S. While these behaviors may be viewed by some as pointless self-mutilation, they have a long and multi-varied history in this and many other cultures. The focus of this article is on generally-accepted mutilation, which causes harm to the body and does not meet cultural norms. In its worst form, self-mutilation can include cutting off a limb or self-castration; it is thus a serious problem with a subset of those in the SIB cohort. As with many forms of OCD, self-mutilation generally begins in late childhood and the early teen years.
The authors argue that moderate- to severe SIB requires a combination of therapies. Since much of the etiology is based in family problems with children and young teens, it is necessary to, when possible, initiate family therapy in order to discover the problems which may have led to SIB. The authors recommend combining this with individual therapy, as the child may have specific self-reinforcing behaviors which need to be adapted. It would have been helpful if the authors had indicated what forms of individual therapy were employed in their practice and in the literature. There was also no mention of the use of drugs as an adjunct to treatment, either by the authors themselves or in their study of the relevant literature.
In family therapy, the theme of repression and poor communication seems to be common. According to the authors, families must express their feelings, including "scare, angry, manipulated, useless, nervous, irritated...," as lack of such expression may lead to SIB behaviors. It would have been helpful if the authors had indicated how boys react in such families; one is left to surmise that they are more likely to act out aggressively to the outside world, rather than take action against their bodies.
Measurement of Nonclinical Personality Characteristics of Women with Anorexia Nervosa or Bulimia Nervosa (Pryor, 1996)
The authors analyze a significant population of women with anorexia nervosa (n=35) and bulimia nervosa (n=45), looking for personality traits which may be inherited. As two of the...
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic
(2008). The study measures public opinion concerning two scenarios: one in which the kidney donor is given a fixed financial compensation; and one in which the donor is provided with health insurance coverage for life. According to the findings of the study, "although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of
Nursing Autobiography I began my career in healthcare as a patient care technician (PCT) in a large hospital. Working throughout the hospital as a float PCT, I gained experience with a diverse group of patients on every unit in the hospital. I eventually took a position in the ICU and stayed there for 5 years. I enjoyed caring for patients and began taking classes toward my nursing degree. After completing the LPN
Of course, as Medicare beneficiaries increase because of the number of baby boomers, the Medicare program may adjust. However, current hospice figures demonstrate that only about twenty percent of all elderly individuals that die are enrolled in hospice programs. Implementation and Monitoring The needs of this new program will require thorough training and once implemented, precise monitoring. "When you approach a problem in the way your work group functions, you're implementing
1997, the average pass rate for first time test takers on the NCLEX-RN was 93%. Since 1997, the national average pass rate on the NCLEX-RN has declined to 83.8% (National Organization for Associate Degree Nursing, 2002). The pass rate for the state of North Carolina and many other states has also declined in recent years. Community colleges are the prime educators of new registered nurses in the United States. In
Today, health care in the United States is characterized by growing demand combined with skyrocketing costs and critical shortages of qualified health care practitioners. In response to these challenges, there has also been a growing consensus among health care providers that nurse practitioners possess the education, training and expertise that are required to provide high quality medical services for a wide array of disorders. In fact, some studies have indicated
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