Thursday, October 31, 2019

Proposed project plan Case Study Example | Topics and Well Written Essays - 750 words

Proposed project plan - Case Study Example Efforts must be made to increase the enrollment of patients under the existing safety net programs such as the community health centers, local health clinics and public hospitals as well as Medicaid. The Medicaid care should expand its outreach to include people with low incomes and provide 100% insurance coverage, or offer coordinated health care service in association with other managed care organizations. Effective insurance market reforms must be initiated to ensure development of independent / private plans which are independent from the government run health plans in a bid to offer a level playing field to the private insurance companies. The individuals must be empowered and given a say in choosing their health care plans, and voice their opinions on the issue of insurance coverage available to them. They should be enabled to choose their own health plans and health care providers and must be included to share costs to reduce the financing burden on the federal government agen cies. 2. Existing attempts, programs and interventions implemented by the health care organizations: The federal government established laws and introduced policies in order to ensure equitable access to health care

Tuesday, October 29, 2019

The Properties, Functions and Properties of Smooth Muscles Assignment - 1

The Properties, Functions and Properties of Smooth Muscles - Assignment Example They play an important role, especially in the arterioles, by constricting or dilating the blood vessel thereby controlling the flow of blood. Smooth muscles are also crucial in bigger blood vessels, such as aorta, and enable them to withstand high pressure generated during systole or ventricular contraction. (Clark, 2005, p. 139) These are the muscles under voluntary control. Skeletal muscle is also sometimes referred to as striated muscle but this term should be avoided as cardiac muscle is also a striated muscle and leads to ambiguity. A cell of skeletal muscle is very long, up to 30cm in length, and has a cylindrical shape. The cross section size of these cells is about 10-100 micrometer. It is not surprising that cell of this length has multiple nuclei for support and survival. But these nuclei are not located at the center and rather aligned at the periphery. This is because the contractile components in the cell cytoplasm push these nuclei towards the call border. Skeleton muscles form bulk of a human body and perform various functions. They are essential for locomotion and to perform any movement of the body. Although, skeletal muscles are mostly under voluntary control they also take part in a reflex arc that does not involve the higher centers and, therefore, is an involuntary process. The contracti ons produced by skeletal muscles are forceful and quick as compared to the smooth muscle. (Clark, 2005, p. 139) Cardiac muscle is a specialized tissue perfectly adapted to perform its function. It is the only muscle that is found in the heart. A very special property of a cardiac muscle is that is can contract on its own which mean it does not require an external stimulation.

