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Psychology -- Counseling -- Structural Family Therapy Model
"Juno" is a refreshingly nonjudgmental look at teenage pregnancy and a family's ultimately positive, supportive response. Addressing the situation from a systematic therapeutic perspective, the counselor can accept Juno, her family and the adoptive family as they are and help them reach their agreed upon goals. The movie's portrayal of a teenager's situation that is normally deemed problematic in a positive human light makes the happy outcome of this film readily achievable and believable.
"Juno" (Reitman, 2007) is a film about teenage pregnancy, an aspect of life that frequently positively and negatively confronts modern American families. hen 16-year-old Juno irresponsibly becomes unexpectedly pregnant by her teenaged best friend, Bleek, she decides against abortion and chooses to give the baby to an as-yet-unknown infertile couple. hen she tells her father and stepmother, they are initially rattled but quickly become supportive because after…
Chenail, R. J. (2009). Learning marriage and family therapy in the time of competencies. Journal of Systemic Therapies, 28(1), 72-87.
Gehart, D. R. (2014). Mastering competencies in family therapy, 2nd edition. Balmont, CA: Brooks-Cole Cengage Learning 978-1-285-07542-6.
Gerhart, D. (2011). The core competencies and MFT education: Practical aspects of transitioning to a learning-centered, outcome-based pedagogy. Journal of Marital and Family Therapy, 37(3), 344-54.
Reitman, J. (Director). (2007). Juno [Motion Picture].
Structural family approach
Major contributors of Structural family approach
Structural family approach mainly operates by considering problems within the family structure, it emphasizes on dealing with the individual symptom through examination of the whole family interaction pattern. Furthermore, this theory does not insist on the relation between family interactions and pathology but, it associates the symptoms with family's interaction. Structural family theory has three operating areas, these include; the family, the problem itself and the change process. First stage entails, the therapist knowing the kind of family he/she is dealing with, the composition and hierarchy of the family. he/she tries to fit in the family's environment so as to capture the real picture. In the second stage, the therapist identifies is specifically stopping the family from living harmoniously. he/she also finds out the function and position of the problem behavior Goldenberg & Goldenberg, 2008()
History of Structural family…
Bobrow, E., & Ray, W.A. (2004). Strategic Family Therapy in the Trenches. Journal of Systemic Therapies, 23(4), 28-38. doi: 10.1521/jsyt.188.8.131.52840
D'Angelo, S.L. (1995). The Milan approach to therapy revisited. PsycCRITIQUES, 40(4), 352-352. doi: 10.1037/003578
Goldenberg, H., & Goldenberg, I. (2008). Family Therapy: An Overview: Thomson Brooks/Cole.
Rosen, K.H. (2003). Strategic family therapy. In L.L. Hecker & J.L. Wetchler (Eds.), An introduction to marriage and family therapy. (pp. 95-121). Binghamton, NY U.S.: Haworth Clinical Practice Press.
Family Systems Theory; Application of Family Therapy Theories
The concept of family therapy has over the years has been developed into different approaches that have definite characteristics. These theories have been used to bring forth solutions to different family issues that are experienced on regular basis. It is not easy to understand the structure of a family since there are no universal structures that the family problems or challenges take, this means that even in the application of the family systems theories in bringing solutions to families, the application purely depend on individual unique family challenges and not on a universal template. These unique characteristics that each family challenge takes makes it hard to apply one system theory and have full confidence that it will work, hence the frequent overlapping of the theories, and in this case the strategic family therapy and the structural family therapy will be applied to…
Nichols M.P., (2009). Family Therapy: Concepts and Methods.
Multiple Therapeutic Models of a Family
The main components of structural therapy
Structural therapy is a family treatment model founded on the frameworks of systems theory. The distinctive component of this model is the emphasis it has placed on structural adjustments as the primary objective of the therapy session. This emphasis is prominent over details of adjustments in individual behaviors. This model is distinctive because the therapist is the most active agent and receives much attention in the course of family restructuring (Lock & Strong, 2012).
The main purpose of structural family therapy is prevention of sequences from repetition by coveting the hierarchical structures of families. This encompasses shifts in power distribution among family members by adjusting interaction styles. Nevertheless, structural family therapy operates by making alterations on the dysfunctional family structure through encouragement and promotion of growth among family members with the primary intention of re-building the family (Petridis,…
Goldenberg, H., & Goldenberg, I. (2008). Family therapy: An overview. Australia: Thompson Brooks/Cole.
Lock, A., & Strong, T. (2012). Discursive perspectives in therapeutic practice. Oxford: Oxford University Press.
Peterson, G.W., Steinmetz, S.K., & Sussman, M.B. (2009). Handbook of marriage and the family. New York: Plenum Press.
Petridis, N., Pichorides, S.K., & Varopoulos, N. (2010). Harmonic analysis, Iraklion 1978: Proceedings of a conference held at the University of Crete. Berlin: Springer-Verlag.
Experiential Family Therapy (EFT) is the central place of humanistic therapies and psychology. This therapy includes the works of Fritz Perls, Carl Rogers, and Abraham Maslow, along with the communication theories and family systems of Paul Watzlavick, Don Jackson, and Gregory ateson. It is called a meeting place for all the theorists because clearly the experiential family therapy includes multiple systems used for therapy. The authors ecvar & evcar (2006) like to call these 'experimental approaches to family therapy' instead of 'experimental models'. Virginia Satir, one of the main predecessors of the experiential approach, is also considered to be part of communication approaches as well as experiential (Lester, 2009).
The family tree of the family system has three main parts: (1) the Communications approach of Virginia Satir; (2) the Gestalt experiential approach of Walter Kempler; and (3) the Symbolic experiential approach of Carl Whitaker (ecvar & ecvar, 2006). However, the…
Becvar, D.S. & Becvar, R.J. (2006). Family therapy: A systemic integration. Boston, MA: Pearson
Broderick, P., & Weston, C. (2009). Family Therapy with a Depressed Adolescent. NCBI, 32-37. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2719446/
Greenburg, L.S., Watson, J.C., & Lietaer, G. (1998). Handbook of experiential psychotherapy. New York: Guilford
Israelstam, K. (1988). Contrasting four major family therapy paradigms: implications for family therapy training. Journal of Family Therapy, 179-196.
Shift From First-order to Second-Order Cybernetics in the Family and Systemic Therapies
The strategic family therapy model came up in the 1950s and was inspired by two primary works: the works of Milton Erickson who came up with revolutionary paradoxical interventions which took advantage of people's resistance to change to help alter psychiatric symptoms first; and the works of Gregory Bateson and the Palo Alto Group that made use of cybernetics in communication patterns of the family. The style of a therapist changes as he or she gets better as a person and as they develop professionally, and also as per what is in fashion at the time. An older person has the chance to look at what happened in their past and see what worked and what failed. This gives them a better perspective of what works and what might not work for a given situation. The path is…
Asen, E. (2004). Outcome research in family therapy. Advances in Psychiatric Treatment, vol. 8, pp. 230-238
Asen, K.E., Berkowitz, R., Cooklin, A., et al. (1991). Family therapy outcome research: a trial for families, therapists and researchers. Family Process, 30, 3-20.
Baron, P. (2007). Ecosystemic psychology; first and second order cybernetics.
Baucom, D., Shoham, V., Mueser, K., et al. (1998). Empirically supported couple and family interventions for marital distress and adult mental health problems. Journal of Consulting and Clinical Psychology, 66, 53-88.
Society Feels About Animals
As a first order primate, humans have a natural affinity with animals of all types that has contributed to their mutual relationships throughout history. In fact, animals of different types have been since the time of the ancient Greeks to improve the emotional and functional status of humans (Mccauley, 2006, p. 358). Animal-assisted therapy (AAT) has grown in popularity in recent years based on its proven efficacy in treating a wide range of healthcare and mental health conditions. Although dogs and cats are most commonly used in AAT settings, horses, rabbits and even fish can also be used. For instance, according to Macauley, "The use of animals ranges from companion animals that provide camaraderie and emotional support to assistance animals that provide direct physical-functional support to therapy animals that aid with the habilitation-rehabilitation in physical, occupational, speech-language, and recreation therapy" (2006, p. 358). Moreover, some researchers…
Becker, D. (2013, August 26). "Four-Legged Therapy for Military Veterans with PTSD."
Healthy Pets. [online] available: http://healthypets.mercola.com/sites/healthypets / archive/2013/0.
Bleich, A. (2004, October 1). "Mental Disability." The Israel Journal of Psychiatry and Related
Sciences, 41(4), 235-237.
Contextual and Larger System Factors
Role of Collaboration
Steve de Shazer, Insoo Kim erg, and coworkers came up with the original version of the SFT (Solution-Focused rief Therapy) in the year 1982 at Milwaukee, Wisconsin's rief Family Therapy Center. At first, they employed the approach of problem resolution, which they had become acquainted with at Palo Alto, California's Mental Research Institute during their work with psychotherapist, John Weakland. ut upon listening to clients/patients explaining their problems' fine points, they started noticing that clients revealed exceptions as well -- i.e., times when their problem proved to be minimal or even sometimes absent. At this juncture, therapy shifted its emphasis from problem description to two exceptions' specifics. This change of focus ensured migration of therapy to development of a solution, from resolution of the issue. With redefinition of the therapy's focus, a shift was observed in clients' and therapists' individual role expectations,…
Greenberg, G., Granshorn, K., & Danilkewich, A. (2001). Solution-focused therapy: Counseling model for busy family physicians. Can Fam Physician, 2289-2295.
