Lisa is a 25 year’s old unmarried girl, came to the psychiatric department. She was well dressed with ironed clothes, clean shoes and well maintained hands and nails. She said that she had some significant problem with her behaviour that she is noticing. She informed that she does not feel good when anyone in her office comes to her with their personal problem. One of her colleague lost her mother in an accident and other had a brother, who is suffering from cancer. She informed that she cannot listen to them and cannot even stand talking about all this. She also informed that people in her office call her insensitive and unempathic (Pincus, Dowgwillo & Greenberg, 2016). She cannot hear such words for herself and often feels angry. The subjective data obtained from her informs that she lack empathy and she is unwilling to get engage in an empathetic process with others. She had come alone to the psychiatric clinic.
Relevant Background History
She works in a very reputed organization at the position of a senior manager. In very young age, she received a higher position and higher package and she is extremely competent. Therefore, she received so much of success. However, she suffers from deep insecurity, agony and hyper vigilance. She has a very perfectionist behaviour and considered that she has special capabilities and potential that no other person possesses (Kramer et al., 2014). Therefore, she experience problem with rest of the staff in the office and feels resentful when anybody try to talk to her. Her father had left her and her mother to get married to another woman, when she was only two years old. She visited her father only few times in a year. Her father was successful and had a harmonic family with three more children. As Lisa grew up, she continuously started looking for other people’s approval and praise for her and she could not resist the feeling of criticism, ignorance and lack of positive attention from others.
Presenting Problems and Relevant Background History
According to the given background details, Lisa significantly displays the deficiency of empathy. She is a grandiose individual, who may lack to provide the accurate insight of her situation and it can be said that her personality is unrealistic. Lisa may be unable or unwilling to discuss the pathological aspects of her personality. The primary distinguishing feature of this disorder is lack of empathy. The studies have shown the clinical presentation of this disorder that clearly displays lack of empathy in patients, which is not only deficient but also dysfunctional (Baskin-Sommers, Krusemark & Ronningstam, 2014). Empathy is considered as multidimensional and involves the cognitive and emotional processes. The emotional empathy in the patients is dysfunctional rather than deficient cognitive empathy.