Treatment of Borderline Personality Disorder

bpd graphic world mental health awareness monthBorderline Personality Disorder is a condition that affects mood instability and makes it difficult for people to form relationships. According to Brüne (2016), unstable relationships, fear of being abandoned, inability to regulate emotions, feelings of depression, and high-risk behaviors are some of the characteristics of the condition. According to APA (2013), people with the disorder have increased chances of committing suicide. Brüne (2016) says that people suffering from the condition have paranoid ideas, and they always have self-injurious behavior. There are several intervention measures that are being used to manage borderline personality disorder. These intervention measures are generalized to all populations, but they can be adapted to work in specific circumstances such as in sexual minorities.

Causes of the disorder

Several factors predispose a person to borderline personality disorder. Genetics is one factor that can contribute a person to suffering from the condition. According to NHS (2019), genes a person inherits from their parents can make them vulnerable to the disorder. Researchers claim that if an identical twin has the disease. The chances are high that the order twin has the condition. However, there is no reliable research that ties genes to borderline personality disorder. Another factor that is likely to cause the disease is brain chemicals. NHS (2019) reports that people suffering from the disorder are believed to be having something wrong with their neurotransmitters, particularly serotonin. When the amount of serotonin produced is altered, it leads to depression and aggression.

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Another factor that is likely to cause the disease is brain chemicals. NHS (2019) reports that people suffering from the disorder are believed to be having something wrong with their neurotransmitters, particularly serotonin. When the amount of serotonin produced is altered, it leads to depression and aggression. Another factor that causes borderline personality disorder is problems with brain development. NHS (2019) reports that brain scans of people with the disease reveal that they have a small amygdala, hippocampus, and orbitofrontal cortex. The development of these parts of the brain is affected by the early upbringing of a child. These sections of the brain are for regulating moods, and therefore underdevelopment of these parts of the brain leads to the inability of an individual to control their tempers. Environmental factors are also responsible for causing the disorder. Some of these environmental factors are molestations as a child, neglect by parents, and growing up in a dysfunctional family. Unresolved childhood issues such as anger and fear lead a child to grow with distress and, therefore, a distorted thinking pattern that makes them vulnerable to the disorder.

Treatment approaches to borderline personality disorder

Psychotherapy

This is one of the conventional methods for treating the disorder. Its application leads to a reduction of the symptoms that a person with the condition exhibits over time. According to Biskin & Paris (2012), several types of psychotherapy exist that are for managing the disorder. Some of the popular psychotherapies used to manage the condition are dialectical behavior and mentalization-based treatment.

Dialectical behavior therapy

According to Biskins & Paris (2012), this psychotherapy was the first to be found useful in managing borderline personality disorder. This treatment combines Eastern philosophy with behavioral therapies in treating a patient. This therapy is divided into individual and group sessions. In these sessions, the participants are taught skills in mindfulness, regulation of emotions, interpersonal effectiveness, and distress tolerance. Dialectical behavior therapy is made to last for a year. The patient can consult with the psychotherapist over the phone. May, Richardi & Barth (2016) claim that this intervention mechanism was developed by Marsha Linehan in the 1990s, and it was for treating women from a borderline personality disorder. The term “dialectical” in the intervention mechanism refers to the use of “acceptance and change necessities for improvement.” This psychotherapy method treats maladaptive behaviors by replacing them with good behaviors. May, Richard & Barth (2016) affirm that the method is effective in treating conditions like mood disorders, posttraumatic stress disorders, and eating disorders.

How the intervention is used

As indicated earlier, dialectical behavior therapy involves two sessions, one of which is the individual session. During this session, an individual meets with the certified therapist on a one-on-one basis. The therapist ensures the training achieves its therapeutic objectives. The role of the therapist in these individual sessions is to motivate the patient in applying the skills taught to contain the disorder. In group therapy, the members offer each other mutual support through sharing of experiences and encouraging one another. In the group-based sessions, there are also trained therapists who lead the process. Psychology Today (n.d) reports that the training sessions last for two hours, and the group usually meets for about six weeks. In these sessions, members are given questions that test what they have learned from the sessions.

Mentalization-based treatment

Mentalization is the ability of an individual to recognize their mental states. It involves knowing your mental state and the ability to think of the impact of your actions on other people. Mentalization-base therapy focuses on enabling a person to recognize their thoughts and think about the outcome of their behavior. In developing this therapy, Bateman and Fonagy believed that people with the condition are unable to acknowledge their mental states because of problems they encountered as children, which affected the growth of their mentalization. In using this therapy, the focus of the therapist is in the present mental state of the patient and not the past. The therapist works towards enabling the patient to recognize their mental states and emotions. While administering this therapy, the therapist does not give advice and opinion on how the patient should behave. Instead, the therapist helps the patient explore their mental states and how to mentalize. Salters-Pedneault (2019) reports that research supports the use of therapy in managing borderline personality disorder. A randomized controlled study conducted by researchers showed that patients suffering from the disease who were exposed to the mentalization-based therapy reported a reduction in self-harm, depression, and anxiety.

