...Disorder Classifications * The DSM-IV-TR classifies sexual disorders into three types: sexual dysfunctions, paraphilias, and gender identity disorder. (Hansell & Damour, 2008) Summary of Sexual and Gender Identity Disorders * The psychodynamic approach focuses on fixations in sexual development and also focuses on defense mechanisms. * Cognitive/behavioral perspectives emphasize social learning of abnormal sexuality, classically conditioned sexual arousal to deviant stimuli, and reinforcement of aberrant sexual behavior. * Biological factors can include some disinhibiting diseases or injuries or mental retardation that can contribute to abnormal behavior. (Hansell & Damour, 2008) Personality Disorder Categories * Paranoid Personality Disorder * Schizoid Personality Disorder * Schizotypal Personality Disorder * Antisocial Personality Disorder * Borderline Personality Disorder * Histrionic Personality Disorder * Narcissistic Personality Disorder * Avoidant Personality Disorder * Dependent Personality Disorder * Obsessive-Compulsive Personality Disorder (Hansell & Damour, 2008) Personality Disorder Classifications * Cluster A – paranoid, schizoid and schizotypal disorders * Cluster B – antisocial, borderline, histrionic, narcissistic disorders * Cluster C – avoidant, dependent, and obsessive-compulsive disorders (Hansell...
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... In trying to discuss and critically analyse an understanding of psychopathology, I will propose to use the relevant theory from the perspective of two common mental health disorders; Borderline Personality Disorder (BPD) and Major Depressive Episode (MDE).. I decided to focus on these two common mental health disorders as both hold particular interest for me. MDE- What struck me most in researching this topic was the relative ease with which someone could find themselves diagnosed with MDE under current DSM-IV guidelines. Possibly without them having awareness of their impending path and journey into mental health difficulties. I was impacted by BPD in regards to its more challenging behaviours to the therapist, who may be dealing with a client existing between borderline and psychotic worlds. I will explore the application of two theoretical approaches, namely humanistic and cognitive behavioural in relation to these mental health disorders. I will also demonstrate the importance of cultural difference in relation to understanding mental health issues and I will highlight the role risk assessment plays in the provision of supports for clients and the therapists. I will also demonstrate the importance of supervision and record keeping and I will conclude the essay with a brief summary of my key learning, including my understanding of limitations and challenges facing me within the psychotherapeutic relationship. PSYCHOPATHOLOGY A helpful understanding of what...
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...Borderline Personality Disorder Name of Student Course name Date of submission Borderline Personality Disorder Literature Review The literature review first presents the evolution of Borderline Personality Disorder (BPD) over the past 60 years, highlighting the shift from psychodynamic perspectives to that of biological and environmental determinates. Diagnostic classification of BPD is then examined, and subsequently discussed in terms of sectors of psychopathology that serve to demarcate the disorder. Next, dominant contemporary aetiologies of BPD are discussed, leading to an examination of comorbidities and the prevalence of BPD across populations. The focus of the review shifts to an examination of BPD in university students, commencing with treatments that are both efficacious and suited for delivery in a university context. Then, management of BPD related behaviours on campus are discussed in terms of the role of university staff in providing assistance to students with BPD. The chapter concludes with a summation of considerations in assisting university students with severe symptoms of BPD while on campus The development of the Borderline construct Reliable and valid differentiation of the borderline construct has proved elusive. The phenomena was initially reported in psychodynamic literature in the 1930’s, however was not distinguished as a syndrome until 1953 (Knight, 1953). Indeed, the use of the term ‘borderline’ arguably represents a misnomer due to its association...
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...INTRODUCTION: Amazon.com opened for business in July 1995, nobody in that time was optimistic for this brand new business model. People still enjoy the physical store, and skeptical on online shopping. However, with more than a decade efforts, Amazon was named the world’s top brand ahead of common names like Coca-Cola, Microsoft, and so on. Amazon and its online business model had creased more than $34 billion revenue, and equally 80 million people visit Amazon.com every month. In order to achieve greater success, Amazon need to overcome the challengeable external environment, strengthen organization structure, fulfill the product line, and leverage its brand strategy. CURRENT MISSION, GOAL, AND STRATEGY The current mission statement for the Amazon.com is “to be the Earth’s most customer-centric company, where customers can find and discover anything they might want to buy online, and endeavor to offer customers the lowest prices.” Amazon added 13 new fulfillment centers in 2010 and another 15 new center in the 2011 and company is planning to launch cloud technology in 2011 which allowed customers to store and access music. The company believed that in the nearly future this technology could bring the internal strength and competitive advantage for Amazon.com. INTERNAL ANALYSIS: See attached IFEM Amazon.com internally with an IFEM score of 3.25 FINANCE: Amazon is on strong financial position now; online sales reached $9.91 billion...
