Mental Disorder

Being currently in the military I have mixed reactions when viewing this video. I perform the same role as “Doc” Krebs did, but for the Air Force Reserve. There Is a lot to consider when discussing this documentary. It was well constructed In the sense that those interviewed held various positions representing nearly every step of the larger process that is the war. First I would like to discuss the issue of battle itself. Few of our nation’s military actually sees combat, it is largely support for those who do. Of those who are placed In a combat situation the number of those is sustained combat day after day Is even fewer.

Infantry during an offensive tactical plan are typically those who have suffered the worst. To make matters worse this particular war is extremely taxing of a person’s psyche. Unlike most wars of the past the enemy is not readily identifiable. They wear no uniforms they blend in with the population. Threatening the locals into keeping quiet about which buildings they are in is not uncommon. It is no wonder that returning soldiers are scanning rooftops or firing at the first male they see viewing the site of an explosion. Who Is to say they didn’t set It off?

Often the explosion from an DIED Is the first wave of an oncoming attack and the gunfire is not far behind. It is easy to say that they should know better sitting on your couch watching this video. But nine months into a deployment especially one where you are on the offensive, not all people are strong enough to know the difference in that split second. The truth is we will never know. Many of the soldiers Interviewed trace the root of their problems back to the death of SST Huh. This was the first of many multiple traumas they encountered. They ere not yet numb to the effects of war.

Numbness In itself Is a survival mechanism; as mentioned by a troop in the video, that is necessary to perform at the level needed. In that instant it’s kill or be killed, nothing else matters. It also was especially tragic since the SST that was killed was so well respected and liked. Some of the members did seek help and this is where we get our first glimpse of the larger problem. The speech given by George Bush sending an additional ASK troops Into battle sets off a chain reaction. There are only 25% of young people In this nation that are insider “fit” to join the military.

This is due to a number of reasons such as weight, fitness level, health status, previous surgeries and intelligence level to name a few. It also takes a considerable amount of time from the start of a recruit signing the papers to get them to basic training, which can take months in itself. Then they must be able to complete that successfully and move on and successfully complete their lob specific training. There Is additional training specific to the region and special tactics that also must be completed before a member is even eligible to deploy.

That is even if they are infantry as previously mentioned, most of the military does not perform that role. So this brings us to the decisions made by the top level command. Does the military typically allow criminals? No. Do they allow those with pending charges to deploy? No. Do they allow those who are mentally unstable to deploy without first getting treatment? No. Until this war they didn’t allow All of these factors security threat overseas, and it worked. A multitude of factors that will forever remain unknown to everyone except the few who made the rules and we will fully know what he rational was.

With that being said when the president says you must send this many men, you do. In an ideal world there would be enough to go around. Sure they could have pulled from another base. But what the video doesn’t address is anyone else’s deployment cycle. This platoon was Just one of many in the same situation. Do you send someone over to Iraq for another year 2 months after they have been reunited with their family? The general population and the vast majority of the military itself do not know the manning of the force or who is actually eligible to deploy out of those who are in. It is certainly a tough call to make.

I’m certain that those who made it knew that there would be a downfall in some regard. In this case it is the medical system. The onset of this year we Just completed, has saw a tremendous surge in life- changing injuries and service connected disabilities. As mentioned in the video it is an abnormal situation to be placed in. Many of those who were shown in the video were deemed unfit for continued military service following their deployment, specifically for PETS. A diagnosis of PETS cannot be made initially after a traumatic vent, the symptoms must be present for several months and disrupt daily functioning.

Irritability, a sense of being on guard, short temper, easily startled and nightmares are some of a plethora of symptoms experienced. Access to care is another shortfall mentioned in this video. Some of the soldiers did not seek treatment due to stigma. Others such as Nash sought treatment too late after he had resorted to drugs and alcohol first. I will say that the military did fail them in the sense of the initial treatment. I wish I knew why this was the case. I can only speculate that it is due to not being fully aware of the tuition, money and a lack of available resources to treat these members.

This brings us to another failure not mentioned in the video. It is unclear what role the soldiers next in their chain of command (direct supervisor) played in this process. They could have advocated for the member, but more importantly they could have simply been there and stuck with them through every aspect of their treatment giving them support at every turn. It is impossible to tell from the video if an attempt was made and the supervisor was shut out, or if one of these men portrayed was the supervisor of the others. That is how the leadership system broke down.

There is absolutely no way that the commander is responsible directly. Commanders are only informed of a patient seeking mental health treatment and they follow the recommendations given by those who actually evaluated the patient. They are given zero information on the diagnosis. Secondly they would be completely unaware of their subordinates behavior off duty. The failure of the mental health system in the military is not surprising. The VA system is shambles and has been before the influx of patients since the onset of this ar.

Staffing and overcrowding is commonplace, at least it would appear the federal government cannot turn a blind eye anymore and is addressing this issue. The mental health system has strict rules about duty limitations and determines who is eligible for continued service based on condition but it is obvious in this case they if this process was started on these members as it can take months for a member to be considered at maximal medical improvement. It is only at this point after the government has done everything in their power to aid the member that they can aka the decision to retain or discharge the individual.

They simply may not have had the time, or the member may have forced leadership’s hand by committing other faults such as felonies as evidenced in the video. It is certainly disheartening to see our military portrayed in this fashion although for some it is a reality. Despite what is shown in this video I feel that our mental health in the US military is performing better than ever before and operates at a high level. Certainly they could use more resources and staff but that cost money that may not be slotted for this particular concern.

Budget drives every action in Washington and sometimes it takes a crisis before those who serve us will listen. It will take years to rectify the VA system, and there will also be problems and people lost in the system as they try to seek help as they are exiting the military by choice or otherwise. I am proud to serve in the military and help those who are wounded, physically or psychologically and will continue to do so. You must have faith that those above you are making the best and most informed decisions they can, even though you will never understand the factors that went into such a decision.