Hertlein, K., Shute, J. L., & Benson, K. (2004). Postmodern Influence in Family Therapy Research:Reflections of Graduate Students . The Qualitative Report, 538-561.
Hepworth, DH, Rooney, R. H., Rooney, G. D., Gottfried, K. S., & Larsen, J. (2006). Direct social work practice: Theory and skills (8th ed.). Belmont, CA: Brooks/Cole, Cengage Learning.
France, M., Rodriguez, M., Hett, G., (2012). Diversity, Culture and Counselling: A Canadian Perspective, 2e. Brush Education: UK.
Salvador Minuchin and his structural method of family therapy. e will discuss a brief history of Minuchin's life, his peers and influences. The discussion will include a clear description of this particular type of therapy, including the five basic concepts of the therapy and the different strategies used. e will also discuss the strengths and weaknesses of this modality. Finally examples of a family session will be provided.
Salvador Minuchin was born in Argentina in 1921 to Russian-Jewish immigrant parents. (Doorey) Minuchin was the oldest of three children and the son of a successful businessman. hen the Great Depression came into fruition his family's business deteriorated and the family was thrown into a life of poverty. (Doorey)
Salvador's fascination with helping people through psychology began when he was in High School and he sought to help juvenile delinquents. Doorey) He became enthralled with the works of the philosopher Rousseau. hen…
Review of Structural Family Therapy. http://www.tamucc.edu/~ecdc/People/JBrendel/family_counseling/structural.html
Doorey, Marie. "Minuchin, Salvador (1921-)." The Gale Encyclopedia of Psychology. 2nd ed. Gale Group, 2001.
Hanney, Lesley. "Healing traumatized children: creating illustrated storybooks in family therapy *." Family Process. Spring 2002.
Several Therapeutic techniques of structural family therapy. http://www.vovinam-via.org/nvduc9.htm
Categories and Phases of Loss and Grief for Nancy
Diagnostic Statement for Nancy
Nancy is obese and reports feeling anxious and depressed. Nancy has gained 15 pounds does not sleep well, has low concentration ability and is forgetful. Nancy has a social phobia and exhibits some signs of paranoid schizophrenia. In addition, Nancy has a back injury, which contributes, to her general feeling of ill health and results in not getting the exercise she needs. Nancy is a chain smoker. Nancy feels that she has lost control of her life. Nancy's son Michael has asthma. It appears that Nancy's husband suffers from some type of behavior disorder and is likely somewhat mentally retarded.
DSM-IV-T (2000) Diagnosis
The multiaxial assessment includes analysis on the following five stated Axis:
(1) Axis 1: clinical disorders, pervasive developmental disorders, learning, motor skills and communication disorder
296.xx Major Depressive Disorder
301.0 Paranoid Personality Disorder
Antonovsky, A. And Sourani, T. (1998) Family Sense of Coherence and Family Adaptation. Journal of Marriage and Family, Vol. 50. No. 1 Feb 1998. National Council on Family Relations. Retrieved from: http://psych.wfu.edu/furr/362/Family%20Sense%20of%20Coherence%20Scale.pdf
Connell, Cindi (2010) Multicultural Perspectives and Considerations Within Structural Family Therapy: The Premises of Structure, Subsystems and Boundaries. Rivier Academic Journal. Vol. 6. No. 2 Fall, 2010. Retrieved from: http://www.rivier.edu/journal/ROAJ-Fall-2010/J461-Connelle-Multicultural-Perspectives.pdf
Fischer, J. And Cocoran, K. (1994) Measures of Clinical Practice. Social Science. Retrieved from: http://books.google.com/books?id=y2C9YvSU53sC&source=gbs_navlinks_s
Ruiz, MA (nd) Transgenerational and Structural Family Therapy, An Analysis of Both Schools. Retrieved from: http://miguelangelruiz.webs.com/Transgenerational%20and%20Structural%20Family%20Therapy.pdf
Current Pattern of Use and Drug History
Substance Abuse and Treatment History
Medical History and Current Position
Family History and Present elationships
Positive Support Structures
Crime and Law-breaking
Inclination for Treatment
esources and Accountabilities
Mental Status Exam Narrative
Post-Traumatic Stress Disorder
Drug Dependence, in sustained remission
PSYCHOSOCIAL ASSESSMENT-William Burg
William is a 35-year-old, black male. William Living in CUCS supportive housing, alcohol addiction/sober for 6 months and has PTSD. He also does not have rent money and needs employment to be able to pay the minimal rent required.
William is the middle of three brothers and sister. He has an older brother and a younger sister. William was born and raised in Kentucky. He moved to New York at the age of 21. He was thrown out of the…
Cox, C.B. (2005). Ethnicity and Social Work Practice. New York city: Oxford University Press.
Gitterman, A. & . (2008). The life model of social work practice: Advances in theory & practice. New York City: Columbia University Press; 3rd edition.
Goldstien, E. (1995). Ego Psychology and social work practice. New York City: The Free Press; 2nd edition .
H., N. (1995)). Clinical Social Work: Knowledge and skills. Oxford University Press.
Optimal Health and Obesity for Older Adults
In older adults, obesity can aggravate physical function deterioration that comes with age, and result in frailty. However, appropriate obesity treatment in older adults is controversial, owing to decrease of corresponding health risks in relation to increased body mass index (MI) and concerns that loss of weight could potentially have harmful impacts on older individuals. Thus, it is especially vital to take into account therapies for weight loss, and alter one's lifestyle to nutritious food for improving obese older adults' physical function, as well as potentially improving or preventing medical complications linked to obesity. Health promotion strategy at individual and societal levels would enable older adults to adopt a changed and positive lifestyle, in addition to creating awareness among individuals of different age groups to urge older persons to keep up a healthy, nutritional lifestyle.
At present, 7% of global population is…
Corzine, J., & Jacobs, F. (2006). The New Jersey Obesity Prevention Action Plan. New Jersey:
The Department of Health and Senior Services. Retrieved from:
Feeney, M.J. (2010). Optimal Health Throughout the Life Span. Health Connections, 1.
The author of this report has been charged with doing a family assessment project. The largest part of this report shall be the genogram and ecogram. The personal version of these two diagrams as authored and put together by the author of this report are shown in the appendix. There will be some additional supporting and complementary information as well. This will include the Calgary Family Assessment Model (CFAM) and the Calgary Family Intervention Model. Both of those models will be discussed and reviewed in this report. Also worthy of mention will be the stages of the family life cycle. The rest of the report will be important information about the family members identified in the genogram. This information will include three generations of information, each family member being identified, the family relationship involved, the current age of the person (or age at death), the martial/relationship status of…
Konradsdottir, E. & Svavarsdottir, E. (2011). How effective is a short-term educational and support intervention for families of an adolescent with type 1 diabetes?. Journal For Specialists In Pediatric Nursing, 16(4), 295-304. http://dx.doi.org/10.1111/j.1744-6155.2011.00297.x
Sveinbjarnardottir, E., Svavarsdottir, E., & Wright, L. (2013). What are the benefits of a short therapeutic conversation intervention with acute psychiatric patients and their families? A controlled before and after study. International Journal Of Nursing Studies, 50(5), 593-602. http://dx.doi.org/10.1016/j.ijnurstu.2012.10.009
West, C., Bell, J., Woodgate, R., & Moules, N. (2015). Waiting to Return to Normal: An Exploration of Family Systems Intervention in Childhood Cancer. Journal Of Family Nursing, 21(2), 261-294. http://dx.doi.org/10.1177/1074840715576795
Wright, L. & Leahey, M. (2012). Nurses and families.
Therapeutic Orientation to Counseling
My therapeutic orientation to counseling is based on the eclecticism with which I have always approached life. I have found the human condition to be influenced by a diversity of sources and any hope of understanding and treating that condition depends upon approaching it by diverse means. In one sense, this is called being an integrative therapist. In another sense, it is called being open to the complex patterns and subtle responses of human experience, which may be interpreted and positively treated in any combination of ways. I have chosen the following several theories of therapeutic orientation as examples of my eclectic approach and with each I show how my thoughts, skills, beliefs and values resonate with them.
Supportive psychotherapy is a good starting place for the counselor who believes that every individual's character is a work in process and that structural changes to that work…
Becvar, D.S. (1997). Soul Healing: A Spiritual Orientation in Counseling and Therapy. NY: BasicBooks.
Rogers, C. (2012). On Becoming a Person: A Therapist's View of Psychotherapy. NY: Houghton Mifflin.
Family therapy believes that problems that the individuals evidence stem from the fact that problems occur within the family unit itself and that the family is divided into several component parts. To address these problems the therapist, as it were, therefore steps into the family unit, becomes "a part of it" and intervenes. His doing so not only enables him to see the family patterns from the inside; thereby understanding faults of fission but also enable him to practice therapy. Intervention in the family is called enactment.
Enactment refers to the therapist encouraging acting of dysfunctional relationship patterns within the family therapy session and him acting out some of this behavior by actually entering the family unit. The therapist thereby learns about the family's structure and interactional patterns and is able to interfere in the process by modifying some of the negative elements, pointing these out, intensifying positive elements, and…
Family Systems institute Bowen Family Systems Theory and Practice: Illustration and Critique
Bowenian Family Systems Theory and Therapy
The research will address the following research questions, in addition to the central hypothesis.
How malleable are generational boundaries? In other words, how willing are teens to adapt to new generational boundary styles?
Are generational boundaries set during the early childhood years?
How frequently do teens assume a parental role in dysfunctional families?
What techniques could help tends and their adoptive parents reach a compromise that results in the development of healthy generational boundaries within the new family unit?
