Psychotherapeutic Case Formulation
Salomon has clearly evidenced educational and emotional problems at least since the 6th grade; however, this 9th grader has apparently neither been thoroughly physically and psychiatrically evaluated, nor received an Individual Education Plan, evincing a stunning level of neglect by his educators, the school psychologist and his Nurse-mother, all of whom theoretically know better. The system for identification, triage, referral and management of care will be followed. His case formulation will be approached from the "Underlying Factors Orientation" and from the "Observable Factors Orientation."
Initial Problem Identification
There is not enough available information to understand the problem. Therefore, Salomon will be referred for several sources of additional data. First, Salomon should be referred for a complete physical examination to determine if there are any physical factors contributing to his educational and emotional problems. He should also be referred for assessments by a neurologist and a psychiatrist. Assessments by the mother…...
Center for Mental Health in Schools at UCLA. (2010). Common psychosocial problems of school aged youth: Developmental variations, problems, disorders and perspectives for prevention and treatment. Los Angeles, CA: Center for Mental Health in Schools at UCLA.
Center for Mental Health in Schools at UCLA. (Summer, 2007). Addressing barriers to learning: Evidence-based practices in schools: Concerns about fit and implementation. School Mental Health Project/Center for Mental Health in Schools, 12(3), 1-12.
Differential Diagnosis
The patient has been given a diagnosis of Post Traumatic Stress Disorder (PTSD) and Major Depressive Disorder. Since depressive symptoms are common in PTSD we would need to consider whether the depression or the PTSD is the primary diagnosis.
An essential step in the assessment of Posttraumatic Stress Disorder is to identify major traumas in the client's. We know that Sarah reports being raped at a young age, but we need to know more about the effects of these experiences. Structured Diagnostic Interviews and Self-eport Instruments have been developed with the purpose of assessing traumas in more detail (Barlow, 2008). Some of the difficulties in assessing PTSD aside from diagnosing it incorrectly when another diagnosis would be appropriate would include the unreliability of self-report data. Patients often exaggerate or over report symptoms in an effort to gain the alliance of an assessing physician or psychologist. Care should be taken to…...
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References
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th Ed.). Arlington, VA: Author.
Barlow, DH (2008). Clinical handbook of psychological disorders: A step-by-step treatment manual (4th Ed.). New York, USA: Guildford Press.
Becker, C.B., Zayfert, C., & Anderson, E. (2004). A survey of psychologists. Attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research and Therapy, 42, 277-292.
Berzoff, J., Flanagan, L.M., and Hertz, P. (1996).Inside out and outside in: Psychodynamic clinical theory and practice in contemporary multicultural contexts. New Jersey: Jason
Caucasian girl, Katheryn, aged 10, was referred on account of her increasingly aggressive behavior towards her 8-year-old brother, Carl. Mrs. Smith, their maternal grandma, has been raising the two children. Carl was a baby when she had taken him under her wing. In fact, she was responsible for their upbringing since their infancy; the two kids were taken away from Mrs. Smith's daughter (the children's mother) because of her alcoholism and substance/cocaine abuse behaviors. Katheryn and Carl are the two youngest of eleven children; none of them have been brought up by the mother and each of them struggles in one or other way. In fact, it has been reported that two older siblings of Katheryn had cleft palates at birth, and one sister hadn't spoken till she turned five. Further, many siblings have been diagnosed with attention deficit hyperactivity disorder (ADHD); they are all on medication…...
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References
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. Washington, DC: American Psychiatric Association.
Duncan, B. (2010). On becoming a better therapist. American Psychological Society.
Elizabeth A. Newnham, & Page, A. C. (2010). Bridging the gap between best evidence and best practice in mental health. Clinical Psychology Review, 30, 127-142.
Goodheart, C. (2011). Psychology Practice: Design for tomorrow. American psychologist, 66, 39-347.
Cognitive Behavior Therapy- A Case Study
Cognitive Behaviour Therapy (CBT) Case Study
Case report
K is a forty-eight-year female who referred to Midlothian's clinical psychology psychosis service. K has a twenty-year history of mental health conditions. She first decided to contact mental health services because of the episodes of paranoia and severe depression she had experienced. During her initial contact with the mental health services she was diagnosed with schizo-affective disorder in 1996. When she was first referred to the mental health services department she was a single. She told of having only two close relationships in her past life. She however also said that she found these relationships challenging when it came to intimate contact. She also generally described that she found it somewhat difficult to form friendships or to trust people in her life. Despite the mental health conditions her general physical well-being was good. K was prescribed with antipsychotic and…...
