Describe the limitations of the MSE. Due to these limitations, what other information-gathering is necessary to complete the full diagnosis and treatment planning process? 

1. Describe the key components to the mental status exam (MSE). How do the results of an MSE apply to diagnosis and treatment planning?

2. Describe the limitations of the MSE. Due to these limitations, what other information-gathering is necessary to complete the full diagnosis and treatment planning process?

3. Discuss the importance of using the MCMI-IV when assessing the mental status of a client. Can the MCMI-IV be useful in assessing emotional status as well? Why or why not? Provide specific examples to support your position.

4. What are some strengths and challenges of MCMI-IV for assessing mental status? Do you feel that this MCMI-IV is a good method to assess emotional status? Why or why not? Provide specific examples to support your position.

5. Discuss the importance of using the MMPI-2-RF when assessing the emotional status of a client. Can the MMPI-2-RF be useful in assessing mental status as well? Why or why not? Provide specific examples to support your position.

6. What are some strengths and challenges of Beck’s Depression Scale for assessing emotional status? Do you feel that this scale is a good method to assess emotional status? Why or why not? Provide specific examples to support your position.

7. Identify two types of assessments discussed in the textbook, and/or additional readings. How could the use of technology impact the administration of these assessments? Do you feel that the incorporation of technology would be a benefit to administration? Why or why not? Provide specific examples to support your position.

8. Identify and discuss the standards for the use of technology in the counseling setting according to your state governing board and the ACA. What are potential implications for the counselor if these standards are not followed?

Each question needs to be answer with 150-200 words and HAVE a cite in the answer. Should look like this

Your responses to other learners are expected to be substantive in nature and to reference the assigned readings, as well as other theoretical, empirical, or professional literature to support your views and writings. Use the following critique guidelines:

Discussion Response Unit 2 Lifespan

Response Guidelines

Your responses to other learners are expected to be substantive in nature and to reference the assigned readings, as well as other theoretical, empirical, or professional literature to support your views and writings. Use the following critique guidelines:

  • The clarity and completeness of your peer’s post.
  • The demonstrated ability to apply theory to practice.
  • The credibility of the references.
  • The structure and style of the written post.

Peer discussion 1

During pregnancy and throughout one’s lifespan eating a well-balanced diet is expected for good health and wellbeing. Studies have shown that food provides the body with the minerals, protein, vitamins, essential fats, and energy to be able to live, grow and function properly. According to Broderick & Blewitt (2014) “when food sources are short on protein or essential vitamins and minerals during prenatal and early postnatal development, an infant’s physical, socioemotional, and intellectual development can be compromised, and epigenetic alterations seem to be at the root of these developmental problems.” (p. 55). Many of the effects of prenatal malnutrition are permanent, though some degree of improvement may be produced by exposure to stimulating and enriched environments.

Therefore, studies has confirmed that poor nutrition has the potential to damage fetal organs particularly the brain that can cause developmental issues far after birth.  Morgane P, et al, (1993) “Prenatal protein malnutrition adversely affects the developing brain in numerous ways, depending largely on its timing in relation to various developmental events in the brain and, to a lesser extent, on the type and severity of the deprivation.” For example, being a mother of three I have read that during the third trimester of pregnancy the brain is developing rapidly and begins to function a full capacity after delivery. Also, the brain gradually matures in the first few years of life with the help of environmental influences.

The benefits of proper nutrition during pregnancy helps in insuring fetal cell growth, tissue and DNA development. Having said that, there is an increase of children being diagnose with Autism Spectrum Disorder (ASD). Although there is no known cause for ASD, but both genetics and environment are believed to play a role. What is known is that ASD is a complex developmental and neurological condition that typically appears during the first three years of life. It affects brain function, particularly in the areas of social interaction and communication skills. My colleagues and I have discussed on several occasions students in our classroom that have been misdiagnose and clearly show signs of ASD. Looking at the demographics of the area where I teach many of the parents of these students are can’t afford adequate health care because of minimum wage jobs. Therefore, in those instances expected mothers would rather feed their families and then receive the much needed prenatal care. So, as educators, we sum the conclusion up to lack of prenatal attention. On a positive note, today there’s evidence showing how nutrition can play a significant role in managing various symptoms that prevent ASD patients from living productively.

Reference:

Broderick, P. C., Blewitt, P. (01/2014). Life Span, The: Human Development for Helping Professionals, 4th Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com

Morgame PJ., Austin R., Bronzino J., Diaz-Cintra S., Cintra L., Kemper T., Galler JR. Parental malnutrition and development of the brain. Neuroscience Bio-Behavioral, Rev. 1993.Spring; 17(1): 91-128.

