Controversy Associated With Dissociative Disorders

The DSM-5 is a diagnostic tool. It has evolved over the decades, as have the classifications and criteria within its pages. It is used not just for diagnosis, however, but also for billing, access to services, and legal cases. Not all practitioners are in agreement with the content and structure of the DSM-5, and dissociative disorders are one such area. These disorders can be difficult to distinguish and diagnose. There is also controversy in the field over the legitimacy of certain dissociative disorders, such as dissociative identity disorder, which was formerly called multiple personality disorder.

In this Assignment, you will examine the controversy surrounding dissociative disorders. You will also explore clinical, ethical, and legal considerations pertinent to working with patients with these disorders.

  To Prepare

• Review this week’s Learning Resources on dissociative disorders.
• Use the Walden Library to investigate the controversy regarding dissociative disorders. Locate at least three scholarly articles that you can use to support your Assignment.

The Assignment (2–3 pages)

• Explain the controversy that surrounds dissociative disorders.
• Explain your professional beliefs about dissociative disorders, supporting your rationale with at least three scholarly references from the literature.
• Explain strategies for maintaining the therapeutic relationship with a client that may present with a dissociative disorder.
• Finally, explain ethical and legal considerations related to dissociative disorders that you need to bring to your practice and why they are important.

Thesis

This is just a reminder that you will need to turn in a single page on stating which topic you are choosing and outlining what you plan to say about it.

So, two items:

[1] State the thesis for which you will be arguing and sum up what you want to say about it in a couple sentences. So, thesis sentence + 2-3 sentences of explanation = your abstract.

[2] Provide an outline of how you plan to organize your essay. Bullet points and phrases are fine. The outline does not have to be formal or in complete sentences.

The outline should make reference to your thesis, which authors and texts you plan to use, how they will fit into your argument, and the relevance of your thesis to our lives and experiences.

 

The Final Essay . Please upload the paper to Canvas. Write around 5-6 pages on the topic of your choice.

The focus of this essay will be to state, explain, develop and defend a particular thesis based upon some theme in philosophy related to the texts we’ve been reading. The thesis needs to make some specific claim (or closely interrelated set of claims) about some topic or theme that we’ve touched on this term (see list of possible topics below).

This claim needs to be stated clearly, explained carefully, fully developed, and explicitly related to the kinds of arguments we’ve encountered in texts by at least two different authors, drawing upon and quoting their texts. One of those texts must be either Rene Descartes or Josef Pieper and the other must be an earlier author: Plato, Aristotle, or Boethius. (If you use more than two texts, the additional texts can be any of the ones we read.)

You will need to support and defend your thesis with philosophical arguments and reasons drawing upon texts we’ve read, ideas of your own, and your own experiences and beliefs. Be sure to relate the theme of your essay to our lives. Why does this claim matter? What difference does it make if you’re right about thesis?

Topics might include:

• the value of the liberal arts & their relation to the contemplative life
• the nature of genuine human happiness and well-being
• how human beings are distinctive, unique and the implications of this for a good life
• what it means to die well and the meaning of death (and what, if anything, lies beyond)
• the existence of God or human openness to transcendence & its value in life
• finding meaning and value in life, even in suffering
• the nature of intellectual virtue & importance of moral imagination
• inordinate desire & incontinence and how we master or overcome them
• the intellectual & moral effects of wrongdoing upon human well-being
• virtues and vices of character, either in general or more specifically
• the freedom of true knowledge, the place of certainty and doubt, & education
• the value and meaning and kinds of friendship
• intrinsic goods, leisure & work/career

You will need to turn in an abstract & outline on. Your abstract should articulate a specific, focused thesis with regard to one of these topics, followed by several sentences of explanation, summarizing where you intend to go with the thesis.

Note

Your paper outline should set out how you plan to structure your paper, making reference to your thesis, which authors and texts you expect to incorporate, how you will use them, how they will fit into your overall argument, and what connections you will draw with our lives and experiences.

 

 

 

 

 

 

Advocacy Paper

Each student will do an individual project of interest to the student requiring in-depth study and research that focuses on an aspect of the law related to healthcare.

The student can earn up to 70 total points in a paper. An additional opportunity to share your project ideas with others may be available in a discussion board or in a class presentation in person.

 

• Explain why the existing situation is a problem; who, how, and what it negatively impacts, and why it needs changing.
• Explain how the problem got the way it is. What is its relevant history? Was it legislated, authorized as a regulation, interpreted by court cases, a combination of those events?
• Create a new situation, statute, regulation, rule, or other practice that if changed the way you suggest and describe it should be, will result in a more ideal state in health care. Be specific about the change you suggest. Identify a statute, regulation, rule or other restriction or practice that needs to be changed in order to make a more perfect health care world. The perspective taken can be from that of an elected legislative or Congressional position, or a professional in a provider agency, advocate, or consumer in health services.
• Describe how your change will be accepted or rejected by different groups. Also who will have to act to put it in place? Who will resist it? What barriers will need to be overcome? How will you overcome those barriers? This is not describing how any rule or law is enacted, but what challenges your proposal will have.

 Grading for the Advocacy Paper

Use accurate facts. Make it readable, free of grammatical errors, use good numbers and quality of resources and sources, and reflect your clear understanding of the law, legal aspects, and implications of the proposed change.

