Psychotherapy Out of Bounds

PSYCHOTHERAPY Out of Bounds, continued
A Magnificent Magnification
Terry was seen at a hospital. He was referred for a psychological assessment to measure his degree of impairment and disability. Several years prior to this contact, he had been in a serious traffic accident. His skull had been crushed in the impact and the neurosurgeons had cut out some of his damaged brain and had inserted a steel plate to replace the crushed section of the skull.
When he appeared at Felicity’s office, he was limping heavily with his right leg, and his right arm hung limply at his side with the wrist and fingers bent slightly inwards. His conversation wasslow and laboured since it was hard for him to find the words he wanted to use. He could not read any more, at least not well enough to do any questionnaire tests. He wrote in a clumsy way with his left hand, but he made so many spelling mistakes that what he wrote was hard to understand. There was only rather patchy sensation from the right side of his body. And he was subject to frequent grand mal (losing consciousness) and petit mal (fleeting sensory or motor events) seizures. He was clearly putting out massive efforts to continue to function at all.
Terry’s brain was damaged beyond repair. He was suffering a severe loss of function as well as periodic debilitation from his epileptic seizures. Felicity wondered why it had been necessary for Terry to be referred to him for the assessment. Dutifully, he undertook some neuropsychological tests with Terry to quantify the impairments and disabilities. Then he phoned the referring physician to provide a preliminary report and to inquire about the reason for the referral – which would help determine how detailed his report should be. The physician said that he had heard about Felicity and he was hoping that something in Felicity’s bag of tricks might help this unfortunate young man. This was an unexpected turn of events and, taken completely off guard, Felicity agreed to see what he could do.

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