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Indira Gandhi National open University master of arts in psychology first year internship report of ten cases across india. Developing an understanding of subject area whether clinical psychology, counselling psychology or Industrial and Organisational Psychology. Submission of report as per the date given in handbook [keep a photocopy of the report and take acknowledgement (Appendix-XI)]. Internship (MPCE 015/025/035) is an important component of the MA Psychology programme of IGNOU.
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I….. hereby declare that I am a Learner of M.A. Psychology (Part II), July 2020 year, at the Study Centre Code xxx Regional Centre: xx, place, and I want to do my Internship (MPCE-015) at Psychology Clinic name on my own free will. I will adhere to the standards of the organisation and display professionalism during my internship. Signature of the Learner Date: Name of the Learner: Place: Enrollment No.:
APPENDIX-III CONSENT LETTER (Agency Supervisor) This is to certify that the internship in MPCE-015 for the partial fulfilment of MAPC Programme of IGNOU was carried out by …,......., Enrollment No.XXXXXX, under my supervision. (Signature) Name of the Agency Supervisor: Designation: Address:
NAME : ABC AGE/GENDER : 15 years/male RELIGION : Hindu DOMICILE : Bangalore EDUCATION :9th Std OCCUPATION:Student SOCIO-ECONOMICS-STATUS : Average FAMILY TYPE : Nuclear Family MARITAL STATUS : Unmarried MOTHER TONGUE : Hindi INFORMANT : Self and Parents RELIABILITY AND ADEQUACY : Reliable and adequate. CHIEF COMPLAINTS
Birth and early Development: The patient was a full term baby, normal delivery in the hospital and mother’s age at the time of delivery was 25. Normal developmental milestone as reported. Presence of childhood disorder: No significant history of childhood disorder as reported. Scholastics and extracurricular activities: patients started schooling at the age of 4. He is studying in Gujarati medium and he is average in his academic performance. No problems with his peer groups and teachers were reported. He likes to play cricket. After studies he used to spend most of his time on the cricket ground. MENTAL STATUS EXAMINATION: General appearance & Behavior: The patient was 16 years old, lean body feature, physical age appearance as he stated. Wearing a tidy dress, well kept and well groomed. Eye contact was maintained throughout the interview. Attitude towards examiner: The patient was cooperative. Rapport was easily established. Motor Behavior: The patient was calm and sat comfortably in a chair. His facial expression conveyed anxiety. His psychomotor activity was within normal range. Speech: His speech was relevant, coherent, with normal reaction time. He spoke in a clear and audible tone. He spoke spontaneously and offered information willingly. Mood Subjective: “man teek he” Objective: Patient seems anxious.
The patient’s affect was often consistent with mood congruent to thought. Thought Stream: His thought stream was normal. Form: No formal thought disorder was found. Possession: Verbatim: “man me baar baar vichar aata he, hath doya he nahi, switch bandh kiya he nahi” Impression: Obsession and Compulsion were found. Content: The patient is anxious about daily activities. He repeatedly gets doubts about his completed tasks which are difficult to control. Cognitive functions: Orientation: The patient was well oriented with time, place, person, date, day, month and year. Attention & Concentration: The patient’s attention was aroused easily and sustained for enough time. He is able to reproduce up to 5 digits both forward and backward. Memory: Immediate memory: Present Recent memory: present Remote memory: Present Abstraction: The patient’s abstraction was assessed to be at conceptual level. General Intelligence: Information: Average Calculation: Good Comprehension: Good
Patient’s paternal uncle has a history of hyper activity behavior and attention deficit. No other psychological illness and cognitive impairment were reported. PERSONAL HISTORY Birth and early development: patient’s mother reported that she was 22 and his father was 28 at the time of his birth. There was no complication of pregnancy and he was born by cesarean section due to the amniotic fluid leakage. 12 hours after birth he got sinus infection and became a blue baby and he was kept in the incubator for 10 days. His birth weight was normal. Developmental milestones were reported as within normal range for language and both fine motor and gross motor development. Childhood disorders: When he was six months old, he had a surgery for kidney stones. One year back he was suffering from high grade viral fever and got a seizure attack. Educational and scholastic history: The patient started his schooling at the age of four. At first he was admitted to a Malayalam medium state school. His performance and grades were good very initially. After that he changed his school to CBSE board. Following his new admission, he had started showing several disciplinary issues. His teachers complained about his behavior many times. Gradually they started ignoring him from class room programs and other extracurricular activities. They refuse him to become a class monitor and reject him from outdoor games that he really wants to participate in. Recently he started having difficulty in remembering his lessons and instructions which created more troubles in his studies. He has been facing several verbal and physical punishments from his teachers that make him more distressed. He started refusing to go to school and showed anxiety towards his academic activities. His grades in school were bright and he is good at mathematics. He won a prize in a skating competition. He likes outdoor games such as football, kung fu, skating etc and also shows interest in pencil drawing.
