Factors that Influence Development

Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Broderick and Blewitt (2015). I need this completed by 12/07/17 at 6pm.

 

Factors that Influence Development

Walking through the halls in a neonatal unit in a hospital you might hear comments such as, “He has his mother’s eyes” or “His nose is just like grandpa’s.” When making these observations on physical appearance, the family is acknowledging the biological impact of a child’s genetic predisposition. However, as a baby develops, parents still might place major emphasis on their heredity instead of environmental and cultural influences. For example, consider the following statements:

  • “He’s stubborn, just like his father.”
  • “You get your sense of humor from your mother.”
  • “Well of course he’s is bad at math—neither of us is any good at it!”

Many parents have a tendency to connect their children’s abilities and personalities with their own. For example, a father might assume his child will like the same things he does, project his own aspirations onto his child, or blame himself when something goes wrong. As a counselor, you must be aware of these tendencies when supporting parents and when working with their children. Objectively identifying factors influenced by biology and those that are influenced by a child’s environment and culture is an important step in the counseling process.

In this week’s Discussion, you will begin to “counsel” the family assigned to you by your Instructor. Review this week’s media presentation, “Early Development,” to review their family dynamics. Consider the biological, environmental, and cultural influences that might be impacting the infant or toddler (0–3 years) in the family.

Note: Identify the last name of your assigned client family in the title of your post.

Post by Day 4 a description of your client (infant/toddler), including the biological, environmental, and cultural factors that are influencing this infant/toddler’s development and why. Then, explain how awareness of these influences could provide context to enhance treatment within the family. Finally, describe at least one challenge you might experience when counseling this family.

Readings

· Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education.

o Chapter 1, “Organizing Themes in Development” (review pp. 2-37)

o Chapter 2, “Epigenesis and the Brain: The fundamentals of Behavioral Development” (pp. 40-67)

o Chapter 3, “Cognitive Development in the Early Years” (pp. 78-123)

· Chen, C.-H., & Lin, H.-C. (2011). Prenatal care and adverse pregnancy outcomes among women with depression: A nationwide population-based study. The Canadian Journal of Psychiatry, 56(5), 273–280.
Retrieved from the Walden Library databases.

· Lugo-Gil, J., & Tamis-LeMonda, C. S. (2008). Family resources and parenting quality: Links to children’s cognitive development across the first 3 years. Child Development, 79(4), 1065–1085.
Retrieved from the Walden Library databases.

· Pungello, E. P., Iruka, I. U., Dotterer, A. M., Mills-Koonce, R., & Reznick, J. S. (2009). The effects of socioeconomic status, race, and parenting on language development in early childhood. Developmental Psychology, 45(2), 544–557.
Retrieved from the Walden Library databases.

· Tomasello, N. M., Manning, A. R., & Dulmus, C. N. (2010). Family-centered early intervention for infants and toddlers with disabilities. Journal of Family Social Work, 13(2),163–172.
Retrieved from the Walden Library databases.

· Williams Brown, C., Carmichael Olson, H., & Croninger, R. G. (2010). Maternal alcohol consumption during pregnancy and infant social, mental, and motor development. Journal of Early Intervention, 32(2),110–126.
Retrieved from the Walden Library databases.

Media

Laureate Education (Producer). (2013c). Early development [Video file]. Retrieved from CDN Files Database. (COUN 6215/COUN 8215/HUMN 8215)
This week’s media presentation begins your examination of a client family. Though your instructor will assign you to one specific family (Martinez, Reeves, Jeong, Crane, or Anderson) as your Discussion focus, you are highly encouraged to view the media for each of the families. Doing so will assist you in crafting your responses to your colleagues.

 
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Original Work Only APA STYLE

Study Applications

For your Study Applications assignment, you will apply learnings from the course as well as personal and professional ethics and behaviors. You will consider ways to apply your findings from your literature review and your proposed study, as well as principles, theories, and research in biological psychology to other careers outside of psychology, and to society in the form of public policy and professional practice.

To create your Study Applications, address the questions that follow below. Use research findings reported in the articles you reported in u07a1, along with other sources, such as previous readings from the course, the textbook, and additional Capella library sources to support and add depth to your answers. Your references should appear at the end of the paper. The entire paper must be in current APA style and format.

  • Identify careers, other than psychology, that might benefit from a foundational knowledge of biological psychology.
  • How can principles and theories of biological psychology be applied in professional practice in psychology and other professions?
  • Within a context of social and cultural differences, describe practical applications of biological psychology to understanding values that underlie society, and the role of ethics in social practices and behaviors.
  • How relevant has studying biological psychology been to your life, and how will you apply what you have learned in this course to your life?

Format your paper using the following headings, as well as the Study Applications Template (linked in Resources):

  • Study applications.
    • Careers.
    • Professional practice.
    • Values.
    • Future life.
  • References.

You may insert additional sub-headings where necessary.

Paper Requirements

  • Written communication: Written communication is free of errors that detract from the overall message.
  • Format: Resources and citations are formatted according to current APA style and formatting. Use the Study Application Template, linked in Resources. In the final section of the assignment you are asked to apply the theories and principles of biological psychology to your own life and career. In this portion of the assignment, 1st person language is acceptable, in other sections, the 3rd person rule continues to apply.
  • Number of resources: Minimum of 3–5 peer-reviewed journal articles.
  • Length of paper: 10–15 typed double-spaced pages.
  • Font and font size: Times new Roman, 12 point.
  • Turnitin: Submit your assignment to Turnitin. Review the results and make any needed changes before submitting for grading.

Submit the Study Applications assignment by Sunday.

You may choose to save this learning activity to your ePortfolio.

Resources

 
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community action

Question description

my subject is affordable housing

Your paper is Community Action Plan designed to alleviate or correct a public health issue in your community. Your community can be your business, school, neighborhood, town or city of residence or birth, or county.