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...Chapter 1. Literature Review: Borderline Personality Disorder in university students 1.1 Chapter Overview The literature review first presents the evolution of Borderline Personality Disorder (BPD) over the past 60 years, highlighting the shift from psychodynamic perspectives to that of biological and environmental determinates. Diagnostic classification of BPD is then examined, and subsequently discussed in terms of sectors of psychopathology that serve to demarcate the disorder. Next, dominant contemporary aetiologies of BPD are discussed, leading to an examination of comorbidities and the prevalence of BPD across populations. The focus of the review shifts to an examination of BPD in university students, commencing with treatments that are both efficacious and suited for delivery in a university context. Then, management of BPD related behaviours on campus are discussed in terms of the role of university staff in providing assistance to students with BPD. The chapter concludes with a summation of considerations in assisting university students with severe symptoms of BPD while on campus. 1.2 Borderline Personality Disorder 1.2.1 The development of the Borderline construct Reliable and valid differentiation of the borderline construct has proved elusive. The phenomena was initially reported in psychodynamic literature in the 1930’s, however was not distinguished as a syndrome until 1953 (Knight, 1953). Indeed, the use of the term ‘borderline’ arguably represents a misnomer...
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...Goodenough is generally capable and experienced in both the patrol and detective divisions. She takes pride in being of the “old school” and has developed a clique of approximately 10 people with whom she gets along while mostly shunning other officers. As an officer of the old school, she typically handles calls for service without requesting cover units or backup. She has had six complaints of brutality lodged against her during the last 3 years. For Ima and her peers, officers who call for backup are “wimps.” She has recently been involved in two high-speed pursuits during which her vehicle was damaged when she attempted to run the offender off the road. Ima will notify a supervisor only when dealing with a major situation. She is borderline insubordinate when dealing with new supervisors. She believes that, generally speaking, the administration exists only to “screw around with us.” You, her shift commander, have been angry about her deteriorating attitude and reckless performance for some time and have been wondering whether you will soon have occasion to take some form of disciplinary action against her. You have also learned that Ima has a reputation among her supervisors as being a “hot dog.” Some of her past and present supervisors have even commented that she is a “walking time bomb” who is unpredictable and could “blow” at any time. One day, while bored on patrol, Ima decides to go outside her jurisdiction, responding to a shooting call that is just across...
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...constitute a group of patients who have a higher risk of having an MI and also a poorer prognosis post infarction. The higher death and complication rates appear to be multifactorial but a significant finding in the Diabetes Mellitus Insulin-Glucose Infusion in Acute Myocardial Infarction (DIGAMI) Trial showed to reduce one year mortality by 30% (Malberg et al., 1995). It’s recommended 1.1 Primary Objective To determine the relationship between HbA1c and prognosis of patients in East Lancashire having a myocardial infarction. 1.2 Secondary Objectives To assess the prognosis of patients below the glucose cut off threshold for DIGAMI treatment and whether or not this borderline category falls in to the highest risk group in terms of mortality and morbidity. To determine if there is both a clinical and analytical case to use fluoride oxalate tubes for plasma glucose and HbA1c collection and analysis in East Lancashire. To ascertain the effect of a...
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...Competency: Analysis of the Concept Michelle Trigg University of South Alabama Abstract Understanding the nature and meaning of nursing competency is the initial step in having an unambiguous definition of its practice. All healthcare professionals, including nurses, may only prove to be proficient in their capabilities if they are able to perform comprehensive assessments related to the provision and maintenance of safe and efficient care, the protection of all members of the general public, and the undertaking of all necessary actions in order to preserve the nursing profession. Any and all standards that are established, based on such a perspective, must be adhered to in practice and for the purpose of nursing evaluation. This paper will evaluate and explore the concept of competency and the ways in which the nursing profession integrates the many aspects of competency. Keywords: competence, competency, concept analysis Competency: Analysis of the Concept The concept of competency in nursing is a professional regulation and is extremely important to patient safety and outcomes. In the past, competency in nursing focused on evaluating clinical skills, and not the actual ability(ies) or comprehension of the science behind them (Allen et al., 2008). Nurse competency is a requirement in the clinical setting, and outlines the dimensions...
