...10.1007/s10615-014-0496-z ORIGINAL PAPER Trauma Through the Life Cycle: A Review of Current Literature Shulamith Lala Ashenberg Straussner Alexandrea Josephine Calnan • Highlight every key term that refers to the following key concepts: 1) "trauma" generally a) "large T trauma" b) "micro-trauma" 2) "resilience" Published online: 31 May 2014 Ó Springer Science+Business Media New York 2014 Abstract This paper provides an overview of common traumatic events and responses, with a specific focus on the life cycle. It identifies selected ‘‘large T’’ and ‘‘micro’’ traumas encountered during childhood, adulthood and late life, and the concept of resilience. It also identifies the differences in traumatic events and reactions experienced by men compared to women, those related to the experience of immigration, and cross generational transmission of trauma. Descriptions of empirically-supported treatment approaches of traumatized individuals at the different stages of the life cycle are offered. Keywords PTSD Á Large-T and micro-traumas Á Neurobiology Á Gender differences Á Immigrants Á Treatment approaches The past is never dead. It’s not even past. William Faulkner The conflict between the will to deny horrible events and the will to proclaim them aloud is the central dialectic of psychological trauma. Judith Lewis Herman S. L. A. Straussner (&) Silver School of Social Work, New York University, 1 Washington Sq. North, New York, NY 10003, USA ...
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...Through narrative therapy a counselor can help clients gain access to preferred story lines about their lives and identities taking the place of previous negative and self-defeating narratives that destroy the self. Presented in this paper, is an overview of the Narrative therapy and the Social Construction Model and several facets of this approach including poststrucuralism, deconstructionism, self-narratives, cultural narratives, therapeutic conversations, ceremonies, letters and leagues. A personal integration of faith in this family counseling approach is presented and discussed also in this paper. NARUMI AMADOR’S FAMILY CONSELING APPROACH Introduction Narrative therapy is found under the Social Construction Model. Using the Narrative approach, the therapist will not be the central figure in the therapeutic process, instead he will be influential to the client, helping him/her internalize and create new stories within themselves to draw new and healthier assumptions about who they are. This process enables clients to distract from focusing on the negative narratives which defined their past, redefining their lives into future positive stories. Narrative therapists define the problem as the problem instead of defining the client as the problem. The therapy process begins redefining the problem, externalizing it and getting it out in the open. The narrative therapist uses the questioning technique and creates alternative narratives to connect...
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...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...W.G. (BILL) HEFNER VA MEDICAL CENTER SALISBURY, NORTH CAROLINA __________________________________________________________ MEDICAL CENTER MEMORANDUM 138-8 NOVEMBER 27, 2004 COMPREHENSIVE EMERGENCY MANAGEMENT PLAN ____________________________________________________ 1. PURPOSE: To provide resources for the continuation of patient care during a variety of emergencies that may disrupt operations at the W. G. (Bill) Hefner VA Medical Center, Salisbury, NC, the Winston-Salem OPC, the Charlotte CBOC and all other associated clinics. The plan describes how the medical center will establish and maintain a program to ensure effective response to disasters or emergencies affecting the environment of care. The plan addresses four phases of emergency management activities: mitigation, preparedness, response and recovery. 2. MISSION: To improve the health of the served veteran population by providing primary care, specialty care, extended care and related social support services through an integrated healthcare delivery system. Consistent with this mission, the Executive Committee for the Governing Body (ECGB), Integrated Risk Management Committee and the Environment of Care Committee have been established to provide ongoing support for the Emergency Management Program. 3. FUNDAMENTALS: a. This plan addresses the four phases of emergency management activities: mitigation, preparedness, response and recovery. In each of these four phases the...
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...When one thinks of family composition and the unity between family members, it is automatically assumed that a family’s intimacy is comprised of genuine and wholesome love. However, in some families that is not the case. Some family members experience a completely different and most often, unwelcomed and inappropriate type of closeness called incest. Incest is basically described as closely related members within the same family line who are engaging in sexual behaviors. Caruso (1987) defines incest as: • Sexual contact or interaction between family members who are not marital partners; • Oral-genital contact, genital or anal penetration, genital touching of the victim by the perpetrator, any other touching of private body parts, sexual kissing and hugging; • Sexually staring at the victim by the perpetrator, accidental or disguised touching of the victim's body by the perpetrator, verbal invitations to engage in sexual activity, verbal ridiculing of body parts, pornographic photography, reading of sexually explicit material to children, and exposure to inappropriate sexual activity (as cited in Incest, 2008, para. 4). This type of abuse is considered more complex and disturbing in nature; however, it is increasing and becoming more apparent in families who experience domestic/physical violence or sexual abuse within the family unit. Most often these families are considered to be broken and dysfunctional which results in a higher risk of abuse which then leads to the...