Do you think this is his/her primary problem? Why or why not? Presenting problems: Natalie came In for “concerns about her boyfriend, Larry Watkins, over the past six months”. She reported that she has “been so upset that she hasn’t been able to function at work and her coworkers told her she needs to get some help”. No, this is not her primary problem. The client stated that she felt so depressed and empty that she didn’t think she could stand it and also notes that she hates herself. The client additionally indicated “there’s Just nothing worth living for and I hate everyone and everything” Furthermore, she specified how she’s been suicidal and felt worthless and hopeless and Just wants to end it all and in fact indicates she has a history of attempts. She also noted that she was having financial difficulties. And of course, as we know has BAD. What are some of his/her strengths? Natalie Is a college graduate, has a job as an administrative assistant, appears to be able to convey her feelings in an (at least somewhat) articulate manner, so far has been open and honest to our knowledge, ND realizes she needs assistance and Is willing to get help.

1. What potential diagnoses would you want to rule out in this case? Mood disorder – depression or possibly manic depression (bi-polar) and other personality disorders.
2. What resources might be helpful for him/her to access? Suicide hotlist, some type of self-help meetings, employment services, medical doctor, family therapist, or another therapist besides you, and/or psychiatrist. 5. What Is your preliminary diagnosis for helm/her?

• A. Borderline personality disorder (BAD) 301. 83 (OFF. 3)
• b. NOSE unspecified Personality Disorder 301. (OFF. 9)
• c. ROI unspecified Depressive Disorder 296. 20 (82. 9) or 296. 30 (OFF. 9)
• d. ROI suicidal Behavior Disorder (not yet coded)
• e. Frequent use of devaluation
• f. Frequent use of passive aggression
• g. Frequent use of displacement
• h. Frequent use of splitting

SECT. II

• a. VIA NO/DLX
• b. As stated by the client she was In a car accident and totaled her car.
• c. Refer to a physician for complete physical.
• d. ZOO. O Relationship distress with a spouse or intimate partner
• e. ZOO. 5 Personal history of self-harm
• f. VIA. 2 Low-income
• g. VIA. 20 Parent-child relational problem

Anxiety With awareness of different mental and psychologically disorders on the rise, one in particular caught my eye. Social anxiety disorder has always intrigued me due to its close relationship to shyness and has sparked many different questions pertaining to how this disorder differs from Just . For my research paper, I would Like to explore how this disorder’s symptoms are different from being shy as well as explore why people with social anxiety exhibit these symptoms.

In exploring why people exhibit symptoms, I hope to find different studies that show how social anxiety disorder affects the brain and how people with the disorder’s brains differ from people who do not suffer from it. Along with this, I would also like to be able to thoroughly explain how the disorder affects the dally lives of sufferers and when symptoms of the disorder begin as well as how to recognize that these symptoms correlate to having social anxiety disorder. For my research paper, I would like to explain different treatments for the disorder and figure their effectiveness as well as why they are effective.

I will also examining the correlation between social anxiety and many other different mental or psychological disorders and determining if there is a direct relationship between any two. Amiss, P. L. , M. G. Gelded, and P. M. Shaw. “Social Phobia: A Comparative Clinical Study. ” The British Journal of Psychiatry 142. 2 (1983): 174-79. Print. This article discusses a study in which symptom’s of people with social anxiety were compared with symptoms of people with agoraphobia. The study was conducted to prove that certain symptoms were distinct to a certain disorder.

The homonyms were assessed through clinical, questionnaire, and demographic data. The results showed that symptoms of social anxiety differed from agoraphobia as social anxiety symptoms were more apparent and voluble to others. This source will be helpful In my research as I will be able to reference this when I am explaining different symptoms of social anxiety disorder. With the support of this article, I will be able to make claims that indicate that many symptoms of social anxiety disorder are unique to this disorder only. Connors, K. M. Psychometric Properties of the Social Phobia Inventory (SPIN): New Self-rating Scale. The British Journal of Psychiatry 176. 4 (2000): 379-86. Print. Before this study, no social phobia scales Incorporated variables such as fear, avoidance, and physiological symptoms. The author of the article created a new scale called the Social Phobia Inventory (SPIN which incorporated each of these previously unused variables. A study was conducted to assess the validity of this new scale and results were obtained which indicated that this test correctly measured social phobia levels and was responsive to change over time.

This source will be helpful for my research paper as it gives many efferent examples of different tests used to determine If an Individual suffers from correctly diagnose someone with the disorder. I will incorporate this in my paper when talking about how people are diagnosed with social anxiety disorder. Craig, Ashley, and Woven Train. “Fear of Speaking: Chronic Anxiety and Stammering. ” Advances in Psychiatric Treatment 12. 1 (2006): 63-68. Advances in Psychiatric Treatment. Web. 31 Mar. 2014 This article reviews the relationship of stammering as a child and the prevalence of social anxiety.

Stammering when young is usually caused by higher anxiety levels of the child in question. The article shows that children who stammer when they are younger are at a higher risk of developing social anxiety disorder. It also talks about why children stammer and identifies the social fears associated with it. I will use this in my research paper to identify early onset symptoms of people with social anxiety. The article goes into great detail over the social fears experienced by the children who stammer and explains the relationship between this and social anxiety.

From this, I will be able to go into further detail over the social anxiety symptom of stammering and explain what causes the behavior. Marilyn J. Essex, Marjorie H. Klein, Marcia J. Clattery, H. Hill Goldsmith, Ned H. Kaolin; Early “Risk Factors and Developmental Pathways to Chronic High Inhibition and Social Anxiety Disorder in Adolescence. ” American Journal of Psychiatry. There has been evidence that suggests that high levels of behavioral inhibition act as a precursor for social anxiety disorder.

The authors of this article took it upon themselves to evaluate and identify the different risk factors that may also play a part in development of the disorder. They conducted a study which evaluated 238 children who they followed from birth until the 9th grade. Different behavioral factors were evaluated in each participant. After evaluating each factor in the children, results showed that each factor examined accounted for greater and chronic inhibition. By the ninth grade, the study indicated that chronic high inhibition was associated with a lifetime of social anxiety disorder.

