The document discusses dual diagnosis, which refers to individuals with both mental health and substance abuse issues. It covers several key points:
1) Dual diagnosis is influenced by environmental factors like stress, social support, and drug use that can increase or decrease vulnerability to mental illness.
2) Mental health and substance abuse issues are often linked, as the same stressors that increase mental illness risk can also encourage drug coping strategies.
3) Effective treatment requires a holistic approach that addresses both issues as well as broader social circumstances, rather than just treating symptoms in isolation.
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Trauma And Post Traumatic Stress For 2009 National ConferenceMedicalWhistleblower
Persons who have experienced life altering trauma often have significant emotional and psychological effects called Post Traumatic Stress Disorder. This requires compassionate response from those closest to the survivor and from social service personnel and law enforcement officers.
Post Traumatic Stress Disorder (PTSD) is a natural emotional reaction to a deeply shocking and disturbing experience. It is a normalreaction to an abnormalsituation.
•Any human being has the potential to develop PTSD
•Cause external –Psychiatric Injury not Mental Illness
•Not resulting from the individual’s personality –Victim is not inherently weak or inferior
Trauma And Post Traumatic Stress For 2009 National ConferenceMedicalWhistleblower
Persons who have experienced life altering trauma often have significant emotional and psychological effects called Post Traumatic Stress Disorder. This requires compassionate response from those closest to the survivor and from social service personnel and law enforcement officers.
The word “trauma” originated in the late 17th century from the Greek language. The literal translation is to “wound or damage.” The Greek word was specific to physical injury and has been used in medical terminology since.
Pandangan Ilmu Kedokteran Jiwa pada KESURUPAN Andri Andri
Kasus Kesurupan di Indonesia banyak dikaitkan dengan budaya. Presentasi ini mencoba melihat masalah kesurupan lebih kepada sudut pandang ilmiah. Presentasi ini disampaikan di Fakultas Psikologi Univ Mercubuana pada tanggal 23 Mei 2015
There has been considerable controversy regarding the level of criminal responsibility in people diagnosed with Borderline Personality Disorder (BPD), with positions ranging from their having full responsibility to little or none. This paper defends the notion that BPD patients are morally---and legally responsible for any criminal acts they commit. Following Louis Charland and Carl Elliot, I argue that BPD is primarily a defect of character rather than a disease per se although “disease” cannot be totally eliminated as a factor for understanding the disorder. As such, the BPD person, all else being equal, knows right from wrong and has free choice regarding criminal behavior, and should therefore be held responsible for such behavior.
Systems Must Include Three Levels of Care for Aftermath of SuicideFranklin Cook
A summary of how care-delivery systems, individual organizations and agencies, and service providers can address responding to a suicide in a way that meets the needs of everyone exposed to the fatality, both immediately and over the long-term. This is essential reading for leadership, strategic planning, and program development. The blog post on "Grief After Suicide" about this report is at http://bit.ly/systemshelp.
Impact of Suicide on People Exposed to a FatalityFranklin Cook
"Impact of Suicide on People Exposed to a Fatality" is excerpted and adapted from Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines (2015), by the Survivors of Suicide Loss Task Force (bit.ly/sosl-taskforce) of the National Action Alliance for Suicide Prevention. The original document is available free for download at bit.ly/respondingsuicide.
This summary report concludes that:
The research delineated above represents the solid and growing body of evidence that, for a significant number of people exposed to the suicide fatality or attempt of another person, there are long-term, harmful mental health consequences. Shneidman’s declaration (1972) that postvention is prevention for the next generation is unquestionably supported by clear and overwhelming evidence that exposure to the suicide of another person, particularly of a close intimate, elevates the risk of suicidal behavior and of death by suicide in the population of people exposed.
The Grief After Suicide blog post related to this essay is http://bit.ly/impactessay.
The word “trauma” originated in the late 17th century from the Greek language. The literal translation is to “wound or damage.” The Greek word was specific to physical injury and has been used in medical terminology since.
Pandangan Ilmu Kedokteran Jiwa pada KESURUPAN Andri Andri
Kasus Kesurupan di Indonesia banyak dikaitkan dengan budaya. Presentasi ini mencoba melihat masalah kesurupan lebih kepada sudut pandang ilmiah. Presentasi ini disampaikan di Fakultas Psikologi Univ Mercubuana pada tanggal 23 Mei 2015
There has been considerable controversy regarding the level of criminal responsibility in people diagnosed with Borderline Personality Disorder (BPD), with positions ranging from their having full responsibility to little or none. This paper defends the notion that BPD patients are morally---and legally responsible for any criminal acts they commit. Following Louis Charland and Carl Elliot, I argue that BPD is primarily a defect of character rather than a disease per se although “disease” cannot be totally eliminated as a factor for understanding the disorder. As such, the BPD person, all else being equal, knows right from wrong and has free choice regarding criminal behavior, and should therefore be held responsible for such behavior.
