Gallos, Randell M.BSN 3A

SYBIL

MSA SCENE

GENERAL APPEARANCEGROOMING (5) 1-3

Sybil is well groomed. She has an upright posture. She exhibits facial expression as well as eye contact.4-6She looks neat during her conversation with Dr. Wilbur.7-9She looks neat during her conversation with Dr. Wilbur.10-12She is neat with her conversation with Dr. Wilbur15-17Sybil obviously has a neat grooming

FACIAL EXPRESSION (6) 1-3Sybil is oriented with time, place and person. She is conscious.4-61. Peggy looks afraid of Dr. Wilbur at the hotel.2. Vicky seems elegant and shows stiff facial expression7-9She looks confused and hesitant to express what she really feels.10-12She is worried ,scared, and sad while conversing with Dr. Wilbur under the piano.15-17Her facial expression shows her emotions most of the time like when she’s sad, she cries and when she’s happy, she laughs and smile.

POSTURE (5) 4-61. She has an upright posture when she introduced herself as Vicky.2. She bends and acts like a child at the

hotel room.7-9She has an upright posture while sitting and while she was walking towards the chair/bench.10-12She has an upright posture15-17She has a stable and normal posture almost all the time

EYE CONTACT (4) 4-6She has eye contact all throughout the conversation.7-9She has eye contact before turning his back to Dr. Wilbur.10-12She has an eye contact with Dr. Wilbur15-17She don’t want Dr. Wilbur to see her so she turn her back away to Dr. Wilbur in one of their conversation

MOTOR BEHAVIORWAXY FLEXIBILITYHYPERKINESIA (3) 4-6

It was manifested when Sybil jumps and jumps at the hotel room for she don’t want to remember the way her mother maltreated her.7-91.It was manifested when Sybil remembered her mother after seeing a woman with white hair on a crowd. She ran as fast as she could and tapped the walls along her way. 2. She exhibited hyperkinesia during one of her therapies with Dr. Wilbur where in she danced in an extreme manner and walked against the wall very quick.

AUTOMATISMCATALEPSYCATAPLEXY (2) 10-12

When she is going to Dr. Wilburs place during Christmas.15-17

After she was injected, she lied on the bed as if she’s very tired

STEREOTYPE (3) 4-6At the hotel, she kept on repeating the words she said.10-121.She is repeating what she is saying while conversing with Dr. Wilbur under the piano.2. When she tore the tissue paper while saying she love her color.

ECHOPRAXIACATATONIC STUPORCATATONIC EXCITEMENTTICS AND SPASMS

SENSORY AND COGNITIONCONSCIOUSNESS (7) 4-6

1. She is conscious having a conversation with Dr. Wilbur.2. She doesn’t know if the personas of Vicky and Peggy all belong to the same Sybil.7-9She is conscious having a conversation with Dr. Wilbur.10-121. She is oriented with the place because she went to Dr. Wilbur’s place and with the person to whom she talks.2. When she was under the piano conversing with Dr. Wilbur3. When she was asked about the dishtowel.4. when Dr. Wilbur told her that she has many personality.

ORIENTATION (8) 4-61. She is oriented with the place because she went to Dr. Wilbur’s place and with the person to whom she talks.2. She was oriented with the place where she was during a therapy with Dr. Wilbur.3. She was oriented with the person talking to her. She even states that Dr. Wilbur is a doctor, not a friend.7-91. She is oriented with the place because

she went to Dr. Wilbur’s place and with the person to whom she talks.2. She lost orientation after seeing a woman in a crowd and some things that reminded her of her mother.3. She was oriented with the place where she was during a therapy with Dr. Wilbur.4. She was oriented with the person talking to her. She even states that Dr. Wilbur is a doctor, not a friend.15-17She is conscious and is oriented to time, place, and person. She has a very good concentration especially during her conversation with Dr. Wilbur. She has a very good memory and she can remember the past.

CONCENTRATION (6) 4-61. She is able to focus on how to express herself during her conversation to Dr. Wilbur.2. She is able to focus on how to express herself during her conversation to Dr. Wilbur.3. As Peggy, she doesn’t want to face Dr. Wilbur.4. She is finesse as Vicky and as Peggy she is childish.7-91. She is able to focus on how to express herself during her conversation to Dr. Wilbur.2. She is able to focus on how to express herself during her conversation to Dr. Wilbur.

