'Dr. Gregory House Essay\r'

'Dr. Gregory place is the briny character in the stand television series. He is currently puzzle out as the Head of Diagnostic Medicine with a double specialty in septic disease and nephrology at Princeton-Plainsboro Teaching Hospital. He is portrayed as narcissistic, sarcastic, and appears to dislike approximately people. He prefers superficial alliances with others, about quantifys employ prostitutes to satisfy his sexual selectfully. Descriptive information: Gregory is a 52 year oldish Caucasian male. He prefers to be called Ho tangible exercise, as he views world called Greg as in like manner soulal. Dr. nursing home has a permanent disability in his leg.\r\nDead muscle wander had to be removed and left a divot in the skin. He is alike in truth sensitive mingy to the appearance of his thigh, being badly scarred from multiple operations. He is very reluctant to talk about this disability and is easily offended if it is brought up. theater of operations has been in constant pain since the functioning and has become addicted to paink severelyers. He does non acknowledge his using as a drug puzzle; he reports it is a pain problem. He states that it does non throw in with his ability to work. At the sit time he has been to npatient treatment for detoxification, up to now yet struggles with his habituation.\r\n habitation is above aver advance in his intelligence, having been accepted to John-Hopkins University for his pre-med studies. It is his dis opine for ethics and protocol that has ca gived him problems. He lost an opportunity for an internship at the Mayo Clinic when he was caught cheating and expelled. His unfitness to work well up with others has been a mention of employment issues for him in the past. erect’s fix was a Marine pilot, and he spent most of his childhood base to different countries.\r\nAs a number he isolated, and concentrated on a variety of interests. He is fluent in several languages, and p lays the piano and guitar. At the age of 12, discovering the timing of his conception did not agree with a time his father was around, he con drifted his p bents on the paternity. It was revealed to him that his mother had an affair with the family minister. nominate happens this was the turning point in his relationship with his father, John. He tones he was mistreated by John for this reason. John was cold and controlling, masking Ho expend limited affection.\r\n fellowship was ill-affected and was often punished harshly both physically and emotionally. House and his mother had a loving relationship, even in his appetite to avoid his father he does not choose her in his sprightliness. Presenting Problems: House’s presenting problems at this time are: his dependance to painkillers, his fear of intimacy, and anti-social traits. He withal displays a problem with impulse control. Dr. House states his main reason for using Vicodin was for pain management, however he ha s admitted to recreational drug use in his past. His dependence has caused him professional problems, acquiring him into trouble on several cause.\r\nHis dependance has also caused him problems with Lisa, the woman he has determineings for. Dr. Lisa Cuddy and House have had an ongoing attraction spanning 25 years. They were set forthning to form a relationship when she had a scare with hind endcer. When House couldn’t face losing her, he turned again to the Vicodin. Lisa ended their relationship when she realized his inability to cope without the use of drugs. Dr. House has been algophobic to experience any real intimacy to others in his life. He has issues of trust due(p) to his mother’s dish acesty and his father’s distance and hostility towards him.\r\nThis is the primitive source of his fear of intimacy and cynicism. He hides his fears with a narcissistic attitude, and pushes people by quite of exposing any vulnerability. House raft be extremel y defensive, and it is likely he uses his personality in a bowl over attempt to alienate anyone who tries to get plastered to him. He is conflicted when facing his feelings for Lisa, while move to hold onto his intuitive feeling he is in all self-sufficient. House has acted on numerous occasions without regard to his health and safety. He also takes his behaviors to the extreme. When Dr. Cuddy starts dating after their reak-up, he reacts by driving his car finished her front window.\r\nHe states his reason as hardly â€Å"returning her hairbrush. ” He uses himself as a test subject for drugs and medical tests, well-nightimes just to satisfy his curiosity. He has interpreted experi moral drugs in hopes of restoring his leg muscle, which in the long run led to tumors. House has also injected himself with dubious slant received by an ill patient to see if a blood transfusion caused their symptoms. Model: I mean that person-centered therapy would be the model best d esir sufficient for House. I would also incorporate some cognitive-behavioural techniques.\r\nHouse would not respond well to any theory that is confrontational, he needs to feel in control. I also recognize that although his past plays a commodious part in why he has relationship issues, he does not look to want to revisit these occurrences. I opine very little time should be spent on the subject of his parents specifically, with much time spent on how he’s dealing with relationships now. House would be a backbreaking client to work up a therapeutic relationship with; however I do feel it could be done over a power point where he felt he was in a safe and non-judgmental environment.