Sunday, October 27, 2019

Ignorance of Physical Health in Mental Health

Ignorance of Physical Health in Mental Health Bakhtawar Mushtaq According to the World health organization (2007) â€Å"Health is a state of complete physical, mental and social well-being , not merely the absence of disease and infirmity†. From this definition we surmise three main aspects and they always stroll side by side. This definition has both psychiatric and medicine field which insist us for holistic care. If one of the aspect will be ignored then it will difficult to achieve the complete state of well being. The health care professional should take care of physical problems while treating their mental health (Sturgeon, 2007). Mental health set ups are not only to treat the mental disorders, but the physical health issues too. On the other hand, â€Å" the physical health of patients with mental illness is neglected which leads to high premature mortality rates† (brown, 2012). Writing on this topic will help in understanding the importance of holistic care in mental health care setting. Neglecting physical health is a serious issue. Health care providers can prevent thousands of premature deaths by simple interventions, like the care of minor physical instabilities. With the socio-cultural context, stigma and stereotyping are the major barrier of physical health in mental health. In our culture, people easily stigmatize the patient without thinking the consequences. â€Å"Unluckily stigmatizing attitudes toward mental illnesses are present within the mental health professions themselves. The staff usually stigmatizes the patients and treats them unfairly. Instead of paying attention they just ignore the symptoms reported by the patients and label them as symptoms of mental health. Such symptoms may further worsen the condition†. (Cooper 2010) Thornicroft 2011 conducted a study which shows that only 13% mentally ill patients are getting the proper physical health treatments, 48% are getting poorer attention, the rest 30% are not getting any physical attention and 80% population is dying because of this issue which is the main factor of increasing mortality rate. Two main reasons are unnatural deaths and poorer physical health care. However, It shows the high mortality rate in mentally ill patients due to ignorance of physical health. It is very important to address this issue and take important steps to improve their health. During my mental health clinical, I found the enormous ignorance of physical health. A 25 years old female was facing extreme stomachache and she was complaining continuously. On the first day, Everybody was ignoring the patient by saying she is depressed rather listen her complain. Staff even didn’t perform any assessment or notice the facial expressions of the patient. On the second day when I went to the patient she reported her complain and I shared her concern to the doctor she said that just ignore these patients otherwise they will start complaining all the time. On the third day when I attend the clinical, staff told me that patient was very sick at night so she is admitted in hospital for physical checkup. Contemplating the scenario its perturbing that staff is ignoring thos e mentally ill patients who are very vulnerable to other threatening problems and other unexpected outcomes. â€Å"Mentally ill patients are more prone to physical illness than the general population because of many reasons such as lack of exercise, high rates of smoking and poorer diet all contributes to diseases like hypertension, high cholesterol and respiratory illness etc† (Chacà ³n, 2011). Some researchers show a strong genetic relationship between some psychological and physiological illness such as the people with diabetes have the tendency to get schizophrenia. Patient with mental illness can’t pay attention to their physical health so it is our responsibility to take care of their health. Further, somatic pain is also a reason, referring to the scenario my patient had pain, but nobody was listening to her concern because they were assuming that she have somatic delusions. These perceptions lead to serious illnesses in mentally ill patients. Thornicroft (2011) states that â€Å"there are many barriers which contribute to physical illness. He gives the concept of â⠂¬Å"diagnostic overshadowing† that people with mental illness receive worse treatment for physical disorders†. If a patient is admitted in emergency with co-morbid of mental illness and diabetes, staff will less likely to concentrate on diabetes. Furthermore, workload and shortage of trained staff are the contributing factors. Else, negligence in daily assessment is a major issue. Referring to my scenario, the patient was showing facial expressions but they didn’t notice it. Brown (2012) says that â€Å"health disparities experienced by these people is due to problems in accessing health assessment or lack of resources like equipment to assess the physical symptoms†. They should have access to all the facilities such as BP apparatus, to check their BP like in other diseases. Moreover, these patients are unable to explore their symptoms because of altered thought process and the side effects of antipsychotic drugs. These factors lead to serious physical prob lems in those mentally ill patients. According to Maslow’s Hierarchy, physical needs and health are the most important to be fulfilled. He says that physiological needs are deficiency needs, meaning that these needs are important in order to avoid unpleasant consequences like pain . So, from this model we can infer that physical health and needs are important in order to maintain a healthy life. Now, it’s our responsibility to aware the client about reducing the cause of physical illness. Moreover, to fulfill these responsibilities we should plan some strategies. At the individual level, we can only achieve the improvement, when the health care providers are trained in the skills like therapeutic communication, proper physical assessment, and other psychomotor skills. Staff should be sincere with their patients and have a keen eye on their patient’s assessment. (Brown, 2012) states that â€Å" mental health nurses and clinicians play an active role in health promotion, primary prevention and the early detection of physical health problems†. At the community level, management of health care organization should arrange trainings for providing the latest and reliable information that will help staff to give holistic care, to refresh their knowledge with new researches and the ongoing evaluation and analysis of training sessions. Thus the improvement in all these aspects will help caregivers to provide holistic care to mentally ill patients and complete state of wellbeing. Furthermore, at this level we can give knowledge to the families that their consciousness will be helpful for the patient and their early detection. At the international level, we need a multidimensional strategy to reduce disparities in the physical health of mentally ill patients (Tsay, 2007). Integration of mental and physical health is very important, like in my scenario patient was getting only medical attention and the staff was ignoring her verbal pain and facial expressions. These organizations which are handling mentally ill patients should take care of physical health to provide them holistic care and enough resources for the health care professionals to manage their health with all the three aspects. In conclusion, the physical health of mentally ill patients should be part of the field of action of psychiatric practitioners. Health consists of physical, mental, and social aspects consideration of all three aspects are very essential; a change in one aspect will lead to distortion of health. There for it is the duty of health care providers and organizations to prevent illness and restore health by screening, diagnosis and treat physical illness of mentally ill patients. Here my suggestion is that as a health care professional, we have to consider all three aspects of health and provide holistic care to the patients to achieve a complete state of health. REFERENCES Thornicroft, G. (2011). physical health disparities and mental. The British Journal of Psychiatry Retrieved from http://bjp.rcpsych.org/content/199/6/441.full.pdf Buhagiar, K. (2011). physical health behaviors and health locus of control in people with schizophrenia-spectrum disorder and bipolar disorder: a cross-sectional comparative study with people with nonpsychotic mental illness. BMC Psychiatry Retrieved from http://www.springerlink.com/content/2628t51807u8p131/fulltext.pdf Tsay, J. (2007). disparities in appendicitis rupture rate among mentally ill patients. Retrieved from http://www.springerlink.com/content/a6v7309617l52m76/fulltext.pdf Chacà ³n, F. (2011).Efficacy of lifestyle interventions in physical. Annals of General Psychiatry Retrieved from http://www.springerlink.com/content/d4ku137132654624/fulltext.pdf Brown, B. (2012). improving the physical health of people with severe mental illness . No mental health without physical health Retrieved from http://docs.health.vic.gov.au/docs/doc/20C06D82E2C17401CA2578B700253D49/$FILE/improving-the-physical-health-of-people-with-severe-mental-illness-no-mental-health-without-physical-health.pdf Cherry, K(nd). Hierarchy of needs. The Five Levels of Maslows Hierarchy of Needs Retrieved from http://psychology.about.com/od/theoriesofpersonality/a/hierarchyneeds.htm Sturgeon, S. (2007).Promoting mental health as an essential aspect of health promotion.Oxford University Press. Retrieved from http://heapro.oxfordjournals.org/content/21/suppl_1/36.abstrac (1948). Who definition of health. Retrieved from http://www.who.int/about/definition/en/print.html Meldrum, D. (2011). the physical health of people living . Retrieved from http://www.mifa.org.au/sites/www.mifa.org.au/files/documents/Physical health Lit review FINAL June 2012.pdf (2012). Physical health conditions among. Retrieved from http://www.samhsa.gov/data/2k12/NSDUH103/SR103AdultsAMI2012.pdf