Conclusions were made that high levels of inhibition were directly related to the development of social anxiety by adolescence. I will be able to use this source in my research paper to show the early signs of social anxiety. How the disorder develops will also be expanded upon using this article in my paper. Mark Olefins, Mary Guardian, Elmer Strutting, Franklin R. Schneider, Fred Hellman, Donald F. Klein; “Barriers to the Treatment of Social Anxiety. ” American Journal of Psychiatry. 4. 1 57(2000):521-527. 22 Mar 2014.

Despite the advancement in availability to treatments for social phobia, many adults do not seek help for their problems. The authors of this article evaluated the barriers to treatment for adults with social anxiety disorder and conducted a study that involved adults who participated in the National Anxiety Disorders Screening Day in 1996. Background characteristics of individuals with symptoms of social anxiety were compared to those who participated in the screening who had no symptoms of social anxiety disorder. The barriers to previous mental health treatment for all participants in the study were evaluated and compared.

The results of the study indicated that people with social anxiety have a higher risk of functional impairment and feelings of isolation as well as run a higher risk of suicide. They also reported financial barriers, uncertainty of where to seek help, and fear of what others may think which decreased the likelihood for them to seek help. Conclusion were preventing sufferers from seeking the proper help needed. From this study, I will be able to take the results and relay them into my research paper to show the different barriers people who suffer from the disorder have.

I will also be to show that without properly sought out help, many people are left with serious symptoms that affect their daily lives. Michael, M. , and M. Brushwood. “Social Anxiety Disorder in First- episode Psychosis: Incidence, Phenomenology and Relationship with Paranoia. ” The British Journal of Psychiatry 195. 3 (2009): 234-41. Print. For people with psychosis, the prevalence of social anxiety disorder poses a big problem. However, it is unclear if this is a byproduct of persecutory thinking. A study was conducted to determine the significance of social anxiety on people who suffer form psychosis.

The results of the study showed that social anxiety is a significant commodity in first-episode psychosis. This study showed that there was a definite relationship between psychosis and social anxiety. I will be able to incorporate this into my research paper when comparing social anxiety with different diseases and will be able to note the different shared symptoms and the effects that both disorders have on the brain to define why he disorders are related. Psych Central Staff. “Social Anxiety Disorder (Social Phobia) Symptoms. ” Psych Central. Com. Physic Central, n. . Web. 24 Mar. 2014. Psych Centrals article over social anxiety begins by giving a general overview of symptoms of social anxiety. The article explains that people who suffer from this disorder have an extreme fear of becoming exceptionally anxious or humiliated in certain social situation. Sufferers of social anxiety also have different symptoms than a person who is shy. Social anxiety differs from shyness as individuals who are only shy do not experience the extreme anxiety from social situations and do not go to extreme lengths to avoid social situations.

The article then goes on to list symptoms that people with social anxiety must have. People with social anxiety have an intense fear of being scrutinized in social or performance situations in which they are around people they are unfamiliar with. Social anxiety also makes an individual go to extreme lengths to avoid these situations, which interrupts their normal routine. This article will be helpful in writing my research paper as I will be able to use it to identify common signs of social anxiety disorder.

This source will also be helpful in comparing and contrasting the differences between the disorder and shyness. The article is a good overview of the disorder that helped give a general understanding of what social anxiety disorder is. Richard Dolman, Ph. D. , Joseph Himself, Ph. D. , Deborah Beebe, Ph. D. , James Babbles, M. D. , Ph. D. , Jody Hoffman, Ph. D. , Michelle Van Tenet-Lee, Ph. D. ; “Impact of Social Anxiety Disorder on Employment Among Women Receiving Welfare Benefits. ” Psychiatric Services. 22 Mar 2014.

Social anxiety disorder can affect many different aspects of life and is a common disorder that is disabling and costly. The authors of this article decided to examine the different obstacles of employment of women in Michigan receiving welfare. The Composite International Diagnostic Interview-Short Form aided the authors in establishing the psychiatric diagnoses of the different women in question. The study surveyed 609 different women who suffered from social anxiety and completed at least one-third of the Women’s Employment Study.

The surveys of the women with social anxiety were demonstrated that the women with the disorder worked fewer months than those without the disorder and indicated the severity of social anxiety as it had a greater impact on life than depression. Conclusions were made that indicated that social anxiety posed significant problems to sufferers, making it hard for them to go to work. From this source I will be able to access how social anxiety affects the lives of those who suffer from it.

I will incorporate this source into my paper as an example of the type of people who normally suffer from the disorder and its impact on their lives. Samuel Lilies, Ph. D. , Jessica Eleven’s, B. A. , Rater Biggs, B. A. , Linda Johnson, B. A. , Reagan Amelia, Ph. D. , Daniel Pine, M. D. , Christian Grilling, Ph. D. ; “Elevated Fear Conditioning to Socially Relevant Unconditioned Stimuli in Social Anxiety Disorder. ” American Journal of Psychiatry. 1. 65(2008):124-132. 22 Mar 2014. Conditioned fear is a classic symptom of patients with social anxiety disorder.

The authors of this article decided to perform a study to examine the differences in general conditionality by using socially nonspecific, unconditioned stimuli. A model for conditioned fear was made by the authors using unconditioned stimuli of facial expressions and verbal feedback. In the study, patients with social anxiety disorder as well as subjects used hat worked as healthy comparisons underwent different classical conditioning consisting of three different facial expressions: one happy, one neutral, and one angry. Each of the expressions was paired with audio that reflected the nature of the facial expression.

The results of the study showed that only the social anxiety patients suffered from fear conditioning from the facial expressions. The conclusion of the study indicates a conditioning contribution to social anxiety disorder. I will be able to incorporate this study into my research paper as experimental proof of symptoms of people with social anxiety. The study showed that individuals who suffer from the disorder are more frightened and effected by facial expressions than normal. Sinclair, Leslie. “Treating Social Anxiety Doesn’t Decrease Alcohol Consumption. ” Psychotherapists.

Psychiatric News, 06 July 2012. Web. 25 Mar. 2014. In Sinclair article, she examines the relationship between social anxiety disorder and alcohol consumption. In the article, she lists psychiatrist Sarah Book as defining that social anxiety puts people at a higher risk to abuse alcohol in order to decrease stress and feel more relaxed and that different effective treatments should be more deadly available to sufferers of social anxiety disorder. In order to back her claims, Book took it upon herself to conduct several different studies to analyze this relationship.

