Diagnostic Assessment of Hannibal Lecter

Paper Summary:

This paper presents a diagnostic assessment of Hannibal Lecter as a patient. It first describes his presenting problem and social history. The paper then discusses the diagnosis of dissociative disorder for Lecter and describes the treatment options that are available. It specifically focuses on a combination of imagery-based techniques, cognitive restructuring, self-control procedures and real-life performance-based techniques.

Table of Contents:
Presenting Problem
Social History
Diagnosis
Treatment

From the Paper:

"Real-life performance-based techniques are frequently used in settings such as institutions and prisons (Mandery, 2005), therefore this treatment, combined with the above will probably be very successful with the patient. Dr. Chilton appears to have used a form of this therapy on the patient, however in the negative sense: Dr. Chilton dealt punishment for bad behavior, however, good behavior or cooperation was not rewarded. The reverse of Dr. Chilton's approach will likely be successful treatment with Dr. Lecter. If he cooperates and shows improvement in his behavior, he will be rewarded with a small token such as a new book, special meal, etc. will rely on a psychiatric aide to ensure that the patient's behavior and rewards are monitored, to ensure direct contact with the patient. Although Dr. Lecter may attempt to manipulate the situation to get rewards, the fact that through manipulation he is changing his behavior is positive because his behavior permanently change in the process."

Sample of Sources Used:

• Brown, R.J., Cardena, E., Nijenhuis, E., Sar, V., & Van Der Hart, O. (2007). Should conversion disorder be reclassified as a dissociative disorder in DSM-IV. Psychosomatics, 48(5), 369-378.
• Davis, A.Z. (Producer), & Ratner, B. (Director). (2002). Red dragon [ Motion picture]. United States: Universal Pictures.
• First, M.B., Frances, A., & Pincus, H.A. (2004). DSM-IV-TR Guide Book. (2000). Washington, DC: American Psychiatric Publishing, Inc.
• Gorman, J.M. (2007). The essential guide to psychiatric drugs. New York: Macmillan.
• Heap, M., Brown, R.J., Oakley, D.A. (2004). The highly hypnotizable person. New York: Psychology Press.

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