For Option #2, your Community Action Plan will be a professional portfolio that includes a written report and a handout.

Below are some useful sites where you can find examples of the elements of an action plan.
http://www.epa.gov/communityhealth/

http://www.cityofchicago.org/dam/city/depts/cdph/tobacco_alchohol_and_drug_abuse/LGBTCommunityActionPlanHC.pdf

http://www.maricopa.gov/publichealth/Programs/OPI/pdf/MCCAP-Report-2012.pdf

Final Paper Instructions:

  1. The final case study should include four sections (Symptoms, Diagnosis, Cure, and Prevention). Each section should be about 1 page in length. Your entire paper must be 4-5 pages in length, not counting the title or reference pages, which must be included. Your paper must follow theCSU-Global Guide to Writing and APA Requirements.
  2. You must cite and integrate at least 2 credible sources in each of the four sections of the paper. You may use readings other than the textbook to meet this requirement. The paper should be based on references to scholarly materials (rather than on introductory textbooks, popular website writings, or musings, for example) and should support your claims with evidence.
  3. Incorporate into this final plan any classmates’ critiques that you found useful as well as your instructor’s feedback.
  4. List the key community members or partners that you plan on contacting, with an explanation why these individuals or organizations make sense as potential partners. This could include your list of potential partners created in week 4 Critical Thinking Assignment Option #1, or your interview of one key partner completed in week 4 Critical Thinking Option #2.
  5. Include a special emphasis on either the demographics of the affected population or the economic implications, depending on what Critical Thinking assignment you completed for Week 5.
  6. Include a realistic timeline for your plan. Discuss the time needed for campaigning, education, funding, building, and implementation. Use ideas created during week 6 Critical Thinking Assignments, either the option for annotated bibliography or that for the brainstorming draft feedback.

Final Instructions for the Handout:

  1. The handout that you will distribute to audience members describes the problem in your community and your action plan.
  2. You may design this as an outline of your presentation or as a brochure to accompany your presentation with highlighted key points.
  3. The purpose of this handout is both to educate the audience about the issue and to help them follow along with you as you speak. Keep in mind that in real life you will have limited time to convince people of the gravity of the situation and to come on board with their support, so you want to be persuasive and get to the key points quickly and effectively.
  4. Your handout must be supported by at least two scholarly articles.
  5. You may use the readings other than the textbook for this course. Format your handout according to the CSU-Global Guide to Writing and APA Requirements.

Note: Be sure to submit both your written report and your handout for this assignment. Both files should be uploaded in a single submission to the assignment submission page.

The paper and preliminary deliverables must be well written and formatted in conformity with the CSU-Global Guide to Writing and APA Requirements.

 
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Week 4 Discussion Response

Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Broderick and Blewitt (2015). I need this completed by 12/23/17 at 6pm. Respond to your colleagues using one or more of the following approaches:

· Offer and support an additional factor that might have contributed to the immoral behaviors discussed by a colleague.

· Expand on a colleague’s posting to describe how the described immoral behaviors might impact the future of the participating individual(s) and others.

· Suggest additional interventions as appropriate. Support your suggestions with references to this week’s Learning Resources and the current literature.

1. (A. Wit)

Most people would agree that an individual’s morals, values, beliefs, and behaviors help define character.  From a developmental perspective, are morals inherent or learned?  What makes someone do “bad” things? This post will highlight the recent case of a juvenile sex offender.  The post will include developmental factors that may have influenced this young man and potential treatment interventions.

Description of event and immoral behavior

Earlier this month on December 3rd, 2017, a teenager confessed to child molestation (CBS News, 2017).  Joseph Hayden Boston, 18 years-old, told police that he had molested as many as 50 children since he was ten years old (CBS, 2017).  According to reports, Boston would befriend children before sexually abusing them.  I was surprised to find little research on children or adolescents who are the perpetrators of sexual abuse.  According to McKibbin, Humphrey, and Hamilton (2017), few studies measure the prevalence and incidence of children and youth who abuse other children.  There is some research that associates child perpetrators with increased exposure to trauma and pornography (McKibbin, Humphrey, & Hamilton 2017).

Factors contributing to immoral behavior

As humans, how do we develop a sense of right and wrong?  When and how does our morality develop?  Can good morals be taught or do they develop naturally?  Research has shown that moral development is likely a combination of learned values combined with child development (Broderick & Blewitt, 2015).  Morality is a blend of emotions, cognitions, and behaviors (Broderick & Blewitt, 2015).

Moral development in children can be influenced by the emerging conscious, changes in logical thinking, emotions such as empathy and sympathy, needs-based reasoning, personality characteristics, parenting style, temperament, and environmental factors.  For this post, I will focus on a few factors that may contribute to immoral behavior in children and adolescents.  In the case of Joseph Boston, the immoral behavior may stem from a pathway of anti-social behavior, physiological or neurological traits, poverty, parental substance abuse, poor educational opportunities, or multiple residential moves (Broderick & Blewitt, 2015).  The news article provides little information on which of these factors may have led to the immoral behavior of Boston.  An interesting observation is that Boston was willing to confess to his crimes at age 18.  Some research shows that juvenile sex offenders show the highest rates of abuse during adolescence, with incidents declining as they enter early adulthood (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015).  One reason for this decline may be the increased responsibilities of employment, marriage, or parenting (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015).

Interventions

Interventions for immoral behavior should be multidimensional, incorporating the offender, family, peers, and educators (Broderick & Blewitt, 2015).  Psychotherapy for the individual and the family should be intensive (Broderick & Blewitt, 2015).  Cognitive behavioral techniques are one suggested intervention.  Given that life-cycle transitions seem to be an opportunity for change (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015), I would recommend that Boston’s treatment include issues like employment and adult relationships.  Research has found a reduction in male sex offenses is associated with stable employment (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015).  Studies have also found that marriage promoted a reduction in serious sex offense (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015).