Systems Must Include Three Levels of Care for Aftermath of SuicideFranklin Cook
A summary of how care-delivery systems, individual organizations and agencies, and service providers can address responding to a suicide in a way that meets the needs of everyone exposed to the fatality, both immediately and over the long-term. This is essential reading for leadership, strategic planning, and program development. The blog post on "Grief After Suicide" about this report is at http://bit.ly/systemshelp.
Impact of Suicide on People Exposed to a FatalityFranklin Cook
"Impact of Suicide on People Exposed to a Fatality" is excerpted and adapted from Responding to Grief, Trauma, and Distress After a Suicide: U.S. National Guidelines (2015), by the Survivors of Suicide Loss Task Force (bit.ly/sosl-taskforce) of the National Action Alliance for Suicide Prevention. The original document is available free for download at bit.ly/respondingsuicide.
This summary report concludes that:
The research delineated above represents the solid and growing body of evidence that, for a significant number of people exposed to the suicide fatality or attempt of another person, there are long-term, harmful mental health consequences. Shneidman’s declaration (1972) that postvention is prevention for the next generation is unquestionably supported by clear and overwhelming evidence that exposure to the suicide of another person, particularly of a close intimate, elevates the risk of suicidal behavior and of death by suicide in the population of people exposed.
The Grief After Suicide blog post related to this essay is http://bit.ly/impactessay.
This is a place too fair,To be the child of chance and not of care.No atoms casually together hurl’d,Could e’er produce so beautiful a world.--John Dryden; adapted.
This presentation highlights the broad points of what attitude is all about.What are its components and how is it formed?What are different types of attitudes.It lays down the importance of positive attitude and how can it be built and sustained.
SAINT FRANCIS DE SALES COLLEGE, AALO
DEPARTMENT OF SOCIOLOGY,
NATIONAL WEBINAR
ON
“MENTAL HEALTH AND WELL- BEING”
Sociological Perspectives on
Mental Health and Illness
IntroductionMental health conditions have effects regardless of .docxvrickens
Introduction
Mental health conditions have effects regardless of race, color, gender, or identity. Anyone can experience the challenges of mental illness regardless of their background. Although we are similar, your experiences and how you understand and deal with these conditions may be different. Anyone can develop a mental health problem, but African Americans sometimes experience more severe forms of mental health conditions because of limited resources and other barriers. African Americans are twenty percent more likely to have severe psychological distress than Whites are. Also, African Americans and other minority communities are more likely to have similar experiences, such as barriers from health, educational, social, and economic resources because of cultural and societal factors. These may contribute to worse mental health outcomes. More than half of the people in the United States are being recognized with a mental illness in their lifetime; however, now not everybody will acquire the assistance they need. Even though mental illness is common and might affect everyone, there is still a stigma attached. This stigma creates shame in seeking help, especially in the African American community. The understanding of mental illnesses has come a far way from where it used to be, but improvements have to make. Mental illnesses should not be viewed any differently from physical diseases. I believe the two are very similar. When the mind is ill, it is not just the brain, but it has effects on the whole body and health overall. Substance abuse, self-damage, and suicide are widespread and dangerous in people with mental illness. The stigma connected to mental illness stops people from getting the assistance they need and causes them to cover their pain. Clinically trained social workers are the nation’s largest group of mental health service providers. (Staff, 2016). This is important to social work because social workers push the conversation of mental health forward. Many social workers in the field are first responders to most mental health claims. Also, the stigma of mental illness in the african american community has to change and social workers can be the driving force of a new outlook of mental health. To navigate towards a better views on mental health it is important to understand how we got to this point. Though this text it will discuss the following, what is mental illness, historical information of mental health in the African American community, barriers to mental health in the African American community, also the perspective African Americas have on mental health.
Literature Review
WHAT IS MENTAL ILLNESS
Mental illness is a general term referring to all mental health conditions that involve changes in emotions, thinking, interaction with other people, and behavior in a person. The changes can be caused by different factors, such as genetics, daily habits, environment, biology, and life experiences (McNally, (2011).). Mental i ...
