Case 2: Anik Anik is a 29-year-old Javanese (Indonesia) woman who was born in a rural...

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Case 2: Anik Anik is a 29-year-old Javanese (Indonesia) womanwho was born in a rural area but has lived in the city ofYogyakarta for the past four years. She has been married 1% years,but is very unhappy in her marriage, feeling her husband is lackingin openness and compassion. Anik has been unable to care for her8-month-old daughter for the past several months, so the daughterwas living with Anik's aunt in Jakarta. When her illness began,Anik first became withdrawn and didn't sleep or eat. She developedhallucinations of accusatory voices criticizing her husband, hisfamily, and their landlady. Anik also suffered from jealousdelusions that her husband was having an affair. She was taken tothe hospital by her brother, where her symptoms includedmondar-mandir (\"wandering without purpose\"), ngamuk (\"beingirritable\"). Being easily offended and suspicious, talking toherself, crying, insomnia, malmun (\"daydreaming\") and quicklychanging emotions. Her sister-in-law reported that she had beenchronically fearful and irritable for some time and wouldfrequently slam doors and yell. In Javanese culture, the control ofemotions in social situations is of great importance, so Anik'soutbursts were seen as clear signs of some sort of pathology. Anikhad several explanations for her behavior. First and foremost, shebelieved that she was in a bad marriage, and this stress was acontributing factor. Shortly before her symptoms began, herlandlady said something harsh to her, and Anik believed that herstartle reaction to this (goncangan) led to sajit hati, literally\"liver sick­ ness:' In addition, Anik's mother had a brief periodduring Anik's childhood when she \"went crazy\", becoming loud andviolent, and Anik believes she may have inherited this tendencyfrom her mother. Anik initially sought to overcome her symptoms byincreasing the frequency with which she repeated Muslim prayers andasking to be taken to a Muslim boarding house. Once she was takento the hospital, she agreed to take antipsychotic medications,which helped her symptoms somewhat. She was discharged from thehospital after a short time, but was rehospitalized multiple timesover the next year. Questions: For each case please answer thefollowing questions: 1. What condition or conditions (there may bemore than one possibility) are being described in this case? 3.What brain area or area(s) may be involved? How should theyfunction normally? What could be causing this dysfunction? 4. Howwould the treatments recommended affect the brain? How might thoseeffects relate to the symptoms? 5. How can you explain all of thesymptoms exhibited by this case? Can you relate each symptom to aspecific brain area or neurotransmitter? 6. What otherinterventions may be possible, besides those noted here? Pleasejustify your answers by using the concepts from other scientificresources). Total Posts:

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The symptoms of paranoia unprovoked emotional outbursts insomnia hallucinations delusions and aimless wandering when combined with the startle response probably loss of prepulse inhibition strongly suggest schizophrenia which is also known to frequently relapse The frontal lobe and the hippocampus are affected in schizophrenia which    See Answer
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