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...SAMPLE CASE APPLE COMPUTERS, INC. PREPARED BY MAX BEEBER September 1, 1995 FOR OL 421 STRATEGIC MANAGEMENT AND POLICY INTRODUCTION: In 1976, Steven Wozniak and Stephen Jobs designed computer boards in a garage. During the next six years, this operation was transformed into a Multi-million dollar company called Apple Computer. It broke into the Fortune 500 in 1982. While Apple has experienced tremendous growth, it has recently begun to experience problems, which, if unabated could have a significant negative impact. This includes a weak organizational structure, a rapidly changing external environment, lack of strategic leadership, and major problems with its products and within its dealer network. Therese and other serious problems have created a situation in which Apple faces key decision points that will determine the future of the company. The time of this case is late 1983. CURRENT MISSION, GOALS, & STRATEGY: Apple Computer develops, builds, and markets microcomputers. Its current philosophy states that it is “…driven by desire to build products that combine ideas already out at a low enough cost to make them useful. We are not really technology drive.” Apple is currently working on the IIE and the MacIntosh. It is also attempting to construct a more advanced computer called the Lisa, but this project is not yet completed. No specific marketing, financial, or production goals were state for...
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...Dependent Personality Disorder in Women Kimberly L. Johnson Abstract This paper will examine the DSM disorder of Dependent Personality Disorder in Women. The focus of this paper will be to highlight the differentiation, diagnosis and treatment of this specific pathological personality disorder. According to the DSM, Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by others that usually lead to clingy and fears of separation. In professional counseling it is critical that clinicians understand the root causes of DPD and how this disorder can manifest in women. This disorder can be found in both men and women, but research seems to suggest that women are more likely to suffer from this disorder. Therefore, understanding the pathology of DPD and its diagnosis and treatment will be critical to professionals working with women. This paper will also discuss how clinicians should be cautious when making diagnosis in women who present with DPD and knowing what gender and culture factors that exists. Dependent Personality Disorder in Women Clinical Definition of Dependent Personality Disorder According to the DSM-IV-TR (2000), Dependent Personality Disorder (DPD) is characterized by a pervasive and excessive need to be cared for by another person that usually lead to clingy and fears of separation. DPD as outlined in the DSM-IV-TR is considered the formal diagnosis of DPD needed for insurance, research, and communication...
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...Jodi Arias Articles These are some of the essays that I have written about the Jodi Arias trial. Many more to come. JODI ARIAS TRIAL: SECOND EXPERT WITNESS, ALYCE LAVIOLETTE UNDER SCRUTINY Alyce LaViolette is the second expert witness called by the defense in the Jodi Arias trial. Ms. LaViolette has a Masters degree and has worked since the 1970s in the field of domestic violence. She has been described by some as being a man hater. For instance, attorney and radio host Jenny Hutt, in her appearance on the Dr. Drew show, referred to Ms. LaViolette’s testimony in the following way: “I feel like she`s just a man hater…she`s clearly prejudicial, and she just reads that she doesn`t like men.” This criticism, valid or invalid, is also present in professional critiques, couched using terms such as “feminist perspective” and even extends to the personal reviews that can be found on Amazon.com. One reviewer, asked the question “did she ever meet a man who was not an abuser?” Obviously, the impression of Ms. LaViolette, as being a man hater, is legitimate in the minds of many people. She has left that impression with many readers and viewers of her work. This is not to say that Ms. LaViolette is a man hater, just because a number of people think her so. That would be unfair. It would be fair to say this. Her behavior, her writing, her court testimony, has left a significant number of people with the impression that she is a man hater. I don’t know if she is a man...
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...In the movie titled "Miracle", the United States (U.S.) is a downtrodden country that is suffering from a poor economy, anti-war protests, Watergate, Three Mile Island, and U.S. citizens being held hostage by Iran Forces. The U.S. was in need of a positive omen that would give the people hope that better things were to come. A young college hockey team, with a coach that uses an unconventional coaching style, had only seven months to train before the Olympics. Moreover, deliver that omen - a gold medal. Vision Coach Brooks' vision was to pull twenty young men from varying backgrounds and colleges together to stand as one team. He instilled in these young men a confidence that they could accomplish anything if they set their mind to it, and were willing to work hard for it. From the life lessons learned those twenty young men went on to become successful business men, doctors, and college coaches. The team gave the nation something to believe in, something to dream about, and unify around. Loyalty Brooks' coaching style was unconventional, but never the less it instilled a strong loyalty to the U.S. Olympic team in each player. One example was the lack of loyalty when the team could not get past old rivalries, which distracted the players due to the fact they were more concerned about settling the score with another player or college. The coach kept asking each player during practice who they played for, because the coach knew that until the team could put aside...
