Ellen and Edward represent Essay Example for Free

Ellen and Edward represent Essay Ellen and Edward represent the dynamic challenge of working with two people who enter therapy together, but present different levels of clinical symptomatology. In this case, Ellen appears to be experiencing the most difficulty functioning in her life. She reports a lack of energy, persistent sadness, and even occasional suicidal ideation. These problems are not new for Ellen as she has likely suffered from clinical depression for several years. Her termination of individual therapy may have triggered or intensified her recent increase in symptoms. Ellen’s diagnosis is Major Depressive Disorder. Her severity ranges from moderate to severe. At this time, Edward does not meet criteria for any Axis I disorders, but further information would be necessary to understand his personality and other areas of functioning more thoroughly. Neither member of this partnership meets criteria for an Axis II diagnosis. There are no medical conditions reported and therefore, no Axis III diagnosis. Axis IV psychosocial problems for Ellen include her previous abuse. As a couple, psychosocial difficulties include communication problems and marital discord. Ellen’s GAF is estimated to be 35 while Edward is functioning more effectively at a GAF of 65. The couple’s level of functioning is more reflective of Ellen’s more severe difficulties (Weeks Hof, 1995). They are failing to communicate, meet basic needs of the household, and sustain meaningful aspects of the relationships. Because Ellen has experienced a mood disturbance for longer than the duration of her marriage, it is possible that even her mate selection of Edward was related to her diagnosis (Weeks Hof, 1995). For this reason, Ellen’s individual diagnosis should be seen in the context of the relationship for the purposes of couple’s therapy. It is an integral part of their relationship and cannot be extracted if the couple wishes to fortify their relationship through marital counseling. Ellen would still be encouraged to seek her own individual therapy and consultation with a psychiatrist to address the severity of her depression. Ellen’s diagnosis was reached through the decision-tree method presented in the DSM-IV (American Psychiatric Association, 2000). This method is a thorough way to match the presenting symptoms to the most appropriate clinical diagnosis. In this case, Ellen’s experience of a mood disorder was clear early in the initial session. The details she described about her past provided enough clinical information to eliminate bipolar disorders and more mild forms of depression. Major depressive disorder encompasses the duration and severity (i. e. occasional suicidal ideation) of her condition. The single criticism of the decision-tree method may be its tendency to over-diagnose. While this client clearly met criteria, there are very few paths out of the decision-tree should a client present mild symptoms that do not yet merit a full diagnosis. There are many different medication options that may supplement Ellen’s participation in psychotherapy. Lexapro and Zoloft, members of the selective serotonin reuptake inhibitor (SSRI) class, may be useful. If Ellen does not respond to these drugs or is at-risk for their adverse side-effects, Wellbutrin is another option. This drug has a complete different action mechanism than the others in the SSRI class. Ellen’s response and compliance with any antidepressant medication should be monitored closely. Her history of abruptly terminating treatment could indicate a potential to also stop taking her medication without warning. Many antidepressants need to be tapered off in gradually decreasing dosages. Abruptly ceasing treatment can cause dangerous side effects. References American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM IV- TR. (4th ed. ). Washington, DC: Author. Weeks, G. R. Hof, L. (1995) Integrative Solutions: Treating common problems in couples therapy. New York: Psychology Press.

The Ethics in Securing the Internet Essay -- Ethical Web Privacy Essay

The Ethics in Securing the Internet Introduction In order to understand the concept of internet security and why it is necessary it would be worthy of analysis to discuss what would happen if not enough of it is provided, meaning that the levels of security are not utilized to the full extents. This is exactly where the big issue of hacking and hackers becomes involved. Hackers can benefit from a wide range of weaknesses in security, break into systems, find the information they need, and eventually change them to fulfill their desire. This, over the years, has resulted in great deals of information loss in big companies throughout the world, causing them to not functioning properly or eventually break apart. This is precisely where the concept of internet security and its great necessity comes into play. Why is Internet Security Needed? To accomplish a good understanding of what internet security is and why we need it, it would be helpful to first go over the concept of internet and a brief history about it to see how it was the first time around, and in what different ways it's been developing since it was first created. The origins of the internet The first image of internet presented by J.C.R. Licklider of MIT in August 1962, envisioned internet as "a globally interconnected set of computers through which everyone could quickly access data and programs from any website."[1] It's worthwhile to mention that concept was a lot similar to what is known as internet today. Having said that, one can see to some extents, the great importance of Licklider's work - back in the 60s - in how it's been influencing our lives eversince. The next major step, along the path of computer networking was made by Leonar... ...kpoint.com/products/downloads/opsec_whitepaper.pdf > 2004 4. Checkpoint software technologies Ltd., Getting Started Guide: What Every Small Business Needs to Know About Internet Security, < http://www.checkpoint.com/products/downloads/sb_getting_started_internet_security.pdf >2004 5. Checkpoint software technologies Ltd., IPSec versus Clientless VPNs for Remote Access,< http://www.checkpoint.com/products/downloads/ipsec_whitepaper.pdf > 2004 6. Eos Development < http://www.eosdev.com/Backgrounds/Back_Petals/EosPetals4.htm > 7. Texas State Library and Archives Commission, Glossary < http://www.tsl.state.tx.us/ld/pubs/compsecurity/glossary.html > (Last updated 10/15/01 8. Checkpoint Software technologies Ltd. < http://www.checkpoint.com > 9. Corporate Automation Group, Hipaaq home < http://www.cag.com/hipaaq/html/hipaaq_md1.html >

