...Systemic Lupus Erythematosus Abstract Systemic Lupus Erythematosus (SLE) is a systemic rheumatic autoimmune disease that affects multiple organ systems. The exact cause or causes of (SLE) is unknown, however genetic factors, gender, ethnic origin, and environmental factors have all been implicated in its development. Earlier diagnosis and more effective treatment options have significantly improved survival rates and life quality. Medical and pharmacologic treatment is usually tailored to the specific symptoms or organ systems that are involved due to its unpredictability and range of manifestations. Systemic Lupus Erythematosus affects primarily women of childbearing age and mostly in Asian, African American, and Hispanic populations. Treatment options include steroids, antimalarial drugs, and immunosuppressive agents. This overview will examine the etiology and effects of Lupus, how it impacts fertility and pregnancy in women, and life quality and expectancy. Various treatment options and alternative treatment methods will be discussed; considerations for employment and rehabilitation will be reviewed, as well as the future of therapeutic approaches. Systemic Lupus Erythematosus Introduction The name “Lupus” is Latin for wolf and may have first been used to describe the lesions that resembled the bite marks and scratches made by a wolf's attack. The term “Lupus Erythematosus” was first introduced by physicians in the nineteenth century to describe skin lesions...
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...slip into overeating or comfort eating at some point, for some the problem goes to life-threatening extremes. For instance a common type of eating disorder is the anorexia nervosa and bulimia; there is a deep fear of being overweight that leads to an obsession about restricting the number of calories the person is taking in. This leads to an extreme state of starvation, which in turn has a number of effects on the way that the body functions and how hormones are produced. The common symptom of someone affected by an eating disorder includes: a. Mentally keeping a balance between calories taken in and calories used up b. Deep-seated feelings of anxiety if they consume a few calories too many c. Self-loathing, depression or panic if they haven’t lost any weight or put a little on, despite their best efforts Many scholars have researched the issue of diet quite deeply and know the damage they are doing to themselves but are still unable to stop. This just makes the feelings of despair and self-loathing even worse, causing their condition to continue. Common types of eating Disorders Research has given support to the existence of the different types of disorder put forward by Lask & Bryant-Waugh (2000). There are four main types of eating disorders namely; Anorexia is “self-imposed starvation and occurs when someone avoids food to the point that he or she is 15 percent or more below a healthy body weight.” According to Sim, et al. the...
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...EMPIRICAL STUDIES doi: 10.1111/j.1471-6712.2012.01049.x Repressed and silent suffering: consequences of childhood sexual abuse for women’s health and well-being Sigrun Sigurdardottir RN, MS (Director) (PhD Student)1,2 and Sigridur Halldorsdottir RN, MSN, PhD (Med Dr) (Professor and Chairman)3 1 The Icelandic Research Center Against Violence, Akureyri, Iceland, 2Public Health Sciences, School of Health Sciences, University of Iceland, Reykjavik, Iceland and 3Faculty of Graduate Studies, School of Health Sciences, University of Akureyri, Akureyri, Iceland Scand J Caring Sci; 2013; 27; 422–432 Repressed and silent suffering: consequences of childhood sexual abuse for women’s health and well-being Research results indicate that psychological trauma in childhood caused by child sexual abuse can have serious and widespread consequences for health and well-being. The purpose of this study was to examine the consequences of childhood sexual abuse for women’s health and well-being. The research methodology was phenomenology. Seven women with a history of childhood sexual abuse were interviewed twice with 1–6 months interval. For all the women, the abuse started when they were between 4 and 5. All of them were repeatedly violated and traumatized ever since then and were even still being victimized at the time of the interviews. The main result of the study is that time does not heal all wounds. All the women described great repressed and silent suffering in all aspects of...
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...------------------------------------------------- Somatoform disorder From Wikipedia, the free encyclopedia Somatoform disorder | Classification and external resources | ICD-10 | F45 | ICD-9 | 300.8 | DiseasesDB | 1645 | eMedicine | med/3527 | MeSH | D013001 | In psychology, a somatoform disorder is a mental disorder characterized by physical symptoms that suggest physical illness or injury – symptoms that cannot be explained fully by a general medical condition, direct effect of a substance, or attributable to another mental disorder (e.g. panic disorder).[1] The symptoms that result from a somatoform disorder are due to mental factors. In people who have a somatoform disorder, medical test results are either normal or do not explain the person's symptoms. Patients with this disorder often become worried about their health because the doctors are unable to find a cause for their health problems. This causes severe stress, due to preoccupations with the disorder that portrays an exaggerated belief about the severity of the disorder. [2]Symptoms are sometimes similar to those of other illnesses and may last for several years. Usually, the symptoms begin appearing during adolescence, and patients are diagnosed before the age of 25 years. [3] Somatoform disorders are not the result of conscious malingering (fabricating or exaggerating symptoms for secondary motives) or factitious disorders (deliberately producing, feigning, or exaggerating symptoms) – sufferers...
