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Project Report
Indira Gandhi National Open University
Submitted to IGNOU in Partial fulfillment for award of
Diploma in Rehabilitation Psychology
(2012- 2013)
By
Dr. Rupa Talukdar
PGDREPYDL, Enrol. No. 127577569
VISION INSTITUTE OF ADVANCED STUDIES
Plot No. 4, PocketA-1, Sector-8, Rohini, Delhi-110085
INDIRA GANDHI NATIONAL OPEN UNIVERSITY,
NEW DELHI
2
VISION INSTITUTE OF ADVANCED STUDIES, NEW
DELHI
POST GRADUATE DIPLOMA IN REHABILITATION PSYCHOLOGY
Certified that this is a bonafide record work done by
DrRupaTalukdar with Enrolment No. 127577569 towards
Internship for the Third Semester of the course Post Graduate
Diploma in Rehabilitation Psychology (PGDREPYDL), held by
Indira Gandhi National Open University, New Delhi, December,
2013.
DIRECTOR STAFF IN-CHARGE
EXAMINER HEAD OF THE DEPARTMENT
3
Acknowledgement
I must be thankful to IGNOU to offer a course like this (PGDREPYDL) to the
student like me who wanted to change her profession after a long period just
because she liked to explore the world around in more than single way.
During the upbringing period of my son I was advised to know some
psychological reasons of the behavior of a child-it was the first entry of me to
the world of Psychology-it gave me immense pleasure – this was the first time I
took interest to know the subject in detail-a big challenge to manage a problem
whose root is psychological and management is the only weapon to keep the
problem away-my son first helps me appreciating ‘life is beautiful’-so I am
grateful to My son.
, an organization who works on people suffering from psychological
anguish–I am also thankful to it for giving me scope to continue my 6-Month
internship period and also to deal with people analytically-the staff of the
organization were equally helpful to write a full time project on INTERNSHIP
without them it could not be happened.
I am thankful to my supervisor giving me his/her precious time for guiding me.
Last not the least I am grateful to my family to be with me in the entire process
of my living with the project.
DrRupaTalukdar …………2014,
Kolkata
4
To my beloved son
Ritam Talukdar,
who inspires me topick up this blissful vocation
5
CONTENT
Sl.
No.
Items Page
No.
1. Organizational Structure 6
2. Daily Schedule 8
3. Date Wise Job Report 9
4. Brief Introduction Of The Tests
i. Interview
ii. DAP
iii. Ink-Blots
iv. TAT
v. Big-Five
vi. Behaviour Modification
vii. CBT
viii. AMS
10
10
11
12
13
13
14
16
17
5. Case Records
1. Case 1
2. Case 2
3. Case 3
4. Case 4
5. Case 5
6. Case 6
7. Case 7
8. Case 8
9. Case 9
10. Case 10
18
23
31
39
48
55
64
75
84
91
6 References 99
6
Organizational Structure
, a centre of psychological wellbeing and rejuvenation works on
common people who are psychologically alienated.
The AIM:
The aim of the organization is to keep harmony in the life of community
people who have psychological dilemma in systematizing life as per demand.
Objectives:
 To enhance the skill of living
 To find out the strength
 To cultivate strength for better pursue of life
 To share the findings by publishing articles
 To develop literature for popularizing the ideas of alternative way of
living
 To establish a DAY-Care Centre for the children who need to enhance
life skill
 To train parents/support group of special children
Permanent Staff
Sl.
No.
Post Name &
Qualification
Areas of
Interest
Assignments
1 Chief Executive
Counsellor
Dr Rupa Talukdar,
MSc. Chemistry Phd,
Chemistry, MS in
Counselling &
Psychotherapy,
Graphologist
Education,
Career
Relationship,
Parent-Child
Depression
Finding the way of
different frames of
references to
develop appropriate
model for a
particular cause
2 Psychotherapist Pritha Banik, MSc
(Applied Psychology),
PGD in Guidance and
Counselling,
Graphologist
Behaviour
Modification(
BM),
Assessment(
Paper-Pencil)
and CBT
Noting down
different Behaviour
Modifications (BM)
Techniques
according to crisis
7
Sl.
No.
Post Name &
Qualification
Areas of
Interest
Assignments
3. Graphologist Susmita Mukherjee,
MS in Counselling &
Psychotherapy,
Graphologist
In-charge of
Projective Test,
Giving alternative
way by changing
strokes of letters-
called Grapho
Handwriting,
DAP, Grapho-
Draw
therapy for BM.
4. Graphologist Mrs Sunira Singhi, MS
MS in Counselling &
Psychotherapy,
Graphologist
In-charge of
Projective Test,
Handwriting,
DAP, Grapho-
Draw
Giving alternative
way by changing
strokes of letters-
called Grapho
therapy for BM.
5. Front Office Mrs Minu Mitra, PGD
in Counselling
Make people
who come
comfortable
before meeting
Counsellors and
note down the
details of them
Providing papers
for recording
details of
counselees,
assessments and
projective tests and
tele-communication
with the
prospective clients
6. Psychologist Mrs Ushna Pal
chowdhury
Helping in
assessments and
managing child
counselees
Taking the note of
observation
specially child
behavior during the
session.
7. Helper Ms Maya Sen Office work Arranging
refreshment, Xerox,
record files etc.
Contract and Outsourced Staff
Sl
No.
Post Name &
Qualification
Areas of Interest Assignments
1. Computer
Data
communicator
Dr Aparajita Laha,
Homeopath Doctor
and Graphologist
Preserve the Clients’
Record and Database
Helps to supply
details of
counselees and in-
charge of the
publication of
newsletter of
Organization
2 Art Therapist Chandrima
Guharoy, Teacher
&an Established
Painter
Acts as an art therapist
for the children
In Group
counseling of
children and Youth
Awareness
Programme she
takes initiative to
organize entire
progrmme
8
Daily Schedule
Sl
No.
Time Work
1. 12 noon Centre Opening
2. 12.30pm-4pm  Registration
 Case History
 Assessment
 Behaviour Modification
 Counselling
3. 4pm Tiffin Break
4. 4.30pm-
6.30pm
 Registration
 Case History
 Assessment
 Behaviour Modification
 Counselling
 Recording the data in Computer Data Base
5 6.30-7pm  Discussion among the staff
 Note down the next day priority
 Get ready the paper work for paper/magazine/project work
publication
9
Date wise Job Report
Date Brief Description of the Chief Complaints
01.11.2013 Case Study-(1)-Forgetfulness-feeling sleepy; Lack of concentration;
Weird thoughts inspired her to draw-avoidant; Lacks confidence;
Only likeness in Physical Science ( Physics and Chemistry)-she has
difficulties in managing other subjects; School results not up to her
own previous standard( which is highly impressive)
04.11.2013 Case Study-(2)-No job satisfaction; Always worried-insecure,
overburdened; Repeated thought process; Degraded emotional
relationship with wife –no conjugal life; less enthusiasm to get back
from crisis-depressive mood
18.11.2013 Case Study-(3)-Slow depression-low self esteem; Competitive
mindset
Confused, skeptical-likes to change very frequently (first change
done); High ambition-restless in approach; Never satisfied soul-
always anxiety prone
04.12.2013 Case Study-(4)-Extremely restless and always playful; Likeness in
fast food; Inattentive- cannot study at a stretch-not even for half an
hour; Complaint from school –because of class disturbances;
Procrastination
17.12.2013 Case Study-(5)- Disharmony in marital relationship; Fiercely Self –
right conscious (Aditi); Differences of opinions in every aspects of
joint living; No understanding from Aditi’s side-argumentative,
always bring parents in their tiff-suffering from insecurity; Aditi
develops cleanliness habit-rigid to follow her own opinion-finds no
harm of it on others; After marriage Aditi has habit to live with
parents for three days and parents-in-law place for another three days
regularly; Maladjustment ( Aditi)
10.01.2014 Case Study-(6)-Manipulative, telling lies; Highly disorganized;
Tantrums before going to school; Watching TV; Parental Pressure to
be ranked within 1-10
25.01.2014 Case Study-(7)- Highly ambitious Husband; No family time from
husband/father; Irregular daily routine of wife; Mother’s over
consciousness towards elder son; Dissatisfaction from wife side;
Deteriorated study grade of elder son; Strict parenting from mother
and permissive parenting from father for elder son( Aditya); Regular
fighting between mother and Aditya; Overburdened by daily routine
feelings of insecurity in mother
03.02.2014 Case Study-(8)- Addicted-marijuana/alcohol; Low self esteem;
Inattentive in study; Many friends; Busy with mobile-always busy in
talking; Rough and rude attitude; Not at all respectful to seniors; Stay
nearby pool/other solitude places at dead night; No target, no aim in
life
19.03.2014 Case Study-(9)-Depression; Lack of motivation; Anxiety; Anger
20.04.2014 Case Study-(10)- Depression; Restlessness; No peace of mind;
Feelings of detachment from family (wife and son); Conflict with
anyone at slightest cause of dissonance; Trust problem
10
Brief Introduction of the Tests
Interview (Clients and Informants)-
An interview is a face-to-face technique of obtaining information for a variety of
purposes.
 It helps to build rapport by securing the trust and confidence of the interviewee
 It is a therapeutic device along with being an information obtaining device
 It is non-judgemental and non-evaluative
 It is unconditional acceptance
 This process helps counselor to clarify, interpret and understand the
counsellees’ feelings, ideas and longings:
o The counselees may appear to be rambling in his conversation which may
seem senseless
o The counselors may obtain a significance insight when reviewing opening
and closing remarks
o When counselees refers to a particular idea or experience in the course of
counseling it may be of special significance
o Counselors may note down the inconsistencies and gaps in the process
that could suggest resistance or traumatic experiences
 The non-verbal part of interview helps counselor to develop insight into
problem areas or disturbances in the clients. It includes gestures, like body
movements, smiling, blushing, weeping and other postural movements,
scratching the head, resting the face on the hand, crossing the arms across the
chest, cracking the knuckles, fiddling with fingers, rubbing the thumb with
finger, closing the nostrils or placing the index finger on the nostril, biting the
index finger, biting the lip, holding the chin, playing with such things e.g., key
chain, ring, pencil etc.
11
Projective Tests (Handwriting, DAP and Grapho-Draw)-The
psychological analysis of handwriting, or graphoanalysis, consists in the study and
practice of advanced graphological techniques which offer a scientific interpretation
of an individual’s personality based on handwriting and, in part, on doodles and
drawings. Through a graphoanalytical personality diagnosis, one can obtain the
percentile of the predominant temperament as well as character and psychoanalytical
combinations, making it possible to offer a complete report on the psychosomatic,
volitional, moral, intellectual and mental characteristics of the piece of writing being
examined.
About DAP-
Definition: Typically used with children, the subject is asked to draw a picture of a
man, a woman, and themselves. No further instructions are given and the pictures are
analyzed on a number of dimensions, aspects such as the size of the head, placement
of the arms, and even things such as if teeth were drawn or not are thought to reveal a
range of personality traits (Murstein, 1965). The personality traits can be anything
from aggressiveness, to homosexual tendencies, to relationships with their parents, to
introversion and extroversion (Machover, 1949). There are many versions of the test,
we use Goodenough -Goodenough first became interested in figure drawing when
she wanted to find a way to supplement the Stanford-Binet intelligence test with a
nonverbal measure.
With the Draw a Person test as a base, a number of other tests (Grapho-Draw)have
developed using figure drawing as a personality assessment tool. For example, the
House-Tree-Person test similarly just asks the person to draw those three objects and
then inquires about what they have drawn. The questions asked for inquiry include
what kinds of activities go on in the house, what are the strongest parts of the tree,
and what things make the person angry or sad. The KFD (Kinetic Family Drawing)
tells the drawer to draw their family doing something (Murstein, 1965).
12
All of these tests have the important element of not only the assessment of the
pictures themselves, but also the thematic variables involved. Every figure drawing
test asks the drawer to include some kind of description or interpretation of what is
happening in the picture. These elements are also analyzed accordingly (Weiner &
Greene, 2008).
Advantages:
o Easy to administer (only about 20-30 minutes plus 10 minutes of inquiry)
o Helps people who have anxieties taking tests (no strict format)
o Can assess people with communication problems
o Relatively culture free
o Allow for self administration
Disadvantages:
o Restricted amount of hypotheses can be developed
o Relatively non-verbal, but may have some problems during inquiry
o Little research backing
Ink blots (Rorschach)-
The Rorschach Inkblot Test is a projective psychological test consisting of 10 inkblots
printed on cards (five in black and white, five in color) created in 1921 with the
publication of Psychodiagnostik by Hermann Rorschach. During the 1940s and 1950s,
the test was synonymous with clinical psychology. Throughout much of the 20th
century, the Rorschach inkblot test was a commonly used and interpreted
psychological test. In surveys in 1947 (Louttit and Browne) and 1961 (Sundberg), for
instance, it was the fourth and first, respectively, most frequently used psychological
test.
Despite its widespread use, it has also been the center of much controversy. It has
often proven to be difficult for researchers to study the test and its results in any
13
systematic manner, and the use of multiple kinds of scoring systems for the
responses given to each inkblot has led to some confusion.
Thematic Apperception Test (TAT) –
There are 20 TAT cards, but it is common practice to administer 8-12 selected cards. It
is advisable to use the same core battery of cards in a standardized sequence, with
cards added based upon the specific referral question and the “pull” of the card.
Organize the cards in numerical sequence before you begin to administer the test.
Even though some of the cards are gender-specific, the following combination of
cards is recommended as cards that yield the richest stories.
 Female: 1, 2, 3BM, 4, 6GF, 7GF, 8BM, 12M, 13MF and 16
 Male: 1, 2, 3BM, 4, 6BM, 7BM, 8BM,12M, 13MF, and 16
Instructions: Instructions for adults are: (Murray, 1943)-“I am going to show you
some pictures, one at a time, and your task will be to make up a story for each card. In
your story, be sure to tell what has led up to the event shown in the picture, describe
what is happening at the moment, what the characters are feeling and thinking, and
then give the outcome. Tell a complete story with a beginning, middle, and end. Do
you understand? I will write your stories verbatim as you tell them. Here’s the first
card.”
Big Five Indicator (BFI)-Personality Test by John, O. P., &
Srivastava, S.(1999)-
44-item inventory that measures an individual on the Big Five Factors (dimensions)
of personality (Goldberg, 1993). Each of the factors is then further divided into
personality facets.
The big five personality traits can be summarized as follows:
 Neuroticism - A tendency to easily experience unpleasant emotions such as
anxiety, anger, or depression.
14
 Extroversion - Energy, surgency, and the tendency to seek stimulation and the
company of others.
 Agreeableness - A tendency to be compassionate and cooperative rather than
suspicious and antagonistic towards others.
 Conscientiousness - A tendency to show self-discipline, act dutifully, and aim
for achievement.
 Openness to experience - Appreciation for art, emotion, adventure, and unusual
ideas; imaginative and curious.
These traits are usually measured as percentile scores, with the average mark at 50%;
so for example, a Conscientiousness rating in the 80th percentile indicates a greater
than average sense of responsibility and orderliness, while an Extroversion rating in
the 5th percentile indicates an exceptional need for solitude and quiet.
Management-Behaviour Modification-
Impairment in adaptive behavior often leads to disability in appropriate performance
in social zone-these terms as either deficit behavior or an excess behavior.
Any person when lacks adaptive behavior s/he develops inability to cope up with
environment. These are called Behaviour Deficit-persons having coping incapacity
has to be learnt or deficit has to be made up for effective functioning.
There five major steps in implementing a Behaviour Modification programme for
undesirable and deficit behaviours:
 Indentification of the problems
 Defining target behaviours
 Behavior recording( baseline and treatment)
 Functional analysis
 Treatment procedures & their evaluation.
15
Behaviour Modification for Decreasing Undesirable Behavior:
The techniques can be classified as follows:
 Restructuring the environment
 Extinction
 Punishment
o Time out
o Response cost
o Over correction
o Aversion
 Differential Reinforcement
Behaviour Modification for increasing desirable Behavior:
Behavior is often determined by its consequences. We tend to continue a particular
behavior if its consequences are pleasant. Parents, teachers make children learn by
encouragement, praise and rewards-which are known as reinforcement.
Reinforcement is defined as any event which when followed by a behavior
strengthens the probability or the frequency of occurrence of that behavior-
reinforcement does not mean something nice or pleasant-it is any event which
increases the probability of a particular behavior..
There are three types of reinforces,
 Primary reinforces: food, drink, sleeps etc.
 Secondary reinforces: token, cards points-which can pair with a primary
reinforces
 Social reinforces: it acts at the emotional level, attention, praise, smile, pat,
hugging etc.
All the techniques mentioned for increasing desirable behavior are always used in
combination in teaching new skills.
16
Cognitive/Behavioural Therapy CT/CBT-
Cognitive Therapy focuses on changing dysfunctional cognitions (thoughts),
emotions and behavior. Individuals with depression, anxiety and other emotional
disorders have maladaptive patterns of information processing and related
behavioural difficulties. The target of cognitive therapy is the identification of
negative or distorted automatic thoughts which are frequently based on faulty logic
or errors in reasoning. CT helps clients recognize and change the cognition errors
which are called cognition distortions.
Procedure of CT:
1. A strong therapeutic relationship is encouraged between client and therapist
2. This relationship is collaborative as the two in relationship need to work
together as a team
3. In the early phase focus in on the establishing a good relationship and on
teaching the clients the basic principles of the treatment approach.
4. Therapy is more often focused on the here and now is directed at specific
problems of areas of concerns
5. The middle portion of therapy is means to modify dysfunctional patterns of
information-processing and behavior
6. Frequently used cognitive interventions and thought
7. Recording, identifying, cognitive errors
8. Examining the evidences
9. Developing rational alternatives
A number of behavioural techniques are used,
 Activity scheduling
 Graded task assignments
 Desensitization
17
The final phase of treatment reinforces skills learned earlier in therapy and in
preparing the clients for managing problems on their own.
Achievement Motivation Scale (AMS) - by Dr Shah Beena
Currently TAT technique has been used by Various Psychologists like McClelland et
al., (1953). Hurley91955), Heckhausen(1963) and Morgan(1964), to measure need for
achievement(n-ach). But this effort raised controversies with TAT technique itself.
Some other psychologists like French and Thomson (1958), Aronson (1958) etc. had
used the verbal cues instead of picture cues. Although, self-rating method either
direct or indirect has been a subject of criticism yet, several recent inventories have
been coached in this manner by various researchers.
Some efforts have also been made by Indian Psychologists and Educationists in the
construction of n-ach, test e.g., Mukherjee(1965), Aaron(1969), Mehta(1969), De and
Singh(1970), Pandey and Singh(1971), Kureshi(1972) and Bhargava(1984). B Hut, all
these used either TAT or Self-rating methods.
After going through some studies, e.g., Entwistle(1968), Rusell(1969) and Schlesser
and Finger(1972), the following four factors of need for achievement motivation were
chosen to develop the ‘Achievement Motivation Scale’-
1. Need for Academic Success
2. Need for Vocational Achievement
3. Need for Social Achievement
4. Need for Skill Achievement
18
CASE RECORD-(1)
1. Demographic Data (Adolescent)
Name: Sohini Mukherjee
Date: 01.11.2013(First Day)
Age/DOB: Born in Dec, 1999
Regn. No.
Sex: -F Informant: Parents
Education: Class-XI Ref.by: Just Dial Network
Occupation: Student Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data (Parents/Guardians)
Father’s Name: Mr Kanai Mukherjee
Father’s Education: B Tech Engineer
Father’s Occupation: Service
Mother’s Name: Kanak Lata Mhkherjee
Mother’s Education: Graduate
Mother’s Occupation: Homemaking
Present Address:--56/1B Sitaram Ghosh Street, Kolkata-700009
Mobile. No. 9836207053
Income/Month: Rs 67, 900/- per month
Source of Income: Service
19
3. Chief/ Presenting Complaints
 Forgetfulness-feeling sleepy
 Lack of concentration
 Weird thoughts inspired her to draw-avoidant
 Lacks confidence
 Only likeness in Physical Science ( Physics and Chemistry)-she has difficulties in
managing other subjects
 School results not up to her own previous standard( which his highly impressive)
4. Childhood History: Development is on time-no significant problem
5. Family History: Living in a family of 4 members-parents, she and her
grandfather-her mother is bit anxiety prone, father is busy in profession-grandfather
is too old to be active-she is close to her mother with differences of opinions-they
both are very argumentative.