Abstract Everyone is susceptible to the development of mental .docxdaniahendric
Abstract
Everyone is susceptible to the development of mental health regardless of race, color, gender, or identity. More than half of the citizens in the United States are recognized with a mental illness in their lifetime, and African Americans are at higher risk of developing a mental illness due to limited resources and other barriers. The challenge is further enhanced in the community due to a stigma prevailing in the group that prevents most members from seeking medical help. The lack of knowledge about mental illness calls for increased awareness of the challenge, especially when the condition is viewed differently from other physical diseases. The significant impacts of mental illness in the African American demography makes it a healthcare issue and calls for further consideration of the condition as more social workers are needed to work with the community to address the issue. The barriers to knowledge and access to medical assistance among African Americans take center-stage in this paper.
Introduction
Mental health conditions have effects regardless of race, color, gender, or identity. Anyone can experience the challenges of mental illness regardless of their background. Although we are similar, your experiences and how you understand and deal with these conditions may be different. Anyone can develop a mental health problem, but African Americans sometimes experience more severe forms of mental health conditions because of limited resources and other barriers. African Americans are twenty percent more likely to have severe psychological distress than Whites are. Also, African Americans and other minority communities are more likely to have similar experiences, such as barriers from health, educational, social, and economic resources because of cultural and societal factors. These may contribute to worse mental health outcomes. More than half of the people in the United States are being recognized with a mental illness in their lifetime; however, now not everybody will acquire the assistance they need. Even though mental illness is common and might affect everyone, there is still a stigma attached. This stigma creates shame in seeking help, especially in the African American community. The understanding of mental illnesses has come a far way from where it used to be, but improvements have to make. Mental illnesses should not be viewed any differently from physical diseases. I believe the two are very similar. When the mind is ill, it is not just the brain, but it has effects on the whole body and health overall. Substance abuse, self-damage, and suicide are widespread and dangerous in people with mental illness. The stigma connected to mental illness stops people from getting the assistance they need and causes them to cover their pain. Clinically trained social workers are the nation's largest group of mental health service providers. (Staff, 2016). This is important to social work because social workers push the conversati ...
Running head WHY IS THERE A STIGMA OF MENTAL HEALTH IN THE AF.docxjeffsrosalyn
Running head: WHY IS THERE A STIGMA OF MENTAL HEALTH IN THE AFRICAN
AMERICAN COMMUNITY 1
Why is there a stigma of mental health in the African American community
Xavier De La Cruz
Benedict College
Applied Social Work Research II SW 434 01
Dr. Miller
November 2nd, 2019
AFRICAN AMERICAN MENTAL HEALTH 2
Abstract
Everyone is susceptible to the development of mental health regardless of race, color,
gender, or identity. More than half of the citizens in the United States are recognized with a
mental illness in their lifetime, and African Americans are at higher risk of developing a mental
illness due to limited resources and other barriers. The challenge is further enhanced in the
community due to a stigma prevailing in the group that prevents most members from seeking
medical help. The lack of knowledge about mental illness calls for increased awareness of the
challenge, especially when the condition is viewed differently from other physical diseases. The
significant impacts of mental illness in the African American demography makes it a healthcare
issue and calls for further consideration of the condition as more social workers are needed to
work with the community to address the issue. The barriers to knowledge and access to medical
assistance among African Americans take center-stage in this paper.
AFRICAN AMERICAN MENTAL HEALTH 3
Introduction
Mental health conditions have effects regardless of color, race, identity, or gender.
Anybody can experience the challenges of mental illness regardless of their background.
Although we are similar, your experiences and how you understand and deal with these
conditions may be different. Anyone can develop a mental health problem, but African
Americans sometimes experience more severe forms of mental health conditions because of
limited resources and other barriers. African Americans are twenty percent more likely to have
severe psychological distress than Whites are. Also, African Americans and other minority
communities are more likely to have similar experiences, such as barriers from health,
educational, social, and economic resources because of cultural and societal factors. These may
contribute to worse mental health outcomes. More than half of the people in the United States are
being recognized with a mental illness in their lifetime; however, now not everybody will
acquire the assistance they need. Even though mental illness is common and might affect
everyone, there is still a stigma attached. This stigma creates shame in seeking help, especially in
the African American community. The understanding of mental illnesses has come a far way
from where it used to be, but improvements have to make. Mental illnesses should not be viewed
any differently from physical diseases. I believe the two are very similar. When the mind is ill, it
is not just the brain, but it has effects on the whole body and.
Methodology 11.5 pages 1. Describe what you did a seconda.docxbuffydtesurina
Methodology 1/1.5 pages
1. Describe what you did a secondary data analysis of…
Racial/Ethnic Differences in Mental Health Service Use among Adults
2. Describe where it came from..
Data received from links below to Racial/Ethnic Differences in Mental
Health Service Use among Adults and Charts of the numbers.
https://www.integration.samhsa.gov/MHServicesUseAmongAdults.pdf
https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/Appendic
es.pdf
Describe what you were looking for and how you found it.