In one study, she and some of her colleagues determined whether social anxiety serves as a detriment to successful outcomes in traditional forms of alcohol and drug use therapy. The results from the study showed that there was clear correlation between social anxiety and alcohol abuse. I will use this article in my research paper to show that social anxiety disorder has other indirect symptoms. From this, I will be able to make claims over the seriousness of the disorder and show that some symptoms cannot be cured through the disorders different treatment options.

Smith, Melinda, and Ellen Gaffe-Gill. “Social Anxiety Disorder & Social Phobia. ” Social Anxiety Disorder and Social Phobia: Symptoms, Self-Help, and Treatment. Gaffe-Gill begins by defining what social anxiety disorder is. Social anxiety, which is also known as social phobia, is the extreme fear of certain social interactions. There are certain triggers which spark symptoms of the disorder such as meeting new people, performing on stage, taking exams, or even eating or drinking in front of others. Once triggered, people who have the disorder experience emotional, behavioral, and physical symptoms.

The article continues by presenting different treatment options for social anxiety disorder which include challenging negative thoughts, breathing control, changing one’s lifestyle through the building of new relationships. This article will be helpful as it will allow me to examine the different treatment options given to sufferers of social anxiety. This source also discussing the effectiveness of each treatment. With these different treatments, I can do further research into exactly how each one works and include this in my research paper. “Social Phobia (Social Anxiety Disorder). NIMH IRS. National institute of Mental Health, n. D. Web. 22 Mar. 2014. This article by the National Institute of Mental Health begins by defining what social anxiety is. The article defines social anxiety disorder as the strong fear of being Judged by others or embarrassed. The causes for the disorder are not completely known, however studies have shown that it tends to run in families. Researchers have found that there are several parts of the brain involved with fear and anxiety and have examined them in order to try and find effective cures for the disorder.

The second portion of this article by the Institute of Mental Health talks about how somebody is diagnosed with the disorder. Sufferers of social anxiety usually start having symptoms during their youth. Doctors are able to diagnose the disorder if one has had persistent symptoms for longer than 6 months. I will be able to use this source to assess how social anxiety effects the brain and how different treatments work on the brain to relieve symptoms. The way that people are diagnosed is also mentioned in the article, which I will be able to use in my research paper.

Stefan Plaint, Leonardo Coercion, Eric Hollander; “Social Anxiety in Outpatients With Schizophrenia: A Relevant Cause of Disability. ” American Journal of Psychiatry. 2004):53-58. 22 Mar 2014. Many people who suffer from schizophrenia exhibit many symptoms of social anxiety disorder, which are often looked past due to the other more serious symptoms of schizophrenia. The authors of this article conducted a study to examine the relationship between the two disorders and determine if they are linked.

In the study, 80 people diagnosed with schizophrenia and 27 people diagnosed with social anxiety disorder were assessed with the different mental health tests. The results of the study indicated that social anxiety is often prevalent in people who have schizophrenia, but is unrelated to the clinical psychological symptoms. This study will also be very helpful in comparing social anxiety disorder to different mental disorders. It will also be used to assess the correlation between the two disorders and with further research I will be able to ampere the effects of both disorders on the brain.

Stein MOB, Putsch M, Mјleer N, H¶fleer M, Life R, Witches H. “Social Anxiety Disorder and the Risk of Depression: A Prospective Community Study of Adolescents and Young Adults. ” Arch Gene Psychiatry. 3. 58(2001): 251-256. 22 Mar 2014. This article examines the correlation between social anxiety disorder and depression. The authors of the article noticed that perform a study to assess the relationship between the two disorders. To begin, data was collected from a longitudinal, epidemiological study of people aged 14-24 to use as baseline.

Follow up interviews were given to determine if these individuals suffered from symptoms of both depression and social anxiety and to assess the extent of their disorders. The results from the study showed that individuals with no depressed symptoms at baseline had an increased likelihood to exhibit symptoms of depression. Those who suffered from social anxiety disorder and depression during baseline also showed worsened depressed conditions. This article will help me in my research as it gives a very detailed study over the relationship between social anxiety and depression.

I will be able to use this when discussing the various side effects that the disorder gives. This source will also be helpful in discussing the relationship between different mental disorders. Veal, David. “Treatment of Social Phobia. ” Advances in Psychiatric Treatment 9. 4 (2003): 258-64. Advances in Psychiatric Treatment. Web. 31 Mar. 2013. This article begins be explaining what social anxiety is and how it effects the lives of people who have it. It gives statistics over the disorder, such as explains that it is the 3rd most common mental disorder in the word, has a lifetime prevalence of %, and has an equal gender ratio.

The article lists a very detailed description of the different symptoms and why sufferers exhibit them. The article’s focus is put on the different treatments and how they work as well as which treatments work better for different people based on symptoms. Some of these treatments include pharmacopoeia and cognitive therapy. I will use this article to note the relationship between symptoms exhibited and the most effective treatments. Since the article goes very in depth over each symptom and its best treatment option, I will be able to show why each treatment is effective.

Think before you ink”. I read the article with an open mind so as not to judge. Clearly you did not have the same sentiment. Within the subtitle you decided to slate tattoos, and a variety of celebrities with them. I was amazed that you said “doesn’t make it classy,attractive or wise” since it was a very strong and unfounded opinion. I was equally appalled by the rude and negative language towards these people, the things that were said about them were extremely offensive.

I don’t think it’s appropriate for the article to contain such a negative attitude especially to these celebrities who have achieved great things. An opinion is one thing, but judgment is another. Firstly when you mention tattoos as ” body graffiti” its like you associate it as unlawful vandalism-let makes the reader feel as though they are performing an illegal or public act of crime when they get a tattoo,whereas they are expressing themselves through a form of art. However, when you mention it as “a form of art” its very hypocritical, contrasting when it isn’t derogatory. Graffiti ” is usually described as vandalism art, which generally is all the same. This is stating that you think that all tattoos and body art are all the same and is a crime. Your opinion is incorrect and shows your lack of knowledge about tattoos. Your extremely sexist towards women. You slate mostly females for example: Amy Whininess, Victoria Beckman, Madonna and Angelina Coli etc. You have criticized each and every one of these females for either their tattoos or their image.

