Acknowledgment: I have taken efforts in this film analysis.

However, it would not have been possible without the kind support and help of many individuals and sources such as internet and the movie itself. I would like to extend my sincere thanks to all of them. I would like to acknowledge and extend my heartfelt gratitude to the following persons who have made the completion of this Film Analysis possible: My parents who help me not only in the financial needs but also to the emotional support that I needed in completing this project, kind cooperation and encouragement which help me in completion of this project. My friends who cheer me up and never failed to make me smile and gives me a lot of motivation for this analysis. My classmates whom I also learned for their knowledge upon my movie review. Mr. Rolando Antonio for his expertise in our subject NURS 78 whom I learned more on the different care for maladaptive behaviours and giving us the knowledge and thoughts upon our study. And most of all, to our Father God. Thank you for all the strength and knowledge that youve given me throughout this film analysis. I am highly indebted to my clinical instructor in College of Nursing for their guidance and constant supervision as well as for providing necessary information regarding the project & also for their support in completing the project. I would like to express my special gratitude and thanks to the sources such as the internet and movie reviewers in which their ideas help me more for the study of my film analysis. My thanks and appreciations also go to my colleague in developing the project and people who have willingly helped me out with their abilities.

Table of Contents:

INTRODUCTION

II

SYNOPSIS

III

CHARACTERS

IV

PSYCHODYNAMICS

PSYCHOPATHOLOGY

VI

MEDICAL MANAGEMENT

VII

PSYCHIATRIC THERAPIES AND MEDICATIONS

VIII

NURSING MANAGEMENT

IX

IMPLICATIONS

CONCLUSION, RECOMMENDATION AND REFERENCES

I. Introduction What is hidden in snow, comes forth from the thaw. The Girl with the Dragon Tattoo (2011), taking the thriller genre's staple ingredients of murder, sexual sadism and familial corruption, David Fincher (director) casts them into the cold, throwing the action across a remote private island, where big pale houses sit against a big pale sky. Outside the snow is flying and the river has frozen. Inside, behind closed doors, it's positively arctic. The Girl With the Dragon Tattoo is a 2011 American mystery thriller film. Based on the Swedish novel of the same name by Stieg Larsson, the film adaptation was directed by David Fincher and written by Steven Zaillian. is sleeker, smoother,

sexier than its Swedish predecessors. It is a muscular, overwhelmingly confident movie and its brutal violence is thus even tougher to take. The film stars Daniel Craig and Rooney Mara and tells the story of journalist Mikael Blomkvist's (Craig) investigation to find out what happened to a woman from a wealthy family who disappeared 40 years before. He works with the help of computer hacker Lisbeth Salander (Mara). Sony Pictures Entertainment began development on the film in 2009. It took the company a few months to obtain rights to the novel, during which they recruited Zaillian and Fincher. The casting process for the lead roles was exhaustive and intense; Craig initially faced scheduling conflicts, while a number of actresses were sought for the role of Lisbeth Salander. The script took over six months to write, which included three months of analyzing the novel. With a production budget of $90 million, filming took place in Sweden, Switzerland and Norway over seven months. Pre-release screenings occurred in London, New York City and Stockholm. Critics gave the film positive reviews, applauding its dark, grim tone and praising Mara and Craig's performances. The film grossed $232.6 million over its theatrical run. In addition to being included in the best-of lists in several publications, the film was a candidate for numerous awards, ultimately winning seven accolades including and Academy Award or Best Film Editing.

II. Synopsis In Stockholm, Sweden, journalist Mikael Blomkvist (Daniel Craig), coowner of Millennium magazine, has just lost a libel case brought against him by corrupt businessman Hans-Erik Wennerstrm (Ulf Friberg). Meanwhile, Lisbeth Salander (Rooney Mara), a brilliant but damaged researcher and hacker, compiles an extensive background check on Blomkvist for business magnate Henrik Vanger (Christopher Plummer), who has a special task for him. In exchange for the promise of damning information about Wennerstrm, Blomkvist agrees to investigate the disappearance and assumed murder of Henrik's grandniece, Harriet, 40 years before. After moving to the

