Essay about Holden Caulfield's Psychiatric Evaluation

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This is the first psychiatric hospital admission for the patient, a 17 year-old male. The subject freely admitted himself to care at 13:00 hours on November 28, 1958. Mr. Holden Caulfield arrived at the hospital in the company of his parents--whose consent was necessary given Holden's legal status as a minor--and his younger sister Phoebe. His induction took place without any incident.

 

At the time of his arrival, Holden appeared very tired and run-down. He was wearing woolen slacks and a warm jacket but appeared to be suffering from an intense chill. His walk was slow and his gait guarded, as if he expected an attack at any moment. He appeared lucid but seemed unsure of his location. His tiredness and confusion,
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Holden's other brother, Allie, was two years his junior and died of leukemia on July 18, 1946 (page 38). Tragic as this loss was for the Caulfield family, it seems to have had a greater impact on Holden than on any of the others. He was thirteen at the time of his brother's death. Upon hearing the news, Holden broke all the windows in the garage with his bare fists. His parents report that Holden's personality underwent a radical change following Allie's death. Among the most notable changes, they list a decline in Holden's social skills and a loss of interest in academic pursuits. The loss of his younger brother appears to have upset Holden's mental state.

 

The events immediately precipitating Holden's hospitalization began with his expulsion from Pency, his boarding school. According to school officials, Holden was scheduled to leave for his parents' home on Wednesday but a fight with his roommate caused him to leave earlier. After leaving Pency, Holden traveled to his hometown of New York City but failed to go home. Instead, he stayed at several hotels and went out to clubs and bars. His forays into such inappropriate environments led to encounters with, among others, a prostitute and her pimp. Holden went so far as to solicit and pay the prostitute, though he claims to have never engaged in sexual intercourse. Following this encounter, Holden went on a disastrous date with Sally Hayes, an acquaintance. The

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