These research questions, in addition to the research hypothesis will help to contribute to the existing body of knowledge in the field of family therapy.
Contribution of This esearch
This research will play an important role in the field of family therapy. It will be specifically targeted towards helping develop new techniques and methods for helping adoptive families and their teens establish healthy generational boundaries within the new family. This is…
Barber, B. (2001). Intrusive Parenting: How Psychological Control Affects Children and Adolescents. Washington, DC: American Psychological Association.
Beckett, C., Castle, J., & Groorhues, C., et al. (2008), the experience of adoption (2): association between communicative openness and self-esteem in adoption. British Association for Adoption and Fostering. 32 (1): abstract. Retrieved 15 January 2009 at http://www.baaf.org.uk/res/pubs/aandf/abstracts/08_1.shtml
Benson J. & Fanshel, D. (1970) How They Fared in Adoption: A Follow-Up Study. New York: Columbia University Press: 311-313. Retrieved 15 January 2009 at http://www.uoregon.edu/~adoption/archive/JaffeeHTFA.htm
Berzonsky, M. (2004). Identity Style, Parental Authority and Identity Commitment. Journal of Youth and Adolescence. 33 (3): 213.
However, they should also know what aspects of they reveal are confidential. An adolescent should know if he or she says that he 'hates his parents' that the therapist does not have a responsibility to 'tattle' to the client's parent, even if the parent is paying for the session
2b. Discuss 2 counseling situations where duty to warn would be necessary. What would be the ethical issues involved: If the client is likely to be harmful to others, such as if he or she threatens someone physically, the therapist must report the threats. Also, if the client is likely to be harmful to him or herself, such as threatening suicide or acting in a manner that is so severely delusional he or she is not competent to engage in basic self-care, the therapist may need to act. (Such as a patient engaging in severe self-harm or a patient with a…
Corey, G., (2009) Theory and practice of counseling & psychotherapy. (8th Edition). Belmont,
CA. Thomson Brooks/Cole.
Family systems. (2009). Genogram. Retrieved November 24, 2009 at http://www.genopro.com/genogram/family-systems-theory/
It is the process of interaction among family members that determines the rules by which the family is governed. This is the family's level of cohesion, its adaptability, and its communication style. Finally, these interactions work together to serve individual members and collective family needs;
(3) Family function is the output of the interactional system. Utilizing the resources available through its structure (input), the family interacts to produce responses that fulfill its needs; and (4) the family life cycle introduces the element of change into the family system. As the family moves through time, developmental and non-developmental changes alter the family structure and/or the family's needs. These, in turn, produce change in the way the family interacts." (Allen, et al., 2007)
Figure 1 -- the Family System
Source: Allen et al. (2007)
The family is stated by Allen et al. (2007) to have many "attitudes, rules and communication patterns which…
Allen, Jo Ann (1991) Understanding Families, Children's Bureau, Administration for Children, Youth and Families, Office of Human Development Services, United States Department of Health and Human Services. Online available at:
Anderson, Ralph E., Carter, Irl. E. And Lowe, Gary (1999) Human Behavior in the Social Environment: A Social Systems Approach. Aldine Transaction 1999. Google Books. Online available at: http://books.google.com/books?id=hYfv-ieHdYkC
Family Developmental Theory (nd) University of Kansas -- Department of Psychology. Online available at: http://www.psych.ku.edu/dennisk/PF642/Family%20Developmental%20Theory.pdf
Fontaine, Reid Griffith (2005) Applying system Principles to Models of Social Information Processing and Aggressive Behavior in Youth. Aggression and Violent Behavior. 11 (2006) 64-76.
Patty's introduction to prostitution certainly reinforces this notion: it became a part of her life as a result of her social situation and a perceived necessity. Still, more fervent moral positions against prostitution, in the Untied States, often come from Christianity. Obviously, it violates the general principles of Christianity to pay for sexual intercourse; however, it is also a violation of Christian principles to engage in premarital sex, extramarital sex, homosexual sex, or even masturbation. Notably, none of these actions are illegal in the United States -- or at least the antiquated laws pertaining to them are not enforced -- and of them, only homosexuality is ever regularly regarded as a form of social deviance; though this too is a matter of debate. Ultimately, viewing prostitution as a moral crime from the standpoint of Christianity fails miserably, because doing so would require accepting that law should be solely determined by…
Brown, Stephen E. et al. (1991). Criminology: Explaining Crime and its Context. Cincinnati: Anderson Publishing.
Dash, Leon. (1996). Rosa Lee: a Mother and Her Family in Urban America. New York: Basic.
Pagliaro, Ann Marie and Louis A. Pagliaro. (2000). Substance Use among Women. Lillington: Brunner/Mazel.
Schlaadt, Richard G. (1992). Wellness: Drugs, Society, & Behavior. Guilford: Dushkin.
Depression, according to the researchers, is one of the most often felt affects of raising grandchildren. Fuller-Thompson and Minkler (2000) suggest that this psychological problem may stem from a variety of stressors involved in parenting their grandchildren, such as financial strains and a renewed requirement of helping others when they thought they would have "more time to themselves" (pg. 110). Faced with non-caregiving peers, custodial grandparents may regret the freedom, leisure, and financial stability that they may never have as a result of their parenting situations. Further, Fuller-Thompson and Minkler (2000) also note that adverse physical affects have been closely linked with custodial grandparenting, such as the "exacerbation of pre-existing chronic conditions, comorbidy, declines in self-assessed health, and limitations in one or more activities of daily living" (pg. 111). African-Americans are especially at risk because African-American women, on the whole, tend to suffer from more adverse health effects than their…
Armbruster, P. & Lichtman, J. (1999). Are School-Based Mental Health Services
Effective? Evidence from 36 Inner City Schools. Community Mental Health Journal, 35(6), 493-504.
Darling, N. et al. (2008). Within-family conflict behaviors as predictors of conflict in adolescent romantic relations. Journal of Adolescence, 31, 671-690.
Fuller, Thompson, E. & Minkler, M. (2000). African-American Grandparents Raising
S., experts estimate the genuine number of incidents of abuse and neglect ranges three times higher than reported. (National Child Abuse Statistics, 2006) in light of these critical contemporary concerns for youth, this researcher chose to document the application of Object elation, Attachment Theories, and Self-Psychology to clinical practice, specifically focusing on a patient who experienced abuse when a child. Consequently, this researcher contends this clinical case study dissertation proves to be vital venture, which will contribute to enhancing research in the field of psychology.
For this clinical case study dissertation exploring Object elation, Attachment Theories, and Self-Psychology, along with researching information for the application of these theories to clinical practice, this researcher answered the following research questions.
What is Winnicott's elational Model Theory?
What is Bowlby's Attachment Theory?
What is Kohut's Self-Psychology?
How may components of these three theories be applied to the clinical case chosen for…
American Psychiatric Association, (2004). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Test Revised. Washington DC.
Blatt, S. (1974). Levels of object representation in anaclytic and introjective depression. New York: International University Press.
Bowlby, J. (1969) Attachment. Volume One of Attachment and Loss, New York: Basic
(1999) which are:
1) Those with serious mental illnesses such as schizophrenia, bi-polar disorder with major depression and who use alcohol and drugs to self-mediate to cope with the symptoms; and 2) Those with borderline personality and anti-social personality disorders including anxiety disorder that is complicated by use of alcohol and illicit drugs. (Mather et al. 1999)
Presenting further difficulty is the establishment of problems with alcohol and illicit drug use for adolescents entering service programs outside of the AOD system. (National Survey on Drug Use and Health, 2005) In an analysis of data taken form a sample group of youth in five San Diego county sectors of AOD treatment, mental health, juvenile justice, child welfare and public school-based services for severely emotionally disturbed [SED] youth gives indication that "there are relatively high rates of substance use disorders among adolescents in these systems, as determined in diagnostic interview with DSM-IV…
Amaro, Hortensia, et al. (2005) Racial/Ethnic Differences in Social Vulnerability Among Women with Co-Occurring Mental Health and Substance Disorders: Implications for Treatment Services - Journal of Community Psychology. Vol. 33 Issue 4.
An Overview of the Effectiveness of Adolescent Substance Abuse Treatment Models (2001) Thousand Oaks, December 2001. Online available at http://web.utk.edu/~dap/SA2003/EffectadolescentSATx.html
Blane, H.T. (1993) Recent Development in Alcoholism: Ethnicity: Recent Development in Alcoholism, 11, 109-122.
Bridging the Gap: What We Know and Don't Know About Dual Diagnosis (1998) Healing Hands Journal. Vol.2, No.4 July 1998.
Supervisee should have a clear view on what to expect during the supervision process.
Supervisor: Are there any courses or resources that would develop your standards in relation to services delivery?
Supervisee: Learning provides room for improvement, and that would be no different to my scenario. I would attend to relevant courses to boost my confidence and expertise level in dealing with clients on a daily, weekly, and monthly basis. Structural coaching on relevant issues would enhance my development to tackling therapeutic problems in the clinical field of study. The structural coaching would supplement the pertinent information from this and the previous supervision programs. Much exposure such as working in large organizations would improve the level of standards in dealing with cultural problems among different clients.
Supervisor: What are the six dimensions of multicultural competencies supervision?
Supervisee: The first dimension is the Supervisor-Focused Personal Development that reflects examination of the…
Ancis, J.R., & Marshall, D.S. (2010). Using a multicultural framework to assess supervisees'
perceptions of culturally competent supervision. Journal of Counseling & Development,
88, 277 -284.
Ancis, J.R., & Landany, N. (2010). A multicultural framework for counselor supervision. In N.
