Académique Documents
Professionnel Documents
Culture Documents
History of Dysfunction
MICHAEL BISHOFF, JULIE CRAIN, SHELLEY HILL, MOLLY HUSTEAD,
RACHEL LINGENFELTER
Ernest Hemingway-61 year old Writer,
Husband, and Father
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Presenting Problem
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Reckless behaviors and lifestyle
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Preoccupation with suicide and
anger towards his parents for
past abuse. When discussing his
Father's death
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History
American novelist
Born in Oak Park, Illinois
Writing Career
Started at age of 17
Newspaper office in Kansas City
Won a Nobel Prize
55 years old
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Grace Hemingway (Mother)
Grace and her same-sex twins
Making Ernest a girl
Making Marcelline a boy
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Clarence Hemingway (Father)
Physically punished Ernest Committed suicide at 56
Spanked Shot himself in the head
Used a razor strop Ernest blamed Grace
"I hate her guts and she hates mine. She
Ernests fantasy forced my Father to suicide"
Assassinating Clarence Seriously impacted Ernest
Aimed shotgun at Clarences Contemplated his own suicide
head.
Alcoholism escalated
Alcoholism
Hospitalized
Cognac bottles in room
Happened twice
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Marriages and Children
Elizabeth Hadley Richardson
John (Jack) Nicanor Hemingway
Pauline Marie Pfeiffer
Patrick Hemingway
Gregory Hancock Hemingway
Martha Gellhorn
Mary Welsh
Blows To The Head
6 significant blows
Automobile accidents
Skylight
Plane
Plane crash
African Safari
Struck abandoned telegraph wire
Boarded second plane which crashed
Severe skull fracture
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ction/EH04463P.jpg
Previous Admittance
Admitted into Mayo Clinic
Hypertension
Enlarged liver
Paranoia
Depression
Electroconvulsive therapy
7 weeks
Well for a few months
Suicide Attempts
Ernest loading shotgun
Mary intervened
Hospitalized
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After The Suicide Attempts
Mayo Clinic
More electroconvulsive therapy
Discharged afterwards
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Biological Dimension
Genetics-
-Father committed suicide and struggled with
depression
-Family has a history of substance related
abuse and suicide
Injuries-
-Fought in 3 wars
-2 plane crashes
-numerous car crashes
-broken or damaged bones including
head, arm, shoulder, liver, spleen,
kidney, etc.
-addicted to the use of alcohol
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Psychological Dimension
Low self-esteem
Poor relationship with his mother
Used alcohol to help cope with his problems
Reserpine
Thiazide diuretics
Self help meetings
Invega
Lithobid
Abstinence education
Conclusion
New York Times Special Edition, July 3,
www.townnews.com
References
American Psychiatric Association. (2013). Diagnosis and statistical manual of mental disorders (5th
ed.). Washington, DC: American Psychiatric Association.
Martin, C. D. (2006). Ernest hemingway: A psychological autopsy of suicide. Psychiatry: Interpersonal
& Biological Processes, 69(4), 351-361.
Mayo Clinic Staff. (2014, January 24). Schizoaffective disorder. Retrieved April 15, 2015, from
http://www.mayoclinic.org/diseases-conditions/schizoaffectivedisorder/basics/definition/con-20029221
Mayo Clinic Staff. (2014, September 6). High blood pressure (hypertension). Retrieved April 15, 2015,
from http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580
Nobel Lectures. (2014). Ernest hemingway - biographical. Retrieved April 29, 2015, from
http://www.nobelprize.org/nobel_prizes/literature/laureates/1954/hemingway-bio.html
Sue, D., Sue, D. W., Sue, D., & Sue, S. (2014). Essentials of understanding abnormal behavior (Second
ed.). Belmont, CA: Wadsworth.