MEMORY (22) 4-61. She recall the way her mother placed her at the clinic wherein he cried too much.2. she recalls that her mother is an angel.3. she recalls her mother who placed her at the clinic where she wanted to escape.7-91. She is telling what she feels inside, the feeling that she have known with Dr. Wilbur.

2. After seeing a woman in a crowd she recalled her mother who used to hurt her sexually and physically.3. She is expressing a new feeling to Dr. Wilbur , a feeling that she says a dream of a little girl who feels satisfaction beside Dr. Wilbur.4. After seeing a woman in a crowd she recalled her mother who used to hurt her sexually and physically.5.She recalls a boy in her childhood who sang around her when she was in the train with the man who invited her out.10-121.She remembers her conversation with Dr. Wilbur and the things she is experiencing, but she cant remember things whenever she is changing her personality.2.She remembers the feeling she experienced during her childhood. 3.She can recall the past experiences she had with her grandmother.4.She can recall the past experiences she had with her mother during Christmas.5. She remembers her conversations with Dr. Wilbur6. She remembers the feeling she experienced during her childhhood. 7. She can recall the past experiences she had with her grandmother.8. She can recall the past experiences she had with her mother during Christmas.15-171.When she saw the box, she remembered what happened on the recent past2.She recalls her grandmother when she talks to Dr. Wilbur after her suicidal attempt and she t old Dr. Wilbur that Richard is like her grandmother who cares for her3.When she saw the box, she remembered her bad experience when she was 4. still a child5. She recalls her dream while she is having conversation with Dr. Wilbur and she tells this to Dr. Wilbur

6. She told Dr. Wilbur about the past that Richard left her

PERCEPTIONHALLUCINATIONS (1) 18-19

While remembering her past, Sybil sees the green curtains, hears the dripping of water from the faucet and feels the pain as her mother ties her up and insert something in her vagina.

VISUAL (2) 1-3It was present when Sybil saw an old woman who was pushing a swing where in she remembers the time when her mother was lifting her up using a pulley when she was still a child.4-6She sees the moment her mother brought her at the clinic well in fact it was the nearby hotel.

AUDITORY (2) 1-3When Sybil got home, she can hear the voice of her mother as well as their conversation.10-12when she mistakenly thought that it was her mothers voice.

OLFACTORY (1) 4-6she smells the disinfectant

TACTILE (2) 4-6she felt that her throat hurts that why she whispers.7-9She had hallucinations and felt that a dish towel is around her eyes that’s why she couldn’t see.

GUSTATORYILLUSIONS (1) 13-14

Richard was humming and Vanessa had flashbacks of her mother singing a song with the same tune as the hum.

ATITUDECOOPERATIVE (5) 1-3

Sybil is cooperative with the people she encounters.4-6

She is cooperative as Dr. Wilbur asked her questions, guiding questions for her to elaborate the feeling of love that she feels.7-9She is cooperative as Dr. Wilbur asked her questions, guiding questions for her to elaborate the feeling of love that she feels.10-12She cooperates with dr. Wilbur at all times15-17She shows this when she’s having conversation with Dr. Wilbur

OUTGOING (1) 4-6Vicky is very outgoing and acts as an elite who speaks French.

WITHDRAWN (3) 4-6Peggy doesn’t want to remember anything.7-9She walked away from the crowd as fast as she could after remembering her mother.10-12After she heard her recorded voice which she thought was the voice of her mother.

EVASIVE (2) 10-121. When she is asked about the dishtowel .2. When she was interpreting her drawing to Dr. Wilbur.

SARCASTICAGGRESSIVE PERPLEXED (2) 4-6

She has showed different emotions that confused Dr. Wilbur7-9She has showed different emotions that confused Dr. Wilbur

APPREHENSIVE (1) 7-9She was apprehensive of what will be the reaction of the doctor so she tells her to look the other as Sybil talks.

ARROGANT(1) 4-6Vicky shows that she is different from Sybil.

DRAMATIC (6) 4-6She became very dramatic when she remember the scene at the clinic and she punched the mirror of the hotel room.

7-9She became very dramatic after playing the piano with Dr. Wilbur.10-121.when she was under the piano.2.her conversation with the dishtowel.3.when she heard her voice and thought it was her mothers.4. after she tore the tissue paper.

