...Psychosis - CBT Word count: 4898 Content Introduction Referral letter Theoretical perspectives * Formation of paranoia Assessment * Assessment tools and baseline measures * Individual belief ratings * Management of risk Case Formulation Treatment Plan & Interventions Evaluation Critical review References Appendix 1 – Assessment Summary (diagrammatic) Appendix 2 – Formation of paranoia Appendix 3 – Risk assessment and management Appendix 4 – Letters Appendix 5 – Judging by appearances a behavioural experiment Confidentiality statement The name and other identifiable information relating to this patient have been changed to maintain confidentiality. Introduction This case study describes the CBT assessment, formulation and treatment of delusions of persecution and associated paranoid beliefs. Referral Letter Roger, a 29 year old single man was referred to the Psychological Therapies Department. The letter noted that he had had one inpatient admission three years previously due to paranoia and risk of suicide. He was currently being supported by community mental health services. A differential diagnosis of Delusional Disorder – Paranoid Type, (ICD 10- F22.0) and Paranoid Personality Disorder (ICD 10 – F60.0) as defined by the ICD 10 manual (World Health Organisation, 1992) was indicated. Theoretical perspectives Delusions are irrational beliefs, held with a high level of conviction, that are resistant to change even when the...
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...the past 10 years there's been a growing movement towards diverse treatments for schizophrenia other than the acknowledged role of medication as a treatment modality (Birchwood and Tarrier 1993). Developments in psychological theory have led to a number of innovative psychological treatments drawn from human experimental psychology such as behavioural and social psychology and cognitive science. Therapies based on cognitive behavioural theory have been rapidly developing, initially for the so called ‘neurotic disorders’ but in recent years evidence has accumulated to suggest that these cognitive behavioural approaches can be effective for those people suffering from psychosis ( Williams 1995). The aim of this assignment is to explore the basis of Cognitive Behavioural Therapy and review its’ therapeutic application to schizophrenia. Cognitive Behaviour Therapy (CBT) is an evolutionary paradigm that came about a from the merging of the established paradigm of behavioural therapy and contemporary cognitive therapy (Clarke and Fairburn 1997). Behavioural therapy historically focused on anxiety, phobic and obsessional disorders. Treatments were aligned to the learning theories of Pavlov and Skinner, anxieties and phobias were conceptualise to be conditioned fear responses, passively acquired and elicited by conditioned stimulii (Clarke and Fairburn 1997). A variety of techniques were employed to enable the client to ‘unlearn’ these acquired behaviours. These...
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...for the first time | The receptor used by baculovirus to enter and interact with human cells has been identified. This syndecan-1 receptor was identified for the first time in a recent collaborative study carried out by the University of Eastern Finland and the University of Jyväskylä in Finland. The findings increase our understanding of the strategies by which the virus causes infection in cells and further facilitates the development of baculovirus for applications of gene transfer. According to the researchers, the identification of the syndecan-1 receptor helps in understanding the ways baculovirus interacts with human cells and sheds further light on the mechanisms the virus uses in human cells. The study also focused on the role of the syndecan-1 receptor in the cell penetration of baculovirus. The study was published in the prestigious Journal of Virology. The article was featured in the Spotlight section of the journal, which is reserved for especially interesting and distinguished publications. Used in drugs and vaccines Baculovirus is an insect-infecting virus, which is largely utilised in biotechnology applications. Baculoviruses are used, for example, in the manufacturing of Glybera, the first gene therapy of the Western world, and in the manufacturing of the cancer vaccines Cervarix and Provenge, and the influenza vaccine Flublok. The technology is approved by the U.S. Food and Drug Administration, FDA, and the European...
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...Cognitive-Behavioral Therapy and Social Work Values: A Critical Analysis A. Antonio González-Prendes, Ph.D. Wayne State University aa3232@wayne.edu Kimberly Brisebois Wayne State University Journal of Social Work Values and Ethics, Volume 9, Number 2 (2012) Copyright 2012, White Hat Communications This text may be freely shared among individuals, but it may not be republished in any medium without express written consent from the authors and advance notification of White Hat Communications Abstract Increasing numbers of clinical social workers use cognitive-behavioral therapy (CBT) in their practice. This article analyzes how CBT fits with social work values and in particular with social justice. We propose that CBT is a good fit with the values of the profession and make suggestions for areas of improvement. Keywords: cognitive-behavioral therapy, social work values, social justice, social work practice 1. Introduction In a day when evidence-based practice has become so important to the social work profession, cognitive-behavioral therapy (CBT) has become one of the most frequently used forms of psychotherapeutic intervention. Extensive research supports the effectiveness of CBT approaches for a wide range of psychosocial issues (Dobson & Dobson, 2009; Granvold, 2011). It is one of the most widely researched and published models of therapy, with more than 325 published outcome studies that validate its efficacy (Butler, Chapman, ...
