Interpersonl therpy Essay Example | Topics and Well Written Essays - 1750 words

Interpersonl therpy - Essay Example IPT is one of the short term therpies tht hve been proven to be effective for the tretment of depression. Short term usully involves up to 20 sessions (usully weekly meetings, 1 hour per session) nd mintins focus on 1-2 key issues tht seem to be most closely relted to the depression. Although depression my not be cused by interpersonl events, it usully hs n interpersonl component, tht is, it ffects reltionships nd roles in those reltionships. IPT ws developed to ddress these interpersonl issues. The precise focus of the therpy trgets interpersonl events (such s interpersonl disputes / conflicts, interpersonl role trnsitions, complicted grief tht goes beyond the norml berevement period) tht seem to be most importnt in the onset nd / or mintennce of the depression. IPT is time-limited therpy tht previews in totl 12-week tretment schedule (Mufson & Moreu, 1998). The gols of IPT re to identify interpersonl problem res with which the dolescent is struggling nd to focuse on how those problems re currently impcting their reltionships (Mufson & Moreu, 1998). There re three tretment phses identified s prt of the IPTmodel--initil, middle, nd termintion. Initil Phse occurs during s... te history of current interpersonl reltionships, identify the interpersonl problem re(s) tht my hve precipitted the onset of the depression, discuss gols nd techniques of IPT tretment, nd contrct for tretment. The middle phse of IPT tretment consists of sessions five through eight nd it is during this time tht the mentl helth counselor nd client begin to directly work on the interpersonl problem res identified during the initil stges of tretment. The min gol of the middle phse of IPTtretment is to ssocite these interpersonl problem res to the depressive symptomology currently being experienced by the dolescent. Five interpersonl problem res re exmined during this time: grief, interpersonl role disputes, role trnsitions, interpersonl deficits, nd single-prent fmilies (Mufson & Moreu, 1999). The focus of these interpersonl problem res hs been modified from IPT to meet the developmentl needs nd issues of depressed dolescents. The termintion phse of IPT occurs between sessions nine through twelve (Mufson & Moreu, 1999). In this phse, dolescents re helped to individute from the mentl helth counselor nd to gin sense of efficcy for coping with future problems. During the termintion session, mentl helth counselors nd dolescents process wht hs occurred in counseling, discuss possible res tht could cuse future problems, nd explore problem-solving strtegies relted to those res. Cognitive-Behviorl Therpy Cognitive-behviourl therpy (CBT) is the ne mongst number of structured psychotherpies tht hd proved to be effective in the cute tretment of depression. CBT is generic term referring to therpies tht incorporte both behviorl interventions (direct ttempts to reduce dysfunctionl emotions nd behvior by ltering behvior) nd cognitive interventions (ttempts to reduce dysfunctionl

Peptidoglycan and Lipoteichoic Acidinduced Cell Activation Lab Report

Peptidoglycan and Lipoteichoic Acidinduced Cell Activation - Lab Report Example This can eventually lead to sepsis (Alberts et al 2002a). Previous work showed that in Gram negative bacteria lipopolysaccharide (LPN), a component of the outer membrane, activated a cell's immune response in this manner. It interacted with the Toll-like receptors types 2 and 4 (TLR2 and TLR4) present on host cell membranes (Kirschning et al 1998, Poltorak et al 1998, Quereshi et al 1999). The authors in this paper demonstrate how the components of Gram positive bacterial cell membranes stimulate cell activation through TLR2. The invasion of an organism's blood stream with bacteria often results in sepsis. Invasive bacteria will activate the host cell's immune system. Sepsis results from the inability of the immune system to limit bacterial spread during an infection. The inhibitory mechanisms controlling inflammation are over-ridden by the huge bacterial load on the cell. Inflammation during sepsis will then develop into a systemic syndrome with a number of clinical symptoms such as tissue injury, increased vascular permeability, dilation of blood vessels, loss of plasma volume and blood clotting, and, eventually, multi-organ failure and shock (Alberts et al 2002b, Decker 2004)). Initially bacteria bind to host cell membranes and this stimulates the systemic release of cytokines and other inflammatory signalling molecules into the blood. (Alberts et al 2002b). ... The mechanism for Gram negative bacterial mediated activation of the cell's immune response has been well documented (Alberts et al 2002). LPN within the bacterial cell wall binds to LPN binding protein present in serum and this complex in turn binds to the CD14 receptor (figure 4). The CD14 receptor is either soluble in serum or tethered to the host cell membrane through a GPI (glycophosphatidylinositol) anchor. Either way the CD14 receptor does not have an intracellular domain so it cannot transmit its signalling messages intracellularly. This observation suggested that another "co-receptor" acted in conjunction with the CD14 receptor to allow the transmission of an extracellular signal to the inside of the cell. The Toll-like receptors (TLRs) have an intracellular domain linking to the IL-1 signalling pathway. The Toll-like receptor acts to phosphorylate a cascade of kinases TRAF6, TAK-1, IKK and eventually the transcription factor NFB. NFB then translocates to the nucleus where i t activates the transcription of a number of genes involved in immune and inflammatory responses (Alberts et al 2002a, figure 5). In Gram negative bacteria the Toll-like receptors 2 and 4 has been shown to be intrinsic in cell activation (Kirschning et al 1998, Poltorak et al 1998, Quereshi et al 1999). In this paper the authors attempted to determine if components isolated from Gram positive bacteria activated cells in a TLR dependent manner. HEK293 cells were transfected with a number of Toll-like receptors alongside a luciferase reporter gene. A NFB transcription element was placed upstream of the luciferase reporter gene, such that activaiton of NFB would initiate transcription of luciferase. When luciferase