Friday, October 25, 2019

A Marxist Reading of Shakespeares Coriolanus Essay -- Coriolanus Essa

A Marxist Reading of Coriolanus      Ã‚  Ã‚   One popular dissecting instrument of any Shakespearean character is the modern tool of psychoanalysis. Many of Shakespeare's great tragic heroes-Macbeth, Hamlet, King Lear, and Othello, to name a few-have all been understood by this method of plying back and interpreting the layers of motivation and desire that constitute every individual. Add to this list Shakespeare's Roman warrior Coriolanus. His strong maternal ties coupled with his aggressive and intractable nature have been ideal fodder for modern psychoanalytic interpretation. This interpretation, however, falls within a larger, political context. For despite the fact that Coriolanus is a tragedy largely because of the foibles of its title character, its first and most lasting impression is that it is a political play. Indeed, the opening scene presents the audience with a rebellious throng of plebeians hungry for grain that is being hoarded by the patricians. When Menenius, a patrician mouthpiece, enters the scen e a dialectic is immediately established, and the members of the audience inexorably find themselves on one side or the other of this dialectic, depending, most likely, on their particular station in life.    The English nobility that viewed this play in Shakespeare's time undoubtedly found Menenius' fable of the belly compelling, in which the belly-representing the patricians-is said to be a distribution centre that may initially receive all the flour (nourishment), but parcels it out evenly to the various limbs, and organs-representing all other classes of the republic-leaving itself only the bran. I doubt the audience in the pit found this body trope very persuasive, especially since this play was initially per... ...bject of our misery, is as an / inventory to particularize their abundance; our / sufferance is a gain to them" (I.i.16-18). By rioting for grain and then banishing Coriolanus, the citizens are taking what limited steps are available to people of their class to effect change and receive recognition of their voices. Their insurrection will indeed throw forth greater themes, one of which will be emancipation.    Works Cited Appignanesi, Richard. (1976). Marx for Beginners. London, England: Writers and Readers Publishing Co-operative (Society Limited). Cavell, Stanley. (1985). Who does the wolf love? Coriolanus and the interpretation of politics. In Parker, P. & Hartman, G. (ed.), Shakespeare and the question of theory. New York: Methuen. Jagendorf, Zvi. (1990). Coriolanus: body politic and private parts. Shakespeare Quarterly, 41(4), pp. 455-469.