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...The ChildTrauma Academy www.ChildTrauma.org EFFECTS OF TRAUMATIC EVENTS ON CHILDREN AN INTRODUCTION Traumatic Event Prolonged Alarm Reaction Altered Neural Systems BD Perry MD, PhD Bruce D. Perry, MD, Ph.D. This booklet is one in a series developed by the ChildTrauma Academy to assist parents, caregivers, teachers and various professionals working with maltreated and traumatized children. All Rights Reserved © 2003 Bruce D. Perry Effects of Trauma on Children: Perry 2 Introduction Each year in the United States approximately five million children experience some form of traumatic experience. More than two million of these are victims of physical and/or sexual abuse. Millions more are living in the terrorizing atmosphere of domestic violence. Natural disasters, car accidents, life-threatening medical conditions, painful procedures, exposure to community violence – all can have traumatic impact on the child. By the time a child reaches the age of eighteen, the probability that any child will have been touched directly by interpersonal or community violence is approximately one in four. Traumatic experiences can have a devastating impact on the child, altering their physical, emotional, cognitive and social development. In turn, the impact on the child has profound implications for their family, community and, ultimately, us all. Traumatic events in childhood increase risk for a host of social (e.g., teenage pregnancy, adolescent...
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...Significant Lifespan Factors Impacting Personal Coping Skills Catherine Manning Liberty University Abstract Human beings develop throughout their lifespan, as they make good choices to meet their physical, spiritual and emotional needs. While development is not sequential, it is progressive as the story of life molds and shapes the beliefs and choices of the future. When humans are compared and evaluated, what is it that influences one person to make good choices and another to make bad choices? The ability to adapt and handle times of crisis is a good indicator of a healthy, well-balanced life. It is an indicator that affects almost everyone. It takes skills that mature and develop over time. Are there life experiences that contribute to the positive handling of the stressors of a crisis? Personal experience and pertinent research points to three themes offering positive influence upon crisis adapting skills. First, a religious and spiritual foundation provides the context through which the crisis can be understood, analyzed and managed. Second, a positive, stable family situation allows for the development of the positive self-esteem necessary through which the impact of the crisis upon the individual can be managed. Finally, the satisfaction found in a career or a job can determine perspective and motivation in dealing with problems outside the workplace. Significant Lifespan Factors Impacting Personal Coping Skills Lifespan developmental psychology...
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...be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals Chronic pain is an increasing problem affecting society today. Chronic pain is a complex condition that affects 42 million-50 million Americans, according to the American Pain Foundation. A recent market research report indicates that more than 1.5 billion people worldwide suffer from chronic pain and that approximately 3- 4.5% of the global population suffers from neuropathic pain, Despite decades of research, chronic pain remains poorly understood and notoriously hard to control. A survey by the American Academy of Pain Medicine found that even comprehensive treatment with painkilling prescription drugs helps, on average, only about 58% of people with chronic pain. The frequency of pain has a great impact on business, with a recent report by the Institute of Medicine (Medicine) Indicating that the annual value of lost productivity in 2010 dollars ranged between $297.4 billion to 335.5 billion. The value of lost productivity is based on three estimates: days of work missed (ranging from $11.6 to $12.7 billion); hours of work lost (from $95.2 to $96.5 billion); and lower wages (from $190.6 billion to $226.3 billion). Chronic pain is differentiated...
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...Personality Assessment. CASE 1#: * 33 years old female, Master’s degree-level education. * She and husband in process of divorcing; have 2 small children * Pt. report increased anxiety in recent month, manifesting in interrupted sleep, worry over possible custody battle with husband, and paranoid thoughts that husband is stalking her. * Pt. also reports that she has new boyfriend, is attracted to other men and feels guilty about this. * Husband reports that pt. is emotionally unstable and has threatened, at different times, both his and her own safety. Questions: 1. Does pt. have an anxiety disorder or is she merely reactive to situation stress? 2. Is there evidence in the test data of bipolar disorder? Depression? Generalized Anxiety Disorder? Acute Stress Disorder? Paranoia? 3. Comment on possible Axis II (personality disorder) features. 4. What recommendations would you make for this woman with respect to her marriage relationship, her parenting issues and needs/ directions for psychotherapy? What specific treatment options would you recommend regarding these areas of functioning and why? WAIS IV RESULTS: VERBAL COMPRENSATION: 115 PERCEPUAL REASONING: 124 WORKING MEMORY: 110 PROCESSING SPEED: 128 RORCHACH RESULTS: 1. A bug. That’s it. W F+ AD(ANIMAL DETAILS) 2. A dead bug. … be it’s bleeding. That’s it. W FMC (SPECIAL PHENOMENUS=BLOOD) 3. A praying mantis, it’s got the big eyes in the center. Legs come in from the...
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...Paramedic Characteristics The Paramedic must be a confident leader who can accept the challenge and high degree of responsibility entailed in the position. The Paramedic must have excellent judgement and be able to prioritize decisions and act quickly in the best interest of the patient, must be self disciplined, able to develop patient rapport, interview hostile patients, maintain safe distance, and recognize and utilize communication unique to diverse multicultural groups and ages within those groups. Must be able to function independently at optimum level in a non-structured environment that is constantly changing. Even though the Paramedic is generally part of a two- person team generally working with a lower skill and knowledge level Basic EMT, it is the Paramedic who is held responsible for safe and therapeutic administration of drugs including narcotics. Therefore, the Paramedic must not only be knowledge about medications but must be able to apply this knowledge in a practical sense. Knowledge and practical application of medications include thoroughly knowing and understanding the general properties of all types of drugs including analgesics, anesthetics, anti-anxiety drugs, sedatives and hypnotics, anti-convulsants, central nervous stimulants, psychotherapeutics which include antidepressants, and other anti-psychotics, anticholerginics, cholergenics, muscle relaxants, anti-dysrythmics, anti-hypertensives, anticoagulants, diuretics, bronchodilators...
