Psychological Evaluation Of John

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Psychological Evaluation of John

Following a successful pregnancy and delivery, Johns mother a 32-year woman faces an

18-hour labor and is induced with Pitocin augmented by practitioners to aid in her labor. After a

normal vaginal delivery with a baby boy weighing 7 pounds and 2 oz, Sara presents a 6-week

postpartum check in my office. Sara was discharged home accompanied by his husband and

infant. Over the few weeks, Sara has called several times questioning on issues related to

breastfeeding and healing of her second-degree laceration repaired sutures. This condition of

experiencing baby blues has been persistent and has teased up the emotional state of Sara. Upon

walking the examination room, Sara and her infant in a stroller are crying. Sara feels guilty

because she is experiencing depression periods instead of happy moments with her infant John.

The infant also feels rejected by parental love unnoticeably of the mother's situation. After the

two weeks, John's physical traits are easily viewable. His Caucasian appearance and yawning

habit appear to be a (RECESSIVE GENE) from both parents. Despite the family's historical

possession of premature baldness, John is different in that the infant's hairs have covered almost

half his forehead (DOMINANT GENES)

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Cognitive development: trust and mistrust

Sara condition can pass through various laboratory test and can be diagnosed in regards

to the symptoms perceived. Sara's diagnosis is based on the symptoms she has addressed and

experienced. Carrying out a postpartum check by facilitating a diagnosis test on the urine

retention, pains, breastfeeding, and high risk of altered parenting will be a suitable move on

Sara's condition. During this time the infant John has to spend more time with the father at home

and suckle from the bottle because her mother's medication may ruin John's health conditions.

Despite Johns father attempts to visit Sara daily in her hospital bed, Sara Is still experiencing

depressions of the highest order.

John surprises his father when he draws his attention by clinging on the table and any

supportive objects to reach his destination of attraction (Rosenthal, 526). John would take long

strides and a long way to get to the objects he is attracted to. Turning resulted to be a significant

problem at first because he had no confidence while walking in the opposite direction and he

would prefer walking on the same route till he came into contact with the object perceived

(ASSIMILATION). Finally, after various and confusing situations, John build confidence in any

leg he would make the first stride with and reach the object he intended to pick or touch

(ACCOMMODATION). This development generalizes (ADAPTATION) to the near

environment conditions showing that in Johns surrounding environs, one had to struggle to

acquire what he intends to use or acquire.

Autonomy vs. Shame and Doubt

Sara after being diagnosed and treated is now able to spend more time with his family.

John being the second born to a family of two siblings is two years old, a Caucasian male and

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from a well to do family. Through his childhood, his family has worked hard to ensure that he

gets the best in life. His family lives in the wealthy suburbs surrounding Jersey City, and

therefore detrimental influence is insufficient. As a young toddler, John had been stubborn, and

he only enjoyed the company of his parents or his elder sister.

Through the developed skills, John can now switch on and off the television, dance

accordingly to the songs played on the television, and he is also conversant and much interested

in finger touching her parent's smart phones (AUTONOMY) (Mobley, 121). Again John appears

to be so choosy when been dressed; he can recognize the very best clothes he has and even wears

the pair of youngster slippers bought by her parents. Wearing this pair of slippers is not an easy

task for John, but her parents are so much conversant and handy to offer any assistance required.

Not to lower John’s self-esteem, his parents are willing to lower the dependency by letting him

do most parts of his day to day activities. For instance, John has developed behavioral

characteristics of standing at corners and hidden bars when having a short call. Though he is not

able to drop his pants his parents see this as a mutual development and train him even to do

toileting with encouragement and not criticizing him. John experiences no feeling of shame, low

self-esteem, and doubt in his abilities to perform his duties.

Initiative vs. Guilt

Most of the times John is just a normal kid who plays with his toys and even talks with

his parents, but on sudden occasions, he changes and becomes aggressive. In circumstances

when his parents show too much attention towards his sister his attitude changes and a slight

provocation leads to a fight. His teachers and friends have also proved evident to this habit as it

happens not only at home but also in school. The teachers thought John was unable to lead

others which were not the case but his need seems to be based on (ATTENTION) and being

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recognized. The problem with his physical appearance is a symbol of low self-esteem. Apart

from this he suffers from anger management and lacks social skills. Even though his parents and

teachers in school meet John's safety needs, he still does seem not to benefit. Johns parents have

tried to punish him for this behavior to protect him, but in turn, this acts as a way of restricting

his initiatives as he percepts his actions as threatening and develops (GUILT) for being a

disturbance to others.

