VIDEO CASE EXAMPLE 3: JORICK, A BOY 12 YRS OLD This example consists of:
MIND LAZINESS
L: That’s an honest answer, I like that. What is it you don’t like about school? J: To get up so early.
L: You have problems coming out of bed?
J: When I have to go to school yes, not in the weekends. L: Not in the weekends, why is that?
J: Because I don’t like to go to school.
L That’s a good answer, because you do not like to go to school. L Don’t you have friends at school you like to see?
J: Yes.
L: You have lots of friends? J: Enough.
L: Who is your best friend? J: Tom.
L: Tom.
J: Alex. L: Alex.
L: These two are your best friends. They also don’t like to go to school, or do they like school?
J: Sometimes they do.
L What do you like in school? Is there a subject you prefer? J: Mathematics.
L: You are good in mathematics?
J: Yes.
L: And do you like reading?
J No.
L: No. You don’t like to read? Is there no book you like to read?
J: No.
L You don’t like to read. Do like to watch movies?
L: What kind of movies do you like? J: Different.
L: Different. What do you mean? About fighting, war? J: Most of the time something with knights.
L Aah, knights. What do you like about knights? J: The swords and arrow and bows I like.
L: Aah, The knights look good with the shields and the bows? The fighting, is no problem? You don’t dream about that?
J: No.
L: No dreams. Do you have ever dreams you remember?
J: No.
L: That is no problem. And at school the only thing you like is math, nothing else? J: Physical education also.
S: And English.
L: Ok, English. On which level you are in school? S: He is in the first year of high school.
L: Okay, first year in high school, that’s good. You are doing all right, no problems to keep up? Except you don’t like to go?
J: Now I do.
L: Before you didn’t? What happened before, you had to double?
J: No.
L: You always went to the next year?
J: Yes.
L: And although you don’t like school, you are doing now better?
J Yes.
L: And the teachers agree with that? And mom also says you do now better? No problems, I like to hear that!
What about music and dance? J: No, but I want an electric guitar.
L: You have an electric guitar? Oh, you want one, but you don’t have one yet? I shall look at your mom. That is what you would like to learn, electric guitar? With your friends. Would you like to start a band?
J: I don’t know yet.
L: And… What about sports? Are you interested in sports?
J: No.
L: No, not interested in sports.
And animals? Do you have animals at home? J: We had two cats and a dog, but the cats died.
L: Two cats and a dog!? Two cats are dead!? And the dog is still there?
J: Yes.
L: Did you like the cats and the dog a lot?
J: Yes.
L: Now they are gone, but did you feed them, or is it mom who does it? J: Mom did everything with the cats
L: Ok, and you feed the dog? J: If I have to.
L: When you have to do it, OK, so from time to time. And walking with the dog?
J: Yes.
J: Yes.
L: Okay, is there anything you would like to ask me? J: No.
L: So there is no problem you would like to have improved? Do you think about the future? What would you like to become?
J Mechanic.
L: What kind of mechanic? J: Cars.
L: Repairing cars. Motor mechanic? What do you like about that? J: The engine.
L: To fix engines, you’re good at that? J: I don’t know yet.
L: But if you want to do that, it must be something you are attracted to? J: Yes.
L: Who taught you that? Or did it just come up in your mind? J: Dick.
L: Who’s Dick? J: He is there.
L: Is he a mechanic? J: He’s a policeman.
L: Did Dick tell you, you should become a mechanic?
J: No.
L: You decided it yourself?
J Yes.
L: OK, You don’t have any question for me? J: No.
L: Okay. It was a nice visit. Then you can go home now, maybe with Dick. Ok, thanks for coming Jorick.
J: Mom told me to come.
L Mom made you. I think mom makes you do a lot of things: feed the dog, walk with the cats?
J: No, walk with the dog, not with the cats.
L Okay, you are right, not the cats. But mom, she has a lot of ”you have to”? If mom never makes you do things, what would you do then?