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...Quiz 5 Study Guide 1. Private logic includes which of the following: a. lifestyle goals, b. hidden reasons, c. immediate goals. d. All of the above 2. Adler believed that problems that come to therapy are related to: a. Career, love relationships and friendships b. Attention, power, inadequacy c. Career, sex, and power d. Revenge, career, relationships 3. Adler believed people need to be educated to value and exhibit: a. superiority b. social interest c. achievement d. career competency 4. Adler’s concept of style of life refers to: a. A person’s picture album b. The way a person meets personal needs c. The direction in which the person is moving d. The family constellation 5. Which of the following is a personality priority according to Adlerians? a. Disputing others b. Emotional liability c. Seeking revenge for inferiority d. Pleasing 6. Which of the following did Adler consider a barometer of mental health? a. Social interest b. Goals of misbehavior c. Lifestyle d. Inferiority complex 7. Which of the following is an Adlerian concept? a. a few people develop some sense of inferiority b. masculine protest - a striving for power is common to both sexes c. sexual pleasure is the prime motivator of behavior d. individual interest is more important than social interest 8. Which of the following are true of Adlerian psychology? a. behavior is mechanistic b. one's level of social interest is not a good measure...
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...Learning Theory Students: The following is an outline form of powerpoints produced by Gerald Corey, the textbook author, designed to accompany the textbook. Please note that the author is Gerald Corey and this work is produced by Cengage Learning, a division of Brooks/Cole Publishing Company. This work is copyrighted and can be reproduced and used only with the permission of the textbook company. The Therapeutic Relationship • The therapeutic relationship is an important component of effective counseling • The therapist as a person is a key part of the effectiveness of therapeutic treatments • Research shows that both the therapy relationship and the therapy used contribute to treatment outcome Theories of Counseling • Gerald Corey’s Perspective of Theories of Counseling: • No single model can explain all the facets of human experience o Eleven approaches to counseling and psychotherapy are discussed • Your textbook book assumes: o Students can begin to acquire a counseling style tailored to their own personality ▪ The process will take years ▪ Different theories are not “right” or “wrong” ▪ The Effective Counselor from the perspective of Gerald Corey • The most important instrument you have is YOU ▪ Your living example of who you are and how you struggle to live up to your potential is powerful • Be authentic ...
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...two palliative care doctors, and one clinical nurse specialist (CNS) assigned to the clinic. Patients are assigned to a primary team upon diagnosis or beginning of care at the clinic. Although the staff is separated into different care teams, there is a strong collaborative effort amongst the staff focused on providing the highest level of evidence-based, patient family centered...
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...DRUG DEVELOPMENT SCIENCE Obstacles and Opportunities for Collaboration Among Academia, Industry and Government January 13–14, 2005 Washington, DC David Korn, M.D. Donald R. Stanski, M.D. Editors DRUG DEVELOPMENT SCIENCE Obstacles and Opportunities for Collaboration Among Academia, Industry and Government Report of an Invitational Conference Organized by The Association of American Medical Colleges Food and Drug Administration Center for Drug Development Science, at the University of California, San Francisco January 13-14, 2005 Washington, DC David Korn, M.D. Donald R. Stanski, M.D. Editors DRUG DEVELOPMENT SCIENCE ACKNOWLEDGEMENTS This is the report of a conference convened by the Association of American Medical Colleges and the Food and Drug Administration in response to the FDA white paper entitled “Innovation or Stagnation: Challenge and Opportunity on the Critical Path to New Product Development”. The conference was partially supported by the FDA. The AAMC acknowledges with gratitude the additional support provided by Abbott Laboratories, Cephalon, Inc., Eli Lilly and Company, GlaxoSmith Kline, Merck & Co. Inc., and Pfizer, Inc. The conference planning committee consisted of Drs. David Korn, Joel Kupersmith, Carl Peck, Donald Stanski, and Janet Woodcock. Figures 1 and 2 are taken from the FDA white paper. The back cover composite is derived from charts presented at the conference by Dr. Peter Corr, Pfizer, Inc. The report was designed by Douglas Ortiz, AAMC...
