Presenting issue: Barbara B. is a 22-year-old recent college graduate. She is currently employed as an entry-level account representative in a large advertising agency, a job she recently started in a large city in the Northeast. She made a self-referral for assessment, reporting that she has been feeling tired and lacking in
energy for about four weeks. She has reported a loss of interest in socializing and performing daily routines, such as exercising. She is questioning her vocational choice and finds she has difficulty keeping her mind on her work. Psychological assessment was requested to gain more information about her present functioning and to aid in intervention planning for Barbara.
Background: Barbara graduated with honors with a degree in advertising from a small southern college. She described a busy social life, with involvement in many clubs and activities, including the soccer team.
Observations: Barbara arrived for her appointment on time and was open in discussing her history and present concerns. She did note that she had overslept and rushed to keep the appointment, so she had not eaten that morning. She completed the assessments in a thoughtful manner, occasionally asking clarifying
questions. She had some difficulty in responding to the projective tests, stating she was worried she would give incorrect answers.
Based on the information above. What is the setting for the observation? Was it a natural or contrived situation? Was the subject aware of the observation (Hawthorne effect)? How did the observed behaviors relate to the referral question?
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