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She demonstrated a positive response to the communication. Another key strength of the interaction is that Helen had a positive action that she could take in response to our conversation. It gave Helen specific actions to help her focus on positive events.
One of he key weakness of communication was that although, I was able to redirect Helen from her grief, the underlying issues surrounding the grief were not discussed. Helen's Alzheimer's is a contributing factor in this conversation. It was easy to get her to share long-term memories, but difficult to get her to share feelings about the present. The second major weakness in the communication is that the communication did not address issues that result from Helen's Alzheimer's disease. There is a distinct possibility that Helen will forget my suggestions and will not follow up on them. A plan needs to be included that will make certain that…
Wilkinson, J. And Van Leuven, K. 2007. Fundamentals of Nursing. Philadelphia, PA. F.S. Davis
Knapp focuses on teaching by example, by providing dialogue boxes clinicians can use to practice their therapeutic skills development on patients. Knapp also focuses on teaching counselors how to balance emotional dynamics that often come into play in a therapeutic setting. These include for example, transference of feeling, self-awareness and the "inevitable termination of the client/counselor relationship" (Knapp, 2007: 29).
Most helpful in this book is a live transcription of sessions with clients that help counselors learn how to engage in short-term therapeutic communication and transcripts that teach counselors how to terminate relationships. Students working at the graduate level and professionals working in social services or counseling can all benefit by the tools presented in this easy-to-use guidebook.
Counselors and teachers can also use this book as a self-help tool to help them overcome their own challenges when attempting to establish open-minded and effective communication with children and adults. I…
Knapp, H. (2007). Therapeutic Communication: Developing Professional Skills. New York: Sage
Therapeutic Relationships in Mental Health
Journal Summary Assignment
Complete this m andatory assignment.
SAVE it as docx
it to your instructor from BLACKBOARD.
Review your journal entries with the aim of analyzing your learning.
Assess your development of therapeutic communication skills.
a) Analyze your own knowledge base: what areas are clear for you and which are fuzzy and need more work?
Type or paste your analysis below. You can add more space to each simply by continuing to type. You can remove unneeded white space by deleting it if you wish.
These areas of the knowledge base/these communication skills are clear to me: Listening skills, nonverbal messaging, empathetic understanding, understandable language, caring helper, genuineness.
I want to work more on these areas of the knowledge base or these skills:
Self-Reflection / self-analysis.
b) Determine how your understanding of the knowledge base guides your use of communication skills.
Communication is a fundamental facet in any production plant or organization. There are various communication channels and applications in the world of communication. Communication modalities are present in almost every organization. Different entities of growth and production require a diversity of communication channels. For instance, different communication channels can be involved like e-mails, web-based forums, and electronic medical records.
Communication modality used for marketing in health care
Web-based forums are one of the trusted communication channels between consumers and health care providers in the world. The existence of technology has necessitated establishment of online channels where health care service providers are able to interact with consumers in remote senses. For instance, it has become easy for a client in any part of the world to access web-based forums that are provided through the internet. Through web-based forums, clients access a diversity of information and communication from…
Ball, M.J., & Hannah, K.J. (2011). Nursing informatics: Where technology and caring meet.
Nelson, R., Joos, I.M., & Wolf, D.M. (2013). Social media for nurses: Educating practitioners and patients in a networked world. New York, NY: Springer Pub. Co.
Speares, P.A. (2008). Acoustic communication modalities of the round goby (Neogobius
Legalization of Marijuana
Pro-Side: There are many good reasons for the legalization of marijuana. While there are few jurisdictions from which to pull evidence on the positive benefits of legalization, we do have extensive experience with the negative impacts of marijuana prohibition. Marijuana prohibition has resulted in high arrest rates, in particular for minorities, which has created social chaos in those communities as young men are incarcerated long-term for what is a victimless crime. Marijuana prohibition also denies governments a potentially important source of tax revenue, as there is a fairly high consumption rate of the plant already. Marijuana prohibition costs law enforcement millions, has created a massive and bloody gang war in Mexico, and has done nothing to stem the use of the plant. These financial and law enforcement resources would be put to better use elsewhere. It is the interests of law enforcement, many politicians and the…
ProCon.org. (2014) Medical marijuana. ProCon.org. Retrieved January 8, 2014 from http://medicalmarijuana.procon.org/view.resource.php?resourceID=000141
LegalizationOfMarijuana.com (2014). Pros for legalizing marijuana. LegalizatoinOfmarijuana.com. Retrieved January 8, 2014 from http://legalizationofmarijuana.com/pros-and-cons-of-marijuana.html
Personal Professional Healthcare Communication Paper
What is Healthcare Communication?
Communication can be generally defined and the method of imparting information from a source to targets. The process of sharing thus has its own set of rules and for human communication the written and spoken words are used. There is also a series of communication called non-verbal which is also significant. There are behaviors that show what a person thinks or feels is also communication. (Berry, 2007)
These types of communication applies in the health care settings too. Health communication may be defined as the study of the means of communication and its strategies not only to communicate to individuals but to the community thus creating decisions on health questions. Thus for the health service the communication within itself and the society concerned with individual and public health, is a very important field that requires specialization and research in medical information…
Berry, Dianne. (2007) "Health Communication: Theory and Practice." Open University Press:
Diebold Institute for Public Policy Studies. (1995) "Healthcare Info structures: The
Development of Information-Based Infrastructures for the Healthcare Industry." Praeger: Westport, CT.
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of…
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Physically, massage or TT eases muscle tension and improves circulation. In turn, it improves digestion and breathing, enhances mental clarity, and encourages better sleep. TT is particularly useful to terminally ill patients in reducing or mitigating pain to the extent of making prescription painkillers unnecessary. Emotionally, TT or massage is a gentle and compassionate experience for the dying. It reduces the sense of isolation by providing him or her with physical connectedness. It can also re-establish dwindling or lost self-esteem and self-acceptance on account of disease. As a result, it contributes to increased quality of life and a much-needed release of emotions. Medicare as yet does not cover massage therapy for hospice settings but an increasing number of group have been lobbying for its inclusion.
Useful Alternatives to Pain and Discomfort Management
These alternatives have shown to be effective in easing spiritual, emotional and psychological pain that contribute to the…
Aghabati, N et al. (2010). The effect of therapeutic touch on pain and fatigue of cancer patients undergoing chemotherapy. Evidence-based Complementary Alternative
Medicine: PubMed. Retrieved on June 16, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887328
Catlin, A. (2009). Hospice massage: easing the pain of a life-limiting illness (Part 1).
vol 9 # 3, Massage Today: MPA Media Publications. Retrieved on June 19, 2011
Morgan's Case Study
Morgan is a bi-racial 16-year-old adolescent male whose mother is Japanese-American and the father is African-American. His parents divorced when he was 3 years old and have negative feelings towards each other even though they both love him. Morgan's parents have remarried and have children. He has very good relationships with his father, stepmother, and younger sisters but has struggled to have a good relationship with his mother after she remarried. The family situation is quite stressful since it's difficult for Morgan to see his mother who relocated to another state while the father lost his job and the family is experiencing tremendous financial challenges. While Morgan has developed feelings for one young woman in his social group, he is skeptical of asking her out on a date for fear of rejection. In the past year, he has demonstrated behavioral changes including identifying himself as African-American instead…
Counseling Staff. (2015, June 1). Five Counseling Theories and Approaches. Retrieved from The Family Institute at Northwestern University website: https://counseling.northwestern.edu/five-counseling-theories-and-approaches/
Han, H.S., West-Olatunji, C. & Thomas, M.S. (2011). Use of Racial Identity Development Theory to Explore Cultural Competence among Early Childhood Educators. SRATE Journal, 20(1), 1-11.
Ivey, A. E., D'Andrea, M. J., & Ivey, M. B. (2012). Theories of counseling and psychotherapy. A multicultural perspective. Thousand Oaks, CA: Sage Publications Inc.
Jones-Smith, E. (2012). Theories of counseling and psychotherapy: an integrative approach. Thousand Oaks, CA: SAGE Publications Inc.