SUBMISSIVEFEARFUL (8) 4-6

1. She was very afraid upon seeing the woman with white hair at the see saw.2. She was afraid at the thought of her mother.7-91. She was very afraid upon seeing the woman with white hair. 2. She states that she is afraid of dish towels.10-121.She feels scared while telling her story to dr. Wilbur under the piano.2.When dr. Wilbur asked about button hooks and the dish towel.3.he denies that there was Peggy and the others.4. She denies that she knows how to play the piano with Vanessa.

SEDUCTIVE UNCOOPERATIVE (3) 10-12

She doesn’t want to play the piano.13-14Richard was talking to Marcia but Marcia noticed that he does this so she could kill herself while waiting for  Dr. Wilbur to come.15-17she don’t want to talk to Dr. Wilbur already and she told Dr. Wilbur that she has no illness and she doesn’t need the Dr.’s help

IMPATIENTRESISTANT (2) 10-12

She doesn’t want to do what Dr. Wilbur wants, that is to play the piano.

15-17Sybil told Dr. Wilbur that she doesn’t want to work with her anymore

IMPULSIVE (2) 4-6She suddenly broke the glass window of the hotel room.7-9She suddenly broke the glass window of DR. Wilbur.

APATHETICDEFENSE MECHANISMS

DENIAL (9) 1-3When Dr. Wilbur asked Sybil of what scares her, Sybil said that nothing scares her. 4-6She said that her mother is an angel and doesn’t hurt her.10-121.She denies the fact that the dishtowel was a good thing.2.She denies that her mother was bad to her.15-171. She denies her anger to her mother2. She denies that she has multiple personalities when she had a conversation with Dr. Wilbur3. She told Dr. Wilbur that her mother is a good and caring mother but in fact, it’s the opposite4. She denies that she is not Marcia but in fact she is5. She told Dr. Wilbur that there is no Peggy

REPRESSION (5) 1-3Sybil forgot what happened to her hand or what she did but the truth is that she broke the glass window using her hands.7-9Dr. Wilbur asked why she is afraid of dish towels and she states that she doesn’t actually know why.10-12

1. She repressed her feeling by repeating words under the piano.2.. She repressed her feelings from the pain she had experienced from the button hook and the dish towel.3. When she is recalling the pains she experienced with her mother.

RATIONALIZATION (4) 4-6She explains herself by using a third person, a child, because a child’s feelings are still excusable.7-9She explains herself by using a third person, a child, because a child’s feelings are still excusable.10-121. While repeating what she is saying , she tell dr. Wilbur what it is all about.2. After the conversation with the dishtowel.

SUPPRESSION (5) 10-121.When she was asked about the dishtowel. 2.When she was asked about her personality.3.When he remembers the pain of being hurt by her mother.4.The time when she feels pain when she was in the box18-19While Sybil and Dr. Wilbur are on their way to the garden, Sybil said “It’s too green. Why did God make everything green? Green trees, green grasses. I’m not gonna even look at the green, I’m just going to look at the blossom”.

REACTION FORMATIONCOMPENSATIONOVER COMPENSATIONSUBLIMATIONPROJECTIONDISPLACEMENT (5) 1-3

When Sybil was having a conversation with her dad about allowing her to go to a doctor, but her dad refused so Sybil got mad and made her broke a glass.4-6

She broke the window at the hotel room when she remembers the scene at the clinic when she was still a child.7-9It was manifested when she was playing the piano and she pushes very hard through the keyboard.10-121.By pounding his arms to the mat.2.When she tore the tissue paper.

IDENTIFICATIONINTROJECTIONCONVERSION (7) 7-9

1. She suddenly verbalized that she couldn’t see and asked for Dr/ Wilbur’s help.2. She verbalizes pain which was a conversion of the fear for the dish towel.10-121. While she is under the piano.2. After she is asked about the dish towel.3. By explaining her drawing to Dr. Wilbur4. By tearing of the dishtowel she feels comfortable.18-19Sybil, as she was beginning to remember about her past, feels something painful. She said “It’s like waves through me”.