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According to Morken, Binder, Arefjord, & Karterud (2019), a study conducted regarding the application of mentalization-based therapy in people with borderline personality disorder reveals that it increases mentalization in patients. Morken, Binder, Arefjord, & Karterud (2019) say that the therapy, just like dialectical behavior therapy, consists of two sessions, namely individual and group therapies. There are specific aspects of mentalizing that the therapy focuses on. According to Morken, Binder, Arefjord & Karterud (2019), there are several domains of mentalization-based therapy which can be used by the therapist. They are mentalization process, relational mentalization, effective mentalizing narrative, and non-mentalizing modes. The mentalization process is concerned with the mentalizing process. Relational mentalization involves focusing on the relationship between the therapist and the patient. The mentalizing effective narrative requires that therapists focus on narratives and should be concerned with the effect while non-mentalizing modes are applicable when the patient is not in mentalizing mode.

Medications

According to Salters-Pedneault (2019), drugs used to manage anxiety and depression have been found to reduce the symptoms of borderline personality disorders. Currently, there are no specific medications for treating borderline personality disorder. The drugs that are presently being used are those that reduce the symptoms of the disease, but they don’t lead to complete healing from the condition. Among some of the medications that are used are those for managing psychological conditions that usually occur with the condition like major depressive disorder. Independently, medications may not be effective in controlling the disorder, and so they are used with other intervention mechanisms such as psychotherapy.

Types of medications used

Antidepressants

Initially, antidepressants were designed for people suffering from a major depressive disorder. Salters-Pedneault (2019) claims that it was also for managing other mental conditions characterized by low mood. The antidepressants that have been approved for use in managing borderline personality disorder are monoamine oxidase inhibitors, selective serotonin reuptake inhibitors, and tricyclic and tetracyclic antidepressants. Salters-Pedneault (2019) reports that studies indicate that antidepressants are effective in managing sadness, anxiety, and low moods. Some of the commonly used antidepressants are Nardil, Prozac, Zoloft, Effexor, and Wellbutrin.

Antipsychotics

Early psychiatrists discovered that the symptoms of the condition were in the border of psychosis and neurosis. This is why they named the disease “borderline” to imply in the border between the two conditions. Early medications for the disease were antipsychotics. Later, it was found that the antipsychotics were effective in treating other disorders that were no-psychotics. Salters-Pedneault (2019) claims that antipsychotics reduce anxiety, anger, impulsiveness, and paranoid thinking. Some commonly used antipsychotics are Haldol, Zyprexa, Clozaril, Seroquel, and Risperdal.

Mood stabilizers

These medications are used to stabilize the moods of individuals. One of the characteristics of borderline personality behavior is the presence of mood swings. Some of the drugs that are used in this category are Lithobid, Depakote, Lamictal, and Tegretol.

Anxiolytics

Usually, people with the disorder experience anxiety. Anxiolytics are drugs that the patients suffering from the condition are given to manage the disease. Salters-Pedneault (2019) says that little research has been done to ascertain whether the drugs are efficient in treating the condition. There also some anxiety drugs that, when used, can worsen the condition of the patient. This, therefore, requires that proper consultations are done before prescribing the drugs. According to Salters-Pedneault (2019), Benzodiazepines are particularly dangerous when individuals who abuse drugs use it since it is addictive. The anxiolytics commonly used to combat the disorder are Ativan, Klonopin, Xanax, Valium, and Buspar.

The application of the treatment methods in treating marginalized people

Rivera-Segarra et al. (2014) claim that stigmatization has been a hindrance for people with mental conditions from seeking care. Among the marginalized populations are sexual minorities such as bisexuals, gays, and lesbians. Plöderl et al. (2017) allege that sexual minorities experience barriers when seeking treatment for mental illnesses since there is a lack of specific treatment for sexual minorities. Plöderl et al. (2017) further claim that sexual minorities are at risk since they have more stressing factors compared to the rest of the population. Apart from the usual stressors that other people have, other stressing factors for them are fear of being discriminated against and internalized homophobia associated with hiding one’s sexual orientation. Medications operate in the same manner for all people irrespective of their sexual orientations, and therefore there are no different medicines for managing BPD in sexual minorities.