Although interpersonal and group level communications reside at a lower level than organizational communication, they are major forms of communication in organizations and are prominently addressed in the organizational communication literature. Recently, as organizations became more communication-based, greater attention was directed at improving the interpersonal communication skills of all organizational members. Historically, informal communication was primarily seen as a potential block to effective organizational performance. This is no longer the case is modern times, as on-going, dynamic, and informal communication has become more important to ensuring the effective conduct of work
It is also widely accepted that top managers should communicate directly with immediate supervisors and that immediate supervisors should communicate with their direct reports. In regard to issues of importance, top managers should then follow-up by communicating with employees directly. The Communication Accommodation Theory supports this rationale. In terms of supervisor-employee communication, one researcher argues the difficulty of trusting…
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147.
Blumberg, A. (1970). A system for analyzing supervisor-teacher interaction. In A.
Simon & G. Boyer (Eds.), Mirrors for behavior, 3, 29-45.
Davis, T. & Landa, M. (1999). The trust deficit. Management Accounting, 71(10), 12-
The Rogerian Model
This is a theory of communication introduced by psychologist Carl Rogers (Lee 2011). It is founded on trust and emphasizes common goals. This theory proposes that an argument or situation should begin with a brief and objective definition of the problem. Rogers believes that communication will be more effective if trust exists. The nurse or therapist should make a neutral analysis of the patient's position so in order to show understanding of his views. She should also establish and present a neutral analysis of her own position. She should then analyze the goals and values they have in common. Their problem situation should construct a proposed solution that recognizes the interests of both sides, rather than one of them dominating and winning the problem situation (Lee).
This is a client-centered, directive method meant to encourage the patient's intrinsic motivation to change by discovering and handling…
Bozarth, G.O. 2011, 'How to use person-centered therapy for mental health,' eHow:
[Online] Available at http://www.ehow.com/how_2092776_use-person-centred-therapy-mental.html
Lee, L.W. 2011, 'What is the Rogerian model?, ' eHow [Online] Available at http://www.ehow.com/facts_7264316_rogerian-model.html
Lussier, Marie Therese 2007, 'The motivational interview in practice,' 53 (12) Canadian
Facilitated communication is widely under scrutiny and doubt owing to the fact that one cannot ascertain the authorship of the typed messages. FC, as it is commonly known, is designed to assist a person with autism to communicate by use of a message board or even an electronic device. The procedure involves a facilitator supporting the hand or other body organ of the affected person with the intention of assisting them to point to letters or type on a provided display to formulate messages. The intention of the physical contact is to provide support for the body organs and give stabilization and to enable them to slow down. It is also meant to assist such a person draw away from the keyboard before choosing the next letter. osemary Crossley is credited for introducing the method for the first time in the 70s in Australia. It was first used to handle…
American Psychological Association. (1994). Resolution on facilitated communication by the American Psychological Association. Adopted in Council, August 14, 1994, Los Angeles, Ca.
Supporting school age students on the autism spectrum. (2014). Retrieved August 26, 2016, from http://www.positivepartnerships.com.au/en/fact-sheet/facilitated-communication-autism
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.
Attendance will be required for all group members to optimize the effect of the sessions. Group members will be allowed to leave the group as long as the intention to leave is provided in writing. No reasons will be required.
Because of the nature of the group, a mutual confidentiality agreement will be signed by all group members, including leaders, at the first meeting of the group. There will generally not be homework, apart from the requirement to apply what has been learned to the work and home environment. Group members may report on results if they feel they want to.
There is no need for a formalized institution to determine the ground rules and structure of the meetings. This will be a collaborative process between me and the group members.
IX. Group essions
Group dynamics generally consist of four stages: forming, storming, norming, and performing (Group Dynamics, Unit 10).…
Adams, B.D. And Webb, R.D.G. Trust in Small Military Teams. Retrieved from http://www.dodccrp.org/events/7th_ICCRTS/Tracks/pdf/006.PDF
Armstrong, R. (2005) Requirements of a Self-Managed Team Leader. Leader Values. Retrieved from http://www.leader-values.com/Content/detail.asp?ContentDetailID=1004
Borchers, T. (1999). Small Group Communication. Retrieved from http://www.abacon.com/commstudies/groups/leader.html
Castano, E. Leidner B, and Slawuta, P. (2008, Jun). Social identification processes, group dynamics and the behaviour of combatants. International Review of the Red Cross, Vol 90, No. 870. Retrieved from http://www.icrc.org/Web/eng/siteeng0.nsf/htmlall/review-870-p259/$File/irrc-870_Castano.pdf
Explain how common skills (e.g. communication and values attitudes and beliefs) can ensure good interprofessional practice for Larry and his wider family.
Communication skills are a vital part of both personal and professional practice (Axtell, 1990; Dimitrius & Mazzarella, 1999). They are necessary in the workplace and in families that function well, but they are also certainly necessary when it comes to how people are treated when they are injured, sick, or unable to care for themselves (oter, 2001). Because Larry was the primary caregiver to his wife but did not want anyone to know that she was suffering from dementia, he made the problems that he is currently facing more difficult for himself and also for his wife, Jeanie. Larry should have been open and upfront about Jeanie's problems, so that others would be able to plan for any eventuality. If people who are sole caregivers for ailing…
Axtell, R.E. (1990). Gestures: The Do's and Taboos of Hosting International Visitors. New York: John Wiley and Sons.
Dimitrius, J. & Mazzarella, M. (1999). Reading People: How to Understand People and Predict Their Behavior-Anytime, Anyplace. New York: Ballantine Books.
Gilsdorf, J.W. (1997). Metacommunication Effects on International Business Negotiating in China. Business Communication Quarterly. v. 60, 20-37.
Guerrero, L.K. et al. (1999). The Nonverbal Communication Reader: Classic and Conteporary Readings. New York: Waveland Press.
Professional Communication: Cultural Sensitivity Among Native Americans
In nursing school, we are normally taught that we should respect the dignity and rights of all clients. As the "world becomes reduced" and societies and individuals become more mobile, we are progressively able to network with people that are from other cultures. Cultural respect and competence for others becomes particularly significant for us as nurses and patient supporters. Applying the principles and theories of communication is important for sufficient patient care. A lot of various communication methods are executed and have diverse focuses. Small groups use mechanisms such as objectives, standards, cohesiveness, behaviors, and therapeutic issues. Duty, process and midrange groups are separate categories. Orientation, tension, cohesion, working and dissolution are stages groups go through. Successful personal and professional communication profits the patients and other health professionals; however, the lack of applicable communication can lead to poor patient results and a hostile…
Barker, A.M. (2009). Advanced practice nursing -- Essential knowledge for the profession. Boston: Jones and Bartlett Publishers.
Doane, G. (2004). Exploring the heart of nursing Ethical Pratices. Nursing Ethics, 11(3), 241-251.
Makaroff, K.S. (210). Do We speak of Ethics. Nursing Ethics and, 17(5), 566-576.
Ryan, M. (2000). Learning to Care for Clients In Their World not Mine. Journal of Nursing Education, 3(9), 25-79.
Marketing in the biotechnology industry is critically important. The basic path to market involves receiving regulatory approval for products. From there, marketing is conducted to physicians directly, necessitating a relatively large sales force. The presence of competing treatments necessitates significant investment marketing, compounded by the impact of the need to recoup the sunk costs associated with product development. In addition, marketing in the biotechnology industry is strictly regulated by the Food and Drug Administration. The FDA exerts tight control over marketing -- a firm is only allowed to promote products for approved uses. Off-label marketing -- defined as marketing a product for uses not approved by the FDA -- is prohibited and firms found guilty can be subject to significant fines.
An example, of the strong regulatory influence on marketing can be found in the approval that United received in July for Tyvaso. The product, already delayed multiple…
MSN Moneycentral: UTHR. (2009). Retrieved October 29, 2009 from http://moneycentral.msn.com/companyreport?Symbol=U.S.%3aUTHR
2008 United Therapeutics Annual Report (includes Form 10-K).
United Therapeutics website, various pages. (2009). Retrieved October 29, 2009 from http://www.unither.com/
Press Release: United Therapeutics. (2009). FDA approves Tyvaso (treprostinil) inhalation solution for the treatment of pulmonary arterial hypertension. Retrieved October 29, 2009 from http://ir.unither.com/releasedetail.cfm?ReleaseID=400062
At the primary level of active listening are administrative personnel, especially at hospitals, who need to direct patients to the correct physicians for their ailments. Administrative personnel at doctors' offices are also important, as these personnel are often engaged in decision-making processes regarding the length of appointments and the care that is needed.