Peer Discussion 2

Teratogens are environmental factors that can affect the genes in the developing fetus.  According to Broderick and Blewitt (2014) “The first principale is that the kind o damage done is related to the stage of development  during which the mother is exposed to the teratogen.”  Substances such as smoking during the pregnancy can cause low birth weight, breathing problems, and prematurity (Broderick and Blewitt; 2014).  Cognitive functioning can be damaged is the mother consumes alcohol, uses cocaine or even smokes small amounts of marijuana during the time that the fetus is developing.   Along with the greater chance of lowering cognitive ability, deformities can occur, such as face and teeth structure, diminutive height, and deformities of the internal organs.

Nutrition during pregnancy as well as the first twelve months after birth are important in maintaining normal growth while in the womb and in the first year of life. Per Li et. al.  (2016) ” Malnutrition alters intelligence by interfering with the child’s energy level, rate of motor development, and overall health.”  Not eating correctly while pregnant can affect the cognition in the developing fetus by not transferring enough nutrients through the umbilical cord.  This can also interfere with neurological abilities.  When their is sufficient nutrition both prenatal and after birth the risk of malnutrition, cognitive function and deformaties is lessoned.  This does not guarantee that the fetus or newborn will be free of complications, which can be related to epigentics, but it does minimize the risk.

Per Broderick and Blewitt (2014) “The hippocampus, are critical for learning and memory formation.” During stressful situations while in utero as well as neglect, including little to no physical or linguistics contact with caregivers, can cause creation of new neurons to form or current neurons to shrink.  This can lead to weakened cognitive responses. The damage can be irriversable.

References

Broderick, P. C., Blewitt, P. (01/2014). Life Span, The: Human Development for Helping Professionals, 4th Edition. [Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781269907422/

Li, C., Zhu, N., Zeng, L., Dang, S., Zhou, J., & Yan, H. (2016). Effect of prenatal and postnatal malnutrition on intellectual functioning in early school-aged children in rural western China. Medicine95(31), e4161.

http://doi.org.library.capella.edu/10.1097/MD.0000000000004161

Describe some interview techniques that help to minimize the chances of creating false memories? Why are these techniques effective?

Answer these questions in a paragraph or more. Use teh prompts below for assistance.

 

1) Describe how the Daubert Standard differs from the Frye Standard.

The Frye Standard involves the general acceptance of a theory or technique within the field of science. Basically, if it’s good enough for the scientific community, it’s good enough to be presented in court. This is still the standard in many states.

The Daubert Standard has been accepted at the federal level and is the standard in several states. The Daubert Standard uses the Frye Standard as one of its prongs of its reliability component (in addition to whether the theory can be tested, whether the error rate is acceptable, and whether the theory has faced peer review). In addition to reliability, the court must decide whether the testimony is relevant to the case and whether its probative value outweighs the potential prejudice it will produce.

Although several answers discussed that Daubert was an “improvement” over Frye, it really just added more requirements without increasing the scientific rigor. Some of these requirements are redundant. For example, if a theory is generally accepted within a scientific discipline, it’s going to be (a) peer reviewed and (b) testable. The requirement of “an acceptable error rate” sounds nice, but because no one has ever defined what constitutes an acceptable error rate, it’s kind of meaningless. The biggest actual difference involves the “relevance” and “legal sufficiency” components. These are both determined by the court. Thus, even if the science is sound, the court can prevent the testimony if the court wants to. In practice, this can be very subjective. In fact, in cases like Daubert, the court often prevents scientific testimony about increased vulnerability or rates of exposure because it views the relationship between the cause and effect as tenuous. For instance, I’ve read cases where an epidiomological analysis of the effect of a particular chemical on a particular health issue was judged to be too prejudicial (e.g., “You say that Chemical X causes cancer, but people who have no exposure to Chemical X get cancer, so how do you know that this particular chemical caused this particular case of cancer? Maybe the plaintiff would have gotten cancer anyway.”). So, the biggest difference between the two standards is that a lot of the deference to science has been decreased in favor of the discretion of the judge.

Now, I don’t expect you to know or state all of these things, but I do expect you to do more than copy and paste information from the PowerPoint slides. You should give some analysis.

2) What are some advantages that Science has over other ways of knowing?

The main difference between science and other ways of knowing is that it involves a falsifiable test. In fact, several elements of science can appear in logical deduction; that’s why hypotheses have to be logical and based on previous observation. To some extent, logic can be “peer reviewed,” in the sense that legal judgements can be reviewed in the appeals process to make sure that the reasoning of the decision is sound. Only science, though, creates a falsifiable test.

Science can overlap with authority, because scientists are often authorities. However, there is a difference between asserting that something is true and proving evidence that something is true. Also, while authority relies on credentials, science does not; if the methods of the test are sound, it doesn’t matter who is conducting the test. To put it another way, with science the value of the knowledge lies within the process, not the person.

In many respects, science is the opposite of intuition in the sense that science has rigorous rules, while intuition is an impulse. Similarly, intuition is based on feeling rather than observable tests.