Summary

The child molestation case of Joseph Boston is just one of many examples of immoral behavior.  Although I do not recommend that finding a wife should be part of Boston’s treatment plan, I do think that a focus on early adulthood transitioning could be beneficial (Van Den Berg ,  Bijleveld ,  & Hendriks , 2015). A counselor would also benefit by examining the biological, environmental, and parental influences that lead up to the sexual offenses (Broderick & Blewitt, 2015).  Moral and immoral behavior is best viewed from a multidimensional perspective.

References

Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education

CBS News (December 2017).  Teen in California admits to molesting “upwards of 50 children,” police say. CBS Interactive Inc. Retrieved from: https://www.cbsnews.com/news/joseph-hayden-boston-sexual-assault-molestation-riverside-california/

McKibbin, G., Humphrey, C., & Hamilton, B. (2017), Talking about child sexual abuse would have helped me”: Young people who sexually abused reflect on preventing harmful sexual behavior. Child Abuse & Neglect70 (8) 210-221.  Retrieved from http://www.sciencedirect.com.ezp.waldenulibrary.org/science/article/pii/S0145213417302454?via%3Dihub

Van Den Berg , C.,  Bijleveld , C.,  & Hendriks , J. (2015).  The juvenile sex offender: criminal careers and life events.  Sexual Abuse, 29(1), 81 – 101

2.  (S. Mor)

The reality behind Socrates quote about the disrespectful unmotivated difficult youth in society during 5 B.C is a disturbing revelation concerning the youth of today thousands of years later. The disturbance in my opinion is comparable to a see saw which has me teetering back and forth in relation to who is at fault for attitudes of our youth today and in the past. In a truthful sense of the matter I am leaning excessively in the direction of adults are to blame for the behavior of our youth. In the article American Child Sex Slaves Are Being Arrested, Not Rescued, is astonishing because the children that are forced into Child Sex Slavery are destroyed by a double edged sword. On one hand they are victimized extensively without any regard by their captures that demoralize them and create a child whose motive is to survive by any means necessary; just to be victimized again by a government that holds the Child Sex Slave accountable if they decide to fight back by any means necessary. Recently in the case of Cynthia Brown who at the age of sixteen was forced into Child Sex Slavery was sentenced to life in prison for killing the man that imprisoned her as a Child Sex Slave (CBN, 2017). The correlation behind children in regards to their disrespectful behavior, unmotivated or entitled attitude, the lack of morals, and the disregard of manners possibly is a result of the behavior adults in their lives are displaying. Children that have been taught to tell the truth, have accountability, treat others kindly, respect their elders, never lie, and remain in control were guided into this way of life because it is expected and acceptable (Broderick & Blewitt, 2015). The children that have been taught to give their bodies to men or women for currency are taught to lie, should not be accountable for their actions, are in complete survival mode, do not hold respect for adults, have no control of their lives, and everything negative in their lives is due to the teachings that have come from an adult.

Cynthia Brown and Immoral Behavior

In the Cynthia Brown story she was 16 years old when she met a pimp named Kutthroat who was 43 years old, and forced her into a live of Child Sex Slavery (CBN, 2017). Ms Brown during her captivity was physically beat on a regular basis, sexually assaulted to many times to count, and the verbal abuse was part of the treatment in order to keep this child in line. One of the most common actions an adult will display in order to gain and solidify control is verbal abuse filled with promising threats of what they will do to the child’s family if there is no compliance with their demands. However in the case of Ms. Brown the abuse was severe and she like many others was forced to kill in order not to be killed. The case lingered for thirteen years with Ms. Brown being convicted of murder, delivering a sentence of life without the possibility of control. The juror, prosecutors, and judge heard the horrendous stories of how she was, “choked, raped, drugged, and almost always had a gun pointed at her” (CBN, 2017). The sadness that envelopes me about Ms. Browns life story is the fact she is one of thousands that have been thrown into a life of exploitation and a vicious cycle of abuse. In our society the children that have been victimized are dealing with adults that victimize them sexually and politically, because the system we live in is broken to the point of almost no repair (US, 2009). The expectations we have of children being manner able, respect for their elders or authoritative figures, displaying great moral skills, and an overall sense of self worth is not present. The adults that should teach children including parents, leaders in society, and even strangers that care about the behavior of our youth, but unfortunately many adults have their own agenda of exploitation of an innocent child. In the case concerning Ms. Brown the behavior and act of violence is immoral, but in my opinion it is justified why she permanently annihilated her captor.

Factors Contributing to Immoral Behavior

Cynthia Brown at the age of 16 was thrown into a nightmare where it possibly seemed there was no end to the life she was living. During this stage of her life in early adolescence the mindset is challenging in a healthy environment for children, but in an environment with hostility and abuse any child will not create high self esteem and their worth will be extremely low. A person’s identity is established during this age group, and their self esteem may be low even in a healthy environment, because they are aware of what others have and what they lack in reference to looks, social status, and even their parents financial income (Broderick & Blewitt, 2015). Looking at Ms. Brown’s immoral behavior makes me question the validity on what exactly moral behavior could have even been produced, when the impact these events had on her life was quite immoral. Looking at social comparison in relation to the Cynthia Brown case, this 16 year old child had to compare sexual exploitations to other females that were most likely held captive in order to understand her own “abilities and accomplishments” (Broderick & Blewitt, 2015). In a normal teenage life comparing who is pretty, who dresses better, or even who gets the best grades are examples of social comparison, because watching what each other has or does is typical teenage behavior. In some cultures the exchange of money for payment to have sex with a child is acceptable, and this has been seen in many homes that have extreme poverty. In the sub-Saharan Africa it is normal for gifts to be given to the child as a token of appreciation for the parents allowing the purchaser to have his way with their child (Nobelius, Kalina, Pool, Whitworth, Chesters & Power, 2010). The sad reality that a value is put on an innocent child as a means for the family to pay a few bills or even being given a gift for allowing the sexual contact to occur is heartbreaking. Adults that engage in consensual sex and if gift giving is exchanged between the adults it is completely different than a man buying a child to fulfill his sexual gratification. The moral development that is occurring across the world is at an all time low because there is no value or honor being taught to children about how beautiful and special they actually are. The moral development is in danger of being non-existent, but we still expect the children in society to act morally without them being taught or shown any moral development.

