Taxonomy of Roles

Working with Veterans through Role

Patient Presentation

Diabetic

Female

Presenting with a Fibular Fracture

48 Year old

History of Depression

Team MeetingThat isn’t what he told me

He didn’t say it like that to

me

He’s so quite when I’m there

You talk to him, see if you can get him to talk

Role Theory A postmodern approach that views the

self as not on essential entity, but a full system of roles

I’m sorry that really wasn’t me….

Then who was it?

Diagnosis

Axis I: Dysthymic

Seasonal Affect

Axis II: Dependent Traits

Axis III:NIDDM, breast fibrocystic ds

Axis IV: Moderate medical illness, limited psychosocial support

Axis V: 50/60

Taxonomy Domains

Axis I Affective Domain

Axis II Cognitive Domain

Axis III Somatic Domain

Axis IV Social Domain

Axis V Spiritual/Aesthetic Domain

Patient Role Taxonomy

Axis I Lost One

Axis II Ambivalent One

Axis III Sister-Renegade/Rebel

Axis IV Average Person

Axis V Dreamer

Meet our Patient

Let’s meet the Lost One

Let’s meet Ambivalent One

Let’s meet Renegade Sister

Let’s Meet Average Person

Let’s Meet the Dreamer

Now it’s Your turn!