6. Pedigree Chart: Regularity was maintained as told in the chart-immunization
had been taken appropriately
7. Developmental history: Her development is on time-no delay had been
found in age wise physical &motor and cognitive development and reflexes.
8. School History:In early childhood days her performance was extremely good,
but nowadays she cannot cope up with study pressure-her performance in some
subjects is really poor.
9. Occupational History: She is regular in classes, has leadership skill-is interested
to know more about cosmic evaluation-it becomes her passion and she is eager to
explore cosmic world.
20
10. Behaviour Problem: Sometimes she remains depressed and before exam
she becomes nervous of not being able to complete the syllabus.
11. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
Handwriting Analysis, Social Style Assessment, O.P John BFI Assessment
a) General Behaviour during Assessment
 Attentive
 Inquisitive
 Tries to understand on own
 Sometimes asked for more detail
b) Emotions & Behaviour
Not in hurry; responded being composed.
12 . Identification of problems:
The information was collected partly from parents and partly from the candidate
herself and also partly from the assessment scale used during the process. The
following are the problems.
 Analytical soul-keeps on analysis-head over heart attitude, more ambitious,
sometimes cannot cope up with situation/classmates/study pressure-shows
rough and rude attitude-intelligent but extremely anxiety prone
 Her assertiveness is low and so also social responsiveness-always stays after to
be correct frame of mind.
 Expanded soul and high demand to know more of her preferred option; average
agreeableness with moderate motivation-but she prefers stay after constant
digging into matter which she likes. Highly anxiety prone and sometimes she
absorbs so much that cannot come out easily-instable and too much sensitive.
21
13. Recommendations/ Suggestion
Target Behaviour identified for Management:
 Extremely anxiety prone
 Scattered type-disorganized
 Competitive attitude
 Shocked easily by the unpleasant remarks/comments of others
 Intolerance –sometimes rough and rude attitude
Rewards identified:
 She likes to be praised for her achievement
 Loves study on cosmology at a stretch
 Passionately likes to write as well as read poetry
 Loves travel
Behaviour Package Programme:
Based on findings the behavioural package is developed for target behaviour
 Organized way of living: During study hour at home she needs to arrange a
ROUTINE –always needs to be organized
 Reward offering: For her every success she needs to be rewarded by mother
according to her way of likeness
 Source of Relaxation: Hobby practice
 Cognitive counseling
Procedure:
Parents and also the candidate were asked to follow the task which we put after
discussion with Sohini in a sheet mentioning date and time. The candidate was
advised to strictly follow her daily routine in the organized way with the help of her
mother as she is responsible to take care of her at home. At completion of each
22
schedule she should be appropriately rewarded consistently- Sohini is required to
grow always with a plan-as she is basically scattered type. Weekend relaxation or in
between two hard works she needs to have bit pleasure/indulgence as that brings her
anxiety to come down for a moment which is very essential to have for a extremely
anxiety prone adolescent like her.
Praise/reward/indulgence is selected on the basis of likeness/demand of Sohini.
She had been asked to sit with the working sheet for a thorough analytical discussion
after each 20 days with us.
The discussion helped her to know her upgrading as a person and also as a student as
it simultaneously also increased her performance level- entire session was continued
for 8 sessions.
Evaluation:
Evaluation was made each 20 days after separately and on the 8th session we sat for
comparison of the data of scores she obtained per subject after each 20 days
observation. It was found that her performance level at home tutor and also in school
unit tests were improving day by day from a slow initial progress to rapid
advancement at the end.
She is basically an intelligent girl and competitive type-when she observed following
daily routine would bring good score in exam she developed a highly assertive
attitude and tried to follow it at best. She also likes to have praise for her
achievement –her mother was attentive to give her appropriate reinforcement after
each achievement that also bought extra mileage to the mother-daughter joint effort.
Sohini’s score card’s gradual up-gradation reflects the success of CBT.
----------------------------------
(Signature of the Student)
23
CASE RECORD-(2)
1. Demographic Data (Adult)
Name: Arindam Guha
Date: 04.11.2013(First Day)
Age/DOB: Born in March, 1978
Regn. No.
Sex: -M Informant: Wife
Education: MBA Ref. by: Just Dial Network
Occupation: in Service Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data-Informant (Wife)
Wife’s Name: Priti Guha
Wife’s Education: Graduate with specialization in Public Relation
Wife’s Occupation: Service
Present Address:--13, Kalupara lane, Salkia, Howrah-711106
Mobile. No. 033 2655 7962 / 9836276464
Income/Month: Rs 80,000/- per month (His)
Income/Month: Rs 30,000/- per month (Her)
Source of Income: Service (both)
3. Chief/ Presenting Complaints
No job satisfaction
Always worried-insecure, overburdened
Repeated thought process
24
Degraded emotional relationship with wife –no conjugal life
Less enthusiasm to get back from crisis-depressive mood
4. Childhood History: Development was on time-no significant problem
5. Family History: Living in a family of 4 members-parents, wife and he himself-
his family members are very supportive-specially wife; she tries her best to recover
his original emotion which was very passionate and bright. He married a lady out of
love after 7-year courtship-during the time he was very gentle and soft-spoken- now
becoming irritated and pre-occupied.
6.Developmental history: His development is on time-no delay had been
found in age wise physical & motor and cognitive development and reflexes as told
by his wife.
7.School History: He was bit aggressive type in school days-bit anxiety
prone-but was always a good performer in examination
8.Occupational History: No job for a year-very recent, three months ago
joining a private sector with an expected salary-but he has been suffering from
repeated thought process since joining-recheck gets him late in execution and also
irritated him at the time of fast response. In his college life he also had this type of
repeated thought that his wife did not know previously. One and ½ year back he
develops same symptoms of anxiety, repeated activities even for a minor cause, say,
placing the glass on a Dining Table repeatedly etc. Only when he is extremely busy
in office he can consciously avoid it -not allowing himself to act repeatedly. He
thought that leaving the previous job without having alternative might be the
triggering factor of his present unwanted irritated activity.
9.Behaviour Problem: Always in depressed mood, no enthusiasm and has
developed an insecurity finding him incapable to stop his repeated activities when
25
he has no busy schedule. He has no active family life with his wife and becomes less
confident.
10. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
Handwriting Analysis, O.P John BFI Assessment
a) General Behaviour during Assessment
 Impatient
 Restless
 Turn over the next page keeping incomplete the previous page time to
timehe did it again when counsellor marked it.
b) Emotions & Behaviour
Partly willing to attend the assessment
Comprehends the statement
Sharp in respond
Tendency to complete in hurry
11. Psychological Report
Graphological analysis revealed the fact that he became unexpressive, silent and
withdrawal; physically stressed, kept himself separated from close relations and
turned into apprehensive.
BFI by O.P John assessed him as a highly instable person with low self motivation
skill; non-assertive in approach with high agreeableness. He is other-directed type
who is easy-going, somewhat lazy drifters from his own opinions and principles. He
is basically relaxed, outgoing, and unlettered. High instability and low consciousness
make him emotional. He is in touch with both positive and negative feelings. He can
be easily considered as sentimental, affectionate, sensitive, soft, passionate, romantic,
26
feminine, emotional, and gullible. He is also scattered types showing emotional
instability that affects both their thinking and their social relationships.
 Internally he is inconsistent, erratic and forgetful;
 In groups he can be impulsive, nosy, gossipy, and self-indulgent.
 On the job, his unpredictability may annoy co-workers and supervisors.
Being intelligent he can understand his own faults and strength-but could not be
goal/target oriented. He is really hanker for HELP as he thinks he is dominated by
second mind neglecting original emotion that wants to get rid of second.
12. Identification of problems:
The information was collected partly from wife and partly from the candidate
himself and also partly from the assessment scale used during the process. The
following are the problems.
 Suffering from repeated activities-always and everywhere
 On and off day/holiday no social life-avoids house-keeping, interested to sleep
at a stretch without bothering others’ need-but no sound sleep
 No family life-avoids communication with other members
 No enthusiasm-depressive mood
13. Recommendations/ Suggestion
Target Behaviour identified for Management:
 Extremely anxiety prone
 Scattered type-disorganized
 Non-assertive
 Over burdened by job pressure
 Insecurity
27
Rewards identified-stress buster:
 Music-Hindi/Bengali listener
 Cricket and Soccer lover
 Party lover-free of all anxiety
Behaviour Package Programme:
Based on findings the behavioural package is developed for target behavior
 Simplify-helping him to come out from job pressure
Cut his to-do list in half-just by asking him this question after every item: “Will I die
tomorrow if this doesn’t get accomplished?” The answer will be obviously ‘No’.
Every morning he needs to immediately jot down his to-do list. Once he experiences
the first heart palpitation, the list gets cut in half.
 Prioritize
Let’s say he has got five huge work projects due next week, two commitments
promised to son, to his parents’ overdue taxes on his desk, his wife’s 36th birthday
celebration to plan, and his sister’s computer to fix. What does he does then? He
needs record all the tasks on a sheet of paper or on his computer and he gives each
one a number between 1 and 10: 10 being the most important (life threatening as he
uses to think so) to one (stupid bloody thing he likes to sign up for). He needs to start
with the 10s. If he never gets beyond the 8s, that’s also okay initially and beyond 5 is
absolutely appropriate.
 Use Pencil, Not Pen-helping him to be flexible
If he relies on his to-do list as much as he does, then he’ll want to start using pencil
instead of pen. Because one important stress buster is to try to stay as flexible as he
can. Things change! And change is not his enemy, even though his brain categorizes
it as such. He wants to be able to erase a task or reminder at any time, because who
the heck knows what his day will be like.
28
 Please think a little-coming out from anxiety
‘Know your limitations’ as it’s not required to join human race which means
surrendering to limitations and conditions-no human being is super hero implying
supernatural qualities and capabilities.
 Collaborate and Cooperate
He is advised to work in cooperation with others in job place and also in family front
as it is natural –it endorses a person in many ways:
o More work can accumulate in a collaborative way
o All are responsible for the work done
o Every individual can have scope to execute different projects at a time
o Growth of an Institute/ House/Individual will be multi-dimensional
 Laugh, Party and gathering
After a loaded week everyone needs to be happy and relaxed mood in emotional
level-so arrangement of such occasion is also essential either being around close
family members or in some other places with friends and same age group as chronic
& severe stress have chances to damage organic systems of our body-humour and
laugh can heal it.Laughter can also boost the immune system, as it has been found to
increase a person’s ability to fight viruses and foreign cells, and reduce the levels of
three stress hormones: cortisol, epinephrine, and dopac. And having fun is its own
stress buster.
 Exercise
Exercise relieves stress in several ways. First, cardiovascular workouts stimulate brain
chemicals that foster growth of nerve cells. Second, exercise increases the activity of
serotonin and norepinephrine. Third, a raised heart rate releases endorphins and a
hormone known as ANP, which reduces pain, induces euphoria, and helps control
the brain’s response to stress and anxiety. A quick stroll in the morning or in the
evening might be just enough to tell the stress hormones in blood to scatter.
29
 Stop cope up with everywhere( Juggling)
Some multi-tasking is inevitable in our rushed culture. But do we really have to
simultaneously having dinner, talk to wife, help with project work, and check e-
mail? If collaborative work is maintained in some places in life (domestic help, peon,
and driver in some cases) any one can act more efficiently (chewing mouth freshener
while writing at computer is harmless multi tasking).
 Build Boundaries-assertive way of living
“Speaking of activities, get some boundaries, ASAP”–are meaning designate a place
and time for certain things so that brain doesn’t have to wear so many hats at the
same time. He needs to stop when he feels it is not either required/his part of
work/should not be requested by his higher authority/sister/parents as it is not due to
him. If anyone tries to live assertive way of living his brain is adjusted nicely and
appreciated the notice of when and where each hat was required, and it actually
started to relax a tad.
 Think Globally
Globally opens up a wide horizon to look through the personal problem with respect
to others living miles apart and feelings of insecurity will be vanished after
comparison. “What he means here is a simple reminder that compared to other
problems in the world today (abject poverty in Somalia or Cambodia) the things that
he stresses about are pretty minor. In other words, if he shifts his perspective a little,
he can see that there are far worse dilemmas than mine”.
Procedure:
Arindam was asked to follow the task which we put after discussion with Arindam
in a sheet mentioning date and time. The candidate was advised to strictly follow his
daily routine in the organized way with the help of his wife and himself as she is
also responsible to take care of him at home. At completion of each schedule he
should be appropriately rewarded consistently with stress busters. Arindam is
required to grow always with a plan-as he is basically scattered type. Weekend
relaxation he needs to have in his preferred but checked forms as that brings
30
hisanxiety to come down for a moment that is indispensable to have for an extremely
anxiety prone adult like him.
Process of relaxation is selected on the basis of likeness/demand of Arindam.
He had been asked to sit with a working sheet for a thorough analytical discussion
after 20 /30/45/60 days.
The discussion helped him to know his upgrading as a person and also as a
performer as it also increased his performance level- entire session was continued for
4 sessions.
Evaluation:
Evaluation was made each 20 /30/45/60 days after separately and on the 4th session we
sat for comparison of the data of scores he obtained per successful attempt after each
20 /30/45/60 days observation. It was found that his performance day by day
increased with a slow initial progress to rapid advancement at the end.
He is basically an intelligent boy and competitive type-when he observed following
daily routine would bring comfortable feelings he developed a highly assertive
attitude and tried to follow it at best. He also likes to have stress buster for his
achievement –his wife was attentive to give his appropriate reinforcement after each
achievement that also bought extra mileage to the husband-wife joint effort.
At each counseling session he confessed that he could increasingly overpower his
second mind confidently.
Arindam’s score card’s gradual up-gradation reflects the success of CBT.
----------------------------------
(Signature of the Student)
31
CASE RECORD-(3)
1. Demographic Data (Young Adult)
Name: Arunangshu Das
Date: 18.11.2013
Age/DOB: 21 years
Regn. No. ……………………………
Sex: -M Informant: Dr Shitangshu
DasEducation: BBA ( IEM in Servic , Kolkata) Ref.by: Physician
Occupation: Student
Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data-Informant (Elder Brother)
Elder brother’s Name: Dr Shitangshu Das
Brother’s Education: Dentist
Brother’s Occupation: Attached with many Nursing Home and practising
Present Address: G/5, Bediadanga Lane, Kolkata: 700039
Mobile. No. 8013867098 / 8013867098
Income/Month: Rs 65,000/- per month (His brother)
Income/Month: student (no income)
Family Source of Income: Service and practice (both)
3. Chief/ Presenting Complaints
Slow depression-low self esteem
Competitive mindset
32
Confused, skeptical-likes to change very frequently (first change done)
High ambition-restless in approach
Never satisfied soul-always anxiety prone
4. Childhood History: Development was on time-no significant problem
5. Family History: Living in a family of 4 members-parents, Elder brother and he
himself-his family members are very supportive-both the parents were in service but
now retired and stayed at home only. Elder brother Shitagshu is head of the family
and he organizes everything in home front; Arunagshu, the younger brother of
Shitagshu is a student of BBA in IEM, Kolkata. Previously they lived in Chittaranjan,
outskirt of Kolkata.
6. Developmental history: His development is on time-no delay had been
found in age wise physical & motor and cognitive development and reflexes as told
by his elder brother.
7. School History: He was like general student till Class-V, after that he became
depressive seeing his elder brother very good in studies and got chance in Medical;
as in ordinary middle class family people also praised his brother that also brought
competitive mindset in him and he became anxiety prone and thought himself as
letdown to follow brother’s trail.
8. Occupational History: He himself believed that he develops many
psychological problems which are according to him is, bipolar as he remains
sometimes depressed and sometimes is in usual good mood; he becomes
perfectionist, cannot be convinced easily; always needs to have just right solution to
each attempt he made. He is highly confused- so cannot communicate his concept
firmly. He has difficulties in following his present studies also-he likes to pursue
LAW as he wants to change some law of society in future being a legal person-he
already changed his career option from engineering studies to BBA after two years
gap.
33
9. Behaviour Problem:
a. Confused-hesitates in taking decision
b. Never satisfied soul-depressed in approach
c. Wants a perfect solution at the end of each effort he has made
d. Restless, anxiety prone and depressive
e. Low self esteem, stubborn and trust problem
10. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
Handwriting Analysis, O.P John BFI Assessment
c) General Behaviour during Assessment
 Slow to respond
 Usual mood
 Completed on time
d) Emotions & Behaviour
Attentive
Asked minimum times
Can comprehend statements
Analytical
11. Psychological Report
Graphological analysis revealed the fact that he has problem in initiating
spontaneously in maximum cases-choosy-cannot express as he percepts; intelligent
but disorganized type-stressful, anxiety prone, cannot socialize but likes to
communicate. Now he likes to cut off all social connection being irritated and
34
frustrated. But he is basically a good performer and can link up intelligent ideas-is
interested to know more.
BFI by O.P John assessed him as a highly instable person with a moderate self drive
skill; basically an introvert guy having good agreeableness and he wants more to
know-his horizon is wide open.
HUMBLE in approach peace-loving, somewhat timid, and seek social acceptance by
going along with what others want, calm, agreeable, cooperative, composed, warm,
preserving, and submissive. He is discouraged types, not happy with his present life
situation but feels there is no way out because he lacks the ability to improve his life
circumstances. He is Bookworm’s type who is highly intellectual, introspective, self-
examining loners. He is Emotional Type. He is in touch with both positive and
negative feelings..He is Tolerant Type, opens to, and accepting of, differences in
other people. He cares about the feelings of others and tends to take their opinions
into account when making decisions. His social skills are reasonably well-developed
and he normally relates well to others in both co-worker and supervisory roles. He is
Sensitive Type very bright but emotionally sensitive. He pays attention to, and is
strongly affected by, things that happen in the world around them. He opens himself
to his environment; consequently he enjoys many positive sensory experiences, but
on the other hand he is vulnerable to having his feelings hurt.
He is always late in taking decision and has a confusing mindset-has longing for
achieving great successful careers but always turns into a most confusing boy in the
world when he needs to draw a firm decision-that pins him day- in and day -out and
he becomes depressed finding no solution of it.
12. Identification of problems:
The information was collected partly from elder brother and partly from the
candidate himself and also partly from the assessment scale used during the process.
The following are the problems.
 Depression and sudden blast of anger
 Whimsical related to career options-tendency to leave in midway
35
 Dissatisfied soul-high ambition
 Inferiority complex-low self-esteem- skeptical
13. Recommendations / Suggestion
Target Behaviour identified for Management:
 Extremely anxiety prone-instable and highly sensitive
 Living in a shell-always doubtful-has many unsolved queries
 Emotional type-more emotional than logical
 Extremely vulnerable –getting affected soon-self-pity
Rewards identified-stress buster:
 Day to day chart of his improvement-will be reward of him –seeing is believing
 Score sheet of self study-analysis of skill escalating factor
Behaviour Package Programme:
Based on findings the behavioural package is developed for target behavior
 Career Counselling by
MBTI Personality Type Test & Career Orientation By John Holland Studies
It facilitated him to know his career options on the basis of his personality and
preferences; it revealed that his personality (ESFJ) is suitable for Management
Studies and Social Services; his career preference summary code is ESC, that tallies
with personality based professional options. So a study (BBA) he follows now is
exactly appropriate for him and there is no need to change his career studies again.
 Categorize the subjects /Chapters according to his order of preferences-giving
score out of 10
It helps him to have precision in his preferences and also reasons of his likeness and
also his weakness in that particular subject. Making a chart keeps him always
knowledgeable of his feelings connected to each subject /Chapter and aptitude per
subject.
36
 Analysis and recommending how to tackle the weaker zone and also enhance the
skill of learning
He is advised to keep equal day of learning process for each subject according to
previously made routine or chart-and after the learning session arrange for self test
and put the score against each subject-that will give him how long time will be
required to learn per subject syllabus wise- he needs to wipe out anxiety by pre-plan
schema and be confident to know his standard of learning per subject syllabus wise.
