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Case Number: 93849594

Patient’s Name: Gump, Forrest


Alabama State Psychiatric Center
Birmingham, Alabama
Rachel Schoen, Ph. D

Table of Contents

General Information
Education/Occupation .................................................................................... ███
Institutional Record
Medical History ...................................................................................................... ███
Interviews ................................................................................................................ ███
Analysis ................................................................................................................... ███
Recommendations ................................................................................................... ███

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Case Number:  93849594

Patient Name: Gump, Forrest

Date of Birth: 02/24/1948

Place of Birth: Greenbow, Alabama

Height: 6’5” (195.5 cm)

Weight: 242 pounds (110 kg)

Race: Caucasian

Nationality: Irish-German American

Religion: Catholic (non-practicing)

Parents:

MOTHER FATHER

Name: Kyla Gump Name: Joseph Gump (Deceased)


D.O.B: 03/07/1920 D.O.B: 10/18/1918
Place of Birth: Birmingham, Alabama Place of Birth: Greenbow, Alabama
Race: Caucasian Race: Caucasian
Nationality: Irish-American Nationality: German
Religion: Catholic (non-practicing) Religion: Baptist (practiced)
Education: 8th grade completed Education: High School Diploma
Martial Status: Widowed Martial Status: n/a

While attending the public Robert E. Lee Elementary School at age six, the patient

Forrest Gump had noticeable difficulty with socializing and academics. Soon after entering the

first grade, Forrest’s teacher and the rest of administration of the school began to realize his

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disabilities, but did not recommend the patient to a school for the mentally impaired until after

completion of the school year. His mother and sole caretaker, Mrs. Kyla Gump, initially refused

to have her son enrolled in the neighboring school for mentally impaired, but soon afterward

enrolled him as his former elementary school had requested.

Forrest went on to complete grade school and some of high school in the special school,

where he was tested for mental impairments. Forrest took the Wechsler Intelligence Scale for

Children (WISC) test for his IQ. His results came back with a 70 IQ. He was found to be, and

referred to for the rest of his life, as an idiot savant.

After half of his high school career at the mentally impaired school, Forrest was recruited

to a public high school to play American football. He gained popularity as a football player, 

joining the All­State team. Forrest’s height, build and running ability were perfect components

for American football, but his unlikeliness to tackle anyone or the lack of coordination to catch a

football were hindering to his football career. Fortunately for Forrest, his ability was still to be

admired, and he met Bear Bryant, who implanted the idea of playing college football into his 

head.

In high school Forrest had a different daily schedule than most students. He only had six

classes, three consisting of homeroom-like classes where he was free to do what he wanted and

three classes where he had an aid teaching him one-on-one how to read. Miss Henderson, one of 

Forrest’s high school teachers, claims to have given him reading lessons. Mark Twain's The 

Adventures of Tom Sawyer was one of the novels chosen. However, Forrest reports that he didn’t

understand it well, but he enjoyed what he could understand. After high school, Forrest took a

test at a local army recruitment center, and is told he is "Temporarily Deferred."

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Forrest went on to play football for Alabama State University, but failed all of his classes

except for Intermediate Light, an advanced physics class. In his Intermediate Light class, he

received a letter grade of A, which made his physics professor question his actual ability as a

learning-disabled student. Unfortunately, without the grades or the capacity to learn, Forrest was

kicked out of the University he was attending, and got drafted into the army.

There is no known educational institution attended by Forrest after college.

Forrest started with the occupation of a Alabama State University student, under an

American football scholarship. However, after one football season, Forrest was deferred from the

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university due to lack of sufficent grades, and was drafted into the Army to fight in the Vietnam

War. Forrest was a member of the 9th Infantry Division in Vietnam, notably: 4th platoon, A 

Company, 2nd Bn/47INF. According to Forrest’s immediate officer, “Gump was one of the best

Goddamn soldiers this Army’s ever seen.” Forrest’s uncanny ability to follow orders without

question made him a great soldier. Forrest won the Congressional Medal of Honor for saving

lives.