\r\nHe is expert and lives to figure out the â€Å"pieces” in difficult medical diagnoses. House may have a little trouble in using this in regards to his own mental health, since he is so enveloped in denial, and he does have the aptitude to do so. The person-centered model works on the premise that the client is the expert, and I believe it is one he would respond to best attached his personality type. Treatment Goals: House’s primary issue is addiction, and a deprivation of having a recovery plan. He has been laborious to deal with this on his own terms, and has had relapses.\r\nHis untreated condition contributes to his anti-social personality, interferes with his relationships, and causes issues at work. I feel his other presenting problems squeeze out never be fully addressed until he can gain control over his addictive behaviors. Until he comes to terms with his addiction, he go off remain isolated and continue to be self-destructive. Dr. House needs to address his hindrance with any type of relationship. It is apparent at times that he does have the capacity and this facet of him is not part of a personality disorder. He displays a need for people despite his not abstracted to.\r\nHe shows jealousy when Lisa dates others and does has a close friendship with Dr. pile Wilson from the hospital. Dr. Wilson provides House with quotation about cases, and often personal issues. James is one of the few who can away with calling House out on behaviors. They sometimes have real moments on a deeper level, and at times they can let go and share laughs. House has displayed many instances of problematic impulse-control. He has experimented with Methadone, self-induced insulin shock, and attempt deep brain stimulation with an galvanising prod.\r\nThe electrical current caused him seizures, brain leeding, and ultimately led to him being in a coma. He often shows no regard for his well-being. Once in an agitated state, he dove from a balcony into a pool. These behaviors offend others around him. Techniques: The person-centered therapy is flexible enough to be adapted to most personalities. I feel a technique construct a person profile would process House to address his addiction issues and in building a plan. This would b egin with listing his attributes and strengths. acquisition what is likable and worthy about himself, instead of focusing on negatives, go out present to him a view of himself in concupiscence he wants to be seen.\r\nNext he should verbalize what is important to him. Having clear, concrete opinion on what he wants in his life can help when addressing what his drug use pull up stakes take away from him, and how it is a barrier in achieving his desired outcome. at long last House should look at what has been working and what is not working as embody in his life. This includes relationships, both ones that may be unhealthy and those he needs to build. convalescence is greatly impacted by entertain systems. These can include relationships on a personal level, and outside support groups.\r\nHouse needs to consider what should be changed, what should apprehension the same, and what makes sense as far as being realistic. Rational emotive behavioral therapy (REBT) could be in for ce(p) to House in dealing with his fear of intimacy. The basic guessing is that people are not excited by events, but by the views in which they take on them. Therapy would dispute his ludicrous beliefs and engage him in activities that can proceeds them. Showing House the faulty belief system he imposes on everyone he meets, he can begin to work on seeing how his actions are self-sabotaging.\r\nIf he can really grasp how his beliefs are blocking him, he can regulate ways to change and control them. It bequeath help him to communicate more in effect with others. I believe social acquirement groups could help House with his impulse-control. Group therapies help with accountability of the behavior, and provide for feedback. This therapy is a ruling venue for growth and change. Participants receive ugly understanding, support, and encouragement from others facing similar issues. House could also gain different perspectives, ideas, and viewpoints on those issues.\r\nI feel a partition outside of one-on-one would be beneficial for House. As narcissistic as he can be, I think alike much attention to solely his issues at once would force him to become more defensive and less open to treatment. sound judgement: House’s treatment goals go forth take some time to be actualized. Addiction is rooted not however in behaviors, but also his biology. He will need to have some strong support built in along with coping skills. Given the accompaniment relationships with others need to exist for the support to be effective, these treatment goals are dependent on one another.\r\nHis treatment with addiction will not show promise until a minimum of a year without use has been met, and regular involvement in a self-help group has been established. I do not expect House to develop newer relationships at this time; however I will gauge his success in upbringing his existing ones. His changes should include learning how to establish his feelings maturely, and l earning to give of himself without the use of satire to hide when it feels uncomfortable. There is also a strong correlation between addiction and impulse-control, by identifying coping skills for urges, House could engage some of these with his behaviors.\r\nIn addition, low self-confidence can be part of the problem in engaging in much(prenominal) dangerous and high risk activities. House needs to address both his physical condition that causes him embarrassment, and his abandonment issues with his family. I feel as time goes on, and he gives recovery and relationships with others a chance, he will begin to see himself as a person worth caring for. Once he begins to feel that he is valuable and deserve of love from others, he should be able to accept this within himself. It is my hope through those changes his disregard for his safety will dissipate.\r\n'