This can be proven in the subtitle when it says “among celebrities such as Angelina Coli and Amy Whininess” These are both females, which is presenting tattoo think its only females that have tacky tattoos and a poor image. Why not include equal amounts of males to females? Why just insult females in which are clearly successful for a reason? It seems like your jealous of their fame, so are trying to downgrade them at your advantage. When you say “beautiful women has been anything but blighted” it seems as though its your attitude of class judgment.

Its an old fashioned attitude, showing how narrow minded you are. The word “blighted” is referring to disease, which is rude,offensive, and a lexical choice. TTS a sexist response, judging women by their looks. let makes women feel insecure and negative about themselves. They can be extremely sensitive and take things personally which can cause many issues and problems with confidence, self esteem and so on . This could of been prevented by your attitude in your article;elf you wouldn’t of been so negative towards females and tattoos many problems wouldn’t be apparent.

You marks a judgment that you think that tattoos are “cheap plumage of the attention seeker” meaning that you think they are tacky, and brightly colored o make them more visible to others and to draw attention to themselves. You also state that people with tattoos are desperate to be noticed on which is shown when it says ” last-chance barflies and aspiring ” as the word “aspiring” is referring to an ambition be another person in which in this case is by having a tattoo. That is totally an incorrect statement, hence not everyone with a tattoo has an incentive or desire to be on TV, and people don’t aspire to aim to be on TV.

Your clearly stereotyping celebrities, making them out to be attention seekers without talent. As many people know the rate of anorexia is increasing and more patients are being diagnosed with different forms of anorexia. There are many comments about Amy Whininess’s’ body which will cause offence among many people but mainly anorexia sufferers. It says ” the ugly marks that covered her emaciated body’. Firstly the comment about her tattoo being “ugly” is very inconsiderate, but the irrelevant and trivial comment was calling her body “emaciated”, since its stating she looks malnourished and abnormally thin.

People don’t realism how offensive it is to call someone thin ND they think aims only rude to call someone fat. They are both opposites and are very disrespectful to people. Some people have extremely high metabolisms and can’t help being extremely thin, so making them feel ashamed of something they can’t help is wrong. Also on the other hand anorexia is a mental illness which is something that they couldn’t help. Slating someone whom might have this illness is the wrong thing to do and most likely make things worse. Did you take any of the public into consideration? What are they going to think when they read this, and how this may effect hem?

Offending and criticizing Amy Whininess because of her weaknesses and problems is insensitive. Rape is a very sensitive topic, which many people are victims of rape. It is wrong to use rape in the wrong context, as people don’t understand the severity of sexual violence. The reason it’s so wrong is because it causes either flashbacks of rape or brings back memories of rape or people they know who have been raped. No one should ever have to go through rape and when they try to forget about it so they can carry on living life it shouldn’t be brought back up into their minds.

Joking and using rape out of context shows how oblivious you are of the effect rape has on people and how immature your thought can be to be so stupid to use that to describe something you don’t agree with. This can make people anxious about rape- thinking they can be raped by a needle which clearly isn’t the case, and that the action taken to get a tattoo is life changing and very violent. Using violent vocabulary to scare people to not getting tattoos isn’t the right way to approach it and will only annoy people.

You try to joke about tattoos being on “hyperactive five-year old” which have men “let loose with a rainbow pack of sharpies”. This is quite a stupid and immature thing to say. The fact you would associate tattoos being like “hyperactive five year old” as if they have designed and drawn the tattoos shows your dim and negative attitude to them. You don t however, need to assault people with them as if there tattoos are badly drawn and not to a high quality. The fact you bring religion into the subject of tattoos is unnecessary. Some people are extremely sensitive to things about religion so that was an extremely risky thing to bring up.

Comparing tattoos and saying that Victoria Beckman thinks her tattoos are “dead spiritual… Like scented candles and Madonna albums” and incorporating religious sarcasm is insensitive. Why compare scented candles with Madonna’s albums, that just makes you come across as stupid. Furthermore, why compare or relate any of that with tattoos? What right do you have to say Madonna body a “holy war of Hindi Sanskrit, Hebrew Latin and Roman numerals” You can’t mix religions and you can’t associate her tattoo with a mix of different tattoos, without you knowing it by fact.

This is very “old school” in the sense that your picking different religions which go against each other. Why pick these religions? Why not others? Its a fundamental misunderstanding of terrible atrocities in History and belittles these tropic events. This makes you seem discourteous and a condemnatory act. Think this article should be removed from media to stop animosity to people affected by rape, anorexia, insecurities etc. In future I don’t think there should be articles with such strong negative opinions. The effect these articles have on people is huge.

It leaves people with negative attitudes especially those who have suffered with mental health issues and rape. One point I didn’t include was that Tattoos are also used for pigment for breast surgery etc. This can be hurtful to those who have had surgery and a tattoo to correct the issue. This article will end up leaving innocent people feeling bad for having tattoos, and all the other rude and negative remarks. Hope you see the effect of this article in another light. I’m sure many people agree with me and I hope something will change from now on.

According to Singular’s Pocket Dictionary of Speech-Language Pathology “stuttering is an articulatory or phonatory problem that typically presents in childhood and is characterized by anxiety about the efficacy of spoken communication, along with forced, involuntary hesitation, duplication, and protraction of sounds and syllables. ” Stuttering can be witnessed in the rate, pitch, inflection, and even facial expressions of a speaker. The cause of this problem is not set in stone, which leads to countless theories as to why people stutter.

Along with numerous theories as to why people have this disorder, there are also limitless treatment methods that can be used to help a speaker with a stuttering problem. Stuttering has been a controversial topic among professionals for hundreds of years, and we are still learning what works and what does not work for this curious disorder. The etiology of stuttering is not certain to this day. Many professionals are torn between the psychological and neurological theories as to why people stutter.