Intervention

Incorporating moral development as an intervention into children’s lives will be an uphill struggle, but the rewards will consist of helping children become great no matter what they went through in their childhood. Cynthia Brown is one of many with a similar story of lifetime incarceration because they reached their breaking point where enough was enough. Teaching Ms. Brown for example has to begin with a slow process of building trust, because at this point in her life trust is null and void. I would not expect anything less because the very system that should have protected and served her is the same system that is punishing her for taking matters into her own hands. Looking at her life I cannot judge because I have no idea what my outcome or actions would be if I was in her shoes. As part of her intervention building trust, teaching her self-worth, building her self-esteem, and reassuring her that everything she survived through was not her fault. The intervention has to begin as if she was 16 years old, and not her current age because the nightmare began in her teens and this is where her mindset will remain until she receives the proper help to move forward. The quote from Socrates is important because each generation complains about the younger generations, but no one takes accountability for how the younger generations became out of control. Children do not wake up saying to themselves that today is a great day to cuss the old lady in the grocery story out, or I think on my way to school I will run over all the adults that I see. The plight of our youth that we see on a daily basis especially if you watch the news did not happen overnight, and it will take decades or centuries to fix what Socrates stated in 5 B.C.!

References

Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education.

“American Child Sex Slaves Are Being Arrested, Not Rescued.”Http://Go.galegroup.com.ezp.waldenulibrary.org/Ps/I.do?p=EAIM&u=minn4020&Id=GALE|A203658190&v=2.1&It=r&Sid=Ebsco&AuthCount=1#, 16 July 2009, go.galegroup.com.ezp.waldenulibrary.org/ps/i.do?p=EAIM&u=minn4020&id=GALE|A203658190&v=2.1&it=r&sid=ebsco&authCount=1#.

“Woman Jailed for Life for Killing Predator Who Held Her as a Child Sex Slave.” CBN.com – The Christian Broadcasting Network, 22 Nov. 2017, www1.cbn.com/cbnnews/us/2017/november/woman-jailed-for-life-for-killing-predator-who-held-her-as-a-child-sex-slave.

“You Still Need to Give Her a Token of Appreciation’: The Meaning of the Exchange of Money in the Sexual Relationships of Out-of-School Adolescents in Rural Southwest Uganda.”Https://Www.researchgate.net/Publication/45186187_You_Still_Need_to_Give_Her_a_Token_of_Appreciation_The_Meaning_of_the_Exchange_of_Money_in_the_Sexual_Relationships_of_Out-of-School_Adolescents_in_Rural_Southwest_Uganda, Sept. 2010

3.  (L. Waf)

Every person has their unique set of moral standards, personal values, and beliefs. Moral development is not something that occurs throughout a lifetime. According to psychologist Lawrence Kohlberg, morality begins in early childhood and is developed over time. Depending on how a person accomplishes the tasks before them during each stage of development across the lifespan, morality can be formed either positively or negatively. (Sincero, 2012).

Description of event and immoral behavior

In January 2017, four African American’s were charged with aggravated kidnapping, aggravated unlawful restraint, aggravated battery, and a hate crime on an 18-year-old Caucasian male who was diagnosed with a mental disability. The perpetrators of the crime were two females ages 18 and 24, and two males both 18.  The incident was streamed live on Facebook. According to the reports, one of the offenders befriended the victim in school invited him over to hang out, once he met up with the suspect, the suspect drove him around in a stolen vehicle then took him to a third-floor apartment in Chicago. What started out as a “play fight” sparked the horrendous attack. According to the victim’s family, the victim idolized one of the male perpetrators, considering him to be a good friend. (CNN, 2017).

Factors contributing to immoral behavior

“Aggression is linked to the emotion of anger and frustration, and it has some adaptive survival functions, such as facilitating self-protection in the face of a threat.”  (Broderick & Blewitt, 2015). Based on one report from the Chicago Tribune, one of the male perpetrators became upset following a “play fight” with the victim. He felt threatened, became upset; this is when the suspects tied the victim up and began the abuse. During the taping of the incident, racial slurs were made which indicated this was a hate crime. According to Broderick &Blewitt, “research shows moral develop is a combination of learned values and developmental values. I would guess each of the perps, in this case, to be developing at the conventional stage of Kohlberg’s theory. The conventional is the second level; this level suggests that moral thinking is based on societal norms and is characterized by an attitude which seeks to do what will gain the approval of others. (Barger, 2000).

