...abuse/neglect with therapist as able to do so ▪ Learn about typical long term/residual effects of traumatic life experiences ▪ Develop two strategies to help cope with stressful reminders/memories Alcohol/Drugs and Other Addictions Goal: Be free of drug/alcohol use/abuse ▪ Avoid people, places and situations where temptation might be overwhelming ▪ Explore dynamics relating to being the [child/husband/wife] of an [alcoholic/addict] and discuss them each week at support group meetings ▪ Learn five triggers for alcohol & drug use ▪ Reach ____ days/months/years of clean/sober living Adoption/Foster Care Placement Goal: Explore and resolve issues related to adoption/out-of-home placement ▪ Discuss ongoing concerns and issues related to adoptive and/or biological parents during weekly sessions ▪ Talk about his/her wishes with regard to permanency planning Anger Goal: Increase and practice ability to manage anger ▪ Walk away from situations that trigger strong emotions (100%) ▪ Be free of tantrums/explosive episodes ▪ Learn two positive anger management skills ▪ Learn three ways to communicate verbally when angry ▪ Be able to express anger in a productive manner without destroying property or personal belongings ▪ Be able to express anger without yelling and using foul language ▪ Explore...
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...Running Head: Dementia in older adults The issue of dementia in older populations is a very prevalent and growing issue. Memory loss and dementia are increasingly prevalent issues that affect older adults and their spouses (McClive-Reed 2010). Due to the fear that surrounds dementia in older patients, a prognosis could lead to a diminished sense of self and reduction in the quality of life, not just for said patient but also for the families or caregivers. In order to better understand dementia and those who suffer from it, let’s look at potential strategies and challenges to engage dementia clients, how to conduct a biopsychosocial assessment of dementia clients, and take ethical consideration into account in respect to a single client that I have chosen, EP. EP is a sixty-nine year old African American female who was previously diagnosed with dementia as well as depression. I met EP after she was admitted to the short-term involuntary psych unit at the hospital to which I am employed as a mental health associate, making me one of her immediate caregivers. She was admitted after proving to be a danger to herself during screening, where it became known that the patient stopped taking appropriate dosages of her medication and became unable to appropriately care for herself as a result. When EP is doing well with her medications, she is able to live a very independent and healthy lifestyle, but this lasts only temporarily as this is not the first time that she has been...
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...‘psychology’ and why is it so important in the context of health and social care? • What do we mean by ‘health’ and why is psychology central to the effective delivery of health and social care? • What are the main approaches to psychological thinking and research? • Who are psychologists and what do they contribute to the promotion of health and well-being? Introduction This chapter emphasizes the importance of psychology in the context of health and social care. For many years, psychology and the other social sciences were viewed by the medical profession as ‘soft sciences’, interesting but unimportant. With the advent of research into the links between physical and mental states in the late twentieth and early twenty-first centuries it is now possible to demonstrate that psychology can make a fundamental difference to physical as well as mental health. In this chapter, we explore the nature of psychology and its relevance to health and social care. We outline the different schools of thought and methods of inquiry in psychology. We seek to distinguish between psychology as an academic discipline and popular notions of psychology, and identify professionals whose practice is mainly concerned with the application of psychology. In order to show how psychology can be applied to health and social care, we introduce a family scenario whose characters appear in examples throughout the book. What is psychology? Psychology is the study of human behaviour, thought processes and emotions...
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...Clinically, Kelly developed a psychotherapy technique called fixed-role therapy. In fixed-role therapy, the therapist asks the client to adopt a different identity for a two-week period. The client is asked to act the part of someone whose constructions and behaviors are significantly different from the client’s. Because the client is only playing a role, any threat that might occur as a result of violating one’s own personal identity are minimized. After all, the client is simply playing a part. However, in so doing the client experiments with alternative ways of construing and behaving that may produce personal growth. Personal construct psychology has become associated with theories of constructivism, which emphasize that people know the world indirectly through constructed understandings. Radical constructivism views the person as a closed system, one in which a person’s internal psychological structure determines experiential reality. One’s structure is only sensitive to specific kinds of stimulation from the external world. People do not experience the world as it is, but rather experience it only in the ways their internal structure allows. On the other hand, social constructionism deemphasizes individual knowledge construction and instead stresses that human understandings spring from ongoing relationships. Through discussion and interaction with each other, people negotiate and reach consensus about what is real and true. Discourses, defined as ways of talking about...
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...Description Treatment Focus Dialectical behavior therapy (DBT) is a system of therapy originally developed by Marsha M. Linehan, a psychology researcher at the University of Washington, to treat people with borderline personality disorder (BPD). DBT combines standard cognitive-behavioral techniques for emotion regulation and reality testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice. DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating BPD. A meta-analysis found that DBT reached moderate effects. Research indicates that DBT is also effective in treating patients who present varied symptoms and behaviors associated with spectrum mood disorders, including self-injury. Recent work suggests its effectiveness with sexual abuse survivors and chemical dependency. Linehan observed "burn-out" in therapists after coping with non-motivated patients who against cooperation in successful treatment. Her first core insight was to recognize that the chronically suicidal patients she studied had been raised in profoundly invalidating environments, and, therefore, required a climate of unconditional acceptance, in which to develop a successful therapeutic alliance. Her second insight involved the need for a commensurate commitment from patients, who needed to be willing to accept their dire level of emotional dysfunction. Treatment Strategies and/or Techniques ...