Vanger family's compound, Blomkvist uncovers a notebook containing a list of names and numbers that no one has been able to decipher. Salander, who is under state legal guardianship due to diagnosed mental incompetency, is appointed a new guardian, lawyer Nils Bjurman (Yorick van Wageningen), after her previous guardian has a stroke. Bjurman abuses his authority to extort sexual favors from Salander and then violently rapes her, not realizing she has a hidden video camera in her bag. At their next meeting, she stuns him with a Taser, rapes him with a dildo, and marks him as a rapist with a tattoo on his chest and stomach. She then blackmails him into writing her a glowing progress report and giving her full control of her money. Blomkvist's daughter visits him and notes that the numbers from the notebook are Bible references. Blomkvist tells Vanger's lawyer Dirch Frode (Steven Berkoff) that he needs help with his research, and Frode recommends Salander based on the work she did researching Blomkvist himself. Blomkvist hires Salander to further investigate the notebook's content. She uncovers a connection to a series of murders of young women that occurred from 1947 through 1967, with the women either being Jewish or having Biblical names; many of the Vangers are known antisemites. During the investigation, Salander and Blomkvist become lovers. Henrik's brother Harald (Per Myrberg) identifies Martin (Stellan Skarsgrd), Harriet's brother and operational head of the Vanger empire, as a possible suspect. Salander's research uncovers evidence that Martin and his deceased father, Gottfried, had committed the murders. Blomkvist breaks into Martin's house to look for more clues, but Martin catches him and prepares to kill him. Martin brags about having killed women for decades, but denies killing Harriet. Salander arrives, subdues Martin and saves Blomkvist. While Salander tends to Blomkvist, Martin flees. Salander, on her motorcycle, pursues Martin in his SUV. He loses control of his vehicle on an icy road and dies when it catches fire. Salander nurses Blomkvist back to health, and tells him that she tried to kill her father when she was 12. After recovering, Blomkvist deduces that Harriet is still alive and her cousin Anita (Joely Richardson) likely knows where she is. He and Salander monitor Anita, waiting for her to contact Harriet. When nothing happens, Blomkvist confronts her, correctly deducing that Anita is Harriet herself. She

explains that her father and brother had sexually abused her for years, and that Martin saw her kill their father in self-defense. Her cousin Anita smuggled her out of the island and let her live under her identity. Finally free of her brother, she returns to Sweden and tearfully reunites with Henrik. As promised, Henrik gives Blomkvist the information on Wennerstrm, but it proves to be worthless. Salander hacks into Wennerstrm's computer and presents Blomkvist with damning evidence of Wennerstrm's crimes. Blomkvist publishes an article which ruins Wennerstrm, who flees the country. Salander hacks into Wennerstrm's bank accounts and, travelling to Switzerland in disguise, transfers two billion euros to various accounts. Wennerstrm is soon found murdered. Salander reveals to her former guardian that she is in love with Blomkvist. On her way to give Blomkvist a Christmas present, however, Salander sees him and his longtime lover and business partner Erika Berger (Robin Wright) walking together happily. Dismayed, she discards the gift and rides away.

III. Characters Involved A.) Mikael Blomkvist (Daniel Craig)- He doesn't considered himself as radical- just a financial reporter who works hard and is serious in his responsibilities as journalist. Unfortunately, that makes him a frequent source of humiliation to less dedicated reporters and a threat to a scrupulous business leaders and politicians. So when the biggest story of his career crumbles in the face of the libel action, more than a few Stockholm's leading financial figures, not to mention Blomkvist's jealous collegues, take it as a cause of celebration. B.) Lisbeth Salander (Rooney Mara)- She is different. She's an imaginative investigator with Milton Security- a high tech security firm but rarely comes into the office. Pale and anorexic looking all but mute, she radiates hostility. Her wardrobe is all black, like her many piercing and tattoos, reads her fashion statement a warning. And for those who heeds, there's a Taser in her pocket. Only her eyes, all but

