Sunday, November 3, 2019
Cross Cultural Communication Essay Example | Topics and Well Written Essays - 2250 words
Cross Cultural Communication - Essay Example Part 1 International Journal of Cross Cultural Management (IJCCM) In managing of the global conflict resolution, attention should be given to cross cultural factors. Whereas the value of culture in managerial behavior has long been acknowledged, intellects of political science are still coming to terms with the perception and its repercussions. Conventional approaches to disagreement stress the dominance of the state while overlooking several the distinctive internal features, which vary between nations. Foulkes & Bercovitch view culture indeed has a weighty outcome on how nations view the world, conduct themselves in it, and handle their conflicts. Culture has become crucial in the existing environment, where largely conflict occurs frequently between factions, alienated along cultural lines, within a nation. Evaluation of the relevance of ideas, and cultural differences does undeniably have a substantial impact on arbitration and conflict resolution. The journal also elaborates the effects of effective communication and motivation in a cross-cultural environment. European Journal of Cross-Cultural Competence and Management (EJCCM) This journal explains the extensive field of cross-cultural examination with an allusion to an organization in practice. The chief purpose is the establishment of a podium for the debate on cultural matters in current industry across several disciplines and cultures. In the spirit of its founding organization, EJCCM influences contributions from dissimilar fields of science involved in the interrelations and relations amid culture. The journal encourages papers about the dynamics of cross-cultural interactions in Europe. Key challenges Building of trust between employees and management of an organization is very important. Group members should be capable to rely on each otherââ¬â¢s words and work as a team. Trust is a considerable challenge in cross-cultural groups, as people only tend to trust those from their nations and the sa me culture (Thomas, & Thomas, 2008, 134). Trust building is beneficial if the team leader and team members working together at a similar location for a long time, despite diverse nationalities (Steers, Sa?nchez-R, & Nardon, 2010, 213). Managing of people from different nationalities has different convictions and perceptions. This diversity makes it a challenge to manage them especially when a conflict occurs. Bosses need to apply different leadership styles in dealing with conflict (Velo, 2012, 40). Managing of language and cultural issues is another challenge. In any conflict resolution, communication is inevitable. In managing of a cross-cultural conflict, where different people speak various languages, it is essential for individuals to appreciate one another (Velo, 2012, 40). Synchronizing the languages and cultural aspects to enable people have a common ground remains a challenge (Thomas, & Thomas, 2008, 134). As a team leader, working with members from different cultures has b een a vast experience. Every step in the team was a learning experience. The group taught us that diversity is strength. The tasks assigned to us went well as we were able to respect each otherââ¬â¢s opinions to find a common ground. We remained objective during the entire session focusing on the groupââ¬â¢s mandate and not personal mandate. From a management point of view, we learnt tolerance, empathy and respect. Since we are from different backgrounds, there was a need for
Friday, November 1, 2019
Edgar Allan Poes Essay Example | Topics and Well Written Essays - 750 words
Edgar Allan Poes - Essay Example Both the stories are written using the same technique by Edgar Allan Poe. He has used the narrator as a tool to describe the events in both the stories. This essay would further revolve around the two stories and present the differences and similarities found in both the stories. Edgar Allan Poe has explicably written both the works to show the madness that is prevalent in the world. He uses the technique of a narrative to describe both the stories along with the justice that is served in the ending of both stories (Poe 375). Poe uses the first person experience to narrate both the stories so that the readers can take an insight in the scenes of the horror fiction. Poe gives a detailed explanation of the lives of the two narrators in the stories aforementioned in the beginning so that the readers can grasp the scenes of the story. Both the stories follow the genre of horror and fear as the author shows psychological trauma and fear in the characters that are being played by the narra tors. These themes can be clearly seen in the quote taken from the story ââ¬ËThe Tell Tale Heartââ¬â¢ which says ââ¬ËI cut off the head and the arms and the legsââ¬â¢(Poe 7). ... ââ¬Å"The Tell Tale Heartâ⬠and ââ¬Å"The