Looking to compare mental health service use among adults. Focusing on
insurance, gender, employment, poverty status and education.
Results/Discussion 2.5 pages
Methodology Drives the Results section.
1. Describe what was found what was found during the secondary data
analysis. (Discuss the numbers!!!) (at least 1 page)
https://www.integration.samhsa.gov/MHServicesUseAmongAdults.pdf
https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/Appendices.pdf
https://www.samhsa.gov/data/sites/default/files/MHServicesUseAmongAdults/Appendices.pdf
2. Research Question 1: Are mental health service usage different among
african american than other races. (Discuss if the research question is
supported by the data and explain. If not explain as well.)
3. Null Hypothesis: African american men are more likely to obtain mental
health services between ages between ages 18-25 compared to other ethnic
groups. (Discuss whether hypothesis is supported or not supported based
on the same data collected)
4. Alternative Hypothesis: African Americans are less likely to receive
mental health care services compared to other races. (Discuss whether
hypothesis is supported or not supported based on the same data
collected)
End the discussion talking about how the data analyzed connects to the topic “Why is
there a stigma of mental health in the African American community” and either supports or
disproves my Research question.
Running head: WHY IS THERE A STIGMA OF MENTAL HEALTH IN THE AFRICAN
AMERICAN COMMUNITY 1
Why is there a stigma of mental health in the African American community
Xavier De La Cruz
Benedict College
Applied Social Work Research II SW 434 01
Dr. Miller
November 2nd, 2019
AFRICAN AMERICAN MENTAL HEALTH 2
Abstract
Everyone is susceptible to the development of mental health regardless of race, color,
gender, or identity. More than half of the citizens in the United States are recognized with a
mental illness in their lifetime, and African Americans are at higher risk of developing a mental
illness due to limited resources and other barriers. The challenge is further enhanced in the
community due to a stigma prevailing in the group that prevents most members from seeking
medical help. The lack of knowledge about mental illness calls for increased awareness of the
challenge, especially when the cond.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Telegram: bmksupplier
signal: +85264872720
threema: TUD4A6YC
You can contact me on Telegram or Threema
Communicate promptly and reply
Free of customs clearance, Double Clearance 100% pass delivery to USA, Canada, Spain, Germany, Netherland, Poland, Italy, Sweden, UK, Czech Republic, Australia, Mexico, Russia, Ukraine, Kazakhstan.Door to door service
Hot Selling Organic intermediates
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
20. Social inclusion, extended families, rewarding relationships, and
other broad social supports can outweigh the effects of pre-existing
vulnerabilities.
21. Some environments greatly elevate stress, or are characterized by
alternating periods of “Hypo-stress” with short bursts of “Hyper-
stress”.
22. Some environments are deliberately designed to induce adverse
changes in mental state.
23. The same social and environmental stressors that increase
susceptibility to mental illness, can also encourage problematic or
dependent patterns of
drug use.
24. 18.7% of America’s homeless are veterans of war, and veterans
are more than twice as likely to be homeless as those in the
general population. With 141,000 homeless war veterans
in America, there are currently more troops living
rough on U.S. streets than there are serving in Iraq.
25. If you lack the social and economic means to alter your
environment, it is always easy to alter your perceptions of that
environment.
27. Drug use can increase or
decrease our individual
vulnerability to symptoms
of mental illness.
It depends on the drug, the
person, the dose and
frequency of use, and the
setting.
--
<
Me ill.
>
Me
well
again.
28. Non-medical drug use may be functional, relaxing or socially
enabling. Sometimes, it can prove to be problematic, stressful and
socially isolating.
Illicit drug use may
increase susceptibility
to mental illness not
only through acute
intoxication, but also
through chronic use,
through withdrawal, or
through other factors,
such as poverty, or fear
of arrest .
29. Drug use may be one of many environmental factors that can
increase or decrease our vulnerability to symptoms of mental
illness.
When problematic patterns of use evolve from a “coping
strategy”, this may be a symptom of an intolerable environment
or social circumstances in which the person feels powerless to
realistically effect any change.
30. Understanding Co-Morbidity in one sentence…
Treating problematic drug use, or mental illness, in
isolation from each other, and without addressing
broader social and economic circumstances, is treating
the symptoms, not the causes, of “co-morbid”
disorders.
