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Social-Emotional Functioning (Layla/AM section)

At present, Layla is highly self critical and shows an excessive level of self concern (egoindex/MMPI-2/LSE/DEP). She may, at times, engage in positive or adaptive self exploration

(FD), but appears to also indulge in painful negative introspection (SumV) and ruminate on what

she perceives as her many faults (MMPI-7/OBS/ANX). She may have a fragmented sense of self(H:(H)+Hd+(Hd)), be preoccupied with feelings of vulnerability (HVI) and have many physical

complaints (MMPI-1/HEA). Projective data reveals a pervasive sense of herself as deeply

overwhelmed, confused and fragile (SC#48,57/TAT#1). One of her stories describes a characteras having a "broken body and a broken spirit and unable to accept herself and her

overwhelming imperfections (TAT#3BM)."

Layla may have a general difficulty with social relationships that prevent her from developing

and maintaining mature bonds with others (CDI/MMPI 0/SOD). Layla currently tends towithdraw from interacting with others as she may expect interactions to contain aggressiveness

and hostility (AG). She may also have difficulties clarifying the boundaries of personalrelationships (PHR). She tends to view others cynically and appears to have a generally

mistrusting attitude and feel highly vulnerable (HVI/MMPI-CYN). Although Layla typically

reaches out to others when she is stressed (EB) she may currently feel to overwhelmed todo this (low H). She may also be feeling substantial interpersonal anxiety(MMPI-7).

Layla's projective data may reveal a sense of longing and regret related to relationships and she

may have given up on seeking opportunities for satisfying connections and/or close relationships

(SumT/TAT#7BM/Background).

The level of Layla's emotional turmoil and distress is critical now and her emotional responses

are currently quite primitive (Pure C/MMPI-F). There is also suggestion that she is overwhelmed

by psychological complexities (Blends:R) and tends to hold in negative emotion rather thanexpress it (SumC:WSumC). It is likely that she feels acutely sad and hopeless (MMPI-

2/DEP/tree). She, in fact, shared "I just sit around at night and sometimes I cry for no reason"

(Afr). She may be experiencing pain not only from her recent divorce and loss of a formerhusband, but also profound guilt related to relinquishment of her son (MMPI-

7/background/SC#69). She may feel anxious and have substantial difficulty concentrating

(MMPI-7/ANX/SC#57). Although, Layla has expressed significant suicidal ideation and may beharboring a significant amount of anger, present testing indicates there is not an immediate threat

(MMPI-2/9/background/S/S-CON).

Test data indicates that although Layla has an extratensive coping style and usually uses externalresources; reaching out to others when she is stressed, she may be too overwhelmed to do this

now. (EB) She is currently in a coping deficit (EA-es). Layla currently has a very poor ability to

cope with unexpected stress (Ror-es) due to the presence of overwhelming painful affect which

includes holding in negative emotion (C) and painful negative introspection (V). Her ability to

cope is also compromised by the presence of overwhelming needs (FM) and anxiety (m).

Furthermore her ability to cope, both chronically and currently, is severely diminished and she

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has lower than expected resources to cope with external demands (Ror- D/AdjD). She has

general difficulty not only with social ties but also with functioning in a complex world (Ror-CDI). In fact, withdrawal from social interactions (MMPI-0/SOD/SC#49) may help her maintain

a fragile state of equilibrium. Her tendency to ruminate in a negative manner may provide her

with a false sense of control over her concerns (Ror-SumV/MMPI-7/ANX/FRS/OBS). She has a

tendency to be very emotionally reactive as opposed to generally defensive (Ror-Lambda).

Despite Layla's high level of distress (MMPI-F/background) and diminished ability to

concentrate (TAT#57/behavioral obs) she does not appear to display disturbed or disorganizedthinking (XA%/WDA%/MMPI-6/8/9). Although primary projective data indicates some degree

of idiosyncratic and creative thinking (X+%/Xu%), Layla demonstrates a high level of

conventional responding (P) with negligible levels of loose associations and minor languageslippage (INCOM/DV). She may, however, currently evaluate herself and her world through an

acutely negative lens that magnifies her pain and hopelessness (MMPI-2/CYN). She does not

display potential thought disorder (Sum6/WSum6).