lost in black make-up hint at the hurt and vulnerability inside. No matter-no one ever gets close enough to notice. Until she assigned to investigate with Blomkvist and her life become unexpected in return. C.) Erika Berger (Robin Wright)- She has known Blomkvist for about 20 years ever since they met as classmates in journalism school. As business partner in Millennium Magazine and an on and off lovers- they made a natural pair. Blomkvist broke up over their intimate relationship. Erika's husband doesn't seems to mind. D.) Hans-Erik Wennerstrm (Ulf Friberg)- The founder and the president of the Wennestrom Group, is a billionaire financier whose successful libel suit against Blomkvist prompts him to leave of absence from Millennium. And he's not through, Blomkvist knows and he wont be until he puts the magazine on his business. E.) Henrik Vanger (Christopher Plummer)- Retired position as a head of Vanger Industries decades ago.It doesn't fared well in recent years, but he himself, remains a reminder of his past greatness. Despite calling the Vanger family "dysfunctional", Plummer said of the character: "I love the character of the old man, and I sympathize with him. He's really the nicest old guy in the whole book. Everybody is a bit suspect, and still are at the end. Old Vanger has a nice straight line, and he gets his wish." F.) Nils Bjurman (Yorick van Wageningen)- He was appointed as Libeth guardian after the incidence to her legal guardian who happened to have stroke. And he had the history to Libeth's file. Bjurman abuses his authority to extort sexual favors from Salander and then violently rapes her, not realizing she has a hidden video camera in her bag. She then blackmails him into writing her a glowing progress report and giving her full control of her money. G.) Dirch Frode (Steven Berkoff)- He is Henrick Vanger's attorney and the man who instructs to lure Blomkvist to Hedeby. He served as head counsel wt the

peak of Vanger's Industries. Frode recommends Salander based on the work she did researching Blomkvist himself. Blomkvist hires Salander to further investigate the notebook's content. H.) Anita (Joely Richardson)- She is Cecilia's younger sister. Growing up on the island, she knew Harriet better than anyone else. Disliking anyone of her family, even more than Henrik. She left when she was 18 and was lived in London. When nothing happens, Blomkvist confronts her, correctly deducing that Anita is Harriet herself. She explains that her father and brother had sexually abused her for years, and that Martin saw her kill their father in self-defense. In performing her "tricky" character, Richardson recalled that Fincher wanted her to embrace a "darker, edgier" persona, without sugarcoating, and not "resolved or healed". "Even if you were starting to move towards the direction of resolved or healed, he still wanted it edgy and dark. There are no straightforward emotions in the world of this film." I.) Martin (Stellan Skarsgrd)- Harriet's brother and operational head of the Vanger empire, as a possible suspect. Salander's research uncovers evidence that Martin and his deceased father, Gottfried, had committed the murder. Martin is the current CEO of the Vanger Corporation. Skarsgrd was allured by the character's dual nature, and was fascinated that he got to portray him in "two totally different ways". In regards to Martin's "very complex" and "complicated" personality, the Swedish actor said, "He can be extremely charming but he also can seem to be a completely different person at different points in the film."While consulting with Fincher, the director wanted Skarsgrd to play Martin without reference to the book. IV. Psychodynamics Theories regarding the life experiences that put people at risk for antisocial personality disorder include a history of childhood physical,sexual, or emotional abuse; neglect, deprivation, or abandonment; associating with peers who engage in antisocial behavior; or having a parent who is either antisocial or alcoholic.

It has long been presumed that there is a common cause at the genetic, cognitive, and neural levels for autism's characteristic triad of symptoms. However, there is increasing suspicion that autism is instead a complex disorder whose core aspects have distinct causes that often co-occur.

Deletion (1), duplication (2) and inversion (3) are all chromosome abnormalities that have been implicated in autism.[63] Autism has a strong genetic basis, although the genetics of autism are complex and it is unclear whether ASD is explained more by raremutations with major effects, or by rare multigene interactions of common genetic variants. Complexity arises due to interactions among multiple genes, the environment, and epigeneticfactors which do not change DNA but are heritable and influence gene expression. Studies of twins suggest that heritability is 0.7 for autism and as high as 0.9 for ASD, and siblings of those with autism are about 25 times more likely to be autistic than the general population.However, most of the mutations that increase autism risk have not been identified. Typically, autism cannot be traced to a Mendelian (single-gene) mutation or to a single chromosome abnormality, and none of the genetic syndromes associated with ASDs have been shown to selectively cause ASD. Numerous candidate genes have been located, with only small effects attributable to any particular gene. The large number of autistic individuals with unaffected family members may result from copy number variationsspontaneous deletions or duplications in genetic material during meiosis. Hence, a substantial fraction of autism cases may be traceable to genetic causes that are highly heritable but not inherited: that is, the mutation that causes the autism is not present in the parental genome.