Black Catâ⬠depict the extent to which a human being can go and the narrative serves to explain the reader that the narrators are not as mentally sound as they argues that they are. The mental state of both the narrators can clearly be said to be inappropriate even though they argue that they are sane enough. In both the stories the narrators are the killers and they kill for reasons that are only known to them. It can be seen that both the works have quite a lot of similarities but upon close analysis it can also be seen that the works have a difference. In the ââ¬ËThe Black Catââ¬â¢ the narrator kills the cat and his wife unintentionally whereas in ââ¬Å"The Tell Taleâ⬠the narrator plans out to kill the old man as he fears his eye. Poe places the factor of anger differently in both the stories as it is seen that the narrator in ââ¬Å"The Black Catâ⬠takes out his anger on a living thing that can possibly not r esist. However in ââ¬Å"The Tell Taleâ⬠it is seen that the narrator takes out anger on a person who can resist. It is also seen that the beginning in both the stories is different as in ââ¬ËThe Tell Taleââ¬â¢ the narrator gives out the ending in the opening paragraphs whereas in ââ¬ËThe Black Catââ¬â¢ the narrator gives the whole account at the end of the story. The plot of the stories is shown differently to the readers by Poe to but in the end both the narrators are caught for the crime that they commit. In conclusion it can be said that Poe has written two classical works in the genre of horror to present the insanity of individuals in a different perspective. He has used the object of fear as a tool to describe the scenes in the stories so that the readers
Wednesday, October 30, 2019
IKEA Case Study Example | Topics and Well Written Essays - 2000 words
IKEA - Case Study Example Now, employees need motivation because it gives them more reason to work, other than the fact that they need to earn their fixed salaries. They need to have more reasons to get up everyday, go to work and try their best in their tasks. It is important to understand employee behavior because without this, companies would definitely lose profit and gain a deficit in their output. IKEA, a Swedish home furnishings retailer, is known as the world's largest designer and retailer of well-designed, inexpensive, and functional furniture for the home. (IKEA: A Natural Step Case Study 1998) A Dutch-registered organization runs IKEA and it has put in 15% improvement annually in this past ten years. INGKA Holding BV (the umbrella company of IKEA) is wholly owned by the Stitching INGKA Foundation, a non-profit foundation registered in the Netherlands. Millions of customers visit their 378 stores in about 36 countries, with 30 more set to open this year. Most of these stores are located in Asia, Europe, Canada, Australia and the United States. About 11, 000 products in IKEA's line are shown in the 80 million catalogues that they distribute. As for the manufacturing itself, IKEA does this in their own production facilities with the help of their 2400 suppliers in 65 countries. IKEA also boasts of having a hold of employees totaling to 36, 400. In 1943, IKEA was founded by Ingvar Kamprad, then a 17 year-old boy in Sweden. IKEA is an acronym comprising the initials of the founder's name (Ingvar Kamprad), the farm where he grew up (Elmtaryd), and his home county (Agunnaryd, in Smland, South Sweden). (Wikipedia 2008) Kamprad shortly transformed his venture into a mail order service which sells furniture. In 1953, he opened the first IKEA showroom. His primary strategy was to allow for the creation of ground-breaking furniture which would give customers the ease to construct the products themselves and purchase them at an affordable price too. Now, the IKEA employees are at the customers' disposal for inquiries and such but the customers are free to select, order, take and construct what furniture they pick. The money saved by IKEA in expenditures was used to give customers discounts. Not long after, the stores got bigger and eventually started to carry eating places like restaurants and recreational facilities for children like play areas. Kamprad distinctively said in December 1976 that "What is good for our customers is also good for us in the long run." (IKEA: A Natural Step Case Study 1998) What IKEA does Since 1990, IKEA has shown interest and action in putting forth an environmental thrust. With their Natural Step Framework, they aim to create a proper environmental plan. The said plan in effect brings about changes in IKEA's products and services in order to conform to their frameworks principles and demands. In 1992, the environmental policy was transformed into an Environmental Action Plan describing concrete and practical measures for the mid-1990s. (IKEA: A Natural
Monday, October 28, 2019
A chiropractic office Essay Example for Free