He has been advised to follow a self made routine (either daily basis or weekly) in
his usual way of living-which will wipe out anxiety.
 Short term goal will be helpful instead of long term goal
He has tendency to see his ambition in a big aspect-so he is recommended to set short
term goal initially to fulfill his big dream- so step wise achievement will aspire him
finally.
 Collaborate and Cooperate
He is advised to work in cooperation with others in college and also in family front
as it is natural –it endorses a person in many ways:
o More work can accumulate in a collaborative way
o Group discussion enhances the skill of learning
o Studying all subjects at the beginning will give him a judgement how to put
more emphasis on subjects which seem less interested to him. Over learning is a
process of exercising/brain teasing with a less interested subject that becomes
more interesting at time.
 Laugh, Party and gathering
After a loaded week everyone needs to be happy and relaxed mood in emotional
level-so arrangement of such occasion is also essential either being around close
family members or in some other places with friends and same age group and having
fun is its own stress buster.
37
 Think positive and act positively
Being humble and sensitive he has been asked to react positively with others-that
will facilitate him to know original life situation which is very important to know.
Assertive behavior wills compose a person to be more confident and augment his/her
self-respect.
Procedure:
We made a discussion with Arnangshu and set 5-program of 10/15 days gap from one
program to next with the consent of him. Each program fabricated according to the
progress of Arnangshu-as he grew his program schedule automatically altered to the
next step –its aim was to facilitate his challenging performance to modify to more
adaptive behavior.
The candidate was advised to strictly follow his daily routine in the organized way
by himself and he is also responsible to take care of him at home. At completion of
each schedule he needs to be appropriately rewarded himself consistently with stress
busters. Arunangshu is required to grow always with a plan-as he is basically
emotional type and gets hurt by negative impact. Weekend relaxation he needs to
have in his preferred but checked forms as that brings his anxiety to come down for
a moment that is indispensable to have for an extremely anxiety prone student like
him.
Process of relaxation is selected on the basis of likeness/demand of Arunanshu.
He had been asked to sit with a working sheet for a thorough analytical discussion
after 20 /30/45/60/120 days.
The discussion helped him to know his upgrading as a person and also as a
performer as it also increased his performance level- entire session was continued for
6 sessions.
Evaluation:
Evaluation was made each 20 /30/45/60/120 days after separately and on the 8th
session we sat for comparison of the data of scores he obtained per successful attempt
38
after each 20 /30/45/60/120 days observation. It was found that his performance day by
day increased with a slow initial progress to rapid advancement at the end.
He is basically an intelligent boy and emotional type-when he observed following
daily routine would bring comfortable feelings he developed a highly assertive
attitude and tried to follow it at best. His stress buster is his gradual positive growth
as it helps him to be confident that one day he could achieve his goal/target;
Arunangshu’s score card’s gradual up-gradation reflects the success of CBT.
----------------------------------
(Signature of the Student)
39
CASE RECORD-(4)
1. Demographic Data (Adolescent)
Name: Avik Das
Date: 04.12.2013
Age/DOB: 17 years
Regn. No. ……………………………
Sex: -M Informant: Parents
Education: Class-X (Kolkata) Ref.by: Just Dial Network
Occupation: Student
Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data-Informant (Parents)
Father’s Name: Mr Sankar Das
Mother’s Name: Mrs. Soma Das
Father’s Education: Computer Hardware Engineer
Mother’s Occupation: Homemaking
Father’s Occupation: Service
Present Address: 115, P.C. Lahiri Sarani, Kolkata-700050
Mobile. No. 9831185168/9432215533
Income/Month: Rs 80,000/- per month (Father)
Income/Month: student (no income)
Family Source of Income: Service
40
3. Chief/ Presenting Complaints
Extremely restless and always playful
Likeness in fast food
Inattentive- cannot study at a stretch-not even for half an hour
Complaint from school –because of class disturbances
Procrastination-interested to involve in more pleasurable activities
4. Childhood History: Development was on time-no significant problem
5.Family History: Living in a family of 3 members-parents and he himself-his
mother is anxiety prone-there is always brawl between Avik and his mother in
executing daily routine of Avik; one of Avik’s maternal uncles has attention deficit
problem and he does nothing profession wise-his mother explores Avik like her
brother and it brings again anxiety in her.
6. Developmental history: His development is on time-no delay had been
found in age wise physical & motor and cognitive development and reflexes as told
by his parents.
7.School History: He was like general student till Class-V, after that he became
restless and talkative-cannot sit properly in bench-keeps busy himself in either
raising hands, talking with other students in the class, making jokes with someone or
laughing loudly at slightest possible cause-he was marked by his teachers everyday
in the class for his behavioural diversion.
8. Occupational History: Being a student he also reported that teachers in
his school always suspected him for class disturbances –sometimes it was not
for him-usually he could not read at a stretch, if he tried he felt like physical
pining in his body. He liked physical activities in play ground and loved
doing activities which he liked to do –his mother always restricted him from
41
doing so-had tendency to keep him under routine-bound which made him
claustrophobic sometimes.
9. Behaviour Problem:
a. Restless
b. Inattention
c. Always playful
d. Concentration problem
e. Less energetic-sleepy type( as his parents told so)
10. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
 Handwriting Analysis,
 O.P John BFI Assessment,
 Achievement Motivation Scale by Beena Shah,
 Adult ADHD Self-Report Scale (ASRS-VI-I) symptoms Checklist Insttructions
by Lenard Adler, MD, Ronald C. Kessler, Thomas Spencer
11. General Behaviour during Assessment
 Prompt response
 Usual mood
 Completed on time
12. Emotions & Behaviour
o Attentive
o Asked minimum times
o Can comprehend statements
o Prompt
42
13. Psychological Report
Graphological analysis revealed the fact that he is friendly, but has coping up
problem; unpredicted emotion, always keeps himself busy, not a good performer, in
hurry to complete his task-bold and enthusiastic-creative and communicative-likes to
socialize.
BFI by O.P John assessed him as a highly stable person with high demand of
socialization-expanded soul –is always busy with someone, ideas or object-poor
motivation and cannot focus-distracts soon. He is Personable Type enjoying
interaction with other people and expresses positive emotions and is therefore
typically well-liked by others. He is Impulsive Types acting outrageously in order to
attract attention from others. Often rather unconventional, risk- taking, flamboyant,
he also needs and enjoys social stimulation. He is Socially Self-Confident Typewho
is extravert with high levels of energy and self-confidence. He has good leadership
skill. He is intelligent extraverts. In their worldliness they can be quite witty and
charming. They have a flair for the dramatic, and can be exaggerated and theatrical.
Therefore, this type is generally described with positive terms such as enterprising,
eloquent, forward-looking, and confident but can also be described as critical,
candid, and intense. He is Other-Directed Type who is easy-going, somewhat lazy
drifters who lack strong opinions and principles. He prefers simply to hang out with
their social crowd. He is emotional type. Others describe them with terms such as
sentimental, affectionate, sensitive, soft, passionate, romantic, feminine, emotional,
and gullible. Avik is tolerant Types who are open to, and accepting of, differences in
other people. They care about the feelings of others and tend to take their opinions
into account when making decisions. Avik is Carefree Type who
is folksy, simple, happy-go-lucky persons. They are unconcerned about rules,
schedules, and routines, but are not actively antisocial or hostile to authority. He is
also Fanciful/Imaginative Types who are unconventional nonconformists who pride
themselves on being different from others. They are not so much openly antisocial
and disruptive in their behavior as they are fanciful, impractical, and unconcerned
43
about the general welfare of others. He is also Down-To-Earth type who avoids
anxiety by not thinking and reflecting on things very often.
In Achievement Motivation Scale it was found that Need for
Academic/Vocational/Social Achievement Scale is high whereas Need For Skill
Achievement is low-childish in approach and fanciful type-he has difficulties in
holding his emotion and cannot concentrate for long time during study.
Adult ADHD Self-Report Scale (ASRS-VI-I) Symptoms Checklist revealed
that he has Attention Deficit Syndrome.
14. Identification of problems:
The information was collected partly from candidate and partly from the parents and
also partly from the assessment scale used during the process. The following are the
problems.
 Talkative-chatty type
 Less concentrated
 Restlessness in class room-complains from school teachers
 Degraded subjects’ scores in school Report Card
 Playful, sleepy, less interested to study at home
 Under almost 18 hrs watchfulness of parents
15. Recommendations / Suggestion
Target Behaviour identified for Management:
 Medication to control inattention-consultation with a psychiatric for ADD
 Restlessness and fluency
 Parents behaviour towards him
 Lacks in concentration
 Less interested to study all allotted subjects in school level
44
 Spontaneous behavior in classroom/coaching
 Lazy in writing after study
 Tendency to submit/prepare ignoring dateline-last moment strain
 Feeling sleepy at study table
Rewards identified-stress buster:
 He likes to have fancy dishes
 Avid lover of playing football in the field
 Watching English Movie in TV/INOX
 Participating in Stage Show for giving lecture with Projector on his favorite
subjects
 Outing with friends/familyorganized by school/by themselves
 Attending public SHOW on his favourite option
 Playing computer game
 Wants to have a great career in future-he thinks big
Behaviour Package Programme:
Based on findings the behavioural package is developed for target behavior
 Parents Behaviour towards him
Parents specially mother was requested to give him relieve after the completion of
allotted assignment as he really could not study at a stretch for a fixed time. She is
homemaker and anxiety prone-she needs to control her anxiety when she is going to
deal with Avik who is basically a stable boy. She was given lesson on Parenting that
enhanced her skill of parenting towards Avik. Avik needs appropriate vigilance from
parents that will help him to grow with a goal and target.
45
 Teachers/school was requested to take special care for Avik
He has really problem in holding attention for a long time and also to be confined in
a bench in classroom like other students as ADD student needs behavior
management program. He is restless type.
 Facilitating Avik how to study
He is advised to keep maintain a work sheet for keeping a note of his subject wise
improvement on a regular basis-improvement means achiever and loser means failed
to attain the target study. At certain no. of achievement Avik is entitled to enjoy his
way of stress buster within a limited time under the vigilance of parents. He is asked
to follow his routine till final examination (Plus-II -level).
 Mock Tests
Avik is advised to sit for a mock test after finishing chapter/subject/ regularly and
also he needs to draw a Graph after 5 or 6 mock tests of every subject and observation
of rise and fall of line will be his eye-opener of his preparation.
 Short term goal will be helpful instead of long term goal
He has tendency to see his ambition in a big aspect-so he is recommended to set short
term goals initially to fulfill his big dream- so step wise achievement will aspire him
finally.
 Collaborate and Cooperate
He is advised to work in cooperation with students in coaching/school/home tutors–it
endorses a student in many ways:
o Healthy Competitiveness among students
o Group discussion enhances the skill of learning
o Comparison of marks of his with others may be a boost of further development
o Studying all subjects at the beginning will give him a judgement how to put
more emphasis on subjects which seem less interested to him. Over learning is a
process of exercising/brain teasing with a less interested subject that becomes
more interesting at time.
46
 Weekend enjoyment-family/friends
After a loaded week everyone needs to be happy and relaxed mood in emotional
level-so arrangement of such occasion is also essential either being around close
family members or in some other places with friends and same age group and having
fun is its own stress buster.
 Think positive and act positively
Being down to earth and stableperson he has less tension prone-so he needs to have
some knowledge of assertive way of living- at every success there is hardship and
without it no one can be an achiever-Avik wants to be a great achiever, so his driving
force is “being achiever”-he acts nicely, he writes flawlessly-so keeping Avik in right
track is only the challenge which Avik can overcome with the help of his support
system.
Procedure:
We made a discussion with Avik with his parents and initially set 7 programs of
10/15 days gap from one program to next with the consent of him. Each program
fabricated according to the progress of Avik-as he grew his program schedule
automatically altered to the next step –its aim was to facilitate his challenging
performance to modify to more adaptive behavior.
The candidate was advised to strictly follow his daily routine in the organized way
by himself and parents are also responsible to take care of him at home. At
completion of each schedule he needs be appropriately rewarded himself
consistently with stress busters. Avik is required to grow always with a plan-as he is
basically impulsive and other directed type and gets easily distracted from his target.
Weekend relaxation he needs to have in his preferred but checked forms as that there
is chance of self indulgence in indefinite time.
Process of relaxation is selected on the basis of likeness/demand of Avik.
He had been asked to sit with a working sheet for a thorough analytical discussion
after 7 /10/25/35/60 /120days.
47
His gradual upgraded score cards helped Avik to be interested to study because of
this he remained energetic.
The discussion helped him to know his upgrading as a person and also as a
performer as it also increased his performance level- entire session was continued for
8 sessions. His parents were requested to guide him throughout his studentship
following routine, plan.
Evaluation:
Evaluation was made each 7 /10/25/35/60 /120 days after separately and on the 8th
session we sat for comparison of the data of scores he obtained per successful attempt
after each 7 /10/25/35/60 /120 days observation. It was found that his performance day
by day increased with a slow initial progress to rapid advancement at the end.
He is basically an intelligent boy and emotional type-when he observed following
daily routine would bring confidence he developed a highly assertive attitude and
tried to follow it at best. Avik’s score card’s gradual up-gradation reflects the success
of CBT. Impulsive Avik needs occasional counseling for enjoying quality life.
-------- ----------------------------
(Signature of the Student)
48
CASE RECORD-(5)
1. Demographic Data (Marriage-Counselling)
Name: Saptarsi Ghoswami/AditiSanyal
Date: 17.12.2013(First Day)
Age/DOB: 34/35 years
Regn. No. ……………………………
Marital Status: For 7-year they married with a male child of 7-month old
Sex: -M /F Informant: One for other
Education: Software Engineer (both) Ref.by: Just Dial Network
Occupation: In Service
Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data-Informant (One for Other)
a) Saptarsi Ghoswami
Present Address: 69 B Amherst Row, Kolkata-700009
Mobile. No. 9836065470
Income/Month: Rs 60,000/- per month
b) Aditi Sanyal
Present Address: 37/2A, Canal West Road/10, Reserve Park, Kolkata-
700004
Mobile. No. 033 65408319/9874214141
Income/Month: Rs 75,000/- per month
c) One male child of 7-month living with Aditi - Saptarsi is visitor there
49
3. Chief/ Presenting Complaints
o Disharmony in marital relationship
o Fiercely Self –right conscious (Aditi)
o Differences of opinions in every aspects of joint living
o No understanding from Aditi’s side-argumentative, always bring parents
in their tiff-suffering from insecurity
o Aditi develops cleanliness habit-rigid to follow her own opinion-finds
no harm of it on others
o After marriage Aditi has habit to live with parents for three days and
parents-in-law place for another three days regularly.
o Maladjustment ( Aditi)
4. Family History: Both live separately –Aditi is at her parents place and
Saptarsi is his own residence with his parents-Saptasi is bit conventional guy and
likes to live in a traditional way of living. He is not a strict person but he personally
believes in conventional living. Aditi is self right conscious person-sometimes it
sounds too loud to tolerate for Saptasi. Aditi’s parents take interest in Aditi-
Saptarsi’s personal tiff which aggravate their differences of opinions-they cannot sit
together to solve their relationship disharmony personally-Aditi always brings her
parents, specially mother to get it solved. This annoys Saptarsi who becomes fed up
with the acting up of Aditi and wants an optimistic solution of their marital
disharmony. Moreover, Aditi’s mother has domination over her family-she left her
vocation because of family as her husband was frequent in overseas-so she reined her
family and brought up her two daughters on her way-she has control on them.
5. Occupational History:Both came separately to save their marriage and
gave their statement independently. They married to each other after 7 years of love
affair. But from the very first day Aditi had trouble to live in Saptarsi’s place with his
parents-she had many specifications which she did not get there after marriage. At
the same time she could not open it to Saptarsi who had no idea of Aditi’s troubles
50
and difficulties. But Saptarsi found Aditi behaving strange all of a sudden at
minimum crisis and left his place for her mother’s residence for someday. They
purchased a 1200 sq. ft. 2-BHK Flat after someday to live a separate life without the
interference of their own parents; but still they had crisis to live an self-regulating
life as Aditi’s had no interest to live a life on the basis of joint discussion and
decision-she either takes decision on her own way or pokes her nose in Saptarsi’s
after accepting his decision- she has always her opinion on his part and tries to
execute it according to her. So no solution is there-again they left their flat and went
away their old nest and begin to live a separated life as before marriage.
6. Behaviour Problem:
o Saptarsi’s part: Traditional
o Aditis’s part: Insecurity, parental dependence, rigid, double checking
habit, rigid, fiercely self-right conscious-sometimes sensed like selfish,
mal-adjustment, argumentative for no genuine cause, fault finder
7. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
 Handwriting Analysis,
 O.P John BFI Assessment,
 Conflicting Management Style Questionnaire by Johnson
8. General Behaviour during Assessment
Prompt response
Usual mood
Completed on time
51
9. Emotions & Behaviour
o Attentive
o Asked minimum times
o Can comprehend statements
o Prompt
10. Psychological Report
Graphlogical analysis revealed the fact that he (Saptarshi) is friendly, introvert,
energetic and traditional type; good administrative skill but loner in nature. Both
Aditi and Saptarsi has balance emotion-Aditi also does not believe in taking risk,
choosy in nature abrupt listener, has her own concept/idea and likes to stay in her
own world. Sometimes she acts rigidly. Aditi projects herself sacrificing but actually
she has urge to acquire whereas Saptarshi is self right conscious person.
BFI by O.P John assessed Saptarshias an introvert person with humble type- peace-
loving, somewhat timid; He is industrious nature implying businesslike, self-
disciplined, orderly worker who prefers to achieve on his own effort than as part of a
team. He is Satisfied Types who feelshe has risen above the problems of living and is
content with things as they are. He likes to see little point in getting involved in a rat-
race to struggle to the top of the heap. To him stability and security are as more
important than getting ahead and is likely to be content with a respectable job in
home town, earning just enough money to make a living. He is bit Compromising
Type oriented toward getting along with others. Valuing interpersonal harmony, he
is more likely to compromise than confront in a difficult situation.
BFI by O.P John assessed Aditi is Dominating Types enjoying exerting power and
influence over others and strive to control them without taking their feelings into
account. She is also Discouraged Types and is not happy with her present life
situation but feels there is no way out because shelack the ability to improve her life
circumstances. Aditi is bit Indiscreet Types who is extravert and impulsively talk and
boast without knowing what she is talking about. She is pompous and full of bluster.
52
Talkativeness and ignorance is an unfortunate combination not tolerated well by
others.She is basically Moody Type and tends to report experiencing many negative
emotions and few positive emotions.
Conflicting Management Style Questionnaire by Johnson described Saptarsi as
collaborative or accommodating and Aditi as competing or forcing.
11. Identification of problems:
The information was collected partly from candidates and partly from the
assessment scale used during the process. The following are the problems.
 Saptarsi
o Traditional
o Easily satisfied
o Compromising
 Aditi
o Fiercely dominating
o Lethargic in solving crisis on immediate basis
o Talkative without knowing what she is taking about-no detailing
o Moody -brings about many negative emotions with few positive
emotions
o Forcing
12. Recommendations / Suggestion
Target directions identified for Management:
 They need to live together again with an aim to give patience hearing to other
needs
 Both of them are quite grown-up persons-so no intervention of parents in crisis
time is needed-intervened by themselves only through discussion
53
 Equal Sharing of parental care of their child-distribution of role depending on
their skill and care
 Arrangement of scopes for weekend enjoyment giving emphasis on both sides
alternatively
 Instead of fault finding in other partner’s duty/role it is advisable to follow
quick solution procedure by discussion
 Always mindful to long term target to enjoy marital relationship and child’s
welfare
 No more shift to parental place in crisis time-new home is “ our home”
 At home each one has right to enjoy independence without hampering other’s
interest
Evaluation by clients of the specific changes in their
actions/behaviour:
 Mutual discussion brings easy solution of crisis and the couples canbestow
patience hearing of other’s need. It also helps them to know other more
evidently
 Absence of third man (parents/parent-in-law) intervention helps to wipe out
irritation, anger a dissatisfaction-they become more confident and also learn
how to make decision without the outside help-they feel it is also a big triumph
of them.
