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Amy Hoarding: A Case Study

Decent Essays

Amy was assessed prior to my observations as having Mental Capacity (MCA, 2005) therefore she has the capacity to make unwise decisions; yet the local authority intervened. Amy is assumed to have the capacity to make unwise decisions, an intentional behaviour, she has chosen to SN, one which she fully understands the consequences and has the capacity to execute decision making. It could be argued that professionals have socially constructed a problem from a behaviour born from choice. I observed the following: • Hoarding presented as normal for her and not distressing, also known as ego syntonic (BPS, 2015), she was happy in her surroundings. From a socio-cultural perspective, professionals are socially constructing/judging SN as a problem …show more content…

• Amy’s limited recall of events are incongruent with facts (stating her children remained with her when we know this is not the case) Is Amy’s inability to recall information or intellectual disability due to a medical condition, brain damage as a child or even genetic condition? Is her SN attributed to an inability to deal with this on higher level, i.e. her executive functioning? Research from Orrell et al. (1989) linked SN with cognitive functioning. The importance of deficits in frontal lobe functioning is that it can limit our understanding of environmental hazards; resulting in refusal to engage with services which lead to self-neglect; all behaviours observed in Amy. This would also help explain my observations in her lack of insight into her hoarding. Other observed developmental needs to be considered are • Her statement of ‘unhappy childhood’. Possible trauma • Her statement of ‘‘bullied as a child’. Does she have low self-esteem that impacts on self-care? Lack of confidence, negative self worth? • Inability to recall childhood memories and deflected as ‘not happy’ • Non-descriptive about her relationship with her parents, answers deflected or changed to another

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