By Tim Stevens
Jake Lockley is an adult male of above average physical fitness. The client is perhaps best known as the street vigilante Moon Knight, but also has lived under the aliases Steven Grant and Marc Spector. After having been identified as dead by HAMMER Director Norman Osborn, the client took advantage of the situation by escaping south to Mexico and dodging the United States government. Recently, he decided to abandon this tactic and has returned to U.S. soil.
In session, Lockley presents as abrupt, stone-faced, and disinterested in the process of therapy. He admits that he has little use for the idea of psychological help and claims that he "broke" the last psychologist who attempted to interview him. The writer did question why, given these disclosures, the client would bother with therapy at all. Lockley was either unwilling or unable to address the question and refused to comment on it
Developing a diagnostic profile of the client is difficult because of the above attitude. Further complicating the process is his multiple aliases. It has been suggested by several scholars of the super hero psyche that he suffers from Dissociative Identity Disorder and that his "aliases" are, in fact, his alters. However, the client insists he developed the aliases on his own to "aid his mission" and there is ample evidence to suggest that he is correct. Those suffering from DID do not consciously develop their identities and this information would therefore seem to disqualify him from the diagnosis. Additionally, alters tend to vary in age, gender, etc. from the individual's dominant personality and/or appearance. Lockley's aliases are all adult males of his age who might enjoy different jobs (rich former mercenary, cab driver, etc) but seem otherwise largely the same man in attitude and bearing.
On the other hand, the client clearly views his aliases as more than just simply other names and jobs. He referred to, on numerous occasions, the "death" of Marc Spector and seemed to mean it quite literally, not simply as the abandoning of an alter ego that was too tainted to be useful. While the writer does not feel comfortable, based on this, with giving the client a
Additionally, the client admits to having had, in the past, conversations with Khonshu, the Egyptian god of the moon. These auditory and visual hallucinations would often include command hallucinations instructing him to perpetrate further acts of violence, although the client argued that these acts were always in search of justice. Despite this, the writer would label such command hallucinations as quite worrying, especially given that the client's perception of the world can be, from time to time, askew and therefore what is "justice" to him might differ greatly from the "norm."
Preliminarily, this writer would suggest a rule out of Posttraumatic Stress Disorder with the idea that it has so affected the client for so long and to such a degree that it has altered his perspective on reality. This is why his aliases, while not being true alters, can often seem that way when he talks about them and perhaps why he has hallucinated interactions with Khonshu. Additionally, the client has admitted to hyper-vigilance, flashbacks, self-medicating, and several other symptoms that would fit the PTSD profile. With a few more sessions, the writer expects that he will be able to remove the "rule out" from the description and simply say that Lockley does, in fact, have PTSD.
Tim Stevens is a Mental Health Supervisor currently pursuing his Psy D. who has experience working with individuals with PTSD.
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