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...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
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...developing praxis in counselling psychology Table of Contents Table of Contents 1 Theory Building in Counselling Psychology 2 The Impulse Toward Eclecticism 4 My Bohartian History 6 Adlerian Psychotherapy as Structured Eclecticism 10 My Adlerian Roots 11 Beyond Adler: Robertsonian Meme Therapy 13 The Nature of Self 13 The Potential for Using Memes in Counselling 15 A Use of Meme Theory in Counselling a Suicidal Youth 17 Holistic, Dynamic and Integrative: Looking Forward in Our Profession 21 Summarizing the Foundational Principles of My Practice 21 Revisiting Holism 23 Future directions 25 Footnotes 27 Theory Building in Counselling Psychology An early text lamented, “A good theory is clear, comprehensive, explicit, parsimonious, and useful. We appear to have a paucity of good theories in psychology” (Stefflre & Matheny, 1968). Lent attempted to reduce this paucity by formulating his own theory: Wellness is intended to capture the notion of health as a dynamic state or process rather than a static endpoint; psychosocial wellness acknowledges the importance of both intrapersonal and interpersonal functioning. The multiple aspects of wellness would include a) self-perceived (domain and/or global) satisfaction (hedonic well-being), b) domain/role satisfactoriness, c) presence of prosocial versus antisocial behavior, and d) low levels of psychologistical distress or symptoms (e.g. anxiety, depression, disordered thinking)...
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...edu/aboutnova/directories--offices/administrative-offices/academic/index.html. Revised June 2012 Table of Contents INTRODUCTION ........................................................................................................... 3 PURPOSE .................................................................................................................................3 TYPES OF ADVANCED STANDING ...................................................................................................3 GENERAL PROCEDURES ...............................................................................................................4 EVALUATION RESPONSIBILITIES .....................................................................................................5 SECTION 1—CREDITS FROM POST-SECONDARY INSTITUTIONS ........................................ 7 GENERAL CONDITIONS ................................................................................................................7 GENERAL EDUCATION TRANSFER CREDIT FOR STUDENTS WITH PREVIOUS DEGREES ..................................9 EVALUATION OF INTERNATIONAL TRANSCRIPTS .................................................................................10 SECTION 2—CREDITS EARNED IN NON-TRADITIONAL PROGRAMS ................................... 11 CLINICAL CODING ASSOCIATE OR CLINICAL CODING SPECIALIST ............................................................11 CRIMINAL JUSTICE ACADEMIES ....................................................................
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...Browning, MPA, DBA Grant Writing For Dummies® 3rd Edition , Published by Wiley Publishing, Inc. 111 River St. Hoboken, NJ 07030-5774 www.wiley.com Copyright © 2009 by Wiley Publishing, Inc., Indianapolis, Indiana Published by Wiley Publishing, Inc., Indianapolis, Indiana Published simultaneously in Canada No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600. Requests to the Publisher for permission should e addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201)748-6008, or online at http:// www.wiley.com/go/permissions. Trademarks: Wiley, the Wiley Publishing logo, For Dummies, the Dummies Man logo, A Reference for the Rest of Us!, The Dummies Way, Dummies Daily, The Fun and Easy Way, Dummies.com, Making Everything Easier, and related trade dress are trademarks or registered trademarks of John Wiley & Sons, Inc. and/ or its affiliates in the United States and other countries, and may not be used without written permission. All other trademarks are...
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...Comparative Literature 153: “International Cultures: Film and Literature” Dr. Thomas Jay Lynn * Penn State Berks * Fall 2015 * MWF 12:00-12:50 Franco 101 * Office Meeting Period MWF 1:15-2:15 (For an office meeting during this or a different time, please e-mail, phone, or speak to me in advance, if possible.) Office: 117 Franco * Office Phone: (610) 396-6298 * E-mail: TJL7@PSU.EDU Please note: This syllabus and various other course documents (including essay guidelines) will be posted online at our ANGEL course site. “I am proud of my humanity when I can acknowledge the poets and artists of other countries as my own. Let me feel with unalloyed gladness that all the great glories of man are mine.” ~ Rabindranath Tagore Course Overview Official Penn State description of CMLIT 153: “Comparison of narrative techniques employed by literature and film in portraying different cultures, topics may vary each semester.” This Fall 2015 offering of CMLIT 153, “International Cultures: Film and Literature,” focuses on cultural tensions in varied parts of the world. Among the tensions that these films and novels explore are ones that arise in relation to poverty and wealth (class tensions); changing female and male gender roles; concepts of love and marriage; family dynamics; traditional and modern identities; work and education; and shifting political realities. In your approach to the works considered in this course, moreover, please consider how such tensions...
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