Allen - Allen Allen, a 28-year-old unmarried accountant,...

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Allen 1 of 2 Allen, a 28-year-old unmarried accountant, seeks consultation because "I feel I am going nowhere with my life." Problems with his career and girlfriend have been escalating and are causing him increasing distress. Allen recently received a critical job review. Although he is reliable and his work accurate, his productivity is low, his management skills are poor, and he has conflicts with his boss over minor issues. The patient's fiancée recently postponed their wedding date. She said that, although she respects and loves him, she is ambivalent because on many occasions he tends to be remote and critical and he is often uninterested in sex. Allen describes himself as a pessimist who has difficulty experiencing pleasure or happiness. He says that, as far back as he can remember, he has always been aware of an undercurrent of hopelessness, feeling that his life is hard and not worth living. Mr. A grew up in a suburban community and attended public schools. His mother is a quiet person, periodically "moody, remote, and depressed. Shortly after the birth of Allen’s sister, 3 years his junior, his mother became very depressed and was hospitalized. She responded well to ECT and had no further psychiatric care. Allen’s father, now
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Allen - Allen Allen, a 28-year-old unmarried accountant,...

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