Matthew is a 34-year-old single man who lives with his mother and works as an accountant. He is seeking treatment because he is very unhappy after having just broken up with his girlfriend. His mother had disapproved of his marriage plans, ostensibl

PY520 Advanced Abnormal Psychology   Your Name _____________________________   Date __________________________________     Case Study 6: “Matthew”   Matthew is a 34-year-old single man who lives with his mother and works as an accountant. He is seeking treatment because he is very unhappy after having just broken up with his girlfriend. His mother had disapproved of his marriage plans, ostensibly because the woman was of a different religion. Matthew felt trapped and forced to choose between his mother and his girlfriend, and because “blood is thicker than water,” he had decided not to go against his mother’s wishes. Nonetheless, he is angry at himself and at her and believes that she will never let him marry and is possessively hanging on to him. His mother “wears the pants” in the family and is a very domineering woman who is used to getting her way. Matthew is afraid of disagreeing with his mother for fear that she will not be supportive of him and he will then have to fend for himself. He criticizes himself for being weak, but also admires his mother and respects her judgment – “Maybe Carol wasn’t right for me after all.” He alternates between resentment and a “Mother knows best” attitude. He feels that his own judgment is poor.   Matthew works at a job several grades below what his education and talent would permit. On several occasions he has turned down promotions because he didn’t want the responsibility of having to supervise other people or make independent decisions. He has worked for the same boss for 10 years, gets on well with him, and is, in turn, highly regarded as a dependable and unobtrusive worker. He has two very close friends whome he has had since early childhood. He has lunch with one of them every single workday and feels lost if his friend is sick and misses a day.   Matthew is the youngest of four children and the only boy. He was “babied and spoiled” by his mother and elder sisters. He had considerable separation anxiety as a child – he had difficulty falling asleep unless his mother stayed in the room, mild school refusal, and unbearable homesickness when he occasionally tried “sleepovers.” As a child he was teased by other boys because of his lack of assertiveness and was often called a baby. He has lived at home his whole life except for 1 year of college, from which he returned because of homesickness. His heterosexual adjustment has been normal except for his inability to leave his mother in favor of another woman.     Reference: Spitzer, et al. (2002, p. 225-226)   What do you observe about the case or the person in the vignette that is diagnostically significant (i.e., symptoms, mental status elements)? (5 correct responses for full credit; 10 pointstotal)   What general diagnostic category would fit this person’s behavior & why? (4 points)   Name at least two possible diagnoses for the person in the vignette. (2 points)   PY520 Advanced Abnormal Psychology   Name one possible diagnosis or diagnostic category you would consider but then “rule out” and why. (4 points)   Which diagnosis bestfits the information provided in the case or video clip and why? (Use the DSM-5 diagnostic classification system) (5 points)

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