Psychoanalytic Model (Object elations)
In this paper, the object relations psychoanalytic model will be employed for solving a family issue; the family in question is taken from movie. The paper will further delineate key object relations concepts, the theory's assumptions, and its application to the aforementioned movie.
The chosen model
The object relations concept is a variant of the psychoanalytic theory, which deviates from the idea held by Sigmund Freud that mankind is driven by acts of aggression and that of sexual drives. Instead, psychoanalytic theory proposes the notion that man is primarily driven by a need to forge relationships with others (i.e. contact). Object relations therapists aim to aid clients in uncovering early mental pictures that can further any current problems in their associations with other people, and adapt them to improve interpersonal performance.
Basic Concepts in Object elations
The word 'object' in the object relations concept does not…
Balk, D. (1996). Models for understanding adolescent coping with bereavement. Death Studies, 20: 367-387.
___. (1990). The self-concepts of bereaved adolescents: Sibling death and its aftermath. Journal of Adolescent Research, 5(1): 112-132.
Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. New York: Basic Books.
Daniel, V. (2007, October). Object Relations Theory. Retrieved from Sonoma State University: https://www.sonoma.edu/users/d/daniels/objectrelations.html
However, conventional beliefs that there is low rate for African-American involvement in suicidal activities, there exists minimal focus on learning the possible suicide patterns among African-Americans. Social workers are not aware of the risks and protectiveness among African-Americans. This gives room for misinterpretation of facts concerning self-destructive activities of African-Americans. The research further stresses the importance of social workers to the study of suicide among African-Americans. They also have the capacity for influencing national policies and strategies for the mitigation of suicidal cases. Through the research, it was evident that there exists extremely little information about the empirical knowledge of social workers practicing in this sector with regard to the works featured by the social work researchers.
With the evidently increasing need for social workers, it is necessary to study the capacities of knowledge of social workers regarding issued of suicide. This is relevant to the increase of social workers…
Anderson, J.A. (2010). Clinical research in context: Reexamining the distinction between research and practice. Journal of Medicine and Philosophy, 35(1): 46-63.
Andrews, P.W. (2006). Parent-Offspring Conflict and Cost-Benefit Analysis in Adolescent
Suicidal Behavior: Effects of Birth Order and Dissatisfaction with Mother on Attempt
Incidence and Severity. Human Nature, 17(2), 190-211. Retrieved from EBSCOhost.
Also known as manic-depressive disorder, bipolar disorder is a severe mental illness that can be treated with a combination of medication and regular therapy. Bipolar disorder is classified as a mood disorder, and is qualified by abnormal intensity of moods and mood swings, leading to dysfunctional, erratic, or self-destructive behaviors. When left untreated or unrecognized, bipolar disorder can disrupt daily functioning and human relationships. Therefore, chemical and non-chemical treatment interventions are critical for maintaining healthy functioning.
Bipolar disorder is referred to as having a cyclic pattern, because the symptoms are episodic. In other words, the person may be severely depressed, then normal, then fully manic, and then back to being depressed. Mania and depression are the two poles from which the person swings back and forth. Prevalence is equally common in men and women ("Bipolar Disorder," n.d.). First signs of onset are usually in the teens or early twenties;…
Barnett, et al. (2011). Personality and bipolar disorder: dissecting state and trait associations between mood and personality. Psychological Medicine 41(8), 1593-1604.
"Bipolar Disorder," (n.d.). Retrieved online: http://www.brown.edu/Courses/BI_278/Other/Clerkship/Didactics/Readings/Bipolar%20Disorder.pdf
Blechert, J. & Meyer, T.D. (2010). Are measures of hypomanic personality, impulsive nonconformity and rigidity predictors of bipolar symptoms? British Journal of Clinical Psychology 44(1), 15-27.
Ettinger, et al. (2005). Prevalence of bipolar symptoms in epilepsy vs. other chronic health disorders. Neurology 65(4), 535-540
There are many of these individuals, and it is time that this is changed.
Parents often look away from these kinds of problems, or they spend their time in denial of the issue because they feel that their child will not be harmed by parental involvement with drugs or alcohol. Some parents have parents that were/are addicts themselves, and some are so busy with their lives that they do not actually realize that their child has any kind of problem with the lifestyle of the parent until it becomes so severe that it cannot be overlooked, or until it is brought to their attention by police, the school, or someone else that has seen it first hand. Parents are not the only ones that overlook this issue, though.
Sometimes siblings and friends also see problems that they ignore, do not understand, or do not talk to anyone about, and the…
Aleman-Padilla, L. 2002. Babies First gets last word on infant care Hundreds recognize groups contribution at fourth annual event. The Fresno Bee.
Anderson, D. 2004. Funding cuts impact health services. Precinct Reporter.
Anderson, S.A. (2000). How parental involvement makes a difference in reading achievement. Reading Improvement.
Baker, P.L. (2000). I didn't know: discoveries and identity transformation of women addicts in treatment. Journal of Drug Issues, 30, 863-881.
The questionnaires for the purpose of this particular study were completed by 179 participants. The gender preference breakdown of the participants included 60 lesbians, 45 heterosexual females, 39 heterosexual males and 37 gay males (Harkless, Blaine, 2005).
When the study was completed and the data went through analysis it was found that gay men and lesbian women reported a higher degree of post relationship involvement with their former partners than heterosexual couple members reported occurring.
The data reflect how inclusion of sexual orientation can broaden understandings of gender differentiated phenomena beyond more traditional gender-only based accounts (Harkless, Blaine, 2005)."
The study questionnaire asked general demographic data and then moved into couple and gender specific questions. The questions required the participants to acknowledge their relationship with their former partner including whether or not they maintained emotional ties, sexual ties or other types of contact with the former partner. The questionnaire also…
Agnew, C.R., Loving, T.J., & Drigotas, S.M. (2001). Substituting the forest for the trees: Social networks and the prediction of romantic relationship state and fate. Journal of Personality and Social Psychology, 81, 1042-1057.
Anderson, P.A., Elroy, S.V., Guerrero, L.K., & Spitzberg, B.H. (1995). Romantic jealousy and relational satisfaction: A look at the impact of jealousy experience and expression. Communication Reports, 8, 77-85.
Attridge, M. (1994). Barriers to dissolution of romantic relationships. In D.J. Canary & L. Stafford, Communication and relational maintenance. (pp. 141-164) San Diego, CA: Academic Press, Inc.
Baxter, L.A. (1982). Strategies for ending relationships: Two studies. Western Journal of Speech Communication, 223-241.
Cohesive Narrative Using a Fictional or eal Character to Build Story
Nineteen-year-old obert was a perfectly 'normal' child for the majority of his life; he anticipated zoo outings with his mother and he was a part of his school's swim team. With three older siblings, obert was the youngest in the family, and was good friends with his high school classmates. He enjoyed French and art classes. He never faced any problems with alcohol or drugs; he neither drank nor smoked pot, or anything of that sort. But his girlfriend was a different case entirely. Addicted to heroin, obert's girlfriend tempted him to have a go at it; unfortunately however, obert didn't resist. She injected him with heroin in 2009. obert later began to find himself craving the drug, and before long, he became a quasi-addict as well, consuming the drug once every two weeks.
It is said that 'peer…
Adventist Healthcare. (n.d.). Partial Hospital Program. Retrieved April 24, 2015, from http://www.adventisthealthcare.com/locations/adventist-behavioral-health/services/partial-hospital-program/
Donovan, J.E. (2004). Adolescent Alcohol Initiation: A Review of Psychosocial Risk Factors. Journal of Adolescent Health, 35(6), 529.
Louise. (n.d.). Outpatient Substance Abuse Treatment. Retrieved April 24, 2015, from http://recovergateway.org/drug-treatment/substance-abuse-treatment/outpatient/
National Crime Prevention Centre (2009). School-based Drug Abuse Prevention: Promising and Successful Programs
100). Much of the focus of personnel selection using psychological testing was on new troops enlisting in the military during two world wars and the explosive growth of the private sector thereafter (Scroggins et al., 2008). Psychological testing for personnel selection purposes, though, faded into disfavor during the 1960s, but it continues to be used by human resource practitioners today. In this regard, Scroggins and his colleagues advise, "Many H practitioners, however, have continued to use personality testing with an optimistic and enduring faith in its ability to discriminate between good and poor job candidates" (p. 101).
In cases where cheating is suspected (such as in the case of an teen applicant possibly using a smartphone or consulting crib notes during testing by visiting the restroom), psychologists have a professional responsibility to conform to relevant privacy laws with respect to the results of such tests, including following the decision-making model…
Barnes, F.P. & Murdin, L. (2001). Values and ethics in the practice of psychotherapy and counseling. Philadelphia: Open University Press.
Bersoff, D.N. (2008). Ethical conflicts in psychology. American Psychological Association.
Bonventre, V.M. (2005, Spring). Editor's foreword. Albany Law Review, 68(2), vii-ix.
Charman, D. (2004). Core processes in brief psychodynamic psychotherapy: Advancing effective practice. Mahwah, NJ: Lawrence Erlbaum Associates.
Experimental esearch Methods in Business
Experimental esearch Methods
The author provides a survey of the literature illustrating applied experimental research methods in cross-sections of business and organization types. The advantages and disadvantages of the experimental research methods are discussed for each of the examples provided which run the gamut from depression-era agricultural economics to research conducted for the National Science Institute. While the article focuses on business research methods, the range of examples from multiple disciplines serves to demonstrate the adaptability of various methods to distinct contexts, the importance of thoughtfully developed research questions, and perceptions in the field regarding scientific rigor. The article is intended to guide students in their exploration of the breadth and depth of experimental research methods and to convey a sense of the challenges of applied scientific inquiry.