6. oles, responsibilities and relationships of project team members
The team leader will administer the responsibilities of each team member, as well as collocating the data gathered during interviews. The team leader will also determine the final format and content of the report.
Several roles will cover the various interviews to be conducted. Physicians, nurses, administrators, and patients will be interviewed. Within these groups, the type of illness and cultural context should also be investigated. Where doctors operate in a multi-cultural context, the potential exists to investigate the effectiveness of active listening, or its absence, can be…
Butow, P., Cockburn, J., Girgis, A., Bowman, D., Schofield, P., D'Este, C., Stojanovski, E. And Tattersall, M.H.N. (2007). Increasing oncologists' skills in eliciting and responding to emotional cues: evaluation of a communication skills training program. Psycho_Oncology. Retrieved from: http://www.newcastle.edu.au/Resources/Research%20Centres/CHERP/publications/Previous%20pdf%20papers/PsychOncCUES%20paper.pdf
Fassaert, T., Van Dulmen, S., Shcellevis, F., Van der Jagt, L. And Bensing, J. (2008). Raising positive expectations helps patients with minor ailments: A cross-sectional study. BMC Family Practice, Iss. 9. Retrieved from: http://www.biomedcentral.com/1471-2296/9/38/
Fassaert, T., Van Dulmen, S., Schellevis, F. And Bensing, J. (2007, June). Active listening in medical consultations: Development of the Active Listening Observation Scale (ALOS-global). Patient Education and Counseling Vol 68. Retrieved from: http://igitur-archive.library.uu.nl/fss/2008-0714-200810/bensing_2007_active.pdf
Ferguson, W.J. And Candib, L.M. (2002). Culture, language, and the doctor-patient relationship. University of Massachusetts Medical School. Retrieved from: http://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1060&context=fmch_articles&sei-redir=1#search=%22active%20listening%20doctor%20patient%20relationship%22
As per Dr. Sacks, Alzheimer patients take advantage from listening to the familiar music. The music entails them memory stimulus, restoring the accessibility to personal history. It is said to have motivated the powers of speech and the thought process. However, his entire emotional as well as intellectual configuration, his life history, his identity, is greatly influenced by the music. The study of psycho-neuroimmunology narrates the influence of neuropeptides on human emotions. The beta-endorphins appear to be released and the body is permitted to perform its own healing work on physiological level, while the person is in a relaxed condition. The music therapy attempts to bring such state which is revealed to be 'audio analgesisa'. (Music Heals: Music for Healing and Transition)
5. What facilities practice this form of therapy and where and is it becoming more and more popular?
The Kaiser-Permanente Medical Center in Los Angeles was regarded to…
Alzheimer's and Other Dementias: Understanding the Differences. Retrieved at http://www.helpguide.org/elder/alzheimers_dementias_types.htm . Accessed 6 June, 2006
Forgeron, Nicole. The Impact of Music Therapy on Alzheimer's Disease Patients. March, 1999. Retrieved at http://faculty.uccb.ns.ca/gcarre/courses/health/music.htm. Accessed 6 June, 2006
Gerosa, Cristina. M; Bonanomi, Claudio. Observation of the Alzheimer Patient and Music
Therapy. Retrieved from www.musictherapyworld.de/modules/mmmagazine/issues/20020801160643/20020801170306/Bonamifinal.htm. Accessed 6 June, 2006
Ineffective Communication Between Shifts in Acute Care Settings
A recent statistics of the adverse effects arisen from ineffective communication between shifts in acute care setting range from 2.6% to 7.6%, however, Okoniewska, et al. (2015) believes that the adverse effects on in-patients can be between 19% and 23%. (Classen, esar, Griffin. et al. 2011).
The Study aims to discuss the adverse effective arisen from ineffective communication between shifts within acute care settings.
Consequences of not solving the problem
Without implementing the strategies that can enhance effective communication between shifts in an acute healthcare setting, the issue can lead to mortality, readmission, and post-hospital adverse effects. Moreover, poor communication between shifts can lead to medication problems resulting to therapeutic errors. (Okoniewska, et al. 2015). Moreover, lack of intervention to address the problem can lead to medical errors, which can lead to patients' harms. Communication failure has also been identified as…
Aebersold, M., Averhart, V., Keenan, G., Kocan, M. J., Lundy, F., Tschannen, D. (2011). Implications of Nurse-Physician Relations: Report of a Successful Intervention. Nursing Economics. 29 (3):127-135.
Almost, J., Wolff, A., Mildon, B., Price, S., Godfrey, C., Robinson, S., . . . Mercado-Mallari, S. (2015). Positive and negative behaviors in workplace relationships: a scoping review protocol. BMJ Open, 5(2). doi:10.1136/bmjopen-2015-007685
Carlson, E. A. (2012). Improving Patient Safety Through Improved Communication and Teamwork. Orthopaedic Nursing, 31(3), 190-192.
Classen, D.C., Resar, R, Griffin. F, et al. (2011). "Global trigger tool" shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 30(4):581 -- 589.
Keijsers, L., & Poulin, F. (2013, March 11). Developmental changes in parent -- child communication throughout adolescence. Developmental Psychology, 49(12), 2301-2308. doi:10.1037/a0032217
The science of Developmental Psychology purposes and endeavors to elucidate the change that comes about in both children and adults in the course of time. I have decided to focus and lay emphasis on this topic as the most change takes place in the course of a person's lifespan during this particular period (Mcleod, 2012). Further, the topic "Developmental changes in parent-child communication throughout adolescence," lays emphasis on the individual changes and variations in the patterns of change between the association that exists between the child and the parent in the course of adolescence. Particularly important is the fact that any individual during its infancy is largely attached to the parent and therefore communicates a lot. However, according to this topic, it is delineated that the attachment and…
Listening Better: A Practical Book Review
In the book, Why don't we listen better? Communicating and Connecting in Relationships, James Peterson begins with a few personal anecdotes to explain how he became aware of the value of listening. Particularly striking is the fact that he refers to "grumpy" people, and the fact that, just by asking questions and listening, he could get to the bottom of their actions. Mostly, that is perceived by most as grumpiness is simply a manifestation of some inner pain or hurt feelings caused by a specific event. This provides an excellent hook for the rest of the book, where the author offers specific tools to help those in counseling positions to develop the tools they need to offer effective and targeted advice for their clients.
Specifically, the author explains the listening paradigm in terms of the brain, the heart and the stomach. With the…
After spending a semester in the Newborn Intensive Care Unit (NICU) as a student nurse in training, I can report that I have learned a great deal about the vital issues and practices that are involved in the intensive care unit for newborns, and about the duties and responsibilities of a nurse in that area of healthcare. Part of my training involved treating wounds and the therapeutic communication that is involved in wound care; also, I became well familiarized with the family centric care that is part and parcel of the NICU.
Family Centered Care at the NICU
hat can be more important for a family that has just been on the emotional roller coaster of giving birth prematurely to a new member of the family than being made to feel welcomed and to be treated with a great deal of professionalism and respect? There are a number…
Auckland District Health Board (2010). Car seats for babies / Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Auckland District Health Board (2010). Establishing and Maintaining Breast Milk Supply /
Information for parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Aukland District Health Board (2010). Meconium and Newborn Babies / Information for Parents. Retrieved May 2, 2013, from http://www.abhd.govt.nz.
Clarifying is communication that makes clear the point made by the patient to make sure that no misunderstanding occurs. Conveying information is a simple sharing with the patient of information relevant to his or her health status. Providing feedback is the provision of information that is constructive to the patient in relation to how the nurse has perceived what the patient has stated. Stating observations may be used in communication with patients in a manner that defuses anger while at the same time acknowledging their stress or anger. Confrontation is a method of calling attention to the discrepancies stated by the patient and specifically the discrepancy between what the patient has to say and their actions. Summarizing is the provision of feedback to the patient concerning generalities from the nurses' point-of-view. Silence can be used to convey concern or support and enables the patient in thought-organization and self-reflection. (Zychowicz, nd;…
Robbins, Charles a. (1963) a Therapeutic Milieu in a Continued Treatment Service Mental Hospital 14:494-494 September 1963.
