Shutter Island Character Analysis by

Delusional Persecutory type- Research Video

cookea7 — 2020-04-08 19:17:32 UTC

(must log in to TCS Library)

References

2020-04-09 00:46:14 UTC

Oxford Medical Education. 2020. Mini-Mental State Examination (MMSE) - Oxford Medical Education. [online] Available at: [Accessed 9 April 2020].

Tombaugh, T. N., McDowell, I., Kristjansson, B., & Hubley, A. M. (1996). Mini-Mental State Examination (MMSE) and the Modified MMSE (3MS): A psychometric comparison and normative data. Psychological Assessment, 8(1), 48–59. https://doi.org/10.1037/1040-3590.8.1.48

Brannon, G., 2020. History And Mental Status Examination: Overview, Patient History, Mental Status Examination. [online] Emedicine.medscape.com. Available at: [Accessed 10 April 2020].

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Arlington, VA.

Treatments for Delusional Disorder (Mixed type)

cookea7 — 2020-04-09 22:07:33 UTC

Delusional disorder is considered difficult to treat. Antipsychotic drugs, antidepressants and mood-stabilising medications are frequently used to treat this mental illness and there is growing interest in psychological therapies such as psychotherapy and cognitive behavioural therapy (CBT) as a means of treatment.

These drugs include risperidone (Risperdal®), clozapine (Clozaril®), quetiapine (Seroquel®), ziprasidone (Geodon®) and olanzapine (Zyprexa®). Other medications that might be used to treat delusional disorder include tranquilizers and antidepressants.

Multicultural Implications

cookea7 — 2020-04-09 22:41:51 UTC

Client (Andrew Laeddis) Teddy Daniels is a Caucasian man in his early 40s. He is a heterosexual married man with 3 children whose religion is Christianity.

Assessment

cookea7 — 2020-04-10 01:15:16 UTC

Mini MMSE

Assessment

cookea7 — 2020-04-10 01:47:31 UTC

MMSE

Diagnosis

cookea7 — 2020-04-10 04:47:00 UTC

Andrew Laeddis (Teddy Daniels) the main character in the movie "Shutter Island" can be diagnosed with Delusional Disorder, Persecutory Type and Grandiose Type

Persecutory Type Evidence

cookea7 — 2020-04-10 04:59:52 UTC

Andrew Laediss

cookea7 — 2020-04-10 05:07:43 UTC

Delusional Disorder, Mixed Type (297.1) (F22)

Delusional Disorder Explained

cookea7 — 2020-04-10 05:16:36 UTC

"Delusional Disorder" by Theo Manschreck

cookea7 — 2020-04-10 05:22:51 UTC

Main Research Article Points
-“Lifetime morbid risk in general population estimated 0.05 to 0.1 percent”

-“Prevalence is far lower than estimated prevalence for other major psychotic disorders, such as schizophrenia and bipolar 1 disorder”

-Risk factors: increased age, family member with a delusional disorder/schizotypal disorder

-Most common forms of delusions: Persecutory delusions (person believes they are being tormented, tricked, spied on, followed)

-Two types of delusions- Bizarre vs. Non-bizarre

-No studies that find a known cause for the development of delusional disorder

Example of Grandiose delusions

cookea7 — 2020-04-10 22:21:26 UTC

Andrew believed he could solve a mystery that was "unsolvable"

Specifiers

cookea7 — 2020-04-10 22:30:42 UTC

Persecutory type & Grandiose type
Non-bizarre content
Continuous (subthreshold symptom periods very brief relative to overall course)
Present and severe

Differential Diagnosis

cookea7 — 2020-04-10 22:36:26 UTC

Schizophrenia and schizophreniform disorder: does not meet active phase of schizophrenia, and can achieve interpersonal, academic, or occupational functioning)
Bipolar disorders: distinguished because of lack of mood symptoms
Substance-medication induced psychotic disorder: must be ruled out because this involves remission of delusional beliefs related to stop of substance, which Andrew does not have
Brief Psychotic Disorder: Andrew's delusions lasted much longer than 1 month
Obsessive-compulsive and related disorders: lack of obsessive-compulsive behaviors

Andrew's Symptoms

cookea7 — 2020-04-10 23:23:37 UTC

Why he is diagnosed with Delusional Disorder

cookea7 — 2020-04-13 23:05:11 UTC

cookea7 — 2020-04-13 23:11:22 UTC