The study of business topics has not always been inherently scientific. Certainly the work of Max…
Campbell, A. (2004). A quick guide to research methods, Australian and New Zealand Journal of Family Therapy, 25(3), 163-165.
Cooper, D.R. And Schindler, P.S. (2011). Business research methods. New York, NY: McGraw Hill.
Demarco, T., Hruschka, P., Lister, T., Robertson, S., Robertson, J., and McMenamin, S. (2008). Adrenaline junkies and template zombies: Understanding patterns of project behavior. New York, NY: Dorset House Publishing Co., Inc.
Elliott F.F. (1929, October). Experimental method in economic research, Journal of Farm Economics, 11 (4) 594-596. [Oxford University Press on behalf of the Agricultural & Applied Economics Association]. Retrieved http://www.jstor.org/stable/1229899
Relationships provide the key experience that connects children's personal and social worlds. It is within the dynamic interplay between these two worlds that minds form and personalities grow, behavior evolves and social competence begins." (1999) Howe relates that it is being acknowledged increasingly that "...psychologically, the individual cannot be understood independently of his or her social and cultural context. The infant dos not enter the world as a priori discrete psychological being. Rather, the self and personality form as the developing mind engages with the world in which it finds itself." (Howe, 1999) Therefore, Howe relates that there is: "...no 'hard boundary' between the mental condition of individuals and the social environments in which they find themselves. The interaction between individuals and their experiences creates personalities. This is the domain of the psychosocial." (Howe, 1999) the work of Howe additionally states that attachment behavior "...brings infants into close proximity to…
Ainsworth, M.D.S. (1989). Attachments beyond infancy. American Psychologist, 44, 709-716.
Allen, Jon G. (2001) a Model for Brief Assessment of Attachment and Its Application to Women in Inpatient Treatment for Trauma Related Psychiatric Disorders Journal of Personality Assessment 2001 Vol. 76. Abstract Online available at http://www.leaonline.com/doi/abs/10.1207/S15327752JPA7603_05?cookieSet=1&journalCode=jpa
Armsden, G.C., & Greenberg, M.T. (1987). The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence. Journal of Youth and Adolescence, 16, 427-454.
Barrocas, Andrea L. (2006) Adolescent Attachment to Parents and Peers. The Emory Center for Myth and Ritual in American Life. Working Paper No. 50 Online available at http://www.marial.emory.edu/pdfs/barrocas%20thesisfinal.doc
The future of professional psychology:
The influence of special populations on the field of professional psychology
According to the American Board of Professional Psychology: "It is expected that clinical psychologists will demonstrate sensitivity to and skills in dealing with multicultural/diverse populations....Individual and cultural diversity recognizes the broad scope of such factors as race, ethnicity, language, sexual orientation, gender, age, disability, class status, education, religion/spiritual orientation, and other cultural dimension" (Clinical psychology, 2012, ABPP). In other words, the special needs of specific population groups must be taken into consideration when offering care, to ensure that treatment is commensurate and sensitive to the population's needs. The reason for this emphasis on culturally-appropriate care reflects a greater awareness of how not all forms of treatment are appropriate for all population groups within the field, and the degree to which special population needs have and continues to shape the point-of-view…
Asian-Americans need culturally competent mental health care. (2012). APA.
Clinical psychology. (2012). American Board of Professional Psychology (ABPP). Retrieved:
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
Does Socio-economic Status Impact lives of People with HIV and AIDS?
Individuals with a lower socio-economic status are more prone to contracting HIV and AIDS virus. This measure also determines how individual status, relates to proper medical care. Lack of socioeconomic strength associated to the practice of risky sexual behaviors results to HIV contraction. Men engage in sexual intercourse with many partners without using a condom (Will 2000). Women at this lower level engage in riskier sexual behaviors. Homeless people are more vulnerable to infection, women in such situations are prone to rape and, men are most likely drug users. Individuals with low socioeconomic resources are prone to injury, which makes the susceptible to the effects of the virus that affects the central nervous system (Earnshaw, Valerie and Stephenie 2009).
Does HIV Infection Affect the Socio Sconomic Status of Infected Persons?
HIV and AIDS have negative impacts on the productivity…
Semple, S.J., Patterson, T.L., Temoshok, L.R., McCutchan, J.A., Straits-Troster,
K., Chandler, J.A., & Grant, I. 2003. "Identification of psychobiological stressors among HIV-positive women." Women & Health, 20(4), 15-36.
Earnshaw, Valerie a., and Stephenie R. Chaudoir.2009. "From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures." AIDS
and Behavior 13.6 (2009): 1160-1177.
Josie's case represents the complexities of youth and family advocacy. Being biracial presents additional advocacy issues. Moreover, Josie has admitted to suicidal ideation. It is important to take into account the situational, environmental, and structural variables that are at the root of Josie's behavioral problems in school, focusing advocacy on not just the family but also the school and community. It is also important to recognize that Josie's behavioral problems might have evolved from multiple factors, inviting a multidisciplinary advocacy team.
The key risk factors impacting this case include Josie's suicidal ideation, potential parental neglect, and the "peculiar difficulties in the developmental tasks of adolescence" that biracial children experience (Gibbs, 1987, p. 265). Advocacy also needs to focus on the home environment. Josie's mother may not be home a lot given the financial pressures of raising a child as a single parent. In addition to difficulties forming a cohesive social…
Cunico, B. (2009). Meeting the needs of multi/biracial children in school and at home. Retrieved online: http://www2.uwstout.edu/content/lib/thesis/2009/2009cunicob.pdf
Gibbs, J.T. (1987). Identity and marginality. American Journal of Orthopsychiatry 57(2): 265-278.
Pack-Brown, S., Coulter, S. & Fuller, L. (2013). Multicultural counseling. In Perera-Diltz & MacCluskie, K.C. The Counselor Educator's Survival Guide. Routledge.
Rockquemore, K.A. & Brunsma, D.L. (2008). Beyond Black: Biracial Identity in America. 2nd edition. Lanham, MD: Rowman & Littleman.
The case of Judy Jones: Using cognitive behavioral therapy for anorexics
Anorexia is one of the most difficult of all psychological disorders to treat and has the highest mortality rate of all mental illnesses. The rates of recovery from all eating disorders are alarmingly low: it is estimated that only 50% of ED patients will make a full recovery, 20-30% will continue to present significant subclinical symptoms, 20-30% will remain chronic and 10% will die (Fursland et al. 2012). "Up to 1-5% of women will suffer from a diagnosable ED in their lifetime" (Fursland et al. 2012). The case of Judy Jones is fairly typical: anorexia tends to have an earlier rate of onset than other eating disorders. Judy is female, middle-class and fairly close to her parents (as is evidenced by the referral through her pediatrician, indicating she is receiving regular medical care).
It should be noted…
Fursland, A., Byrne, S., Watson, H., Puma, M.L., Allen, K., & Byrne, S. (2012). Enhanced
cognitive behavior therapy: A single treatment for all eating disorders. Journal of Counseling and Development: JCD, 90(3), 319-329.
But theorists (and clinicians) who use a power-and-conflict model recognize that systems are almost inherently (and indeed may universally) be unequal with some people (or subgroups) holding more power than others. And this inequality in the system is not due to a dysfunctionality that can be remedied through interventions such as improving communications or even empowering those without power. hile the latter would seem to be a strategy that would make an unequal system into an equal one, a power-and-conflict theorists would argue that systems are necessarily unequal. Thus even if one part of a system is given more power this will not lead to an equal system since power will never stay in balance. It will simply shift from one person or group to another -- either permanently or temporarily.
There is some possibility for hope in such a model. Power-and-conflict theorists believe that individual communities cannot become entirely…
Kozol, Jonathan. Amazing Grace: The Lives of Children and the Conscience of a Nation. New York: Crown, 1996.
Such relationships in childhood begin with the parents, and for Asher, these early relationships are also significant later, as might be expected.
However, as Potok shows in this novel, for someone like Asher, the importance of childhood bonds and of later intimate bonds are themselves stressed by cultural conflicts between the Hasidic community in its isolation and the larger American society surrounding it. For Asher, the conflict is between the more controlled religious environment of the community and the more liberal environment of the art world he joins. What Potok shows about this particular conflict might seem very different from what others experience, others who are not part of such a strict religious background and who are not artists. However, children always find a conflict between the circumscribed world of their immediate family and the world they join as they strike out on their own. This conflict is often portrayed…
Belkin, L. (2004). The Lessons of Classroom 506. New York Times Magazine, 40-53.
Bowlby, J. (1988). Developmental psychiatry comes of age. American Journal of Psychiatry, 145, 1-10.
Erikson, E.H. (1963) Childhood and Society. New York: Free Press.
Kim, W.J., Kim, L. & Rue, D.S. (1997). Korean-American Children. In G. Johnson-Powell & J. Yamamoto (Ed.) Transcultural Child Development: Psychological Assessment and Treatment (pp. 183-207). New York: John Wiley & Sons, Inc.
Digestive Disorder: Diverticulitis
The patient is a 37-year-old female with a family history of colorectal cancer mandating regular colonoscopies before the age of 40. The patient's diverticulosis was discovered during a routine colonoscopy at age 35. She was asymptomatic for 2 years, but developed diverticulitis at age 37. When she began experiencing significant pain her lower left abdominal area, she suspected diverticulitis, called her gastroenterologist who referred her to the emergency room for a cat scan, which confirmed the diagnosis, and then given a course of antibiotics, which resolved the issue.