DeJong, P. & . Berg I.K (1998): Interviewing for solutions. Thomson: Brooks/Cole.
Drisko, J. (2014). Research Evidence and Social Work Practice: The Place of Evidence-Based Practice. Clin Soc Work J. 42:123-133 DOI 10.1007/s10615-013-0459-9
Freud, S. (1924) A general introduction to psychoanalysis. New York: Boni & Liveright.
Vignette
Jasmin is a 21-year-old Asian woman who immigrated to the United States 10 years ago. She is an intelligent college student and she likes to study, although she has been diagnosed with ADHD and dyslexia. She lives together with her parents, young sister and older brother. Jasmin's younger sister is in high school and her brother works at the father's grocery store. Her father has high blood pressure and needs to rest but continues to work at the store. Her mother also worked at father's grocery store.
The patient is taking Concerta. If she skips medication, she cannot concentrate on her studies and finds it difficult to talk to the other students. Her adviser is concerned about her ADHD and her difficult concentration. At the intake and opening the session with Jasmin, the client reported that she felt somewhat depressed, unmotivated, and self-destructive. She added that she felt she set herself…...
Australian Cladding Company
The objective of this study is to answer the question asking what are the immediate and underlying problems facing ACC? As well, this work will answer as to what sort of HR activities need to be put in place reasonably quickly and what HR approaches need to be taken in the longer term to ensure ongoing strategic competitive advantage? These theories will be addressed using the Evolution of HRM, SHRM, HRM Planning/Retention/Turnover, Job analysis and design, recruitment and selection.
The Australian Cladding Company (ACC) was started by Jim Hackett in 1998. Hackett has a background in engineering and created is the creator of a house cladding product that is lightweight and low cost. This product is reported to have found "a ready market in Australia." Hackett's company grew rapidly and the headquarters while being in Sydney supplied the cladding in various states and attracted customers internationally as well.…...
Appleby, A. & Mavin, S. 2000. 'Innovation not imitation: Human Resource Strategy and the Impact on World-Class Status,' Total Quality Management, vol. 11, no. 5, s554-s561.
Becker, B.E., Huselid, M.A., & Ulrich, D. (2001). The HR scorecard: Linking people, strategy, and performance. Boston: Harvard Business School Press.
Beckers, A.M., & Bsat, M.Z. (2002). A DSS classification model for research in human resource information systems. Information Systems Management, 19(3), 41 -- 50
ETHICS AND ACCOUNTABILITY CONSULTATION SCENAIOEthics and Accountability Consultation ScenarioFrom the onset, it would be prudent to note that several ethical violations in the present scenario that could negatively impact the client. The first such violation relates to Lorenas acceptance of Dominiks request on Facebook. Under the ACA Code of Ethics (specifically A.5.e Personal Virtual elationships with Current Clients), this is a prohibited move. More specifically, it is indicated that counselors are prohibited from engaging in a personal virtual relationship with individuals with whom they have a current counseling relationship (e.g., through social and other media) (American Counselling Association, 2014). This has the potential to blur the professional relationship between Dominik and Lorena. Dominik could end up misinterpreting some posts made by Lorena which could affect his perspective of her.Secondly, the client could also be harmed by Lorenas failure to effectively assess the progress of therapy, i.e. via the deployment of…...
