Psych Report -- Snow White

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  • 7/28/2019 Psych Report -- Snow White

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    Irish Pauline L. Ereo

    PS4A

    Behavioural Observation

    April 14, 2013

    Snow WhiteSnow White is a 15-year-old Caucasian female with pale skin and very dark hair who

    appears younger than her stated age. She presented for an hour-long intake interview

    following her stepmother's alleged attempts to murder her one week earlier. Her

    father, who referred her for treatment, accompanied her to the interview and was

    interviewed alone after she was seen.

    At the time of the interview she was well-dressed in simple but well-made clothes

    consistent with her role as princess of this kingdom. She was also well-groomed, with

    her hair pulled back in a ribbon, her clothes newly pressed, and light make-up. A good

    relationship with the interviewer was established easily and she responded in anondefensive way to questions with minimal hesitation and good eye contact

    throughout. The one exception to the latter was when she was asked about her

    relationship with her parents. At this point in the interview eye contact was broken.

    She stammered, then attempted to change the subject.

    Snow White appeared to be of average intelligence. She reported having completed

    eight years of home schooling and described her housekeeping skills and her ability to

    "communicate with animals" as real strengths. Notable is that she reports having kept

    house for seven men following running away from home. While abstract thinking

    skills seemed poor and she was only able to respond to the simplest proverbs, her

    social judgment was strong and she was able to give appropriate responses to each

    social question given.

    Snow White reported some confusion as to why she was being interviewed and denied

    any negative impact following the attempted murder. Her denial of symptoms was

    consistent with superficial behavioral observations. No indication of increased startle

    response, hypervigilance, fidgeting, or shaking were present. She denied both suicidal

    and homicidal ideation. Her father, probably a poor reporter as he indicated that he

    had little contact with his daughter since the death of his first wife, leaving her care tohis new wife and the servants, stated that he had not noticed any problems since the

    incident in question. No nightmares and social withdrawal were reported.

    Snow White's mood was calm during the interview, her affect restricted. Even when

    playing checkers in the course of the interview she was restrained and quiet. She was

    objective in describing the attempts on her life. At no point did her voice crack or did

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    she begin to cry. In fact, her voice was light and she responded in a "sing-song"

    fashion throughout the interview. While this might be seen as some avoidance

    symptoms associated with the trauma, both she and her father reported that she has

    "always been that way." In fact, her father described her as "passive" and "light-

    hearted" as a child.

    While no problems are being observed or reported at this point in time, the events of

    the last several days would be expected to produce some post-traumatic symptoms in

    the vast majority of people. It may be that she is currently denying symptoms. We will

    discuss these concerns in our follow-up meeting and I will encourage her to request

    services if she experiences problems in the future.