REPORT OF PSYCHOLOGICAL ASSESSMENT
Confidential Material
NAME: Anthony Edward Stark
ALIAS: Tony; Iron Man
DATE OF BIRTH: May 29, 1970
AGE: 47
MARITAL STATUS: Single
SEX: Male
OCCUPATION: Inventor
SPECIES: Human
IDENTIFYING DATA AND REASON FOR REFERRAL
Tony is a 47 year old Caucasian male, who was referred for a psychological evaluation to determine his current behavioral, cognitive, and emotional status. Tony has a long history of alcoholism and impulsive behavior. He is the superhero Iron Man, a member of The Avengers, and the head of the Research and Design Department of STARK contributing factors include poor impulse control, conflicting sense of duty between the United Nations and the Avengers, and turbulent upbringing.
SOURCES OF INFORMATION
Background information was obtained from his girlfriend, Virginia "Pepper" Potts, his military contact, Lt. James Rhodes, his United Nations Contact, Gen. Ross, and his Head of Security, Happy Hogan, along with scarce educational and medical reports. This information was obtained from interview, developmental history and rating scales as well as medical records. This information appears to be from reliable sources and valid.
Current status of his cognizant and emotional behavior was obtained from observation during testing and from standardized psychological, neuropsychological and achievement tests. The validity of his performance on most tests was deemed to be accurate due to his cooperation and motivation to perform the tests.
BACKGROUND INFORMATION
Current Concern
Tony played a contributing role in the proposed Sakovia Accords, during which the avengers split. Since then, Tony has been assisting the United Nations with the Accords fallout, and mentoring Spider-Man. However, the fracturing of the team has taken its toll on Tony. This assessment is to determine his current mental state, and whether he should lead the Avengers.
Medical and Developmental History
Pregnancy and Birth: Howard was 53 when Tony was born, and there has been no reported problems through the delivery.
Developmental History: Tony was smaller than average growing up, but showed his father uncanny high intellect. As a child, he spent most of his time with his mother or his butler, Edwin Jarvis, due to his father's work. When he was old enough to go to school, he was sent to boarding school, and only saw his parents during breaks. He ended up forming stronger bonds with Mr. Edwin Jarvis, the family butler, and Obadiah Stane, who was his father's business partner. He went to college early, at the age of 15, attending MIT and earned several master degrees. When he was 21, his parents died, and Obadiah Stane mentored him.
Medical History: Tony did not show any chronic illness throughout childhood, and he only suffered from the usual childhood illness. In college, he began developing an alcohol addiction that worsened after the death of his parents.
In early 2008, Tony went to Afghanistan for a weapons demonstration. He got captured after catching shrapnel in the heart. After an operation, Tony had a magnet implanted into his chest, a miniature arc reactor. He then used the reactor to power his first Iron Man suit, and escaped captivity.
Tony used the suit to protect him in multiple battles, and the use began to give him incurable blood poisoning. Thinking he was going to die, Tony increased his alcohol use, until he created an element that was a suitable palladium replacement. Implanting the new core cured him of any blood poisoning, and he began to abstain from alcohol. Later, he survived several assassination attempts from Whiplash and the Mandarin, both now deceased. He got several minor injuries during many missions including New York, Sokovia, and Washington DC.
Family and Social History:
Howard Stark had a reported alcohol dependency, and Maria Stark suffered from depression. Currently, Tony lives with his girlfriend, Pepper Potts. Try has a few close friends including James Rhodes, who befriended Tony at MIT, Happy Hogan, the STARK INDUSTRY head of security, and Bruce Banner, a consultant for the Avengers. Tony has been friends with Steve Rogers, Natasha Romanov, and Clint Barton, but they currently have an estranged friendship due to the fallout of the Accords. He is close to Agents Coulson and Fury, but both are presumed dead. Currently he is mentoring an unidentified inspiring hero, Spider-Man.
Summary of Previous Evaluations:
Tony has refused multiple attempts of assessment, but he was assessed by Natasha Romanov, a government agent. She stated that he displayed compulsion behavior, self-destructive tendencies, and textbook narcissism. How we, she was assessing for field recruitment purpose and not for psychological purpose.
BEHAVIOR OBSERVATIONS
Testing Behavior
When he first got to the session, Tony displayed an air of superiority, and denied any need of assessment. However, throughout the session, Tony discussed many people reason why he was here, which was to make it up to many people in his life. He said that he regretted his actions, like the Sokovia Accords, and wanted to understand the root of those action. Also, he discussed his new protégé Spiderman stating that he wanted to be the best mentor he could, and that included getting help with needed. Afterwards the client discussed multiple situations and performed all test with enthusiasm.