Zychowicz, Michael (nd) Therapeutic Communication. Mount Saint Mary College (MSMC) Online available at http://faculty.msmc.edu/zychowic/therapeutic%20communication_files/frame.htm
Merriam-Webster Medical Dictionary (2008) http://medical.merriam-webster.com
Merriam-Webster Dictionary (2008) http://www.merriam-webster.com
Dorothea E. Orem's Self-Care Deficit Nursing Theory focuses on the need for all patients to develop self-reliance, particularly after traumatic injuries or in cases of disability. A self-care deficit exists when patients lack the ability to care for themselves, such as by feeding the self, performing personal hygiene, or by behaviors that might be harmful to self or others. Nurses are defined as self-care "agents" within the Orem theoretical construct, as nurses are uniquely trained to provide evidence-based interventions that can help the patient achieve the goal of self-caring. To help patients achieve their goals, the nurse will need to understand the health assessment process within the Self-Care Deficit Theory.
The Self-Care Deficit Theory (also referred to more simply as the Self-Care Theory) conforms to the fundamental tenets of healthcare assessment including the design of a plan of care. Data is to be collected on the patient's health history and…
"Dorothea Orem's Self-Care Theory," (n.d.). Nursing Theories. Retrieved online: http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
Kourkouta, L. & Papathanasiou, I.V. (2014). Communication in nursing practice. Materia Sociomedica 26(1): 65-67.
"Therapeutic Communication in Psychiatric Nursing," (n.d.). Nursing Planet. Retrieved online: http://nursingplanet.com/pn/therapeutic_communication.html
Wayne, G. (n.d.). Dorothea Orem's self-care theory. Nurse Labs. Retrieved online: http://nurseslabs.com/dorothea-orems-self-care-theory/
Cognitive Behavior Therapy- A Case Study
Cognitive Behaviour Therapy (CBT) Case Study
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…
Bladek, M. (2014). Against memory: Acts of remembering in Jamaica Kincaid's My Brother. Retrieved from http://criticism.english.illinois.edu/2007%20Fall%20Documents/Affect%20Abstracts/Abstracts.htm
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Freud, S. (1924) A general introduction to psychoanalysis. New York: Boni & Liveright.
Nursing and the E
The Emergency oom is often one of the most visible parts of healthcare for political debate. It is also one of the most difficult environments for a modern nurse. It is interesting that one of the founders of modern nursing had emergency experience prior to developing her overall theories. Nightingale also looked at negatives and positives that are the conditions, which could help make people recover and reach their actual potential, as also noted by Maslow hierarchy of needs. She did not look or speak directly of the disease per se, but rather, looked at air, clean water, environment, and sanitation. She published her book in1860 with the title a "Notes on Nursing: What it Is and What it Is Not," connecting human beings and quality of human life, and comparing the stagnant sewage she saw in Scutari, as well as in London. She…
Americans at Risk. (March 2009). Families USA. Retrieved from:
Patient Perceptions in the Emergency Department: Physicians, Physician Assistants,
Nurse Practitioners. (30 August 2010). Retrieved from: http://idiopathicmedicine.wordpress.com/2010/08/30/patient-perceptions-in-the-emergency-department-physicians-physician-assistants-nurse-practitioners/
EDUCING ISKY BEHAVIO FO African-American TEENS
An Intervention for educing isky Behavior Among African-American Female Adolescents: Provider Cultural Competency Training
The Office of Minority Health in the U.S. Department of Health and Human Services (2013) quotes Dr. Martin Luther King, Jr. As a way to introduce the topic of updating and enhancing the National CLAS (Culturally and Linguistically Appropriate Services) Standards. The quote is "Of all forms of inequality, injustice in health care is the most shocking and inhumane" (p. 14). Long recognized as a significant problem in the United States, health inequity along social, economic, racial, and ethnic boundaries has become a central focus of health care policy in this country. Although health care providers have little control over the historical determinants of discrimination in the U.S. they can work towards eliminating health disparities that exist through cultural competency. In addition to the ethical and moral rationale for attaining…
Aronowitz, T. & Agbeshie, E. (2012). Nature of communication: Voices of 11- to 14-year-old African-American girls and their mothers in regard to talking about sex. Issues in Comprehensive Pediatric Nursing, 35(2), 75-89.
Aronowitz, T. & Eche, I. (2013). Parenting strategies African-American mothers employ to decrease sexual risk behaviors in their early adolescent daughters. Public Health Nursing, 30(4), 279-87.
CDC. (2012). HIV and AIDS among African-American youth. Retrieved 2 Feb. 2014 from: .
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" This type of skill or behavior is also closely linked to self-disclosure, genuineness and immediacy.
Central to this skill is the ability to communicate one's thoughts and feelings in a way that is respectful of the other person's feelings and does not denigrate or overtly criticize them in any way.
While there are many skills that can be interpreted as confrontational, it is also possible to present both verbal and non-verbal types of behavior that are confrontational but in a way that promotes and conveys sincere and genuine feelings of interest and openness in the therapeutic relationship. In the use of language this means to convey to the other individual that the apparent attitude of confrontation is really an effort to sincerely and genuinely help and assist. The key words here are assertive, calm and concerned.
One uses language in a way that is serious and calm but also…
Instead, it can provide an important springboard for future investigation in order to better understand the communication paradigms and expectations of cultures other than those in the United States. This, in turn, can lead to further nonverbal theorizing.
Furthermore, Burgoon's theory can also provide an important platform for more modern types of communication such as digital communication, for example (Littlejohn and Foss, 2009). Nonverbal cues are also inherent in this type of communication, although the assumption tends to be that this type of communication is primarily verbal. This is a very exciting development for communication studies. Currently, online communication has seen little in terms of formalizing theoretical findings. Because this communication medium is becoming increasingly important not only in personal interaction but also in the business world, it is becoming vitally important to provide theories of interaction by means of which such communications can most effectively be conducted. This can…
Littlejohn, S.W. And Foss, K.A. (2009). Encyclopedia of communication theory. Sage Publications.
Gudykunst, W.B. (2005). Theorizing about intercultural communication. Sage Publications.
Jacob, a. (2008). Expectancy Violations Theory (EVT) of Judee Burgoon. Retrieved from: http://www.slideshare.net/ajacob/expectancy-violations-theory
Kalman, Y.M. (2010). Online Pauses and Silence: Chronemic Expectancy Violations in Written Computer-Mediated Communication. Retrieved from: http://www.kalmans.com/evt.pdf
In this sense, there is often a political element to the interview, its interpretations, and the texts that are derived from it" (Nunkoosing 2005: 702).
It is impossible to do without the interview process, given the additional and unexpected insight it has the potential to yield to pure numerical data, yet no matter how potentially therapeutic, it is always using the experience of the subject for purposes that he or she might not directly benefit from. Perhaps the answer to the unanswerable questions that Nunkoosing raises is that the ethical obligations of interviewing are similar to that of much of qualitative medical research: the research should be designed to serve the community used in the interviews, thus making at least the benefits of the research outweigh any possible individual misunderstandings that might take place. Using health data from a low-income community to help a high-income community, for example, would be…
Nunkoosing, Karl. (2005). "The problem with interviews." Qualitative Health Research.
2 Marketing Communication Objectives
• Promotional Objectives: Initiate grass root, interactive, and experiential campaigns, over a six-month period, throughout the United States, to increase brand awareness, trial consumption, and long-term end-users. Target the college and college-aged segment, and college beach territories. Track consumer activity through specialized giveaways and promotions one to 1.5 years to determine the number of resulting repeat, long-term users. Aside from branding results, promotional efforts, with a budget capacity of $300,000, aim to secure at least 20,000 new long-term users or $250,000 in traceable sales, within one to 1.5 years.
