Fun:Andrew Schlafly/MSA

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IDENTITY[edit]

Marital status[edit]

Andrew Schlafly Andrew married XXXXX in a Roman Catholic ceremony at XXXXX on XX month Year. It is not known if he has previously been married, co-habited or been in a civil partnership.

Education[edit]

Andrew was taught at home (or "homeschooled", as he calls it) until the age of 7. He attended Saint Louis Priory School (a private Catholic boys' school) and graduated in 1978. he graduated from Princeton with a bachelor's degree in Electrical Engineering and Computer Science. He then attended Harvard Law School in XXXX and graduated allegedly Magna cum laudae.

Occupation[edit]

General Counsel for Association of American Physicians and Surgeons (AAPS)

Cultural & Spiritual Identity[edit]

Andrew is a white/caucasain American. He is conservative in his political and religious views. He is a Roman Catholic.

PRESENTING COMPLAINT[edit]

Elucidate the patient's priorities.

Use open-ended questions, but quickly narrow down on the symptoms and look for supporting evidence.

What is the nature of the problem?

Andrew does not believe that he has a problem (i.e. he lacks insight into his condition). Andrew cannot differentiate between "belief" and "science". He appears to think that he is right at all times. He feels everyone should think and feel in the same ways that he does. He lacks empathy, warmth, honesty and integrity. He believes in things that are not real.

The date of onset and was the onset slow or sudden.

Why and precisely how has the person presented at this time?

What precipitated the problem?

Andrew used to edit Wikipedia but was upset by what he saw as "liberal bias" in the editing of the articles on Wikipedia. He decided to set up his own on-line encyclopedia which he expects to reflect his own religious, political and social beliefs.

The severity and its course and effect on

Work

Relationships

Appetite

Sleep

Sexual drive

Previous Episodes[edit]

Dates

This is not known.

Treatments

This is not known.

Outcomes of similar episodes.

This is not known.

The description of the problem will also enable an assessment of the patient's insight into their situation.

Some patients may deny the existence of a problem and it may be necessary to obtain a history of the illness from a family member or close friend.

PERSONAL HISTORY[edit]

Life from early childhood to the present.

Employment History[edit]

Jobs Held[edit]

Reasons for Changing Jobs[edit]

Probably lack of effectiveness. There is little information on the patient's perspective here, though.

Level of Satisfaction with Employment[edit]

He is very proud of working for the AAPS.

Ambitions[edit]

  • Mildly megalomaniac desire to restructure the United States into a theocracy
  • Eliminating the public school system, or at least instituting teacher-led classroom prayer to his God in every class session
  • Exposing modern liberalism for the deceitful sham he believes it to be
  • Banning all abortions
  • Banning all sexual activities he thinks his God disapproves of

These are general life ambitions, but his employment history of late is very focussed on these goals.

Effect of the Illness on Their Job[edit]

Marital History[edit]

Married Catherine Agneta Kosarek in a Roman Catholic ceremony in 1984. Still currently married.

Relationship History[edit]

with others (intimate or sexual relationships).

Homo/Bisexual relationships - age, how long, why?, where (college/Uni/work).

Is there anyone they currently feel able to confide in.

Present social situation: what support do they currently have at home?

Family History[edit]

Close family, including names, ages and their past and present mental and physical health.

FORENSIC HISTORY[edit]

Illegal activities

Violence

Criminal record

Time served in HMYOI or HMP

Time spoent in low/medium/high secure hospitals

Part IV MHA 1983 detention

Any previous episodes of violence or other acts of aggression.

PRE-MORBID PERSONALITY[edit]

how does the individual describe his or her personality before becoming unwell?

Overall mood or temperament - i.e. anxious, obsessional, solitary or social?

Character traits

Confidence

Religious and moral beliefs

Ambitions and aspirations

Social relationships with family, friends, work mates

SUBSTANCE MISUSE[edit]

Alcohol[edit]

What? (beer/spirits/cider/wine)

How much? (bottles/glasses/cans per hour/day/week)

Cost? (how much money per day/week)

When? (on waking/before going out/at work/in public/at home)

Effects? (eye shake/hand tremour/DTs/hallucinations/vomiting/passing or blacking out)

How long? (recently started/weeks/months/few years/many years)

Dry spells? (when/how long/had help?:hospital? at home?)

Causes? (relationships/work/social/habitual/historical)

Illegal Substances[edit]

What? (Cannabis/opiates/LSD/Meth/Ket/Qat/E)

How much? (g per hit/hits per day/joints per day)

Cost? (how much money per day/week)

When? (on waking/before going out/at work/in public/at home)

Effects? (Paranoia/hallucinations/visual disturbances/eye shake/hand tremour/vomiting/passing or blacking out)

How long? (recently started/weeks/months/few years/many years)

Dry spells? (when/how long/had help?:hospital? at home?)

Causes? (relationships/work/social/habitual/historical)

Current Drug History[edit]

Prescribed medications

Self-prescribed medication

Recreational substance use

MENTAL STATE ASSESSMENT[edit]

Appearance[edit]

Motor Behaviour[edit]

Rapport[edit]

Speech[edit]

Rate[edit]

Form[edit]

Content[edit]

Volume[edit]

Quantity of Information[edit]

Evidence of Formal Thought Disorder[edit]

Mood & Affect[edit]

Mood[edit]

Depressed

Euphoric/elated

Suspicious

Affect[edit]

Restricted

Flattened/blunted

Inappropriate/incongruent

Content of Thoughts[edit]

Delusions[edit]

Suicidal Thoughts[edit]

Amount of Thought and Rate of Production[edit]

Continuity of Ideas[edit]

Perception[edit]

Hallucinations[edit]

Auditory

Visual

Gustatory

Tactile

Olfactory

Other Perceptual Disturbances[edit]

Derealisation

Depersonalisation

Heightened/Dulled Perception

Thought insertion/withdrawal/broadcast

Telepathy

Ideas of reference (TV/radio/newspapers/roadsigns etc)

Cognition[edit]

Level of Consciousness[edit]

Memory[edit]

immediate

recent

remote

Orientation[edit]

time

place

person

Concentration[edit]

serial 7s

abstract thinking

Insight[edit]

Andrew is completely unaware of his current problems. He does not recognise that there is or may be a problem/problems. He does not acknowledge the concerns of others, including relatives, professionals and those of the community in general. He displays a singular lack of insight into his condition.

ASSESSING SUICIDAL INTENT[edit]

The risk of self-harm is increased if the patient is pessimistic or feels hopelessness, if there is a previous history of self-harm or no social support. Are things so bad at the moment that they have thought about ending their life; do they think there is a real chance that they would attempt this? Have they made any preparations and plans? Have they decided how they would end their life? What has stopped them from killing themselves up to now?

See Also[edit]