A chiropractic office Essay A chiropractic office lost all of its computer data, and I was hired for the amount of time that it would take me to type up all of their hard copies into their new computer system. It took me a total of two weeks to type up a three-foot stack of papers. The skills required were mainly typing and editing skills, and sometimes I had to be able to read the doctorââ¬â¢s handwriting. I felt that no further motivation was necessary regarding skill level, since I am a quick, accurate typist and I enjoyed learning about various alternative health remedies as I went along. I completed the entire stack of papers by myself, and I found the solitary work to be relaxing and enjoyable. I felt that my job was, indeed, meaningful since many of the papers were standard legal forms or alternative health information or recipes for kidney stones or other ailments. At any given point in time, I was either directly assisting the chiropractic office or the patients thereof. Since I was a friend of the chiropractor and a trusted member of the staff, I was given full autonomy to complete my assignment on my time, at my discretion and on my schedule. That motivated me to do a stellar job in a short amount of time. Afterward, everyone was impressed by the quality of work I did, but especially the short amount of time in which I did it. I felt satisfied and like I accomplished something worthwhile and in an efficient manner. à I will use this same chiropractic office as my next example. An example of strategic planning is when the chiropractor refers the patient to their next appointment, telling them what needs to be checked up on or corrected next time. In this manner, he is not leaving it up to the patient to decide, but recommending a timeframe for when they should return. In this manner, for as long as the patient needs his help, he is providing himself continuing clientele. An example of functional-level planning is when he hired me to type up his paperwork or hired a receptionist to take care of patient evaluation and scheduling of appointments. In this manner, he is allowing himself to give the patients his full, undivided attention which will heal them faster, and allocating other work responsibilities to other people. In this way, he remains organized and punctual. The differences in decision making between the chiropractor and, say, his receptionist is drastic. If the receptionist were to determine when a patient was finished with treatment, a patient could be over-treated or under-treated and lose a lot of money, which would be spread by word-of-mouth and cost the business lots of money. And if the chiropractor made it his responsibility to take care of the tax reports, he would spend hours away from his treatment table, when he could be taking walk-ins or checking the status of a patientââ¬â¢s healing.
Saturday, October 26, 2019
religion vs. psychology Essay -- essays research papers
à à à à à Spirituality and psychology are two complex subjects to discuss and they become even more complicated when you try to relate one to the other. Psychology deals with the processes of sense perception, thinking, learning, cognition, emotions and motivations, and personality, focusing on the behavior of individuals. Spirituality, on the other hand, is all inclusive. ââ¬Å"Spirituality is living one's life from the realization that the body/mind/ego personality we have been taught to identify with is just the tip of our iceberg, our little head sticking through the window of the senses into this world, whereas our true body is the universe. It is recognizing that our perceived world is mostly an illusion, a shared dream we are asleep in, and that the goal of life is to awake to our real Self which is vast and multidimensional--already intimately connected with all of creation, with a twin shadow self that is already scripted, mostly primitive, and hidden from us, bu t that this whole Self is already One with this mystery we call God/dess whose essence can hardly be understood, but to which we give names as Eternal Wisdom, Ultimate Reality, Birther of all Life, S/he Who Is, etc.â⬠So, how can someone take two complex subjects and use one to enhance the other in their life? Is it possible to use a school of psychology to enhance the spiritual life of a person? By analyzing one school of psychology (Rational Emotive Therapy) and by focusing on how it can keep one from focusing on negative and selfish thoughts/acts, how it can make one focus on the things that matter most in life, and how it can help one in spreading a positive way of living, we will see that it is possible for RET to enhance our spirituality. However, we must first learn what RET is all about. Rational Emotive Therapy is amazingly simple. All it entails is for an individual to perform self analysis on their way of thinking and to eliminate all the grandiose words from their vocabulary. By taking the musts, always, nevers, and everyones from our vocabulary, and by replacing them with desire, prefer, and hope, we are