 Regarding parenting Saptarsi is easier to take care of child as Aditi has already
developed an over-checking behavior that turns her tired soon-so she cannot
play her role confidently-she keeps an Ayah for compensating her absence from
allotted work.
 Both of them are willing to take weekend break, sometimes they can arrange it,
sometimes fails in arranging it for weeklong dumping household work-
Saptarsi is in mood to enjoy son’s company in the evening in the adjacent
54
park/nearby open place. They make it possible sometime to go to shopping
plaza for usual daily marketing-it gives a scope to enjoy togetherness
 Now they try to solve any tiff between them without being argumentative
keeping in mind the purpose of living together.
 During the session both of them, specially Aditi restrict her from going to and
interacting with her parents –this works marvelously in their relationship as
they have no other scope except discussion between them only.
Procedure:
We made a discussion with Saptarsi and Aditi initially jointly and sometimes
individually to chalk out the plan of action on the basis of reality and evaluation of
their problem-they act accordingly and doing so Aditi had many issues to solve; she
came and discussed with us. Saptarsi followed the action as it planned. They came
20/40/35/45/60/120 days after as they/she required. Aditi has innumerable numbers of
doubts and being argumentative initially she met huge problems to sort out her own
limitations. But as she took lesson from us how to be always purposeful in life and
tried hard to confront her own crisis.
Evaluation:
Evaluation was made each 20/40/35/45/60/120 days after separately and on the 8th
session we sat for comparison of the data recorded by us and it was observed they
also could enhance their skill of staying together-specially Aditi now slowly uses to
give reasons to her quick action attitude and intolerance behaviour.
-------- ----------------------------
(Signature of the Student)
55
CASE RECORD-(6)
1. Demographic Data (Early- Adolescence and Parenting)
Name: Bibhore Goshwami
Date: 10.01.2014(First Day)
Age/DOB: 13 years
Regn. No. ……………………………
Sex: -M Informant: Parents (Both)
Education: Class-VII Ref.by: Just Dial Network
Occupation: Student
Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data-Informant (Parents)
Father’s Name: Mr Dinabandhu Goswami
Mother’s Name: Mrs. Chandrima Adhikari
Father’s Education: MSc. in Maths
Mother’s Education: MA in English
Father’s Occupation: Maths Teaching in HS School
Mother’s Occupation: English Teaching in HS School
Present Address: Uttarchara Sankarara, PO-Tamluk, Dist: Purba Medinipore,
Pin: 721636
Mobile. No. 9733037441
Income/Month: Rs 37,000/- per month (Father)
Income/Month: Rs 30,000/- per month (Mother)
56
Income/Month: Student (no income)
Family Source of Income: Service
3. Chief/ Presenting Complaints
Manipulative, telling lies
Highly disorganized
Tantrums before going to school
Watching TV
Parental Pressure to be ranked within 1-10
4. Childhood History: Development is on time-no significant problem
5. Family History: Living in a family of 4-member-parents, younger brother
and he himself-his maternal house is very near to their place-so initially Bibhore was
under their care when his parents were in service-grand-parents indulged him a lot.
Now he lives in his own family set up of four-formerly father involved in home
tuition, now after school he comes back to home-her mother school is far away from
home ; so she comes usually late in the evening. Father tries to give enough time in
bringing his two sons up after school hour.
6. Developmental history: His development is on time-no delay have been
found in age wise physical & motor and cognitive development and reflexes as told
by his parents.
7. School History: No complaint came from school till date
8. Occupational History: Bibhore is highly talkative, fascinates about
detective stories, movies and serials; cannot accept his fault easily, is less interested
to read book-impatient to read but enthusiast to listen to others; can recite and sings
well. He likes practising Maths with interest but due to impatient nature he often
commits silly mistakes. He took no interest going to school.
57
9. Behaviour Problem:
a. Restless
b. Inattention
c. Always playful
d. Highly disorganized
e. Talkative
f. Disobedient but not arrogant
10. INTELLECTUAL /PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
 Handwriting Analysis( both parents)
 O.P John BFI Assessment for both parents
 DAP by Goodenough
11. General Behaviour during Assessment
 Prompt response
 Usual mood
 Completed on time
12. Emotions & Behaviour
o Attentive
o Asked minimum times
o Can comprehend statements
o Prompt
13. Psychological Report
Graphological analysis revealed the fact that father always tries to adjust with
changing situation, not willing to take unnecessary tension, analytical but cannot
forget past episode of life-being fearful in nature he has tendency to play safe game.
58
He is choosy and introvert by nature-he feels challenging in managing his elder son,
Bibhore up to his demand.
Mother is bold type-not skilled to cope up with changing world, basically worried,
sometimes she plays unpredictably; has warmth but sensitive to criticism-has
potential but being anxiety prone she sometimes becomes less confident.
BFI by O.P John assessed Bibhore‘s father as Moralistic Types who is rule-oriented
achievers who sometimes ignore the feelings of others in order to get the job done.
Principles are more important than people to moralistic types, and they can be
equally hard on themselves. This achievement-oriented, hard-driven type has great
initiative and moves readily into positions of authority. They believe in working
with and through the system and in advancing upward through hard work. They are
unlikely to take risks, and their leadership style is likely to be seen as no-nonsense
and instrumental.
He can enjoy time with others but also time alone. Stressful and frustrating situations
are somewhat upsetting to him, but he is generally able to get over these feelings and
can cope with these situations. Average openness indicates that he can enjoy
tradition but is willing to try new things. His thinking is neither simple nor complex.
To others he appears to be a well-educated person but not an intellectual.
BFI by O.P John assessed Bibhore‘s mother as of moderate personality; indicating her
are neither a subdued loner nor a jovial gossip. She enjoys time with others but also
time alone. She has high level of agreeableness indicating a strong interest in others'
needs and well-being. She is pleasant, sympathetic, and cooperative. She is
reasonably reliable, organized, and self-controlled. Stressful and frustrating
situations are somewhat upsetting to her, but she is generally able to get over these
feelings and cope with these situations. She enjoys tradition but is willing to try new
things. Her thinking is neither simple nor complex. To others she appears to be a
well-educated person but not an intellectual.
Father is stricter than mother and Bibhore after coming back from school remains
under the control of father whereas mother is more conscious of others’ need than
59
herself-father’s achievement need is very high, so sometimes he becomes harsh to his
son to reach his expected goal.
DAP test on Bibhore describes him as assertive, forceful, ambitious persons; healthy
personality, possibly suggesting distaste for conventional; he is bit insecure,
persistent, ambitious. His behavior is generally controlled and sometimes to point of
inhibition. He has aggressive tendencies, expansive, ostentatious tendencies, feelings
of inadequacy with compensatory defenses, is possibly hyperactive. He has good
observation, detailing and sensitivity. Bibhore is generally a stable boy.
From DAP Test it revealed that his mental age is 2 years ahead of his chronological
age.
14. Identification of problems:
The information was collected partly from candidate and partly from the parents and
also partly from the assessment scale used during the process. The following are the
problems.
 Disorganized type
 Cannot hold interest for a long time
 Bit impatient and aggressive
 Developing manipulation-becoming secretive
 Under strict parenting of father
 Over ambitious parents
 Minimum friends in school
15. Recommendations / Suggestion
Target Behaviour identified for Management:
 In absence of parents he is under the supervision of ayah whom Bibhore takes
for granted
 Parents are over ambitious and likes to keep their son under strict parenting
60
 Differences of opinion of parents in presence of Bibhore
 No structural base is followed by Bibhore at home
 Parents are vocal in criticizing Bibhore at slightest mistake, no appreciation he
got from them when he really achieved something great
 Likes to talk with elder person
 Impatient and bit restless
Rewards identified-stress buster:
 He likes watchinghis favorite movie in TV
 He likes to get recognition for his activities-very goodin Drama, Recitation and
Drawing
 He likes to roam around with parents
 He likes to talk
Behaviour Package Programme:
Based on findings the behavioural package is developed for target behavior
 Either reduce the time of supervision of Ayah or father should give quality time
after his school
Father is used to give tuition to his students after school hour; as Bibhore is on the
verge of adolescence and he needs to be under intense emotional care –father as his
school is nearby should be responsible to give quality time to his child Bibhore after
school hour.
 Both the parents are over ambitious
Parenting to children demands appropriate nurturing-raising children more
rewarding
o Be honest and direct with your teen when talking about sensitive subjects such
as drinking, smoking, and sex.
o Meet and get to know your teen’s friends.
61
o Show an interest in your teen’s school life.
o Help your teen make healthy choices while encouraging him to make his own
decisions.
o Respect your teen’s opinions and take into account his thoughts and feelings. It
is important that he knows you are listening to him.
o When there is a conflict, be clear about goals and expectations (like getting good
grades, keeping things clean, and showing respect), but allow your teen input
on how to reach those goals (like when and how to study or clean)
 Differences of opinion between parents before child
Two adult persons staying together may invite conflicts time to time-it is a natural
scenario; but they both need to be respectful to each other even in quarrelling time
and before children they never turn the circumstances into a awful shape-both the
parent need to maintain it and it is advisable that they can solve their own crisis in
favourable time in absence of their children-disagreement before child only brings
insecurity and indecisiveness in child and he will grow as an immature person.
 Structure, routine and plan
As both the parents are working their child needs always a structural base to follow
whole the day- routine is important. Having an unpredictable lifestyle is time
consuming and unsettling for everyone. Young children become frustrated,
overwhelmed, and rushed when routines are frequently changing (understandably,
sometimes it cannot be helped).Day start and Day end should be structured and it
always consequences a smile-routine does not mean ‘all day work no play’-relaxation,
play and free time is always be there to bring more creativity in following routine.
 Pat, praise and reward
If a parent criticizes a child that makes him depressed and insecure-rewarding a child
for his praiseworthy work which always brings enthusiasm in him and he will be
encouraged to step forward with a happy mood-so at every small success Bibhore
should be well praised in his way-and failure of which means he will remain
deprived of having pleasure in chatting, taking part in his preferential hobbies.
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 Parents, child and his tutors’ relationship needs to be Collaborate and Cooperate
Parentsare advised to work in cooperation with Bibhore in coaching/school/home
tutors–it endorses a Bibhore in many ways:
o Healthy Competitiveness among classmates
o Discussion enhances the skill of learning
o Comparison of marks of his with others may be a boost of further development
o Studying all subjects at the beginning will give him a judgement how to put
more emphasis on subjects which seem less interested to him. Over learning is a
process of exercising/brain teasing with a less interested subject that becomes
more interesting at time.
o Collaborative supervision of senior group will give best result and Bibhore
will feel comfortable.
 Weekend enjoyment-family/friends
After a loaded week everyone needs to be happy and relaxed mood in emotional
level-so arrangement of such occasion is also essential either being around close
family members or in some other places with friends and same age group and having
fun is its own stress buster.
 Think positive and act positively
Bibhore has many creative skill-that help him to grow bit earlier as he can get scopes
to come closer to many people and also have more experiences-so nurturing his skill
will boost him to develop positively- Bibhore is blessed by almighty with lots of
originality and now it is the responsibility of his parents to lend a hand for
prosperity.
Procedure:
We made a discussion with Bibhoreand his parents and set 3 programs of
7/10days gap from one program to next with the consent of Bibhore. Each program
fabricated according to the progress of Bibhore-as he grew his program schedule
automatically altered to the next step –its aim was to facilitate his and his parents
challenging performance to modify to more adaptive behavior.
63
The candidate was advised to follow his daily routine in the organized way by
himself and parents are also responsible to take care of him at home. At completion
of each schedule he needs be appropriately rewarded by parents.
Process of relaxation is selected on the basis of likeness/demand of Bibhore.
He had been asked to sit with a working sheet for a thorough analytical discussion
after 7 /10. His gradual upgraded score cards helped his parents to be interested to
follow. The discussion helped his parents to know causes of his upgrading as a
person and also as a performer as it also increased his performance level- entire
session was continued for 3 sessions. His parents were requested to guide him
throughout his studentship following routine and Plan.
Evaluation:
Evaluation was made each 7 /10days after separately and on the 3rd session we sat for
comparison of the data of scores he obtained per successful attempt after each 7
/10days observation. It was found that his performance day by day increased with a
slow initial progress to rapid advancement at the end.
He is basically an intelligent boy and emotional type-when he observed following
daily routine would bring contentment in him as he is bit competitive and the family
set up is better than earlier he agrees to obey structural way of living and give
patience hearing to parents’ words. Parents also feel that change of their behavior to
each other and with their child only the cause of miraculous harmony in family
environment.
Warning:
Human emotion is dynamic, so deviation may happen sometimes-so parents are alert
to take care of it without being nervous and overwhelmed.
---------------------------------
(Signature of the Student)
64
CASE RECORD-(7)
1. Demographic Data (FamilyCounselling)
Name: Aditya Nag
Date: 25.01.2014(First day)
Age/DOB: 15 years
Regn. No. ……………………………
Sex: -M Informant: Parents (Both)
Education: Class-X Ref.by: Just Dial Network
Occupation: Student
Language: Bengali
Cast/Religion: Hinduism
2. Demographic Data- Parents
Father’s Name: Mr Anindya Nag
Age : 38 years
Mother’s Name: Mrs. Soma Nag
Age : 33 years
Age of second child: 6-month old( Baby)
Father’s Education: Graduate
Mother’s Education: Graduate
Father’s Occupation: Real Estate Business
Mother’s Occupation: Homemaking
Present Address: 3/37 East Mall Road
Mobile. No. 9830076226
65
Income/Month: Around Rs.1, 00, 000/- (Father)
Income/Month: Student (no income)
Family Source of Income: Promoting building
3. Chief/ Presenting Complaints
Highly ambitious Husband
No family time from husband/father
Irregular daily routine of wife
Mother’s over consciousness towards elder son
Dissatisfaction from wife side
Deteriorated study grade of elder son
Strict parenting from mother and permissive parenting from father for elder son
(Aditya)
Regular words of fighting between mother and Aditya
Overburdened by daily routine feelings of insecurity in mother
4. Family History: Anindya and Soma met each other in college days during
their degree level studies in the same college; after someday they married to each
other with the negotiation of parents. but situation had been totally changed when
Anindya’s father expelled his son after immediate marriage of him from their
ancestor house saying that he needed to establish independently now onwards and
he also divided his business from him. Struggle began and Soma was always being
there besides Anindya with full support and Aditya was born after two year of their
married life. Anindya struggled a lot and at last could establish himself as a
successful person in the same area where his father was also in the same business.
Anindya believed that his turning point of life was his father’s throwing out; at the
same type it produced a frightful experience-he always feels insecurity and exploits
his time in earning money only.
66
Soma after gaining usual life style wanted to enjoy family life and bring up her son
Aditya giving sufficient availability in shaping him up. But because of insecurity
Anindya tried for second child and birth of second child brought confinement of
Soma at home-it could not be taken easily by Soma who now suffers from depression
and becomes late in home making and also in caring her two sons.
Aditya being neglected by father who is overly busy in his profession and mother
who being depressed and anxiety prone has become an unattended boy at home and
student in school. His result is not like before and is criticized by teachers. He
himself is now a confused boy.
5. Developmental history: Aditya’s development is on time-no delay have
been found in age wise physical & motor and cognitive development and reflexes as
told by his parents.
6. School History:Till date no complaint came from school. In last exam
Aditya failed in Maths.
7. Occupational History:Aditya is anxiety prone-he is regular in school-but
he needs teachers’ help in some subjects after school hour-his mother has tendency to
compare Aditya with other boy-that irritates him very much as he tries best to do
better. After school hour his mother tries to confine him at home and does not allow
him to go outside even for minimum necessary-but he likes playing cricket/football
in the field. After the birth of his brother Aditya has less scope to go outside with
family like before –but he likes to have family fun sometimes-life becomes dull
nowadays to Aditya. Really he wants to come out from all these discomfort. Soma,
mother of Aditya being frustrated cannot believe anyone and tries to keep Aditya
under her direct vigilance by keeping him confined home only as she herself because
of second child cannot be free as before. This way mother-son relationship turns
stained and argumentative.
67
8. Problem arise:
a. Anindya-as usual always in jovial mood, enjoys life full toss with
friends and occasional drink, dislikes home environment, feels sad at the
last school result of Aditya and the behavioural change of wife Soma.
b. Soma- anxiety prone, believes in being deceived by Anindya, irritation
not being able to take care Aditya and younger child as par her demand,
frustration.
c. Aditya-anxiety prone, cannot cope up with the varying environment of
home, anxiety for having degraded marks in school exam, feelings of
insecurity, irritation being stuck at home all the day after school hour, no
outdoor play and no sharing with same age friends.
9. PSYCHOLOGICAL ASSESSMENT
Psychological Tests Used
 Handwriting Analysis( both parents)
 O.P John BFI Assessment for both parents
 DAP by Goodenough
10. General Behaviour during Assessment
Prompt response
Usual mood
Completed on time
11. Emotions & Behaviour
o Attentive
o Asked minimum times
o Can comprehend statements
68
12. Psychological Report
Graphological analysis revealed the fact that Anindya is highly ambitious and wants
to achieve fast; basically balanced and friendly he has determination to take care of
his own persuasion. Fearful in nature he does not like to be in crisis-so he has
tendency to escape from any turmoil situation instead of settling it down.
Mother keeps her in isolation; basically broad minded person-wants to enjoy life,
becoming choosy in nature. Soma being basically analytical and anxiety prone has
been suffering from anger and irritation.
Son Aditya is average performer, warm nature and ambitious-he is intelligent -he
needs intense care to do better his performance in school-by nature cultured boy and
likes socialization very much-sometimes to become unnecessary adventurous. He
becomes confused and being hopeless finding him irritated and failed in subjects he
nowadays shows anger, irritation at home with mother Soma and behaved roughly
with father Anindya-there are differences of opinions with both the parents.
BFI by O.P John assessed Aditya‘s fatherAnindya as a stable person with Persistent
Types-hard-working, stable individual who performs well in structured, rule-
governed environments. He is described by others as rule-abiding, composed,
persevering, conscientious, trustworthy, cooperative, traditional, predictable, simple,
and down- to-earth.
BFI by O.P John assessed Aditya‘s mother as a muddled type tends to be anxious
about things that lie beyond her limited scope of understanding. She protects herself
by living in the past and showing contempt for novel or foreign ideas. She is
described by son and husband as irritable, anxious, nervous, reminiscent, apathetic,
unambitious, self-centered, unreliable, and negligent.
BFI by O.P John assessed Aditya resembles to his mother as muddle type; also he is
Immature Types have a history of problems with self-discipline and self-control. He
is likely to be restless and unable to concentrate in the classroom, and therefore
performed poorly. He gradually developsas rough and uncouth as well as impulsive.
He likes thrills, adventure and action and frustrating and boring. Aditya is also
69
Scattered Types showing emotional instability that affects both his thinking and
social relationships. Internally he is inconsistent, erratic and forgetful; in groups he
turns to be impulsive, nosy, gossipy, and self-indulgent.
13. Recommendations / Suggestion
Target Behaviour identified for Management:
 As Anindya is head of family he needs to know pay patience hearing to the
members of his family
 Anindya instead of escaping from situation needs to solve the problem in family
affair
 Soma being anxiety prone and irritated needs to be under CBT time to time to
know how to lead a satisfying life
 Aditya being an adolescent boy needs to be under behavior modification
technique as he is immature, scattered and anxiety prone
Rewards identified-stress buster for Soma and Aditya:
For Soma:
 Making scopes for enjoying life in her way: family time, shopping in Mall and
organization of interior of her residence/flat
For Aditya
 Week end family enjoyment
 Arrangement of time bound out- door game
 Watching TV for his own preferred programme
 Make his friends to come at home for indoor game.
Cognitive Behaviour Package Programme:
For Anindya:
 Taking the emotional responsibility of family
Anindya being a stable person, sometimes misses the clues, so he needs to give time
for analysis of the behavior of his family members separately. If he is careful he can
70
realize the crisis that generates in his family and if he realizes he can solve
appropriately-Anindya is required to be attentive in the role of head of the family
and only then he can put the crisis end.
 Demand for more emotional connection with the family members
Anindya loves socialization and is a busy fellow- but family likes to be emotionally
connected with him – family members also like his company; Anindya needs
reciprocating emotionally with them.
