(fostosto-0rag| . bay ee Y 7 | “oO os O Vocational Rehabilitation State of Florida July 8, 1964 * Sg HERNANDEZ, Raul PSYCHOLOGICAL, EVALUATIO’ ‘This subject hag bean seon three times at tne Psycholosical Service Center. On April 9, 1954, wa had a long interview with hin in waich _he explained the history of his solzures, On June Ll, 1954, he xocoived the TAT and a Freo Association Test, ucing a List of words tnat was ocveclally prepared for him. Cn that dato, he pronisad to coma back to bring a list that he had mace of all his selzuregs ainca September 1942 up to the presant time, with an indication of the omotional problems that he had on the days he was sicke This ligt wag brought, by him, to our office on June 30, 1964. Reason for Consultation _— To try to datarmine Af thore wore any psychological factors influe encing this subject's eplleptic eeizurcesa. . Results of Psycholovical Investigation -In a case such aa this, it Le obvious that organic factors area the main determinant of the patient's disate, but from the interview . and tho tests, we received the imprassion that the patient's enotion=: al state has often played a certain role in trizzoring his entleptie salzures.,. Paychothorapcutle treatment that would enable this pa tient to gain better control of hia emotions would obviously bea highe ly beneficial for him, 2 ” oe . Intallicenecs Thio subject was not formally tested in order to datermine his 1.Qe, buc from his conversation and from his responses to the personality toste, it is quite clear that he is a man endsved with a superior intelligence, altnounn eoma impairment has necegsarily resulted bee cause of his frequent epLlaeptice seizures, and, recently, because of . his brain surgerye Ha was not tested for inteLlicence becsusa it waa -not feasible toe do so sinco his operation had been dono just a few weeks aso and the poaaibility of some transicnt effecta of the sure gical procedure mizht atill influence any results. However, from a strictly clinical viewpoint, when comparing the subject's reaction before and after tne operation, the amount of impairment produced ' by the oparation does not scoem to bo really considoerablo, and, on the other hand, there is a remaxkable docrease in his anxietye
14-00000 eee . ; te Pe i rity fisuroa. an “parents and aspectally tovard his mother, ol” Bama timo, he feola aad about. th b Giszaxsnesz, Kuni)” =2-4 : July 8 1954. 4 Oves nies ‘GeemtthreeeeciesmmnmacineseaD Shea this patient was 12 years old, (the neurolopleal aonwas thar he Rod becca. aaving for YOATS, LeGress avert cullantia antewusas P& wate Sarey SSP SEln Psyehsiseleal Conlblecs of 4nh8 witeguh ose user eus Smeund Als MOLNO RT, NO had. strans anstivalen: feeliny3s towered here She was loving. and Kind to/hin, bue at tho sane tine donincerins and . Ovexeprotectives Tha flree epileptic seizure of the patient. tock “place after on arguoment: with hig mothor wae threatened to scold hime | ‘Wiel the subject was 16 years old, ‘he started treatment which was Successful for olevon yoara, Unfortunately, when ho was 27 years old,’ at a timo that he wes firheing anainst Batiscats dictatorship, he vas identified as @ conspiratox.andisent to jaile Thera ho was deaton by tho police or Suards in'a really savara way and this was tho bee einnins of 4 now atage in his life in which he froquontly suffered from epLleptic celcures, It ia important to point out that thie bee - gan when tho pationt. was. the object of an unjust aggrossion by: authe wi « Among tho most importayb peychological conflicts of the ‘paticnt at .the ‘prosont tima, we notice the following: @) . The ccparation from hia parents. It is obvious that the :. . Gudject has otifl strong ambivalent foclings toward his ( Oud: He hates her 7 * '. OVor=protectiveness: and ‘domineering attitudes, but at the ® soparation from his fanilye b) Tho idea of boing Limited’ in life because of his epilepsy. . This problem waa very deeply falt by the patient since he *, Was @ Child, becaupe at that timo his mother used to restrain . hin fron having a normal boy's Life cuo to the seizures. He’ ioe: ae considered as a boy with:a vory bad temper and "seen an _ Sonetines by hie neishbérs ag sone cort of a devil", This . Means Chat’ the patient developed very ctronr arrressive tone _ Gencies as 4 reaction to this frustration. At present the paticat fools that there are many goals in life that he will naver be ablo to roach because of hia disease, for instance, i concerning a profession and a superior education, :. ¢) The patient has had some failures in. love which wore very frustrating for hime He haa never beon formally engaszed an when he approaches a girl he always has ir mind the idea that ho cannot feel woll with a woman that would pity him for his -
14-00000 ee ny Oo |. e) HERUANDEZ, Roul -3~ July & 1954. For several montha the patient harh' ad a comzwon-Law wifo, here “in Miaai, but it soema that ha haa nevor been deeply in love with her. It ia rathor a mttar of sex and compantonship. ‘Hovertholasa, he often arpuda with her because cho ia a domtle noering person, who "wante to bo a mothor for him", Soma of the patient's recont epileptic seizures took placa aftor an “ arguement with here Tho political situation in Cuba is another source of cuffore *- {ns for the pathant, ae it io for all Cuban oxilos. It id, however, baportant to note that tho patient's reactions to Batiata and Castro's dictatorshivs wero not only the cocult of his patriotic feelinga, but algo tho expression of his. doeply rooted aggresaivenena against all forms of unjust . ox unreasonable authoritarian behaviors we . ne Df, er arn “,t i - Joao Ie Lacaga, PheDe a, ' Clinileal Peychologisat PSYCHOLOGICAL SERVIGE CENTER ‘ A wt , 7 _ oe * ¢ ’ ‘ ‘ se