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ReferencesAmerican Counselling Association (2014). 2014 ACA Code of Ethics. Psychological Association – APA (2021). Protecting your privacy: Understanding confidentiality. https://www.apa.org/topics/ethics/confidentiality Dryden, W. & Reeves, A. (2008). Key Issues for Counselling in Action. SAGE Publications. https://www.counseling.org/resources/aca-code-of-ethics.pdfAmerican
OGANIZATIONAL SYSTEMS & QUALITY LEADESHIP
Organizational Systems and Quality Leadership
Efforts to measure and improve the quality of nursing care provided to patients began with Florence Nightingale, who measured patient outcomes and worked towards the improvement of hospital conditions. ecently, studies linking nurses to patient outcomes have been given significant focus within healthcare. Efforts to measure the indicators of the quality of care dispensed by nurses have led to the phrase "nursing sensitive indicators," which has become a buzzword in healthcare. These are "outcomes from patient care that reflect the nursing care provided" (Kelly, Vottero, & Christie-McAuliffe, 2014). These indicators reflect the structure, nursing care process, and nursing care outcomes (American Nurses Association, 2014). Structural indicators include nursing staff supply, skill level of nurses and certification. The process indicators include patient assessment measures of nursing interventions while outcome indicators include all patient experiences such as falls, pressure ulcers, and readmissions and reflect…...
Susan Marx is a 31-year-old, right-handed, Caucasian woman who has completed 12 years of education. She was referred for complaints of depressed mood for the past month. hen asked why she referred herself she responded, "I am very depressed and cannot motivate myself to do anything." She also reports experiencing feelings of extreme sadness, hopelessness, lack of appetite, difficulty sleeping at night, decreased energy, some suicidal thoughts, and feeling as if everything she does is of no consequence.
Presenting Problem
Marx reported that her depression began following being terminated from her position as a secretary for an attorney. She reported that she had a "romantic" affair with her employer, who decided to end the relationship and then terminated her. Since then she is quite depressed and does not have the energy to clean her apartment which is becoming quite messy. She sits on the couch and watches television all day long. She…...
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We must also not think of Ms. Marx as simply a victim, but her pathology also is also one of manipulation. Often individuals with personality disorders maintain pathogenic belief systems are complicated and characterized by conflict and are seemingly inconsistent (McWilliams, 1999). In the case of the borderline patient it is often assumed that the core underlying belief system is one of being abandoned or unsupported. While this is often a central core belief of borderline patients, an often overlooked and competing belief is one of manipulation or "I can manipulate people into being there for me." These beliefs of being able to manipulate others are often, like the core fear of abandonment, not explicit beliefs, like " The world is round" but more implicit beliefs that a manifest in intrapersonal behavior. Thus, the borderline patient is often known for their tendency to play people against one another in order to get them to take sides. The motivation for this is always to get someone, usually an easy target, to side with them and buy into their pathology. In Ms. Marx case she appears to try to get men attached to her by using sex and this can be a powerful tool in keeping them close to her. These core conflicting beliefs, that one can manipulate others into siding with them and at the same time believing that others are unconcerned about them, must both be addressed in order for treatment to be successful.
Ms. Marx demonstrates the tendency of many borderline patients to experience a dilemma based on the aforementioned core beliefs, when they get close to a person they will often become very anxious and panic because of fears of control or being engulfed by another; however, when they feel separated from others they experience anxiety and panic because of fears of abandonment. This often leads to a series of brief and intense relationships wherein Ms. Marx does not feel comfortable being close or apart.
Another issue with borderline patients is often with identity integration; borderline patients are
Environmental Case Study (Alberta's Oil Sands)
Alberta's Oil Sands represents one of the international environmental problems facing Canada and close to seventy countries across the globe. Albert's Oil Sands proves to be a new course of political conflict within the setting of Canada and at the international level. Oil Sands development is responsible for rapid economic growth of Alberta. This creates ethical or moral dilemma because there is a massive risk in association with the development of Oil Sands within the province. Oil Sands contribute towards ecological harm thus having a negative impact on the living conditions of the individuals in the province and the entire planet. This ethical dilemma leads to mobilization processes by environmental entities to help alleviate the situation. This is because some prominent political outfits such as Peter Lougheed recognize that the rate of the development of the oil sands in Alberta is not socially or economically…...
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Works Cited
Brown, Jordan. "The Pembina Institute: Balancing Environmental Policy with Oil Sands Development in an Industry-Oriented Economy." Undercurrent 6.2 (2009): 7-16. Academic Search Complete. Web. 31 July 2012.
Dunbar, R.B. Existing and Proposed Canadian Commercial Oil Sands Projects. Calgary: Strategy West, April 2008. Available at:
Pasqualetti, Martin J. "The Alberta Oil Sands From Both Sides Of The Border." Geographical Review 99.2 (2009): 248-267. Academic Search Complete. Web. 31 July 2012.
