• Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

"As Good As It Gets".

Extracts from this document...


"As Good As It Gets" Melvin Udall is the most dysfunctional of men, an acid tongued romance novelist who suffers from obsessive-compulsive disorder. Never one to avoid confrontations, he takes pride in his ability to affront, repulse, offend and wound - as he has been. His targets are random; his aim reckless. Leave an elevator in which he stands; cross a street on which he walks. He is to be avoided at all costs, but some victims just cannot escape. Carol Connelly is the only waitress at the local caf´┐Ż that is willing to stand up to the sarcastic tirades of Melvin. Simon Nye has the distinct misfortune of living across the hall from Melvin in their West Village apartment building in downtown Manhattan. These three New Yorkers - non of whom appears to have a chance in Hell of finding real happiness - discover their fates intertwined because of the fourth complicated character in the piece, an ugly, tiny dog named Verdell." This is the description you can find on almost any website dedicated to the film "As Good As It Gets", and it is a good description of what you see when you view the movie. However, we shall take a closer look at one particular aspect - obsessive-compulsive disorder. Insistent, unwanted thoughts, urges and behaviors are typical of Obsessive-Compulsive Disorder (OCD). ...read more.


Melvin also takes medication, but Carol is the best remedy for this OCD patient. Some patients actually need nothing more than the medication and they make a full recovery and need no further treatment. Other OCD patients would definitely benefit from behavioral treatment called exposure and response prevention, and this is exactly what happens to Melvin - Carol is his behavioral treatment. I have included some interesting facts about OCD below: Although adults realize in part that these obsessions and compulsions are senseless, they have great difficulty stopping them. Children with OCD may not realize their behavior is unusual. There is a link between serotonin and dopamine, brain neurotransmitter chemicals, and OCD. Often OCD affects the family. Family members are sometimes drawn into the OCD behavior. Disability may affect family finances. Medication for OCD should be tried 10-12 weeks before judging effectiveness. OCD affects men and women equally. OCD can start at any age. In one third of adult patients the symptoms begin in childhood, adolescence or young adulthood. OCD afflicts approximately 2% of the population. The untreated symptoms may vary for years. The symptoms may go away, remain the same or worsen. Evidence suggests that OCD runs in some families and may be genetically inherited. It is not uncommon for a person with OCD to also have clinical depression, panic attacks, or both. ...read more.


The more pain one is willing to endure the less it is experienced. Although there is no cure for OCD, there are several treatments to help lessen the effects of OCB. The individuals who do use CBT as a form of therapy recognize a 50-80% decrease in the symptoms, and of the individuals who use SRI's, 50-60% respond to the effects. However, once the individual stops using SRI, the symptoms take over again. The best solution is to use both forms of treatment, or to use the SRI's as a quick start process, but then revert to using CBT as a later form of treatment. CBT is a fascinating treatment, because it allows humans to use the forebrain, which is the most highly developed portion of the brain. CBT is a conceptualizing exercise that pushes the OCB patient to understand both their irrational and rational sides. The process is extremely hard to swallow for the irrational side is automatic and involuntary, urging the patients to react to an event at will. However, if the person (Melvin) suffering from OCB practices this therapy extensively, though he may not be cured, life will become a lot easier. I believe that this is definitely the case with Melvin, since he gets better while on his medication and at the same time getting 'therapy' from Carol, the more time they spend together. Simon, Carol, Verdell, and all the other people that Melvin associates with on one level or another, is unconsciously helping Melvin improve over time. ...read more.

The above preview is unformatted text

This student written piece of work is one of many that can be found in our AS and A Level Healthcare section.

Found what you're looking for?

  • Start learning 29% faster today
  • 150,000+ documents available
  • Just £6.99 a month

Not the one? Search for your essay title...
  • Join over 1.2 million students every month
  • Accelerate your learning by 29%
  • Unlimited access from just £6.99 per month

See related essaysSee related essays

Related AS and A Level Healthcare essays

  1. Physiological disorder

    Thrombosis: Thrombosis is a blood cell clots within a vein. If a thrombosis occurs in a coronary artery it will cause the artery to narrow which will increase the chance of having a heart attack. A coronary thrombosis occurs when blood turns from liquid form to solid in one for

  2. Cognitive Behavioural Therapy and Family Interventions for Psychosis.

    Research by Garety and colleagues is still ongoing, and preliminary results are promising. Haddock & Slade (1996) have maintained that patients' distress is related to their beliefs about the origin and content of their voices.

  1. Abnormal Psychology - Bipolar Disorder

    The shock is applied in one of two ways. In bilateral ECT two electrodes are attached so that the shock is delivered to both brain hemispheres. In unilateral ECT (Goldman 1949) a single electrode is attached to the not dominant hemisphere, so that only one hemisphere is shocked.

  2. Obsessive Compulsive Disorder

    But whatever the ritualistic actions may be, they are directed towards the accomplishment of some goal that is consciously imagined on the part of the performers. At times the ritual can be full of emotion and meaning, and other times banal.

  1. Common Obsessions

    "OCD, a psychological disorder typically marked by uncontrollable, repeated thoughts and recurrent, "driven" patterns of ritual-like behavior, has only recently been recognized as far more common than previously believed" (Sebastian, p. 15). When defined, we can break this disorder down into the two basic words, "obsession" which is when persistent

  2. How plastic is the adult brain?

    The canary birds are capable of producing thousands of new neurons everyday in the ventricle and showing widespread neurogenesis. While the cells were replacing the existing ones in the telecephalon in the adult brain, the neurons based on morphology and physiology, were being recruited into the song singing of the birds.

  • Over 160,000 pieces
    of student written work
  • Annotated by
    experienced teachers
  • Ideas and feedback to
    improve your own work