more likely to understand that many of our problems and barriers are self made. Instead of viewing each problem in our lives as the end of the world, using RET allows us to step back from the situation and to take a realistic view at the situation. By mapping out... ...rove the things that are within ones control. This way of thinking allows one appreciate the gifts that they possess and how to better utilize them. Other people become less of a factor in oneââ¬â¢s unhappiness or emotions, making one in control of their own life and destiny. These results in the ridding of unnecessary quarrels and grudges that exist between those that one feels had wronged them. Therefore, their time is not consumed with negative emotions and thoughts. Instead, one can focus on the deeper meaning of their lives and how to improve it. They can become more comfortable with themselves and experience an inner calm and peace. They strengthen their spirituality and the way they go about their lives. They believe in themselves to make the world a better place. In hindsight, it really is amazingly simple. References 1.à à à à à Baute, Paschal. Theological Library. Lexington, KY. Jan 95 2.à à à à à Ellis, Albert. Better, Deeper, and More Enduring Brief Therapy. Brunner/Mazel. New York. 1996 3.à à à à à Ellis, Albert and Harper, Robert. A New Guide to Rational Living. Prentice-Hall Inc. New Jersey. 1961
Thursday, October 24, 2019
English charles dickens great expectations Essay
Discuss Dickenââ¬â¢s presentation of the relationship between Pip & Joe explain why it is important. Pip is a young boy who loves with his sister and her husband, Joe Gargery. One day while Pip is at the graveyard tending to his parents resting place he encounters a convict named Magwitch who forces Pip to give him file and food in order to escape. Then later on he is hired as a playmate by Ms. Havisham for the adopted daughter, Estella, who he later falls in love with and pursues most of his life chasing. Then Pip discovers he has a benefactor who remains a secret and he leaves his home in order to live in London. There he meets an old an acquaintance, Herbert Pocket, whom he met while visiting Ms. Havisham. Herbert and Pip become very close friends however while Pip is in London socially improving himself he neglects the friendship he has with Joe and as time goes by they gradually grow apart. Later on Pip meets his true benefactor but to his shock it was not Ms. Havisham but instead Magwitch who made a fortune. Magwitch decided he wanted to thank Pip and repay him by helping him escape and allows him to become a gentleman. However while Pip is visiting Ms. Havisham the estate is caught on fire and Pip does his best to try and save her. Magwitch wishes to escape and in the process Pip discovers he has a long lost daughter who he thinks is dead but is revealed it is actually Estella the love of Pips life. However Magwitch also dies in the process of trying to escape just before his conviction and then Pip falls terribly ill and is nursed better by his long time friend Joe and his new wife Biddy. Later on Pip realizes Estella is educated by suffering and the pair follow their own routes. There are a number of themes in this story which could include Suffering, Obsession and Greed. Each of these play a major part in the story and the build up of Pipââ¬â¢s journey in the story. But the main factor of the story is the friendship that Pip and Joe share and how it changes and it differs from the start but there are references made and short clips often show the respect and courtesy which Joe shows towards Pip. There are three main events which take place where they clearly describe the relationship that the two have and how Pip wants to become a gentlemen and how he wants to heighten his social and economic status effects how they treat each other. One of the three main events which describe the whole relationship that Pip and Joe have and how it progresses through the story is just after Pipââ¬â¢s sister dies where he teaches Joe to read and then Joe describes a very personal moment from when he was a child in this short piece you can see how close they actually were because in the rest of the story Joe does not show another moment from his past to anyone and see how much Joe can trust Pip and the respect in which he has for him. But this differs from when Joe decides to visit Pip in London there is completely different atmosphere no longer does Joe look to Pip as a frail young boy in need of attention and guidance but now a gentlemen and feels out of place and when he is drawn out of his comfort zone he feels alone and lost and this allows him to see Pip in a different light and also this works for Pip he has lived in London for a while and is used to the highest standard of people and living therefore when Joe decided to visit him he remembers the marshes and the home he used to live in and Joe as a common man and not as a socially accepted person.