32. Components of the Community of Self
CONSCIENCE WILL
REASON DRIVES
Community of Self MEMORY SENSES
EGO
Cashain David
Prisons and Beyond 2008
33. Na’im Akbar is a Clinical Psychologist
in the Department of Psychology at
Florida State University in
Tallahassee..
Dr. Akbar, a Muslim, says that none of
the concepts in his works are limited
to any particular cultural group.
It was written for the uninitiated and it
can and should be used as a tool to
help us understand ourselves and
grow ourselves.
In his book, Dr. Akbar explains how
the Community of Self has specialists
within it just like one would find in any
other community.
34. The Community of Self
CONSCIENCE WILL
REASON DRIVES
MEMORY SENSES
EGO
35. The earliest citizens in the self community,
says Akbar, are the drives or instincts
which are the movers of the self. There are
two types/classes of drives. One is
movement towards what gives pleasure
and the other is the reverse in that it moves
one away from what causes pain or
dissatisfaction. In a word, we humans have
an affinity for pleasure and an aversion to
pain. "If the drives are given free rein, they
will drive the entire community to seek only
pleasure."
36. Senses are defined as the windows of the
community into the outside world. "The
senses are to the community of self what
communication is to communities of
people." They give only incomplete
information about things and are therefore
not capable of making judgments. "We
must conclude, says Akbar, "that the
senses are an important part of the
community, but they make a poor ruler
over the self."
37. Another prominent citizen of the self
community is the ego. The ego uses the
tool of emotion to speak up for the rights of
the individual and is therefore vital for the
life of the community. And when it is not
properly developed, the community fails to
support itself. An overdeveloped ego,
however is a detriment to the community.
The ego fails to concern itself with things
which it cannot see and can therefore be a
tyrannical ruler over the community. Akbar
therefore concludes that ego is a
necessary citizen but "not an appropriate
ruler over the self."
38. Memory is another important member of
the community of self. Like a library, it
"stores the many records of experience
that have gone into the building of the
person." "Without memory, there would be
little continuity in the community," says
Akbar, "But, we can also see that if
memory rules the community, the
community lives in the past."
39. Reason is another important member of
selfhood. "Reason brings order and
organization to the information brought in
by the senses." It lets know that our senses
give us incomplete information and works
throughout the community keeping order
and organization. Reason judges only on
the basis of facts and if it tried to rule the
community, the self becomes like a
machine because unfeeling order destroys
peace and happiness within the self.
40. As the conscience begins to develop, the
element of justice is introduced into the
community. Conscience gives upward
direction to the community of self, but
Akbar warns us that, "An unchecked
conscience, however, can be as disruptive
to the self community as the other parts
previously discussed. The over-developed
conscience can demand nothing short of
perfection and its self-sacrificing tendency
can become greedy for punishment."
Conscience doesn’t have the restraint to
rule the community.
41. Dr. Akbar tells us the ruler over the self
community is the Will. He says man’s Will
has the ability to pull the mind and flesh in
the direction of Truth. Akbar defines the
Will as "the Divine representative within the
person when working with the higher parts
of conscience and guided by the proper
direction." And "when the Will achieves
rulership over the self community, the self
grows to be the proper ruler over the
earth." In a word, if we are to restore our
communities, we must first understand and
develop our communities of self.
44. Our client (M) is 40 years old afro-
Caribbean male.
He has been diagnosed with paranoid
Schizophrenia and he believes nothing
wrong with him but little depression in the
past
He also has a long history of poly-
substance misuse, including cannabis,
crack cocaine and heavy alcohol use
45. Past history
There is no M has long forensic
information held history over 100
about M`s childhood convictions of theft
or family history but One conviction for
born and brought up violence in 89
in London by One other for
grandparents which possession of
he describes as very shotgun in 92
religious
46. Past history
Through out his late teens and twenties he
often lived rough on the streets as he had
been made homeless whilst going “in and
out” of prison
Although he has auditory hallucinations in
the third person,
He was very long time non-compliant with
medication
47. Current presentation
M believes because of his stealing God is
which he refers as Jesus angry with him
and punish him with this voices, “all God
doing” and “Jesus is not forgiven”
He believes he should give up and
disgusted with alcohol and after effects
each time he drinks….but
Has no problem with his smoking cannabis
as he controls it
48. current
He lives in a dual diagnosis residential
house with other forensic clients and he
does not likes it
He likes playing music, drinking, smoking
and nothing else
Although he wants a job when he has he
give up easily
Plan is move him independent living
49. The Task
In groups / pairs
Use one member of the community of self
to consider one key intervention that would
be helpful
10 minutes
Feedback to wider group