case analysis of felix ungar from the odd couple-comp
TRANSCRIPT
Running head: FELIX UNGAR CASE ANALYSIS 1
Case Analysis of Felix Ungar from The Odd Couple
Everett Lamb
May 12, 2010
Texas A&M University-Kingsville
PSYC 4325
FELIX UNGAR CASE ANALYSIS 2
Case Analysis of Felix Ungar from The Odd Couple
As my case analysis I have chosen the character of Felix Ungar from the 1968 film The
Odd Couple. Mr. Ungar has several psychological issues which need to be addressed. The focus
of this case study is to analyze these problems using the client’s biopsychosocial history, offer a
diagnosis based upon available information, and offer a treatment recommendation based upon
the evidence provided in the film.
Background
Felix Unger is a middle-aged television news writer living in New York City. Mr. Ungar
has recently been asked to leave his house by his wife, Frances, who has filed for a divorce. Mr.
Ungar has two children with his estranged wife. He has been asked to share an apartment in
Manhattan with his best friend, Oscar Madison, a sports writer for the New York Herald who is
also currently going through a divorce.
Outside of Oscar, Felix has several friends with whom he plays poker on a regular basis.
These include Murray, a police officer; Speed; Roy; and Vinnie. Although Felix is high-strung,
his friends are accepting of him and care for him deeply, as evidenced by their search for Felix
after he and Oscar have an argument and Felix plans to move out of the apartment.
Description of Presenting Problem
Felix Ungar has a history of neurotic and obsessive behaviors. He exhibits a
preoccupation with cleanliness, as observed by his constant cleaning of the apartment he shares
with his roommate, Oscar. He remains fixated on his estranged wife, Frances and refuses to relax
his uptight nature enough to gain any enjoyment from life. The stress created from his imminent
divorce only seems to add to his obsession with hygiene, cleanliness, and health. Mr. Ungar also
FELIX UNGAR CASE ANALYSIS 3
shows obvious signs of being a hypochondriac. He always has medications and vitamins readily
available, and when he suffers a sinus attack in a coffee shop, he is overly dramatic, making
obnoxious noises and obsessing over the situation. He shows a propensity for being
hypersensitive to rejection, as observed by his failure to move on from his failed marriage, as
well as his inability to take criticism from his roommate and friend, Oscar. Felix also appears to
have attachment issues with not only his estranged wife, but also with Oscar. This is observed
when Felix calls Oscar at work to ask what he would like to eat for dinner, which causes Oscar to
miss a triple play, thereby interfering with Oscar’s work as a sports writer. The self-centered
nature of Felix’s obsessions is further supported by Felix’s constant berating of Oscar’s hygiene
and slovenliness.
Diagnostic Issues
Mr. Ungar meets the requirements for the Axis I condition of a Major Depressive
Episode (MDE). He has shown a depressed mood most of the day, nearly every day, as indicated
by subjective reports or observation made by others. He shows a markedly diminished interest or
pleasure in all, or almost all, activities most of the day, nearly every day. Felix also shows
psychomotor agitation, as evidenced in his pacing. Mr. Ungar also demonstrates feelings of
worthlessness or excessive or inappropriate guilt nearly every day. Felix also has shown signs of
suicidal ideation and has attempted suicide since his wife left him by attempting to jump out of a
window. None of these attempts have been serious enough to require medical attention. Felix
Ungar does not appear to be suffering from any other particular clinical syndromes requiring
clinical attention as defined in Axis I of the DSM-IV.