DISSOCIATION (7) 1-3PEGGY was discussing things about what happened to her hand when suddenly the personality changed into Sybil. 7-9She acted as if she didn’t know the man after getting out of the comfort room.10-12After the dishtowel conversation.13-141. Sybil doesn't want to disappoint the request of Richard so she unconsciously became Vanessa to be able to confidently meet him. Vanessa is fixing herself before Richard comes to her apartment.2. Sybil is talking about Marcia saying that it is not yet the end of the world. 3. Sybil unconsciously turned into Marcia.

Marcia is very depressed and wants to end her life.4. Marcia, while sitting at the edge on the roof of a building, told Richard that there is no Sybil now and not to come near her.

UNDOINGREGRESSION (8) 4-6

She acts as a child and jumps off the bed many times and cries so hard.7-91. Sybil finds love with Dr. Wilbur, explaining herself as a little girl. A tearful Sybil hugs Dr. Wilbur as she feels the same love for her grandmother. 2. She entered the comfort room and began drawing a light.3. She sat under the piano and asked Dr. Wibur to let her draw.10-121. When Dr. Wilbur asked about the dish towel.2. When she doesn’t want to play the piano.13-141. Sybil acts like a kid in front of Richard as she removes her nightgown.2. Marcia wants to commit suicide because she couldn't handle it anymore.

SUBSTITUTION (1) 7-9She was very frightened and drew a light on a paper which was part of her memory upon entering the comfort room.

ISOLATION (5) 4-6she wants to be isolated and plans to jump of the hotel.7-9There was a sudden shift of emotions and she withdrawn herself from the crowd who watches the musician.10-121. She hid herself under the piano.2. when she thought she heard her mothers voice.13-14Sybil is using her other personality in

dealing with her feelings.FANTASYINTELECTUALIZATIONSYMBOLIZATION (6) 1-3

The sound of the swing as the sound of the pulley that her mother used to lift her up when she was a child.4-6She acts as a child when she remembers her childhood.7-91. She uses a child as a representation of Sybil, her true self, the totality of her.2. She drew a light which represents her suffering from her mother.10-121. The dishtowel and the button hook. 2. the purple crayon she had when she was at the box.

ASSOCIATION (2) 4-6She finds love with Dr. Wilbur, it’s as if she felt the love of her grandmother.7-9She finds love with Dr. Wilbur, it’s as if she felt the love of her grandmother.

AFFECTIVEEUPHORIAFLAT AFFECTBLUNTINGELATION (1) 7-9

It was exhibited when she played the piano, sang a song and danced in front of DR. Wilbur.

ECSTACYEXULTATIONANXIETY (7) 1-3

Sybil felt anxious when she was on the park hearing the sound of the swing.4-6She doesn’t know what love is.7-9She was apprehensive of what will be the reaction of Dr. Wilbur as she expresses her feeling of love for her.13-141. Sybil is anxious when she was talking to

Richard on his apartment.2. Vanessa was anxious when Richard started to undress in front of her.15-17When Dr. Wilbur talked to Sybil’s father, her father told Dr. Wilbur that he noticed that Sybil is always anxious when she was still a child but then her father did not do anything about it because he has trust to Sybil’s mother18-19Sybil hesitated and was worried when she was about to meet Peggy.

FEAR/PHOBIA (8) 1-3She is fearful when ever she hears her mother’s voice. 4-6She felt fear when she remembers her mother.7-91. She felt an extreme fear upon seeing the woman with white hair and the umbrella that reminded her of her suffering from her mother.2. She felt as if there were dish towel around her eyes and she felt very afraid.13-14Sybil had flashbacks and one of these was about a horrifying cat chasing her15-171.When Dr. Wilbur injected her on her arm2. She told Dr. Wilbur she’s afraid of hope, the hope that she’ll get better18-19Sybil said that she was scared to remember her past.

AMBIVALENCEDEPERSONALIZATION (4) 4-6

she speaks on the third person point of view as Peggy.7-9“It’s has to do with a dream. It has to do with you..you and this little girl. She is very young and what she feels is maybe excusable. She wants to sit beside you, in your big chair..” She speaks of her feelings

using a third person.13-14Sybil expressed to Richard that she feels as if she is someplace and is floating outside herself.18-19Sybil was remembering about her past and she sees herself being abused by her mother by trying to put an enema into her vagina.

