Tuesday, June 9, 2009

Case 3 data (Monday evening)

The patient takes a seat in one of the recliners in his room and I 'block' him in with a hosptial table placed in front of him. He quickly grabs the Kleenex box on the table and starts to pull out the tissues one at a time. One, two, three...I lose count after fifty tissues have been removed and piled on top of the table. I have him start with drawing a complex geometric design. He approaches this test in a very disorganized manner, each detail is treated as an independent, discreet part of the design. There are no relationships among the parts; no 'Gestalt' of the entire design is recognized. Although all the details are finally reproduced, the overall quality of the design is fragmented, like a patchwork quilt. I present him with a booklet of drawings that depict various objects. I ask him to name the first object (a cluster of grapes), the patient says "I see a window on there, and here are taking certain sections, and here is a system configuration." When pesented with a picture of a tiger the patient says "This is a drawing like someone's computer system. A computer across here. A computer system. It's got two, would usually be considered, an inventory with so much data within it." Reading was severely impaired as the patient read the printed words "Open your mouth" as "O-u-e-g-n your y-w-n-d."

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