Felix does meet the requirements for the Axis II condition of Obsessive-Compulsive
Personality Disorder (OCPD). Felix shows a pervasive pattern of preoccupation with orderliness,
FELIX UNGAR CASE ANALYSIS 4
perfectionism, and mental and impersonal control. This is indicated by his preoccupation with
details, rules, order, and schedules to the extent that the major point of an activity is lost. He also
exhibits extreme perfectionism and has difficulty relaxing or doing anything just for fun. Felix
displays a reluctance to delegate tasks or work with others unless others do the exact same things
that Felix does. Also Felix displays a rigidity and stubbornness. He does not display any
compulsive rituals which cause anxiety or distress, which is why Felix does not fit with the
criteria for Axis I obsessive-compulsive disorder. Instead Felix’s life is characterized by
contentiousness, rigidity, and perfectionism; however this all exists absent from the presence of
true obsessions and compulsive rituals. Felix also shows difficulties in interpersonal relationships
due to his obsessive nature and difficulty expressing emotions
Felix Ungar has what may be acute sinusitis. Sinusitis is typified by facial pain/pressure,
nasal obstruction, thick and colored nasal discharge of a yellowish or greenish hue, diminished
sense of smell, cough not due to asthma, fever, sneezing fits, bad breath, fatigue, and ache in
upper teeth. This type of sinusitis occurs when one has several separate attacks during the year.
The attacks are usually caused by an allergic reaction to varying weather conditions, animal hair,
dust mites, mold, pollen, and other allergens. I believe that the sinus attack Felix complained of
in the coffee shop may have been caused by sinusitis..
Mr. Ungar is experiencing many Axis IV psychosocial and environmental problems. He
is experiencing problems with primary support group, since the disruption of his family due to a
divorce may have contributed to his disorder. He is unable to see his wife and children and is
assumed to have economic problems due to paying alimony and child support, which is one of
the reasons that he agrees to become roommates with Oscar Madison.
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The Axis V global assessment of functioning would place Felix Ungar around the 65-55
range. Felix shows mild to moderate symptoms of OCPD and MDE. He also displays mild to
moderate difficulty in social functioning. He does appear to be able to function generally well
and has some meaningful interpersonal relationships, as observed by the friends he plays poker
with.
Treatment Recommendations
In creating a treatment plan for Felix Ungar, I would want to assure that the causal
aspects of his major depressive episode be addressed first, in order to see if this might lessen
some of the stressors in Felix’s life. By alleviating some of these stressors, some of the
symptoms of Felix’s OCPD might also diminish. I would highly recommend that Felix attend
personal counseling with a licensed therapist in order to begin processing some of the issues
resulting from his recent divorce. I would also recommend that he attend a support group for
those going through divorce or separation. I would also recommend that if depressive symptoms
persist, Felix would see a doctor to discuss the possibility of taking anti-depressants. There is
also the issue of the co-morbidity of Major Depressive Episode and OCPD, an Axis I and Axis II
disorder respectively. Those suffering from both Axis I and Axis II disorders have a lower
success rate in the treatment of their Axis I disorders than those without a coexisting personality
disorder, and the therapist should be aware of this. I would consider integrating therapies to treat
the MRE and OCPD simultaneously.
Given the difficulties of treating personality disorders there are many treatment
recommendations that could be applied to treat Felix’s OCPD, but as with any therapy there is no
guarantee of success. The fact that OCPD is a Cluster C disorder offers us some hope, since
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those from Cluster C are less likely to experience the general difficulties in forming and
maintaining good relationships with the therapist.
In the case of Felix, I would recommend short-term psychotherapy focused of symptom
alleviation. The therapy would focus on Felix’s current support system and coping skills. The
skills which are not currently working could be reinforced with different coping skills. I also
would suggest that the therapist focus on examining relationships and reinforcing strong, positive
relationships while having the client re-examine negative or harmful relationships. I would also
try and have Felix examine and identify his feelings, rather than intellectualizing or distancing
himself from his emotions. This could possibly include homework such as writing feelings down
in a journal. By focusing on his feelings, it may force Felix to become removed from the
analytical processes that drive him.
Attempting to assist a fictional character is difficult. The process becomes especially
difficult because the assessor is unable to ask the client specific questions that could be helpful in
creating an accurate diagnosis. I feel that I have created an analysis that is as complete as
possible, based upon the evidence. I truly believe that the treatment suggestions set forth in this
paper would help Felix, and I hope you do too.