In 1969, Forrest joined the Army Special Services, where he entertained wounded military 

veterans with his Ping Pong skills. His exceptional skills earned him a place in the All­American 

Ping Pong team, with whom he traveled to China during the Ping Pong Diplomacy period of the 

early 1970s.

Forrest traveled to Harvard University in Boston to find his long-time friend, Jenny Curran.

There he goes on to play the harmonica in Jenny’s band, “The Cracked Eggs”. They played

weekly at the Hodaddy Club where they were very popular. Their popularity then grew and they

began to tour around the northeast playing at multiple venues. There was a falling out with the

band, and in series of circumstances Forrest finds himself involved with NASA doing some top-

secret, confidential work. However this area regarding Forrest’s occupations is limited.

In 1971, Forrest persuaded Lieutenant Dan Taylor, his platoon leader from Vietnam, to join

him in the shrimping business as his first mate, in an effort to fulfill his promise made to Bubba 

earlier in Vietnam. Forrest finds his Greenbow house filled with memorabilia capitalizing on his 

fame as a ping­pong player in China. At his mother's insistence, Forrest made $25,000 endorsing

a brand of ping­pong paddles, and used most of the money to travel to Bubba's hometown of 

Bayou La Batre and purchase a boat. For several weeks, the two had no luck catching shrimp. 

However, things changed when the area was hit by Hurricane Carmen. Forrest's boat was the 

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only one left standing and they found themselves with a monopoly of shrimp. Under the name 

Bubba Gump Shrimp Company, they soon became very wealthy.

Institutional Record:

2 counts of federal crime


0 counts of prosecution
1 count of mental institutionalization

Jail/Penitentiary

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Forrest was arrested with Raquel Welch. She was accused of stealing a dress, and was

accompanied by Forrest and another man. Forrest got taken down to the precinct but was never

prosecuted for any crime. The bad publicity caused Forrest’s political career to take a dive.

Jenny Curran convinced Forrest to throw away his congressional medal of honor, which

is a federal crime. Due to the contradicting nature of accepting the award then throwing the

medal of honor away, the judge observing the case sentenced Forrest to undergo psychiatric

evaluation in a mental hospital.

Mental Institutions

The doctors at the hospital found that Forrest was fit to live alone, as a high functioning

idiot, but should receive therapeutic treatment and be monitored for further analysis concerning

his lack of attention span and proper socialization. Forrest was briefly institutionalized at the

Alabama State Psychiatric Center, but was soon released under the conditions he come back

regularly for checkups and therapy sessions.

Physical Medical Records

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Kyla Gump, mother of the patient Forrest Gump, contracted Rubella three months into

her eight month long pregnancy. Forrest was born prematurely and at a low birth weight,

reported at three pounds and seven ounces. Forrest did not contract Rubella from mother. No

unusual sickness appeared in Forrest, with the exception of chicken pox at age four.

During combat in his tour of Vietnam, Forrest was shot in the buttocks. He was then

relieved of combat and sent to the Danang hospital to heal along with the other wounded soldiers

from the war effort. Forrest was under the care of the hospital for approximately two months.

There are no other reports of Forrest being hospitalized.

Mental/Emotional Medical Records

Upon entering school at age six, Forrest’s Intellectual Functioning Level (IQ) was tested

(using the Standford-Binet Intelligence Scales), and was recorded at 70. Formal testing and

interviews with Forrest were conducted at that time. Significant weakness was found in areas:

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1. Intellectual and Behavior Adaptive Skills

2. Psychological/Emotional Considerations

Formal testing combined with Forrest’s Intellectual Functioning Level indicated the

presence of mental retardation, and Forrest was pronounced medically and legally to have mental

retardation.