"Diverticulitis develops when feces become trapped in pouches (diverticula) that have formed along the wall of the large intestine. This allows bacteria to grow and cause an infection or inflammation and pressure that may lead to a small perforation or tear in the wall of the intestine. Peritonitis, an infection of the lining of the abdominal…
Davis B.R. & Matthews, J.B. (2006). Diverticular disease of the colon. In M. Wolfe et al., eds., Therapy of Digestive Disorders, 2nd ed., pp. 855-859. Philadelphia: Saunders Elsevier.
Maconi, G., Barbara, G., Bosetti, C., Cuomo, R., & Annibale, B. (2011). Treatment of diverticular disease of the colon and prevention of acute diverticulitis: A systematic review. Dis. Colon Rectum, 54(10), 1326-38.
Martin, S.T., & Stocchi, L. (2011). New and emerging treatments for the prevention of recurrent diverticulitis. Clin. Exp. Gastroenterol., 4, 203-212.
Unlu, C., Daniels, L., Vrouenraets, B.C., & Boermeester, M.A. (2011). A systematic review of high-fibre dietary therapy in diverticular disease. Int. J. Colorectal Dis. doi: 10.1007/s00384-011-1308-3. Retrieved from: http://dx.doi.org/10.1007/s00384-011-1308-3
Domestic violence is an ongoing experience of physical, psychological, and even sexual abuse in the home that is often a method used by one adult to establish control and power over another person (Flitcraft et al., 1992). Exposure by children to marital aggression is now a recognized public health concern. The investigation of the effects of the exposure to this type of aggression on the functioning of a child is a significant societal concern. Marital conflict is generally defined as any difference of opinion between martial or domestic partners whether it is minor or major. Marital conflict can assume many different forms including displays of both negative and positive emotions and/or constructive and destructive tactics. Marital aggression is characterized by physical and/or psychological abuse and would fall at the negative extreme on a continuum of marital conflict (Cummings, 1998). Marital psychological/verbal aggression refers to things such as threats, insults, and…
Babcock, J.C., Green, C.E. & Robie, C. (2004). Does batterers' treatment work? A meta-
analytic review of domestic violence treatment. Clinical Psychology Review 23(8), 1023-1053.
Carlson, B.E. (1984). Children's observations of interparental violence. In A.R. Roberts (ed.),
Battered women and their families (pp. 147 -- 167). New York: Springer.
Abnormal Uterine Bleeding and Issues
Reproductive Tract Diseases for human females are typically focused in the upper reproductive tract or the lower reproductive tract. The upper tract includes the fallopian tubes, ovary and uterus, while the lower reproductive tract focuses on the vagina, cervix and vulva. There are three major types of infections: endogenous, iatrogenic and sexually transmitted diseases. Endogenous diseases arise from internal cellular structures and may be bacterial, viral or genetic, usually the most common and arise from an overgrowth of organisms that are already present in the vagina; iatrogenic diseases are the result of medical or surgical treatment, and sexually transmitted diseases occur between humans as a result of sexual behavior. In addition to infections, there are congenital abnormalities, cancers and functional problems. Each infection has its own specific cause and symptoms; caused by bacteria, virus, fungi or other organisms. Indeed, some are easily treatable and cured,…
Azim, P., et al. (2011). Evaluation of Abnormal Uterine Bleeding. Isra Medical Journal, 3(3). Retrieved November 2013, from http://184.108.40.206/Isra%20Medical%20Journal%20Volume-III%20Issue-III.pdf#page=6
Davidson, B., et al. (2012). Abnormal Uterine Bleeding During the Reproductive Years. Journal of Midwifery and Women's Health, 57(3), 248-54.
Fraser, I., et al. (2011). The FIGO Recommendations on Terminologies and Definitions for Normal and Abnormal Uterine Bleeding. Seminars in Reproductive Medicine, 29(5), 383-90.
Gray, S. (2013). Menstural Disorders. Pediatrics in Review, 34(1), 6-18.
Framwork for Practise and Presentation
Sociology -- Social Work
There are several factors that contribute to seeming intractability and complexity of social issues. We cannot retrieve an actual picture of any problem considering a single issue. The root causes of social issues are related to individual circumstances and some are beyond the individual control. Central goal of social work profession is the social justice. Social workers can better serve all the needs of the service users if they will have the tools that are required to analyze the existing social policies and problems. This term paper is based on the ideology and the theories embraced by social workers; also their practice strategies and inclusiveness of cultural diversity is discussed in detail.
FINAL PAPE -- FAMWOK FO PACTISE AND PESENTATION
We find several social issues in our surroundings. Every social issue does not depend on a single cause rather there are…
Antonio, A., & Resko, S.M. (2008). Cognitive-Behavioral Theory. Retrieved July 3rd, 2012, from http://www.sagepub.com/upm-data/40689_2.pdf .
Clines, F.X. (1993). Dealing with Drug Dealers: Rehabilitation, Not Jail; Hynes Tries Alternative Approach Intended to Stop a Problem by Curing and Addiction. The New York Times. Retrieved July 3rd, 2012, from http://www.nytimes.com/1993/01/20/nyregion/dealing-with-drug-dealers-rehabilitation-not-jail-hynes-tries-alternative.html?pagewanted=all&src=pm
CBR. (2004). A Strategy for Rehabilitation, Equalization of Opportunities, Poverty Reduction and Social Inclusion of People with Disabilities. Community-Based Rehabilitation. Retrieved August 3rd, 2012, from http://whqlibdoc.who.int/publications/2004/9241592389_eng.pdf .
Flores, P.J. & Georgi, J.M. (2005). Substance Abuse Treatment: Group Therapy. Retrieved June 02, 2012, from http://www.ctcertboard.org/files/TIP41.pdf .
Schizophrenia is considered to be one of the most sever psychiatric disorders. The incidence of the condition each year is approximately 15 in every 100,000 people, and the lifetime risk of developing schizophrenia is 0.7% (Tandon et al., 2008). Family history and genetics have been identified as contributing to the development of schizophrenia in 80% of cases (Tandon et al., 2008). Some environmental factors associated with increased likelihood of the development of schizophrenia include prenatal malnutrition or infection, use of cannabis, birth complications, and winter birth (Tandon et al., 2008). However, the mechanisms by which genetic and genetic-environmental factors interact to cause the onset of schizophrenia are not well understood. It is important that effective treatments be developed to help individuals cope with this serious and debilitating psychiatric disorder. What types of therapies outside of pharmaceuticals have been found to be successful in the treatment of schizophrenia? Is any type…
Eack, S.M., Hogarty, G.E., Cho, R.Y., Prasad, K.M., Greenwald, D.P., Hogarty, S.S., Keshavan, M.S. (2010). Neuroprotective effects of cognitive enhancement therapy against gray matter loss in early schizophrenia: results from a 2-year randomized controlled trial. Archives of General Psychiatry, 67(7), 674-82.
Gorczynski, P., Faulkner, G. (2010). Exercise therapy for schizophrenia. Cochrane Database of Systematic Reviews, 12(5), CD004412.
Laan, W., Grobbee, D.E., Selten, J.P., Heijnen, C.J., Kahn, R.S., Burger, H. (2010). Adjuvent aspirin therapy reduces symptoms of schizophrenia spectrum disorders: results from a randomized, double-blind, placebo-controlled trial. Journal of Clinical Psychiatry, 71(5), 520-7.
Tandon, R., Keshavon, M.S., Nasrallah, H.A. (2008). Schizophrenia, "just the facts" what we know in 2008. Schizophrenia Research, 102(1-3), 1-18.
Particularly, the risks of diverse neoplasms have been seen to be raised in Turner Syndrome is quite low quantum, however, except for gut cancer and gonaboblastoma in patients having occult Y chromosome sequences. (Cabanas; Garcia-Caballero; Barreiro; Castro-Feijoo; Gallego; Arevalo; Canete; Pombo, 2005)
Additionally, there appear to have no prior indication of the relationship between the Turner Syndrome and papillary thyroid carcinoma, irrespective of the fact that there has been one report of an anaplastic thyroid carcinoma in a TS patient in association with Hashimoto's thyroiditis. Several epidemiological studies and studies relating to exhaustive long-term monitoring of GH-associated patients have been seen to have benefited therapeutically from GH treatment and found to be safe having no detectable effect on risk of cancer. But the current studies have shown a probable relationship between GH-IGF axis and the pathogenesis of neoplasms. The study on papillary thyroid carcinoma after GH therapy for Turner Syndrome…
Cabanas, P; Garcia-Caballero, T; Barreiro, J; Castro-Feijoo, L; Gallego, R; Arevalo, T;
Canete; R; Pombo, M. (2005) "Papillary thyroid carcinoma after recombinant GH therapy for Turner syndrome" European Journal of Endocrinology. Vol: 153; No: 4; pp: 499-502
Dowshen, Steven. (2005) "Turner Syndrome" Retrieved at http://www.kidshealth.org/teen/diseases_conditions/genetic/turner.html . Accessed 8 November, 2006
Gordon, John D; Lebovic, Dan I; Taylor, Robert N. (2005) "Reproductive Endocrinology and Infertility: Handbook for Clinicians" Scrub Hill Press, Inc.
Patient is a Hispanic male, aged 31. He is the father of one son, aged 10. The patient is Puerto ican, and was born and spent his childhood in Puerto ico. He came to live in the U.S. at age 11. He now lives in Brooklyn, New York. The patient is separated from the mother of his son. His son lives with his mother. The patient currently lives alone and is unemployed.
