Case Study: Josephine Miller
October 8th, 2014
1. Four symptoms of anxiety/panic that Josephine is experiencing are, fear, urination, tremors and trouble concentrating. These symptoms are evident through the way Josephine is behaving at home and at the hospital. These four symptoms are usually found in people who are actually diagnosed with an anxiety disorder and panic attacks, cognate to Josephine. The symptom fear is evident in Josephine’s story when it is stated that she stayed home for 4 straight weeks, missing 4 weeks of work because of her fear of communicating. Fear is one of the early symptoms of anxiety and can start very small as not feeling comfortable speaking on the phone or not wanting to speak with someone of authority. These small incidents can turn into something as extreme as Josephine’s, not willing to leave your own home for extended periods of time. Unusual urination is also a symptom of anxiety that not too many people know about. The average person would not recognize this as an actual symptom, but it is. In Josephine’s case, her husband found her sitting on the floor in the corner of their bedroom covered in urine. This may have been going on for weeks and she was able to hide it until the husband found her in that state. “There are two types of anxiety urination. There is instant urination that generally occurs during moments of complete terror, and there is frequent urination, which is the sensation of needing to urinate often without necessarily drinking excess water/liquid”. Out of these two types of anxiety urination, Josephine has instant urination because she was caught in the moment of fear in her room covered in urine. Another symptom Josephine has is tremors. When she was admitted to the hospital, she was panicky and fearful while her hands were continuously moving. There are many types of tremors but the one Josephine specifically had was muscle tension. “Anxiety and stress also causes muscle tension. Muscle tension puts a great deal of strain on your muscles and in some cases this type of tension can lead to unusual muscle movements”. Josephine’s “unusual muscle movements” was the constant movement of her hands. You can also connect this type of behavior with Josephine’s need to pace back and forth in order to be admitted. This can also be viewed as a method of eliminating the tremors. Lastly, the fourth symptom Josephine has is trouble concentrating. In order for her to be more harmonious and to concentrate more, 3 mg of lorazepam was administered to her intramuscularly. Lorazepam is a high potency drug used to treat anxiety for short-term purposes. In Josephine’s story, its stated that she is a successful interior decorator but encountered an uncontrollable amount of stress when her major biggest client decide to cancel his contract with her. This would be stressful for anybody but considering Josephine’s illness, it affected her in different, harsher ways. Maybe her anxiety and ability to concentrate is what triggered her major client to go separate ways, as he was not getting the service/attention that he wanted as a customer. When Josephine was admitted to the hospital, directions had to be repeated to her several times for her to fathom the information due to her inability to concentrate or focus. 2. Three therapeutic techniques: Active listening, Hope and Open-ended questions. Active listening is being attentive to what the client is saying. Sitting face to face with the client, having open posture, leaning toward the client and maintaining eye contact are all important components of active listening. I think active listening would meet Josephine’s needs by providing a sense of comfort/compassion. The feeling of someone being there for you to listen to your problems and fears would give anyone a good feeling. This type of therapeutic communication can also spark conversations of motivation and confidence...
...The Buried Secretes 2
The Buried Secretes of Hoarders;
The CaseStudy of Roberta Josephine
Nestled in a modest white colonial home in Maine, Roberta Josephine age 53, lives a very lonely life. She has raised two marvelous boys to adulthood, Shon age 30 and Gauge age 33. Roberta has been married once but presently lives alone. Her belongings have pushed her entire family away. She suffers from what is thought to be a subtype of Obsessive-Compulsive Disorder(OCD) known as Hoarding.
It is unclear what specifically causes hoarding, Psychologists are not even sure if it fits under the OCD umbrella or is appropriately labeled, this is yet to be determined. There are several reasons that hoarding may not fit the OCD category. Unlike most people with OCD, hoarders do not usually seek help unless necessary. Also, people with a hoarding problem most likely have cognitive issues(the ability to categorize and decision making skills), and the treatment is not the same for OCD patients as it is with hoarding. Research has also shown that most hoarders do not display many of the common deifying symptoms of OCD, but often display some symptoms of ADHD or Attention Deficit Hyperactivity Disorder(Down with).
Therefore you just might see Hoarding renamed in the next version of the American Psychiatric Association’s Diagnostic and Statistical Manual or DSM(Hoarding OCD/Anxiety). Some Psychologists believe that...
...phobias as well as varying degrees of depression and anxiety throughout most of her life. Hence, she met the criteria in the Diagnostic and Statistical Manual for Mental Disorders, fourth edition, text revision (DSM-IV-TR; American Psychiatric Association, 2000) for anxiety disorder under the type of phobia and the class of specific phobias under the categories of which have been identified are situational phobia and animal phobia. Anxiety is a mood state characterized by marked negative effect and bodily symptoms of tension in which a person apprehensively anticipates future danger or misfortune. Anxiety may involve feelings, behaviours, and physiological responses. Phobia is an irrational and excessive fear of an object or situation. In most cases, the phobia involves a sense of endangerment or a fear of harm. Specific phobia is an irrational fear of a specific object or situation that markedly interferes with an individual’s ability to function. Features for specific phobias includes persistent, excessive or unreasonable fear of a specific object or situation (e.g., heights, animals, seeing blood) with a duration of at least 6 months, immediate anxious or fearful response upon exposure to the phobic object or situation, recognition that the fear is excessive or unreasonable, or marked distress about having the phobia and the phobic situation or object is avoided or is endured with intense anxiety or distress. Specific phobias affect an estimated 6.3...