3) Describe the rationale for having a mental health court.

Most people were correct in identifying that mental health courts tended to be for non-violent, non-habitual offenders whose problem was thought to lie in the individual’s psychological disorder. However, several people failed to mention why a separate court would be helpful. The real advantage is that the people involved in the mental health court develop a certain familiarity and expertise dealing with these types of cases. They are familiar with the terminology, the research, the available treatments, etc. So, rather than taking a long time looking into the minute details of these individual conditions, judges and other personnel come at the case with a pre-existing knowledge base. The use of these course is associated with decreased recidivism, which is a good indicator of effectiveness. With most psychological disorders, increased stress is associated with increased symptom severity, and prison can be very stressful. The fact that this defendants are able to avoid prison and receive effective treatment is likely the reason for this decreased recidivism

4) Describe how cognitive load can be used in lie detection.

Cognitive load involves being occupied with a mental task. So, the more difficult or numerous the tasks, the “heavier” the load. The use of cognitive load as a means of lie detection is predicated on the idea that someone who is lying goes into an interview with a higher cognitive load than someone who is not lying. Lying, after all, involves maintaining an alternate narrative to what actually happened. So, rather than recalling an event based on actual memory, a liar has to remember the fabricated narrative and how it differs from the real narrative. Thus, by further increasing the cognitive load (by asking one to tell the story backwards or come up with details on the spot), you are making it more difficult for the person to keep the story straight (i.e., rather than just reporting the information, the task now requires coming up with new information that fits into the fabricated narrative in a consistent manner). This increases the chances that the person will slip up and report a detail that is inconsistent with their overall story and get caught in the lie.

5) What are some reasons that suspects provide false confessions?

There are several reasons that individuals provide false confessions. First, some are doing it voluntarily. They may think that they actually committed a crime due to some psychotic condition, or they may know that they did not commit the crime but are confessing to it for attention or to protect someone else. Second, police may convince the suspect that they have enough evidence to charge the suspect for a more serious crime (even when they don’t) and make pleading to a lesser charge sound like the only option. Finally, the suspect may not know what happened when the crime was committed, and this confusion or anxiety makes them susceptable to police coercsion to the point where the suspect comes to believe that he or she actually comitted the crime. In some cases, the interviewer may contaminate the interview by providing details (perhaps accidentally) of the crime that later make it in to the suspect’s narrative, increasing the perception of guilt.

6) Describe some interview techniques that help to minimize the chances of creating false memories? Why are these techniques effective?

Basically, I was looking for you to discuss aspects of the cognitive interview (e.g. not interrupting, avoiding leading questions, etc.) and why they are effective in minimizing false memories. One problem I noticed was that people conflated the eyewitness identification techniques (e.g. lineups) with the “interview techniques” that the question requires. I didn’t count off for discussing identification techniques, but if you have a one-paragraph answer, and half of your answer isn’t addressing the question, you were more likely to lose points. A second problem that I noticed was that many people discussed the cognitive interview but didn’t address the second part of the question: why it works. You did lose points for failing to address this.

Propose the effectiveness of group counseling to help Lilly manage late-life divorce. How might the group process help Lilly reconcile feelings of guilt and loss?

Unit 7 Discussion 1 & 2? $30.00 Due (Sat) 8/18/2018.

Unit 7 Discussion 1

Value of Bereavement Counseling Groups

Considering the practical problems and unique characteristics of older adults, analyze the value of bereavement counseling groups. How does the design of an older adult bereavement group in Chapter 11 of your text compare to the death support-group program examined in Walijarvi, Weiss, and Weinman’s research?

Resources

· Discussion Participation Scoring Guide.

· A Traumatic Death Support Group Program: Applying an Integrated Conceptual Framework.

Readings

Use your Groups Process and Practice text to review Chapter 11, “Groups in Community Settings,” pages 383–422.

Use the Capella Library to read the following:

· Walijarvi, C. M., Weiss, A. H., & Weinman, M. L. (2012). A traumatic death support group program: Applying an integrated conceptual frameworkDeath Studies, 36(2), 152–181.

Unit 7 Discussion 2

Managing Late-Life Divorces Through Group Counseling

Lilly is a 76-year-old woman who has recently divorced from her spouse of 52 years. She reports a lengthy history of verbal and physical abuse, which escalated after her husband’s alcoholic relapse 10 years earlier. Lilly currently lives with her adult son. She reports minimal engagement with her other children and has experienced increased loneliness and uncertainty about her decision. Lilly expresses guilt from causing a rift in the family.

Propose the effectiveness of group counseling to help Lilly manage late-life divorce. How might the group process help Lilly reconcile feelings of guilt and loss? Use your knowledge of group processes and a minimum of two research articles to substantiate statements.

Resources

· Discussion Participation Scoring Guide.