 As father and as husband
Two roles are different- as husband Anindya needs to give importance to the words
of wife Soma-understanding husband will be able to create win-win situation
instead of forcing husband. As father he needs to know every bit of his son Aditya
who is an adolescent, he needs father figure in his life for guidance and counseling-
his availability to his son’s life is very crucial at this phase. Anindya as a stable
person and successful professional has capacity to guide his son appropriately-only
criteria is that he needs to give specific time for this.
For Soma
 Distribution of job
Soma likes homemaking by herself only-it is impractical approach and being the
mother of two sons she needs to distribute job to her domestic help as otherwise it
brings everything haphazard, incomplete, not up to the standard and also irritation.
Soma needs to learn how to prioritize her daily work.
 Be hopeful-nothing is impossible in life-may be you are late in achieving
Anything can happen on any day-nothing is impossible-so it is advisable to be
hopeful-one can miss the chance of today-but tomorrow is there-so hope is there.
Soma is always anxiety prone-she needs to have cognition that can be brought by his
husband in a family set up-continuous empathetic approach of her husband will be
beneficial to her emotional health-she needs to be always hopeful what she expects
that she can achieve oneday in future-her husband is responsible to give her the
scopes to achieve it.
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
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-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
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-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
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-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
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-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1
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-Rehabilitation Psychology Internship file by dr rupa talukdar-final-1

  • 1. Project Report Indira Gandhi National Open University Submitted to IGNOU in Partial fulfillment for award of Diploma in Rehabilitation Psychology (2012- 2013) By Dr. Rupa Talukdar PGDREPYDL, Enrol. No. 127577569 VISION INSTITUTE OF ADVANCED STUDIES Plot No. 4, PocketA-1, Sector-8, Rohini, Delhi-110085 INDIRA GANDHI NATIONAL OPEN UNIVERSITY, NEW DELHI
  • 2. 2 VISION INSTITUTE OF ADVANCED STUDIES, NEW DELHI POST GRADUATE DIPLOMA IN REHABILITATION PSYCHOLOGY Certified that this is a bonafide record work done by DrRupaTalukdar with Enrolment No. 127577569 towards Internship for the Third Semester of the course Post Graduate Diploma in Rehabilitation Psychology (PGDREPYDL), held by Indira Gandhi National Open University, New Delhi, December, 2013. DIRECTOR STAFF IN-CHARGE EXAMINER HEAD OF THE DEPARTMENT
  • 3. 3 Acknowledgement I must be thankful to IGNOU to offer a course like this (PGDREPYDL) to the student like me who wanted to change her profession after a long period just because she liked to explore the world around in more than single way. During the upbringing period of my son I was advised to know some psychological reasons of the behavior of a child-it was the first entry of me to the world of Psychology-it gave me immense pleasure – this was the first time I took interest to know the subject in detail-a big challenge to manage a problem whose root is psychological and management is the only weapon to keep the problem away-my son first helps me appreciating ‘life is beautiful’-so I am grateful to My son. , an organization who works on people suffering from psychological anguish–I am also thankful to it for giving me scope to continue my 6-Month internship period and also to deal with people analytically-the staff of the organization were equally helpful to write a full time project on INTERNSHIP without them it could not be happened. I am thankful to my supervisor giving me his/her precious time for guiding me. Last not the least I am grateful to my family to be with me in the entire process of my living with the project. DrRupaTalukdar …………2014, Kolkata
  • 4. 4 To my beloved son Ritam Talukdar, who inspires me topick up this blissful vocation
  • 5. 5 CONTENT Sl. No. Items Page No. 1. Organizational Structure 6 2. Daily Schedule 8 3. Date Wise Job Report 9 4. Brief Introduction Of The Tests i. Interview ii. DAP iii. Ink-Blots iv. TAT v. Big-Five vi. Behaviour Modification vii. CBT viii. AMS 10 10 11 12 13 13 14 16 17 5. Case Records 1. Case 1 2. Case 2 3. Case 3 4. Case 4 5. Case 5 6. Case 6 7. Case 7 8. Case 8 9. Case 9 10. Case 10 18 23 31 39 48 55 64 75 84 91 6 References 99
  • 6. 6 Organizational Structure , a centre of psychological wellbeing and rejuvenation works on common people who are psychologically alienated. The AIM: The aim of the organization is to keep harmony in the life of community people who have psychological dilemma in systematizing life as per demand. Objectives:  To enhance the skill of living  To find out the strength  To cultivate strength for better pursue of life  To share the findings by publishing articles  To develop literature for popularizing the ideas of alternative way of living  To establish a DAY-Care Centre for the children who need to enhance life skill  To train parents/support group of special children Permanent Staff Sl. No. Post Name & Qualification Areas of Interest Assignments 1 Chief Executive Counsellor Dr Rupa Talukdar, MSc. Chemistry Phd, Chemistry, MS in Counselling & Psychotherapy, Graphologist Education, Career Relationship, Parent-Child Depression Finding the way of different frames of references to develop appropriate model for a particular cause 2 Psychotherapist Pritha Banik, MSc (Applied Psychology), PGD in Guidance and Counselling, Graphologist Behaviour Modification( BM), Assessment( Paper-Pencil) and CBT Noting down different Behaviour Modifications (BM) Techniques according to crisis
  • 7. 7 Sl. No. Post Name & Qualification Areas of Interest Assignments 3. Graphologist Susmita Mukherjee, MS in Counselling & Psychotherapy, Graphologist In-charge of Projective Test, Giving alternative way by changing strokes of letters- called Grapho Handwriting, DAP, Grapho- Draw therapy for BM. 4. Graphologist Mrs Sunira Singhi, MS MS in Counselling & Psychotherapy, Graphologist In-charge of Projective Test, Handwriting, DAP, Grapho- Draw Giving alternative way by changing strokes of letters- called Grapho therapy for BM. 5. Front Office Mrs Minu Mitra, PGD in Counselling Make people who come comfortable before meeting Counsellors and note down the details of them Providing papers for recording details of counselees, assessments and projective tests and tele-communication with the prospective clients 6. Psychologist Mrs Ushna Pal chowdhury Helping in assessments and managing child counselees Taking the note of observation specially child behavior during the session. 7. Helper Ms Maya Sen Office work Arranging refreshment, Xerox, record files etc. Contract and Outsourced Staff Sl No. Post Name & Qualification Areas of Interest Assignments 1. Computer Data communicator Dr Aparajita Laha, Homeopath Doctor and Graphologist Preserve the Clients’ Record and Database Helps to supply details of counselees and in- charge of the publication of newsletter of Organization 2 Art Therapist Chandrima Guharoy, Teacher &an Established Painter Acts as an art therapist for the children In Group counseling of children and Youth Awareness Programme she takes initiative to organize entire progrmme
  • 8. 8 Daily Schedule Sl No. Time Work 1. 12 noon Centre Opening 2. 12.30pm-4pm  Registration  Case History  Assessment  Behaviour Modification  Counselling 3. 4pm Tiffin Break 4. 4.30pm- 6.30pm  Registration  Case History  Assessment  Behaviour Modification  Counselling  Recording the data in Computer Data Base 5 6.30-7pm  Discussion among the staff  Note down the next day priority  Get ready the paper work for paper/magazine/project work publication
  • 9. 9 Date wise Job Report Date Brief Description of the Chief Complaints 01.11.2013 Case Study-(1)-Forgetfulness-feeling sleepy; Lack of concentration; Weird thoughts inspired her to draw-avoidant; Lacks confidence; Only likeness in Physical Science ( Physics and Chemistry)-she has difficulties in managing other subjects; School results not up to her own previous standard( which is highly impressive) 04.11.2013 Case Study-(2)-No job satisfaction; Always worried-insecure, overburdened; Repeated thought process; Degraded emotional relationship with wife –no conjugal life; less enthusiasm to get back from crisis-depressive mood 18.11.2013 Case Study-(3)-Slow depression-low self esteem; Competitive mindset Confused, skeptical-likes to change very frequently (first change done); High ambition-restless in approach; Never satisfied soul- always anxiety prone 04.12.2013 Case Study-(4)-Extremely restless and always playful; Likeness in fast food; Inattentive- cannot study at a stretch-not even for half an hour; Complaint from school –because of class disturbances; Procrastination 17.12.2013 Case Study-(5)- Disharmony in marital relationship; Fiercely Self – right conscious (Aditi); Differences of opinions in every aspects of joint living; No understanding from Aditi’s side-argumentative, always bring parents in their tiff-suffering from insecurity; Aditi develops cleanliness habit-rigid to follow her own opinion-finds no harm of it on others; After marriage Aditi has habit to live with parents for three days and parents-in-law place for another three days regularly; Maladjustment ( Aditi) 10.01.2014 Case Study-(6)-Manipulative, telling lies; Highly disorganized; Tantrums before going to school; Watching TV; Parental Pressure to be ranked within 1-10 25.01.2014 Case Study-(7)- Highly ambitious Husband; No family time from husband/father; Irregular daily routine of wife; Mother’s over consciousness towards elder son; Dissatisfaction from wife side; Deteriorated study grade of elder son; Strict parenting from mother and permissive parenting from father for elder son( Aditya); Regular fighting between mother and Aditya; Overburdened by daily routine feelings of insecurity in mother 03.02.2014 Case Study-(8)- Addicted-marijuana/alcohol; Low self esteem; Inattentive in study; Many friends; Busy with mobile-always busy in talking; Rough and rude attitude; Not at all respectful to seniors; Stay nearby pool/other solitude places at dead night; No target, no aim in life 19.03.2014 Case Study-(9)-Depression; Lack of motivation; Anxiety; Anger 20.04.2014 Case Study-(10)- Depression; Restlessness; No peace of mind; Feelings of detachment from family (wife and son); Conflict with anyone at slightest cause of dissonance; Trust problem
  • 10. 10 Brief Introduction of the Tests Interview (Clients and Informants)- An interview is a face-to-face technique of obtaining information for a variety of purposes.  It helps to build rapport by securing the trust and confidence of the interviewee  It is a therapeutic device along with being an information obtaining device  It is non-judgemental and non-evaluative  It is unconditional acceptance  This process helps counselor to clarify, interpret and understand the counsellees’ feelings, ideas and longings: o The counselees may appear to be rambling in his conversation which may seem senseless o The counselors may obtain a significance insight when reviewing opening and closing remarks o When counselees refers to a particular idea or experience in the course of counseling it may be of special significance o Counselors may note down the inconsistencies and gaps in the process that could suggest resistance or traumatic experiences  The non-verbal part of interview helps counselor to develop insight into problem areas or disturbances in the clients. It includes gestures, like body movements, smiling, blushing, weeping and other postural movements, scratching the head, resting the face on the hand, crossing the arms across the chest, cracking the knuckles, fiddling with fingers, rubbing the thumb with finger, closing the nostrils or placing the index finger on the nostril, biting the index finger, biting the lip, holding the chin, playing with such things e.g., key chain, ring, pencil etc.
  • 11. 11 Projective Tests (Handwriting, DAP and Grapho-Draw)-The psychological analysis of handwriting, or graphoanalysis, consists in the study and practice of advanced graphological techniques which offer a scientific interpretation of an individual’s personality based on handwriting and, in part, on doodles and drawings. Through a graphoanalytical personality diagnosis, one can obtain the percentile of the predominant temperament as well as character and psychoanalytical combinations, making it possible to offer a complete report on the psychosomatic, volitional, moral, intellectual and mental characteristics of the piece of writing being examined. About DAP- Definition: Typically used with children, the subject is asked to draw a picture of a man, a woman, and themselves. No further instructions are given and the pictures are analyzed on a number of dimensions, aspects such as the size of the head, placement of the arms, and even things such as if teeth were drawn or not are thought to reveal a range of personality traits (Murstein, 1965). The personality traits can be anything from aggressiveness, to homosexual tendencies, to relationships with their parents, to introversion and extroversion (Machover, 1949). There are many versions of the test, we use Goodenough -Goodenough first became interested in figure drawing when she wanted to find a way to supplement the Stanford-Binet intelligence test with a nonverbal measure. With the Draw a Person test as a base, a number of other tests (Grapho-Draw)have developed using figure drawing as a personality assessment tool. For example, the House-Tree-Person test similarly just asks the person to draw those three objects and then inquires about what they have drawn. The questions asked for inquiry include what kinds of activities go on in the house, what are the strongest parts of the tree, and what things make the person angry or sad. The KFD (Kinetic Family Drawing) tells the drawer to draw their family doing something (Murstein, 1965).
  • 12. 12 All of these tests have the important element of not only the assessment of the pictures themselves, but also the thematic variables involved. Every figure drawing test asks the drawer to include some kind of description or interpretation of what is happening in the picture. These elements are also analyzed accordingly (Weiner & Greene, 2008). Advantages: o Easy to administer (only about 20-30 minutes plus 10 minutes of inquiry) o Helps people who have anxieties taking tests (no strict format) o Can assess people with communication problems o Relatively culture free o Allow for self administration Disadvantages: o Restricted amount of hypotheses can be developed o Relatively non-verbal, but may have some problems during inquiry o Little research backing Ink blots (Rorschach)- The Rorschach Inkblot Test is a projective psychological test consisting of 10 inkblots printed on cards (five in black and white, five in color) created in 1921 with the publication of Psychodiagnostik by Hermann Rorschach. During the 1940s and 1950s, the test was synonymous with clinical psychology. Throughout much of the 20th century, the Rorschach inkblot test was a commonly used and interpreted psychological test. In surveys in 1947 (Louttit and Browne) and 1961 (Sundberg), for instance, it was the fourth and first, respectively, most frequently used psychological test. Despite its widespread use, it has also been the center of much controversy. It has often proven to be difficult for researchers to study the test and its results in any
  • 13. 13 systematic manner, and the use of multiple kinds of scoring systems for the responses given to each inkblot has led to some confusion. Thematic Apperception Test (TAT) – There are 20 TAT cards, but it is common practice to administer 8-12 selected cards. It is advisable to use the same core battery of cards in a standardized sequence, with cards added based upon the specific referral question and the “pull” of the card. Organize the cards in numerical sequence before you begin to administer the test. Even though some of the cards are gender-specific, the following combination of cards is recommended as cards that yield the richest stories.  Female: 1, 2, 3BM, 4, 6GF, 7GF, 8BM, 12M, 13MF and 16  Male: 1, 2, 3BM, 4, 6BM, 7BM, 8BM,12M, 13MF, and 16 Instructions: Instructions for adults are: (Murray, 1943)-“I am going to show you some pictures, one at a time, and your task will be to make up a story for each card. In your story, be sure to tell what has led up to the event shown in the picture, describe what is happening at the moment, what the characters are feeling and thinking, and then give the outcome. Tell a complete story with a beginning, middle, and end. Do you understand? I will write your stories verbatim as you tell them. Here’s the first card.” Big Five Indicator (BFI)-Personality Test by John, O. P., & Srivastava, S.(1999)- 44-item inventory that measures an individual on the Big Five Factors (dimensions) of personality (Goldberg, 1993). Each of the factors is then further divided into personality facets. The big five personality traits can be summarized as follows:  Neuroticism - A tendency to easily experience unpleasant emotions such as anxiety, anger, or depression.
  • 14. 14  Extroversion - Energy, surgency, and the tendency to seek stimulation and the company of others.  Agreeableness - A tendency to be compassionate and cooperative rather than suspicious and antagonistic towards others.  Conscientiousness - A tendency to show self-discipline, act dutifully, and aim for achievement.  Openness to experience - Appreciation for art, emotion, adventure, and unusual ideas; imaginative and curious. These traits are usually measured as percentile scores, with the average mark at 50%; so for example, a Conscientiousness rating in the 80th percentile indicates a greater than average sense of responsibility and orderliness, while an Extroversion rating in the 5th percentile indicates an exceptional need for solitude and quiet. Management-Behaviour Modification- Impairment in adaptive behavior often leads to disability in appropriate performance in social zone-these terms as either deficit behavior or an excess behavior. Any person when lacks adaptive behavior s/he develops inability to cope up with environment. These are called Behaviour Deficit-persons having coping incapacity has to be learnt or deficit has to be made up for effective functioning. There five major steps in implementing a Behaviour Modification programme for undesirable and deficit behaviours:  Indentification of the problems  Defining target behaviours  Behavior recording( baseline and treatment)  Functional analysis  Treatment procedures & their evaluation.
  • 15. 15 Behaviour Modification for Decreasing Undesirable Behavior: The techniques can be classified as follows:  Restructuring the environment  Extinction  Punishment o Time out o Response cost o Over correction o Aversion  Differential Reinforcement Behaviour Modification for increasing desirable Behavior: Behavior is often determined by its consequences. We tend to continue a particular behavior if its consequences are pleasant. Parents, teachers make children learn by encouragement, praise and rewards-which are known as reinforcement. Reinforcement is defined as any event which when followed by a behavior strengthens the probability or the frequency of occurrence of that behavior- reinforcement does not mean something nice or pleasant-it is any event which increases the probability of a particular behavior.. There are three types of reinforces,  Primary reinforces: food, drink, sleeps etc.  Secondary reinforces: token, cards points-which can pair with a primary reinforces  Social reinforces: it acts at the emotional level, attention, praise, smile, pat, hugging etc. All the techniques mentioned for increasing desirable behavior are always used in combination in teaching new skills.
  • 16. 16 Cognitive/Behavioural Therapy CT/CBT- Cognitive Therapy focuses on changing dysfunctional cognitions (thoughts), emotions and behavior. Individuals with depression, anxiety and other emotional disorders have maladaptive patterns of information processing and related behavioural difficulties. The target of cognitive therapy is the identification of negative or distorted automatic thoughts which are frequently based on faulty logic or errors in reasoning. CT helps clients recognize and change the cognition errors which are called cognition distortions. Procedure of CT: 1. A strong therapeutic relationship is encouraged between client and therapist 2. This relationship is collaborative as the two in relationship need to work together as a team 3. In the early phase focus in on the establishing a good relationship and on teaching the clients the basic principles of the treatment approach. 4. Therapy is more often focused on the here and now is directed at specific problems of areas of concerns 5. The middle portion of therapy is means to modify dysfunctional patterns of information-processing and behavior 6. Frequently used cognitive interventions and thought 7. Recording, identifying, cognitive errors 8. Examining the evidences 9. Developing rational alternatives A number of behavioural techniques are used,  Activity scheduling  Graded task assignments  Desensitization
  • 17. 17 The final phase of treatment reinforces skills learned earlier in therapy and in preparing the clients for managing problems on their own. Achievement Motivation Scale (AMS) - by Dr Shah Beena Currently TAT technique has been used by Various Psychologists like McClelland et al., (1953). Hurley91955), Heckhausen(1963) and Morgan(1964), to measure need for achievement(n-ach). But this effort raised controversies with TAT technique itself. Some other psychologists like French and Thomson (1958), Aronson (1958) etc. had used the verbal cues instead of picture cues. Although, self-rating method either direct or indirect has been a subject of criticism yet, several recent inventories have been coached in this manner by various researchers. Some efforts have also been made by Indian Psychologists and Educationists in the construction of n-ach, test e.g., Mukherjee(1965), Aaron(1969), Mehta(1969), De and Singh(1970), Pandey and Singh(1971), Kureshi(1972) and Bhargava(1984). B Hut, all these used either TAT or Self-rating methods. After going through some studies, e.g., Entwistle(1968), Rusell(1969) and Schlesser and Finger(1972), the following four factors of need for achievement motivation were chosen to develop the ‘Achievement Motivation Scale’- 1. Need for Academic Success 2. Need for Vocational Achievement 3. Need for Social Achievement 4. Need for Skill Achievement
  • 18. 18 CASE RECORD-(1) 1. Demographic Data (Adolescent) Name: Sohini Mukherjee Date: 01.11.2013(First Day) Age/DOB: Born in Dec, 1999 Regn. No. Sex: -F Informant: Parents Education: Class-XI Ref.by: Just Dial Network Occupation: Student Language: Bengali Cast/Religion: Hinduism 2. Demographic Data (Parents/Guardians) Father’s Name: Mr Kanai Mukherjee Father’s Education: B Tech Engineer Father’s Occupation: Service Mother’s Name: Kanak Lata Mhkherjee Mother’s Education: Graduate Mother’s Occupation: Homemaking Present Address:--56/1B Sitaram Ghosh Street, Kolkata-700009 Mobile. No. 9836207053 Income/Month: Rs 67, 900/- per month Source of Income: Service
  • 19. 19 3. Chief/ Presenting Complaints  Forgetfulness-feeling sleepy  Lack of concentration  Weird thoughts inspired her to draw-avoidant  Lacks confidence  Only likeness in Physical Science ( Physics and Chemistry)-she has difficulties in managing other subjects  School results not up to her own previous standard( which his highly impressive) 4. Childhood History: Development is on time-no significant problem 5. Family History: Living in a family of 4 members-parents, she and her grandfather-her mother is bit anxiety prone, father is busy in profession-grandfather is too old to be active-she is close to her mother with differences of opinions-they both are very argumentative. 6. Pedigree Chart: Regularity was maintained as told in the chart-immunization had been taken appropriately 7. Developmental history: Her development is on time-no delay had been found in age wise physical &motor and cognitive development and reflexes. 8. School History:In early childhood days her performance was extremely good, but nowadays she cannot cope up with study pressure-her performance in some subjects is really poor. 9. Occupational History: She is regular in classes, has leadership skill-is interested to know more about cosmic evaluation-it becomes her passion and she is eager to explore cosmic world.