Thursday, October 24, 2019

Grief Therapy: Nature and application Essay

Introduction   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Bereavement is viewed as a normal part of human experience and considered as well as a vital aspect to the human state. Many of those who experience the loss of a loved one receive support and care from significant others and friends. A marginal number of bereaved people face critical and at times lasting consequences while the rest of the majority manages to prevail over their grief in the course of time. Those who find this time of bereavement and mourning incapacitating therefore need professional therapeutic help (Corr, 1999). A lot of those Psychotherapeutic interventions for bereavement differ extensively, and comprise individual and group techniques. Among the numerous intervention programs which were devised to diminish the anguish and distress connected with mourning is grief therapy and has been reviewed for its effectiveness. This paper outlines the use of grief therapy, the statistics surrounding its use, such as how prevalent grief therapy is, the populations which utilize it and to what degree it helps resolve issues and other relevant matters to grief therapy. Discussion   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Who uses grief therapy? Social worker Dennis M. Reilly states, â€Å"We do not necessarily need a whole new profession of . . . bereavement counselors. We do need more thought, sensitivity, and activity concerning this issue on the part of the existing professional groups; that is, clergy, funeral directors, family therapists, nurses, social workers and physicians† (Worden 1991, p. 5). Trained therapists may be physicians, junior hospital or clinical medical students. Barclay et al (2003) were able to study general practitioners in Wales to ascertain how well prepared they are to care for the dying.  Ã‚   It is likely then that although there are several available professional therapists, with various support groups sprouting these days, help for the sufferer is no longer elusive. Where is grief therapy conducted and in what format? Grief therapy by and large is carried out in a constrained area (usually an office setting). These areas may be located in hospitals (for both inpatients and their families and for outpatients), mental health clinics, churches, synagogues, chemical dependency inpatient and out-patient programs, schools, universities, funeral home aftercare programs, employee assistance programs, and programs that serve chronically ill or terminally ill persons. Additional sites might include adult or juvenile service locations for criminal offenders. Private practice (when a counselor or therapist works for herself) is another opportunity to provide direct client services (Barclay et al., 2003).    When Is Grief Counseling or Therapy Needed? Based on studies by many experts, including John Jordan, grief counseling and grief therapy techniques are put to test and redesigned by new research. In their article published in the journal Death Studies, Selby Jacobs, Carolyn Mazure, and Holly Prigerson state, â€Å"The death of a family member or intimate exposes the afflicted person to a higher risk for several types of psychiatric disorders. These include major depressions, panic disorders, generalized anxiety disorders, posttraumatic stress disorders; and increased alcohol use and abuse† (Jacobs, Mazure, and Prigerson 2000, p. 185). They encourage the development of a new Diagnostic and Statistical Manual of Mental Disorders (DSM) category entitled â€Å"Traumatic Grief,† which would facilitate early detection and intervention for those bereaved persons affected by this disorder. Researcher Phyllis Silverman is concerned that messages dealing with the resolution of grief, especially a new category entitled â€Å"Traumatic Grief,† may do more harm to the mourner. She states, â€Å"If this initiative succeeds (‘Traumatic Grief’), it will have serious repercussions for how we consider the bereaved—they become persons who are suffering from a psychiatric diagnose or a condition eligible for reimbursed services from mental health professionals† (Silverman 2001). She feels the new DSM category may help provide the availability of more services, but believes it is important to consider what it means when predictable, expected aspects of the life cycle experience are called â€Å"disorders† that require expert care. When one thinks of grief counselors and grief therapists one is again reminded that grief and bereavement is a process, not an event. How do persons cope and adapt? Grief counseling or grief therapy intervention can be useful at any point in the grief process, before and/or after a death.  Ã‚   Grief counseling and therapy do not only begin after death. Then again, is this actually accurate? According to clinician, researcher and writer Therese Rando, Anticipatory grief is the phenomenon encompassing the process of mourning, coping, interaction, planning, and psychosocial reorganization that are stimulated and begun in part in response to the awareness of the impending loss of a loved one and the recognition of associated losses in the past, present, and future. It is seldom explicitly recognized, but the truly therapeutic experience of anticipatory grief mandates a delicate balance among the mutually conflicting demands of simultaneously holding onto, letting go of, and drawing closer to the dying patient. (Rando 2000, p. 29) Based also on in-depth studies made by Schut and Stroebe, grief therapy, when applied soon after bereavement may not alleviate but instead render therapy ineffective or else even interfere with the â€Å"normal† grieving manner (p.141,2005).. These scholars further say â€Å"intervention is more effective for those with more complicated forms of grief.