Psychological Assessment
The clinical interview for Tony took place over two days. On the first day, the Assessment of Intellectual Functioning (IQ) and the clinical interview took place. A week later, the client returned for the Personality Assessment and Behavioral Assessment. After the results were computed, the client was debriefed.
TESTS ADMINISTERED
Standardized assessments targeted the domains of intelligence, personality, and psychological health.
Assessment of Intellectual Functioning (IQ)
Beck Anxiety Inventory- Personal Care (BAI-PC)
Myers Briggs Personality Test
Wechsler Adult Inventory Scale- Fourth Edition (WAIS-IV)
INFORMATION ASSESSMENT TECHNIQUE
Interviews
Primary Sources Index
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
Diagnostic Checklist for PTSD
RESULTS FROM TESTING
Using information from multiple sources, the following domains of functioning were analyzed in terms of the effect on Tony's cognizant and emotional assessment.
Assessment of Intellectual Functioning (IQ): The IQ using the WAIS-IV with four index scores Verbal Comprehension, Perceptual Reasoning, Working Memory, and Processing Speed. The combination of the scores is used to determine his intelligence functioning score at 123, placing him in the Superior IQ classification.
Clinical Interview: The clinical interview was a face to face interview conducted in the office. Results indicated that Tony is a very intelligent man, but he is also egotistical. He became Iron Man when he got captured in Afghanistan for three months, and he saw all his weapons in the hands of terrorist. He says being Iron Man allows him to make up for a lot of people who got killed. Also, he said that he wanted to try and take more steps minimizing casualties, which was his reasoning for creating Ultron. When his girlfriend wanted him to choose her over being Iron Man, they broke up. He says that he is having nightmares, and occasional chest pains. His doctor found no physical reasoning and it sounds like it is a signing the Soviet Accords.
PTSD
A1. Directly experience traumatic event
B5: Marked physiological reactions to internal use
C1: Avoidance or efforts to avoid distressing memories, thoughts, or feelings
D2: Persistent and exaggerated negative beliefs about oneself, others, or the world
D4: Persistent negative emotional state
E2: Reckless or Self-destructive behavior
E3: Hypervigilance
E5: Problems with concentration
E6: Sleep Disturbance
F: Happens for at least one month
G: clinically significant distress or impairment
H: Not attributable to the effects of substances
Summary
Tony is a 47 year old Caucasian male who was referred for neuropsychological assessment to determine his behavioral, cognizant, and emotional status, and to make recommendations regarding a treatment plan. He has experienced difficulty with trusting teammates and is experiencing trauma. There is concern that he may also have symptoms of post traumatic stress disorder. An evaluation of his early development, cognitive capability, emotional status and academic achievement resulted in a determination of a complex set of characteristics that are contribution to his difficulties.
Tony performed at a superior range of cognitive functioning with notable distinction in nonverbal functions. Excellent abstract cognitive capability was noted for abstract thinking in both verbal and nonverbal visual spatial modalities. These good capabilities are reflected by his outstanding ability with math reasoning and verbal comprehension. His oral language is also mature and demonstrates good verbal communication skills. His academic skills are all within the average or above level of ability.
He demonstrates some positive symptoms of an post traumatic stress disorder. Most likely the underlying anxiety and depression, as well as the identified learning disability contribute to these symptoms of panic attacks, trouble sleeping, heart palpitations, and avoidance. Any treatment must consider the interaction of these combined conditions.
RECOMMENDATIONS
In order to best serve Tony's needs there are several areas that may be targeted for intervention.
Medication. With the diagnosis of Posttraumatic Stress Disorder, many clients respond to an antidepressant. An antidepressant many have responded to is Zoloft. Tony will start on the initial dosage 25mg. If he is responding the dosage will move to 50 mg next session. If it is needed dosage will continue to increase through doctor recommendations.
Psychotherapy. There are several types of psychotherapy that might help Tony start to recover. Cognitive Behavior Therapy is a Therapy that has shown a lot of progress on Post Traumatic Stress Disorder. It will include:
Exposure Therapy. Allowing Tony to face the trauma in a controlled environment.
Cognitive Restructuring. Allow Tony to dismiss feeling of unnecessary guilt.
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