  • 20. 20 10. Behaviour Problem: Sometimes she remains depressed and before exam she becomes nervous of not being able to complete the syllabus. 11. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used Handwriting Analysis, Social Style Assessment, O.P John BFI Assessment a) General Behaviour during Assessment  Attentive  Inquisitive  Tries to understand on own  Sometimes asked for more detail b) Emotions & Behaviour Not in hurry; responded being composed. 12 . Identification of problems: The information was collected partly from parents and partly from the candidate herself and also partly from the assessment scale used during the process. The following are the problems.  Analytical soul-keeps on analysis-head over heart attitude, more ambitious, sometimes cannot cope up with situation/classmates/study pressure-shows rough and rude attitude-intelligent but extremely anxiety prone  Her assertiveness is low and so also social responsiveness-always stays after to be correct frame of mind.  Expanded soul and high demand to know more of her preferred option; average agreeableness with moderate motivation-but she prefers stay after constant digging into matter which she likes. Highly anxiety prone and sometimes she absorbs so much that cannot come out easily-instable and too much sensitive.
  • 21. 21 13. Recommendations/ Suggestion Target Behaviour identified for Management:  Extremely anxiety prone  Scattered type-disorganized  Competitive attitude  Shocked easily by the unpleasant remarks/comments of others  Intolerance –sometimes rough and rude attitude Rewards identified:  She likes to be praised for her achievement  Loves study on cosmology at a stretch  Passionately likes to write as well as read poetry  Loves travel Behaviour Package Programme: Based on findings the behavioural package is developed for target behaviour  Organized way of living: During study hour at home she needs to arrange a ROUTINE –always needs to be organized  Reward offering: For her every success she needs to be rewarded by mother according to her way of likeness  Source of Relaxation: Hobby practice  Cognitive counseling Procedure: Parents and also the candidate were asked to follow the task which we put after discussion with Sohini in a sheet mentioning date and time. The candidate was advised to strictly follow her daily routine in the organized way with the help of her mother as she is responsible to take care of her at home. At completion of each
  • 22. 22 schedule she should be appropriately rewarded consistently- Sohini is required to grow always with a plan-as she is basically scattered type. Weekend relaxation or in between two hard works she needs to have bit pleasure/indulgence as that brings her anxiety to come down for a moment which is very essential to have for a extremely anxiety prone adolescent like her. Praise/reward/indulgence is selected on the basis of likeness/demand of Sohini. She had been asked to sit with the working sheet for a thorough analytical discussion after each 20 days with us. The discussion helped her to know her upgrading as a person and also as a student as it simultaneously also increased her performance level- entire session was continued for 8 sessions. Evaluation: Evaluation was made each 20 days after separately and on the 8th session we sat for comparison of the data of scores she obtained per subject after each 20 days observation. It was found that her performance level at home tutor and also in school unit tests were improving day by day from a slow initial progress to rapid advancement at the end. She is basically an intelligent girl and competitive type-when she observed following daily routine would bring good score in exam she developed a highly assertive attitude and tried to follow it at best. She also likes to have praise for her achievement –her mother was attentive to give her appropriate reinforcement after each achievement that also bought extra mileage to the mother-daughter joint effort. Sohini’s score card’s gradual up-gradation reflects the success of CBT. ---------------------------------- (Signature of the Student)
  • 23. 23 CASE RECORD-(2) 1. Demographic Data (Adult) Name: Arindam Guha Date: 04.11.2013(First Day) Age/DOB: Born in March, 1978 Regn. No. Sex: -M Informant: Wife Education: MBA Ref. by: Just Dial Network Occupation: in Service Language: Bengali Cast/Religion: Hinduism 2. Demographic Data-Informant (Wife) Wife’s Name: Priti Guha Wife’s Education: Graduate with specialization in Public Relation Wife’s Occupation: Service Present Address:--13, Kalupara lane, Salkia, Howrah-711106 Mobile. No. 033 2655 7962 / 9836276464 Income/Month: Rs 80,000/- per month (His) Income/Month: Rs 30,000/- per month (Her) Source of Income: Service (both) 3. Chief/ Presenting Complaints No job satisfaction Always worried-insecure, overburdened Repeated thought process
  • 24. 24 Degraded emotional relationship with wife –no conjugal life Less enthusiasm to get back from crisis-depressive mood 4. Childhood History: Development was on time-no significant problem 5. Family History: Living in a family of 4 members-parents, wife and he himself- his family members are very supportive-specially wife; she tries her best to recover his original emotion which was very passionate and bright. He married a lady out of love after 7-year courtship-during the time he was very gentle and soft-spoken- now becoming irritated and pre-occupied. 6.Developmental history: His development is on time-no delay had been found in age wise physical & motor and cognitive development and reflexes as told by his wife. 7.School History: He was bit aggressive type in school days-bit anxiety prone-but was always a good performer in examination 8.Occupational History: No job for a year-very recent, three months ago joining a private sector with an expected salary-but he has been suffering from repeated thought process since joining-recheck gets him late in execution and also irritated him at the time of fast response. In his college life he also had this type of repeated thought that his wife did not know previously. One and ½ year back he develops same symptoms of anxiety, repeated activities even for a minor cause, say, placing the glass on a Dining Table repeatedly etc. Only when he is extremely busy in office he can consciously avoid it -not allowing himself to act repeatedly. He thought that leaving the previous job without having alternative might be the triggering factor of his present unwanted irritated activity. 9.Behaviour Problem: Always in depressed mood, no enthusiasm and has developed an insecurity finding him incapable to stop his repeated activities when
  • 25. 25 he has no busy schedule. He has no active family life with his wife and becomes less confident. 10. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used Handwriting Analysis, O.P John BFI Assessment a) General Behaviour during Assessment  Impatient  Restless  Turn over the next page keeping incomplete the previous page time to timehe did it again when counsellor marked it. b) Emotions & Behaviour Partly willing to attend the assessment Comprehends the statement Sharp in respond Tendency to complete in hurry 11. Psychological Report Graphological analysis revealed the fact that he became unexpressive, silent and withdrawal; physically stressed, kept himself separated from close relations and turned into apprehensive. BFI by O.P John assessed him as a highly instable person with low self motivation skill; non-assertive in approach with high agreeableness. He is other-directed type who is easy-going, somewhat lazy drifters from his own opinions and principles. He is basically relaxed, outgoing, and unlettered. High instability and low consciousness make him emotional. He is in touch with both positive and negative feelings. He can be easily considered as sentimental, affectionate, sensitive, soft, passionate, romantic,
  • 26. 26 feminine, emotional, and gullible. He is also scattered types showing emotional instability that affects both their thinking and their social relationships.  Internally he is inconsistent, erratic and forgetful;  In groups he can be impulsive, nosy, gossipy, and self-indulgent.  On the job, his unpredictability may annoy co-workers and supervisors. Being intelligent he can understand his own faults and strength-but could not be goal/target oriented. He is really hanker for HELP as he thinks he is dominated by second mind neglecting original emotion that wants to get rid of second. 12. Identification of problems: The information was collected partly from wife and partly from the candidate himself and also partly from the assessment scale used during the process. The following are the problems.  Suffering from repeated activities-always and everywhere  On and off day/holiday no social life-avoids house-keeping, interested to sleep at a stretch without bothering others’ need-but no sound sleep  No family life-avoids communication with other members  No enthusiasm-depressive mood 13. Recommendations/ Suggestion Target Behaviour identified for Management:  Extremely anxiety prone  Scattered type-disorganized  Non-assertive  Over burdened by job pressure  Insecurity
  • 27. 27 Rewards identified-stress buster:  Music-Hindi/Bengali listener  Cricket and Soccer lover  Party lover-free of all anxiety Behaviour Package Programme: Based on findings the behavioural package is developed for target behavior  Simplify-helping him to come out from job pressure Cut his to-do list in half-just by asking him this question after every item: “Will I die tomorrow if this doesn’t get accomplished?” The answer will be obviously ‘No’. Every morning he needs to immediately jot down his to-do list. Once he experiences the first heart palpitation, the list gets cut in half.  Prioritize Let’s say he has got five huge work projects due next week, two commitments promised to son, to his parents’ overdue taxes on his desk, his wife’s 36th birthday celebration to plan, and his sister’s computer to fix. What does he does then? He needs record all the tasks on a sheet of paper or on his computer and he gives each one a number between 1 and 10: 10 being the most important (life threatening as he uses to think so) to one (stupid bloody thing he likes to sign up for). He needs to start with the 10s. If he never gets beyond the 8s, that’s also okay initially and beyond 5 is absolutely appropriate.  Use Pencil, Not Pen-helping him to be flexible If he relies on his to-do list as much as he does, then he’ll want to start using pencil instead of pen. Because one important stress buster is to try to stay as flexible as he can. Things change! And change is not his enemy, even though his brain categorizes it as such. He wants to be able to erase a task or reminder at any time, because who the heck knows what his day will be like.
  • 28. 28  Please think a little-coming out from anxiety ‘Know your limitations’ as it’s not required to join human race which means surrendering to limitations and conditions-no human being is super hero implying supernatural qualities and capabilities.  Collaborate and Cooperate He is advised to work in cooperation with others in job place and also in family front as it is natural –it endorses a person in many ways: o More work can accumulate in a collaborative way o All are responsible for the work done o Every individual can have scope to execute different projects at a time o Growth of an Institute/ House/Individual will be multi-dimensional  Laugh, Party and gathering After a loaded week everyone needs to be happy and relaxed mood in emotional level-so arrangement of such occasion is also essential either being around close family members or in some other places with friends and same age group as chronic & severe stress have chances to damage organic systems of our body-humour and laugh can heal it.Laughter can also boost the immune system, as it has been found to increase a person’s ability to fight viruses and foreign cells, and reduce the levels of three stress hormones: cortisol, epinephrine, and dopac. And having fun is its own stress buster.  Exercise Exercise relieves stress in several ways. First, cardiovascular workouts stimulate brain chemicals that foster growth of nerve cells. Second, exercise increases the activity of serotonin and norepinephrine. Third, a raised heart rate releases endorphins and a hormone known as ANP, which reduces pain, induces euphoria, and helps control the brain’s response to stress and anxiety. A quick stroll in the morning or in the evening might be just enough to tell the stress hormones in blood to scatter.
  • 29. 29  Stop cope up with everywhere( Juggling) Some multi-tasking is inevitable in our rushed culture. But do we really have to simultaneously having dinner, talk to wife, help with project work, and check e- mail? If collaborative work is maintained in some places in life (domestic help, peon, and driver in some cases) any one can act more efficiently (chewing mouth freshener while writing at computer is harmless multi tasking).  Build Boundaries-assertive way of living “Speaking of activities, get some boundaries, ASAP”–are meaning designate a place and time for certain things so that brain doesn’t have to wear so many hats at the same time. He needs to stop when he feels it is not either required/his part of work/should not be requested by his higher authority/sister/parents as it is not due to him. If anyone tries to live assertive way of living his brain is adjusted nicely and appreciated the notice of when and where each hat was required, and it actually started to relax a tad.  Think Globally Globally opens up a wide horizon to look through the personal problem with respect to others living miles apart and feelings of insecurity will be vanished after comparison. “What he means here is a simple reminder that compared to other problems in the world today (abject poverty in Somalia or Cambodia) the things that he stresses about are pretty minor. In other words, if he shifts his perspective a little, he can see that there are far worse dilemmas than mine”. Procedure: Arindam was asked to follow the task which we put after discussion with Arindam in a sheet mentioning date and time. The candidate was advised to strictly follow his daily routine in the organized way with the help of his wife and himself as she is also responsible to take care of him at home. At completion of each schedule he should be appropriately rewarded consistently with stress busters. Arindam is required to grow always with a plan-as he is basically scattered type. Weekend relaxation he needs to have in his preferred but checked forms as that brings
  • 30. 30 hisanxiety to come down for a moment that is indispensable to have for an extremely anxiety prone adult like him. Process of relaxation is selected on the basis of likeness/demand of Arindam. He had been asked to sit with a working sheet for a thorough analytical discussion after 20 /30/45/60 days. The discussion helped him to know his upgrading as a person and also as a performer as it also increased his performance level- entire session was continued for 4 sessions. Evaluation: Evaluation was made each 20 /30/45/60 days after separately and on the 4th session we sat for comparison of the data of scores he obtained per successful attempt after each 20 /30/45/60 days observation. It was found that his performance day by day increased with a slow initial progress to rapid advancement at the end. He is basically an intelligent boy and competitive type-when he observed following daily routine would bring comfortable feelings he developed a highly assertive attitude and tried to follow it at best. He also likes to have stress buster for his achievement –his wife was attentive to give his appropriate reinforcement after each achievement that also bought extra mileage to the husband-wife joint effort. At each counseling session he confessed that he could increasingly overpower his second mind confidently. Arindam’s score card’s gradual up-gradation reflects the success of CBT. ---------------------------------- (Signature of the Student)
  • 31. 31 CASE RECORD-(3) 1. Demographic Data (Young Adult) Name: Arunangshu Das Date: 18.11.2013 Age/DOB: 21 years Regn. No. …………………………… Sex: -M Informant: Dr Shitangshu DasEducation: BBA ( IEM in Servic , Kolkata) Ref.by: Physician Occupation: Student Language: Bengali Cast/Religion: Hinduism 2. Demographic Data-Informant (Elder Brother) Elder brother’s Name: Dr Shitangshu Das Brother’s Education: Dentist Brother’s Occupation: Attached with many Nursing Home and practising Present Address: G/5, Bediadanga Lane, Kolkata: 700039 Mobile. No. 8013867098 / 8013867098 Income/Month: Rs 65,000/- per month (His brother) Income/Month: student (no income) Family Source of Income: Service and practice (both) 3. Chief/ Presenting Complaints Slow depression-low self esteem Competitive mindset
  • 32. 32 Confused, skeptical-likes to change very frequently (first change done) High ambition-restless in approach Never satisfied soul-always anxiety prone 4. Childhood History: Development was on time-no significant problem 5. Family History: Living in a family of 4 members-parents, Elder brother and he himself-his family members are very supportive-both the parents were in service but now retired and stayed at home only. Elder brother Shitagshu is head of the family and he organizes everything in home front; Arunagshu, the younger brother of Shitagshu is a student of BBA in IEM, Kolkata. Previously they lived in Chittaranjan, outskirt of Kolkata. 6. Developmental history: His development is on time-no delay had been found in age wise physical & motor and cognitive development and reflexes as told by his elder brother. 7. School History: He was like general student till Class-V, after that he became depressive seeing his elder brother very good in studies and got chance in Medical; as in ordinary middle class family people also praised his brother that also brought competitive mindset in him and he became anxiety prone and thought himself as letdown to follow brother’s trail. 8. Occupational History: He himself believed that he develops many psychological problems which are according to him is, bipolar as he remains sometimes depressed and sometimes is in usual good mood; he becomes perfectionist, cannot be convinced easily; always needs to have just right solution to each attempt he made. He is highly confused- so cannot communicate his concept firmly. He has difficulties in following his present studies also-he likes to pursue LAW as he wants to change some law of society in future being a legal person-he already changed his career option from engineering studies to BBA after two years gap.
  • 33. 33 9. Behaviour Problem: a. Confused-hesitates in taking decision b. Never satisfied soul-depressed in approach c. Wants a perfect solution at the end of each effort he has made d. Restless, anxiety prone and depressive e. Low self esteem, stubborn and trust problem 10. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used Handwriting Analysis, O.P John BFI Assessment c) General Behaviour during Assessment  Slow to respond  Usual mood  Completed on time d) Emotions & Behaviour Attentive Asked minimum times Can comprehend statements Analytical 11. Psychological Report Graphological analysis revealed the fact that he has problem in initiating spontaneously in maximum cases-choosy-cannot express as he percepts; intelligent but disorganized type-stressful, anxiety prone, cannot socialize but likes to communicate. Now he likes to cut off all social connection being irritated and
  • 34. 34 frustrated. But he is basically a good performer and can link up intelligent ideas-is interested to know more. BFI by O.P John assessed him as a highly instable person with a moderate self drive skill; basically an introvert guy having good agreeableness and he wants more to know-his horizon is wide open. HUMBLE in approach peace-loving, somewhat timid, and seek social acceptance by going along with what others want, calm, agreeable, cooperative, composed, warm, preserving, and submissive. He is discouraged types, not happy with his present life situation but feels there is no way out because he lacks the ability to improve his life circumstances. He is Bookworm’s type who is highly intellectual, introspective, self- examining loners. He is Emotional Type. He is in touch with both positive and negative feelings..He is Tolerant Type, opens to, and accepting of, differences in other people. He cares about the feelings of others and tends to take their opinions into account when making decisions. His social skills are reasonably well-developed and he normally relates well to others in both co-worker and supervisory roles. He is Sensitive Type very bright but emotionally sensitive. He pays attention to, and is strongly affected by, things that happen in the world around them. He opens himself to his environment; consequently he enjoys many positive sensory experiences, but on the other hand he is vulnerable to having his feelings hurt. He is always late in taking decision and has a confusing mindset-has longing for achieving great successful careers but always turns into a most confusing boy in the world when he needs to draw a firm decision-that pins him day- in and day -out and he becomes depressed finding no solution of it. 12. Identification of problems: The information was collected partly from elder brother and partly from the candidate himself and also partly from the assessment scale used during the process. The following are the problems.  Depression and sudden blast of anger  Whimsical related to career options-tendency to leave in midway
  • 35. 35  Dissatisfied soul-high ambition  Inferiority complex-low self-esteem- skeptical 13. Recommendations / Suggestion Target Behaviour identified for Management:  Extremely anxiety prone-instable and highly sensitive  Living in a shell-always doubtful-has many unsolved queries  Emotional type-more emotional than logical  Extremely vulnerable –getting affected soon-self-pity Rewards identified-stress buster:  Day to day chart of his improvement-will be reward of him –seeing is believing  Score sheet of self study-analysis of skill escalating factor Behaviour Package Programme: Based on findings the behavioural package is developed for target behavior  Career Counselling by MBTI Personality Type Test & Career Orientation By John Holland Studies It facilitated him to know his career options on the basis of his personality and preferences; it revealed that his personality (ESFJ) is suitable for Management Studies and Social Services; his career preference summary code is ESC, that tallies with personality based professional options. So a study (BBA) he follows now is exactly appropriate for him and there is no need to change his career studies again.  Categorize the subjects /Chapters according to his order of preferences-giving score out of 10 It helps him to have precision in his preferences and also reasons of his likeness and also his weakness in that particular subject. Making a chart keeps him always knowledgeable of his feelings connected to each subject /Chapter and aptitude per subject.