Several lines of evidence point to synaptic dysfunction as a cause of autism. Some rare mutations may lead to autism by disrupting some synaptic pathways, such as those involved with cell adhesion. Gene replacement studies in mice suggest that autistic symptoms are closely related to later developmental steps that depend on activity in synapses and on activity-dependent changes. All known teratogens (agents that cause birth defects) related to the risk of autism appear to act during the first eight weeks from conception, and though this does not exclude the possibility that autism can be initiated or affected later, it is strong evidence that autism arises very early in development. Although evidence for other environmental causes is anecdotal and has not been confirmed by reliable studies,extensive searches are underway.

V. Psychopathology Environmental factors that have been claimed to contribute to or exacerbate autism, or may be important in future research, include certain foods, infectious disease, heavy metals, olvents, diesel exhaust,PCBs, phthalates and phenols used in plastic products, pesticides, brominated flame retardants, alcohol, smoking, illicit drugs, vaccines and prenatal stress,although no links have been found, and some have been completely disproven. Parents may first become aware of autistic symptoms in their child around the time of a routine vaccination. This has led to unsupported theories blamin vaccine "overload", avaccine preservative, or the MMR vaccinefor causing autism.The latter theory was supported by a litigation-funded study that has since been shown to have been "an elaborate fraud". Although these theories lack convincing scientific evidence and are biologically implausible, parental concern about a potential vaccine link with autism has led to lower rates of childhood immunizations, outbreaks of previously controlled childhood diseases in some countries, and the preventable deaths of several children. VI. Medical Management

It was not clearly stated in the movie, The Girl with the dragon tattoo (2011), the etiology of Salander's psychiatric disorder. But it was stated in the sequel of the movie that she had undergone with the diagnosis of Autism Spectrum Disorder (ASD) related to antisocial personality disorder (ASPD); Cluster B. Autism is a disorder of neural development characterized by impaired social interaction and communication, and by restricted and repetitive behavior. People with autism have social impairments and often lack the intuition about others that many people take for granted. As per the story, she have an "impoverished sense moral sense or conscience" and may have a "history of crime, legal problems, impulsive and aggressive behaviour." The antisocial personality disorder falls under the dramatic/erratic cluster of personality disorders (Cluster B). VII. Psychiatric therapies and Medication Libeth Salander was under a ward state and under a legal guidance since she was still in her twenties. When she was 12 years old, she was diagnosed in this psychiatric disorder: ASD r/t ASPD cluster B. She was also under the toxicity of drugs, alcoholism and smoking. Since she had no family, she was in a legit custody of her legal guardian but unfortunately got stroke and was tranferred under a sadist sexual abuser, Burjman. She was taking antidepressant drug but it is not noted the name of it. VIII. Nursing Management She was under the custody of a ward state whom she was under the care of a legal guardian. Therapists of individuals with ASPD may have considerable negative feelings toward clients with extensive histories of aggressive, exploitative, and abusive behaviors.

Rather than attempt to develop a sense of conscience in these individuals, therapeutic techniques should be focused on rational and utilitarian arguments against repeating past mistakes. These approaches would focus on the tangible, material value of prosocial behavior.