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...The Qualitative Report Volume 14 Number 1 March 2009 61-80 http://www.nova.edu/ssss/QR/QR14-1/blanchard.pdf Lived Experiences of Adult Children Who Have a Parent Diagnosed with Parkinson’s Disease Amy Blanchard, Jennifer Hodgson, Angela Lamson, and David Dosser East Carolina University, Greenville, North Carolina Little is known about the experience among adult children who have a parent with Parkinson’s Disease (PD). The purpose of this study was to explore, appreciate, and describe their experiences using a phenomenological methodology. Narratives were collected from seven participants who have a parent diagnosed with PD and analyzed according to Colaizzi’s (1978) phenomenological data analysis method. Seven thematic clusters were identified and an exhaustive description is presented to summarize the essence of their lived experience. The study indicates a strong sense of essential positivism from the participants’ stories, and overall, it seems PD has brought some degree of biological, psychological, socially, and/or spiritual meaning to their lives that they may not have otherwise noticed or experienced. Key Words: Parkinson’s Disease, Phenomenology, Biopsychosocial-spiritual, Adult, Children and Illness Introduction “The bond between mother and child is so deeply rooted in our emotions that we fear to discuss openly anything that threatens the bond” – Glenna Atwood (1991) Establishing links between chronic illnesses and family impact are not novel (e.g., Cooke, McNally...
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...Advanced Practice 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...
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...hopes and expectations for the marriage (including potentially getting out of their marriage) - Their hopes, expectations and theory of the therapy - Their big cost/benefit analysis of the marriage. Discrepancies between spouses? - Pattern of emotional abuse? Therapist to confront this. - Marital Therapy Contraindicated? - An ongoing extramarital or disengagement? - Ongoing physical abuse? - Other betrayals? - What is the nature of their marital friendship? - Is there emotional engagement or disengagement? - Lifestyle needs similar or different? - Passion and romance in the marriage? - Sexual satisfaction and intimacy? - Fun? - Spiritual connection? - Loneliness - Parallel lives? - Other salient areas? (eg. Finances) - Positive affect? - The Fondness and Admiration System? - Phsycial affection - We-ness versus me-ness? - Cognitive room (Love Maps)? - How do they talk to each other in a nonconflict context? - What do they see as the strengths of this marriage? - Feeling one’s personality is accepted? - Feeling fundamentally criticized and disliked? - How do they move through time together? - In evens-of-the-day discussion or stress-reducing conversation, is there requited interest, excitement, humour, affection? - Map out a typical week day/weekend day/vacation/getaway - How do they renew themselves and...
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...The five interventions which are: Participatory Action Research (PAR), Multicultural Counselling Therapy, Six-step Model of Crisis Intervention, Critical Incident Stress Debriefing (CISD), and Stress Inoculation Training (SIT) are briefly explained. The self-reflection relates to the interventions as to whether or not the intervention would appeal to my personality and what I stand by. I then chose PAR as it relates to the socioeconomic problems in context to South Africa, by the implementation of the given approach and how it can be applied. Self-reflection: Who am I? I often find it difficult to reflect upon myself, that has a lot to do with my personality type, I...
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...Disorders: Anorexia Nervosa, Bulimia Nervosa, and Binge-Eating 3 Anorexia Nervosa: A Guide to Recovery 3 Beating Ana: How to Outsmart your Eating Disorder and Take Your Life Back 3 Beginner’s Guide to Eating Disorders Recovery 3 *Biting the Hand That Starves You 4 *Bulimia: A Guide to Recovery 4 Eating Disorders in Childhood and Adolescence, 3rd Ed. 4 Eating Disorders: Journey to Recovery Workbook 4 *Desperately Seeking Self: An Inner Guidebook For People With Eating Problems 5 *Life without ED: How One Woman Declared Independence from Her Eating Disorder and How You Can Too 5 Overcoming Overeating 6 *Overcoming Binge Eating 6 *The Anorexia Workbook: How To Accept Yourself, Heal Your Suffering, And Reclaim Your Life 6 *The Overcoming Bulimia Workbook 7 *Skinny Boy: A Young Man’s Battle and Triumph Over Anorexia 7 When Dieting Becomes Dangerous: A Guide to Understanding and Treating Anorexia and Bulimia……………7 Body Image and Self-Esteem 8 *Body Image Workbook: An 8-step Program For Learning To Like Your Looks (2nd Ed.) 8 *Body Love: Learning to Like Our Looks and Ourselves 8 *Feeling Good About the Way You Look………………………..……………………………..8 Girls Rock: Wise Teens Offer Tweens and Moms Advice on Healthy Body Image, Self-Esteem, and Personal Empowerment.9 Life Doesn’t Begin Five Pounds From Now 9 Love your Body: Change the Way You Feel about the Body You Have 9 *Self Esteem Comes In All Sizes 9 Healthy Eating and Balanced...