• randing Objectives: Maintain and augment a fun, celebratory brand image for Wispa bars. Contract brand ambassadors to foster brand awareness among 250 U.S. colleges, and reach 250,000 U.S. college-aged students with gratuitous Wispa bar samples, over a six-month period.
• Sales and usiness Development Objectives: Establish relationships with five new major retail distributors in the United…
Cadbury. (2012). Cadbury Products. Available:
http://www.cadbury.co.uk/ourproducts/Pages/OurProducts.aspx . Last accessed 7th April 2012.
GlobalData. (2010). Cadbury plc (CBRY) - financial and strategic analysis review. Available:
http://www.just-food.com/market-research/cadbury-plc-cbry-financial-and-strategic-analysis-review_id97007.aspx . Last accessed 6th April 2012.
applying ethics to the career counseling field, as mandated by the Californian State and national organizations.
Numerous legal and ethical aspects need to be taken into account by professionals in the counseling field. Misunderstanding or unawareness of some ethical standard(s) cannot, by itself, help as a form of defense if charged with behaving unethically. Because of the fairly recent emergence of the 'counseling' concept in Nigeria, counselors have insufficient practical experience with regard to the relationship existing between counseling and the law (Bosede, 2010).
The counseling profession is dedicated to enhancing professional and scientific behavior-related knowledge and individuals' understanding of self and other individuals. It is also devoted to applying this knowledge towards proving individuals', societies' and organizations' conditions. Counselors safeguard and respect human and civil rights as well as the central significance of the freedom of expression and enquiry when it comes to research, publication, and teaching. For instance,…
(2015). American Association for Marriage and Family Therapy (AAMFT). Code of Ethics. Retrieved May 19, 2016, from http://www.aamft.org/iMIS15/AAMFT/Content/legal_ethics/code_of_ethics
(2010). American Psychological Association (APA). Ethical Principles of Psychologists and Code of Conduct. Retrieved May 19, 2016, from http://www.apa.org/ethics/code/
Bosede. (2010). Ethical Principles of Guidance and Counseling. International Journal of Tropical Medicine, 5(2), 50-53. Retrieved May 19, 2016 from http://www.medwelljournals.com/fulltext/?doi=ijtmed.2010.50.53
Herlihy, & Dufrene. (2011). Current and Emerging Ethical Issues in Counseling: A Delphi Study of Expert Opinions. Counseling & Values, 56(1). Retrieved May 19, 2016, from http://connection.ebscohost.com/c/articles/67121129/current-emerging-ethical-issues-counseling-delphi-study-expert-opinions
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
These values can be as operational for the parent/child association as it is for the owner/pet relationship.
Strategy for communication
The objective of any family is for all members to live in agreement with each other. It is the first basis of a Childs education and moral standards (Gouze & Wendel, 2007). With that said, a strategy called floor planning is what will be utilized for Jeff and Roger.
This method should also be done throughout the instigating stages of counseling for Jeff and Roger. Jeff and Roger will be requested to draw a floor plan of their house. They will then be asked to remember the odors, sounds, colors, and people that are in their home. While they are drawing particular questions are asked regarding the environment such as;
What room does the family gather in?
What conversations take place in the various rooms?
Are any rooms…
Gouze, K.R., & Wendel, R. (2007). INTEGRATIVE MODULE-BASED FAMILY THERAPY: APPLICATION AND TRAINING. Journal of Marital and Family Therapy, 286-296.
Hogarty, G.E., Greenwald, D., Ulrich, R.F., Kornblith, S.J., & a, e. (1997). Three-year trials of personal therapy among schizophrenic patients living with or independent of family, II: Effects on adjustment of patients. The American Journal of Psychiatry, 56-89.
Kissane, D.W., & McKenzie, M. (2006). Family Focused Grief Therapy: A Randomized, Controlled Trial in Palliative Care and Bereavement. The American Journal of Psychiatry, 56-78.
Lund, L.K., Zimmerman, T.S., & Haddock, S.A. (2002). The theory, structure, and techniques for the inclusion of children in family therapy: A literature review. Journal of Marital and Family Therapy, 67-89.
The opening phase of dynamic psychotherapy helps the therapist to understand why the patient is seeking treatment; what kind of triggers to current problems are present; and house troubled the patient is in terms of both physical and psychological health (text p. 41). Yalom (1989) allows for several sessions of introductory therapy, also in keeping with the psychodynamic model. At this introductory phase, the therapist gets an idea of what treatment options to present and how to proceed. Yalom (1989) also determines the frequency of the treatment in the introductory phase (text p. 41). The core way that the relationship between Yalom (1989) and Carlos exemplifies psychodynamic therapy is in regards to the transference neurosis, which intensifies in therapy (text p. 53). However, transference is worked through as a core element of the therapeutic process. In the case with Carlos, neurotic transference is exemplified most clearly in the way…
Corsini & Wedding (n.d.). Textbook.
Yalom (1989), I.D. (1989). "2 - If Rape Were Legal..." In Love's Executioner and Other Tales of Psychotherapy. New York: Basic, 1989. 59-78.
ut if they can manage to terminate the temporary relationship, they will become more emotionally balanced and mature persons (Young).
Why Choose the Peplau Model
oth its interpersonal theory and nursing process have a concrete sequence of use and focus on the therapeutic relationship (Current Nursing, 2012). oth utilize appropriate problem-solving techniques, which aim in common at filling the client's needs. oth use observation and communication as well as recording as basic tools, which are already used in nursing care. The four phases inter-relate and inter-weave the varying components of each phase. The Theory or model is applicable to endeavors, which follow the concepts of client, health, environment and nursing. It proceeds in a logical and systematic manner in viewing and processing nursing situations. Its generalizability rests in its simplicity in the logical progression of the partnership. It has produced testable hypotheses. It can be used in psychiatric patients. It…
Current Nursing (2012). Theory of interpersonal relation. Current: Current Nursing.
Retrieved on March 30, 2012 from http://www.currentnursing.com/nursing_theory/interpersonal_theory.html
Landry, a, (2009). Hildegard Peplau: interpersonal relations theorist. Suite 101:
Suite 101.net. Retrieved on March 30, 2012 from http://www.alicelandry.suite101.com/hildegard-peplau
Moreover, it is unclear whether Jim has attempted to reestablish any meaningful contact with his children; rather, his entire focus has been on becoming a better person. While there is certainly nothing wrong with that goal in and of itself (it is, after all, a universal human quality), he appears to have pursued this goal to the total exclusion of making any substantive reparations to his family. Finally, it is interesting that Jim somehow feels compelled to tell others -- including potential employers -- about his criminal past and his current status in treatment, as if this ongoing commitment to all-out honesty somehow absolves him from a deceptive and duplicitous history, or at least helps to explain it (which it does if one is interested). According to Jim, "Entering into society again was very difficult. I had lost my business, my friends and was now divorced. After leaving jail, I…
Black's law dictionary. (1991). St. Paul, MN: West Publishing Co.
Bryant, J.K. (2009, June). School counselors and child abuse reporting. Professional School
Counseling, 12(5), 130-132.
Bryant, J. & Milsom, a. (2005, October). Child abuse reporting by school counselors.
Depression: Not just a Bad Mood
MDD: Not Just Another Bad Mood
The term "Prozac Nation" says a lot. This catch-phrase had begun to describe the current state in the U.S. when cases of clinical depression began blooming and treatment turned to medication as a first response. According to the National Institute of Mental Health, over fourteen million of the adult U.S. population suffers from Major Depressive Disorder. Major Depressive Disorder, or MDD, is the leading cause of disability in people ages 15-44. The average age of onset is 32 (U.S. Department of, 2011.) It is often also found co-occurring with other mental disorders, such as anxiety and substance abuse. Perhaps it is worth taking a closer look at a case example in order to better understand this often debilitating disorder in our times.
Taylor is a 24-year-old single, Jewish female presenting with symptoms of depression. She reports that for…
Burns, D.D. (1989). The feeling good handbook. New York, NY: Plume.
Cornes, C.L., & Frank, E. (1994). Interpersonal psychotherapy for depression. The Clinical
Psychologist, 47(3), 9-10.
