.
Dependent, and Obsessive-Compulsive.
Axis III is for reporting current general medical conditions that are potentially relevant to the understanding or management of the individual’s mental disorder.
Axis IV includes problems with one’s primary support group, social environment, educational, occupation, housing, economic issues, access to health care services, interaction with the legal system/crime, and other psychosocial and environmental problems such as exposure to disasters and difficulty with caregivers and social agencies.
Axis V is a rating determined by the GAF Scale that considers psychological, social, and occupational functioning and symptom severity on a hypothetical continuum of mental health-illness from 0 (inadequate information), 1(persistent danger of severely hurting self or others) through 100 (superior functioning in a wide range of activities, life’s problem’s never seem to get out of hand, is sought out by others because of his or her many positive qualities. No symptoms.)
There appears to be a “disconnect” between Travis’ inferred message of his morality by the way he sees the world and his own immoral behavior of drug use, probably speed, which keeps him from sleeping and, thus, sends him to pornographic movie houses at various hours during the day and night.
Travis’ only way of connecting with the world is when he drives people around in the taxi cab and when he sits in the pornographic movie house and watches the films.
After he begins working as a taxi cab driver he says:
All my life needed was a sense of some place to go. I don’t believe that one should devote his life to morbid self-attention. I believe that someone should become a person like other people.
Travis wants to connect with others, as exemplified by his two failed conversations discussed earlier and by the following metaphorical journal entry about Betsy that ends the scene:
I first saw her at Palantine campaign headquarters at 63rd and Broadway. She was wearing a white dress. She appeared like an angel out of this filthy mass. She is alone. They cannot touch her.
People with STPD are more comfortable turning inward, away from others, than learning to have meaningful interpersonal relationships. This preferred isolation contributes to distorted perceptions about how interpersonal relationships are supposed to happen (Gilles, 2010).
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