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...Evolution and biology b) Critical periods c) Behavioral study on graylag geese d) Creation of attachment III) Bowlby’s perspectives a) Biological preparation b) Ethological theory c) Adaptive value d) Physical, social as well as cultural e) Lasting relationships IV) Application of Bowlby’s ethological attachment a) Survival b) Increases in cortisol levels and heart rates c) Psychotherapy d) Anxiety and avoidance with depression e) Development of a new attachment with a therapist f) Outcomes of a therapy process g) Diagnosis of the reactive attachment disorder V) Conclusion a) Begins at birth b) Develop attachments to primary caregivers c) Widespread acceptance d) Diagnosis of reactive attachment disorder VI) References Abstract Bowlby’s ethological attachment theory bases its argument on the premise that human individuals, just like animals have a tendency to have a natural inclination to establish and maintain lasting affectionate bonds (attachments) to the familiar and irreplaceable others. Bowlby further asserts that once the attachments are established, the strength, and stability of the links is related the emotional stability and well-being of the individual throughout life. Bowlby proposes that the attachment initially form during infancy and often involve one primary attachment figure (mostly the mother or other primary caregiver). However, growth from childhood to adulthood results in the...
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...1. Which sentence uses verbs correctly? Choose 1 answer - ANSWER D – A. Angry cats are wanting to be let outside. –WRONG TENSE should be “want” B. The hungry dogs have ate their breakfast. - WRONG TENSE should be “eaten” C. Yesterday, the teacher prepares the assignment. - WRONG TENSE should be “prepared” D. The children are ready to go to school. 2. Which sentence has the correct subject-verb agreement? Choose 1 answer ANSWER A – ignore the stuff between the commas A. The children, hushed by their teacher, try to keep quiet. B. The books, read by the student, is returned to their shelf. INCORRECT – plural “books” doesn’t match singular “is returned” C. The librarian, anxious to find the books, browse the stacks. Singular “librarian” does not match plural “browse” D. The student, bothered by the uproar, request less noise. Singular “student” does not match plural “request” 3. Which sentence has the underlined word spelled correctly? Choose 1 answer ANSWER A – B is spelled correctly but it’s the wrong use. A. The principal sent the student a letter of congratulations. B. The principle ate lunch with the students. INCORRECT – wrong version of word for sentence C. The prinsipal signs the final grade reports. INCORRECT – no ‘s’ D. The princepal earned minimal interest. INCORRECT – no ‘e’ 4. Classify each sentence according to whether it exhibits or does not exhibit parallelism. Select your...
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...1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain, Despite decades of research, chronic pain remains poorly understood and notoriously hard to control. A survey by the American Academy of Pain Medicine found that even comprehensive treatment with painkilling prescription drugs helps, on average, only about 58% of people with chronic pain. The frequency of pain has a great impact on business, with a recent report by the Institute of Medicine (Medicine) Indicating that the annual value of lost productivity in 2010 dollars ranged between $297.4 billion to 335.5 billion. The value of lost productivity is based on three estimates: days of work missed (ranging from $11.6 to $12.7 billion); hours of work lost (from $95.2 to $96.5 billion); and lower wages (from $190.6 billion to $226.3 billion). Chronic pain is differentiated...
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...04/28/2016 Steffen Fuller, PH. D. Neuropsychological and Personality Assessment. CASE 1#: * 33 years old female, Master’s degree-level education. * She and husband in process of divorcing; have 2 small children * Pt. report increased anxiety in recent month, manifesting in interrupted sleep, worry over possible custody battle with husband, and paranoid thoughts that husband is stalking her. * Pt. also reports that she has new boyfriend, is attracted to other men and feels guilty about this. * Husband reports that pt. is emotionally unstable and has threatened, at different times, both his and her own safety. Questions: 1. Does pt. have an anxiety disorder or is she merely reactive to situation stress? 2. Is there evidence in the test data of bipolar disorder? Depression? Generalized Anxiety Disorder? Acute Stress Disorder? Paranoia? 3. Comment on possible Axis II (personality disorder) features. 4. What recommendations would you make for this woman with respect to her marriage relationship, her parenting issues and needs/ directions for psychotherapy? What specific treatment options would you recommend regarding these areas of functioning and why? WAIS IV RESULTS: VERBAL COMPRENSATION: 115 PERCEPUAL REASONING: 124 WORKING MEMORY: 110 PROCESSING SPEED: 128 RORCHACH RESULTS: 1. A bug. That’s it. W F+ AD(ANIMAL DETAILS) 2. A dead bug. … be it’s bleeding. That’s it. W FMC (SPECIAL PHENOMENUS=BLOOD) 3. A praying...
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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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