  • 36. 36  Analysis and recommending how to tackle the weaker zone and also enhance the skill of learning He is advised to keep equal day of learning process for each subject according to previously made routine or chart-and after the learning session arrange for self test and put the score against each subject-that will give him how long time will be required to learn per subject syllabus wise- he needs to wipe out anxiety by pre-plan schema and be confident to know his standard of learning per subject syllabus wise. He has been advised to follow a self made routine (either daily basis or weekly) in his usual way of living-which will wipe out anxiety.  Short term goal will be helpful instead of long term goal He has tendency to see his ambition in a big aspect-so he is recommended to set short term goal initially to fulfill his big dream- so step wise achievement will aspire him finally.  Collaborate and Cooperate He is advised to work in cooperation with others in college and also in family front as it is natural –it endorses a person in many ways: o More work can accumulate in a collaborative way o Group discussion enhances the skill of learning o Studying all subjects at the beginning will give him a judgement how to put more emphasis on subjects which seem less interested to him. Over learning is a process of exercising/brain teasing with a less interested subject that becomes more interesting at time.  Laugh, Party and gathering After a loaded week everyone needs to be happy and relaxed mood in emotional level-so arrangement of such occasion is also essential either being around close family members or in some other places with friends and same age group and having fun is its own stress buster.
  • 37. 37  Think positive and act positively Being humble and sensitive he has been asked to react positively with others-that will facilitate him to know original life situation which is very important to know. Assertive behavior wills compose a person to be more confident and augment his/her self-respect. Procedure: We made a discussion with Arnangshu and set 5-program of 10/15 days gap from one program to next with the consent of him. Each program fabricated according to the progress of Arnangshu-as he grew his program schedule automatically altered to the next step –its aim was to facilitate his challenging performance to modify to more adaptive behavior. The candidate was advised to strictly follow his daily routine in the organized way by himself and he is also responsible to take care of him at home. At completion of each schedule he needs to be appropriately rewarded himself consistently with stress busters. Arunangshu is required to grow always with a plan-as he is basically emotional type and gets hurt by negative impact. Weekend relaxation he needs to have in his preferred but checked forms as that brings his anxiety to come down for a moment that is indispensable to have for an extremely anxiety prone student like him. Process of relaxation is selected on the basis of likeness/demand of Arunanshu. He had been asked to sit with a working sheet for a thorough analytical discussion after 20 /30/45/60/120 days. The discussion helped him to know his upgrading as a person and also as a performer as it also increased his performance level- entire session was continued for 6 sessions. Evaluation: Evaluation was made each 20 /30/45/60/120 days after separately and on the 8th session we sat for comparison of the data of scores he obtained per successful attempt
  • 38. 38 after each 20 /30/45/60/120 days observation. It was found that his performance day by day increased with a slow initial progress to rapid advancement at the end. He is basically an intelligent boy and emotional type-when he observed following daily routine would bring comfortable feelings he developed a highly assertive attitude and tried to follow it at best. His stress buster is his gradual positive growth as it helps him to be confident that one day he could achieve his goal/target; Arunangshu’s score card’s gradual up-gradation reflects the success of CBT. ---------------------------------- (Signature of the Student)
  • 39. 39 CASE RECORD-(4) 1. Demographic Data (Adolescent) Name: Avik Das Date: 04.12.2013 Age/DOB: 17 years Regn. No. …………………………… Sex: -M Informant: Parents Education: Class-X (Kolkata) Ref.by: Just Dial Network Occupation: Student Language: Bengali Cast/Religion: Hinduism 2. Demographic Data-Informant (Parents) Father’s Name: Mr Sankar Das Mother’s Name: Mrs. Soma Das Father’s Education: Computer Hardware Engineer Mother’s Occupation: Homemaking Father’s Occupation: Service Present Address: 115, P.C. Lahiri Sarani, Kolkata-700050 Mobile. No. 9831185168/9432215533 Income/Month: Rs 80,000/- per month (Father) Income/Month: student (no income) Family Source of Income: Service
  • 40. 40 3. Chief/ Presenting Complaints Extremely restless and always playful Likeness in fast food Inattentive- cannot study at a stretch-not even for half an hour Complaint from school –because of class disturbances Procrastination-interested to involve in more pleasurable activities 4. Childhood History: Development was on time-no significant problem 5.Family History: Living in a family of 3 members-parents and he himself-his mother is anxiety prone-there is always brawl between Avik and his mother in executing daily routine of Avik; one of Avik’s maternal uncles has attention deficit problem and he does nothing profession wise-his mother explores Avik like her brother and it brings again anxiety in her. 6. Developmental history: His development is on time-no delay had been found in age wise physical & motor and cognitive development and reflexes as told by his parents. 7.School History: He was like general student till Class-V, after that he became restless and talkative-cannot sit properly in bench-keeps busy himself in either raising hands, talking with other students in the class, making jokes with someone or laughing loudly at slightest possible cause-he was marked by his teachers everyday in the class for his behavioural diversion. 8. Occupational History: Being a student he also reported that teachers in his school always suspected him for class disturbances –sometimes it was not for him-usually he could not read at a stretch, if he tried he felt like physical pining in his body. He liked physical activities in play ground and loved doing activities which he liked to do –his mother always restricted him from
  • 41. 41 doing so-had tendency to keep him under routine-bound which made him claustrophobic sometimes. 9. Behaviour Problem: a. Restless b. Inattention c. Always playful d. Concentration problem e. Less energetic-sleepy type( as his parents told so) 10. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used  Handwriting Analysis,  O.P John BFI Assessment,  Achievement Motivation Scale by Beena Shah,  Adult ADHD Self-Report Scale (ASRS-VI-I) symptoms Checklist Insttructions by Lenard Adler, MD, Ronald C. Kessler, Thomas Spencer 11. General Behaviour during Assessment  Prompt response  Usual mood  Completed on time 12. Emotions & Behaviour o Attentive o Asked minimum times o Can comprehend statements o Prompt
  • 42. 42 13. Psychological Report Graphological analysis revealed the fact that he is friendly, but has coping up problem; unpredicted emotion, always keeps himself busy, not a good performer, in hurry to complete his task-bold and enthusiastic-creative and communicative-likes to socialize. BFI by O.P John assessed him as a highly stable person with high demand of socialization-expanded soul –is always busy with someone, ideas or object-poor motivation and cannot focus-distracts soon. He is Personable Type enjoying interaction with other people and expresses positive emotions and is therefore typically well-liked by others. He is Impulsive Types acting outrageously in order to attract attention from others. Often rather unconventional, risk- taking, flamboyant, he also needs and enjoys social stimulation. He is Socially Self-Confident Typewho is extravert with high levels of energy and self-confidence. He has good leadership skill. He is intelligent extraverts. In their worldliness they can be quite witty and charming. They have a flair for the dramatic, and can be exaggerated and theatrical. Therefore, this type is generally described with positive terms such as enterprising, eloquent, forward-looking, and confident but can also be described as critical, candid, and intense. He is Other-Directed Type who is easy-going, somewhat lazy drifters who lack strong opinions and principles. He prefers simply to hang out with their social crowd. He is emotional type. Others describe them with terms such as sentimental, affectionate, sensitive, soft, passionate, romantic, feminine, emotional, and gullible. Avik is tolerant Types who are open to, and accepting of, differences in other people. They care about the feelings of others and tend to take their opinions into account when making decisions. Avik is Carefree Type who is folksy, simple, happy-go-lucky persons. They are unconcerned about rules, schedules, and routines, but are not actively antisocial or hostile to authority. He is also Fanciful/Imaginative Types who are unconventional nonconformists who pride themselves on being different from others. They are not so much openly antisocial and disruptive in their behavior as they are fanciful, impractical, and unconcerned
  • 43. 43 about the general welfare of others. He is also Down-To-Earth type who avoids anxiety by not thinking and reflecting on things very often. In Achievement Motivation Scale it was found that Need for Academic/Vocational/Social Achievement Scale is high whereas Need For Skill Achievement is low-childish in approach and fanciful type-he has difficulties in holding his emotion and cannot concentrate for long time during study. Adult ADHD Self-Report Scale (ASRS-VI-I) Symptoms Checklist revealed that he has Attention Deficit Syndrome. 14. Identification of problems: The information was collected partly from candidate and partly from the parents and also partly from the assessment scale used during the process. The following are the problems.  Talkative-chatty type  Less concentrated  Restlessness in class room-complains from school teachers  Degraded subjects’ scores in school Report Card  Playful, sleepy, less interested to study at home  Under almost 18 hrs watchfulness of parents 15. Recommendations / Suggestion Target Behaviour identified for Management:  Medication to control inattention-consultation with a psychiatric for ADD  Restlessness and fluency  Parents behaviour towards him  Lacks in concentration  Less interested to study all allotted subjects in school level
  • 44. 44  Spontaneous behavior in classroom/coaching  Lazy in writing after study  Tendency to submit/prepare ignoring dateline-last moment strain  Feeling sleepy at study table Rewards identified-stress buster:  He likes to have fancy dishes  Avid lover of playing football in the field  Watching English Movie in TV/INOX  Participating in Stage Show for giving lecture with Projector on his favorite subjects  Outing with friends/familyorganized by school/by themselves  Attending public SHOW on his favourite option  Playing computer game  Wants to have a great career in future-he thinks big Behaviour Package Programme: Based on findings the behavioural package is developed for target behavior  Parents Behaviour towards him Parents specially mother was requested to give him relieve after the completion of allotted assignment as he really could not study at a stretch for a fixed time. She is homemaker and anxiety prone-she needs to control her anxiety when she is going to deal with Avik who is basically a stable boy. She was given lesson on Parenting that enhanced her skill of parenting towards Avik. Avik needs appropriate vigilance from parents that will help him to grow with a goal and target.
  • 45. 45  Teachers/school was requested to take special care for Avik He has really problem in holding attention for a long time and also to be confined in a bench in classroom like other students as ADD student needs behavior management program. He is restless type.  Facilitating Avik how to study He is advised to keep maintain a work sheet for keeping a note of his subject wise improvement on a regular basis-improvement means achiever and loser means failed to attain the target study. At certain no. of achievement Avik is entitled to enjoy his way of stress buster within a limited time under the vigilance of parents. He is asked to follow his routine till final examination (Plus-II -level).  Mock Tests Avik is advised to sit for a mock test after finishing chapter/subject/ regularly and also he needs to draw a Graph after 5 or 6 mock tests of every subject and observation of rise and fall of line will be his eye-opener of his preparation.  Short term goal will be helpful instead of long term goal He has tendency to see his ambition in a big aspect-so he is recommended to set short term goals initially to fulfill his big dream- so step wise achievement will aspire him finally.  Collaborate and Cooperate He is advised to work in cooperation with students in coaching/school/home tutors–it endorses a student in many ways: o Healthy Competitiveness among students o Group discussion enhances the skill of learning o Comparison of marks of his with others may be a boost of further development o Studying all subjects at the beginning will give him a judgement how to put more emphasis on subjects which seem less interested to him. Over learning is a process of exercising/brain teasing with a less interested subject that becomes more interesting at time.
  • 46. 46  Weekend enjoyment-family/friends After a loaded week everyone needs to be happy and relaxed mood in emotional level-so arrangement of such occasion is also essential either being around close family members or in some other places with friends and same age group and having fun is its own stress buster.  Think positive and act positively Being down to earth and stableperson he has less tension prone-so he needs to have some knowledge of assertive way of living- at every success there is hardship and without it no one can be an achiever-Avik wants to be a great achiever, so his driving force is “being achiever”-he acts nicely, he writes flawlessly-so keeping Avik in right track is only the challenge which Avik can overcome with the help of his support system. Procedure: We made a discussion with Avik with his parents and initially set 7 programs of 10/15 days gap from one program to next with the consent of him. Each program fabricated according to the progress of Avik-as he grew his program schedule automatically altered to the next step –its aim was to facilitate his challenging performance to modify to more adaptive behavior. The candidate was advised to strictly follow his daily routine in the organized way by himself and parents are also responsible to take care of him at home. At completion of each schedule he needs be appropriately rewarded himself consistently with stress busters. Avik is required to grow always with a plan-as he is basically impulsive and other directed type and gets easily distracted from his target. Weekend relaxation he needs to have in his preferred but checked forms as that there is chance of self indulgence in indefinite time. Process of relaxation is selected on the basis of likeness/demand of Avik. He had been asked to sit with a working sheet for a thorough analytical discussion after 7 /10/25/35/60 /120days.
  • 47. 47 His gradual upgraded score cards helped Avik to be interested to study because of this he remained energetic. The discussion helped him to know his upgrading as a person and also as a performer as it also increased his performance level- entire session was continued for 8 sessions. His parents were requested to guide him throughout his studentship following routine, plan. Evaluation: Evaluation was made each 7 /10/25/35/60 /120 days after separately and on the 8th session we sat for comparison of the data of scores he obtained per successful attempt after each 7 /10/25/35/60 /120 days observation. It was found that his performance day by day increased with a slow initial progress to rapid advancement at the end. He is basically an intelligent boy and emotional type-when he observed following daily routine would bring confidence he developed a highly assertive attitude and tried to follow it at best. Avik’s score card’s gradual up-gradation reflects the success of CBT. Impulsive Avik needs occasional counseling for enjoying quality life. -------- ---------------------------- (Signature of the Student)
  • 48. 48 CASE RECORD-(5) 1. Demographic Data (Marriage-Counselling) Name: Saptarsi Ghoswami/AditiSanyal Date: 17.12.2013(First Day) Age/DOB: 34/35 years Regn. No. …………………………… Marital Status: For 7-year they married with a male child of 7-month old Sex: -M /F Informant: One for other Education: Software Engineer (both) Ref.by: Just Dial Network Occupation: In Service Language: Bengali Cast/Religion: Hinduism 2. Demographic Data-Informant (One for Other) a) Saptarsi Ghoswami Present Address: 69 B Amherst Row, Kolkata-700009 Mobile. No. 9836065470 Income/Month: Rs 60,000/- per month b) Aditi Sanyal Present Address: 37/2A, Canal West Road/10, Reserve Park, Kolkata- 700004 Mobile. No. 033 65408319/9874214141 Income/Month: Rs 75,000/- per month c) One male child of 7-month living with Aditi - Saptarsi is visitor there
  • 49. 49 3. Chief/ Presenting Complaints o Disharmony in marital relationship o Fiercely Self –right conscious (Aditi) o Differences of opinions in every aspects of joint living o No understanding from Aditi’s side-argumentative, always bring parents in their tiff-suffering from insecurity o Aditi develops cleanliness habit-rigid to follow her own opinion-finds no harm of it on others o After marriage Aditi has habit to live with parents for three days and parents-in-law place for another three days regularly. o Maladjustment ( Aditi) 4. Family History: Both live separately –Aditi is at her parents place and Saptarsi is his own residence with his parents-Saptasi is bit conventional guy and likes to live in a traditional way of living. He is not a strict person but he personally believes in conventional living. Aditi is self right conscious person-sometimes it sounds too loud to tolerate for Saptasi. Aditi’s parents take interest in Aditi- Saptarsi’s personal tiff which aggravate their differences of opinions-they cannot sit together to solve their relationship disharmony personally-Aditi always brings her parents, specially mother to get it solved. This annoys Saptarsi who becomes fed up with the acting up of Aditi and wants an optimistic solution of their marital disharmony. Moreover, Aditi’s mother has domination over her family-she left her vocation because of family as her husband was frequent in overseas-so she reined her family and brought up her two daughters on her way-she has control on them. 5. Occupational History:Both came separately to save their marriage and gave their statement independently. They married to each other after 7 years of love affair. But from the very first day Aditi had trouble to live in Saptarsi’s place with his parents-she had many specifications which she did not get there after marriage. At the same time she could not open it to Saptarsi who had no idea of Aditi’s troubles
  • 50. 50 and difficulties. But Saptarsi found Aditi behaving strange all of a sudden at minimum crisis and left his place for her mother’s residence for someday. They purchased a 1200 sq. ft. 2-BHK Flat after someday to live a separate life without the interference of their own parents; but still they had crisis to live an self-regulating life as Aditi’s had no interest to live a life on the basis of joint discussion and decision-she either takes decision on her own way or pokes her nose in Saptarsi’s after accepting his decision- she has always her opinion on his part and tries to execute it according to her. So no solution is there-again they left their flat and went away their old nest and begin to live a separated life as before marriage. 6. Behaviour Problem: o Saptarsi’s part: Traditional o Aditis’s part: Insecurity, parental dependence, rigid, double checking habit, rigid, fiercely self-right conscious-sometimes sensed like selfish, mal-adjustment, argumentative for no genuine cause, fault finder 7. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used  Handwriting Analysis,  O.P John BFI Assessment,  Conflicting Management Style Questionnaire by Johnson 8. General Behaviour during Assessment Prompt response Usual mood Completed on time
  • 51. 51 9. Emotions & Behaviour o Attentive o Asked minimum times o Can comprehend statements o Prompt 10. Psychological Report Graphlogical analysis revealed the fact that he (Saptarshi) is friendly, introvert, energetic and traditional type; good administrative skill but loner in nature. Both Aditi and Saptarsi has balance emotion-Aditi also does not believe in taking risk, choosy in nature abrupt listener, has her own concept/idea and likes to stay in her own world. Sometimes she acts rigidly. Aditi projects herself sacrificing but actually she has urge to acquire whereas Saptarshi is self right conscious person. BFI by O.P John assessed Saptarshias an introvert person with humble type- peace- loving, somewhat timid; He is industrious nature implying businesslike, self- disciplined, orderly worker who prefers to achieve on his own effort than as part of a team. He is Satisfied Types who feelshe has risen above the problems of living and is content with things as they are. He likes to see little point in getting involved in a rat- race to struggle to the top of the heap. To him stability and security are as more important than getting ahead and is likely to be content with a respectable job in home town, earning just enough money to make a living. He is bit Compromising Type oriented toward getting along with others. Valuing interpersonal harmony, he is more likely to compromise than confront in a difficult situation. BFI by O.P John assessed Aditi is Dominating Types enjoying exerting power and influence over others and strive to control them without taking their feelings into account. She is also Discouraged Types and is not happy with her present life situation but feels there is no way out because shelack the ability to improve her life circumstances. Aditi is bit Indiscreet Types who is extravert and impulsively talk and boast without knowing what she is talking about. She is pompous and full of bluster.