A reflection on the case shows me that ethical and moral guidelines must be instilled in pharmacy as a profession. It is therefore necessary for the pharmacies to collaborate with other key stakeholders in ensuring that proper guidelines are put in place together with polices aimed at ensuring an ethical and moral pharmaceutical practice. Case esolution Model (CM) (Brincat & Wike,1999) is therefore an important model since it has taken me through all the necessary steps that can allow me to effective conclude this case amicably.
eferences
World Health Organization (2001). The ole of the Pharmacist in Self-Care and Self-Medication.Available online at http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf
Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.
Passmore P, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.
outledge, PA., O'Mahony, MS., WoodhouseKW (2003).Adverse drug reactions in elderly patients.…...
Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.
Passmore PR, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.
Routledge, PA., O'Mahony, MS., WoodhouseKW (2003).Adverse drug reactions in elderly patients. Br J. Clin Pharmacol. 2004 February; 57(2): 121 -- 126. doi: 10.1046/j.1365-2125.2003.01875.x PMCID: PMC1884428
Pirate Steel Ethics Case Study
Three issues are the main challenges in this case study. One is the theory of rights, which is particularly imperative in the existence of an organization. This theory claims that all parties should be well represented and has utmost satisfaction. There should be no violation of rights for any of the parties. In this case study, all the parties should have information on the proceedings of the company. This is to avoid any of them being on the dark on matters of the organization. The top-level management has all the right to know the destination of their finances. Violation for this is when there are unreliable reports on the purchases. There should be transparency in all the issues that deal with the top-level management, as they are the most answerable. The investors also have the right to know all the transparent issues for the company. In…...
Hoffmann-Holland, Klaus. 2009. Ethics and human rights in a globalized world: an interdisciplinary and international approach. Tu-bingen: Mohr Siebeck.
Stammler, Rudolf. 2000. The theory of justice. Union, N.J.: Lawbook Exchange.
Emotional reactions to the onset of injuries as well as a patient's attitude toward the injury itself and the proposed treatment have great impacts on the length of time it will take for the patient to recover (VAN RIJN 2007). Therefore, it is in the medical staff's best interest to maintain the patient in a positive, reinforcing paradigm in order to create an atmosphere of positive goal-orientation so the patient may experience significantly reduced levels of anxiety during post-operative procedures as well as reduced rehabilitation time.
Annotated Bibliography
N.A.. (2010). Ligament Injury Recovery. Available: http://www.sportsinjurybulletin.com/archive/ligament-injury.html. Last accessed 17th Nov 2010.
Researchers at the University of Wisconsin, the University of Houston and NASA severed the medically collateral ligaments in the knees of lab rates. Three to seven weeks after the incision mechanical and morphological properties were measured in ligaments, bones and muscles. Ligament testing revealed that there were significant reductions in maximal force,…...
This conversation reveals that meeting budget targets is a significant component of the motivation systems for both of these managers. They obsess about the budgets. Adam spends too much time focusing on budgets, to the detriment of other activities. The budgets for both are used to measure their performance, but only in a negative way. There appears to be little in the way of motivation system for the two should they actually make budget. If there are rewards, they seem unaware of them, but they are acutely aware of the consequences of missing budgets. Both have noted that they are punished for events that are beyond their control -- the budget targets are inflexible and do not take into account unusual events, let alone changes in the business environment.
5. a) A properly functioning standard costing system should yield many advantages to managers such as Adam and Ali. These include…...
As Sir Anthony O'eilly, Chairman of Waterford Wedgwood, noted in a recent speech that they are operating against a "backdrop of unprecedented broad-based economic uncertainty."
This economic uncertainty has had a global impact. From the high rates of business bankruptcies in the United States, to the financial collapse of one of the previously richest countries in the world -- Iceland, to the 11.2 million percent inflation rate of Zimbabwe, no corner of the globe is untouched by the massive liquidation cycle in which the global economy appears to be.
Consumer confidence has declined. Banks have lost faith in one another. Currencies around the world, such as the American dollar, weakened considerably.
And, despite Waterford Wedgwood's more than two hundred years of setting industry standards, the organization must now operate in an economic environment that appears to work directly against their primary products -- luxury lifestyle items.
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