Interventions

Not a lot of information was given to any of the perpetrator’s past; I believe the first intervention for any of them would be to identify the underlying reason for the aggression. Do so by exploring the family backgrounds; discuss issues that made them angry in the past that resulted in aggressive behaviors. The next intervention would be Cognitive Behavioral Therapy (CBT). CBT would help the client to learn coping mechanism to control the behaviors

References:

Barger, R. (2000). Retrieved from, http: www.5.csudh.edu

Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education

Chicago Tribune. Brutal Facebook live attack brings hate crime charges; condemnation from White House. Retrieved on December 20, 2017 from, http://www.chicagotribune.com/news/local/breaking/ct-facebook-live-attack-video-20170105-story.html

CNN News. Chicago Torture Video; No bail for four suspects. Retrieved on December 22, 2017, from, http://www.cnn.com/2017/01/06/us/chicago-facebook-live-beating/index.html

Sincero, C. (Feb 23, 2012). Theory of Moral Development. Retrieved Oct 03, 2017 from Explorable.com: https://explorable.com/theory-of-moral-development

Readings

· Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education.

o Chapter 6, “Realms of Cognition in Middle Childhood” (pp. 202-243)

o Chapter 7, “Self and Moral Development: Middle Childhood Through Early Adolescence” (pp. 244-281)

Estell, D. B., Jones, M. H., Pearl, R., Van Acker, R., Farmer, T. W., & Rodkin, P. C. (2008). Peer groups, popularity, and social preference. Journal of Learning Disabilities, 41(1), 5–14.
Retrieved from the Walden Library databases.

Haste, H., & Abrahams, S. (2008). Morality, culture and the dialogic self: Taking cultural pluralism seriously. Journal of Moral Education, 37(3), 377–394.
Retrieved from the Walden Library databases.

Kuhn, D. (2008). Formal operations from a twenty-first century perspective. Human Development, 51(1), 48–55.
Retrieved from the Walden Library databases.

Psaltis, C., Duveen, G., & Perret-Clermont, A.-N. (2009). The social and the psychological: Structure and context in intellectual development. Human Development, 52(5), 291–312.
Retrieved from the Walden Library databases.

 
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Future Direction Of Health Care

Future Direction of Health Care
In a three- to five-page paper:

  • Describe a minimum of five challenges from the list below that are defining the future strategic direction of health care.
    • Proposed health care reform and legislation
    • Information technology advancements such as the electronic medical record (EMR)/ electronic health record (EHR)
    • Accreditation, quality of healthcare, and organizational compliance
    • Economics, including third party payers, future funding, rising costs, the Medicare and Medicaid programs
    • Access to health care including the uninsured and those in the poverty levels
    • Public entities in controlling the demand aspects of health service
    • Market shares and advancing age of population
    • Maintaining a skilled workforce
    • Pay for performance
  • Describe how an organization can adapt its direction and strategies to effectively address these challenges.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library. All sources must be documented in APA style as outlined in the Ashford Writing Center.

 
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NR 507 Week 6 Discussion (Parts 1, 2, 3) + Quiz Answers

NR 507 Week No. 6 Discussion:

PART No. 1:

You are contacted by an attorney representing a client who has been charged with child abuse and whom faces loss of her child and 15 years in prison. The record indicated that the child was 4 years old and presented to the ER room with a broken arm and a broken leg. There also appeared to be multiple previous fractures. Now, you examine the child and find blue sclera, a sunken chest wall, severe scoliosis, and you observe a triangular face and prominent forehead. You confirm that there have been multiple previous fractures by evaluating the previous X-rays. This is a genetic disorder.

  • What      is the most likely genetic disease that this presents and why?
  • What      is the molecular basis of this disease?
  • Before,      calling the police what should the initial clinician have done?

PART No 2:

Johnny is a 5-year-old Asian boy who is brought to a family practice office with a “runny” nose that started about 1 week ago but has not resolved.  He has been blowing his nose quite frequently and “sores” have developed around his nose.  His mother states, “The sores started as ‘big blisters’ that rupture; sometimes, a scab forms with a crust that looks like “dried maple syrup” but continues to seep and drain.”  She is worried because the lesions are now also on his forearm.  Johnny’s past medical and family histories are normal.  He has been febrile but is otherwise asymptomatic.  The physical examination was unremarkable except for moderate, purulent rhinorrhea and 0.5- to 1-cm diameter weeping lesions around the nose and mouth and on the radial surface of the right forearm.  There is no regional lymphadenopathy.

  • Write      a differential of at least three (3) possible diagnoses and explain how      each may be a possible answer to the clinical presentation above.      Remember, to list the differential in the order of most likely to less      likely.
  • Based      upon what you have at the top of the differentials how would you treat      this patient?
  • When      would you allow the student back to school? Elaborate on your reasoning?

PART No. 3:

Keisha, a 13-year-old female, has come into your urgent care center. She has red conjunctiva, a cough and a fever of about 104 F, She also has a rash on her face a possibly the beginning of a rash on her arms. About 10 days ago she was around another student who had similar symptoms.

  • Write      three (3) differential diagnoses?
  • What      are some of the complications of this disease, assume that the top of your      differential is the definitive?
  • Assume      that the second item you place on your differential is the definitive      diagnosis. What are some complications of that disease?

PEER:

NR 507 Week No. 6 Quiz Solutions:

1. Considering the pathophysiology of osteoporosis, which cytokines and hormones decrease receptor activator of RANKL expression?(Points : 2)

2. Rhabdomyolysis is characterized by (Points : 2)

3. Which type of osteoporosis would a person develop after having the left leg in a cast for 8 weeks to treat a compound displaced fracture of the tibia and fibula? (Points : 2)

4. Considering the pathophysiology of osteoporosis, what are the effects of extracellular signal regulated kinases (ERKs) and receptor activator of RANKL on osteoblasts and osteoclasts? (Points : 2)

5. What is the diagnosis of a person who has tennis elbow characterized by tissue degeneration or irritation of the extensor carpi brevis tendon? (Points : 2)

6. Which statement is false about giant cell tumors? (Points : 2)

7. What pattern of bone destruction is described as not well defined and not easily separated from normal bone? (Points : 2)

