REPORT OF PSYCHOLOGICAL ASSESSMENT
Confidential Material

NAME: Robert Bruce Banner

ALIAS: The Hulk

DATE OF BIRTH: 12/18/1969

AGE: 47

MARITAL STATUS: Single

SEX: Male

OCCUPATION: Nuclear Physicist

PARENTS: Rebecca Banner & Brian Banner

IDENTIFYING DATA AND REASON FOR REFERRAL

Bruce is a 47 year old Caucasian male, who was referred for a psychological evaluation to determine his current behavioral, cognitive, and emotional status. Bruce has a long history of rape control issues and depression. He is a published nuclear physicist, the superhero Hulk, and a member of The Avengers. He disappeared after the battle in Sokovia against Ultron, and has resettle requested renewed membership on the Avengers. Some contributing factors include rage control issues, loss of a loved one, and turbulent upbringing.

SOURCES OF INFORMATION

Background information was obtained from Strategic Homeland Intervention, Enforcement and Logistics Division (SHIELD), US Army records, former psychologist, and previous psychological and medical reports. This information was obtained from interview, developmental history and rating scales. This information appears to be from reliable sources and valid.

Current status of his behavioral, cognitive, and emotional status 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 Concert:

Bruce has long struggled with his anger, which stems from his childhood. However, his relationship with his teammates is solid, they all report trusting Bruce and Hulk. His ability to control the Hulk remains a concern, but he has displayed control on the battlefield numerous times. During a field assignment, Bruce stated he was suicidal in the past. The most pressing concern at this time is his anger and his depression.

Medical and Development History:

Pregnancy and birth history: since both of his parents were deceased, Bruce supplied the information. His parents were both young, in their early 30's when they had Bruce. There was no complication during his pregnancy or birth.

Developmental history: Bruce did not know his father growing up, and lived with his mother. He showed above average intelligence at a young age, however he had a slightly smaller build than others at his age. Developmental milestones were reported as within normal range for language, gross motor, and fine motor development. He had numerous accidents as a child including with bruises and broken bones. These were from his father, according to Bruce.

Medical history: Growing up, had the usual childhood illnesses of chicken pox, ear infections and strep throat. In 2005, he was in a laboratory accident which exposed him to deadly amounts of gamma ray exposure. However, he survived due to the Hulk, an indestructible, muscular, green-skinned titan.

Family and Social History:

Dr. Brian Banner, deceased, was an atomic physicist, however at home he was an abusive alcoholic. Rebecca Banner, deceased, is Bruce's biological mother, who suffered from depression. After his mother's death, his father was convicted of murder and placed in a psychiatric institution. Bruce was placed in foster care.

Before he became the Hulk, Bruce pursued a romantic relationship with Betty Ross, who he met at college. Together they worked on a bio-tech research project replicating Project Rebirth, the project that created Captain America. Under the stress of deadline, Bruce tested the project on himself, resulting in the Hulk. Bruce and Betty continued their relationship, but General Ross hunted Bruce, who went into hiding. The unrelenting pursuit of General Ross resulted in the termination of their relationship. Under direction of Agent Coulson, Agent Romanov located Bruce and persuaded him to join the Avengers Initiative. They are currently attempting to pursue a romantic relationship, but the fallout of the Battle of Sokovia has kept them separated.

Summary of Previous Evaluations

Bruce went to multiple sessions as a minor as result of his mother's death while in foster care. The sessions indicate that he has problems with anger management that occasionally disrupted his school and home life. He was taught several anger management techniques and has had the most success with meditation. However, since he got out of foster care system, Bruce has refused any psychiatric consultation, reasoning the sessions will not change the past. During the Battle of New York, Bruce stated adamantly he could not be killed, "because he tried." Since then, he claimed that several teammates, namely Tony, Natasha, and later Sam Wilson, had discussed with him a safety plan, see below.

Behavior Observations

Testing Behavior

Bruce is a middle aged, mild mannered gentlemen. He took part of all tests willingly and eagerly, claiming that he wanted to "prove he was not a monster." However, during the interview, only referred to the Hulk as "the other guy." Also, he did not want to discuss his parents, only stating that his mother "was an angel", and "he (the Hulk) doesn't like Brian," with a sheepish grin. The subject was dropped.

Psychological Assessment

The clinical interviews for Bruce took place over two days. On the first day, the Assessment of Intellectual Functioning (IQ) and the clinical interview took place. A week later, he returned and the Personality Assessment and the Behavioral Assessment took place. After the test were complete, the client was debriefed.