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...Sign In (Create a Free Personal Account) | Subscribe Search Annals of Internal Medicine Advanced Search Register for Alerts Information for Authors Submit a Manuscript Home Current Issue All Issues Online First Collections In the Clinic Journal Club CME Audio & Video Authors 17 December 2013, Vol 159, No. 12> Advertisement Email Share Get Permissions Get Citation Figures Slideset (.ppt) PDF Reviews | 17 December 2013 Vitamin and Mineral Supplements in the Primary Prevention of Cardiovascular Disease and Cancer: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force FREE Stephen P. Fortmann, MD; Brittany U. Burda, MPH; Caitlyn A. Senger, MPH; Jennifer S. Lin, MD, MCR; and Evelyn P. Whitlock, MD, MPH [+] Article and Author Information See Also: Published Letter: Padayatty et al Published Letter: Dror et al Published Letter: Hemilä Published Letter: Bolland et al Published Letter: Fortmann et al Oral High-Dose Multivitamins and Minerals After Myocardial Infarction: A Randomized Trial Long-Term Multivitamin Supplementation and Cognitive Function in Men: A Randomized Trial Enough Is Enough: Stop Wasting Money on Vitamin and Mineral Supplements Ann Intern Med. 2013;159(12):824-834. doi:10.7326/0003-4819-159-12-20131217000729 Text Size: A Related Articles Filter By Topic > Vitamin, Mineral, and Multivitamin Supplements for the Primary Prevention of Cardiovascular Disease and...
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...Health Wales (Intranet) Welsh Assembly Government Review Date: Review in May 2012 or sooner if new information or evidence is available. Purpose and Summary of Document: The current policy for Wales is that women aged between 20 and 64 years are invited for cervical screening every three years. Scotland invite women aged between 20-60 years every three years. England and Northern Ireland invite women from 25 years of age and reduce the frequency of invitations to every 5 years for those aged between 50 and 64 years. The purpose of this document is to review the evidence on which the age of Cervical Screening Wales, Screening Division, Public Health Wales Discussion paper on age of first invitation and frequency of invitation invitation and frequency of invitation is based and to discuss the implications of changes for the female population of Wales, for Cervical Screening Wales and for NHS Wales. Work Plan reference: Cervical Screening Wales, Screening Division. Date: May 2011 Version 1 Page: 2 of 50 Cervical Screening Wales, Screening Division, Public Health Wales Discussion paper on age of first invitation and frequency of invitation DISCUSSION PAPER ON AGE OF FIRST INVITATION FOR CERVICAL SCREENING AND FREQUENCY OF INVITATION OF CERVICAL SCREENING FOR WOMEN AGED 50 TO 64 YEARS .................... 1 1 EXECUTIVE SUMMARY ............................................................ 5 2 CONTEXT...
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...Ethics and Tarvydas Model Laura Garcia PSYC 410 Dr. Lane October 26, 2014 Ethics and Tarvydas Model 1. The counselor receives an intake for an attending physician, whom has worked with the agency in the past. This intake call is inquiring on a personal matter regarding his 17 year old daughter with an eating disorder / exhibited symptoms of Borderline Personality Disorder. It is relayed during the call; the physician will continue the medication management portion of treatment, while the agency provides counseling services. It was presented during the intake he was concern with being well-known doctor that would like to keep this information private from others and would like to pay cash for service. Phase 1: The counselor is aware of the physician’s rights to keep his daughters condition private, however providing medication to a family member is cause for concern when there may not have been a proper assessment completed or if it is not being documented properly. The influence the medication can influence the process of therapy; especially when there may be no medical documentation of initial symptoms can cause various problems with treatment. It is important in determining if there is medical documentation supporting the diagnosis/medication and what types of tools were used in determining those findings. Determine why she was not referred to an agency earlier, and why is it in the best interest for the physician to continue medication when the counselor would...
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