranteed. His status on the waiting list will expire in two years that is one January 10, 1953. If you haven’t received our services by that date, or you continue to have concerns with your child’s psychological status at the time, a re-evaluation to be sought to determine any changes in your child’s psychological status.

________________________________ __________________________________

Isabella Navarro, B.A Diego Urman, M.S CCC/SLP

Graduate Clinician Diagnostic Supervisor

One Day at a Coffee Shop

I sat on the bar table of the recently INAUGURATED coffee shop, waiting for my hot chocolate and cookies. I heard someone entering with BRUSQUENESS through the door, I looked back and saw a young men SLOVENLY CLAD with a puffy coat and a red hunting hat. He seemed RANKLED from the GRIMACE on his face. Just another crazy teen, I thought. You saw many of that GENERATION around New York, I had noticed. He walked to the bar table and sat on the chair next to me.

The AFFABLE waiter finally brought my cup of chocolate and butter cookies. The sweet and warm smell PERVADED the space around me. I grabbed a cookie and GINGERLY dunk it in the beverage. As I drove it to my mouth, I felt the creepy guy beside staring at me. I kind of got freaked out and didn't want to look at him because he looked a little crazy... However, I SUCCUMED.
" Hmm... Do you want something..?" But he kept staring as if I had asked him a GUILE question.
"No, it's okay. Sorry. It's just that you remind me of my little sister," he SPONTANEOUSLY said with a TREMOLOUS voice, as if I had taken him by surprise.
"Oh, okay..." I said, going back to my snack.
"I miss her so goddamn much, you know? I'm in a new boarding school full of more phonies, and I can't see her everyday," I heard him say, this time more PRUDENTLY than before. I nodded, not knowing what to say and perplexed about the reason he was telling me this to me...
"What's your name?" He asked.(Obviously he wanting to stride up a conversation). I didn't want to sound as an IRASCIBLE person, and didn't have much to do so I kept with the talk.
"Isabella, what about yours?"
"Holden," he replied with a little more enthusiasm.

Holden waved to the waiter and asked for a beer, the waiter obviously REBUFFED the request and brought instead a coke. I don't blame the waiter, Holden could be tall but he didn't look like a grown up.
"That happens to me frequently, it ABHORS me as hell... But it doesn't matter, I feel DEHYDRATED with all these January breeze. Doesn't it happen to you?" Holden said as he open the red can. I knew from that comment that what was coming was an INTERMINABLE conversation.

Jumping from one thing to another lead to what he called his "madmen stuff that happened to him". He told me how he had been somewhat like a RECLUSIVE, LACKADAISICAL, DESPONDENT guy that had been kicked out of his fourth boarding school. Because he was supposed to go home a Wednesday after being kicked out --and it was Sunday-- he went all over New York to kill time.

I got to the part where he was with Phoebe --his beloved little sister who is sweet, and knows exactly what everyone is always talking about-- the carousel part, and how much it had meant so much to him. The story was interrupted by my mom, who came into the coffee shop and called my name. So I had to say bye to Holden, I however, didn't say "good luck" though, he made it very clear that he disliked it.

Over all, I don't consider that encounter that bad. I thought it was nice meeting, knowing, and trying to give him SAGE advice. He had a TURBULENT life, and I admire that he was able to EXTRICATE himself from his depressing times.