Case study of bipolar disorder sufferer

Case study of bipolar disorder sufferer People with bipolar disorder have extreme mood swings (symptoms). They can go from feeling as if they are on top of the world, hyperactive, creative, and grandiose- mania to feeling very sad, despairing, helpless, worthless, and hopeless -depression. This disease is called bipolar disorder because the mood of a person with bipolar disorder can alternate between two completely opposite poles, euphoric happiness and extreme sadness. The extremes of mood usually occur in cycles, in between these mood swings, people with bipolar disorder are able to function normally, hold a job, and have a normal family life. The episodes of mood swings tend to become closer together with age. When a person is in the grip of this disease, chaos can occur. Bipolar disorder can cause major disruption of family and finances, loss of job, and marital problems. In Jims case he becomes completely dependant of his parents. Because of the extreme and risky behaviour that goes with bipolar disorder, it is very important that the disorder be identified. With proper and early diagnosis, this mental condition can be treated. Bipolar disorder is a long-term illness that will require proper management for the duration of a persons life. Jim is in his mid fifths and he still live with his parents, whose are in their late seventies. He is the only child and his parents overprotect him over the years owing to that he became completely de-skilled, dis-empowered and total dependant. He is not able to negotiate and he was not included in family discussions to show his opinion. The only way that he has to show that he is not happy is by screaming and crying. Jim definitely also suffers from Eternal child syndrome, also know as Peter Pan syndrome, and is to blame his parents who been treated him like a child all his life. Psychologists warn that overprotective parents can be responsible for this disorder as this prevents them from developing necessary skills to confront life. Jim chronologically grows older but in truth he has not grown up. Like Peter Pan he breaks societal norms to serve their own purposes and do not care much for the feelings and rights of his parents. He wants all the power but is not willing to share the responsibilities, not ready to sacrifice and reject moral structures which are part of mature adulthood. As the World Health Organization has not yet recognized Peter Pan Syndrome as a psychological disorder, the syndrome is not currently considered a psychopathology. Psychologists make a clear distinction between Peter Pan Syndrome and other, more serious, mental conditions involving adults who behave as children both emotionally and mentally. This is because it is often found that people suffering from Peter Pan Syndrome are mentally fully developed adults who often carry professional activities requiring strong intellectual skills. This syndrome is often associated with narcissism, although not in a negative way, self-centered sense. They are attracted to introspection in an attempt to find that imaginative comfort inside their own minds. On a positive sense this characteristic is seen as being in touch with the unbridled imaginational freedom of childhood. While succumbing to the prescribed order of things, most people forget all that they knew as an idealistic child, the eternal child is able to draw from their own raw, creative energy to remind us of how colorful life really is. Men suffering from the Peter Pan Syndrome display the following traits in their relationship with parents: Are obsessed with their mothers Have estranged relationship with the father They believe that it is not possible to obtain the fathers love and approval They have difficulty interacting with figures of authority Are not mature emotionally Exhibit silly behavior Hide their inner insecurity with macho attitude Males diagnosed with having this syndrome were found to exhibit the following psychological traits: Either exaggerated or paralyzed emotions Anger taking extreme form of rage Joy turning into hysteria Disappointment grows and develops into depression or self-pity As a result males diagnosed with this syndrome find it difficult to express love, refuse to share feelings, feel guilty and have difficulty relaxing. Men with Peter Pan Syndrome find it difficult to make genuine friends and as a result feel desperately alone. They dont feel sorry for inappropriate actions but blame others for their shortcoming. Males diagnosed with having this syndrome were found to exhibit the following psychological traits: Either exaggerated or paralyzed emotions Anger taking extreme form of rage Joy turning into hysteria Disappointment grows and develops into depression or self-pity As a result males diagnosed with this syndrome find it difficult to express love, refuse to share feelings, feel guilty and have difficulty relaxing and find difficult to make genuine friends and as a result feel desperately alone. This has a huge impact in Jims parents who are finding difficult to cope with all this matters, especially in during the winter. They are gradually worried about their ability to cope and what will happen with Jim when they die. They might feel a host of emotions: distress, vulnerability, anger, guilt and, surely they probably are exhausted. As an informal carer for several years, Jims parents revolved all their life on him, they devoted all their live to him. Like Jim who does not has friends (apart form his parents friends), some people that experienced the same condition as him generally have a very limited social network as well, and normally the people that they interact are mainly informal careers. 4 First of all Jims parents have take him to GP and if he is diagnosed with bipolar disorder, the GP will refer him to a psychiatrist (a medically qualified mental health specialist), psychotherapist and /or CPN. At his appointment he will be given an assessment. The psychiatrist will ask him a number of questions to determine whether or not he has bipolar disorder and, if he has, what treatments will be most suitable for you. He will be asked about his symptoms and when he first experienced them. The psychiatrist will also ask him, about how he, usually feel leading up to, and during, an episode of mania, or depression, and whether he has had thoughts about harming yourself or others. The psychiatrist will also want to find out about his medical background and his family history in order to determine whether any of your relatives has had bipolar disorder. If someone else in his family had the condition, the psychiatrist may wish to talk to them. After the assessment the psychiatrist will prescribe the right drugs and refer him to a psychotherapist. Psychotherapists work with individuals, couples, families and groups to help them overcome a range of psychological and emotional issues. With the client as an active participant, psychotherapists use personal treatment plans and a variety of non-medical-based treatments to: address the clients thought processes, feelings and behaviour; understand inner conflicts; find new ways to deal with, and alleviate, distress They take a variety of approaches according to the theoretical models they adopt and the therapy they practice. These talking therapies include: cognitive behavioural therapies; psychoanalytic and psychodynamic therapies; humanistic and integrative psychotherapies; systemic therapies; hypno-psychotherapy; experiential constructivist therapies. Community Psychiatric nurses (CPNs) would be helpful to Jim as they can visit him in his new house and provide him support through the difficult periods of his illness, they also will see him when is well to check that everything is okay and be the first point of contact if he becomes unwell again. The CPN will help Jim with his medication and make sure that he understands what he should be taking and when. They also help patients family (in this case Jims parents) and careers understand and cope with the illness. Jim and his parents would benefit of Occupational therapists (OTs) as well. An occupational therapist can have many different roles. They will help Jim and his parents (when he moves out of his parents house) to adapt to the new environment and to cope with their daily life .OTs may work in hospitals or in the community. They supervise and assess a persons ability to look after themselves, e.g. self-care, cooking and housework, I would like point out that Jim does not know how to cook, clean or do his laundry. . OTs work with both individuals and groups. They can set goals for individuals with depression to encourage them to achieve more than they have been able to do while ill. They might get patients involved in specific job-related training schemes to improve their decision making and planning about the future. Group work is often aimed at increasing peoples social interactions. OTs may use many different types of therapy on an individual or group basis, including cognitive behavi oural therapy and art and music therapy. They may also be involved in providing relaxation training to patients referred to them by the mental health team or GPs. Social workers are employed by social services rather than the health service. However, most mental health social workers are based in multidisciplinary community mental health teams. Social workers may see patients referred to the team by GPs. They are likely to be involved if patients have social problems, such as housing, money and work. They may provide counselling and advice or more specific therapies. They may control access to some services such as day centres, respite care, residential care and other community support services, eg home helps. A social worker will also provide Jim a supported tenancy service which will help and teach him how to gain his independence and improve his quality of life.

