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11/29/2011

Report Of Infancy Influence On Depression In Adulthood (Part 4)

4 Case Study

4.1 The Story Of Den

Den was a product manager in a distributor company, he was a field application manager before changing to this post due to a re-shuffle. The job scope of product management is different from field application as it needs to work on profit and loss and maintain revenue. Den took on the job during a market down trend and when the economy was not doing well. Pressure built up on Den’s performance due to the drop in sales result in increase in budget gap and inventory. The product revenue kept being scrutinized during the monthly meeting.

Around half a year into his new post, Den’s performance at work deteriorated. He was not very interested in his work and did the bare minimum to survive. He started to be late at work and his time at work was utilized in surfing the internet on items unrelated to work.

At home, his only interest was to sit at the couch and watch television until very late at night. He has lost interest in his hobbies and became very quiet. His wife complaint that he is easily irritated and angered at trivia issues, he would release this anger to his wife most of the time. Den also woke up a few times in the middle of the night feeling very anxious for no reason. He frequently watched out for time to wake up and rarely has a good night sleep.

4.2 Den’s Personality

At work Den has changed through three supervisors, he managed to work well with the first two supervisors in the past who compliment on his hard work and contribution. He is considered friendly among his colleagues and friend and is known to be helpful in attending to their needs. However, he is also seen as someone working alone most of the time while putting in much effort in pleasing and satisfying other hoping to gain their support.

However, he was in conflict with his third supervisor in formulating promotion strategy for the product line that he is holding. The supervisor constantly compared him with product managers from other groups and interfered on how he should work. Although disagree with the supervisor’s opinion, he reluctantly followed the instruction lay out to him. Unfortunately his supervisor kept increasing the standard and he has a hard time chasing after. He also found difficulty in communicating with authority figures in the office and frightened of criticism from others, it may just play in his mind for days of which he constantly feel bad about.

4.3 Past Experiences

Similarity can be drawn on Den’s present emotional experience through two stages of his life:

4.3.1 Primary School
While Den attended primary school, he managed to get into a class consisting students with good grades in primary two due to his result. However, the schoolwork was overwhelming as the teacher prepared the students for competition ahead. Den has problem in catching up the amount of homework needed to complete and started to lag behind. He was frequently punished as a result but his behaviour in class has not improved. He also created distraction in class by being different with the way he sat while totally not attentive in class. He was engrossed in drawings and doodle that he was good at, while his result continued to deteriorate. An exceptional change happened during primary five when there is a teacher who took notice of him, at this point he was observed to have improvement in his schoolwork.

4.3.2 Junior College
Den managed to enter a junior college after his secondary school. During his study at there however, he found that the subject he studied was beyond him and there is a big gap as compare to his secondary school’s work. He was not able to understand well the subject taught to him. He did not stop trying to improve his schoolwork, but his felt bad all the time during all this time. He was reluctant to go to school every morning although in the end he managed to reach there on time. He was increasingly isolating himself from his class mates during lesson and have little communication with others, he considered himself a loner.

There were also time when he managed to have good grades in his study:

4.3.2 Polytechnic and University
He entered a Polytechnic due to an unfavourable result from Junior College. During the two years there his performance continued to improve and he managed to do well in his study. After which he managed to get into a University in England and again he continued to perform well in his studies, graduating with a second class honor in Engineer. It is interesting to note the continuous improvement in his performance as there is a change in his life after Junior College. He is in relationship with a girl during all this while and he continued to look forward to build a better life with her after his graduation. This led to him striving to do better in his work.

4.4 Analysis

The symptoms that Den has experience show various signs of depression as described in 2.1.1. His constant failure in performing at work deprived him of feeling successful in life, the frequent comparison and criticism from his supervisor also contributed to his anxiety. His condition was further worsen with him keeping the issues all to himself.

From the case study, I noted that he is prone to both types of depressions. However, his personality suggests that he trends towards the anaclitic type due to the fact that he needed mandate to progress. It is evident that he can improve in his performance if he enters a relationship. This gives further proof of his constant need for others appreciation.

4.5 Coping Mechanism

While Den continued to be depressed about his work, he coped with the stress at work by leaving his office and drove aimlessly to release the tension. It is also interesting to note that he learned to running away from the factor causing the anxiety in him, which is the work place. Other than that there was no evidence of him trying other method to remove the depressed feelings.

4.6 Influence of Infancy

Den is the eldest son in the family. However, prior to his existence, his mother has a miscarriage. Although both parents came from a large family, they have little experience in taking care of Den. Further to that it was during the 70s that dual income family started. Both Den’s parents needed to work to support the family and Den did not manage to live with his parents except for Saturday and Sunday.

Den was handed over to a neighbour while the parents went to work right after confinement period of one month. Unfortunately Den was contracted with an epidemic flu during his stay there and was admitted to hospital which he stayed for forty five days. Upon discharge his parents decided to asked a distant relative to take care of him, which lasted only a short while when he was moved to a close relative. Unable to cope with the work load of taking care of him, the close relative turned down the job after another short period of time. He was finally settled with his grand mother at the age of one where he lived on for the next four year.

The sequence of events described above have led to Den not having a secure attachment with his parents, the issue was made worse with the constant changing of caregivers leading to Den’s need for comfort and care. His parents feedback that he was crying non-stop every time they left him with the temporary care gives and when reunited with them, he would cling on tightly to them. They have mistook this as closeness when in actual fact he needed their comfort due to the insecurity caused by the constant shift. This led to the strong anaclitic tendency in Den.

While examine the infant stage of Den, there was no evidence of insecure-ambivalent influence on Den, it is assume at this moment that this influence comes much later in his life.

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