† This is further confirmed from expert psychotherapist-researcher Worden who believes grief therapy is most proper in conditions that fall into three types: (1) The complicated grief reaction is manifested as prolonged grief; (2) the grief reaction manifests itself through some masked somatic or behavioral symptom; or (3) the reaction is manifested by an exaggerated grief response. People experiencing this kind of bereavement may not be that easy to recognize hence diagnostic techniques are crucial tools for the practitioner (Zisook, 2000). Grief therapy is not for everyone and is not a â€Å"cure† for the grieving process, Worden concludes.    Recent investigations as to the efficacy of therapy or interventions were made in response to criticisms made a decade ago by Robak (p.701-702, 1999). He held that the bereavement research field failed to provide empirical studies on psychotherapy and counseling. According to Schut and Stroebe (p.142), researchers must determine that the psychological remedies or therapies for bereaved persons have been demonstrated to be successful in controlled research with a delineated population. However, in the area of grief counseling and therapy, â€Å"†¦well-established interventions (i.e. those well-described and transferable, with treatment manual, tested, replicated and found effective, and accompanied by indications and counter-indications) are not available. This is largely based on stringent criteria adopted for efficacy studies (p.143). This implies that sources for the use of grief therapy, its efficacy and who practices this treatment program is therefore limited. As Schut and Stroebe (p.146) declare â€Å" †¦ although small steps in the right direction are now being taken, this fundamental message still holds; to create a body of sound scientific knowledge , the research agenda for the future must expand the number of well-designed and executed empirical studies on the efficacy of bereavement intervention. Synthesis and Conclusion  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   There is a major new †Report on Bereavement and Grief Research† made by the Center for the Advancement of Health which settled, †A growing body of evidence indicates that interventions with adults who are not experiencing complicated grief cannot be regarded as beneficial in terms of diminishing grief-related symptoms.† The report indicated that there is very little support for the effectiveness of interventions like crisis teams that call on family members within hours of a loss, self-help groups that seek to foster friendships, efforts to show the bereaved ways to work through grief and a host of other therapeutic approaches believed to help the bereaved (The New York Times, Oct.9, 2006). Counseling and therapy are opportunities for those who seek support to help move from only coping to being transformed by the loss—to find a new â€Å"normal† in their lives and to know that after a loved one dies one does not remove that person from his or her life, but rather learns to develop a new relationship with the person now that he or she has died. In A Time to Grieve: Mediations for Healing after the Death of a Loved One (1994) the writer Carol Crandall states, â€Å"You don’t heal from the loss of a loved one because time passes; you heal because of what you do with the time† (Staudacher 1994, p. 92). Even when bereavement therapy is needed, however, the benefit may depend on the approach used. For example, most bereavement groups focus on emotional issues. These are most helpful to women. But men tend to grieve differently, and they are more likely to benefit from an approach that focuses on their processes of thinking. Caring friends and relatives often coax those who have just suffered the loss of a loved one to seek professional help, either by taking part in a bereavement group or through individual psychotherapy. But Dr. Robert A. Neimeyer, professor of psychology at the University of Memphis, editor of the scientific journal Death Studies and chairman of the committee that prepared the new report, said in an interview: †Not everyone requires the same thing. Dealing with grief is not a ‘one size fits all’ proposition.