Children and food Essay

Being a first time mom can be scary, and worrying about your baby getting the right nutrients and developing â€Å"on time† is something many mothers worry about. When to start your baby trying out solids, is something that can vary from child to child however there are some clues that you can take from you babies actions to know when they are ready. A child watching the food being opened in anticipation to eat it is a clue that shows that they are interested in trying new things since there attention is gaged at the new food. Also reaching for a spoon shows readiness for feeding. Playing with food or a spoon, and also irritation when feeding too slow are indicators that your baby is ready to move on and try solid foods. Children typically start to exhibit these types of behaviors at around four to six months. Starting your child out eating a tablespoon or two of semisoft food on a spoon once or twice a day is a good way to begin, only start with small portions in the beginning then work up. Food offered from a spoon stimulates muscle development and also new experience in sensation, taste, and texture. When you are ready to start you child eating solid foods you want to make sure of a few things before you begin. First you want to make sure your infant is not overly tired or hungry, this could cause your baby to not corporate or be interested in trying new things. You want to use a small spoon and allow the infant to open their mouth and extend his/her tongue. Next you want to place the spoon on the tongue and avoid scraping the spoon on the infant’s gums. Scraping the food on your babies tongue does not teach them how to properly eat. Make sure to pace yourself to allow your infant to swallow. Mothers want to make sure that they are not feeding their child too quickly, first meals may be 5-6 spoonful’s over 10 minutes. The first food you should be spoon-feeding your child is iron fortified baby cereal. You will then want to move on to pureed vegetables and fruits. Most people recommend starting out feeding your infant pureed vegetables because fruit is sweet so normally if you start with fruit your baby will not like those peas or green beans because they will want the sweet pears or bananas. This is not for all babies however. Only try one new food at a time and offer for 2-3 days with 1 week in between introducing something new. You want to wait a week incase your baby has an allergy to that food, that way you can identify it and talk to your doctor. There are many unsafe food choices for infants starting out eating solids. Popcorn, peanuts, raisins, whole grapes, stringy meats, gum/gummy candy, jellybeans, hot dogs, and hard/raw fruits or vegetables; should be avoided. This time of trying new foods is an experience for both you and your baby. There is no need to rush your baby into eating solids, when they are ready they will act like it. Something’s to watch out for when feeding your child is to not force them to eat it. Place the spoon on their tongue and let them take the spoon in without you doing it for them. If your infant continues to spit the food out over and over again or don’t open their mouth then do not force it, they just might not be ready, put the spoon and baby food away and try again in a day or two.

The Maslow s Theory Of Nursing - 878 Words

As I reflect on my nursing education I recognize that I have unknowingly created a set of values and beliefs for myself, otherwise known as my personal nursing philosophy. Nightingale’s philosophy was about healing, not just caring for the sick, and this reflected a change in nursing practice which persists today. For her, nursing was holistic, bringing body, mind, and spirit together (Payne, K. ,2010). My nursing theory is comparable to Nightingale that guided me as a nurse educator using the Maslow s humanistic theory that is best known for identifying the hierarchy of needs which played an important role in human motivation. At the bottom of Maslow s hierarchy are physiological needs, safety needs, the needs of belonging and love, self esteem and at the top of the hierarchy are self-actualization needs (Bastable, S. (2014, p.87). Maslow s hierarchy in relation to my nursing career is meeting with my own physiological and safety needs by fulfilling my knowledge obtained from classroom lectures shared with interactions through a diversity of patients, family members, and healthcare professionals as a student nurse into the role of a registered nurse. Further, Maslow s needs of belonging and love are fulfilled by being compassionate and caring as a nurse to my patients and families. I feel that my personal and professional philosophies are congruent because my personal values overlap the driving forces behind the core of nursing. 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