Wednesday, October 23, 2019
Veterans and Ptsd
Veterans and PTSD Toni L. Enemy Hunter Psychiatric Rehabilitation/REHA 425 Professor McDermott October 29, 2011 Abstract The United States is seeing an increasing number of Veterans coming back from Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) being diagnosed with Post-Traumatic Stress Disorder (PTSD). PTSD is affecting the lives of men and women, their family and those closest to them. The goal of this paper is to give some general information for women and their families experiencing PTSD. It will give symptoms and treatment options available to women veterans.Women Vets and PTSD According to the 2009 and 2010 National Survey on Drug Use and Health, Substance Abuse and Mental Health Services Administration (SAMHSA), nearly 600,000 veterans aged 18 or older experienced a co-occurring substance use disorder and mental illness in the past 12 months. Post-Traumatic Stress Disorder (PTSD) is now becoming more prevalent with men and women in the military. How can th e families of the veteran better understand what to expect and how to deal with their loved ones suffering from PTSD? DefinitionAccording to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR; APA, 2000) the diagnostic criteria for PTSD include a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyper-arousal symptoms (Appendix 2). Challenges The British Medical Journal reported that veterans do not experience trauma or disabling symptoms until they return from the war (Gabriel & Neal, 2002).Friedman said PTSD symptoms appear when they return home trying to readjust to civilian life. When a person is on active duty in the military, if one does not have a physical injury then psychological symptoms are seen as a weakness and being a coward (Friedman, 2004). Those that did seek help found it difficult to be diagnosed bec ause they were not exposed to direct combat (i. e. hostile fire, returning fire, or seeing others injured). The veterans that do have PTSD from military trauma are from non-combative events such as sexual trauma.They may feel alone and worry about their families. PTDS is comorbid with traumatic brain injuries and other psychiatric disorders such as depression, social phobia, panic disorder, substance abuse, and mood and anxiety disorders (Feczer, 2009). [W]e deny that war changes its participants forever- â⬠¦America claims innocence and goodness as fundamental traits. We believe that our young men and women should be able to go to war, get the job done, and return home blameless and well. (Tick, 2005) InterventionThe Readjustment Counseling Service is available for veterans who served in war zones, Vietnam Era Veterans, veterans that experienced sexual trauma while in the military, and for family members that have lost loved ones while on duty. At a Veteran Center, the services that are provided are: individual counseling, group counseling, marital and family counseling, addiction counseling, benefits assistance and referral, employment referral and counseling, community education, liaison with VA facilities, referral to community agencies, contracts with area counselors and Mobile Vet Center Outreach.The client first has to go through assessments to figure out the best therapeutic approach. They need to be screened for victimization, suicidal potential, addictive behaviors, differential diagnosis, comorbidity, and family assessment (Meichenbaum, 1995). Medications, along with therapy, have been the most helpful types of treatment for PTSD. The medications used are antidepressant medications, anti-anxiety medications, mood stabilizing medications, and other medications to ease nightmares, irritability, sleeplessness, depression, and anxiety (Feczer, 2009). It is important when interviewing the client to find out their childhood history.Many times trauma du ring childhood will not come out until later in life and it can be the underlying issue to their problems (Feczer, 2009). Therapy Modalities PET After a traumatic event, many individuals experience distress and signs of PTSD. The veteran may experience suffering when dealing with the recollections related to the trauma. This type of therapy helps by approaching those thoughts, feelings, and events that the client has been avoiding because of the stress they cause. By repeated exposure to the emotions it helps the veteran reduce the power thoughts have over the client.However, during the assessment, it is important to discuss with the veteran the main event(s) that causes the stress. By doing this at a comfortable pace, the exposure to that trauma can be dealt with accordingly (Creamer & Forbes, 2004). The first part of the therapy is education. The counselor will explain the treatment, the common trauma reactions and symptoms of PTSD. PET helps the veteran understand what the go als are for the treatment and what to expect for the duration of the upcoming sessions. Teaching methods of breathing techniques will help the veteran to relax.Breathing changes when a person becomes anxious or fearful. This is a short-term technique to assist in managing sudden distress. The third aspect of PET is in vivo exposure where the client has exposure to real world situations or events that may be anxiety-producing. This is safely done by approaching the situation that has been avoided because of the stress it causes. PET uses imaginal exposure where the veteran talks through the trauma(s) with the counselor. By talking, it helps the client to gain control over the traumatic events and realize that he or she does not have to be afraid of his or her memories.The overall goal is to work through the events from least to most traumatic events and what is comfortable for the client. This type of therapy is usually eight to fifteen sessions that last about ninety minutes (Resick , Nishith, Weaver, Astin,& Feuer, 