† Moreover, Dr. George Bonanno, psychologist at Columbia’s Teachers College, has found that the bereaved who naturally avoid emotions should not be forced to confront grief. Even three years later, such people show no traumatic consequences as a result of suppressing it, he reported. In more than half the cases, Dr. Neimeyer explained, far more useful than therapy to the bereaved are the empathy and emotional and physical support that friends, relatives and caring people in the neighborhood and at work can provide in the first weeks and months after a death. Only when grieving is †complicated† — intense and protracted, associated with deep unrelieved depression and interfering with normal enjoyments, life tasks or an ability to work — is there a clear-cut need for grief therapy, Dr. Neimeyer said. Dr. Hansson of Tulsa observes that many people who experience complicated grief have neither faced their losses nor allowed themselves to work through the emotions that naturally ensue. If, months down the road, a bereaved person is still grieving intensely, therapy should be sought, Dr. Neimeyer said. Among the hallmarks of complicated grief he listed are †intrusive thoughts about the deceased, recurrent images of how the person died, a continual quest to reconnect with the deceased, corrosive loneliness, feeling purposeless and empty, difficulty believing the death ever happened and feeling that the world cannot be trusted. Treating people with these symptoms is important because their unresolved grief can have serious, even life-threatening health consequences, including high blood pressure, stroke, heart attack, substance abuse and suicide. †Such people can literally die of a broken heart,† Dr. Neimeyer said.   Ã‚   Perhaps the most revealing study of the varying courses of bereavement was undertaken by Dr. Bonanno, Dr. Camille B. Wortman, a psychologist at the State University of New York at Stony Brook, and six co-authors. They evaluated 1,532 people (all married, with at least one partner of each couple over age 65), then followed them for up to eight years. When a spouse died, they assessed the bereavement experiences of the widow or widower over time. This is what they found: 1) Forty-six percent of the survivors were †resilient.† They experienced transitory distress, but scored low in depression both before the death and at 6 and 18 months after losing their spouses. 2) Eleven percent followed a common grief course, with rather severe depression at 6 months that had largely disappeared by 18 months. 3) Sixteen percent, who were not initially depressed, nonetheless were devastated afterward, experiencing prolonged depression. 4) Eight percent were chronically depressed beforehand, with the depression worsened by the death. 5)But 10 percent who had been depressed before the death did very well afterward, perhaps because they had been in bad marriages or were relieved from the burdens of taking care of ill spouses. 6) The remaining 9 percent did not fit into any category. , people may require very different therapy or no therapy at all.†Ã‚   The available evidence therefore, points out that interventions for individuals at risk for complications of bereavement may result in some benefit for a short while. However, the findings are inconsistent and they vary based on the factors such as the gender of participants and whether they were first screened before participating in the studies, which appears to increase the likelihood that the interventions would be successful (e.g. Schut et al., 2001). The concepts of complicated grief are fairly recent in bereavement research and this is the reason that no controlled studies exist that pertains directly to its treatment (Jacobs & Prigerson, 2000, p.479). References Casarett D, Kutner JS, Abrahm J, et al: Life after death: a practical approach togrief and bereavement. Ann Intern Med 134 (3): 208-15, 2001. Corr, Charles A. â€Å"Children, Adolescents, and Death: Myths, Realities and Challenges.† Death Studies 23 (1999): 443–463. Bonano GA, Boerner C, Wortman B.: resilient or at Risk? A 4-year study of Older Adults Who initially Showed High or Low Distress following Conjugal Loss. J. Gerontol B. Psychol.Sci.Soc. Sci, March 1, 2005; 60(2):p67-p73. Hansson R., Stroebe M: Grief, Older Adulthood. In: Gullota T, bloom M (eds): Encyclopedia of Primary Prevention & health promotion. New York: Plenum, 2003, pp.515-521. Jacobs S & Prigerson H. (2000) .Psychotherapy of traumatic grief: a review of evidence for psychotherapeutic treatments. Death Studies, 24, 479-495. Jacobs, Shelby, Carolyn Mazure, and Holly Prigerson. â€Å"Diagnostic Criteria for Traumatic Grief.† Death Studies 24 (2000):185–199. Neimeyer R. (2000).Searching for the meaning of meanings: grief therapy and the process of reconstruction. Death Studies,24:531-558. Neimeyer, Robert. Lessons of Loss: A Guide to Coping. New York: McGraw-Hill, 1998. Rando, Therese A. Clinical Dimensions of Anticipatory Mourning. Champaign, IL: Research Press, 2000. Rando TA: Treatment of Complicated Mourning. Champaign: Research Press, 1993. Schut H, Stroebe M, van den Bout J, & Terheggen M, (2001). The efficacy of bereavement interventions: Determining who benefits. In Stroebe, M et al.eds., Handbook of bereavement: consequences, coping, and care. Washington, D.C.: American Psychological Association, pp. 705-737. Schucter SR, Zisook S: Treatment of spousal bereavement: a multidimensional approach. Psychiatr Ann 16 (5): 295-306, 1986. Staudacher, Carol. A Time to Grieve: Mediations for Healing after the Death of a Loved One. San Francisco: Harper San Francisco, 1994. Stroebe, Margaret, and Henk Schut. â€Å"The Dual Process Model of Coping with Bereavement: Rationale and Description.† Death Studies 23 (1999):197–224. Worden JW: Grief Counseling and Grief Therapy. New York: Springer Publishing Company, 1991. The New York Times, Oct.9,2006 Zisook S & Schuchter S. (2001). Treatment of the depressions of bereavement. American Behavioral Scientist, 44(5);782-797. Zisook S: Understanding and managing bereavement in palliative care. In: Chochinov HM, Breitbart W, eds: Handbook of Psychiatry in Palliative Medicine. Oxford: Oxford University Press, 2000, pp 321-34.