IX. Implications of the movie A.) To the client or family- The movie is really is informative to catch the attention of those individuals who are suffering in Antisocial Personality Disorder (ASPD). Family of the client will be able to educate on how to manage this kind of personality disoder since it was cluster on B. Partly, the movie can help to modify such bahavior of the client. The client or family of the client will much appreciate this movie since it educates on the different family problems. The series of intervention that Salander have done could also bedi helpful to gain the personality of the client. B.) To the Nursing Service- Since the movie focuses on the unclosed case mystery of Vanger's family, the care for the client with personality disorder and observing the behavior of the client with Cluster B personality could be helpful on what further interventions of the nurses. Through observations, these could lead to what kind of care and rapport would the nurses would do and what are th1e unexpected and expected behaviours to be seen on these patients. X. Conclusion, Recommendation and References A.) Conclusion: I therefore conclude that the analysis offff this bahavior is really helpful and inormative since it gives a gists on the kind of behaviors and attitudes that the ASD, ASPD Cluster B portrays.

The main goals when treating children with autism are to lessen associated deficits and family distress, and to increase quality of life and functional independence. No single treatment is best and treatment is typically tailored to the child's needs. Families and the educational system are the main resources for treatment. Studies of interventions have methodological problems that prevent definitive conclusions about efficacy. Although many psychosocial interventions have some positive evidence, suggesting that some form of treatment is preferable to no treatment, the methodological quality of systematic reviews of these studies has generally been poor, their clinical results are mostly tentative, and there is little evidence for the relative effectiveness of treatment options. Intensive, sustainedspecial education programs and behavior therapy early in life can help children acquire self-care, social, and job skills, and often improve functioning and decrease symptom severity and maladaptive behaviors; claims that intervention by around age three years is crucial are not substantiated. Available approaches include applied behavior analysis (ABA), developmental models, structured teaching, speech and language therapy, social skills therapy, and occupational therapy. B.) Recommendations I highly recommended this movie ofr those family with a member who was diagnosed by ASD, ASPD Cluster B and for all the healthcare professionals especially in the psychiatric field. The movie is not just informative but also a very beautiful movie that casts the mystery action based of how one person would used such crintical thinking skills in investigating common problems of individual such as: sexual abuse and sadism, incest, family crimes and problems and mystery o life cases such maladaptive behaviors. C.) References:

1. "The Girl with the Dragon Tattoo". British Board of Film Classification. Archived rom the original on August 16, 2012. Retrieved December 6, 2011. 2. "The Girl with the Dragon Tattoo (2011)" . Box Office Mojo. Archived from the original on August 16, 2012. Retrieved March 23, 2012. 3.) "The Girl with the Dragon Tattoo: Production Notes" (PDF). Visual Hollywood. Retrieved June 30, 2012. 4.) "This week's cover: The secrets of 'The Girl With the Dragon Tattoo'". Entertainment Weekly. Time Inc.. June 17, 2010. Retrieved June 30, 2012. 5.) Kilday, Greg (January 24, 2012). "The Making of 'The Girl With the Dragon Tattoo'". The Hollywood Reporter. Retrieved June 30, 2012. 6.) Fleming, Mike (July 26, 2010). "Daniel Craig Closes Deal For 'The Girl with The Dragon Tattoo'". Deadline. Retrieved May 30, 2011. 7.) Ditzian, Eric (August 16, 2010). "Rooney Mara Lands Lead In 'Girl with The Dragon Tattoo'". MTV(Viacom). Retrieved May 30, 2011. 8.) Ditzian, Eric (July 27, 2010)."'The Girl with the Dragon Tattoo' Casting Rumors: Sizing Up Our Potential Lisbeth Salander". MTV (Viacom). Retrieved July 1, 2012. 9.) Piccalo, Gina (August 15, 2010). "The Girl with the Dragon Tattoo: Who Will Play Her?".The Daily Beast. The Newsweek Daily Beast Company. Retrieved December 14, 2010. 10.) Pron, Wicker, Dider, Olivier (November 5, 2011). "Les dessous du nouveau millnium" (in French). Libration. Retrieved August 15, 2012.

10.) Hirschberg, Lynn (February 2011). "David Fincher Gets The Girl". Cond Nast Publications. Retrieved July 1, 2012. 11.) Rocchi, James (December 19, 2011). "Interview: Christopher Plummer of 'The Girl with the Dragon Tattoo'". MSN. Retrieved July 1, 2012. 12.) Columbia Pictures and Sony Pictures entitled film: The Girl with the Dragon Tattoo. Directed by: David Fincher (2011).