His peer group relationships are like normal children of his age. He often annoys other students but also helps them when it’s needed. No other significant abnormality in peer relations was reported. MENTAL STATUS EXAMINATION General appearance: The patient is 8 year old, average height and weight, physically age appropriate. Well dressed and well groomed. He maintained partial eye contact throughout the interview. Attitude towards the examiner: The patient was cooperative and willing to talk with the interviewer. Rapport was established easily. Motor functioning: In the interview there were signs of restlessness and hyperactivity (fidgeting seats, keeps taking materials from table etc) was observed while the interviewer was talking to his mother. He is attentive and remains calm when he gets attention from the interviewer. Speech: Patient’s speech was audible, clear with normal reaction time. There was no difficulty with word fluency and auditory comprehension. Mood: Subjective: “I am happy” Objective: Patient’s mood is Euthymic. Affect: It was appropriate and consistent to his mood. Thought Stream: His thoughts flowed logically. Form: No formal thought disorder was found. Content:
Calculation: The child was able to substitute and add three digit numbers. Patient’s calculation was found to be above average level. General Intelligence - Child’s abstraction, information, calculation, comprehension, and vocabulary were up to his education level. Judgment The child was able to give satisfactory answers to the questions such as his future plans, response towards given social situation and emergency situation. The patient’s personal, social and test judgment are intact. It was found up to his age level. Insight “Njan ellam marannupovunnu” The patient’s insight is at grade II. He believes he has problems in his memory but not in his behavior. When he misbehaves it’s because of others. DIAGNOSTIC FORMULATION Index patient, 8 years old, Hindu male, 3rd^ standard student, belonging to average socio- economic status, residing at Calicut, was brought by mother with chief complaints of forgetfulness, difficulty in studies, disciplinary issues in school, poor sitting tolerance since four years, worsening since 1year, with history of neonatal complications and single episode of seizure attack, was cooperative with the interviewer, showed motor restlessness and hyperactivity, speech was clear and relevant, mood was euthymic , affect was consistent to mood, not congruent to thought, In thought content anxiety towards academic activities were found, attention aroused easily and partially sustained, abnormality detected in immediate memory, judgment were intact and insight was found to be at grade II. PSYCHOLOGICAL ASSESSMENTS TEST ADMINISTERED
▪ Malin’s Intelligence Scale for Indian children ▪ NIMHANS specific learning disability index ▪ Conners abbreviated parent or teacher questionnaire. ▪ Children Apperception Test (CAT) TEST FINDINGS Malin’s Intelligence Scale for Indian children On MISIC, the Full Scale I.Q was found to be 125 which indicates superior level of intellectual functioning. The verbal scales reflect the child’s ability to work with abstract symbols, the amount and degree of benefit he has received from his educational background, verbal memory abilities and verbal fluency. The verbal I.Q was found to be 125 indicating superior level of verbal intelligence. On the verbal subtests, the raw scores and the corresponding Test Quotient (TQ), given in brackets were as follows: Information (14, 117) which indicates an above average level performance on verbal ability, intellectual curiosity and long-term memory. Comprehension (17, 135) indicates superior level of performance on social judgment, reality awareness and understanding. He can grasp the social rules and regulations very well and has knowledge about moral codes. Arithmetic (10, 115) indicating an above average level performance on numerical reasoning and speed of numerical manipulation. Similarities and Analogies (21,155) indicate a superior level of performance on abstract intelligence and verbal reasoning and in categorizing meaningful relationships.
On NIMHANS Assessment Battery for Specific Learning Disability, he has been assessed for Attention, Reading, Comprehension, Spellings, Writing, and Mathematics. I. Attention The child faced partial difficulty in sustaining attention while completing the digit cancellation task. He needed constant reminders to do his task. He performed the task in the proper manner and followed the sequence order. Double digit Cancellation: Right- 215, Wrong- 3, Omissions- 6 Total Time taken: 7 min 51seconds. (A) Reading: The child was able to read adequately up to 3rd standard passage. He did not face any difficulty reading the passage. His reading ability was found to be sufficient. There was no error found while reading. Impression: Adequate (B) Writing: The child was asked to copy from a passage. His ability in copying and in writing answers to questions was appropriate according to his age. His writing speed was normal and handwriting was good. He took 5 minutes to copy a passage. No errors were found in the spelling and punctuations. No evidence of reversed letters, added letters and wrong capitals was found. Impression: Adequate. (C) Comprehension The child was able to comprehend at 3rd standard level. He hasn’t faced any difficulty in comprehending the passage. Out of 5 questions he corrected all of them. His comprehending skill was found to be satisfied. Impression: Adequate
(D) Spelling Spelling skill was assessed by asking the client to listen to words and write the spellings of it. He was able to perform adequately at the 3rd standard list of words. Out of 15 words he committed 3 errors in writing spellings of standard 3rd. The child could relate the phonetic sounds of the words with their formation of spelling. Impression: Adequate III Arithmetic Test: His mathematical ability was assessed by asking her to solve the given sums and show appropriate calculations. He was able to solve the calculations as simple addition, subs traction, multiplication and division of the 3rd standard. Impression: Adequate Conners abbreviated parent or teacher questionnaire. The rating scale is used by the parent of the child to be assessed for the attention deficit and hyperactivity disorder. On scale the child scored 24, indicating moderate level of attention deficit and hyperactivity. Children Apperception Test (CAT) The Children’s Apperception Test is an apperceptive method which was administered to understand a child's relationship to important figures, needs, drives, attitude toward parental figures, fantasies about aggression etc. On CAT, the plots of the stories varied in nature which contain family gatherings, play time etc. The heroes in his stories are children, who are playful, impulsive, and helpless. Significant needs of the heroes are succourance ( need of to be nursed, supported, sustained, protected, loved, advised, guided, forgiven, consoled. To remain closed to a devoted protector.), Need of nurturance (to give sympathy and gratify the needs of a helpless, that is weak, disabled, defeated, lonely and sick), need of harm avoidance ( to avoid pain, physical injury, illness, and death, to escape from dangerous situation.), need of affiliation ( to draw near and enjoyably cooperate with an allied object, to please and win affection and remain loyal to friends). At times he introduces a few objects and situations into the story: rain, sharp objects, toys, strangers who can protect the child, which implies the need of aggression, freedom from