There are many theories which explain stuttering as a psychosomatic problem that can be dealt with by using psychotherapy. The “Repressed Need” hypothesis explains that stuttering is a neurotic symptom which is fixed in the unconscious. The repressed need is said to come from a longing for either oral or anal gratification. The stutterer is able to satisfy their anal erotic needs by the “holding back of words that may represent a hostile expulsion and retention of feces. ” This theory is closely related to Freud’s Oral and Anal stages.

Some theorists believe that stuttering is caused by the “Anticipatory struggle”. The anticipatory struggle hypothesis explains that p63 “stutterers interfere in some manner with the way they are talking because of their belief in the difficulty of speech. ” The stutterer is so frightened of making a mistake during speech they in turn avoid, brake, or interject their words and sentences. Stuttering is thought to be a variant disorder, meaning it can affect a person in certain situations that bring them great anxiety or fear. Using a phone and speaking in front of a group of people are examples of this .

Although many signs point to a psychological explanation for stuttering, genetic and neurological problems have also been tied to stuttering. Early theorists, like the Roman physicians believed stuttering was related to an imbalance of the “four humors”, and humoral balance treatments were used to treat stuttering until the late eighteenth century. A more modern explanation of a neurological problem that causes stuttering would be the “cerebral dominance theory”, that explains conflict between the two hemispheres of the brain is the cause of stuttering.

Stuttering has many different types of specified dysfluencies. Although there are hesitations and interruptions found in all speakers, the disfluency found in stutterers seems to be more severe. There are several forms of dysfluencies when dealing with stuttering including interjections, repetitions, and revisions. A stutterer can encompass one or many dysfluencies ranging from minor incidents to very extreme episodes of stuttering. Interjections occur frequently in both fluent speakers and dysfluent speakers.

An interjection occurs with the speaker uses “uh” or “er” while speaking. Repetitions also are common for stutterers. Repetitions can occur in part of the word ,” wh wh what” in the entire word, “what what what” and in phrases, “ what do what do what do you want? ” Revisions during sentences such as,”I was, I am going” also happen often, along with broken words; I was t—alking, and prolonged sounds like the “wa” sound in what are also usual in stuttering. Like other speech disorders, stuttering mainly occurs in children who show no evidence of having any other type of disorder.

Stuttering comes in many shapes and forms and can be slight to extremely severe, making the all characteristics of this disorder always subject to change. Stutterers encompass hesitation, interruption, revisions, broken words, and prolonged sounds in their speech making it hard for people to follow. While most of the characteristics of a stutterer are only apparent when listening to them speak, there are also many secondary characteristics a stutterer may have. The secondary characteristics vary from person to person, however most of them occur in the face or hand motions.

Visible characteristics include tension in the face, which can be seen when the speaker is talking and their face seems to turn sour and flushed. Stutterers also may frown, jerk their head, move their eyes erratically, or wrinkle their foreheads during a speech interruption. Stutterers show secondary characteristics in their hand movements and gestures as well. When stutterers feel tension which is usually caused by frustration of speech, they sometimes react by waving their arms and hands.

This can sometimes help the stutterer to get out a word, phrase or sound they are trying to express. Vocal abnormalities are also present in some stutterers, including abnormal inflections in tone, and sharp pitch level shifts. A person can begin to stutter at any time, however most cases are recorded at a young age; most frequently between the ages of two through six. An estimated fifteen million individuals world wide, including three million Americans stutter. A child can be diagnosed from eighteen months, when words starts to progress into more fluent speech.

The median age of onset according to a study done by Daley (1955); which included fifty young stutterers recorded that the median age of onset was 3. 87. Occurrence becomes less frequent with age, and seems to be tied to the development of language. Although there are millions of stutterers in the United States most of them will “recover” by adulthood. According to Andrews and Harris’s (1964) research that included 1,000 stutterers; 79% of children will stop stuttering by the age of sixteen.

Boys are three times more likely to develop a stutter then a girl would according to the 3-1 ratio concluded by “US Nationwide, 1-12” Hull el at (1976). Assessing a stuttering disorder can be done in many ways including, recognizing the frequency of the specified disfluency type, calculating the mean duration of stuttering, speech rate, and articulation of the person’s speech. When measuring the frequency of the stutter, the speech pathologist can try to account the percentage of moments of stuttered words or syllables. This is a popular way of diagnosing a stutter, since it is easily reportable.

Speech pathologists can use electronic counters to measure the number of syllables stuttered during a speech session. A speech pathologist can also evaluate a patient by checking their speech rate. Checking a speech rate is done by the examination of abnormalities in the respiration, like disordered breathing, and phonation, such as breath holding. A professional can also make assumptions on a patient by listening to how long a stuttering block lasts for. An average duration of a stuttering block is one second, and in some severe cases of stuttering a block can last for an entire minute.

When dealing with the treatment of a speech disorder like stuttering, the patient has many options, which may or may not work for them. Since stuttering usually begins at a young age, behavior therapy has been a popular method of treatment that may halt the progression of stuttering in children. In behavior therapy for early stutterers, the clinician can recommend the child to speak slower and smoother by teaching them a relaxed pattern of speech. Modeling and mimicking are excellent ways to help a child with a stutter to over come their impediment.

Psychotherapy is another modern way of treatment among professionals. Psychoanalytical therapy can help the stutterer to over come their anxieties of speech, and give them the confidence that they lack. Speech therapists play a role in the treatment of stuttering by helping the patient modify their speech patterns. It seems that most stutters are able to talk in song, so the speech pathologist can teach the patient to speak rhythmically. Helping a person speak rhythmically can be taught by using hand and finger movements to assist the stutterer “move along” their fluency.

While this is an effective treatment for stuttering, some patients might relapse and their learned hand movements become useless and the learned tendency can then become an abnormal secondary characteristic. Although the effectiveness of therapy is unclear, the patient has the option of many treatments, and eventually a stutterer may find something that will work for them or as in many cases, the person might recover spontaneously. Stuttering is classified as a speech disorder, however there is much more to this disorder that meets the eye.