IRRITABILITY (1) 15-17She moved the cat away from her table

RAGE (5) 4-6There was a feeling of anger within her that’s why she broke the glass the window at the hotel room.7-9There was a feeling of anger within her that’s why she broke the glass the window after talking about the dish towel.10-12When she tore all the tissue paper and said she loves her color.13-14Marcia was very angry when Richard prevented her from jumping off the building.18-19When Sybil remembered everything, she was very mad at her mother, as if she wants to kill her and do everything bad to her.

LABILITY (5) 7-91. There was a sudden shift of emotions when she went out with the man.2. She exhibited quick shift of emotions in one of her therapies with Dr. Wilbur, particularly the day they played the piano and sang together.10-12what she says under the piano was changes fast but with the same idea13-14Sybil woke up finding herself at the top of the shelves afraid of a cat. Then she was irritable with Richard and then she felt

guilty of going into the movies.18-19In the garden, when she was starting to remember about the past, her emotion changed rapidly (from calm to emotionally upset).

DEPRESSED (4) 4-6She was very depressed when she saw the man at the window.7-9She was very depressed upon seeing the woman with white hair from the crowd.13-141. Sybil is depressed and she said that it is the end for her.2. Sybil became Marcia. Marcia said while placing a veil on her head that nothing else matters with an expressionless face.

HOSTILETOWARDS SELFTOWARDS OTHERS

THOUGHT PROCESSBLOCKING (1) 13-14

When Richard was asking Sybil if Dr. Wilbur was a psychiatrist, she couldn't answer and placed her hand on her head as if it was aching.

FLIGHT OF IDEAS (4) 4-6There was flight of ideas as she talked after breaking the glass window at the hotel.7-9There was flight of ideas as she talked after breaking the glass window at Dr. Wilbur’s place.13-14Richard is assisting Marcia while going down the stairs. Marcia keeps on saying in a trembling manner "The people.. the hand.. the people.. the people ... the hands .. and the water...you just lay still young lady..you move a muscle... and you move a muscle and .. i could see.. i could see... and the kitchen.. the kitchen its so green..."18-19

Sybil was crawling on the grass and uttered several things rapidly, from one topic to another.

WORD SALAD (2) 4-6She was speaking of phrases after phrases right after breaking the window at the hotel.7-9She was speaking of phrases after phrases right after breaking Dr. Wilbur’s glass window.

PERSEVERATION (3) 4-6She began talking of repeated words after she was found at the hotel room by Dr. Wilbur.7-91. She began talking of repeated words after escaping from the crowd.2. She spoke very fast that Dr. Wilbur couldn’t anymore understand with repeated phrases after they talked about the dish towel.

NEOLOGISM (1) 7-9 She uses “dream” as an expression of her feeling, all the feelings that she has for Dr. Wilbur.

CIRCUMSTANCIALISM (3) 4-6She explains a lot of things when all Dr. Wilbur asked is what she was feeling right then.7-9She couldn’t explain briefly the feeling of love that she has for Dr. Wilbur.10-12When speaking about the dish towel and the button hook. Also when she is talking about what she drew.

ECHOLALIACONDENSATION (3) 7-9

1. She uses a “child.. little girl..” as an expression of her true self, one who knows how to love and is being loved.2. She drew a light which was a condensation of her mother’s physically and sexually abusing acts.15-17

Purple color = anger to her motherDELUSION (2) 4-6

She felt like her throat hurts.7-9She felt like as if there was a dish towel around her eyes.

GRANDEUR (2) 4-6She impresses Dr. Wilbur by speaking in French and being finesse.7-9She impresses Dr. Wilbur by showing her she is good in dancing and singing.

PERSECUTION (1) 7-9. She felt as if her mother is around again and will abuse her.

JEALOUSY (1) 7-9. She got jealous because one of her personalities has stolen her talent.

GUILT (2) 10-12When she heard herself imitating herself.13-14Sybil after waking up from a bad dream was guilty of going in the movies.

SELF ACCUSATIONOBSESSION (1) 4-6

When she saw herself at the mirrir and said that she’s beautiful and has a pretty little face.

VERBIGERATION (3) 4-6She repeated answers as Dr. Wibur asked her at the hotel room.7-9. She repeated answers as Dr. Wibur asked her about the people who were hurting her. “I don’t know. I don’t. I don’t know these people.”10-12She is repeating what she is saying while conversing with Dr. Wilbur under the piano.

RHYMINGPUNNINGMUTISM