Cuijpers, P, van Straten, A, Hollon, S.D., & Andersson, G. (2010). The contribution of active medication to combined treatments of psychotherapy and pharmacotherapy for adult depression: a meta-analysis. Acta Psychiatrica Scandinavica, 121(6), Retrieved from http://web.ebscohost.com/ehost/detail?hid=13&sid=568ccfe5-0fe6-4429-92a3 - cb159b2e4044%40sessionmgr115&vid=5&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3
The field of music therapy is an emerging one in medical practice. Nevertheless, there is a growing body of research to support the use of music therapy in a wide range of instances, one of which includes patients who are suffering from brain injury. This paper will review some of the literature on the subject in an attempt to understand how music affects the brain and is therefore useful in therapy.
The idea of music therapy is ancient, and was extolled by the likes of Plato. The Roman god Apollo was god of music and medicine, further cementing the link between the two in estern civilization. Non-estern cultures were also known to use music to attempt to heal people. Certain forms of music could drive out evil spirits or demons, according to the lore of many cultures. It is from these myriad traditions that the modern use…
Bradt, J., Magee, W., Dileo, C., Wheeler, B. & McGilloway, E. (2010). Music therapy for acquired brain injury. Wiley. Retrieved April 28, 2013 from http://ssh.snvtest.com/wp-content/uploads/articles/06_Music_Therapy_For_Brain_Injury.pdf
Formisano, R., Vinicola, V., Penta, F., Matteis, M., Brunelli, S. & Weckel, J. (2001). Active music therapy in the rehabilitation of severe brain injured patients during coma recovery. Annals of the Instituto Superiore di Sanita. Vol. 37 (4) 627-630.
Hamilton, L., Cross, J. & Kennelly, J. (2001). The interface of music therapy and speech pathology in the rehabilitation of children with acquired brain injury. Australian Journal of Music Therapy. Vol. 12 (2001) 13-20.
Thaut, M.H., Gardiner, J.C., Holmberg, D., Horwitz, J., Kent, L., Andrews, G., Donelan, B. And McIntosh, G.R. (2009) Neurologic music therapy improves executive function and emotional adjustment in traumatic brain injury rehabilitation. Annals of the New York Academy of Sciences. Vol. 1169, 406-416.
Mental Health Counseling
Discuss the role in relationship to the prescription and monitoring of pharmacological treatments for mental health issues.
Unique advances have been achieved in the treatment offered to clients suffering from mental illness. Mental health care providers must understand the original causes of mental health disorders in order to provide treatment to clients with these disorders. Therefore, mental healthcare providers are able to treat disorders associated with mental health. This is being done with much success as physical disorders (Madden, 2008).
The profession of mental health provision has categorized strategies of treating mental health problems as either psychotherapeutic or somatic. Somatic methods of treating mental disorders include therapies such as electroconvulsive therapy, which have the potential of stimulating the brain. Psychotherapeutic method includes behavioral therapy strategies, hypnotherapy, and psychotherapy. esearchers have established that most mental health disorders require treatment strategies that involve both psychotherapy and drugs. This is…
Madden, R.G. (2008). Legal issues in social work, counseling, and mental health: Guidelines for clinical practice in psychotherapy. Thousand Oaks, CA: Sage Publications
Palmo, A.J., Weikel, W.J., & Borsos, D.P. (2011). Foundations of mental health counseling.
Springfield, IL: Charles C. Thomas.
World Health Organization (2009). Mental health aspects of women's reproductive health: A
Family Therapy Treatment of Mental Illness
There has been a growing movement towards the use of family therapy methods for the treatment of mental illness in recent years. To determine the facts about this trend, this paper provides a review of the relevant literature concerning family therapy treatment of mental illness in three sections. In Section 1, a discussion concerning the views of O'Hanlon and owan's (2003) and Zeig and Munion (1999) for working with clients with chronic or severe mental illness is followed by an analysis of the extent to which they succeed in making a strong case for "brief therapy" with intensive clients. An assessment concerning the contribution of Milton Erickson to the assessment and treatment of different mental health diagnoses is followed by an analysis of their respective approaches and the corresponding benefits and limitations of each of these models. Section II provides a discussion concerning the…
Daroff, R. B. (2005, Fall). Solution-oriented therapy for chronic and severe mental illness. Journal of Psychotherapy Practice Research, 8(4), 318.
Gurman, A. S. & Messer, S. B. (2003). Essential psychotherapies: Theory and practice. New York: Guilford Press.
McFarlane, W. R., Dixon, L., Lukens, E., & Lucksted, A. (2003): A review of the literature about psychoeducation and schizophrenia. Journal of Marital and Family Therapy, 29(2), 223-227.
Simoneau, T., & Miklowitz, D. (2001): The sights and sounds of schizophrenia.
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.
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Bain, J.S. (1954). Economies of scale, concentration, and the condition of entry in twenty manufacturing industries. American Economic Review, 44, 15-36.
(Walsh & Meyersohn, 2001, p. 188)
Therapeutic interventions, as has been mentioned are frequently multifaceted. Nursing interventions can be associated with the disease treatment or can be in support of other diseases the individual has that need treatment, i.e. when and individual is hospitalized for illness or injury the diagnosis and therapeutic evidence of PS is absolutely essential to support and understand as incompliance can be global and "new" therapeutic relationships can be met with extreme distrust. Education is essential as PS patients still have some (greater or lesser) cognitive impairment and may not give appropriate clues as to how well he or she understands or intends to comply with treatment interventions. Nurses in a psych or medical setting must be careful how they word everything and how they educate patents about their treatment. Expected outcomes are dependant on severity but many people with PS can and do…
Bond, G.R., & Meyer, P.S. (1999). The Role of Medications in the Employment of People with Schizophrenia. The Journal of Rehabilitation, 65(4), 9.
Higgins, P.B. (1995). Clozapine and the Treatment of Schizophrenia. Health and Social Work, 20(2), 124.
Hilsenroth, M.J., Fowler, J.C., & Padawer, J.R. (1998). The Rorschach Schizophrenia Index (SCZI): an Examination of Reliability, Validity, and Diagnostic Efficiency. Journal of Personality Assessment, 70(3), 514-534.
Mayo Clinic "Paranoid Schizophrenia Definition" http://www.mayoclinic.com/health/paranoid-schizophrenia/DS00862
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
Linguistic analyses of conversational patterns indicate that most pauses can be predicted by linguistic structures, such as clause or sentence breaks" (Levitt, 334) by eliminating some of the non-verbal factors that may tend to undermine these silences, I would find that the interviewee was far more comfortable with the nature of the interview and its opportunity for a free and informal discussion relating to treatment experience, personal history and current disposition.
The helping model, according the research which was conducted in preparation for and in light of Mr. Smith's situation, would be further illuminated by the interview. Here, firsthand interaction illustrated that individuals who have undergone such institutional experiences are sometimes eager to share details and feelings directly related thereto. The way that Mr. Smith opted to open up would be especially revealing in verifying the value of allowing one's self to fully accept and understanding the nature…
Levitt, H.M. (2002). The Unsaid in the Psychotherapy Narrative: Voicing the Unvoiced. Counselling Psychology Quarterly, 15(4): 333-350.
Myers, S. (2003). Relational healing: To be understood and to understand. Journal of Humanistic Psychology, 43(1): 86-104.
Myers, S. (2000). Empathetic listening: Reports on the experience of being heard. Journal of Humanistic Psychology, 40(2): 148-173.
Rogers, C.R. (1995). What understanding and acceptance mean to me. Journal of Humanistic Psychology, 35(4): 7-22.
self-therapy in the context of what needs to be done to elevate the healing process in life. The therapy that is often used to treat is that which people rely on to practice self-treatment. In this paper, Art Bohart's talk on self-healing is will be used to manifest what is best-used means of conducting self-therapy. In this paper, the general supportive treatment of stress and other psychological ailments will be covered. The aim is to reach out to the diverse sections of the therapy and how it may be of use to the people. The paper also discusses the relevance of this program in the treatment of emotional challenges that people face. Finally, the paper will discuss whether the lessons learned from Art Bohart's talk can be integrated into real life. The focus extends to include the texistential-humanistic therapeutic interventions and the benefits associated with their use on patients.