  • 52. 52 Talkativeness and ignorance is an unfortunate combination not tolerated well by others.She is basically Moody Type and tends to report experiencing many negative emotions and few positive emotions. Conflicting Management Style Questionnaire by Johnson described Saptarsi as collaborative or accommodating and Aditi as competing or forcing. 11. Identification of problems: The information was collected partly from candidates and partly from the assessment scale used during the process. The following are the problems.  Saptarsi o Traditional o Easily satisfied o Compromising  Aditi o Fiercely dominating o Lethargic in solving crisis on immediate basis o Talkative without knowing what she is taking about-no detailing o Moody -brings about many negative emotions with few positive emotions o Forcing 12. Recommendations / Suggestion Target directions identified for Management:  They need to live together again with an aim to give patience hearing to other needs  Both of them are quite grown-up persons-so no intervention of parents in crisis time is needed-intervened by themselves only through discussion
  • 53. 53  Equal Sharing of parental care of their child-distribution of role depending on their skill and care  Arrangement of scopes for weekend enjoyment giving emphasis on both sides alternatively  Instead of fault finding in other partner’s duty/role it is advisable to follow quick solution procedure by discussion  Always mindful to long term target to enjoy marital relationship and child’s welfare  No more shift to parental place in crisis time-new home is “ our home”  At home each one has right to enjoy independence without hampering other’s interest Evaluation by clients of the specific changes in their actions/behaviour:  Mutual discussion brings easy solution of crisis and the couples canbestow patience hearing of other’s need. It also helps them to know other more evidently  Absence of third man (parents/parent-in-law) intervention helps to wipe out irritation, anger a dissatisfaction-they become more confident and also learn how to make decision without the outside help-they feel it is also a big triumph of them.  Regarding parenting Saptarsi is easier to take care of child as Aditi has already developed an over-checking behavior that turns her tired soon-so she cannot play her role confidently-she keeps an Ayah for compensating her absence from allotted work.  Both of them are willing to take weekend break, sometimes they can arrange it, sometimes fails in arranging it for weeklong dumping household work- Saptarsi is in mood to enjoy son’s company in the evening in the adjacent
  • 54. 54 park/nearby open place. They make it possible sometime to go to shopping plaza for usual daily marketing-it gives a scope to enjoy togetherness  Now they try to solve any tiff between them without being argumentative keeping in mind the purpose of living together.  During the session both of them, specially Aditi restrict her from going to and interacting with her parents –this works marvelously in their relationship as they have no other scope except discussion between them only. Procedure: We made a discussion with Saptarsi and Aditi initially jointly and sometimes individually to chalk out the plan of action on the basis of reality and evaluation of their problem-they act accordingly and doing so Aditi had many issues to solve; she came and discussed with us. Saptarsi followed the action as it planned. They came 20/40/35/45/60/120 days after as they/she required. Aditi has innumerable numbers of doubts and being argumentative initially she met huge problems to sort out her own limitations. But as she took lesson from us how to be always purposeful in life and tried hard to confront her own crisis. Evaluation: Evaluation was made each 20/40/35/45/60/120 days after separately and on the 8th session we sat for comparison of the data recorded by us and it was observed they also could enhance their skill of staying together-specially Aditi now slowly uses to give reasons to her quick action attitude and intolerance behaviour. -------- ---------------------------- (Signature of the Student)
  • 55. 55 CASE RECORD-(6) 1. Demographic Data (Early- Adolescence and Parenting) Name: Bibhore Goshwami Date: 10.01.2014(First Day) Age/DOB: 13 years Regn. No. …………………………… Sex: -M Informant: Parents (Both) Education: Class-VII Ref.by: Just Dial Network Occupation: Student Language: Bengali Cast/Religion: Hinduism 2. Demographic Data-Informant (Parents) Father’s Name: Mr Dinabandhu Goswami Mother’s Name: Mrs. Chandrima Adhikari Father’s Education: MSc. in Maths Mother’s Education: MA in English Father’s Occupation: Maths Teaching in HS School Mother’s Occupation: English Teaching in HS School Present Address: Uttarchara Sankarara, PO-Tamluk, Dist: Purba Medinipore, Pin: 721636 Mobile. No. 9733037441 Income/Month: Rs 37,000/- per month (Father) Income/Month: Rs 30,000/- per month (Mother)
  • 56. 56 Income/Month: Student (no income) Family Source of Income: Service 3. Chief/ Presenting Complaints Manipulative, telling lies Highly disorganized Tantrums before going to school Watching TV Parental Pressure to be ranked within 1-10 4. Childhood History: Development is on time-no significant problem 5. Family History: Living in a family of 4-member-parents, younger brother and he himself-his maternal house is very near to their place-so initially Bibhore was under their care when his parents were in service-grand-parents indulged him a lot. Now he lives in his own family set up of four-formerly father involved in home tuition, now after school he comes back to home-her mother school is far away from home ; so she comes usually late in the evening. Father tries to give enough time in bringing his two sons up after school hour. 6. Developmental history: His development is on time-no delay have been found in age wise physical & motor and cognitive development and reflexes as told by his parents. 7. School History: No complaint came from school till date 8. Occupational History: Bibhore is highly talkative, fascinates about detective stories, movies and serials; cannot accept his fault easily, is less interested to read book-impatient to read but enthusiast to listen to others; can recite and sings well. He likes practising Maths with interest but due to impatient nature he often commits silly mistakes. He took no interest going to school.
  • 57. 57 9. Behaviour Problem: a. Restless b. Inattention c. Always playful d. Highly disorganized e. Talkative f. Disobedient but not arrogant 10. INTELLECTUAL /PSYCHOLOGICAL ASSESSMENT Psychological Tests Used  Handwriting Analysis( both parents)  O.P John BFI Assessment for both parents  DAP by Goodenough 11. General Behaviour during Assessment  Prompt response  Usual mood  Completed on time 12. Emotions & Behaviour o Attentive o Asked minimum times o Can comprehend statements o Prompt 13. Psychological Report Graphological analysis revealed the fact that father always tries to adjust with changing situation, not willing to take unnecessary tension, analytical but cannot forget past episode of life-being fearful in nature he has tendency to play safe game.
  • 58. 58 He is choosy and introvert by nature-he feels challenging in managing his elder son, Bibhore up to his demand. Mother is bold type-not skilled to cope up with changing world, basically worried, sometimes she plays unpredictably; has warmth but sensitive to criticism-has potential but being anxiety prone she sometimes becomes less confident. BFI by O.P John assessed Bibhore‘s father as Moralistic Types who is rule-oriented achievers who sometimes ignore the feelings of others in order to get the job done. Principles are more important than people to moralistic types, and they can be equally hard on themselves. This achievement-oriented, hard-driven type has great initiative and moves readily into positions of authority. They believe in working with and through the system and in advancing upward through hard work. They are unlikely to take risks, and their leadership style is likely to be seen as no-nonsense and instrumental. He can enjoy time with others but also time alone. Stressful and frustrating situations are somewhat upsetting to him, but he is generally able to get over these feelings and can cope with these situations. Average openness indicates that he can enjoy tradition but is willing to try new things. His thinking is neither simple nor complex. To others he appears to be a well-educated person but not an intellectual. BFI by O.P John assessed Bibhore‘s mother as of moderate personality; indicating her are neither a subdued loner nor a jovial gossip. She enjoys time with others but also time alone. She has high level of agreeableness indicating a strong interest in others' needs and well-being. She is pleasant, sympathetic, and cooperative. She is reasonably reliable, organized, and self-controlled. Stressful and frustrating situations are somewhat upsetting to her, but she is generally able to get over these feelings and cope with these situations. She enjoys tradition but is willing to try new things. Her thinking is neither simple nor complex. To others she appears to be a well-educated person but not an intellectual. Father is stricter than mother and Bibhore after coming back from school remains under the control of father whereas mother is more conscious of others’ need than
  • 59. 59 herself-father’s achievement need is very high, so sometimes he becomes harsh to his son to reach his expected goal. DAP test on Bibhore describes him as assertive, forceful, ambitious persons; healthy personality, possibly suggesting distaste for conventional; he is bit insecure, persistent, ambitious. His behavior is generally controlled and sometimes to point of inhibition. He has aggressive tendencies, expansive, ostentatious tendencies, feelings of inadequacy with compensatory defenses, is possibly hyperactive. He has good observation, detailing and sensitivity. Bibhore is generally a stable boy. From DAP Test it revealed that his mental age is 2 years ahead of his chronological age. 14. Identification of problems: The information was collected partly from candidate and partly from the parents and also partly from the assessment scale used during the process. The following are the problems.  Disorganized type  Cannot hold interest for a long time  Bit impatient and aggressive  Developing manipulation-becoming secretive  Under strict parenting of father  Over ambitious parents  Minimum friends in school 15. Recommendations / Suggestion Target Behaviour identified for Management:  In absence of parents he is under the supervision of ayah whom Bibhore takes for granted  Parents are over ambitious and likes to keep their son under strict parenting
  • 60. 60  Differences of opinion of parents in presence of Bibhore  No structural base is followed by Bibhore at home  Parents are vocal in criticizing Bibhore at slightest mistake, no appreciation he got from them when he really achieved something great  Likes to talk with elder person  Impatient and bit restless Rewards identified-stress buster:  He likes watchinghis favorite movie in TV  He likes to get recognition for his activities-very goodin Drama, Recitation and Drawing  He likes to roam around with parents  He likes to talk Behaviour Package Programme: Based on findings the behavioural package is developed for target behavior  Either reduce the time of supervision of Ayah or father should give quality time after his school Father is used to give tuition to his students after school hour; as Bibhore is on the verge of adolescence and he needs to be under intense emotional care –father as his school is nearby should be responsible to give quality time to his child Bibhore after school hour.  Both the parents are over ambitious Parenting to children demands appropriate nurturing-raising children more rewarding o Be honest and direct with your teen when talking about sensitive subjects such as drinking, smoking, and sex. o Meet and get to know your teen’s friends.
  • 61. 61 o Show an interest in your teen’s school life. o Help your teen make healthy choices while encouraging him to make his own decisions. o Respect your teen’s opinions and take into account his thoughts and feelings. It is important that he knows you are listening to him. o When there is a conflict, be clear about goals and expectations (like getting good grades, keeping things clean, and showing respect), but allow your teen input on how to reach those goals (like when and how to study or clean)  Differences of opinion between parents before child Two adult persons staying together may invite conflicts time to time-it is a natural scenario; but they both need to be respectful to each other even in quarrelling time and before children they never turn the circumstances into a awful shape-both the parent need to maintain it and it is advisable that they can solve their own crisis in favourable time in absence of their children-disagreement before child only brings insecurity and indecisiveness in child and he will grow as an immature person.  Structure, routine and plan As both the parents are working their child needs always a structural base to follow whole the day- routine is important. Having an unpredictable lifestyle is time consuming and unsettling for everyone. Young children become frustrated, overwhelmed, and rushed when routines are frequently changing (understandably, sometimes it cannot be helped).Day start and Day end should be structured and it always consequences a smile-routine does not mean ‘all day work no play’-relaxation, play and free time is always be there to bring more creativity in following routine.  Pat, praise and reward If a parent criticizes a child that makes him depressed and insecure-rewarding a child for his praiseworthy work which always brings enthusiasm in him and he will be encouraged to step forward with a happy mood-so at every small success Bibhore should be well praised in his way-and failure of which means he will remain deprived of having pleasure in chatting, taking part in his preferential hobbies.
  • 62. 62  Parents, child and his tutors’ relationship needs to be Collaborate and Cooperate Parentsare advised to work in cooperation with Bibhore in coaching/school/home tutors–it endorses a Bibhore in many ways: o Healthy Competitiveness among classmates o Discussion enhances the skill of learning o Comparison of marks of his with others may be a boost of further development o Studying all subjects at the beginning will give him a judgement how to put more emphasis on subjects which seem less interested to him. Over learning is a process of exercising/brain teasing with a less interested subject that becomes more interesting at time. o Collaborative supervision of senior group will give best result and Bibhore will feel comfortable.  Weekend enjoyment-family/friends After a loaded week everyone needs to be happy and relaxed mood in emotional level-so arrangement of such occasion is also essential either being around close family members or in some other places with friends and same age group and having fun is its own stress buster.  Think positive and act positively Bibhore has many creative skill-that help him to grow bit earlier as he can get scopes to come closer to many people and also have more experiences-so nurturing his skill will boost him to develop positively- Bibhore is blessed by almighty with lots of originality and now it is the responsibility of his parents to lend a hand for prosperity. Procedure: We made a discussion with Bibhoreand his parents and set 3 programs of 7/10days gap from one program to next with the consent of Bibhore. Each program fabricated according to the progress of Bibhore-as he grew his program schedule automatically altered to the next step –its aim was to facilitate his and his parents challenging performance to modify to more adaptive behavior.
  • 63. 63 The candidate was advised to follow his daily routine in the organized way by himself and parents are also responsible to take care of him at home. At completion of each schedule he needs be appropriately rewarded by parents. Process of relaxation is selected on the basis of likeness/demand of Bibhore. He had been asked to sit with a working sheet for a thorough analytical discussion after 7 /10. His gradual upgraded score cards helped his parents to be interested to follow. The discussion helped his parents to know causes of his upgrading as a person and also as a performer as it also increased his performance level- entire session was continued for 3 sessions. His parents were requested to guide him throughout his studentship following routine and Plan. Evaluation: Evaluation was made each 7 /10days after separately and on the 3rd session we sat for comparison of the data of scores he obtained per successful attempt after each 7 /10days observation. It was found that his performance day by day increased with a slow initial progress to rapid advancement at the end. He is basically an intelligent boy and emotional type-when he observed following daily routine would bring contentment in him as he is bit competitive and the family set up is better than earlier he agrees to obey structural way of living and give patience hearing to parents’ words. Parents also feel that change of their behavior to each other and with their child only the cause of miraculous harmony in family environment. Warning: Human emotion is dynamic, so deviation may happen sometimes-so parents are alert to take care of it without being nervous and overwhelmed. --------------------------------- (Signature of the Student)
  • 64. 64 CASE RECORD-(7) 1. Demographic Data (FamilyCounselling) Name: Aditya Nag Date: 25.01.2014(First day) Age/DOB: 15 years Regn. No. …………………………… Sex: -M Informant: Parents (Both) Education: Class-X Ref.by: Just Dial Network Occupation: Student Language: Bengali Cast/Religion: Hinduism 2. Demographic Data- Parents Father’s Name: Mr Anindya Nag Age : 38 years Mother’s Name: Mrs. Soma Nag Age : 33 years Age of second child: 6-month old( Baby) Father’s Education: Graduate Mother’s Education: Graduate Father’s Occupation: Real Estate Business Mother’s Occupation: Homemaking Present Address: 3/37 East Mall Road Mobile. No. 9830076226
  • 65. 65 Income/Month: Around Rs.1, 00, 000/- (Father) Income/Month: Student (no income) Family Source of Income: Promoting building 3. Chief/ Presenting Complaints Highly ambitious Husband No family time from husband/father Irregular daily routine of wife Mother’s over consciousness towards elder son Dissatisfaction from wife side Deteriorated study grade of elder son Strict parenting from mother and permissive parenting from father for elder son (Aditya) Regular words of fighting between mother and Aditya Overburdened by daily routine feelings of insecurity in mother 4. Family History: Anindya and Soma met each other in college days during their degree level studies in the same college; after someday they married to each other with the negotiation of parents. but situation had been totally changed when Anindya’s father expelled his son after immediate marriage of him from their ancestor house saying that he needed to establish independently now onwards and he also divided his business from him. Struggle began and Soma was always being there besides Anindya with full support and Aditya was born after two year of their married life. Anindya struggled a lot and at last could establish himself as a successful person in the same area where his father was also in the same business. Anindya believed that his turning point of life was his father’s throwing out; at the same type it produced a frightful experience-he always feels insecurity and exploits his time in earning money only.
  • 66. 66 Soma after gaining usual life style wanted to enjoy family life and bring up her son Aditya giving sufficient availability in shaping him up. But because of insecurity Anindya tried for second child and birth of second child brought confinement of Soma at home-it could not be taken easily by Soma who now suffers from depression and becomes late in home making and also in caring her two sons. Aditya being neglected by father who is overly busy in his profession and mother who being depressed and anxiety prone has become an unattended boy at home and student in school. His result is not like before and is criticized by teachers. He himself is now a confused boy. 5. Developmental history: Aditya’s development is on time-no delay have been found in age wise physical & motor and cognitive development and reflexes as told by his parents. 6. School History:Till date no complaint came from school. In last exam Aditya failed in Maths. 7. Occupational History:Aditya is anxiety prone-he is regular in school-but he needs teachers’ help in some subjects after school hour-his mother has tendency to compare Aditya with other boy-that irritates him very much as he tries best to do better. After school hour his mother tries to confine him at home and does not allow him to go outside even for minimum necessary-but he likes playing cricket/football in the field. After the birth of his brother Aditya has less scope to go outside with family like before –but he likes to have family fun sometimes-life becomes dull nowadays to Aditya. Really he wants to come out from all these discomfort. Soma, mother of Aditya being frustrated cannot believe anyone and tries to keep Aditya under her direct vigilance by keeping him confined home only as she herself because of second child cannot be free as before. This way mother-son relationship turns stained and argumentative.
  • 67. 67 8. Problem arise: a. Anindya-as usual always in jovial mood, enjoys life full toss with friends and occasional drink, dislikes home environment, feels sad at the last school result of Aditya and the behavioural change of wife Soma. b. Soma- anxiety prone, believes in being deceived by Anindya, irritation not being able to take care Aditya and younger child as par her demand, frustration. c. Aditya-anxiety prone, cannot cope up with the varying environment of home, anxiety for having degraded marks in school exam, feelings of insecurity, irritation being stuck at home all the day after school hour, no outdoor play and no sharing with same age friends. 9. PSYCHOLOGICAL ASSESSMENT Psychological Tests Used  Handwriting Analysis( both parents)  O.P John BFI Assessment for both parents  DAP by Goodenough 10. General Behaviour during Assessment Prompt response Usual mood Completed on time 11. Emotions & Behaviour o Attentive o Asked minimum times o Can comprehend statements
  • 68. 68 12. Psychological Report Graphological analysis revealed the fact that Anindya is highly ambitious and wants to achieve fast; basically balanced and friendly he has determination to take care of his own persuasion. Fearful in nature he does not like to be in crisis-so he has tendency to escape from any turmoil situation instead of settling it down. Mother keeps her in isolation; basically broad minded person-wants to enjoy life, becoming choosy in nature. Soma being basically analytical and anxiety prone has been suffering from anger and irritation. Son Aditya is average performer, warm nature and ambitious-he is intelligent -he needs intense care to do better his performance in school-by nature cultured boy and likes socialization very much-sometimes to become unnecessary adventurous. He becomes confused and being hopeless finding him irritated and failed in subjects he nowadays shows anger, irritation at home with mother Soma and behaved roughly with father Anindya-there are differences of opinions with both the parents. BFI by O.P John assessed Aditya‘s fatherAnindya as a stable person with Persistent Types-hard-working, stable individual who performs well in structured, rule- governed environments. He is described by others as rule-abiding, composed, persevering, conscientious, trustworthy, cooperative, traditional, predictable, simple, and down- to-earth. BFI by O.P John assessed Aditya‘s mother as a muddled type tends to be anxious about things that lie beyond her limited scope of understanding. She protects herself by living in the past and showing contempt for novel or foreign ideas. She is described by son and husband as irritable, anxious, nervous, reminiscent, apathetic, unambitious, self-centered, unreliable, and negligent. BFI by O.P John assessed Aditya resembles to his mother as muddle type; also he is Immature Types have a history of problems with self-discipline and self-control. He is likely to be restless and unable to concentrate in the classroom, and therefore performed poorly. He gradually developsas rough and uncouth as well as impulsive. He likes thrills, adventure and action and frustrating and boring. Aditya is also
  • 69. 69 Scattered Types showing emotional instability that affects both his thinking and social relationships. Internally he is inconsistent, erratic and forgetful; in groups he turns to be impulsive, nosy, gossipy, and self-indulgent. 13. Recommendations / Suggestion Target Behaviour identified for Management:  As Anindya is head of family he needs to know pay patience hearing to the members of his family  Anindya instead of escaping from situation needs to solve the problem in family affair  Soma being anxiety prone and irritated needs to be under CBT time to time to know how to lead a satisfying life  Aditya being an adolescent boy needs to be under behavior modification technique as he is immature, scattered and anxiety prone Rewards identified-stress buster for Soma and Aditya: For Soma:  Making scopes for enjoying life in her way: family time, shopping in Mall and organization of interior of her residence/flat For Aditya  Week end family enjoyment  Arrangement of time bound out- door game  Watching TV for his own preferred programme  Make his friends to come at home for indoor game. Cognitive Behaviour Package Programme: For Anindya:  Taking the emotional responsibility of family Anindya being a stable person, sometimes misses the clues, so he needs to give time for analysis of the behavior of his family members separately. If he is careful he can
  • 70. 70 realize the crisis that generates in his family and if he realizes he can solve appropriately-Anindya is required to be attentive in the role of head of the family and only then he can put the crisis end.  Demand for more emotional connection with the family members Anindya loves socialization and is a busy fellow- but family likes to be emotionally connected with him – family members also like his company; Anindya needs reciprocating emotionally with them.  As father and as husband Two roles are different- as husband Anindya needs to give importance to the words of wife Soma-understanding husband will be able to create win-win situation instead of forcing husband. As father he needs to know every bit of his son Aditya who is an adolescent, he needs father figure in his life for guidance and counseling- his availability to his son’s life is very crucial at this phase. Anindya as a stable person and successful professional has capacity to guide his son appropriately-only criteria is that he needs to give specific time for this. For Soma  Distribution of job Soma likes homemaking by herself only-it is impractical approach and being the mother of two sons she needs to distribute job to her domestic help as otherwise it brings everything haphazard, incomplete, not up to the standard and also irritation. Soma needs to learn how to prioritize her daily work.  Be hopeful-nothing is impossible in life-may be you are late in achieving Anything can happen on any day-nothing is impossible-so it is advisable to be hopeful-one can miss the chance of today-but tomorrow is there-so hope is there. Soma is always anxiety prone-she needs to have cognition that can be brought by his husband in a family set up-continuous empathetic approach of her husband will be beneficial to her emotional health-she needs to be always hopeful what she expects that she can achieve oneday in future-her husband is responsible to give her the scopes to achieve it.