Writing Analytically, 6th Edition - Rosenwasser, David & Stephen, Jill.original_ [125]
Drug and Alcohol History:
Patient reports that he has a history of alcoholism beginning over fifteen years ago. Patient is known to have utilized some sort of illegally conjured prescription drug to self medicate for his symptoms. Patient smokes as many as eight packs of cigarettes each day.
Behavioral Observations:
Patient is alert and coherent however, he displays nervous behavior, fidgeting and ticks in his face and neck. Patient seems eager to leave the office and his eyes repeatedly dart around the room. He repeatedly and urgently requests a prescription for his symptoms and is hesitant to answer questions.
Mental Status Exam:
Speech pattern is urgent. Patient refuses to answer questions but seems capable of doing so when pressed. Patient seems to have high intellectual capacity and is completely conscious of his surroundings. Patient seems to have no control over obsessive thoughts.
Functional Assessment:
Patient does not recognize the severity of his illness. He believes that he must live with his illness but that only medication has the capability to help him. The patient is involved with illegal activity and has very little social interaction beyond that with his partner Frank. He does not function well in new environments and cannot go outside without becoming extremely uncomfortable. Without treatment the patient may be a suicide risk.
Strengths:
Patient is extremely intelligent and creative. He is organized, meticulous, and values cleanliness. Although his work is criminal, he excels in his ability to talk to people and persuade them into doing what he wants them to do.
Diagnosis:
Obsessive Compulsive Disorder
Treatment Plan:
It is recommended that patient begin a carefully monitored drug therapy and Cognitive therapy program. Patient will be strongly encouraged in therapy to withdraw from his criminal lifestyle in order to apply his talents and strengths toward more productive work.
Prognosis:
If the patient is treated cognitively and chemically through drug therapy, vast improvement may be achieved. However, if criminal behavior persists, treatment may not be as effective. Similarly, if patient does not continue consistent treatment indefinitely, a relapse of symptoms is highly probable.
TEXTUAL EVIDENCE
Types of evidence, as we’ve been noting, can be divided into two broad categories: quantitative (numerically based) and qualitative (based on interviews and other kinds of non-numerical data). Those who work with qualitative data tend to focus closely on words. We are using the term “textual evidence” to designate instances in which the language itself is of fundamental importance: both how things are worded and the range of meanings that key words might possess. Insofar as the actual language of a document counts, you are in the domain of textual evidence.
Perhaps the profession that most commonly uses textual evidence is the law, which involves interpreting the language of contracts, wills, statutes, statements of intention, etc. Similarly, diplomats, accountants, people in business—all those who must rely on written documents to guarantee understanding—need to be adept at textual analysis. People in such fields as literary study, media studies, and public relations also engage in textual analysis.
Notice in the following excerpt from a student paper how the writer focuses on particular words as evidence.
Excerpt from “Women and Nature in Lessing and Chopin”
Susan tends to fear everything connected to the natural world [General claim about feature of text she wishes to understand]. The heroine first shows signs of irrationality as she refuses to sit in her garden. Lessing describes, “She was filled with tension,