Bohart, A. C., & Tallman, K. (1999). What Do We Mean By The Client As Active Self-Healer? In, How Clients Make Therapy Work: The Process of Active Self-Healing (Pp. 3-23). Washington, DC, U.S.: American Psychological Association. doi:10.1037/10323-001
Bohart, A. C., & Tallman, K. (1999). Research Results That May Surprise You -- How Do We Know the Client is an Active Self-Healer? In, How Clients Make Therapy Work: The Process of Active Self-Healing (pp. 25-55). Washington, DC, U.S.: American Psychological Association. doi:10.1037/10323-002
Bohart, A. C., & Tallman, K. (1999). Self-Healing Without a Therapist. In, How Clients Make Therapy Work: The Process of Active Self-Healing (Pp. 57-84). Washington, DC, U.S.: American Psychological Association. doi:10.1037/10323-003
Bohart, A. C., & Tallman, K. (1999). Self-Healing With a Therapist. In, How Clients Make Therapy Work: The Process Of Active Self-Healing (Pp. 87-104). Washington, DC, U.S.: American Psychological Association. doi:10.1037/10323-004
The objective of this work is to provide viable research techniques to use in order to help a child and her family. This report represents a summary of Alicia Thomas, a nine-year-old African-American 4th grader with a series of legitimate medical as well as possibly psychosomatic physiological and psychological concerns. The young lady has been specifically diagnosed as having a duodenal ulcer with the inherent gastrointestinal symptoms including vomiting and intermittent pain. The pain has been linked to increased absenteeism from school, four hospitalizations, adverse sleeplessness, nightmare experiences with detail of dismemberment and professed fears of death for herself and for her family members.
The family consisted of eight total children and an intact parental situation but of these members, there has also been a history of mental retardation, depression and one sibling who has since deceased but in life was a main care provider. There is also…
Annunziata, Jane. (n.d.). "Play Therapy With A 6-Year-old With Jane Annunziata, PsyD." Retrieved May 10, 2005, from http://www.apa.org
College of Agricultural Sciences (1999). Cognitive Development/Play-Overview. College of Agricultural Sciences, Penn State University. Retrieved May 10, 2005, from http://www.penpages.psu.edu/penpages_reference/28507/2850764.htmL
Ferguson, E.D. (1989). "Adlerian Therapy: An Introduction." Vancouver, British Columbia, Canada: Adlerian Psychology Association of British Columbia.
Wikopedia. (n.d.). Post-traumatic stress disorder. Retrieved May 10, 2005, from http://en.wikipedia.org/wiki/Post-traumatic_stress_disorder
MacPherson, Thorpe, and Thomas (2006) reported an interesting qualitative study on the use of acupuncture in the treatment of low back pain. They report the results of a qualitative study nested within a large quantitative study (there were actually tow qualitative studies performed but the current study only addresses one of them). The quantitative study design was one of a large randomized controlled trial that compared acupuncture against typical general practitioner care. The study was carried out York between the years 1999 and 2003. The acupuncture treatment for the study was founded on the principles of Traditional Chinese Medicine (TCM) using six acupuncturists who all had a minimum of three years of post-qualification clinical experience. The acupuncturists were encouraged by the researchers to provide their typical treatment so that the study would evaluate the effect of routine care for lower back pain, each acupuncturist making meticulous notes of the aspects…
Campbell, A. (2006). Point specificity of acupuncture in the light of recent myofascial pain.
Acupuncture Medicine, 24(3), 118-122.
MacPherson, H., Thorpe, L., & Thomas, K. (2006). Beyond needling therapeutic processes in acupuncture care: A qualitative study nested within a low-back pain trial. Journal of Alternative and Complementary Medicine, 12, 873-880.
Behavioral and Cognitive Behavioral Theories
Psychodynamic and Cognitive Behavioral Theories
In this paper, there is going to an examination of Cognitive Behavioral and Psychodynamic theories. This is accomplished by focusing on: the two theories, their theoretical concepts, micro skills / techniques and a summary of these ideas. These elements will show how each one can address issues impacting the patient and the long-term effects upon them.
In the world of psychology, there are different theories which are used to explain how someone reacts to various stimuli. The result is that there has been contrasting ideas about the best way to understand human behavior. Two schools of thought which are very popular are the psychodynamic and cognitive behavioral approaches. (Okun, 2008)
To fully understand them requires examining each one. This will be accomplished by focusing on the two theories, their theoretical concepts, micro skills / techniques and a summary of these…
Larson, P. (2012). How Important is an Understanding of the Clients Early Attachments. Counseling Psychology Review, 27 (1), 10 -- 18.
Lucia, M. (2012). Therapeutic Activities and Psychological Interventions. Counseling and Psychotherapy Research, 12 (2), 118 -- 127.
Okun, B. (2008). Effective Helping: Interviewing and Counseling Techniques. New York, NY: Brooks and Cole.
Parpottis, P. (2012). Working with the Therapeutic Relationship. Counseling Psychology Review, 27 (3), 91-97
The heart-rending autobiographical, Antwone Fisher, portrays Fisher’s (who is the movie’s scriptwriter) obsession for a family life, and spells of extreme melancholy and loneliness. The character of Antwone Fisher, an African-American sailor, is portrayed as volatile and uncontrollable. This nature makes way for compulsory psychiatric sessions with Dr. Davenport, after Fisher has a violent spell, leaving a peer bearing the brunt of his temper. Initially, Fisher doesn’t cooperate and remains silent for several weeks; the two clash. According to naval rules, three therapeutic sessions are imperative, beginning from when the client starts speaking. However, ultimately, the real reasons underlying Fisher’s anger issues surface: childhood abuse and the constant fear of abandonment. (Skomormj, 2003). The conversation initiated between client and therapist sheds light on the heart of Fisher’s problems. The tale commences with an ordinary day in navy workers’ life but ends leaving spectators heartbroken. The client’s tale may be counterpointed…
working with a diverse population of Native Americans, Hispanics, and other individuals in the prison systems and public clinics of this country, I have come to two, crucial conclusions. Firstly, that the currently cost-strapped environment of the national health care system cries out for innovative financial and sociological solutions. Secondly, I believe I require further education in the field of public health to accomplish my goals in seeking to remedy the systemic abuses I have personally witnessed in my own, current capacity as a physician's assistant. These two crucial reasons combine and fuse in my desire to pursue a PhD at Walden in the field of public health.
"Physician, heal thyself," goes the famous quotation -- and indeed, I have sought to heal my own gaps of knowledge through continually educating myself in the technical innovations of the medical field and of the current state of public health in America.…
Out of about 40 million slaves that were transported from African to the United States, only 15 million of them could survive, however they ended up in pure hell. It was expected of the African-Americans to meet the demands of two ideas, both of which met the needs of the rich white Americans. Thus, where slaves had a disguise to serve their masters and please them, they were just not being honest to themselves in the least bit, and they were living according to the wishes of their masters to escape the beating or to avoid being scrutinized any further. Having said that, just because they had no choice but to live up to the two ideals, it did not mean that there were not any rightfully revengeful and rebellious slaves that went against the books and refused to accept being a cookie cutter cut-out. It is assumed that the…
Bensimon, Moshe, Dorit Amir and Yuval Wolf. "Drumming through trauma: Music therapy with post-traumatic soldiers." The Arts in Psychotherapy, 35. 1 (2008): 34 -- 48. Print.
Cohn, Lawrence. Nothing but the blues. New York: Abbeville Press, 1993. Print.
Floyd, Samuel a. The power of Black music. New York: Oxford University Press, 1995. Print.
Gussow, Adam. Seems like murder here. Chicago: University of Chicago Press, 2002. Print.
Qualifying for professional certifications should be sought. All of these are ways the counselor can ensure that he or she has sound attitudes and abilities for making good judgments on ethical and multicultural questions.
There are growing resources of culturally-sensitive educational material for use by counselors. It is left to the counselor to pursue this crucial extra dimension on their own, stemming from personal dedication to the professional task. The practitioner must always seek to improve skills and understanding without simply relying on mandates from external organizations. There is a need for continuing education to make sure one is aware of new scientific and professional information and procedures of value to specific client population worked with (e.g., Mexican or Chinese populations). It is crucial to seek out communication with counselors who have greater experience and may help with advice. Also one must consult with counselors whose social and cultural backgrounds…
American Counseling Association. (2005). ACA Code of ethics. Alexandria, VA: Author.