Attentional Interference in Relation to the Stroop Effect :: essays research papers

Interference and facilitation are two important aspects of automatic processes. Interference refers to the range to which one process encumbers performance of another, whereas facilitation indicates the extent to which one process assists performance of another. Through practice and maturation, reading progresses from a controlled process to one that is automatic, lessening the demands on attentional resources. Stroop reported one of the first studies, which provided support for this, in 1935. He combined the word object/property dimensions in the same stimulus to create one of the most researched phenomena in cognitive psychology: The Stroop effect (MacLeod, 1991). He found that it was faster to read words than it was to name the corresponding object or their properties, including their color. Due to its key in understanding attention, the study that lead to many other related investigations, originated by examining interference in reading automaticity. Stroop furthered his research by creating tasks involving color naming and reading. He first compared the time it took to read color names printed in incongruent ink colors to a base line reading of color words. For the second part of his study, Stroop compared the time it took to name the ink color when congruent with the color word (e.g., blue printed in blue ink) to the time it took to name the ink color. By comparing the response times in the interference conditions to the control conditions he found that it took people longer to respond to the color of the ink when printed in a color incongruent to the color word (Stroop, 1995). The words interfere with naming the color; yet, the color does not interfere with reading the word. The nature of the Stroop effect results as a consequence of automaticity. People have difficulty ignoring the meaning of a word because, through practice, reading has become an automatic process. The two main explanations accounting for the Stroop effect in the past have been cognitive attentional processes involved in learning, controlled and automatic. As previously mentioned, when a process is automatic (for example reading), it is not only faster; it also does not rely on other cognitive resources. Controlled processes, for example color naming, are slow and demand more attentional resources. The theory is that an automatic process cannot successfully suppressed without causing interference of a controlled process. The second explanation, relative speed of processing, argues that the two processes involved in color naming and word reading are accomplished in parallel, but that word reading is carried out faster, assuming that the faster process will then interfere with the slower ones such as color naming (Dunbar and McLeod, 1984 as cited in Mel, 1997)