Researchers are still trying to pinpoint the exact cause of stuttering but one thing they can all agree on is that the emotional pain a person with a stutter lives with can affect them for the rest of their lives, even after the disorder subsides. Aside from the anxiety, shame, and fear that go along with this speech problem, many people go ahead to live seemingly normal lives. Through out history there have been countless successful individuals who stutter, ranging from Winston Churchill to James Earl Jones which goes to show that while stuttering can be difficult to overcome it does not deter a person from reaching their fullest potential.

On Kohlberg’s scale, I consider myself to be on the conventional level, Level II. I can say that I still react to my family’s expectations. Not so much of my peers, because I’ve learned that everyone have their personal opinions to everything. Sometimes, even unsolicited advices are given, I don’t intend to be rude to them in any way, therefore, I take it as creative criticism. These things happen all the time. I do conform to the norms that I learned at home and in school, not so much from the church though because I have not been an active member for some time now.

I do understand the moral norms and rules and how they must be followed. Growing up, family played a significant role in my life. I can truly say that I am who I am today because of them. I was taught that for as long as I live the right way, not hurting anyone along the way, and being thankful for what I have, I will be happy. There were times that I have made the wrong choices, but for the most part, I didn’t forget my parent’s teachings.

For instance, getting in trouble with the law for fighting or being disruptive, I eventually grew out of it and learned that maybe violence is not the way to do things. For the most part, having a decent conversation or as simple as talking about the problem will eventually solve the misunderstanding and everything can end well. I don’t see myself on the third level only because I haven’t come to the point where I question why things are the way they are. I know the difference between right and wrong, and I definitely think that’s more important than looking for explanations.

Oppositional Defiant Disorder: Case Study and Research Samaritan L. Carlo Suffolk County Community College SYS 213, Exceptional Child Able Keller is an English-speaking and physically healthy four-year-old boy. He lives with his mother and eighteen-year-old sister, and attends preschool during the week. Babel’s mother works seven days a week and he is supervised on the weekends by a nanny. His current nanny began working for the family fairly recently; the two nannies prior to her both worked for less than two months before quitting.

Babel’s parents have been divorced for two years. His mother is his primary care-giver and is father sees him infrequently. Lately, Babel’s mother and preschool teacher have been unable to cope with his disruptive and distressing behaviors. Babel’s teacher estimates that his disruptive behaviors began at the beginning of the school year, which was approximately eight months ago; his mother says that the behaviors began roughly one year ago and have been increasing in severity and frequency since then.

Babel’s sister has also voiced concerns regarding her brother’s spiteful actions towards her due to the strain his recent behaviors have put on their relationship (PAP, 2013). Babel’s mother reports that Able cannot go more than two days without becoming extremely irritated with necessary daily tasks. Once, Babel’s mother requested that he go wash his hands before dinner. Able became irrationally frustrated, blatantly refused to wash his hands, and began lashing out in a manner which she describes as “one of his tantrums. Babel’s mother also describes an instance in which their last nanny was on the receiving end of Babel’s disruptive behavior. The nanny took away Babel’s toy at his refusal to brush his teeth and get ready for bed, and later found her toothbrush in the toilet boil. After further acts of blatant defiance by Able, the nanny resigned and Babel’s mother was forced to find a new nanny. Able exhibited a similar behavior towards his sister when she asked him if he could grab her a pencil for her homework. Able was instantly irritated at this request and yelled “Don’t tell me what to do! He then proceeded to rip up her homework and run to his room. According to his mother, destruction of property in such an aggressive manner has been very infrequent in Babel’s behavior. However, his spitefulness resulted in the loss of a nanny and his sister’s increasing emotional sisters that her “sweet baby brother” has taken on such a resentful attitude towards her (PAP, 2013). Babel’s preschool teacher told his mother that his behavior will no longer be tolerated and recommended that he be assessed. His teacher explains his behaviors in class as “defiant and disruptive. Almost daily, he actively ignores class rules, such as not talking during reading time, and becomes even more defiant when his violations are addressed by the teacher. His teacher has paused class multiple times to stop him from distracting either the whole class or individual students. She ports that the most troublesome aspects of Babel’s behavior are the frequency of the disruptions and his responses to being reprimanded. Once, when a classmate went to the teacher after Able ignored her plea that he stop poking her arm, Able became outwardly more motivated to continue poking her relentlessly.

When his teacher explained why his behavior is unacceptable, Able accused the classmate that he had been poking of initiating the incident and provoking him by being “annoying. ” Babel’s teacher reports that he has yet to accept blame or responsibility for any of his misdoings and that he is often ostracizes by his peers. Classmates have called him “annoying” and ” a tattle-tale. ” Teachers discourage this taunting behavior, but the discrimination has led to further emotional distress within Able which has been exhibited by more frequent moods of frustration and irritability at home (PAP, 2013).

Babel’s behavior has been extremely distressing at home and in school over a duration of at least eight months, but has not presented a problem elsewhere thus far. His teacher has felt stress due to her inability to get him to obey rules, a lack of time to address his disruptions, and phone calls from parents whose children claim to have en harassed in some way by Able. His sister has become distraught over his behavior and his mother has been put under enormous pressure to maintain a trustworthy and reliable nanny.

Due to the duration of his irritable, defiant, and occasionally vindictive behaviors, which have occurred at home and at school, have had negative consequences in his academic, social, and emotional functioning, and have caused distress for several people in his life, Able has been diagnosed with Oppositional Defiant Disorder of a moderate severity. Babel’s defiant, argumentative, ND vindictive symptoms put him at risk for developing Conduct Disorder, and his increasing emotional distress due to peer issues at school increases his risk of developing an emotional disorder (PAP, 2013).

Recent research of oppositional defiant disorder (ODD) is characterized by the emergence of two themes: developmental precursors to the disorder and the dimension of irritability. The study of precursors to ODD are discussed by Tinfoil and Malta (2013) in their research study which examines the relations between interpretative understanding, moral emotional attribution, and sympathy with the ability to predict ODD symptoms.