CaseStudy - The Case of Agnes
Sandra D. Darby
October 28, 2008
Kristi Lane, PhD.
The Case of Agnes
The following is a casestudy analysis of Anxiety, Somatoform, and Dissociative Disorders. The writer will present an analysis of a selected case as described in the text, Casestudies in abnormal behavior (8th ed.) by Meyer R., Chapman, L.K., & Weaver, C.M. (2009). The writer will also provide a brief overview of the selected case as well as analyze the biological, emotional, cognitive and behavioral components of the disorder. The case selected is “The Case of Agnes”.
Overview of CaseStudy
The character in this casestudy is known as Agnes, a woman who was brought in to the community mental health center in the eastern seaboard city by her daughter who believed that her mother was mentally ill. Her family included of a husband and one daughter. Agnes believed that she suffered from “heart disease”, but her physician reassured her that it may be anxiety and tension. Agnes may have being suffering from anxiety disorder known as Agoraphobia, which is classified in the DSM-IV-TR as a fear of being left alone or finding oneself in public places in which one could be embarrassed and unable to find help in case of...
...Situation Analysis: Norman Adami is the CEO of Miller Brewing Company. In 2003, Adami was brought in from its parent company South Africa Breweries Miller PLC, to improved market share for the company. SABMiller purchased the Miller Brewery Co. from Philip Morris Company in 2002. During the time, Philip Morris owned the company, beers sales had been on the declined for the past 15 years. There competitor Anheuser-Busch has been the No 1 brewery company in the United States for the past 15 years. Through Adami, tenure managed to turnaround Miller Company through being a charismatic leader, different market strategy and through empowering workers.
Vision – To be the world’s largest brewery company, to include alcoholic and non-alcoholic drinks; to make Miller breweries products available to every adult throughout the world.
Purpose – The Miller Brewery Company is committed to satisfying the needs of its consumers by producing alcoholic and non- alcoholic beverage giving refreshment value and joy.
Mission – Miller Brewery Co mission is to refresh the world by continuously developing an awesome array of creative and innovative products.
Stakeholder Power: Adam’s stakeholders include SABMiller with high power and importance, who expect that Miller management will choose a good strategy and make wise decision in changing environment so that long-term profits...
In this case we get an entire scenario about how the Japan deflation set in, what were the effects of the deflation on the economy as well as on the people of Japan. It also mentions about the various reasons because of which Japan was in such a tight grip of Deflation, Depression, Demographics and Debts Guides us through the steps taken by the government in order to curb this deflation. Imparts a great knowledge to us about the various economic terms like deflation, self-liquidating credit, Non-Self Liquidating Credit and how the people and economy of a country is affected by these.
Free markets economies are subject to cycles. Economic cycles consist of fluctuating periods of economic expansion and contraction as measured by a nation's gross domestic product (GDP). The length of economic cycles (periods of expansion vs. contraction) can vary greatly. The traditional measure of an economic recession is two or more consecutive quarters of falling gross domestic product. There are also economic depressions, which are extended periods of economic contraction such as the Great Depression of the 1930s.
From 1991 through 2001, Japan experienced a period of economic stagnation and price deflation known as "Japan's Lost Decade." While the Japanese economy outgrew this period, it did so at a pace that was much slower than other industrialized nations. During this period, the Japanese economy suffered from both a credit crunch and a liquidity trap....
Mary Roberts had been with the company three years when she was promoted to manager of the tax department which was part of the controller’s division.Within four months she became a supervisor of ten staff accountants to fill a vacancy.Her superior believed her to be most qualified individual to fill the position.
Many senior employees resent her that she so young to fill the position and what made them more upsets was the fact tax managers did not discuss the promotion.
1.What can Mary Roberts do about the resentful senior employees?
Mary should tackle this head on she should be direct and assertive about her expectation and when people are crossing the line that means she need to be clear with people when their behavior doesn’t meet her standards and she need to be willing To set and enforce consequence if it doesn’t change
2. Can higher management do anything to help Roberts make the transitions to greater responsibility?
Yes, because they are the one who put her in that position of course they will help Mary interms of guiding it `.
3. Will her lack of technical knowledge hinder Mary’s managerial effectiveness?
No, because lacking on some aspects on technical knowledge cant bankrupt or destroy a company as long she have a guts to face and accepts failures
4. Should Mary’s superior have discussed the promotion with the senior employees before announcing it?
No, because its not their obligation...
...February of 1999. In the past four months, the NC design had developed
sustainability. The Bostrom alliance agreement for the truck market had been concluded. The
question about Elio's strategy for the entry into automobile still remained. Should Elio's joint
venture with Bostrom? Should it partner with a tier-one or a tier-two automotive supplier?
Was Elio's technology strategy aligned with the requirements for a successful entry into the
automotive market? Paul and Hari realized that they needed answers to these questions in
the coming days.
This casestudy discusses the start-up, origins and strategic options facing an innovative set up
and start up in automotive market and in the seat design. With the domination of the
incumbent large suppliers serving the top 3 leading tier-one automakers of U.S.,
Engineering faces several challenges as it seeks to introduce its new seating technology to the
market. The case can serve as vehicle to discuss important themes such as technology and
business strategy, invention and innovation, bringing technology to market and profiting from
Elio's should make a joint venture with Bostrom. Elio's has made a seat design naming "No
Compromise" with progress on cost, weight and performance compared to the conventional
design and also the existing all-belt-to-seat (ABTS). After many functional prototypes and
computer aided structural analysis, a perfect design...