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Therapies in treating sexual minorities with BPD

For sexual minorities, invalidation is the biggest issue that affects them. The dialectical behavioral therapy, which, initially, was developed for treating people with suicidal tendencies, has been adapted for the treatment of people across different settings. According to Skerven, Whicker & LeMaire (2019), the majority of the people being diagnosed with BPD identify as gays, lesbians, or bisexuals. Skerven, Whicker & LeMaire (2019) reiterate the findings of Bradford Reich & Zanarini (2008) that sexual minorities accounted for 75% of patients diagnosed with BPD. Research also affirms that sexual minorities are more likely to have suicidal thoughts and self-harm compared to other people (Whicker & Le Maries, 2019). Dialectical behavioral therapy is being used by therapists to reduce stressor and help the patients regain their self-respect so that they can cope with stress. DBT is the best intervention currently available for sexual minorities since other interventions are aimed at reducing the stressors instead of teaching the patient how to cope with the stress. Skerven, Whicker & LeMaire (2019) allude that DBT addresses the environmental stressors and self-esteem, and therefore it is an effective intervention for the Lesbians Gay Bisexual Transgender Queer (LGBTQ) community. Dialectical behavioral therapy is made of four significant components, namely emotional regulation, interpersonal effectiveness, core mindfulness, and distress tolerance. The four modules of DBT are meant for enabling the client to rein on their emotions. Through individual and group therapies, a therapist guides the client into coping with all kinds of stigma and how they can accept their identity.

Conclusion

A borderline personality disorder is a mental condition that makes a patient have suicidal thoughts, and this can lead to unstable relationships. This condition is characterized by mood swings, whereby the moods of an individual keep changing. Several factors exist which predispose a person to the disorder. They are environmental, brain chemicals, and genetics. Environmental factors are those concerned with the upbringing of an individual. If a person is brought up in a dysfunctional home where abuses are the norm, chances are high that they will develop the disorder when they are grown up. On brain chemicals, lack of proper development of the brain leads to an imbalance in chemicals in the brain. This leads to the inability of an individual to effectively balance emotions. Genetics, even though not yet proven, scientifically is believed to lead to the condition. There are several interventions for treating borderline personality disorder. There are therapies, such as dialectical behavioral and mentalization-based therapies. Medications such as antidepressants are also used to manage the condition. These interventions are used to treat BPD across many settings. Among the minorities that the interventions are used in are sexual minorities. There are generally no specific intervention measures for treating sexual minorities suffering from BPD. The existing mechanisms, such as dialectical behavioral therapy, have been adapted to fit their situation. On medicines, there are no unique medicines for managing BPD for sexual minorities since drugs work in the same manner irrespective of individuals’ sexual orientation.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

Biskin, R., & Paris, J. (2012). Management of borderline personality disorder. Canadian Medical Association Journal184(17), 1897-1902. doi: 10.1503/cmaj.112055

Borderline personality disorder – Causes. (2019). Retrieved 13 November 2019, from https://www.nhs.uk/conditions/borderline-personality-disorder/causes/

Brüne, M. (2016). Borderline Personality Disorder. Evolution, Medicine, And Public Health2016(1), 52-66. doi: 10.1093/emph/eow002

Dialectical Behavior Therapy | Psychology Today. (2019). Retrieved 13 November 2019, from https://www.psychologytoday.com/intl/therapy-types/dialectical-behavior-therapy

May, J., Richardi, T., & Barth, K. (2016). Dialectical behavior therapy as a treatment for borderline personality disorder. Mental Health Clinician6(2), 62-67. doi: 10.9740/mhc.2016.03.62

Morken, K., Binder, P., Arefjord, N., & Karterud, S. (2019). Mentalization-Based Treatment From the Patients’ Perspective – What Ingredients Do They Emphasize?. Frontiers in Psychology10. doi: 10.3389/fpsyg.2019.01327

Plöderl, M., Kunrath, S., Cramer, R., Wang, J., Hauer, L., & Fartacek, C. (2017). Sexual orientation differences in treatment expectation, alliance, and outcome among patients at risk for suicide in a public psychiatric hospital. BMC Psychiatry17(1). doi: 10.1186/s12888-017-1337-8

Rivera-Segarra, E., Rivera, G., López-Soto, R., Crespo-Ramos, G., & Marqués-Reyes, D. (2014). Stigmatization Experiences among People Living with Borderline Personality Disorder in Puerto Rico. The Qualitative Report, 19(15), 1-18. Retrieved from https://nsuworks.nova.edu/tqr/vol19/iss15/2

Salters-Pedneault, K. (2019). Borderline Personality Disorder Medications Can Treat Symptoms. Retrieved 13 November 2019, from https://www.verywellmind.com/borderline-personality-disorder-medications-425450

Salters-Pedneault, K. (2019). Mentalization-Based Therapy May Help Borderline Personality Disorder. Retrieved 13 November 2019, from https://www.verywellmind.com/mentalization-therapy-for-bpd-425459

Salters-Pedneault, K. (2019). Mentalization-Based Therapy May Help Borderline Personality Disorder. Retrieved 13 November 2019, from https://www.verywellmind.com/mentalization-therapy-for-bpd-425459