Burke, Babylon, Rowe, Duke, Steep, Hippies, and Walden (2014) discuss varying dimensionality models of ODD, the identification of irritability by certain symptoms, and the implications of the results for further research on ODD. Tinfoil and Malta (2013) suggest that the limited success of current ODD treatments may be attributed to the lack of empirical research on the disorder’s developmental antecedents. Their research responds to this insufficiency by assessing supposed key components in the genesis of antisocial behaviors: social-cognitive development and moral emotions (Tinfoil & Malt’, 2013).

The study analyzes a sample of 128 four- and eight-year-old children with ODD and investigates the links between the symptoms of ODD and interpretative understanding, or theory of mind skills, in children (Tinfoil & Malt’, 2013). The research of Tinfoil and Malta (2013) also analyzes ODD symptoms in relation to sympathy and moral emotion attribution (MEA), and examines the mediating role that each of these may have on each others’ development. The participants of the study include 128 English-speaking children and one caregiver each parent assessments (Tinfoil & Malta, 2013).

The only exclusion criterion is a hill with autism spectrum disorder, and the ethnicities of the participants vary (Tinfoil & Malt’, 2013). Symptoms of ODD in the children are rated by caregivers using ADSM-oriented scales, interpretive understanding ratings are obtained by professionals using the Landed and Chandler’s puppet activity, sympathy is measured by caregiver and child self-reports, and MEA is evaluated using each child’s negative or positive responses to the presentation of hypothetical vignettes of varying lapses in morality (Tinfoil & Malt’, 2013).

The procedure of the research study involved each child and their caregiver attending one session at the research ABA, the parent providing written consent and the child providing oral agreement, and the child being interviewed for a duration of approximately forty-five minutes by psychology undergraduate students (Tinfoil & Malta, 2013). The caregiver for each child filled out the symptom questionnaires outside of the interview room during the process (Tinfoil & Malta, 2013). Tinfoil and Malta (2013) find that interpretive understanding, sympathy, and MEA all influence ODD symptoms.

Ratings of child sympathy by the caregivers play a mediating role on the effect of interpretive understanding on ODD symptoms, and MEA strength significantly influences interpretative understanding in the domain of rule violation (Tinfoil & Malt’, 2013). The research of Tinfoil and Malta (2013) indicates the necessity of further research on social-cognitive and affective-moral factors that could potentially precede ODD and help with early prediction, and highlights a possible origin of the rule-violating behavior so prevalent in Babel’s case as a deficit in MEA.

Recent research on ODD also focuses on the importance of irritability and on reaching a consensus regarding which symptoms best identify irritability (Burke et al. , 2014). Burke et al. (2014) introduces the study by explaining how existing data purports that symptoms of ODD represent a unidirectional assembly and are distinct from those of other disorders. Recently, studies have found conflicting evidence regarding the dimensions ODD symptoms are categorized by, which questions the reliability of assessment using the existing ODD model (Burke et al. 2014). Also, inconsistencies exist concerning which symptoms of ODD comprise which dimensions (Burke et al. , 2014). Burke et al. (2014) suggests that a factor model of the disorder may help solve these conflicts surrounding the concept of diagnostic irritability. The study tests single and multi- dimensional models of ODD including factor and competing models, analyzes various elements of measurement within symptoms, and aims to identify the extent to which specific dimensions relate to each other and general ODD symptoms (Burke et al. 2014). The study also attempts to determine if there is a distinguishing dimension of irritability within ODD, if one model of ODD is superior to all other models, and if there is an additional general dimension of ODD (Burke et al. , 2014). ODD symptom data of five community samples of five- to eighteen-year-old boys and arils is evaluated by Burke et. Al (2014) using assorted measurement scales and care- giver reports.

Methods of assessing symptom presence, frequency, and severity are the Revised Diagnostic Interview Schedule for Children, Parent Version, Child Symptom Inventory-4, Child and Adolescent Psychopathology Scale, Developmental and Well-Being Assessment, and Emory Diagnostic Rating Scale (Burke et al. , 2014). The data is analyzed using five models of ODD dimensionality and two models of irritability, which identify irritability as either touchy, angry, and spiteful, or touchy, angry, and frequent loss of temper (Burke et al. 2014). Burke el al. (2014) concludes that the best model for symptoms of ODD is a general factor model in which irritability and oppositional behavior factors exist alongside a general ODD factor, and in which irritability and oppositional behaviors significantly correlate with each other (Burke et al. , 2014). This model is consistently better across multiple samples and is made up of eight general ODD items, each correlated with either an irritability or an oppositional behavioral dimension (Burke et. Al, 2014).

The irritability mission includes temper, touchiness, and anger; the oppositional behavior dimension includes argumentativeness, defiance, annoyance, balefulness, and spitefulness (Burke et. Al, 2014). Burke et. Al (2014) also finds that irritability is most accurately characterized by touchiness, anger, and temper loss. The implications of the results are the emergence of strong evidence for a multidimensionality within ODD, and support for an identification of irritability characterized by loss of temper, touchiness, and anger (Burke et al. , 2014).

Although the research is unable to answer attention questions regarding the existence of a third dimension, the initial questions are addressed concerning the underlying structure of symptom dimensions and provide evidence for a superior set of characteristics of irritability (Burke et al. , 2014). Lastly, Burke et al. (2014) addresses that possible limitations in the study were due to the variability of the questionnaires, the variability of the scaling systems, and the different research structure for boys and girls in the samples. References American Psychiatric Association. (2013).

Section II: Disruptive, impulse-control, and induct disorders. Diagnostic and statistical manual of mental disorders (5th De. ). New York: PAP Press. Burke, J. D. , Babylon, K. , Rowe, R. , Duke, E. , Steep, S. D. , Hippies, A. E. , & Walden, l. D. (2014). Identifying the irritability dimension of ODD: Application of a modified factor model across five large community samples of children. Journal of Abnormal Psychology, 1-11. Tinfoil, M. & Malt’, T. (2013). Interpretive understanding, sympathy, and moral emotion attribution in oppositional defiant disorder symptomatically. Child Psychiatry & Human Development, 44, 633-645.