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Various social factors impact the development of psychological disorders. This is substantiated by Aldinger and Schulze (2016) because the authors state that the environment and genetics of an individual with bipolar determine the development of this condition. The most significant components are traumatic life events and social support. In this case, BH suffers from manic episodes due to bipolar and to ensure proper treatment one should consider all the components that affect BH.
Firstly, Reinares et al. (2016) state that “there are significant associations between poor family functioning and clinical variables of severity,” which may worsen of episodes that this patient has in recent times (p. 66). From the patient’s history, it can be concluded that BH can receive family support only from her mother, while she thinks that her father is a celebrity. It is unclear whether ethical or cultural issues had a significant effect on this patient. Therefore, the lack of support from family members may have facilitated the patient’s psychosis mania.
The issue of autonomy during the treatment of abnormal behavior is complicated. This case demonstrates an excellent application of patient-centered care because at first, BH did not want to take medication that would reduce her psychosis symptoms. However, the medical professional in question explained the issue using references connected to energy, which were familiar to BH. Through this, the autonomy of choice was maintained through proper explanation and adherence to the wishes of BH.
In similar cases, it is necessary to evaluate the risk that the patient may impose on others while considering his or her preferences. Schizophrenia and psychosis can severely impair one’s perception of reality, and thus at times, the autonomy has to be sacrificed.
References
Aldinger, F., & Schulze, T. (2016). Environmental factors, life events, and trauma in the course of bipolar disorder. Psychiatry and Clinical Neurosciences, 71(1), 6-17. Web.
Reinares, M., Bonnín, C. M., Hidalgo-Mazzei, D., Colom, F., Solé, B., Jiménez, E., … Vieta, E. (2016). Family functioning in bipolar disorder: Characteristics, congruity between patients and relatives, and clinical correlates. Psychiatry Research, 245, 66-73. Web.
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