Skerven, K., Whicker, D., & LeMaire, K. (2019). Applying dialectical behavior therapy to structural and internalized stigma with LGBTQ+ clients. The Cognitive Behaviour Therapist12. doi: 10.1017/s1754470x18000235

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Business Strategy

Business StrategyBusiness Strategy

Currently, the modern business environment is more competitive than ever, and this is because numerous business outfits have emerged to compete for roughly the same market. Therefore, successful companies are those that devise means which give them a competitive edge over their rivals. One such measure entails the adoption of a practical business strategy. The term business strategy is a workable plan that a business entity uses to compete favorably with other organizations, improve financial performance, achieve organizational goals, and attract new customers. An effective strategy is one that plots a clear guideline on actions that people are encouraged (not) to take for the betterment of the company, thus ensuring that no vital aspect of the business is left to chance.

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In this digital era, innovations like the internet have driven companies towards globalization, raising the stakes, and making it imperative for companies to adopt effective strategies. Regarding the analysis of business organizations’ strategies, few are as insightful as Team Wikispeed’s case. This paper proceeds on the thesis that Team Wikispeed’s case is a testament to the fact that companies must incorporate novel ideas into their operations if they are to succeed in the business scene.

Embracing Agile

In the quest to assess Wikispeed’s strategy and performance, it is vital to create the proper context in which this discourse shall occur. No article gives more insight into the intricacies of crafting effective business strategies and embracing creativity than Embracing Agile. In this piece, the authors highlight the revolutionary impact of innovation and place a particular focus on the information technology sector to derive lessons that any business entity can adopt (Rigby et al., 2016). They note that innovative Agile methods have radically altered the IT landscape for the last thirty years in software development, quality improvement, and market speed, as well as enhancing the IT teams’ drive and productivity. Rigby et al. (2016) conceptualize Agile’s methodologies as welcome reprieves from the conventional command-and-control model of management. The approach embodies a whole set of new values and practices that yield immense benefits to people working in the organization. According to the authors, Agile’s proposal has gained widespread acceptance in other business spheres owing to its universally applicable principles.

The authors pinpoint innovation as the fundamental aspect of Agile’s approach (Rigby et al., 2016). According to the authors, this creative approach works for most companies because the business environment is more dynamic than ever, necessitating the formulation of plans to enable business entities to keep up with the rapidly changing market conditions. The biggest challenge, however, is that most executives purport to implement the novel strategy, yet they are reluctant to let go of outdated methods. For instance, many CEOs launch too many programs and set strict deadlines for employees, yet the company would fare much better if only a few projects were prioritized. They also tend to overturn the decisions that teams make by intervening midway and re-introducing concepts that had been ruled out.

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As a remedy to the challenges that entities face in implementing the Agile approach, the authors make six recommendations (Rigby et al., 2016). First, leaders must familiarize themselves with the new method if they are to provide effective leadership. The second facet entails appreciating situations where the strategy would work, and those where attempts at implementing it will constitute wasted effort. The third recommendation is that entities should resist the urge to change everything at once and instead introduce new methodologies progressively. The fourth step for success in a dynamic business environment is to allow for flexibility so that proficient teams can customize processes. At the fifth stage, entities should implement innovative strategies like agile in high-ranking functions within the company in situations where the mundane routine aspects of company operations are static, leading to corporate realignments in their organizations. The last step entails removing all the possible hurdles to the implementation of novel and creative interventions. The researchers discovered that bureaucracy is the main frustrating factor for creativity because innovations are subjected to long approval sequences. To remedy this shortcoming, Rigby et al. (2016) recommend inquisitorial leadership where executives ask questions on the viability of innovations rather than clamping down on innovative ideas using the conventional command-and-control model.

The Wikispeed Approach and its Difference from Traditional Product Development Processes

The case study on Team Wikispeed provides a radically unique perspective on product development approaches (Kupp et al., 2013). Team Wikispeed embraced the Agile model, and from the details provided by its founder Joe Justice, the development process that the team uses is markedly different from conventional practice. Where others use the standard Waterfall model, Wikispeed uses Scrum, which embodies agile principles. In Agile methodologies, the development process allows for iteration, which is the repetition of sequences until one achieves the desired outcome. On the other hand, the Waterfall sequence entails the input of immense efforts and resources into a predetermined path from the beginning and pursuing that plan until it is complete.

Another difference that exists between these two processes pits flexibility against rigidity (Kupp et al., 2013). The agile approach is akin to an inquisitorial process where the parties try different things until the product’s specifications are deemed appropriate. The advantage of this approach is that it allows for alteration of the design in case the product’s requirements, in this case, a car, change. In the Waterfall model, however, the specifications are fixed, and the product design finalized even before the process takes off. As such, there is no space for making changes when circumstances change midway through the process. The inadaptability of the Waterfall method makes production a costly affair, especially where sales dwindle, customer preferences change, or the industry makes discoveries that render previous designs and materials obsolete.