Since Forrest had barely made it out of the 1st grade, it was apparent he lacks the mental

capabilities to learn like most people do. Thus, as a child, Forrest was given The Wechsler IQ

Test to examine and develop a better understanding of where he stands on the criteria of mental

status:

Wechsler IQ Test

IQ Archaic Description Description Score higher than:

10 Idiot Profound Mental Less than 1 out of 100,000


Retardation
30 Idiot Severe Mental “
Retardation
50 Imbecile Moderate Mental 3 out of 100,000
Retardation
70 Moron Mild Mental 13, out of 10,000
Retardation
80 2 out of 100
85 Dull Normal Low Average 16 out of 100
100 Average Half
115 High Average 84 out of 100
125 Superior 95 out of 100
130 Genius Very Superior/Gifted 98.5 out of 100

Forrest’s Results

Verbal Scale Performance Scale

Information 5 Picture Completion 3

Similarities 4 Geometric Design 5

Arithmetic 8 Mazes 6

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Vocabulary 2 Block Design 3

Comprehension 6 Object Assembly 4

Matrix Reasoning 6

Overall Verbal 63%

Overall Performance 78%

Overall Score 70.5

Forrest’s achieved the score of a 70.5 on the Wechsler IQ Test. This is a very low score

and technically places Forrest in the 3rd percentile. Since this is a valid use of information, it can

be declared that Forrest is labeled as a “moron”. Furthermore, it can be inferred that Forrest

could very possibly be suffering from mild mental retardation.

Since Forrest can be officially claimed as a “moron” for his mental status and can be

considered mentally retarded (to some degree), it is then essential to calculate whether or not he

is also suffering from Attention Deficit Disorder. This is questioned because throughout his short

educational career, and even when communicating with others, Forrest loses his focus very

quickly. It is also known that Forrest can get very easily distracted.

To give a better understanding if Forrest does suffer from A.D.D. our center gave him a

questionnaire to fill out. Below is a copy of the questionnaire filled out:

Alabama State Psychiatry Center

Questionnaire for Evaluating A.D.D.

0- Never

1- Rarely

2- Sometimes

3- Often

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4- Very often

At home, work, or school, I find my mind wandering from tasks that aren’t interesting or difficult.

0 1 2 3 4

I find it hard to stay focused on what is being said in conversations.

0 1 2 3 4

I have a quick temper; a short fuse.

0 1 2 3 4

I am irritable, and become upset by minor annoyances.

0 1 2 3 4

I have trouble orderly planning a series of tasks or activities.

0 1 2 3 4

I easily become upset.

0 1 2 3 4

In conversations, I start to answer questions before they fully have been asked.

0 1 2 3 4

There is a lot of “static” and/or “chatter” in my head.

0 1 2 3 4

Even when sitting quietly, I am usually moving my hands and/or feet.

0 1 2 3 4

In group activities, I find it difficult to wait for my turn.

0 1 2 3 4

My mind is so cluttered that it is hard for me to think.

0 1 2 3 4

My thoughts bounce around my mind.

0 1 2 3 4

I am unable to stop daydreaming.

0 1 2 3 4

Based on the results of the questionnaire, it can be theorized that Forrest is suffering from A.D.D.

His scores reflect answers containing mostly 3s and 4s, thus deeming him having A.D.D.

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tendencies based on the survey. The side effects of his condition based on this information are

the following:

— Gives up easily on tasks and/or assignments

— Poor testing skills

— Difficulties in memory

— Very easily distracted

— Frequently day-dreams

— Poor listening skills

— Changes topic of discussion often

Upon further review and analysis, we gave Forrest an MRI scan of his brain to further question

his A.D.D. before a final diagnosis was made.

Though this is not a direct representation of Forrest’s brain, this graph is used to express

the relativity between brain #4 on the graph and Forrest’s brain. There is a direct correlation

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between the two brains. Forrest’s brain is covered with the color of red indicating he has a

serious condition of increased activity of deviations. In addition the representation and relatively

of this graph further promotes the case for Forrest having A.D.D.

