The study determined that twenty-three mildly to moderately retarded adults living within the community increased their sexual knowledge after attending a twelve month, data-based sex education training program. The Lane Community College-Adult Basic Education (LCC-ABE) Pre/Post Test was administered to each subject when he/she began and finished the training program. The Intermittent Probe Tests were administered to each subject after instruction in each of thirteen topic areas in the curriculum. The main conclusions were that: (a) the subjects significantly increased their sexual knowledge after training; (b) class, sex, ability level, age, type of residence, and length of time in that residence were not significantly influential in the increase of sexual knowledge; and (c) a significant correlation between the Intermittent Probe Tests and post-test scores indicated a high degree of predictability between the two tests and that long-term (over a twelve-month period) retention resulted from training.

The CMI (Chronically Mentally Ill) experience many problems in obtaining services in both rural and urban environments. Such problems include community resistance to the mentally ill, inadequate treatment services, support systems, a lack of service utilization, and a lack of follow-up studies concerning this population, especially in rural areas. While these problems are generally characteristic of all areas of the country, whether urban or rural, they tend to have extreme manifestations in rural areas. Such problems are also conjoint in rural areas with rural life poverty, isolation, transportation difficulties, and sparse populations. In order to understand the possible barriers to mental health services in rural areas, this study will concern itself with certain demographic data and possible transportation difficulties of the CMI population in the rural environments. Our geographical target area is Eastern Oregon Comprehensive Community Mental Health Center catchment area of the State of Oregon, Mental Health Division. The target population will be recent releases from Eastern Oregon State Hospital (EOSH) who reside in this region.

No description available.

People with lung cancer are at a high risk of developing anxiety and depression during cancer treatments. Previous research has shown physical activity to be effective in improving psychological symptoms in people with cancer, however, the majority of studies have focused on female breast cancer survivors. The purpose of this literature review was to determine if physical activity interventions can effectively and feasibly reduce anxiety and depression in people with lung cancer who are undergoing treatment. A database search was conducted in CINAHL Plus, MEDLINE, APA PsycInfo, and SPORTDiscus. The search resulted in 265 articles and 9 were selected for inclusion in this review. Four studies showed significant improvements in anxiety and depression, six studies showed significant improvements in only anxiety, and the remaining studies showed no effect. The studies that improved both anxiety and depression used multimodal physical activity programs that included the use of supplemental psychological and health promoting interventions. Limitations included high drop-out rates, small sample sizes, and using different physical activity programs in a portion of the studies. Multimodal physical activity programs are safe and feasible and should be recommended to reduce anxiety and depressions in people with lung cancer undergoing treatment.

No description available.

The purpose of this study was to determine from a group of ending stage of treatment or post-treatment incest survivors their experience with anger before therapy, during therapy, and at present, using semi-structured interviews and the following objective measures: STAXI--State-Trait Anger Expression Inventory (Spielberger, 1988), CRI--Coping Resources Inventory (Hammer and Marting, 1988), MBTI--Myers-Briggs Type Indicator (Myers and McCaulley, 1985), a researcher-constructed outcome measure (a visual analog scale of awareness of feelings and symptom improvement) and a researcher-constructed Type-Related Anger questionnaire. Subjects who volunteered to participate in the study were 45 adult female (average 38 years old) survivors of childhood incest where incest was defined to include any sexual contact by a blood relative or by someone who is in a caretaking role and their 25 referring outpatient therapists, identified as experts in their communities by local rape crisis centers. Survivors had worked with an average of 3.6 therapists per person and had been in therapy for an average of 32 months with their current therapists.;STAXI results showed that these survivors had much more State and Trait Anger and had repressed much more anger before therapy than at present. They were not significantly more expressive with their anger prior to therapy than at present. When compared to the norm groups on the objective measures, these survivors at present had equal total coping resources, equal repressed anger, and more expressed anger. There were no differences between therapist assessment and client report of current repressed or expressed anger. Specific coping resources had some type-related similarities, but the small sample size in this study made all type results inconclusive. Strategies, tasks, and rituals for working through anger were suggested by both survivors and therapists and could be classified by type preference and by coping resource preference.;Implications of the study are that severely abused survivors can be successfully treated by qualified therapists and that their anger is related to empowerment and healing and is not "maladaptive.".

This study infused key elements of creativity into the process of counselor education, exposing students in a counseling skills and techniques course to a curriculum designed to promote tolerance for ambiguity, appropriate risk-taking behaviors, and improvisational skills. Employing a phenomenological strategy of inquiry, the researcher sought to explore the ways the participants made sense of their experience in the course, as well as the ways the experience informed their perspective of counseling and the role of a counselor. Participants recognized counseling as a profession replete with ambiguity and rife with personal and relational challenges. They came to appreciate a clinician's role in establishing and maintaining rapport and developed an understanding of the need to read situations and reason "on the fly." They realized counselors need to be self-aware and aware of their impact on others, open to exploring divergent viewpoints, and possessed of the divergent thinking skills needed to generate new perspectives. By connecting themselves to their students (through modeling), the students to one another (via experiential opportunities), and everyone to the subject (through lectures, interventions, and assignments designed as part of the curriculum), instructors and students alike recognized counseling as an interpersonal creative activity.

Acting ethically is a core facet of the counseling profession's identity, safeguarding clients from undue harm (ACA, 2005). Through an increased understanding of both detrimental and positive factors that can influence counselors' perceptions of ethical behaviors, the counseling profession can intervene accordingly; this knowledge may assist in managing the problem related to unethical infractions. However, ethical behavior is a multifaceted and complex phenomenon, leaving many factors to be explored and examined. Workplace aggression, exposure to normative unethical behaviors, and an integrated modal of morality constitute some of these factors that warrant further investigation. A dearth of research currently exists within the counseling profession that examines the effects of workplace aggression and exposure to normative unethical behavior on counselors' perceptions of ethicality. Additionally, mediating variables in the context of acting ethically have scantly been researched within the counseling profession, including moral development and the moral foundations of care, fairness, and justice (integrated modal of morality). The present study investigated these various variables and the subsequent affects/relationships that ensued on counselors' perceptions of ethicality. Two phases of research were conducted: a pilot study (n = 166) that assisted in the development a Perceived Ethical Perceptions Instrument and a main study (n = 76) that assessed perceived ethicality contingent on the variables of workplace aggression, normative unethical behaviors, and the integrated modal of morality. Results from this study substantiated the complexity inherent within perceptions of ethicality, indicating that certain contextual factors may affect facets of perceived ethicality differently. of particular interest, the current study indicated that workplace aggression and the occurrence of unethical infractions by work supervisors/bosses and peers necessitated further investigation.;Keywords: ethical perceptions, workplace aggression, integrative modal of morality.

No description available.

Book Summary:This is the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. It has been compiled by expert practitioners in psychiatric care and is designed for use by nurse practitioners and other primary caregivers in clinical practice. The guide is organized in an easy-to-access format with disorders for which drugs can play a significant therapeutic role. The listing for each disorder includes clinical features and symptoms, as well as information about the most current and effective drugs for management. A clearly formatted table identifies the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification, and each listing provides the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource.