...We are diverse in many ways and often times these different identities often raises complications in the working relationship with clients. The challenge that are often face when trying to establish a therapeutic relationship with clients may stem from differences in sexual orientation, gender, age, ethnic background, economic class, experiences, illnesses etc. At my job, they sometimes try to match the clients to a worker base on these differences, but often time this is not possible. Dealing with racial issues can often be a challenge when working in this profession, especially in cases when the client and the social worker are racially different. Fears often arise in cases where the client may misinterpret what is said or I may appear insensitive...
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...Critique of Research Studies – Part 1 Grand Canyon University Health Care Research Analysis and Utilization Nur-504 February 1st, 2013 Critique of Research Studies – Part 1 Title – Backrest Angle and Cardiac Output Measurement in Critically Ill Patients (Quantitative) An effective title of a quantitative research article should include the dependent variables, the independent variables, and the population studied. Ideally, this should be accomplished in 15 words or less while attracting the reader to the research article (Polit & Beck, 2008). The article “Backrest Angle and Cardiac Output Measurement in Critically Ill Patients” by Guiliano, Scott, Brown, & Olson (2003), does include a dependent variable, independent variable, and the population being studied while generating interest from the reader. However, the title of the article does not include each dependent variable or all of the independent variables. Although the article has a fairly strong title, all of the above information should be listed to provide the reader with a clear sense of the research study. Abstract An abstract is a brief overview of the research article that may be in paragraph form or structured in to specific subheadings. The abstract should provide a clear summary of the main features of the research article including the background, objective, method, results, and conclusion (Polit & Beck, 2008). The abstract for the article by Guiliano...
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...quite magical. It's complexities stretch beyond our own horizons of comprehension and reach out into the mystic of the unknown. The mind possesses powers unrivalled by anything else - powers which extend to the self-healing of the human body with no aid other than faith - alias `the power of thought!' The use of the Placebo in medicine and pharmacy harnesses this incredible power and instigates the phenomenal self-healing process. The `Placebo Effect' has been used extensively throughout the history of medicine. Physicians have discovered the power of the human mind in healing and have tried to utilise this to it's full potential in all applicable aspects of therapeutic intervention. This report aims to discuss the Placebo Effect, it's power and history in relation to other forms of therapy, Case studies, the Ethical issues involved and whether they should be used or not. The `Placebo Effect' was defined by Wolf as "any effect attributable to a pill, potion or procedure but not to it's pharmacodynamic or specific properties" (Wolf, 1959. Cited by H.Brody, 1980). To date, the placebo has played a dynamic role throughout the history and development of medicine. Substances with no perceivable pharmacological benefit such as spiders, crocodile dung and human excrement have been prescribed up until the beginning of modern scientific medicine to treat various maladies. Obviously each of these substances induced a `Placebo Effect' in order to achieve the desired result...
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...Dependent Personality Disorder in Women Kimberly L. Johnson Abstract This paper will examine the DSM disorder of Dependent Personality Disorder in Women. The focus of this paper will be to highlight the differentiation, diagnosis and treatment of this specific pathological personality disorder. According to the DSM, Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by others that usually lead to clingy and fears of separation. In professional counseling it is critical that clinicians understand the root causes of DPD and how this disorder can manifest in women. This disorder can be found in both men and women, but research seems to suggest that women are more likely to suffer from this disorder. Therefore, understanding the pathology of DPD and its diagnosis and treatment will be critical to professionals working with women. This paper will also discuss how clinicians should be cautious when making diagnosis in women who present with DPD and knowing what gender and culture factors that exists. Dependent Personality Disorder in Women Clinical Definition of Dependent Personality Disorder According to the DSM-IV-TR (2000), Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by another person that usually lead to clingy and fears of separation. DPD as outlined in the DSM-IV-TR is considered the formal diagnosis of DPD needed for insurance, research, and communication...
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...women in various abusive relationships experience. These adverse effects in many cases could furthermore, contribute to chronic psychological dysfunction. At the time the article was written, there was no dictated empirical evidence on therapeutic procedures needed to assist women that suffered from spousal emotional abuse: “Despite the frequent calls for efficacious therapies for these women, no empirically validated treatments have been clearly established” (Reed & Enright, 2006, para. 1). The concept of lacked empirical therapeutic measures for women suffering from emotional spousal abuse triggered further studies to implement solid treatment methods for these victims of emotional abuse. Emotional abuse can have just as much or even more adverse effects on women as actual physical abuse. There were two therapeutic treatments discussed in the article: forgiveness therapy (FT) and alternative treatment (AT). It was predicted that the usage of FT would actually benefit women whom suffered emotional spousal abuse in numerous ways opposed to those whom underwent alternative therapy. “individuals who participated in FT would demonstrate less depression, anxiety, and posttraumatic stress symptoms and more self-esteem, environmental mastery, and finding meaning in suffering than those who engaged in more standard therapeutic procedure (AT)” (Reed & Enright, 2006, para. 10). There were 20 women collected to conduct a forgiveness therapy study whom were previously emotionally...