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...DISORDERS BIPOLAR DISORDER In bipolar disorder, formerly known as manic-depression, there are swings in mood from elation to depression with no external cause. During the manic phase of this disorder, the patient may show excessive, unwarranted excitement or silliness, carrying jokes too far. They may also show poor judgement and recklessness and may be argumentative. They may speak rapidly, have unrealistic ideas, and jump from subject to subject. They may not be able to sleep or sit still for very long. These symptoms are last for a specific period of time lasting for a few days or even a few months. Hospitalization can often be necessary to keep the person from harming themselves and others. The other side of the bipolar is the depressive episode. Bipolar depressed patients often sleep more than usual and are lethargic. This contrasts with those with major depression, who usually has trouble sleeping and is agitated. During bipolar depressive episodes, a patient may also show irritability and withdrawal. Manic episodes can occur without depression, but this is very rare. DEPRESSIVE DISORDERS A person suffering from major depressive disorder is in a depressed mood for most of the day, nearly every day or has lost interest or pleasure in all, or almost all, activities, for a period of at least two weeks. It is not necessary for the person to report feeling depressed to be diagnosed with major depression the presence of depressed mood can be implied from observing the person’s...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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... 333 malingering, 530–531 ‘manic depressive insanity’, 45 manic states, 250, 253 abnormal beliefs and perceptions, 254 amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change, 270 suicide risk and, 455 medically unexplained symptoms, 523 biological mechanisms, 526 ...
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...Psychotherapy as Structured Eclecticism 10 My Adlerian Roots 11 Beyond Adler: Robertsonian Meme Therapy 13 The Nature of Self 13 The Potential for Using Memes in Counselling 15 A Use of Meme Theory in Counselling a Suicidal Youth 17 Holistic, Dynamic and Integrative: Looking Forward in Our Profession 21 Summarizing the Foundational Principles of My Practice 21 Revisiting Holism 23 Future directions 25 Footnotes 27 Theory Building in Counselling Psychology An early text lamented, “A good theory is clear, comprehensive, explicit, parsimonious, and useful. We appear to have a paucity of good theories in psychology” (Stefflre & Matheny, 1968). Lent attempted to reduce this paucity by formulating his own theory: Wellness is intended to capture the notion of health as a dynamic state or process rather than a static endpoint; psychosocial wellness acknowledges the importance of both intrapersonal and interpersonal functioning. The multiple aspects of wellness would include a) self-perceived (domain and/or global) satisfaction (hedonic well-being), b) domain/role satisfactoriness, c) presence of prosocial versus antisocial behavior, and d) low levels of psychologistical distress or symptoms (e.g. anxiety, depression, disordered thinking). (Lent, 2004) This attempt at theory building is clear, comprehensive, explicit, and parsimonious. Its utility will be measured by the efficacy of the models of counselling that flow from the theory...
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...he Beck Depression Inventory (BDI, BDI-1A, BDI-II), created by Aaron T. Beck, is a 21-question multiple-choice self-report inventory, one of the most widely used instruments for measuring the severity of depression. Its development marked a shift among health care professionals, who had until then viewed depression from a psychodynamic perspective, instead of it being rooted in the patient's own thoughts. In its current version the questionnaire is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest in sex.[1] There are three versions of the BDI—the original BDI, first published in 1961 and later revised in 1978 as the BDI-1A, and the BDI-II, published in 1996. The BDI is widely used as an assessment tool by health care professionals and researchers in a variety of settings. The BDI was used as a model for the development of the Children's Depression Inventory (CDI), first published in 1979 by clinical psychologist Maria Kovacs.[2] Contents [hide] * 1 Development and history * 1.1 BDI * 1.2 BDI-IA * 1.3 BDI-II * 2 Two-factor approach to depression * 3 Impact * 4 Limitations * 5 See also * 6 Notes * 7 Further reading * 8 External links ------------------------------------------------- Development...
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...(State of the art Basic concepts of depression Eugene S. Paykel, MD, FRCP, FRCPsych, FMedSci Historical background This paper reviews concepts of depression, including history and classification. The original broad concept of melancholia included all forms of quiet insanity. The term depression began to appear in the nineteenth century, as did the modern concept of affective disorders, with the core disturbance now viewed as one of mood. The 1980s saw the introduction of defined criteria into official diagnostic schemes. The modern separation into unipolar and bipolar disorder was introduced following empirical research by Angst and Perris in the 1960s. The partially overlapping distinctions between psychotic and neurotic depression, and between endogenous and reactive depression, started to generate debate in the 1920s, with considerable multivariate research in the 1960s. The symptom element in endogenous depression currently survives in melancholia or somatic syndrome. Life stress is common in various depressive pictures. Dysthymia, a valuable diagnosis, represents a form of what was regarded earlier as neurotic depression. Other subtypes are also discussed. © 2008, LLS SAS rior to the late 19th century, although detailed systems of classification abounded, the main problem for psychiatric nosology was the establishment of the broad major disorders. Melancholia was recognized as early as the time of Hippocrates, and continued through Galenic medicine and medieval...