2002). CPT Many times those with PTSD have problems dealing with their thoughts and memories of the trauma they have been though. They may get ââ¬Å"stuckâ⬠in their thoughts and have a hard time making sense of what has happened or is happening to them. CPT helps in giving clients a new way of dealing with their thoughts and to gain an understanding of the events that haunt them.There are four parts to CPT: learning about PTSD symptoms, becoming aware of thoughts and feelings, learning skills and understanding changes in beliefs. CPT requires educating the client about PTSD and what to expect from the disorder. The veterans can ask questions and find out how the skills are going to help them. In this modality, the client needs to become aware of their thoughts and feelings. When bad things happen we want to know why they happen. Clients can get stuck in their thought process and not be able to let it go.However, with CPT a person learns t o pay attention to these thoughts that the trauma has caused and discuss how they make one feel. Then he or she can take a step back and see how it affects the person now. This will hopefully help the veteran think of the trauma in a different way. This can be done by writing about it or talking to the counselor. Next, the veterans need to begin learning the skills to help challenge their thoughts and question them as well. This is done by doing worksheets (appendix 1). These worksheets will help veterans decide the way they want to think and feel about their traumatic situations.These skills will eventually help in dealing with every day issues. Finally, there is trying to understand the changes in beliefs. There are common changes that happen after going through a trauma. There are going to be changes in the way a person thinks about safety, trust, control, self-esteem, other people and relationships. By talking about these beliefs, hopefully they can find a balance with the belie fs before and after the trauma. The approximate time for this type of therapy is twelve sessions. EMDR The final type of therapy is Eye Movement Desensitization and Reprocessing or EMDR.Clients that are involved in EMDR use imaginal exposure of their trauma and at the same time the counselor uses their index finger for them to follow back and forth. EMDR therapy seems to directly affect the brain by unlocking the traumatic memories, allowing clients to resolve them. Veterans work through the upsetting memory, beliefs, feelings, sensations until they are able to think about the event without reliving it. The memory is still there, but not as upsetting. It is like detaching oneself and watching a movie but relieving the trauma at the same time (Barton, Smith, Corcoran, 2011).Case Management, Employment and Vocational Rehabilitation According to the Vocational Rehabilitation and Employment Program that Congress prepared, case managers work closely with Vocational Rehabilitation Counsel ors (VRC) to create a rehabilitation plan. This plan consists of evaluation and planning for the future goals of the veteran. The veteran is evaluated to see if he or she is capable of independent living or will need rehabilitation services. The VRC is responsible to see that referrals for medical, eye care and dental are taken care of for the client.The vocational-education counselor will be able to assist the veteran in acquiring education, training, equipment, and financial aid if the client needs to develop new skills for employment. The President of the United States is also giving great tax breaks to employees for hiring veterans. The Counselor and Support Systems The downfall to helping veterans with PTSD is that there are not many counselors have the experience with this type of client. Counselors in this field are few, especially in the rural and underserved geographic areas.The VA resources are overwhelmed with clients so there is a backlog, which creates frustration with veterans. There are many that have contemplated or have committed suicide because they did not receive the help they needed. According to the National Center for PTSD, some may have had past mental health issues and may not have good support systems in addition to what was mentioned earlier. So that is why it is important to have a good support system and education is essential for the families when the veteran returns home. They will more than likely not be the same person as they were before they were deployed.Conclusion Veterans do so much for the United States citizens and we need to be thankful for the job they do for our freedom. The veterans put their lives in danger so we can live the life as Americans. Veterans deserve the respect and assistance when they return home to us. So it is my opinion that we do our best to ensure they can become productive citizens once again. I would like to be part of that team to assist in helping veterans adjust back into civilian life. I woul d like to see more citizens do the same by helping the veterans any way possible.Where would the United States be if we did not have such a great military team? References American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed. ). Washington, DC: Author. Feczer, D. A. (2009). Forever changed: Posttraumatic Stress Disorder in female military veterans, A Case Report. Perspectives in Psychiatric Care. Friedman, M. (2004). Acknowledging the psychiatric cost of war. New England Journal of Medicine, pp 351, 75-77. Gabriel, R. A. (2002). Post-traumatic stress disorder or somatic dysfunction after military conflict may hide posttraumatic disorder.British Medical Journal, pp 324, 340-342. Tick, E. (2005). War and the soul: Healing our nation's veterans from post-traumatic stress disorder. Wheaton, IL: Quest Books. Masson, N. (2010). Mindful Cognitive Processing Worksheet. Retrieved from