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...Philippine Christian University Mary Johnston College of Nursing 415 Morga St. Tondo, Manila A Case Study on Acute Pancreatitis Secondary to Cholelithiasis Submitted by: Abad, Edryan Calara, Sharika Loradel Casul Mark Jury Corpuz, Trisha Dela Cruz, Marjori Gamboa, Jonalyn Lebico, Elmarie Lopez, Anica Tapawan, Ansherina Tuazon, Serleen March 09, 2012 Acknowledgement We would like to thank the following to the development of this case study. Mrs. Edna Oraye-Imperial, Dean, PCU – Mary Johnston College of Nursing, for her support and for allowing us to have our related learning experiences in the clinical area that hone our knowledge skills and attitude to be a competent, caring, Christian nurses. Ms. Ma. Lourdes Galima, Clinical Instructor, for continually guiding and supporting us throughout our duty at the Surgery ward, for helping us in enhancing and improving our skills in the area. For the patience that she showed us despite of our attitude and mistakes. Ms. Loreto Vicarme, School Librarian, for allowing us to utilize the library books and references for our case study. To the staff nurses on duty at the Surgery Intensive Care Unit and Ward of Mary Johnston Hospital for the support and providing us with enough information about the routines in the area which we were able to apply. To our fellow group members for their continuous support and sharing their knowledge and experiences for polishing this case study...
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...Case Study Analysis The complex and dynamic realm of health care has generated a need to focus on cultural change to improve health care quality. To overcome a decade of difficulties and implement a program for improving their quality, the University of North Texas Health Science Center at Fort Worth (UNTHSC) began a journey to change the culture of their organization. Using the change model the new president initiated measures to revise the quality improvement program and strategies for meeting regulatory and accreditation standards. Many barriers interfered with the process but actions were executed to overcome these obstacles (Ransom, Joshi, Nash, & Ransom, 2008). This paper will describe the cultural change journey of UNTHSC through unfreezing their old culture and laying the foundation for a new culture of quality. Measures to Monitor and Revise Quality Program Implementation The measures used to monitor and revise quality program implementation foster changing the organizational structure of an institution. The UNTHSC at Forth Worth decided to institute cultural changes as a form of monitoring and influencing the change process. The initial element of the measurement process incorporated administrative, academic, clinical practice, research application, financial elements, and community goals. A baseline measure was associated with current levels of operations. The management team was held accountable in regard to focusing on four areas of measurement...
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...Lupus, Latin for wolf, is the word used historically to describe any chronic, usually ulcerating, skin disease. Dr. Max Gerson's rise to medical prominence in pre-WWII Germany was owed to the curative effect in lupus vulgaris of a salt-free diet bearing his name. Lupus vulgaris, a European plague of the early part of this century, was tuberculosis of the skin, a bacterial disease that has been largely eliminated through improved public health measures and, to a lesser extent, by antibacterial drugs. Today's lupus is systemic lupus erythematosus (SLE), an inflammatory disorder of connective tissue which frequently targets skin (hence the designation lupus) as well as joints, kidneys, mucous membranes, the nervous system, and virtually any other organ or system in the body. Onset of the disease may be sudden and acute, with fever, painful and swollen joints, skin rash, and influenza-like symptoms; or it may smolder for years with low level malaise and intermittent fevers. Symptoms The list of symptoms attributable to SLE is extensive and astonishing. Among symptoms most frequently observed are painful joints, usually of the hands and feet, which may also include the larger joints. Of all SLE patients, 92% endure significant joint pain. Similarly, 84% of all SLE patients suffer from fevers. Skin eruptions, including round or discoid lesions, as well as a butterfly rash presenting on the cheeks below the eyes and bridging the nose, will afflict 72%. Inflammatory kidney dysfunctions...