Man of stone Essay Example | Topics and Well Written Essays - 1000 words

Man of stone - Essay Example When he takes his strolling across the poor district, his trait comes out clearly as he is able to notice how the level of poverty has heated the province. The way he describe the women, children and men brings out the real state that is on the ground. Although through his observation he is unable to impact the society, he uses other means like pen and paper to express the status of the society. He says, ‘I have managed to lose valuable time. Pull my long abandoned paper out of drawer. And since then the world has not blown away ((Sonzogni & Marco, 180). This is evidently that the author is talking about the war of against poverty. He compares the two gentlemen; the smothered man in officer’s boots symbolizes poor hygiene that can make someone to suffocate and the owner of prosperous bar who used to call his, ’Brother ,brother’ .Probably the owner of prosperous bar was once a beggar who wanted to comfort himself with the author because they had common background of poverty Through the analysis of the story, the main theme of poverty is being focused by the author. He takes his long afternoon visiting the poorest of his city during his summer time. During his visit, the author reveal how depth the poverty has engulf his district and how the women and children lives have been diver stated by poverty. â€Å"I watch the peasant woman squatting near their wares against the wall of bombed out houses, the dirty children running between the puddles chasing rag ball and the dust covered sweaty work men who work from dawn till dusk hummer at trolley bus rail along deserted street† Describe the clothes of the peasant trader women as smelly. This shows how this society is struggling to make their life to become better (Sonzogni & Marco, 179). Immorality is another theme that the author is trying to bring out in this society. Most of the women are trying

The relationship between internal and external customer service Essay - 1

The relationship between internal and external customer service - Essay Example Therefore, the recognition of the important relationship between internal and external customer service is increasing. More and more firms and international companies have publicly asserted that their business success is a result of their strong relationships with their employees. Thus, it is already widely accepted that internal customer service quality leads to both internal and internal customer satisfaction (Minjoon & Shaohan 2010). On the other hand, claims of the companies that their success is a result of internal relationships with employees often are not taken seriously by different stakeholders (Herington, Johnson, and Scott, 2006). The aim of this research is to provide a more detailed analysis of customer service excellence and to evaluate critically the role played by internal customer service in the delivery of external customer service excellence. Customer service increasingly becomes a priority item in agenda of many organizations. It is widely recognized that customer service is a great opportunity for gaining competitive advantage for any type of business. Customer service enables the organization to â€Å"win customers† especially in today’s highly competitive and globalized market (Cook, 2008). Customer service quality is a widely known driver of a company’s profit. The more satisfied the customers are, the more benefits the company gains. In addition to improved profitability, customer-centred organizations enjoy the following benefits: differentiation from competitors; increased customer satisfaction and retention; improved image in the customer’s eyes; minimized price sensitivity; enhanced reputation; improved staff morale; reduced costs; increased productivity; good internal customer/supplier relationships; encourage participation among employees; continuous improvements to the companyâ₠¬â„¢s operations (Cook, 2008). That is why many organizations have recognized this opportunity and focused their