8. The pain experienced in Legg-Calvé-Perthes disease is referred to as involving (Points : 2)

9. In osteomyelitis, bacteria gain access to the subperiosteal space in the metaphysis, which is considered the “path of least resistance.” What factor makes this route for bacteria the path of least resistance? (Points : 2)

10. Molecular analysis has demonstrated that osteosarcoma is associated with (Points : 2)

11. Ewing sarcoma arises from (Points : 2)

12. Which serum laboratory test is elevated in all forms of osteogenesis imperfecta? (Points : 2)

13. The _____ is cartilage that retains the ability to form and calcify new cartilage and deposit bone until the skeleton matures. (Points : 2)

14. Osteochondrosis is caused by a(n) (Points : 2)

15. An insufficient dietary intake of vitamin _____ can lead to rickets in children. (Points : 2)

16. In latex allergies, which immunoglobulin is associated with an immediate reaction? (Points : 2)

17. Chickenpox may be followed years later by (Points : 2)

18. Cutaneous vasculitis develops from the deposit of _____ in small blood vessels as a toxic response allergen. (Points : 2)

19. Which malignancy is characterized by slow-growing lesions that usually have depressed centers and rolled borders and are frequently located on the face and neck? (Points : 2)

20. Scleroderma is more common in women and is associated with a(n) (Points : 2)

21. Thrush is a superficial infection that commonly occurs in children and is caused by (Points : 2)

22. What is the cause of chickenpox? (Points : 2)

23. Which vascular anomaly is a congenital malformation of dermal capillaries that does not fade with age? (Points : 2)

24. What is a common source of tinea corporis? (Points : 2)

25. Which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site?(Points : 2)

 
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Somatic Symptoms And Related Disorders, Dissociative Disorders

Discussion 1: Somatic Symptoms and Related Disorders, Dissociative Disorders

When a client presents physical ailments for which no medical evidence confirms a condition, the client’s pain may not simply go away. Rather, the pain may persist, further disrupting the client’s life. In these cases, psychological evaluations may be used to determine if any psychological disorders exist. Specifically, somatic symptom, conversion, and factitious disorders, as well as dissociative disorders may be considered for the client’s diagnosis. Additionally, psychologists may also evaluate whether other confounding factors, such as environmental and/or individual variables, influence a diagnosis.

For this Discussion, review the case study in the Learning Resources. Consider the presenting symptoms of the client and any confounding factors that may influence diagnosis.

With these thoughts in mind:

Post by Day 3 a diagnosis for the female in the case study and explain your rationale for assigning these diagnoses on the basis of the DSM. Consider the presenting symptoms of the client and any confounding factors that may influence diagnosis. Then describe three confounding factors that may influence client diagnosis and why. Be specific.

Be sure to support your postings and responses with specific references to the Learning Resources and current literature.

Required Resources

Readings

·         American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.). Arlington, VA: American Psychiatric Publishing.

·         Somatic Symptoms and Related Disorders

·         Dissociative Disorders

·         Feeding and Eating Disorders

·         Paris, J. (2015). The intelligent clinician’s guide to the DSM-5 (2nd ed.). New York, NY: Oxford University Press.

·         Chapter 12, Substance Use, Eating, and Sexual Disorders

·         Allen, K. L., Byrne, S. M., Oddy, W. H., & Crosby, R. D. (2013). DSM–IV–TR and DSM-5 eating disorders in adolescents: Prevalence, stability, and psychosocial correlates in a population-based sample of male and female adolescents. Journal Of Abnormal Psychology122(3), 720–732. Retrieved from the Walden Library databases.

·         Arnold, C. (2012). Inside wrong body. Scientific American Mind23(2), 36–41. Retrieved from the Walden Library databases.

·         McFarland, M. B., & Petrie, T. A. (2012). Male body satisfaction: Factorial and construct validity of the body parts satisfaction scale for men. Journal of Counseling Psychology59(2), 329–337. Retrieved from the Walden Library databases.

·         Stice, E., Marti, C., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psychology122(2), 445–457. Retrieved from the Walden Library databases.

 

  • Richardson, L. F. (1998). Psychogenic dissociation in childhood: The role of the clinical psychologist. The Counseling Psychologist, 26(1), 69–100. Retrieved from the Walden Library databases.
  • Talleyrand, R. M. (2010). Eating disorders in African American girls: Implications for counselors. Journal of Counseling & Development, 88(3), 319–324. Retrieved from the Walden Library databases.
  • Tolaymat, L. D., & Moradi, B. (2011). U.S. Muslim women and body image: Links among objectification theory constructs and the hijab. Journal of Counseling Psychology, 58(3), 383–392. Retrieved from the Walden Library databases.
  • Wiseman, M. C., & Moradi, B. (2010). Body image and eating disorder symptoms in sexual minority men: A test and extension of objectification theory. Journal of Counseling Psychology, 57(2), 154–166. Retrieved from the Walden Library databases.
  • Witte, T., Didie, E., Menard, W., & Phillips, K. (2012). The relationship between body dysmorphic disorder behaviors and the acquired capability for suicide. Suicide & Life-Threatening Behavior42(3), 318–331. Retrieved from the Walden Library databases.
 
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Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from James, R. K., & Gilliland, B. E. (2017).

Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from James, R. K., & Gilliland, B. E. (2017). I have put in bold the classmates that you will need to respond to according to the instructions of the instructor. Please follow the instructions to get full credit for the discussion. I had the written format and I included my discussion. I need this completed by 10/13/18 at 8pm.

Respond to at least two of your colleagues. Be sure to select at least one colleague who had a different type of format/interaction than the one you were assigned. For example, if you were assigned the written transcript, respond to a colleague who watched the video or listened to the audio recording. Respond in the following ways:

  • Discuss the similarities and      differences in the risk factors and safety plan ideas you and your      colleague identified.
  • Reflect on how the type of      interaction with a client (i.e. seeing a client, listening to a client on      the phone, or reading a written file) might impact your crisis response.

