Paula is a 23 year old Hispanic female attending southwest community college. Paula is in her last year of community college and stays with her mother and also father in a 2 bedroom apartment. Paula believes that she is the best thing since sliced bread. She believes that she is the smartest student in her class and feels that the professor should recognize her greatness and give her an automatic A just for showing up. She has a secret fear of rejection and loss, so when she received a C in her course, she was completely devastated and complained to the dean about her grade, and trumped up allegations against her professor. What diagnosis will you provide her with?

Sample Answer

Sample Answer

 

Understanding Paula’s Behavior: A Psychological Analysis

Paula’s behavior and reactions to receiving a grade lower than her expectations indicate potential underlying psychological factors at play. Based on the information provided, it is plausible to consider a diagnosis of Narcissistic Personality Disorder (NPD) for Paula. NPD is characterized by a pattern of grandiosity, a need for admiration, and a lack of empathy for others.

Diagnostic Criteria for Narcissistic Personality Disorder (NPD)

1. Grandiosity: Paula’s belief that she is the smartest student in her class and deserves special treatment, such as an automatic A, showcases a sense of grandiosity and entitlement commonly seen in individuals with NPD.

2. Need for Admiration: Paula’s expectation that her professor should recognize her greatness and give her preferential treatment suggests a strong desire for admiration and validation from others, which is a key feature of NPD.

3. Lack of Empathy: Paula’s reaction to receiving a C grade, including making false allegations against her professor, indicates a lack of empathy and an inability to consider the feelings or perspectives of others.

4. Fear of Rejection: Paula’s secret fear of rejection and loss may also align with the hypersensitivity to criticism or perceived slights that individuals with NPD often experience.

Impact on Relationships and Behavior

Individuals with Narcissistic Personality Disorder may struggle in their relationships due to their self-centeredness, manipulation of others, and difficulty accepting criticism or failure. Paula’s actions of blaming others for her perceived shortcomings and seeking external validation through dishonest means are consistent with this pattern of behavior.

Treatment and Support

If Paula were to seek help, therapy focused on building self-awareness, developing empathy, and addressing underlying insecurities could be beneficial. Cognitive-behavioral therapy (CBT) or psychodynamic therapy may help her explore the root causes of her behavior and learn healthier coping mechanisms.

Conclusion

In conclusion, while only a trained mental health professional can provide an accurate diagnosis, the behaviors exhibited by Paula suggest traits commonly associated with Narcissistic Personality Disorder. Understanding the underlying psychological factors contributing to her actions can help guide interventions and support strategies to promote personal growth and healthier interactions with others. It is important for individuals like Paula to seek professional help to address these patterns and work towards more adaptive ways of relating to the world around them.

 

 

 

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