Competence vs. Inferiority

John comes from a nuclear family which is composed of four members. His father is a

former alcoholic and while his mother had been a victim of depression during the times when she

gave birth. After stopping alcohol, their life changed, and they became wholly devoted to serving

God. John's sister is well mannered, and even her teachers acknowledge that she will be

successful in life one day. Their source of income originates from his father who works as a real

estate developer. Before resignation, her mother worked as a statistical researcher in the

government offices with great attainable qualifications.

John possesses greater significance and is much oriented to achieve more in life

following his teacher's recommendations to demonstrate competing skills than his parents. Due

to the passionate and willing teachers, John feels more confident is does more hard work to

achieve his goals. John sees the necessity to develop and demonstrate pride in the society in his

daily accomplishments (INDUSTRY) (Waterman, 341).

Identity vs. Role Confusion

John's parents had been concerned about the change in his behavior and adapting

confident attitude that left them wondering what the cause was. John had dropped in his school

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grades, stopped communicating and relating with his peers and teachers. Apart from this John

initially had a problem with his sister which resulted from being aggressive on nearly anything.

Above all, the most disturbing issue about his behavior is the lack of self-esteem as he does not

appreciate his physical appearance and perceives his sister as superior to him.

John feels more independent, and it is in this process of an adolescent that we can

understand his (IDENTITY) whether sexual or occupational. After some time, John has adapted

to growth and feels comfortable because he is ready to accept others despite their ideological

differences. According to John his main focus and dream of becoming a dental surgeon are

evident. Considering the past decline in grades from school, John is ready for change and

associated with peer groups that are more education oriented and set for academic excellence.

Intimacy vs. Isolation

John has become more aggressive and extreme violence to anyone who appears his way.

John is more oriented to achieve his life goals rather than spending the time to cultivate

friendship from the opposite sex. After a successful completion of his education and landing into

one of the best paying jobs in a government organization, John feels the need to get intimate in

relationships and get more committed to a long-term relationship.

This becomes one the most laborious task John has ever carried out in his life. Most

nonfamily members he ought's to get the commitment from, find it very difficult to cope with

him due to his aggressiveness and reject him due to his characters (Dyk, 93). John ends up

feeling so lonely and (ISOLATED) because no beautiful lady would like to hang out with

someone as much hot-tempered as he is. It is after more considerate time that John seeks to lower

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his aggressive nature to succeed in having a happy relationship and gets committed towards

family goals.

Generativity and Stagnation

John has now risen to become a mentor in the community ongoing projects and offers

advice to the upcoming generations. His committed relationship with his wife Cindy has

provided them with siblings, and it is now their duty to look upon their children. Through the

qualifications, John is considered to be one of the leaders in any community-based project

implemented by the government. Due to the continued success in his entire life, John has

acquired a virtue of care in the other generation to come underneath his developed pictorial

sense.

Ego Integrity vs. Despair

The aftermath of John's life is a percept of success. The basics he meant to accomplish

are already in place, and he has now become less productive in achieving any responsibility

attached to him. About his age, everything he does tends to be very slow as compared to the

youngsters and the upcoming generation. Therefore, John can now relax, turn back to his past

stages feeling the sense to have completed all the basics and can now await death with an inbuilt

possessed virtue of wisdom.

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Work Cited

Mobley, Caryl E., and Judy Johnson-Russell. "Erikson's theory of psychosocial development."

Theory-directed nursing practice (2005): 115-142.

Rosenthal, Doreen A., Ross M. Gurney, and Susan M. Moore. "From trust on intimacy: A new

inventory for examining Erikson's stages of psychosocial development." Journal of Youth

and Adolescence 10.6 (1981): 525-537.

Waterman, Alan S. "Identity development from adolescence to adulthood: An extension of

theory and a review of research." Developmental psychology 18.3 (1982): 341.

Dyk, Patricia H., and Gerald R. Adams. "Identity and intimacy: An initial investigation of three

theoretical models using cross-lag panel correlations." Journal of Youth and

Adolescence19.2 (1990): 91-110.

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