http://drnataliemasson. com/images/Mindful%20Cogn itive%20Processing%20Worksheet. pdf Creamer, M. , Forbes D. (2004). Treatment of Posttraumatic Stress Disorder in Military and Veteran Populations, Psychotherapy: Theory, Research, Practice, Training, (Vol. 41, pp. 388-398). Resick, P. , Nishith, P. , Weaver, T. , Astin, M. , Feuer, C. 2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, (Vol. 70, pp. 867-879). Bartson, S. , Smith. , M. , Corcoran, C. (2011). Help Guide. EMDR Therapy. Retrieved from http://www. helpguide. org/mental/pdf/emdr. pdf Meichenbaum, D. (1995). A clinical handbook/practical therapist manual for assessing and treating adults with post-traumatic stress disorder (PTSD) book. Florida: Institute Press. Appendix 1Mindful Cognitive Processing Worksheet 1. Describe situation briefly 2. List emotions (single words) and rate the intensity (0-1 00%) 3. List automatic thoughts. Circle ââ¬Å"hot thoughtâ⬠. (For deeper work, identify the ââ¬Å"core belief. â⬠) 4. Observe breathing and body sensations. Describe these briefly. 5. Practice acceptance and validation. List thoughts that promote acceptance, non-judgment, validation. Take a few moments to practice breathing in an attitude of allowing things to be as they are without judging or trying to change/fix things. 6. List objective evidence that supports your automatic thoughts. . List objective evidence that counters your automatic thoughts. 8. Identify any distortions involved in your automatic thoughts. 9. Consider a more balanced thought. 10. Describe the outcome. List emotions, rate intensity. List any other reactions, observations. Bonusâ⬠¦ 11. Identify any core beliefs that could use revisingâ⬠¦. and a more adaptive belief. 12. Consider behavioral experiments to disprove the core beliefs and support a new belief. Summary of some common cognitive di stortions: 1. Probability overestimations ââ¬â overestimating the likelihood of a negative event 2.Mind reading ââ¬â assuming what others will think about you Appendix 1 Cont. 3. Personalization ââ¬â taking too much responsibility for a negative situation 4. Should statements ââ¬â incorrect/exaggerated statements about how things should be 5. Catastrophic thinking ââ¬â assuming that a negative event would be catastrophic 6. All-or-nothing thinking (Black ; White Thinking) 7. Selective attention and memory ââ¬âattend to negative information, discount positive 8. Overgeneralization ââ¬â a single event is taken as a sign of a global pattern 9. Fortune telling ââ¬â predicting the future with absolute certainty 10.Negative core beliefs ââ¬â negative assumptions about oneself. Taking an event and turning it into a core characteristic. (ââ¬Å"I made a mistakeâ⬠vs. ââ¬Å"I am a loserâ⬠) 11. Emotional reasoning ââ¬â believing that if you f eel as if something is true, that makes it true (Masson, 2010) Appendix 2 DSM-IV-TR criteria for PTSD In 2000, the American Psychiatric Association revised the PTSD diagnostic criteria in the fourth edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (1). The diagnostic criteria (A-F) are specified below.Diagnostic criteria for PTSD include a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyper-arousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning. Criterion A: stressor The person has been exposed to a traumatic event in which both of the following have been present: 1. The person has experienced, witnessed, or been confronted with an event or events that involve actual or threatened death or serious injury, or a threat to the physical integrity of oneself or others. . The person's response involved intense fear, helplessness, or horror. Note: in children, it may be expressed instead by disorganized or agitated behavior. Criterion B: intrusive recollection The traumatic event is persistently re-experienced in at least one of the following ways: 1. Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: in young children, repetitive play may occur in which themes or aspects of the trauma are expressed. 2. Recurrent distressing dreams of the event.Note: in children, there may be frightening dreams without recognizable content 3. Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: in children, trauma-specific reenactment may occur. 4. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event. 5.Physiologic reactivity upon exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Criterion C: avoidant/numbing Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by at least three of the following: 1. Efforts to avoid thoughts, feelings, or conversations associated with the trauma 2. Efforts to avoid activities, places, or people that arouse recollections of the trauma 3. Inability to recall an important aspect of the trauma 4.Markedly diminished interest or participation in significant activities 5. Feeling of detachment or estrangement from others 6. Restricted range of affect (e. g. , unable to have loving feelings) 7. Sense of foreshortened future (e. g. , does not expect to have a career, marriage, children, or a normal life span) Criterion D: hyper-arousal Persistent symptoms of increasing arousal (not pre sent before the trauma), indicated by at least two of the following: 1. Difficulty falling or staying asleep 2. Irritability or outbursts of anger 3. Difficulty concentrating 4.Hyper-vigilance 5. Exaggerated startle response Criterion E: duration Duration of the disturbance (symptoms in B, C, and D) is more than one month. Criterion F: functional significance The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Specify if: Acute: if duration of symptoms is less than three months Chronic: if duration of symptoms is three months or more Specify if: With or without delay onset: Onset of symptoms at least six months after the stressor (American Psychiatric Association, 2000)
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