While there is no absolute way to diagnose Attention Deficit Disorder, based on the test

results and face-to-face interview of the patient in question, I believe Mr. Forrest Gump may

have A.D.D.

Here are a few interviews provided by Forrest himself, his mother Kyla, and his former

childhood teacher/aid Miss Margaret. The interview with Forrest is presented in a first-person,

question-and-answer type format. Dr. Wells of our psychiatric staff asked the questions, which

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Forrest Gump answered. The interviews with his mother and former teacher are displayed in a

summarization format. This was done to protect the security and integrity of the words said

within those interviews.

Interview with Forrest Gump

Q: Good evening, Mr. Gump. How are you feeling today?


A: Been better, I s’pose.

Q: I’m sorry to hear that. So, do you know why you were asked to come here today?
A: T’answer some questions.

Q: That’s right. Can you tell me where you’re from, or maybe something about your parents, or
the schools you have attended?
A: Well, I grew up with momma here in Alabama. Momma won’t talk about
Daddy. … Am I done?

Q: What about schooling?


A: Alright. … I went to a special school when I was a kid cause I have a low IQ
and they figure I’m an idiot and all but I still graduated and played some
football in college for a lil’ while.

Q: How did you do in college?


A: I failed all my classes but Intermediate Light. ‘Cause of that, the college
didn’t want me there no more.

Q: Why were you good at Intermediate Light but not your other classes?
A: I dunno. I s’pose it was just easy for me. College was very confusing times.

Q: Do you ever plan on going back to college? To further your education?


A: I dunno.

Subject tried to leave after answering, but was gently asked to sit back down.
Q: What did you do after college Forrest?
A: The army done came to my house and told my momma I have to go with
for while.

Q: What did you do in the army?


A: We went off and fought a war in that place Vietnam.

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Q: And what did you do in Vietnam?
A: Lot of fighting … I cooked too.

Q: I see you were awarded the Congressional Medal of Honor. You must have been a really great
soldier right?
A: I s’pose.

Q: Can you tell me anything more about your experience in Vietnam?


A: My best friend Bubba …well, he got kilt in the war.

Subject had averted his eyes to various parts of the room and twiddled his fingers.
Q: One more question about Vietnam, Forrest. What are your general thoughts about it?
A: ………….

Q: Forrest. What were your general thoughts about Vietnam?


A: Huh? Aw, well, it’s just a bunch of shit. I got my ass shot too which was no
fun neither.

Q: Okay, that’s all for today. Anything else you would like to say?
A: No. … I just wanna go home now.

Interview with Mrs. Gump

Mrs. Gump unfortunately was very uncooperative during the interview. She kept repeating

herself claiming that there was and is nothing wrong with her son and that he does not need to be

put away in a mental institution. When we tried comforting her and advising her that if Forrest

were to be put away that he would be in good hands and that it would benefit him, she refused to

listen and disregarded our concerns for his well-being. She did not answer a lot of questions that

we asked her; however she did elaborate briefly about Forrest’s childhood. Mrs. Gump admitted

to him doing things without thinking of the consequences, such as touching a hot stove, and his 

inability to focus on simple directions. She admitted to keeping her son enclosed within their

home often, trying not to expose him to other children in the community. Her reasoning for this

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was she claimed a lot of kids poked fun at Forrest making him very self conscious and insecure

about his lifestyle. Another reason for this is she explained that her husband, Forrest’s father,

died when Forrest was very young and that she did not want to be alone in this world so she kept

Forrest very closely to her, keeping an eye on him whenever she could. She went on to argue that

her son does not have any mental problems; that Forrest is a regular, normal person like everyone

else. She also kept insisting that we or somebody else not take him away to a mental institution.