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The line of production’s organization is another distinguishing factor between Team Wikispeed’s production process and other conventional approaches (Kupp et al., 2013). Wikispeed embraces a collaborative structure under Scrum to ensure that responsibility is distributed evenly across the team. The organization around production takes a tri-faceted approach with the product owner, team members, and the scrum master bearing different roles. On the contrary, conventional productions take a command-and-control model where team members are accountable to the manager.

Elements of the Wikispeed Approach Applicable to Traditional manufacturing Firms

A critical factor in the successful implementation of Agile is knowing where it can work and the aspects that can or cannot work in a given scenario (Kupp et al., 2013). Traditional manufacturing firms do not have the opportunity to try out novel ideas like iteration because their fields are not dynamic. However, there are vital lessons that they can borrow from Wikispeed’s approach. A significant transgression that multinationals have been guilty of in reverse engineering is planning on market segments using existing products (Winter & Govindarajan, 2015). Such a strategy manifests in removing existing features and leaving a lower quality product to serve less affluent markets. The main lesson from Team Wikispeed’s case study is the necessity of shifting accountability of the business from the manager to the customer (Kupp et al., 2013). Managers tend to be out of touch with the market, and while they may provide strategic leadership, the basis of manufacturing should satisfy the consumer’s needs.

Another positive practice embraced by Wikispeed is the distribution of responsibility across the entire team and allowing teams that have attained expertise in their fields to improvise where necessary to create practical solutions (Kupp et al., 2013). Traditional manufacturers should remove rigidity where strict adherence to specific processes have no functional impact on products and embrace new ideas.  In trying to come up with new products, executives should conceptualize the problem objectively without having an immediate solution (Winter & Govindarajan, 2015). Taking such an approach will remove the inconveniences caused by managers exercising their executive authority to interfere with the teams.

In conclusion, business strategy is a necessary facet of organizational operation as it determines its success or failure. Team Wikispeed’s approach demonstrates the importance of having a flexible and customer-centered plan. Even where the entities involved are traditional manufacturing companies, there are a few lessons that can be borrowed from Agile to improve efficiency.

References

Kupp, M., Dahlander, L., & Morrow, E. (2013, November 8). Team Wikispeed: Developing Hardware the Software Way. HBR Store. https://store.hbr.org/product/team-wikispeed-developing-hardware-the-software-way/ES1391

Rigby, D. K., Sutherland, J., & Takeuchi, H. (2016, May 1). Embracing Agile. Harvard Business Review, May 2016. https://hbr.org/2016/05/embracing-agile

Winter, A., & Govindarajan, V. (2015, July 1). Engineering Reverse Innovations. Harvard Business Review, July–August 2015. https://hbr.org/2015/07/engineering-reverse-innovations

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Cancer Awareness

A Battle That Touches Us All: Breast Cancer Awareness Month 2019 | GVECCancer Awareness

According to the American Cancer Society (2018), cancer is a significant health issue that has a high mortality rate such that per 6 reported cases of death, there is one death case of cancer. Risk factors like tobacco use, excess body weight, immune conditions, and inherited genetic mutations may promote the growth of cancerous cells. However, early detection through screening tests like mammography can help in reducing cancer-causing infections. Ethnic minorities, however, fail to have adequate cancer awareness due to emotional barriers like worry and mistrust with health practitioners (Knight, 2012). Inadequate cancer awareness is, therefore, an issue of great concern and this needs drastic attention since the cases of cancers are higher mostly among the ethnic minorities.

Background Information

Statistics show that there is low attendance of screening of cancers like cervical and breast cancer among women between 24 and 65 years in minority groups (Knight, 2012). Such women are unmarried; they have low educational qualifications and low socioeconomic status. Among the perceived barriers to screening such as worry, a dislike of going for the tests, inconvenient appointments; the lack of knowledge concerning the importance of screening is a significant problem. This is quite unfortunate considering that there are health organizations and advocates of health whose role is ensuring that they provide educational campaigns about health issues like cancer. Another challenge is that of language barriers which affect the level of understanding among these groups such as the Somali women, Asians, and Black Africans. Still, apart from the women, ethnic minority men also lack awareness about the importance of screening. For instance, Knight (2012) holds that incidences of prostate cancer in men are quite common, and these incidences are three times higher among African men as well as African-Caribbean men. Hence, when compared to White men, there is a severe lack of awareness about tests like prostate-specific antigen (PSA) among the men in minority communities.