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...Chapter 7 : Moral Issues 7. 1 The Environment 7. 2 Life 7. 3 Rearmament and War 7. 4 Business Ethics 7. 5 Sexuality and the Family 7. 6 Discrimination 7. 7 Freedom of Information 7. 8 Science and Technology Chapter Overview This chapter will discuss the contemporary moral issues. There are eight main sub-headings and examined in turn. Students may not only learn about moral facts, principles and theories, but also some important moral issues so that they will kept in phase with current issues in facing the challenge out there. This chapter also encourages students to ...
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... The Role of Families in Preventing and Adapting to HIV/AIDS Issues and Answers Willo Pequegnat National Institute of Mental Health José Szapocznik University of Miami A lthough the role of families in caring for its sick members is as old as hu mankind, only and health professionals,in recent years have researchers, family practitioners recognized the important role of the family in disease pre vention and health promotion (Anderson & Bury, 1988 ; Cohen & Wills, 1985; Kazak, 1989) . With enhanced treatments, HIV infection is now becoming a long-term chronic illness affecting hundreds of thousands of families . As a seri ous chronic illness, HIV infection is creating pressure o n health care and social and mental health service providers to design comprehensive systems for fami lies . For each of the more than 688,200 persons in the United States with AIDS, there are parents, siblings, aunts and uncles, and friends and partners in the fam ily constellation who are affected (Centers for Disease Control and Prevention [CDC], 1998b) . The family is de facto and often de jure caretakers when one of its members is ill or in trouble (Pequegnat & Bray, 1997). AUTHORS' NOTE: The second author was partially supported in writing this chapter by NIMH Grant R37 MH55796 . Requests for further information on this chapter should be sent to Dr. Willo Pequegnat, Associate Director, Primary Prevention, Translational, and International Research, Center for Mental Health...
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...POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Donna E. Stewart, MD, FRCPC E. Robertson, M.Phil, PhD Cindy-Lee Dennis, RN, PhD Sherry L. Grace, MA, PhD Tamara Wallington, MA, MD, FRCPC ©University Health Network Women’s Health Program 2003 Prepared for: Toronto Public Health October 2003 Women’s Health Program Financial assistance by Health Canada Toronto Public Health Advisory Committee: Jan Fordham, Manager, Planning & Policy – Family Health Juanita Hogg-Devine, Family Health Manager Tobie Mathew, Health Promotion Consultant – Early Child Development Project Karen Wade, Clinical Nurse Specialist, Planning & Policy – Family Health Mary Lou Walker, Family Health Manager Karen Whitworth, Mental Health Manager Copyright: Copyright of this document is owned by University Health Network Women’s Health Program. The document has been reproduced for purposes of disseminating information to health and social service providers, as well as for teaching purposes. Citation: The following citation should be used when referring to the entire document. Specific chapter citations are noted at the beginning of each chapter. Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions. POSTPARTUM DEPRESSION: LITERATURE REVIEW OF RISK FACTORS AND INTERVENTIONS Table of Contents EXECUTIVE SUMMARY 2 OVERALL METHODOLOGICAL FRAMEWORK 5 CHAPTER 1: RISK FACTORS FOR...
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...* Terminology Unit 1 * Mental Health- A state of well-being in which each individual is able to recognize his or her own potential, cope with normal stresses of life, work productively and fruitfully, and make a contribution to the community. * Mental Illness- maladaptive responses to stressors from the internal or external environment, evidenced by thoughts, feelings, and behaviors that are incongruent with the local and cultural norms, and interfere with the individuals social, occupational and or physical functioning. * Anticipatory grief-when a loss is anticipated, individuals often begin the work of grieving before the actual loss occurs. * Bereavement overload- this is particularly true for elderly individuals who may be experiencing numerous losses- such as spouse, friends, other relatives, independent functioning, home, personal possessions, and pets in a relatively short time as grief accumulates a type of bereavement overload occurs which for some individuals presents an impossible task of grief work. * Ego defense mechanisms-defense mechanisms employed by the ego in the face of threat to biological or psychological integrity identified by Anna Freud 1953. Some of these are more adaptive than others, but all are used either consciously or unconsciously as protective devices for the ego in an effort to relieve mild to moderate anxiety. * Projection: Attributing feelings or impulses unacceptable to one’s self to another person. * Undoing:...
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...PYC4802/101/0/2015 Tutorial letter 101/0/2015 Psychopathology PYC4802 Year module Department of Psychology IMPORTANT INFORMATION: This tutorial letter contains important information about your module. CONTENTS Page 1. INTRODUCTION ..................................................................................................... 3 1.1 Turorial material ....................................................................................................... 4 2. PURPOSE OF AND OUTCOMES FOR THE MODULE ......................................... 4 2.1 Purpose ................................................................................................................... 4 2.2 Outcomes ................................................................................................................ 4 3. LECTURER(S) AND CONTACT DETAILS ............................................................ 6 3.1 Lecturer(s) ............................................................................................................... 6 3.2 Department .............................................................................................................. 7 3.3 University ................................................................................................................. 7 4. MODULE-RELATED RESOURCES ....................................................................... 7 4.1 Prescribed book.....
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