The chief complaint of the patient is that he is "feeling down and alone recently," and that he also feels separated from his family: "I also haven't seen my son for a while." Clearly he is depressed about his living situation, his prospects, and his health.
History of Present Illness
The patient's present illness is related to drug abuse, of which the patient has a considerable history. Essentially, the patient reports that over the past…
Beck, J. (2011). Cognitive Behavior Therapy: Basics and Beyond. NY: Guilford Press.
Hewitt, J. P. (2009). Oxford Handbook of Positive Psychology. Oxford University
McKay, D. et al. (2015). Efficacy of cognitive-behavioral therapy for obsessive-
It provides health-related advice on its website that all readers can benefit from, not simply those who use its services. As well as reaching out to the wider population of patients, it honors those within its fold who serve the organization with nights such as its "Celebrating Our Talent" ceremony designed to honor organizational members who have shown excellence in their duties (Boyd 2012).
The climate at the organization stresses valuing employees as well as clients, and serving the needs of its employees is included in the organization's statements of its critical functions. This acknowledges the need for caregivers to be cared for as well as patients. There is also a commitment to technological change to facilitate care: the organization was praised in 2003 for completely reconfiguring the way in which it kept track of patient data, switching to an entirely online system, to comply with changes in regulation and…
Boyd, Tracey. (2012). VNSNY home care agency praises nursing talent. VNSNY. Retrieved:
Mission and vision. (2013). VNSNY. Retrieved:
Pharmaceutical industries have to operate in an environment that is highly competitive and subject to a wide variety of internal and external constraints. In recent times, there has been an increasing trend to reduce the cost of operation while competing with other companies that manufacture products that treat similar afflictions and ailments. The complexities in drug research and development and regulations have created an industry that is subject to intense pressure to perform. The amount of capital investment investments required to get a drug from conception, through clinical trials and into the market is enormous. The already high-strung pharmaceutical industry is increasingly investing greater amounts of resources in search of the next "blockbuster" drug that can help them gain market position and profits. Laws, regulations and patents are important to the industry while spending billions of dollars in ensuring the copyright of their products.
It is the intention of this…
Ansoff, H.I. (1957). Strategies for diversification. Harvard Business Review, 35(5), 113-124.
Ansoff, H.I. (1965). Corporate Strategy. New York, NY: McGraw-Hill.
Ashour, M.F., Obeidat, O., Barakat, H., & Tamimi, A. (2004). UAE Begins Examination of Patent Applications. Tamino.com. Retrieved January 18, 2004, from the World Wide Web: http://www.tamimi.com/lawupdate/2001-01/intprop.htm
Bain, J.S. (1954). Economies of scale, concentration, and the condition of entry in twenty manufacturing industries. American Economic Review, 44, 15-36.
Towards of the goal of fulfilling the mission to "help those we care for to experience the best life possible," nursing services provided at the Sarah Neuman Center include:
Twenty-four nursing in a secure residential setting.
Twenty-four medical coverage supported by onsite and on-call physicians.
Onsite medical specialist consulting services.
Individualized therapy sessions, to include speech therapy, physical therapy, art and music therapy.
Nutritional services supported by staff dietitians.
Onsite pharmaceutical and laboratory services. (Sarah Neuman, para. 9)
Patients that require long-term residential care are often transferred to the Bronx nursing home which provides all of the above services, in addition to highly individualized care services and therapies for "more complex clinical needs" (Bronx, para. 4). These needs include-but are not limited to-progressive Alzheimer's, severe vision impairment, severe speech and swallowing impairments, and chronic kidney disease requiring hemodialysis.
Structural Support of Mission
That each facility essentially provides the same services…
"Bronx." jewishhome.org. Jewish Home Lifecare, 2010. Web. 01 January, 2011.
"Manhattan." jewishhome.org. Jewish Home Lifecare, 2010. Web. 01 January, 2011.
"Sarah Neuman." jewishhome.org. Jewish Home Lifecare, 2010. Web. 01 January, 2011.
"Research Institute on Aging." jewishhome.org. Jewish Home Lifecare, 2010. Web. 01 January,
Adolescents with poor problem-solving skills are at greater risk of suicide, according to an article in the Journal of Clinical Psychology (Grover, et al., 2009). The authors concentrate on the problem of "chronic stress" in adolescents, saying it involves "deprivation or disadvantage" that is ongoing and those dynamics create a "continuous stream of threats and challenges" for the adolescent. The therapy in this research? Counselors, therapists, parents and teachers all need to help adolescents learn "well-developed problem-solving abilities" in order to "buffer the negative impact of both episodic and chronic stress…" (Grover, p. 1286).
Earlier in this paper it was asserted that up to 20% of adolescents in the U.S. will encounter some form of depression due to stress. The National Institute of Mental Health (NIMH) suggests that the best treatment for severely depressed youths is a combination of psychotherapy and antidepressant medication; that formula works better than either…
Bradley, Kristen. (2002). Survey Shows High Levels of Teen Stress. International Child and Youth Care Network. Retrieved April 10, 2011, from http://www.cyc-net.org/today2002/today021016.html .
Byrne, D.G., and Mazanov, J. (1999). Sources of Adolescent Stress, Smoking and the Use of other Drugs. Stress and Health, 15(4), 215-227.
Cherry, Kendra. (2009). What Is Emotional Intelligence? About.com. Psychology. Retrieved April 10, 2011, from http://psychology.about.com .
Ciarrochi, Joseph, Deane, Frank P., and Anderson, Stephen. (2001). Emotional Intelligence
Same-Sex Marriages in Canada
Although the debate over whether same-sex marriages should be allowed, a number of countries have legalized these unions in recent years, and the same trends are taking place through North America as well. In fact, given the increasing pace of reform, it is reasonable to suggest that most if not all states in the United States and Canada will have legalized same-sex marriages someday, a process that transform the debate over whether same-sex marriages should be allowed to one that focuses on why it took so long. Because many social and legal benefits accrue to the legal institution of marriage, these are important issues since the legalization of same-sex marriages will convey these social and legal benefits to homosexual partners who believe they are entitled to the same treatment as their heterosexual counterparts. To gain some additional insights into these recent trends and provide an overview…
Basham, K.K. & Miehls, D. (2004). Transforming the legacy: Couple therapy with survivors of childhood trauma. New York: Columbia University Press.
Black's law dictionary. (1999). St. Paul, MN: West Publishing Co.
Hildebrand, K. (1991). The Third Reich. London: Routledge.
Hustedde, R.J. & Ganowicz, J. (2002). The basics: What's essential about theory for community development practice? Journal of the Community Development Society, 33(1), 1-3.
Ethical Practice Involves Working Positively Diversity Difference
Counseling is a profession that involves associations based on principles and values ethically. Patients are able to benefit by understanding themselves better and through creating relationships with others. Through counseling, the clients are able to make positive alteration in life and enhance their living standards. Communities, organizations, couples and families are different groups of individuals are main sources of relationships (BACP Ethical Framework, 2013, p.4). Frameworks of ethical practice direct the attention of counseling practitioners to engage in ethical responsibilities. This stud describes the purpose of each principle following the development of good counseling practice. Practitioners make reasonable decisions grounded on these principles without making any contradictions. Nevertheless, research indicates that professionals have met barriers hindering them to integrate all the principles in some cases. In such situations, they are forced to select between required principles. A course of action or a decision…
BACP Ethical Framework. (2013). The Ethical Framework for Good Practice in Counselling. Pp 1-10. Accessed April 7, 2013 from www.bacp.co.uk/admin/structure/files/pdf/9479_ethical%20framework%20jan2013.pdf
Clarkson, P. (2009). The Therapeutic Relationship. New York NY: Wiley
Handout 1. MkSame-Sex Relationships, an Historical Overview. A review by Robin Heme
Handout 2. What are the potential abuses of these kinds of power in the relationship between counsellor and client? Janet Dowding 02.2010 saved as power
cross-cultural values and mores to identify the author's interactions with gay, lesbian, and transgendered individuals, Latinas and individuals with disabilities. Further, this paper integrates the case study analyses provided in "Case Studies in Multicultural Counseling and Therapy" and relevant Social Justice Counseling issues to support the discussions. In addition, for each of these three cultures, a discussion concerning what factors should be kept in mind during interfaces with each so that all parties are honored to facilitate work with them as a therapist, colleague, social acquaintance, partner, and neighbor. Finally, an analysis concerning what was especially easy and fun and what was challenging to understand about these cultures given the author's unique worldview is followed by a summary of the research and important findings about these three cultures and cross-cultural values and mores in the conclusion.
eview and Analysis
Gay, Lesbian, and Transgendered Individuals
With growing numbers of states legalizing…
Beam, C. (2014). Is Hispanic the same thing as Latina? Slate. Retrieved from http://www.
Beecher, M.E. & Rabe, R.A. (2007, Spring). Practical guidelines for counseling students with disabilities. Journal of College Counseling, 7(1), 83-87.
Bess, J.A. & Stabb, S.D. (2009, July). The experiences of transgendered persons in psychotherapy: Voices and recommendations. Journal of Mental Health Counseling,
Participants filled out a Short-Form McGill Questionnaire, an Arthritis Self-Efficacy Scale, and Fibromyalgia Impact Questionnaire in order to measure their levels of pain over the past few weeks. What the researchers found through statistical analysis was self-management strategies that reduced pain over time were most effective in the group that was exposed to guided imagery techniques. The level of guided imagery therapy was not itself significant, but more of the fact of whether or not it was present in the patient's therapy or not. This helps illustrate the effectiveness of guided imagery in managing long-term chronic pain when there are no fundamental cures present within traditional therapeutic practices. Pain management symptoms improved, but the symptoms overall remained. This shows that guided imagery is not a cure in and of itself, but rather an effective way to reduce and manage the pain that is present in chronic conditions like fibromyalgia.