My Discussion Post

1. Type of interaction: written transcript

2. Risk factors for the client: depression, irritability, despair, mental health conditions.

3. Things I would like to know about the client: presence of any suicide warning signals in her behavior. Warning signs to look for include, withdrawing from activities, isolating from family and friends, sleeping too much or too little, hopelessness for the future, loss of interest and rage. Having gone through the written transcript, I have gathered that Sue is at risk of committing suicide as a result of depression and possible mental illness. In her safety plan for intervention, I will therefore include the following: warning signs, preferred internal coping strategies, social contacts that may distract her from the crisis, family members or friends who may offer help, ways to make her environment safer and conducive for positive thoughts, help her recognize the reasons to go on living and professionals to contact in case of a crisis. Here is an example of a safety plan template that I would use for Sue’s intervention.

4. Patient Safety Plan

Warning signs for development of a crisis- behavior, moods and thoughts

Internal coping strategies- physical exercise and activities and relaxation

People and social settings that provide distraction- children, movie theatres and church

People whom I can seek help from-psychologist and counsellors

Professionals or agencies to contact during crisis-clinicians, local urgent care services and suicide prevention lifeline phone.

Making the environment safe

References

James, R. K., & Gilliland, B. E. (2017). Crisis Intervention Strategies. Mason, OH: Cengage Learning US.

Classmate K. Bre

The type of interaction that I reviewed was the video.

Risk Factors

Several risk factors were identified during the session with the client. I observed this individual to present with symptoms of Post Traumatic Stress Disorder. He seems to be replaying a number of traumatic events that he has experienced (Physical and Emotional abuse from his father, surviving an explosion that his friends died from). He also uses alcohol as a way to cope and to go to sleep. This individual also expressed losing his identity. He expresses that he is supposed to be providing for his family. However, he has no job and is dependent on his wife to provide as she is the only one working as a nurse. I found it interesting that he referred to himself as “the babysitter” instead of a stay at home father or something similar. The individual also expressed that he has no significant supportive relationships. He has no friends no support. He doesn’t identify his wife as support due to them fighting and arguing.

According to James and Gilliland(2017), Robert identifies with a number of “Characteristics of People who Commit Suicide”. He is enduring unendurable psychological pain (traumatic events), he has expressed affective characteristics (hopelessness with his work situation), and relational characteristic (The individual is communicating that his contemplating ending his life or believing that everyone will be better off without him). Another risk factor is the availability to a firearm.

Missing Information

I think that I would like to know more about how the traumatic events of his past are currently affecting him on a day to day basis. I would also want to know how long have Robert and his wife had issues. I would also want to know more specifics of his plan. When would he plan to do it? Is there a specific event that would push him closer to completing the act of suicide?

Safety Plan

I think it would be important for Robert to address his access to his firearm. I think it would also be important for Robert to identify key individuals he can talk with when he feels like committing suicide. I would also be interested if Robert would discuss with his son and his wife how he feels about them being better off without him. I think it would be important to provide Robert the suicide prevention hotline. I would also be inclined to get him connected to a veterans support group to assist Robert in gaining some natural supports.

James, R. K., & Gilliland, B. E. (2017). Crisis Intervention Strategies (8th ed.). Boston, MA: Cengage.

Classmate E. Sch

Audio Case Study

Robert, a military veteran, is seeking counseling in response to a recent fight with his significant other. Most of his unit died after driving over an explosive, leaving him to feel guilty about surviving without them. He also has a history of being abused as a child, and is concerned about his growing tendencies toward violence. He notes that he is still in possession of a gun, but denies any intention to use it on himself. Robert also reports drinking a case of beer each night to subdue his emotions enough to sleep, and feels as though spending copious amounts of money on beer makes him a burden to his family. Accordingly, his counselor is beginning to collect information regarding whether he is at risk for suicidal behavior (Laureate Education, 2018).

Suicide Risk Factors

Based on his traumatic military experiences, his symptoms, and their duration, it is possible that Robert might be suffering from posttraumatic stress disorder (James & Gilliand, 2017). Posttraumatic stress disorder is a risk factor for suicide, as is substance abuse (May & Klonsky, 2016). In addition, he discusses wondering whether the pain he is experiencing is worth continuing to live (Laureate Education, 2018). In reality, suicidal thoughts like this are also a risk factor for eventual attempts and death (Ballard et al., 2016). Other risk factors present in Robert’s case include childhood abuse, isolation, feeling guilty, burdensomeness, and possessing a gun (James & Gilliand, 2017). Hence, the information that is available in the audio interview is indicative of a high risk for suicide. However, there is still some risk information that must be gathered.

Missing Information

Since this assessment is based entirely on the audio of an interview, there is no information available about Robert’s appearance and body language. Being able to conduct a visual assessment is critical when working with potentially suicidal clients, as there are a variety of behavioral cues that are indicative of increased risk (James & Gilliand, 2017). A visual assessment could identify agitation, which is predictive of suicidal behavior (Ballard et al., 2016). A counselor could also scan for obvious cutting, burns, hair pulling, and other forms of self-injury, as nonsuicidal self-injurious behavior can predict the transition from suicide ideation to attempts (Nock et al., 2018). In addition, it would be preferable to ask whether Robert has a specific suicide plan. He has shared that he has a gun, which is a suicide risk factor on its own (James & Gilliand, 2017). Essentially, his counselor should collect more information about whether Robert has developed a suicide plan that involves the gun. Ultimately, this information could play a critical role in the development of a safety plan.