Reaction to Dante’s Inferno Essay

Reading Dante’s Inferno has been a challenge for me, especially at first when I didn’t understand some of the main themes Dante was trying to get across. My values are so different than those of Dante when it comes to the afterlife, it can be hard to read something that is so contradictory of my own beliefs. Once I understood that Dante was not being literal about the things he wrote in the Inferno it became a lot clearer to me that his main theme was that of controlling our own fate based on the choice we make to do the right thing or wrong thing. After I knew this, I realized that we really weren’t that different after all, because that idea appeals to me greatly. I first had to struggle to get past some of the obvious differences I feel about the afterlife, like the fact that I don’t believe in hell, in order for me to really appreciate the Inferno. Probably the main thing that happened to me that shaped my views about Christianity in general was when my cousin tried to scare me into becoming a Christian when I was about 8 years old. He convinced me that unless I started being an obedient Christian who prayed and went to church and read the bible regulary, I was going to be sentenced to a existence of burning in hell for eternity by God. That’s a lot to try deal with as a kid, especially if the person telling you this is someone that you look up to and have love and respect for. The older I got the more I resented not only my cousin for this, but that spread to all Christians in general. His approach was to make me believe in God as a sort of insurance policy so that I wouldn’t go to hell. After this experience I decided for myself that hell was quite possibly something that was made up by people to scare other people into believing what they wanted them to believe. I could not imagine that God would really want people to practice a religion out of fear, the idea just seemed a little out there for me. All my cousin accomplished in the end with me was to make me suspicious of any person who is Christian and anything that has to do with hell, and I don’t think that was his intention at all. I have since learned that not all Christians are like my cousin in their views and I’m generally quite accepting of anyone and their faith, as long  as they don’t try to pressure me into believing what they do. But to this day I still feel a little uneasy about anything that has to do with being punished by hell, so you can perhaps understand why it may have been a little hard for me to look past that in the Inferno. At first glance, the Inferno can just look like its just about people being punished cruely for the sins they have commited. But after a deeper look, it can be said that there is much more to it than just that. What really helped me be able to understand the Inferno a lot better was to understand that what Dante wrote about was not meant to be a literal interpretation of how he felt the afterlife was. He understood that it would be quite presumptuous of him to think that he could really know that. Whats important is to realize that Dante uses hell in this poem as a vehicle for expressing his views about the choices people make to either do good or do bad, and being liable for those choices. I definitely feel it is healthy to read things that vary from one’s own personal beliefs because it may bring up issues and ideas you hadn’t thought of before, possibly expanding your understanding of what you know thought you knew. It can help you learn and grow and not be stuck with certain views. Even if your values are not some how changed, I think it is still important to beable to go into something with an open mind and respect the difference of opinion. I do feel that after reading Dante’s Inferno that I have been given a new way to look at the decisions we make for ourselves in this life. Whether I believe in hell or not, I can completely appreciate this new perspective, and it makes me grateful that I was given the opportunity to read Dante’s Inferno.

Microfinance An Emerging Important Financial Factor

Microfinance is an emerging important financial factor which supply the basic financial services to poor and low-income households and micro-enterprises. Microfinance comprises several tools such as savings, credit, leasing, insurance and cash transfers. It s role is to improve financial access of the poor and small economic players and thus help them to build assets, which means a contribution to poverty alleviation. These services are provided by a variety of institution, which can be divided into credit and saving cooperatives and association, banks, NGOs and non-financial and informal sources. . Providing financial services helps rural households to plan and manage consumption and investments, able deal with risks and improve their living conditions, health and education by smoothing household cash flow and increasing disposable family income.This paper presents an assessment of informal borrowing and lending in rural finance with a focus in its advantages and disadvantages as we ll as how it would relate to microfinance. The origin of microfinance started with the founder, Professor Muhammad Yunus who set up the special branch of Bangladesh Central Bank in Jobra Village in 1974. Later in 1983, that bank was renamed as the Grameen Banks and were awarded the Nobel Peace Prize in 2006 for their efforts to create economic and social development which provided the attention on microfinance and its power to fight poverty. 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