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The Black Swan

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by

Kristen Runci

on 9 April 2013

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Transcript of The Black Swan

Nina's case:
-treatment for Paranoid Schizophrenia
1) combination of anti-psychotics as well as psychosocial therapy
2) anti-psychotics (drugs that act on reducing particular amounts of neurotransmitters such as DA)-Thorazine
-treatment for Dissociative Identity Disorder
1) highly co-morbid, thus difficult for future prognosis
2)treatment depends on patient
3) typically an eclectic approach of behavioral treatment, case studies, medication and social therapy The Black Swan By:Kristen Runci Nina's Personality Disorder:
Description and Diagnosis Treatments...etc Sources Diagnosis/Critical Assessment Diagnosis/Critical Assessment An Overview of Nina Sayers Main Characters Plot 2 Plot 1 A movie review -Nina Sayers: main character/ballet dancer, becomes Swan Queen
-Nina's mother: main character and also the cause of the onset of her personality disorder
-Lily: ballet dancer with Nina, becomes the Black Swan
-Thomas: ballet dancer director, otherwise known as "The Gentleman" -Nina is a troubled young ballet dancer who does not exactly have a sense of her own identity.
-She lives with her mother, as a 20 year old girl and continues to ballet dance in order to finally receive the part as the Swan Queen in the ballet play titled 'The Black Swan'
-Nina, in a sense to form her identity, begins dancing late hours in order the gain the part
-In gaining the part, Nina begins to befriend a young girl who dances with her as well...her name is Lily -Nina is granted the part of the Swan Queen by Thomas, the director of the ballet
-Lily attempts to help Nina discover herself, both as a ballet dancer and a independent human being apart from her mother
-As the Swan Queen, Nina develops a knack for the ballet director as well as her rebellious inner self
- -Nina plays the Swan Queen in the new ballet
-she is a determined ballerina, who lives at home with her mother
-often times, Nina feels as though she is her mother's prodigy and cannot disappoint her
-Nina hallucinates at times and cannot distinguish between herself and the black swan whom she is playing in the ballet ensemble (The Black Swan and the Swan Queen are two parts she is playing in the ensemble)
-Nina also has images of herself as the Black Swan, a more rebellious character as well as the Swan Queen, her mother's prodigy.
-She switches between these roles throughout the movie -Schizophrenia DSM Criteria for Schizophrenia "Counselling Resource." CounsellingResourcecom Library RSS. N.p., n.d. Web. 08 Apr. 2013.

"DSM-5 Dissociative Identity Disorder." DSM-5 Dissociative Identity Disorder. N.p., n.d. Web. 08 Apr. 2013.

National Institute of Mental Health. "Dissociative Identity Disorder." Psychology Today. Sussex Directores, 2013. Web. 8 Apr. 2013. Possible Treatments Diagnosis Split Personality Disorder positive and negative symptoms
-hallucinations
-thoughts and delusions of ideas
-false perceptions
-catatonic symptoms
-flat affect
-lack of pleasure (anhedonia) -otherwise known as dissociative identity disorder or multiple personality disorder
-characterized by the inability to have one perceived identity as well as the inability to accept oneself
-individual often has great memory loss at times of the other personality
-characteristics of other identity are often the exact opposite of the current perceived identity Nina's Personality -experiences hallucinations
-hears voices in her head-delusions
-has a strong connection to her mother
-remains a strong dancer, despite symptoms
-overall, experiences demonstrate Paranoid Schizophrenia diagnosis -A:Characteristics Symptoms
-delusions
-hallucinations
-disorganized speech
-negative symptoms B: Social/Occupational Dysfunction
-one/more major functioning areas (typically in hobby or work)
-other areas of major functioning in life are less and less important, and become dysfunctional C: Duration
-signs of disturbance for atleast 6 months
-persistence of atleast one symptom for a month D: Schizoaffective and Mood Disorder exclusion
-Schizoaffective Disorder and Mood Disorder With Psychotic Features have been ruled out because either (1) no Major Depressive Episode, Manic Episode, or Mixed Episode have occurred concurrently with the active-phase symptoms; or (2) if mood episodes have occurred during active-phase symptoms, their total duration has been brief relative to the duration of the active and residual periods. E:Substance/general medical condition exclusion
-disturbance is not due to any physiological effects (substances exogenous to the body) F: Relationship to a Pervasive Developmental Disorder
-If there is a history of Autistic Disorder or another Pervasive Developmental Disorder, the additional diagnosis of Schizophrenia is made only if prominent delusions or hallucinations are also present for at least a month (or less if successfully treated). DSM Criteria: Split Personality Disorder A: Disruption of identity characterized by two or more distinct personality states or an experience of possession. This involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory B: Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting. C: The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. D: The disturbance is not a normal part of a broadly accepted cultural or religious practice. (Note: In children, the symptoms are not attributable to imaginary playmates or other fantasy play.) E: The symptoms are not attributable to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or another medical condition (e.g., complex partial seizures). Nina's Personality -Nina has distinct phases under which she identifies as the "sweet girl" and in which she identifies as the rebellious girl
-Nina also cannot remember events that had happened the previous day, events that were most likely traumatizing
-Her obsession over being perfect, yet also being the rebellious girl she strives for prevents her from acquiring any normal relationship with someone
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