Should the drinking age be lowered from 21 to a younger age Essay

Should the drinking age be lowered from 21 to a younger age - Essay Example As a highly controversial issue, it has both positive and negative sides if the drinking age is lowered. Researches have documented the fact that alcohol abuse is the one of the major problems among the adults. It has paved the way for various problems such as increasing of alcohol related crime and antisocial activities, traffic violation resulting in accidents, health problems, socio-economic disturbance etc. Lowering of drinking age is acceptable only under strict legal supervisions. The problem mainly relate to adult people who are subjected to crucial physiological and psychological changes. Lowering of minimum drinking age from 21 to younger age will entail severe social and health problems among the youth and it needs effective legal monitoring to ensure its positive results. While in any other issue, in the context of lowering of drinking age also there are two groups of people. One group supports the lowering of drinking age from 21 and the other who does not want to lower this age. Each of these groups has their own opinion to support their stand and to oppose the other view. Even at this stage, when the legal drinking age is 21, teenagers do drink under less restricted surroundings causing them to indulge in life threatening behaviors. The age of 18 bring youngsters the civil rights and entitle them to vote, get wedded, sign bonds, join the armed forces, etc. which show their accountability towards their life and death. So, this age is important for them to make their own decisions regarding drinking habits also. Richard Wilson and Cheryl A. Kolander comment that; â€Å"This movement was also supported by the state of the art in prevention at that time, which suggested that keeping alcohol consumption forbidden to those younger than age 21 created an aura of â€Å"forbidden fruit† that made alcohol even more appealing as a symbol of adulthood and created much more destructive drinking practices on the part of the

Project Management Essay Example | Topics and Well Written Essays - 2000 words - 10

Project Management - Essay Example The new club will be larger than Benimhannas’ existing clubs. This is due to the additions of a small 100 seat cinema, and an extensive beauty spa. The beauty spa will have a vast range of treatments and services available including: spray tanning, massage, and non surgical â€Å"face lifts†. As project manager appointed by Benimhanna at the feasibility stage, you are required to prepare a report (2,000 words) outlining the activities required to successfully manage this major project of building the new private health and fitness club, and ensuring that it is completed on time, and within budget. The analysis should include the skills and competencies required by the Project Manager, along with the project management process. Use examples of the concerns, stages, processes, leadership, administration and control problems associated with managing the lifecycle of this major project. Benimhanna is a firm operating within the British leisure industry. The firm focuses on the provision of health and fitness services. Since the first establishment of the company in 1994, its development has been rapid reaching today approximately the 24 clubs across Britain. The entire firm’s clubs follow the same standards and are structured in accordance with specific guidelines and plans. The firm is currently planning to establish a new club, bigger from existing ones which will have all features that can be normally met in the firm’s clubs (i.e. a 25 x 12 metre swimming pool, a fitness facility, a health suite (including 5 tanning beds, and a sauna and steam room), 3 aerobic/dance studios, two meeting rooms, and a small cafeteria/bar lounge area, see case study) while in addition it will also include ‘a small 100 seat cinema, and an extensive beauty spa’ (case study). At a next level, the services offered by the beauty spa incorporated in the new clu b will be more than the ones provided through the firm’s current clubs across the country. The above plan is expected

Two variables Speech or Presentation Example | Topics and Well Written Essays - 500 words

Two variables - Speech or Presentation Example Thus, we expect that our inequality will have the symbol ≠¤ or ≠¥ If our boundary line would be a dashed line instead, then we would have used the symbols After obtaining the equation of the boundary line, we will choose a test pint that will be true when substituted in the equation. This test point must exist within the required region for the values to be true. We chose the origin (0, 0) In order to find the maximum number of TVs that will also be carried, we substitute 60 in the inequality to find the maximum number possible that will satisfy the inequality. hence,substituting 60 for x, In order to find the maximum number of refrigerators that will also be carried, we substitute 200 in the inequality to find the maximum number possible that will satisfy the inequality. Hence, substituting 200 for y, Since 130 is not divisible by 3, we have to get a number closest to 130 that is divisible by 3. The number is 126. In order to obtain 126 on the left hand side of the inequality, we must adjust the number of TVs. We thus introduce a linear