J: Nothing.
L: Nothing! Okay, But how will you then get any food. who would take care for you then?
J: I will sleep at friends then. L: Yes, such friends are great.
Thank you Jorick. J: You’re welcome.
L: I will probably see you again some time. Yes you are ready. See how quickly it went. You did a wonderful job. Excellent.
(13.20: end interview with Jorick himself)
L: So in short in English, there are two complaints: eczema and headaches. Why didn’t I ask too many questions about that? Because I don’t think it’s really that much of a problem. I will hear from mom, but I already see to some extend I don’t get to much information anyway. I am not going to lose my time. I just wanted to see him.
He doesn’t really like too many things. Nothing in school, except his friends I guess. And cats or dogs he is not particularly fond of. He walks the dog, because he has to. If he could choose he would do nothing, that’s the bottom-line. That’s the whole thing. Obviously now we can just start. But it is always good to see the patient. (Sometimes,… last week I had a patient, 16 years old, who came in and he had a phenomenal act. Foolish behaviour, He played theatre with himself, while all these people were sitting there, he acted like they were not there. And he was acting with shadows and three different voices. I hadn’t even said hello to him. So he was not timid. Let’s put it that way. So we want to see things obviously)
And I already have seen some things, but I need mom, SuSanne. And mom is going to take her microphone.
L: All right SuSanne. S: I even have two.
L: SuSanne and I will speak in English.
S: I will try to speak in English, my English is not so very well.
L: Don’t worry about that, if you don’t know the word in English say it in Flemish and I will translate it. Flemish, I mean Dutch, we don’t have the same accent.
So anyway what I want to know in general. I’m sure your complaint about him is not headaches and eczema and I just want to hear from you, what the chief complaint is. Just tell me what you see. Just tell me about your child.
S: When he is in a safe place it is a very open and friendly boy. When it is not a safe place, like here or school or outside, he is timid and he doesn’t see things anymore. L: So you mean close places?
S: No, not closed places, but different places, new places.
MIND - TIMIDITY - public; about appearing in
L: So new things. In new things he doesn’t feel good, he doesn’t feel safe. S: No. (Indeed)
MIND - CONFIDENCE - want of self-confidence
L: And if he doesn’t feel safe what is he going to do then.
S: Sometimes timid like here, he doesn’t say a thing. (MIND - TACITURN) You said he doesn’t like cats. His cat died yesterday and he was very upset about the dying of the cat. He does not tell you, he was very upset that the cat died.
L: He is upset about that the cat died!? S: Yes, and you do not hear it here.
MIND - AILMENTS FROM - grief
L: Why would that be? Why would he not say this?
S: because you don’t ask him. Jorick always gives the answer you ask. If you ask do you have cats, he will say: yes. It is the same when you phoned me. If you ask him, is your mother home, he will say, yes, and will put the phone down. So he gives answers at what you say and nothing more.
MIND - ANSWERING – abruptly
MIND - ANSWERING - aversion to answer
(17.37)
S: home is safe. He said it very softly, when you asked if he liked school and then he said: well, now I like it, but at first not. He said he had to get used to the new school and this took him half a year.
L: So after half a year he was used to the school. S: Yes and then it was okay.
L: what happened before, how did he act?
S: he was doing very strange things. He was very wild, said strange things, impolite, made wild movements with his arms and legs (S. shows) Talking, talking, talking. You couldn’t stop him from talking.
MIND - LOQUACITY - changing quickly from one subject to another
L: Talking about what?
S: About everything, swords, he likes swords. You asked what he likes about movies and the swords are the number 1 for him He does have four or five swords at home and he likes to play with it.
MIND - DELUSIONS - fancy, illusions of
L: Tell me a bit more about the period before he got used to his new school. So he was restless, impolite, he does all these movements even in presence of other people? It doesn’t matter? (MIND – IMPOLITE) He just acts as if they are not there, or what? S: Yes.