General areas for topics may be

• Covid-19 the challenge, how managed
• Constitutional issues between states and federal government
• Medicaid and Medicare
• state and federal involvement in the medical use of marijuana to Medicaid regulations
• role of administrative agencies
• patient rights
• antitrust
• malpractice
• rules governing providers
• right to life, choice
• right to treatment
• privacy and related issues like abortion
• Affordable Care Act 2010
• Universal Healthcare or Single Payer systems
• Medicaid expansion

Select a topic not with the intent of convincing others to your way of thinking, but to demonstrate your understanding of the law and the ability to effectively advocate a position. This project involves research. References should be used and identified and cited using APA. This is not to be a transfer of information from one place to another. Nor is it a fishing expedition with a conclusion based on conjecture or speculation or your own bias/opinion. This project is a creative venture founded on research. It is rooted in values. It will reveal your understanding of one aspect of real world law and the legal system. Grading will be based in part on whether:

• there is a clear explanation of the issue and its significance
• there are sources credible and identified
• it is practical or feasible
• it involved preparation
• you can defend your creation

 

 

 

 

 

 

 

 

 

 

Increments in strength training volume depend on the athlete’s biological makeup

1. In the reading it states that “increments in strength training volume depend on the athlete’s biological makeup, the specifics of the sport, and the importance of strength in that sport;” therefore, with this in mind, what are some other things that need to be taken into consideration when designing a program?

2. What is considered to be a great program?

For discussion:

• Initial post : 250 words

Case Study End of Life Decisions

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic Resources you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Note

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
2. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
5. Given the above, what options would be morally justified in the Christian worldview for George and why?
6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic Resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

Case Study: End of Life Decisions

George is a successful attorney in his mid-fifties. He is also a legal scholar, holding a teaching post at the local university law school in Oregon. George is also actively involved in his teenage son’s basketball league, coaching regularly for their team. Recently, George has experienced muscle weakness and unresponsive muscle coordination. He was forced to seek medical attention after he fell and injured his hip. After an examination at the local hospital following his fall, the attending physician suspected that George may be showing early symptoms for amyotrophic lateral sclerosis (ALS), a degenerative disease affecting the nerve cells in the brain and spinal cord. The week following the initial examination, further testing revealed a positive diagnosis of ALS.

ALS is progressive and gradually causes motor neuron deterioration and muscle atrophy to the point of complete muscle control loss. There is currently no cure for ALS, and the median life expectancy is between 3 and 4 years, though it is not uncommon for some to live 10 or more years. The progressive muscle atrophy and deterioration of motor neurons leads to the loss of the ability to speak, move, eat, and breathe. However, sight, touch, hearing, taste, and smell are not affected. Patients will be wheelchair bound and eventually need permanent ventilator support to assist with breathing.

George and his family are devastated by the diagnosis. George knows that treatment options only attempt to slow down the degeneration, but the symptoms will eventually come. He will eventually be wheelchair bound and be unable to move, eat, speak, or even breathe on his own.

In contemplating his future life with ALS, George begins to dread the prospect of losing his mobility and even speech. He imagines his life in complete dependence upon others for basic everyday functions and perceives the possibility of eventually degenerating to the point at which he is a prisoner in his own body. Would he be willing to undergo such torture, such loss of his own dignity and power? George thus begins inquiring about the possibility of voluntary euthanasia

Reference

Hoehner, P., J. (2020). Death, Dying and Grief: An Introduction to Christian Values and Decision Making in Health Care. https://lc.gcumedia.com/phi413v/practicing-dignity-an-introduction-to-christian-values-and-decision-making-in-health-care/v1.1/#/chapter/4 

 Topic 4: Optional Resources

Introduction to Euthanasia: Opposing Viewpoints

“Introduction to Euthanasia: Opposing Viewpoints,” edited by Torr, from Opposing Viewpoints in Context (2000).

https://link-galegroup-

com.lopes.idm.oclc.org/apps/doc/EJ3010134156/OVIC?u=canyonuniv&sid

=OVIC&xid=15c2bdc9

Ethics and Life’s Ending: An Exchange

“Ethics and Life’s Ending: An Exchange,” by Orr and Meilaender, from First Things (2004).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.asp

x?direct=true&db=rfh&AN=ATLA0001442679&site=ehost-

live&scope=site

Always Care, Never Kill: How Physician-Assisted Suicide Endangers the Weak, Corrupts Medicine, Compromises the Family, and Violates Human Dignity and Equality

“Always Care, Never Kill: How Physician-Assisted Suicide Endangers the Weak, Corrupts Medicine, Compromises the Family, and Violates Human Dignity and Equality,” by Anderson, on The Heritage Foundation website (2015).

https://www.heritage.org/health-care-reform/report/always-care-never-kill-

how-physician-assisted-suicide-endangers-the-weak

Pain Management Rather Than Assisted Suicide: The Ethical High Ground

“Pain Management Rather Than Assisted Suicide: The Ethical High Ground,” by Orr, from Pain Medicine (2001).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.asp

x?direct=true&db=a9h&AN=4883594&site=ehost-live&scope=site

The Higher-Brain Concept of Death: A Christian Theological Appraisal

“The Higher-Brain Concept of Death: A Christian Theological Appraisal,” by Roberts, from Ethics & Medicine (2017).

https://search-proquest-

com.lopes.idm.oclc.org/docview/1953801344/8E15777163CE4CF4PQ/9?ac

countid=7374

Three End-of-Life Cases: Resolving Their Moral Dilemmas

© 2019. Grand Canyon University. All Rights Reserved.

“Three End-of-Life Cases: Resolving Their Moral Dilemmas,” by Mirkes, from Ethics & Medicine (2017).

https://s

earch-proquest-

com.lopes.idm.oclc.org/docview/1901683914/fulltextPDF/79642D3CA804

C4FPQ/8?accountid=7374