Wednesday, October 23, 2019

Conflict Management Styles Essay

Conflict usually occurs when individuals within a group or organization has differences in opinions. When individuals are in a disagreement about something like policies and procedures or even the overall direction of which an organization or company is heading it can become very frustrating. As we all know conflict the process of conflict usually begins when an individual or party has perceived the other part and it has showed a negative impact or will affect something that another party cares about. According to the readings in Chapter 15 the early approach of conflict saw that all conflict was labeled to be bad. Conflict then had a negative vibe and was used often to be linked with such terms as violence, destruction, or irrationality as reinforcement to its negative association. There are several types of conflict from the integrationist point of view that includes functional and dysfunctional conflict. Functional conflict usually arises during when the goals of a group are supported and the performance rises. On the other hand dysfunctional conflict is conflicts that hinder the performance of the group as a whole. The conflict process consists of five stages that include potential opposition, incompatibility, cognition and personalization, intentions, behaviors, and outcomes. In my workplace the most common form of conflict management is potential opposition and incompatibility. I have worked for Viking Range Corporation for 10 years now and I enjoy my work there. My Supervisor is always open for communication but this is one of the most vital parts that bring about conflict in my organization. Most of the times communication plays a huge role in the effectiveness of the company. Communication is the biggest problem that we have as a whole throughout the facility because there always seem to be conflict that arises between departments on part outages, and department personnel. Conflict is something we can’t avoid whether at home or at the workplace. Conflict will be present in just about every human interaction that we come across and this can make the strategies that we use for conflict management very important. According to (Conflict Management Home-versus-work) â€Å"Conflict management strategies vitally increase the performance and effectiveness of an individual and in turn the effectiveness of the organization as a whole. † I am an individual that can’t handle or try to avoid conflict. I have been a part of a lot of confrontations and I try to avoid them at all costs. â€Å"In the same article Rahim and Bonama’s (1979) categorization of the styles of settling interpersonal conflict is based on two facades, first when a person considers himself and his own concerns and the second when a person considers others and the concerns of others. Their styles for handling conflict include an integrating style in which a person considers his style and the styles of others. Secondly would be the avoiding style in which the individual has no concerns for their self as well as others. Thirdly would be obliging in which the individual posses a concern for others but not himself. The next one is the dominating style in which the individual has high concerns for himself for low concerns for others. Lastly we have the compromising style in which the individual possess some consideration for himself and some for others. I can relate more to the dominating style because in my organization every department is usually out for themselves meaning they like to maintain a high standard by any means. However, one thing that I have learned that is being a part of the business world there will always be some form of conflict and differences of opinions will arise so it is best to handle the situation immediately. By acknowledging that there is conflict present and communication has come to a standstill we can decrease the problems that unsolved conflict can bring about in any organization. One way that we deal with conflict in our organization is by acknowledging the goals of each department as well as the employees. The Supervisor over our department does not handle conflict well and he tries to avoid any altercations at all costs. With me being next in line he will usually push things of this nature off for me to handle. I often deal with the situations by bringing the employees into the office to see what the problem is in forms of communication and what caused the problem to begin with. I have tried to encourage my Supervisor to deal with situations in the future before they occur and he has taken steps on his own to deal with situations where he sense conflict. He can actually sense when there is a lack of communication and conflict is about to arise so he stops it before it starts by bringing both individuals into the office to try and get to the root of the problem before something major happens. This same occurrence can happen between male and female management personnel that can’t seem to see eye to eye and have issues that lead to conflict. According to (Conflict Management Modes and Leadership Styles) â€Å"most individual characteristics have an impact on the instruments analyzed, for example: younger managers are more task-oriented, while older managers are typically relationship- oriented and avoid conflicts, women are more collaborative and avoid conflicts less and men tend to use the accommodating mode more than women. â€Å"Rather surprisingly, according to our survey, women appear to be more competitive than men. The compromising style of conflict matches my personal preference tremendously, because I can relate to this style in my organization on a day to day basis. Being in my field of work there will always be a competition between the male and female employees as well as male and female management personnel. I look at this as something that will be unavoidable because there will always be a power struggle between the genders. So I try to look at things from a bigger perspective and consider both parties involved because there will always be differences in opinions.