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Some religious and cultural myths in these communities also prevent the populations from acquiring relevant information about cancer since it is believed that the disease is a death sentence. Initiatives like The National Awareness and Early Diagnosis Initiative (NAEDI) in the United Kingdom reveal that the negative attitudes among the ethnic minority populations also influence poor knowledge about the disease. Hence, due to the negative beliefs; this prevents the people from attending forums and health services where they can learn more about cancer. It is quite unfortunate that based on these presented real-life issues; there are high death rates and shortest survival among the African Americans in most of the cancers. Another group is the Hispanics which is also at a high risk of developing cancer connected with infections that affect the liver, stomach and uterine cervix. On another note, the lack of awareness on issues like health insurance tends to create a financial burden to those affected thus creating a low chance of survival. Still, factors like poverty in these communities due to unemployment prevent the populations from attaining an education that can aid in increasing their awareness about maintaining healthy lifestyles (Knight, 2012). Therefore, with such factors, it can be quite challenging to convince some of these groups about lifestyle changes that can help in preventing cancer. For instance, the Latinos believe that weightiness is a highly preferable aspect in their culture yet this contributes to obesity which is a risk factor for cancer. Altogether, based on the underlying issues, it is evident that several factors make the ethnic minority groups lack adequate knowledge about cancer prevention. Unfortunately, this prevents them from taking the right measures like going for screening or getting immediate treatment.

The Proposed Solution to The Addressed Problem

Increasing cancer awareness should be a priority among the ethnic minority groups since this can reduce the mortality rate and increase cancer survivors. Low cancer awareness on factors like the knowledge and beliefs on cancer symptoms, the risk factors, screening strategies, effective treatment approaches increase delays of a cancer diagnosis. Therefore, having public campaigns on cancer awareness would be an effective solution to the presented problem. Based on a study conducted by Austoker et al., (2009) the campaigns have been linked with improving cancer awareness and encouraging these communities to go for early screening. On this note, further effectiveness of the awareness drives could be achieved by having language interpreters who understand the dialect and cultural beliefs of people from these communities. Still, the initiatives should have tailored printed information that meets the unique needs of the different ethnic minority groups since general information could have less impact. In the same study, Austoker et al. hold that tailored information promotes active engagement on cancer awareness by 11% when compared with general information at 4% or not information at all. In this case, such tailored information helps in modifying the people’s attitudes by motivating them to pay attention and seek help after the forum. Still, the programs would encourage the minorities the essence of maintaining a healthy weight, having regular exercises, and also enhance their knowledge about other risk factors of cancer.

Further, computer-interactive programs or e-health interventions would also aid in increasing cancer awareness in these populations. Technology has provided significant channels for interacting with people from all walks of life. Therefore, with the use of smartphones and other technology-related devices, this would provide adequate information and screening programs for targeted populations. For instance, specific drives have been developed to raise screening awareness on colorectal cancer where health care providers integrate e-health strategies for enhanced collaboration between them and the individuals. According to Slev et al., (2016), these screening programs have also been implemented for breast cancer where the internet-based initiatives have encouraged healthcare participation. This has been successful since the programs have electronic symptom reporting mechanisms and consultation support. Still, with this intervention, it would promote the sharing of screening information through publicly accessible websites sponsored by significant organizations. Such organizations include but not limited to the Centers for Disease Control and Prevention (CDC), National Cancer Institute (NCI) and International Agency for Research on Cancer (IARC). It is also important to note that the e-health intervention for increasing cancer awareness is highly recommendable considering that some of the minorities have mistrust issues with health professionals. Hence, with the e-health support, it does not require individuals to have face-to-face contact thus encouraging minorities like the Somali women to gain confidence when airing their issues with health providers in the virtual networks. Slev et al., (2016) holds that the e-health strategy for creating awareness has positive effects.  It acts as a complement for traditional professional support, and it also reduces some healthcare costs like the consultation charges.

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It also solves the issue of inconvenient appointments which saves on time this being a practical barrier that prevents men from going for screening. Hence, initiatives that support these groups have a high chance of increasing cancer awareness and even promote the enactment of policies for minorities that cannot afford screening and cancer treatment. Generally, what the ethnic minorities need is social support since these are groups that are looked down upon by the majority in society. With the two proposed solutions, follow up plans using reminders in emails or text would motivate individuals to take action by going for appropriate screening. Hence, this would require a proper registration process of individuals attending the initiatives to gather their contact information to enhance communication and follow up.