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...Therapeutic and Forensic Roles An article by Greenberg and Shuman (1997) indicated that combining both therapeutic and forensic role is conflicting and problematical. They mentioned that the only solution to this conflict is that these roles cannot be ethically merge together for the same client in any legal proceeding. The opinion given that these two roles can be managed by one person at the same time if only this person is searching for therapeutic services or searching for forensic services but not to the same person. These roles can be administered by one individual through proper education and training, but not for the same individual, when that same individual is currently in a therapeutic relationship with the therapist who also is a...
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...Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing, graduate Perspectives in Psychiatric...
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...Case-Based Treatment Plan Child and Adolescent Counseling Abstract Catie is a 7 year old girl experiencing troubles getting along with her peers and siblings. After completing the history intake the therapist does some working hypothesis of what may be the causes of Catie’s misbehavior and therefore he creates a treatment plan based on the Child-Parent Interaction Therapy, according to which both parents and the child improve their communicational skills through play therapy. Case-Based Treatment Plan In this paper the case of Catie, who is a 7 year old girl, is going to be examined. Through the first phone contact with her mother, the therapist gathered some basic information about the present situation in Catie’s life. The mother mentioned that she is divorced with her husband for a year now and she lives with her three daughters. Catie is the middle child, as she has an older sister, who is 10 years old, and a younger sister who is 4 years old. The mother also mentioned that she works full time but after the divorce she has depressive symptoms and anxiety. As fas as Catie is concerned, the mother is lately concerned about her daughter’s social behavior. She started showing social awkwardness with her peers and siblings, she cannot make easily friends and she is either distant and isolated or she gets into conflicts. She considers herself lost between her two sisters, as the older one seems to be the “good child”...
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...Existential Case Study of George Costanza A Conceptualization and Treatment Plan Abstract An existential case study of G.C. was developed to address his maladaptive behaviors caused from strong generalized anxiety, relational, and employment concerns. The treatment was prompted by his employer who wanted to make sure G.C. could work professionally. A brief introduction of G.C. is followed by an introduction to Existential therapy and its theory and principles. Existential psychotherapy, with a focus on growth and development, is an approach that primarily utilizes the therapeutic relationship and has no specific methodology. Four givens or major concerns in Existentialism are identified and three target areas are determined. Several Existential approaches are used to reach experiential goals for the client. The addition of spirituality to the treatment modality is considered for its utility, compatibility, and possible incompatibility. Empirical evidence is used to support the treatment choices and the rational for the sequence of changes. The anticipated progress and results are considered with possible challenges to the process. Existential Case Study of George Costanza A Conceptualization and Treatment Plan A gentleman with strong generalized anxiety issues was referred by his employer for counseling. It was decided that the most effective approach would be Existential psychotherapy because of its flexibility and efficacy with all of the issues. In addition, the client’s...
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...Therapeutic communication in its fundamental concept is providing a best treatment for patient based on patient-centre service. On the video case scenario, it is known that the woman is experiencing cerebrovascular attack. CVA or popularly known as stroke, needs a complex care as it involves plenty of communication barriers between patient and healthcare professionals, such as weakness, numbness, vision, and particularly, speech abnormalities (Grear & Bushnell, 2013). As stroke involves difficult communication, healthcare professionals need advanced skills of communication. For the purpose of the essay requirement, I will review how healthcare professional is conducting session with a patient from the therapeutic communication perspective. A patient is recently assigned to a hospital through emergency department. When paramedic team performs clinical handover to a nurse, he describes that the patient is 35 years old, 28 weeks pregnant and has history of hypertension. The nurse learns that she has difficulty in communication and gives a simple guideline. This is where the essence of therapeutic communication plays a great role. Anytime she shakes her head means affirmation and nodding means negation. Afterward, the nurse describes that there will be some other healthcare professionals visiting her. The first healthcare worker coming in after nurse is the radiographer. His intention is to inform and ask a consensual agreement of CT scan to the patient’s brain. The scanning procedure...
