HOWARD HUGHES

Howard Hughes

Howard Hughes

Patient Evaluation

Patient's declared acumen for coming: "There is no safe place; there is no safe place."

History of the present illness: Mr. Howard Hughes, a 42-year-old Caucasian male, was brought to the dispensary by his accountant who letters that the accommodating has been active in one allowance of his abode which he has angry into a "germ-free environment." All entrances to his allowance are covered with appearance tape, he uses tissue to aces up items, and he refuses to use dishes or glassware. He has abundant obsessions and compulsions that accept been present for several years, but are acceptable more debilitating. The a lot of adverse attraction is his abhorrence of germs, which has developed into a astringent phobia. He burns his complete apparel if he is apparent to anyone who is sick. He aswell requires his accompany and advisers to chase actual austere hygiene practices. (Bouton 2001) Recently, he has amorphous to acquaintance astringent agitation attacks acquired by acute abhorrence of dirt, messiness, or any perceived ataxia in his life.

Medical history: Mr. Hughes has a continued history of accessory concrete illnesses alpha in childhood. Driven by abhorrence of developing life-threatening diseases, his mother frequently approved analysis for adolescent Howard for colds and actual complaints. At age 13, Mr. Hughes developed a medically alien aeroembolism that bedfast him to a wheelchair for 2 months. His parents believed that he had apprenticed polio, but the analysis was never confirmed. (Antony 2008)

Psychosocial history: Mr. Hughes, an alone child, enjoyed a abutting accord with his parents, Howard Sr. and Allene Hughes. His mother died accidentally if he was 16. Two years later, his ancestor died of a affection attack. During childhood, his mother is arise to accept been ever careful of her alone adolescent and was absent with his concrete and affecting condition. Mr. Hughes acclaimed he abstruse aboriginal in activity that he could allure absorption or abstain abhorrent situations by accusatory of an illness. His ancestor was rather baroque and able-bodied accepted for his affable lifestyle. Devastated and abandoned afterward his wife's death, Mr. Hughes Sr. removed his son from a clandestine academy and brought him aback home. Until his father's death, he lived in California, area he affianced in an alluring Hollywood lifestyle, generally affair with celebrities from the blur industry. (Antony 2008)His benevolent uncle was a acclaimed blur producer. Even admitting he never becoming a ...