Opposing Views Concerning the Suggested Solutions

Although raising cancer awareness through campaigns is a significant approach, critics have conflicting opinions on such initiatives. According to Christiano and Neimand (2017), there are many awareness campaigns not only about cancer but also other health issues. They further argue that the activists of these campaigns fail to act in ensuring that after raising the awareness, the targeted populations go for the right screenings that are relevant according to their age or gender. Therefore, Christiano and Neimand believe that awareness campaigns are likely to fail if the advocates of health lack to incorporate appropriately crafted messages that call for action and behavioral change. Further, due to the rise of security threats on the internet, an issue of concern in the opposing view is related to the e-health intervention for raising awareness by encouraging cancer screening. Critics argue that the security of the information transmitted through the networks could be at risk of ending up in the wrong hands of hackers. Generally, it is believed that systems lacking security measures that prevent data theft could jeopardize e-health intervention.

Conclusion

In conclusion, regardless of the raised opposing views, the public campaigns that target minorities incorporated with tailored information, as well as e-health interventions, would be useful in raising cancer awareness. Sensitizing the essence of encrypting the conversations in the networks would prevent data threat. Data security is an essential component that has to be enhanced without question between patients and healthcare professionals. Generally, the initiatives would motivate change and the perceptions of the ethnic minorities concerning the essence of cancer screening and prevention measures.

Reference

American Cancer Society, (2018). Global Cancer Facts and Figures 4th Edition

Austoker, J., Bankhead, C., Forbes, L. J., Atkins, L., Martin, F., Robb, K., … & Ramirez, A. J. (2009). Interventions to promote cancer awareness and early presentation: systematic review. British journal of cancer101(S2), S31.

Christiano, A., & Neimand, A. (2017). Stop raising awareness already. Stanf Soc Innov Rev. Spring2017.

Knight, P. L. (2012). Raising cancer awareness in minority ethnic groups. Nursing times108(38), 17-19.

Slev, V. N., Mistiaen, P., Pasman, H. R. W., Verdonck-de Leeuw, I. M., van Uden-Kraan, C. F., & Francke, A. L. (2016). Effects of eHealth for patients and informal caregivers       confronted with cancer: a meta-review. International journal of medical informatics87, 54-67.

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Biography of an Influential Person

Assignment: Final Project Overview

Biography of an Influential Person

The purpose of this Final Project Assignment is for you to recognize human development and outcomes (e.g., developmental constructs, processes, milestones, and stages) through the lifespan of an influential person. You will describe this person’s development through cognitive, physical, and social-emotional processes at various key periods, and how his or her development is influenced by nature (genetics), nurture (environment), or both.

For this Final Project Assignment, you will read a biography about an individual of your choosing. Think about leaders, artists, composers, researchers, professors, and otherwise influential people, etc. The person you choose should be someone who has had an impact (positive or negative) on others and/or on society.

This Final Project Assignment is a 2.5- to 4-page paper composed of three parts. These parts include: the Summary during Week 2, Part 1 during Week 7, and the Final Project submission during Week 10. Note: It is recommended that you begin reviewing the biography you chose starting at Week 2 and plan your time accordingly.

For this week, you will review the Final Project Assignment Overview document and consider an influential person you would like to learn more about.

To prepare for this Final Project Assignment:

  • Review the Final Project Assignment Overview document found in this week’s Learning Resources.
  • Select a biography, not an autobiography, of an influential person. Your selection must be one person and not a group of individuals.
  • The biography should be written for adults and not children and cover the entire life of the individual.
  • You must use an actual hardcover/paperback book or ebook (Note: Using biography.com or other websites as primary sources of information is not acceptable).
  • You must include at least two theories from this course in your Final Project Assignment and discuss at least two of the three developmental processes (cognitive, physical, and social-emotional).

No Assignment submission due this week.

Submit your Final Project Assignment in Week 10.

Sample Answer

Introduction

Barack ObamaDuring human development, several milestones occur from childhood to adulthood. The milestones are marked by the cognitive, physical, and social, emotional growth processes, which are essential stages in an individual’s life. Various theorists such as Piaget and Erik Erickson came up with theories to describe the human developmental processes. By focusing on the biography of Barack Obama, understanding his social, emotional, and cognitive growth; this will offer an insight concerning the factors that contributed to him being influential.

A Summary of Barack Obama

Barack Hussein Obama’s date of birth was 4th August 1961. He was born of Barack Obama Senior and Ann Dunham who were from a mixed heritage. Obama’s popularity increased when he started contesting for the United States presidential seat, and he ended up being the first black president to rule the country. According to Maraniss (2012), Obama became the forty-fourth American president and his highly influential leadership skills enabled him to serve the nation for two terms, which was between the years 2009 to 2012. However, Obama’s political journey began in 1996 when he contested for the Illinois State Senate seat as a Democrat. He was the Senator for Illinois for three terms. During his administration, Obama influenced significant policies such as Obama Care. He also called for equal rights for women and the LGTB community in America, considering that these are two groups that have faced discriminatory challenges in society.