TESTS ADMINISTERED

Standardized assessment targeted the domains of intelligence, learning processes, academic achievement and emotional/psychological development.

STANDARDIZED INSTRUMENTS:
Wechsler Adult Intelligence Scale-Fourth Edition(WAIS-IV)

Cognitive Assessment System
Wechsler Individual Achievement Test
Myers Briggs Personality Assessment

INFORMATION ASSESSMENT TECHNIQUES:

Development History Form
Interviews
Primary Sources Inventory
Diagnostic Checklist for DID symptoms

Behavior Observations
Review of medical reports

RESULTS FROM TESTING

Using information from multiple sources, the following domains of functioning were analyzed in terms of the effect on Bruce's cognizant and emotional assessment.

Assessment of Intellectual Functioning: The IQ was scored using WAIS-IV with the four index scores Verbal Comprehension, Perceptual Reasoning, Working Memory, and Processing Speed. The combination of the scores was used to determine his intelligence functioning score at 112, placing him in the Superiority intelligence category.

Clinical Interview. The clinical interview was a face to face interview conducted in the office. Results indicated that Bruce was a very intelligent man, who cared deeply about people. Although he is a nuclear physicist, Bruce Banner has also undergone some medical training. He enjoys medicine claiming that it helps him "make up for the horrors" he had done.

When discussing if he sees the good that he had done as helping the Hulk with the Avengers, Bruce stated that many on the team seem "the other guy" as a powerful ally with a big temper. According to Bruce, the Hulk has name for all of the original Avengers. He is very protective of Iron Man and Agent Romanov because they are so kind to Hulk. He understands that Captain America gives the orders, and he usually listens. For the most part he ignores Agent Barton. He does not like Thor, but has learned to tolerate him. He does not really know a lot of the other strike teams, with the exception of Scarlet Witch. Hulk does not like her because she "hurt his head". The rest of the team, he does not really know and does not care one way or the other. Bruce says Hulk bases most of his opinions on people, including the Avengers, based on Banner's experience.

Clinical Diagnosis: Dissociative Identity Disorder (DID)

Bruce displays the following symptoms 10 of 16 symptoms Dissociative Identity Disorder:

Unexplained events and inability to be aware of them

Frequent bouts of memory loss

Sudden return of memories, as in a flashback and/or flashback to traumatic events

Episodes of feeling disconnected or detached from one's body and thoughts

Suicide attempts

Changing levels of functioning, from highly effective to nearly disabled

Depression

Nervousness

Headaches

Sexual dysfunction

SUMMARY

Bruce is a 47 year old Caucasian male who was referred for neuropsychological assessment to determine his mental and emotional status and to make recommendations regarding a treatment plan. He has experienced difficulty with controlling his alter ego, the Hulk. There is concern that he may also have symptoms of Dissociative Identity Disorder. An evaluation of his early development, cognitive capability, emotional status and mental status resulted in a determination of a complex set of characteristics that are contribution to his difficulties.

Bruce performed at an Superiority range of cognitive functioning with no notable differences between verbal and 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 dissociative identity disorder. Most likely the underlying depression and has experience past abuse. He is experiencing multiple symptoms including 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 Bruce's needs there are several areas that may be targeted for intervention:

Psychotherapy. Individual psychotherapy should be the primary would be instrumental in discovering the patterns of Bruce's anger. The goal of therapy will be to integrate Bruce and Hulk, which allow Bruce to control Hulk's actions. Given recent mission can find different grounding techniques and to combine

Group Therapy. One factor of Banners depression is the concept of shame that only the Hulk could be that cruel, and that the Hulk is a monster. Group therapy, particularly one that is domestic abuse survivors, or one which consists people who experience DID, will allow for some of the shame or depression to dissipate.

Medications

Chlordiazepoxide. This is a medication that has been very effective in treating anxiety. been used to treat anxiety. This would allow for Bruce to choose when to turn into the Hulk as a defense system, protecting himself, the Avengers, or civilians during attacks, instead of the Hulk coming out to fight against Bruce's wishes. Common side effect are Clumsiness; confusion; dizziness; excessive daytime drowsiness; headache; lack of coordination; lightheadedness; unsteadiness; unusual weakness.

Zoloft. This is an anti depression medication that has been very effective. Bruce 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.

Clinical Hypnosis. Hypnosis can assist client in retrieving repressed memories and continuing to fuse Bruce and the Hulk, brought on by DID in a safe environment.

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