Safety Plan

Safety plans provide clients with information about how to recognize crisis situations, how to utilize personal support systems, and how to contact mental health professionals. As a result, safety plans reduce suicide attempts, make hospitalizations less frequent, and increase the frequency of contact with outpatient mental health staff. are associated with a variety of benefits including fewer suicide attempts, fewer hospitalizations, and more frequent contact with outpatient mental health staff. Although suicide plans must be customized to fit the needs of each client, common themes include drawing support from family members, contacting hotlines, and reducing access to lethal means (Zonana, Simberlund, & Christos, 2018). Hence, Robert’s suicide plan could include surrendering his firearm, identifying family members that he could contact, and collecting the contact information for local suicide prevention services.

References

Ballard, E. D., Voort, J. L., Luckenbaugh, D. A., Machado-Vieira, R., Tohen, M., & Zarate, C. A.  (2016). Acute risk factors for suicide attempts and death: Prospective findings from the STEP-BD study. Bipolar Disorders, 18, 363-372. doi: 10.1111/bdi.12397

James, R., K., & Gilliand, B. E. (2017). Crisis intervention strategies (8th ed.). Boston, MA: Cengage Learning. Laureate Education (Producer). (2018). Suicide assessment and safety planning [Video file]. Baltimore, MD: Author.

May, A. M., & Klonsky, E. D. (2016). What distinguishes suicide attempts from suicide ideators? A meta-analysis of potential factors. Clinical Psychology Science and Practice, 23(1), 5-20. doi: 10.1111/cpsp.12136

Nock, M. K., Millner, A. J., Gutierrez, P. M., Naifeh, J. A., Stein, M. B., Kessler, R. C., . Ursano, R. J. (2018). Risk factors for the transition from suicide ideation to suicide attempt: Results from the Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS). Journal of Abnormal Psychology, 127(2), 139-149. doi: 10.1037/abn0000317

Zonana, J., Simberlund, J., & Christos, P. (2018). The impact of safety plans in an outpatient clinic. Crisis, 39(4), 304-309. doi: 10.1027/0227-5910/a000495

Required Resources

Readings

James, R. K., & Gilliland, B. E. (2017). Crisis intervention strategies (8th ed.). Boston, MA: Cengage Learning.

  • Chapter 8, “Crisis of Lethality”

Psychological Trauma: Theory, Research, Practice, and Policy. (Nov 2016). Outcomes from eye movement desensitization and reprocessing in active-duty service members with posttraumatic stress disorder, Vol 8(6).

Note: You will access this article from the Walden Library databases.

Virginia Department of Behavioral Health & Developmental Services. (2018). Retrieved from http://www.dbhds.virginia.gov/

Document: Facility Response Activity Transcript (PDF)

Required Media

Laureate Education (Producer). (2018a). Facilitative response activity [Video file]. Baltimore, MD: Author.

Note: This media is a self-paced interactive piece.

Click here to download the transcript.

Laureate Education (Producer). (2018b). How to accurately assess and help a client [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 37 minutes.

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Laureate Education (Producer). (2018c). Suicide assessment and safety planning [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16 minutes.

Accessible player –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

American Association of Suicidology. (2018). Retrieved from www.suicidology.org

American Foundation for Suicide Prevention. Retrieved from https://afsp.org/

May, A. M., & Klonsky, E. D. (2016). What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors. Clinical Psychology: Science and Practice, 23(1), 5–20. doi:10.1111/cpsp.12136

Shallcross, L. (2010). Confronting the threat of suicide. Counseling Today. Retrieved from http://ct.counseling.org/2010/07/confronting-the-threat-of-suicide

Sommers-Flanagan, J., & Shaw, S. L. (2017). Suicide risk assessment: What psychologists should know. Professional Psychology: Research and Practice, 48(2), 98–106. doi:10.1037/pro0000106

 
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Emotional Intelligence (EQ) Paper

Complete “Management Stress Assessment” located on the McGraw-Hill website (http://www.mhhe.com/business/management/buildyourmanagementskills/updated_flash/topic5a/quiz.html)

Compose a GCU style paper (750-1,000 words), describing your Emotional

Intelligence (EQ) findings. Being aware of what emotional responses look like and its importance when interacting in social settings.

Compare and contrast your EQ to someone you interact with.

Please include three to four references from the readings and videos this week to support your ideas. Use appropriate citation and referencing.

Address the following in your paper:

  1. How can we be “in check” with our emotions?  What are some consequences of not being “in check” with our emotions? What are some strategies for managing our emotions?  How do we ensure that our emotional state is appropriate when interacting with our family, friends, significant others, and peers?
  2. Compare and contrast your EQ results to someone you interact with? How does this impact your relationship with that individual?

MUST BE APA FORMATE  AND PASS TURN IT IN WITH LESS 5%

 
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This Is For NICOHWILLIAM Only

Directions: Provide short answers of 75-150 words each for the following questions/statements. Do not exceed 200 words for your response. Use the textbook, and any other scholarly resources to support your responses. Include at least four peer-reviewed journal articles beyond the textbook.

1. Discuss the similarities and differences of the three generations of anti-psychotic medications.

2. How do the current anti-psychotics work on the brain?

3. Discuss the similarities and differences between the three generations of medications to treat depression.

4. How do the current medications to treat depression work on the brain?

5. Describe three medications that are used to treat substance use disorders.

6. What medications may be risky to prescribe someone who has a substance use disorder? Why are they risky?

7. Describe the importance of the DSM in diagnosing and treating mental illnesses and substance use disorders.

8. Identify some adverse side effects of at least two commonly prescribed medication for treating psychiatric disorders.

References:

You have to use this as one of your references and references cannot be more than 4 years old.

Levinthal, C. (2016). Drugs, Behavior, and Modern Society. (9th ed.). Pearson Education, Inc.

 
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