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Obama’s Cognitive Development

In human development, the cognitive stage describes the mental processes which are learning, thinking, problem-solving, and remembering. With that in mind, Obama cognitive development can be illustrated through his education journey. On this note, Obama began his early school education in 1966, where he attended the Noelani Elementary School. For his high school diploma, Obama joined the Punahou School in Hawaii and then transferred to Occidental College in Columbia. The education he received from these institutions enhanced his intellectual abilities such that in 1981, he made the very first public speech. The learning process in Obama’s development portrayed a high level of intelligence. Based on Piaget’s cognitive theory of development; the building blocks of intelligence or schema are influenced by aspects like assimilation, accommodation, and equilibration (Brown, & Desforges, 2013). From Obama’s academic journey, he enhanced his self-efficacy by putting into practice what he learned. He did not let issues like his cultural background to define him, considering that he was from a mixed-race of an American White mother and an African father.

Obama’s Social-Emotional Development

In this stage, social-emotional development demonstrates how humans develop skills that help them interact with people from diverse backgrounds and how they express and take charge of their emotions. During Obama’s development, he encountered several challenges, mostly during his teenage years. This was a period that he needed social and emotional support from his father. However, Obama’s father was not always present. Thomas (2008) holds that his father returned to Kenya in the year 1964, when Obama was three years old. He only returned to visit his son when he was ten years old. He later died after being involved in a car accident. The lack of a father-son relationship created a void that made Obama struggle with exploring how to be a man. Despite this challenge, during his young adulthood, Obama’s social-political involvement enhanced his socio-emotional development. During his enrollment at the Columbia University in New York, Obama began to research his African roots when he started writing a personal memoir after his father’s death, which occurred in 1982. He even traveled to Kenya to meet his relatives, and during his short stay; he learned a lot about his origin. Still, in his college life, Obama participated in several clubs such as the International Students Association. These clubs made him feel loved and appreciated since people around him encouraged him to talk about Kenya and Africa at large. Further, after completing his education at the Columbia University in New York, Obama moved to Chicago, where he enrolled for a job as a community organizer.

Analyzing How Nurture Influenced Obama’s Development

Generally, it is justified saying that nurture or the community environment influenced Obama’s cognitive and social-emotional development. In this case, his surroundings helped him understand the needs of Roseland the Altgeld Gardens communities. Through social interactions, he unveiled aspects that needed change, and this influenced to work on community development programs. He also used his intellectual abilities to develop job training programs and an organization for tenants’ rights because he understood what people wanted. Further, in his quest for knowledge, Obama joined the Harvard Law School, and it is here that he got to meet Michelle, who he married in the year 1992. This is a crucial stage in human development since according to Erikson’s theory of psychosocial development, social and emotional development occurs in different phases (Huitt, 2008). Obama finding the love of his life falls under the sixth stage of intimacy and isolation. Successful young adults who engage in romantic relationships, according to Erickson’s theory, they manage to establish strong relationships with people around them.

 Conclusion

In conclusion, Barack Obama went against all the odds in society to rise to the scales by becoming the first African American to rule America. Through his cognitive and social-emotional development, this enabled him to promote change by eliminating issues like racial profiling and inequality among minority groups. Overall, Obama will continue to be an influential leader globally due to his admirable confidence, eloquence in speech and leadership. 

Reference

Brown, G., & Desforges, C. (2013). Piaget’s theory. Routledge.

Huitt, W. (2008). Socioemotional development. Educational psychology interactive.

Maraniss, D. (2012). Barack Obama: The Story. Simon and Schuster.

Thomas, G. (2008). Yes, we can: A biography of President Barack Obama. Feiwel & Friends.

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GCU ELM 480 Questioning Strategies and Critical Thinking

GCU ELM 480 Questioning Strategies and Critical Thinking

Questioning Strategies and Critical Thinking

A challenge many teachers face is identifying effective ways to engage students in meaningful dialogue that advances thinking and elicits critical, higher-order responses based on current learning needs. Exploring appropriate questioning techniques, for various grade and ability levels, helps teachers to design questions that encourage critical and higher-order thinking and guide students in their learning.

8 Ways to Enhance Your Child's Critical Thinking Skills - Edublox Online Tutor | Development, Reading, Writing, and Math SolutionsUsing one of the lessons you developed in this course, create both content and critical thinking questions you could ask during the implementation of the lesson. The questions should be based on the standards and objectives within the lesson you selected.

In 500-750 words, explain the following:

  • The lesson title, standards, and objectives on which the questions focus.
  • At least three content- or skill-based questions that are appropriate for students’ grade and ability levels for each objective, and examples of answers the question is designed to elicit.
  • At least three questions for each objective that would encourage critical thinking and higher-order thinking, and examples of answers the question is designed to elicit.

In addition, write 150-250 words examining how questioning strategies facilitate students’ comprehension and critical thinking related to literary and informational texts.

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

This assignment uses a rubric.

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