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...2001b; Tushman and Anderson, 1986). Scholars have repeatedly focused on this topic as innovation and new product development are critical for a firm’s survival and growth (Penrose, 1995) and have stated that one of the core competencies needed to develop new technologies is the ability to assimilate and recombine knowledge in unique combinations (Rosenkopf and Nerkar, 2001). Simply put, successful innovation and new product development require the ability to create and use new knowledge to offer novel products or services to customers. Research indicates that firms who possess prior experience are in a better position to innovate (Carroll et al., 1996; Henderson and Cockburn, 1994; Klepper and Simons 2000; Nerkar and Roberts, 2004). Prior studies have also highlighted the importance of knowledge and experience in enabling firms to successfully adapt to changes in technology (Bartel and Lichtenberg, 1987, 1991; Siegel, 1999; Siegel et al., 1997). This stream of literature specifically states that a firm’s technological and product-market experience enables it to “combine knowledge elements into valuable new products” (Nerkar and Roberts, 2004). Although this research stream makes valuable contributions to the innovation literature, it...
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...In the case of Michael Parks, he is an 8-year-old bi-racial (African American and White) young boy whose family came to the attention of Child Protective Services and the Wayne County Family Court due to allegations of improper supervision and physical neglect as the mother, Diana Parks, admitted ongoing drug usage. Drug paraphernalia including a glass tube that was burned on both ends was observed in an ash tray on a table when Child Protective Services investigated. Ms. Parks is in a relationship with Michael’s father, Jeremy Jones, and there are allegations of domestic violence within the relationship. The children reported that they have witnessed their father physically abusing their mother. Mr. Jones has been in and out of jail due to...
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...Placebos are simply a substance given or an action done to give hope and cause responses in the body when possibly other therapeutic methods have been having no effect. Ted Kaptchuk, who is a professor at the Harvard School of Medicine, describes placebo effects as an “inert substance” (8). As so, Kaptchuk goes on to say that “placebos provide relief, they rarely cure” (8). Since they provide some type of relief, placebos have similarities to therapeutic medicinal practices. Every prescription bottle full of pills, if purchased legally at a drug store, has a label on it describing possible side effects. Placebos, like medicine from a drug store, can have possible side effects. According to Cara Feinberg, who wrote about one of Ted Kaptchuk’s clinical trials, a study was done involving two hundred- seventy subjects who suffer from severe are pain with conditions such as carpal tunnel and tendinitis. During this study one third of the two hundred-seventy subjects complained of severe side effects. The rest of the patients claimed to have some relief. At the beginning of the study half of the subjects were given pills to ease the pain while the other half were given acupuncture treatment. The patients experiencing the side effects who got the pills began to feel drowsy, while the patients who had the acupuncture treatment...
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...Adlerian Approach with Abby Sylvia Montalvo Walden University Adlerian Approach with Abby The therapeutic approach in the case profile of a client named Abby after an assessment is given, and a summary is developed based on the information collected is the Adlerian approach. According to the COUN 6722 study notes, Abby is a 57 year-old African American women who came into the office seeking counseling. Abby works part-time as a free-lance editor. Abby has a bachelor’s degree in literature. Abby is married to her husband Ron who was diagnosed two months ago. Abby has a difficult time accepting that her husband was diagnosed with cancer (Walden University, 2012). She cannot cope with the situation, therefore Ron’s brother is the one who takes him to have his treatments, and to his doctor’s appointments. Abby is depressed, and spends her time crying, sleeping, has lost her appetite, and feels fatigued. She feels guilty that she is not supportive toward her husband (Walden University, 2012). Abby has always believed to be hopeless throughout her life. She has low self-esteem, and believes that everyone around her has a better life than she does, though she has lived comfortably. Abby has expressed that she suffered from migraine headaches in her twenties, which has become worse over the years (Walden University, 2012). Doctors have prescribed medications for the migraines, which has not been effective. Abbey claims that she drinks alcohol two...
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...analyzes the benefits and weaknesses of the options that therapist has. These ethical steps are helping the psychologist to identify the best approach for the ethical dilemma. The decision making process described in this paper applies to the patient’s best interest, influencing the client and therapist. Also the paper explains the importance of the ethical decision in professional psychology. Ethical Decision Making Ethical decision making process refers to the ability to take a decision after an evaluation of a complex and ambiguous ethical situation, and to the capacity to implement that ethical decision effectively. The ethical decision in this paper refers to the ethical dilemma of accepting of not the gift from the patient. In this case the client comes from a non-Western culture, so the ethical dilemma involves cultural considerations. The gift giving aspect must take into account the cultural context. The patient is a Navajo Native American male, and he has offered a dream catcher as a gift to his therapist, after ending the psychological treatment. In many non-Western cultures this type of gift represents an expression of gratitude and emotional bond. “In order for a therapist to successfully work with a client from a non-Western culture it is necessary to comprehend the specific meaning of the gift ritual for the culture in question (Saad & Gill, 2003).” The ethical decision will go through...
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