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...Intro In my perception, group work is a method of working with people in groups (two or more people) for personal growth, the enhancement of social functioning, and for the achievement of socially desirable goals. Furthermore, groups are mostly presented with a team leader or a social worker who facilitates the group to guide and accomplish one or more goals. Although my interpretation of group work are very similar from the textbook, that I was assigned for class, my family, school, church, and social experiences also played a huge part in helping me construct it. In addition, those experiences not only gave me further knowledge, but skills to help me facilitate and accomplish group work tasks. As a facilitator and as a future social worker, my idea of a successful/effective group would be a group with a positive dynamic; where each individual in the group are able to open up, share and embrace their culture, interests, stories, and backgrounds. That way the group is able to trust and support each other and respect each other based on their values and ideas. Moreover, many people benefit from group work; a few are domestic violence, sexual abuse, anger management, etc. Groups like these and countless more are very crucial in our society because it provides structure for our communities to build on, as well as, meeting the individuals own socio-economical needs and/or accomplishing a goal that is set. Not to mention, improving yours and your group’s ideas so that the task becomes...
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...Head Office 30 Grosvenor Street, Neutral Bay, NSW 2089 Ph: 02 9904 5600 Fax: 02 9904 5611 Coming to grips with family systems theory in a collaborative, learning environment. info@thefsi.com.au http://www.thefsi.com.au Bowen Family Systems Theory and Practice: Illustration and Critique By Jenny Brown This paper will give an overview of Murray Bowen’s theory of family systems. It will describe the model’s development and outline its core clinical components. The practice of therapy will be described as well as recent developments within the model. Some key criticisms will be raised, followed by a case example which highlights the therapeutic focus of Bowen’s approach. This is the author’s version of the work. It is posted here by permission of Australian Academic Press for personal use, not for redistribution. The definitive version was published in Australian and New Zealand Journal of Family Therapy (ANZJFT) Vol.20 No.2 1999 pp 94-103). Introduction Murray Bowen's family systems theory (shortened to 'Bowen theory' from 1974) was one of the first comprehensive theories of family systems functioning (Bowen, 1966, 1978, Kerr and Bowen, 1988). While it has received sporadic attention in Australia and New Zealand, it continues to be a central influence in the practice of family therapy in North America. It is possible that some local family therapists have been influenced by many of Bowen's ideas without the connection being articulated. For example, the writing of Guerin...
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...Translational Research Gretna Green Introduction: Translational research is a way of thinking about and conducting scientific research to make the results of research applicable to the population under study and is practiced in the natural and biological, behavioral, and social sciences. The focus of translational research is on removing barriers to multi-disciplinary collaboration, translational research has the potential to drive the advancement of applied science. Translational research includes two areas of translation. One is the process of applying discoveries generated during research in the laboratory, and in preclinical studies, to the development of trials and studies in humans. The second area of translation concerns research is aimed at enhancing the adoption of best practices in the community. Lerman (2003) asserted that translational research often begins when findings from the laboratory are replicated with and extended to clinical populations and problems. Translational research is broader than the traditional term applied research. Applied research is any research that may possibly be useful for enhancing health or well-being. However, through translational research, the same studies (research) would include some action steps in addition to what is normally done in applied research. In translational research the researchers would partner with the community and ask for ideas about how their findings might apply there. Together, they would come up with...
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...Gout Alyssa Burress Lamar University Background and Significance Gout is an inflammatory arthritis that currently affects five out of every 1000 people in the United States. It also is four times more prevalent in men than women and affects Caucasians slightly more than African Americans (Schub, 2012). “Gout has increased prevalence worldwide and it is the most common inflammatory arthritis in men” (Khanna, et al., 2012). The aging population with gout is becoming more of a concern due to the number of patients being seen for the disease. Gout generally affects men who are 30 to 50 years old and women over 60. The amount of people affected by gout and its inflammation has almost doubled within the past few decades. Gout is such an important topic and area of concern because, “according to estimates, between 100,000 and 300,000 gout patients in the United States do not achieve adequate control of hyperuricemia or gout-related symptoms” (Zychowicz, Pope, & Graser, 2010). Due to the indescribable pain associated with gout, quality of life is a major issue for patients diagnosed with it. Few diseases match the pain caused by gout. In the 17th century, gout left physician Thomas Sydenham unable to ‘endure the weight of the clothes nor the shaking of the room from a person’s walking briskly therein’. Reverend Sydney Smith described his attacks in the 19th century as like ‘walking on eyeballs’ (Greener, 2011). Evidence of uric acid deposition in joints has been found in...
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