Interview with Miss Margaret


Miss Margaret identified herself as the teacher/aid for Forrest while he was in the special school for

kids with disabilities as a child. Fortunately, unlike Mrs. Gump, Miss Margaret was very cooperative

during the interview and informed us of a lot of useful and reinforcing information about Forrest

during their time together. Although Forrest was actually one of the better children in the special

school, she claimed he still showed his disabilities often and that they were quite noticeable. She

gave numerous examples of instances where she will be teaching the class about what to do and what

not to do in a daily situation, where then she’ll find Forrest whistling to himself and his eyes

wandering around the classroom as if he was in his own little world. In addition she told us how she

would have sometimes allowed her students to interact with one another on a certain activity in class

and she would find Forrest having problems with taking turns with them.

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SYMPTOMS of ADD or ADHD:

• Often fidgeting with hands or feet, or squirming while seated.


• Having difficulty remaining seated.
• Having difficulty awaiting turn in games or group activities.
• Often blurting out answers before questions are completed.
• Having difficulty in following instructions.
• Having difficulty sustaining attention in tasks or play activities.
• Often shifting from one uncompleted task to another.
• Having difficulty playing quietly.
• Often talking excessively.
• Often interrupting or intruding on others.
• Often not listening to what is being said.
• Often forgetting things necessary for tasks or activities.
• Often engaging in physically dangerous activities without considering possible
consequences.
• Being easily distracted by extraneous stimuli.

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Based on the tests administered and the interviews taken we can conclude two concrete

diagnostics of Forrest. One is that Forrest is to be considered to having a mild case of mental

retardation. We can make this conclusion based on his score of a 70.5 on the Wechsler IQ Test.

The second is that Forrest is to be considered that he is suffering from a disorder, and that

disorder being Attention Deficit Disorder, or A.D.D. We can make this second conclusion by

calculating his A.D.D. questionnaire, examining the MRI scan of his brain, and by inferring from

the interviews that Forrest has a limited attention span.

Other Diagnostics

• Inadequate social skills, mainly conversing with others

• Cognitive delays, instances where critical thinking is required

• Speech Impediment

• Impulsive tendencies

Recommendations

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• Take all medication prescribed (see below)

• Participate in psychotherapy sessions to further psychological and psychiatric evaluation

• Loss therapy once a week to deal with issues like losing his father and best friend Bubba

• To visit Bubba’s grave (if existing) to help Forrest cope with such a painstaking loss

• Routine hospital visits for the next six months to track progress

• Have Forrest regularly participate in events where people with disabilities like Forrest
can interact socially and compete

• Enlist Forrest in a behavior modification program to assist him in developing better social
skills and working with people more efficiently

Prescribed Medication

Name: Adderall Dosage: 200mg, two times daily, 6 hrs. between each
dose
Purpose: Used to treat Attention Deficit Disorder A.D.D.

Action: Heightens attentiveness and awareness and lessens restlessness. Raises


dopamine and norepinephrine levels.

Side effects include, but are not limited to: loss of appetite, trouble sleeping,
stomach pains, increased heart rate, dizziness and/or drowsiness, possible
alterations in vision. Side effects vary from person to person.

Since Forrest has newly prescribed medication, he is going to be experiencing bodily

alterations that he is not accustomed to. The loss of appetite, being one of the main side effects of

Adderall, makes it imperative for Forrest to maintain a healthy, nutritious diet. There must be a

lot of emphasis towards Forrest’s eating habits: make sure he eats a lot of proteins,

carbohydrates, fruits, and vegetables. Furthermore, along with a healthy diet, it is equally

important to make sure Forrest is getting a sufficient amount of exercise on a daily basis to

promote good health and also as one method to help cope with the deaths of his father and best

friend. It is apparent he was affected deeply by both losses.

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As clearly stated by his mother Kyla, she does not want Forrest to be sent away to a mental

institution out of her care and leaving her all alone. With that said, Forrest can be released from

Alabama State Psychiatric Center to, and only to, Kyla Gump. This is made possible if, and only

if, Forrest abides by all of my recommendations provided and shows he is making progress with

his medication and behavior modification. If he chooses not to do so, he thereby is subjecting

himself as a liability to society and must be taken away to be institutionalized or hospitalized.

Rachel Schoen, Ph. D

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