Garcia, J.G., Cartwright, B., Winston, S., & Borzuchowska, B. (2003). "A transcultural integrative model for ethical decision making in counseling. (Practice & Theory)." Journal of Counseling and Development. 2003. Retrieved March 10, 2010 from accessmylibrary: http://www.accessmylibrary.com/article-1G1-106027116/transcultural-integrative-model-ethical.html
Gielen, U.P, Draguns, J.G., & Fish, J.M. (2008). Principles of multicultural counseling and therapy. New York: Routledge.
Pedersen, Paul. (1994). A Handbook for developing multicultural awareness. Alexandria, VA: American Counseling Association.
GEONTOLOGICAL & GIATIC NUSING
Nursing Paper-Gerontological & Griatric Nursing
End of Life Issues and the Elderly
(2) "Identify and discuss the role of the nurse in providing family centred care to an elderly client who is palliative and living at home with his/her spouse or another family member."
Palliative care is an approach to provide a coordinated medical, nursing, and allied health service to address the patient's physical, social emotional and spiritual needs for people with progressive incurable illness. Palliative care seeks to deliver allied health service within the environment of person's choice to improve quality of life for both an ill person and the family or friends. In the United States, Europe and other part of the world, number of people reaching the advanced age and having the need of specialities for the management of pain control continues to increase. (oyal College of Nursing, 2004).
Meanwhile, a nurse plays…
Bliwise, D.L. Bliwise, N.G. Partinen, M. et al.(1988). Sleep Apnea and Mortality in an Aged Cohort. Am J. Public Health.78:544-547.
Bruce, S.D. & Hendrix, C.C. (2006). Palliative Sedation in End-of-Life Care: The Role of The Nurse in Palliative Sedation. Journal of Hospice and Palliative Nursing.8(6):320-327.
Canadian Nurses Association (2008). Providing Nursing Care at the End of Life. Ottawa Canada.
Davies, E. & Higginson, I.J. (2004). Better Palliative Care for Older People. World Health Organization.
Self-management is the goal of the client and the therapist works with the client to aid him or her in recognizing self-defeating thoughts or actions that will give negative results, and developing positive thoughts that will have positive results (Lazarus, 1997).
The first tenet that is examined is the one Lazarus calls "Positive Thinking."
Positive cognition is focusing on personal skills and strengths, on what is good in the world, believing in one's self and belief in one's ability to succeed. When this is the dominating thought, the client then acts in ways that bring him or her closer to success. Positive thoughts and images about one's abilities dramatically increase one's chances of succeeding. Believing that success is possible is a prerequisite for most achievements.
Thinking positively does not mean being unrealistically optimistic. Nor does it mean one is without limits, that others will only help and never hinder, or…
Christian Counselors. Wikipedia. Retrieved October 8, 2006 at http://en.wikipedia.org/wiki/Christian_Counselors .
Cox, R.H., Cox, B.E. And Hoffman L. (Eds) (2004) Spirituality and Psychological Health, Colorado Springs, Colorado School of Professional Psychology Press
Egan, K. (1998) the Skilled Helper. A problem-management approach to helping. 6e, Pacific Grove: Brooks/Cole.
Ellis, a. (1975). A Guide to Rational Living. Los Angeles: Wilshire Book Company
Credibility and eliability of Sources of CAM Information:
The identification of the most suitable Complementary and Alternative Medicine therapy to help in treatment of the patient's symptoms is a process that is based on extensive research. The increased use of CAM therapy in the American health care system provides clinicians with a new responsibility of becoming informed regarding the suitability, safety, and effectiveness of various healing procedures that are largely unfamiliar. The research process used to develop the most suitable CAM therapy involves obtaining information based on opinions rather than facts. Actually, there is plenty of research on CAM therapies that are not usually published in the established American medical journals or presented based on the traditions of standard medical research. Therefore, since the health care system requires factual information instead of opinions, clinicians face the need to ensure the credibility and reliability of the sources of Complementary and Alternative…
"Complementary and Alternative Medicine: Evaluate Treatment Claims." (2011, October 22).
Mayo Clinic -- Consumer Health. Retrieved September 23, 2013, from http://www.mayoclinic.com/health/alternative-medicine/SA00078
"Evaluating Information Sources for Complementary and Alternative Health Care." (2004).
Program on Integrative Medicine. Retrieved from Department of Physical Medicine -- University of North Carolina at Chapel Hill website: http://www.med.unc.edu/phyrehab/pim/files/Evaluating.pdf
Diathermy: Uses, Benefits, And isks
As one of the oldest treatment modalites, the therapeutic effects of heat have been experienced for several hundred years. In order to use heat in the treatment of deep muscle injury, diathermy treatment is the therapy of choice. Diathermy uses high-frequency electrical currents to heat deep muscular tissues. This heating results in pain relief, increased blood flow, and increased flexibility. esearch has demonstrated evidence both for and against the effectiveness of diathermy treatment. Attention must be given, however, to risk factors predisposing some patients to serious adverse effects due to diathermy treatment.
Diathermy: Uses, benefits, and risks
Diathermy refers to the use of high-frequency electrical currents to heat deep muscular tissues. This heat increases the flow of blood to the area, which in turn, speeds up recovery. The term diathermy is a derivative of the Greek words therma, meaning heat, and dia, meaning through. Therefore,…
Frick, L. (2001). Diathermy. Gale Encyclopedia of Alternative Medicine. http://www.findarticles.com/g2603/0003/2603000326/p1/article.jhtml .
Peres, S., Draper, D., Knight, K., Ricard, M. (2002). Pulsed shortwave diathermy and prolonged long-duration stretching increase dorsiflexion range of motion more than identical stretching without diathermy. Journal of Athletic Training, 37(1), 43-50.
Draper, D., Miner, L., Knight, K., Ricard, M. (2002). The carry-over effects of diathermy and stretching in developing hamstring flexibility. Journal of Athletic Training, 37(1), 37-42.
Media Representations of Marriage Coaching
Media Representations of Marriage Counseling
The protagonists of the film are three married couples who are all friends and attend church together. Each couple experiences tension and discontent with their marriages. Rather than each wife and each husband taking personal responsibility for their actions that contributed to the unpleasant state of the marriage, each spouse wishes to force a change upon his/her spouse. While attending a church service one Sunday, the pastor introduces another couple that invites couples in trouble to a marriage retreat in the mountains. When they arrive in the mountains, what the couples think will happen and what they actually experience are vastly different. Through various activities, therapies, and accidents, the couples come to rediscover what they love about each other, ways to strengthen their marriage, as well as ways to improve themselves as individuals. The retreat weekend is an…
Autism is one of the most severe and disruptive of all childhood disorders - a level of disruption that of course lasts well into adulthood. With both genetic and environmental elements at work, autism (which affects boys at least three times more often than girls and is found in all races and throughout the world) is a communicative disorder that interferes with an individual's ability to form social relationships as well as to communicate with others.
The inability to communicate easily with others is devastating for many children with autism. Being disconnected from other members of the human community is always a difficult condition, but it is especially difficult to the young. An adult who finds himself or herself unable to communicate will already have established connections with other people.
But a child with autism often has the greatest possible difficulties communicating and so establishing those connections to begin with.…
Einfeld, S., & Tonge, B. (1994). The Developmental Behavior Checklist: The development and validation of an instrument to assess behavioral and emotional disturbance in children and adolescents with mental retardation. Journal of Autism and Developmental Disorders, 25, 81-101. http://www.behavior.org/autism/index.cfm?page=http%3A//www.behavior.org/autism/autism_causes.cfm http://cecp.air.org/fba/default.htm
Koegel, R., Rincover, A., & Egel, A. (1982). Educating and Understanding Autistic Children. San Diego: College-Hill.
Kozloff, M. (1983). Reaching the autistic child: A parent teaching program. Cambridge, MA: Brookline Books.
Paluszny, M. (1979). Autism: A Practical Guide for Parents and Professionals. NY: Syracuse University Press.