Ferrell, Betty R., et al. "Pain management for elderly patients with cancer at home." CANCER-PHILADELPHIA- 74 (1994): 2139-2139.
Menzies, V., Taylor, a.G., & Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. Journal of Alternative & Complementary Medicine, 12(1), 23-30.
Weydert, J.A., Shapiro, D.E., Acra, S.A., Monheim, C.J., Chambers, a.S., & Ball, T.M. (2006). Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC pediatrics, 6(1), 29.
6) Doiron, R. (1994). Using Nonfiction in a Read Aloud Program: Letting the Facts Speak for Themselves. The Reading Teacher, 47(8), 616-624.
This article challenges the pervasive role that fiction has played in read-aloud programs and develops a rationale for including nonfiction. It has a 20-item
Annotated ibliography of nonfiction read-aloud texts.
7) Mountain, L. 2005. Rooting out meaning: more morphemic analysis for primary pupils. Reading Teacher, Vol. 58(8): 742-749.
The research on morphemic analysis is reviewed and explored as to ways to give pupils in grades 1-3 an early start on using prefixes, suffixes and roots to construct word meaning. The strategies for teaching morphemic analysis and modification of methods to use with younger children are examined.
8) Joshi, R.M. 2003. Misconceptions about the assessment and diagnosis of reading disability. Reading Psychology, Vol. 24: 247-266.
This article is about the diagnosis and remediation of reading disabilities and talks about…
Bibliography of nonfiction read-aloud texts.
7) Mountain, L. 2005. Rooting out meaning: more morphemic analysis for primary pupils. Reading Teacher, Vol. 58(8): 742-749.
The research on morphemic analysis is reviewed and explored as to ways to give pupils in grades 1-3 an early start on using prefixes, suffixes and roots to construct word meaning. The strategies for teaching morphemic analysis and modification of methods to use with younger children are examined.
8) Joshi, R.M. 2003. Misconceptions about the assessment and diagnosis of reading disability. Reading Psychology, Vol. 24: 247-266.
This article is about the diagnosis and remediation of reading disabilities and talks about how the relationship between IQ and reading skill is not straightforward and is, in fact, controversial and why. While 25% of the school population has some form of reading problem, diagnosis based on IQ is not relevant, but a model called the componential model of reading is put forward as more accurate.
realm of psychological disorder through the use of a character assessment. The character in question is fictional and the data used to evaluate the psychological profile derives from a movie. Melvin Udall, the main character in the movie "As Good as It Gets" serves as the character used in this assessment. Ultimately, I find and explore specific links to Melvin's condition in the movie to that of one suffering from Obsessive Compulsive Disorder (OCD).
In order to discuss the relationships previously mentioned, I needed to perform several steps in order to logically conclude that Melvin represents someone suffering from OCD symptoms. In order to accomplish this task, I first watched the film and examined many of the traits that Melvin demonstrated. Next, I used a set of ten questions which provided a baseline assessment formula. These questions are each answered separately within the body of this essay. This character assessment…
Atkins, L. (2009). A radical treatment for obsessive-compulsive disorder patients. The Guardian, 14 Dec 2009. Retrieved from http://www.guardian.co.uk/lifeandstyle/2009/dec/15/obsessive-complusive-disorder - gamma-knife
Brooks, J.L. (1998) As Good As It Gets. Jack Nicholson, Helen Hunt, Greg Kinnear. Tristar Pictures.
Bouchard, C. Rheaume, J. Landouceru, R. (1998). Responsibility and perfectionism in OCD. Behavior Research Therapy 37 (1999). 239-248. Retrieved from http://homepage.psy.utexas.edu/Homepage/Class/Psy394Q/Research%20Design%20Clas s/Assigned%20Readings/Experimental%20Psychopathology/Bouchard99.pdf
Eddy, M.F., & Walbroehl, G.S. (1998, April 1). Recognition and treatment of obsessive- compulsive disorder. American Family Physician, p. 1623-1632. http://www.aafp.org/afp/1998/0401/p1623.html
Carl must be psychologically prepared to make such changes, however. Thus, as well as taking Carl's blood pressure and submitting a blood sample to have his cholesterol screened (getting his blood glucose level assessed, even though there were no problems in the past with this reading might also be wise), the nurse should try to obtain a full assessment of Carl's lifestyle. When and what does he eat? What are his work habits? His sleep habits? Has anything changed recently in his life? All of these factors could make a potentially meaningful impact upon both the test results and the eventual prescription for Carl to improve his health.
Carl is still very young to run the risk of having a heart attack: the risk of having a heart attack increases dramatically after age 65) so engaging in positive changes now is wise and prudent (Heart health screening, 2013, AHA). It…
Drug therapy for cholesterol. (2013). AHA. Retrieved:
Heart health screening. (2013). AHA. Retrieved:
Caregivers of Alzheimer's Patients
Community Health Promotion Project Design
As we have discovered in the first part of the study, Alzheimer's is a major health issue for the population of seniors 65 years and older. Alzheimers costs taxpayers and individuals billions of dollars for the provision of care for those who can no longer care for themselves. Alzheimer's is an expensive disease and many times it is the family who must bear much of the expense. We found that the financial strain of caring for someone who has Alzheimer's creates an incredible amount of stress on family members. However, we also found that perhaps even greater than the financial strain, Alzheimer's places in incredible load on the family as they are usually the ones who must care for their family member.
The aggregate for this study consists of family members who must care for other members of the family who…
Belle SH, Czaja SJ, & Schulz R, (2003). "Using a new taxonomy to combine the uncombinable: Integrating results across diverse interventions." Psychology and Aging. 18:396 -- 405
Gitlin LN, Belle SH, & Burgio LD, et al. (2003). "Effect of multicomponent interventions on caregiver burden and depression: The REACH multisite initiative at 6-month follow-up." Psychology and Aging. 2003;18:361 -- 374.
Wisniewski, S., Belle, S. & Marcus, S. et al. (2003). The resources for enhancing old climbers caregiver health (REACH): project design and baseline characteristics. Psychological Aging. 18 (3), 375-384.
Broken Heart Syndrome
Cardiovascular Case Study
Broken heart syndrome, otherwise called stress or Takotsubo cardiomyopathy (TTC), represents an adverse physiological response to an acute psychological or physical stressor (Derrick, 2009). The death of a loved one or experiencing a physically traumatic event, represent two examples of life stressors that can cause this reversible form of cardiomyopathy. Although effective treatment is available, the seriousness of the condition is such that it explains how a person can literally die of a broken heart.
An estimated 1.2 million people suffered from an myocardial infarction (MI) in 2007 and approximately 1% (Derrick, 2009, p. 50) to 2% (Wittstein, 2012, p. 2) of MI events was probably due to TTC. Women are far more susceptible to TTC than men and represent approximately 89% of all cases (Derrick, 2009, p. 50). This gender bias shifts the estimated prevalence of TTC among female MI patients…
American Heart Association, American Stroke Association. (2011). Women & cardiovascular disease: Statistical fact sheet 2012 update. Heart.org. Retrieved 4 Feb. 2012 from http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319576.pdf
Derrick, Dawn. (2009). The "broken heart syndrome": Understanding Takotsubo cardiomyopathy. Critical Care Nurse, 29, 49-57.
Fitzgerald, Helen. (2000). Helping a grieving parent: Working through Grief. AmericanHospice.org. Retrieved 4 Feb. 2012 from http://www.americanhospice.org/index.php?option=com_content&task=view&id=84&Itemid=8
Liao, Joshua. (2011). Takotsubo: Octopus trap. Journal of Medical Humanities. Published ahead of print online Aug. 9. Retrieved 4 Feb. 2012 from http://www.springerlink.com/content/ak0776051x43w701/
human DNA sequence composed of a series of letters such as 'accagacagt' and the objective was to decipher this jumble of letters and interpret the results. I suppose I should report that the process went smoothly and that after a bit of research I now consider myself an expert in regard to the new science of DNA Sequencing. However, I have a thousand more questions now than before I began and even the answers I came up with may or may not be correct. I do know for a fact that this is a pretty new art or science and its potential seems limitless. "DNA itself has thus far shown only modest evidence of possessing any intrinsic catalytic activities, although the prospect that more will be discovered in the future is surely plausible." (Cantor & Smith, 1999, xv)
The internet has made so many sites and processes available to the…
Obviously, enterokinase gene being tied to this chromosome entails a great deal of research interest into the biological functions of the gene and the manner by which it contributes to disease. Defects in PRSS7 therefore are a direct cause of enterokinase deficiency which is a life-threatening intestinal malabsorption disorder. The disorder can be characterized by severe bouts of diarrhea and failure to thrive and thus create a situation of initiating activation of pancreatic proteolytic proenzymes (trypsin, chymotrypsin and carboxypeptidase a).
Animals, like humans, have to handle digestion of exogenous macromolecules without destroying endogenous constituents so the serine protease or enterokinase seems to be a fundamental digestive system requirement. In other words, all vertebrates such as mice or dogs have adapted a two step enzymatic cascade that is used to change pancreatic zymogens over to active enzymes in the lumen of the gut as discovered by researchers in Pavlov's laboratory in the early 1900's. "Extracts of the proximal small intestine were shown strikingly to activate the latent hydrolytic enzymes in pancreatic fluid. Pavlov considered this intestinal factor to be an enzyme that activated other enzymes, or a 'ferment of ferments' and named it enterokinase." (Stone, 2002)