Describe Saks’s or McGough’s experiences with schizophrenia. Identify onset, associated features (specifically referencing the positive and negative symptoms), development, and course. 

Experiences of schizophrenia are not homogeneous; there is wide variety in onset, course of illness, and combinations of symptoms. Social workers need to be able to understand the different manifestations and pathways of the illness to plan interventions. Social work services play a key role in stabilizing crises, supporting family coping, and influencing overall quality of life and outcomes of individuals with schizophrenia. In this Assignment, you practice applying this necessary individualization.

To prepare: In the Learning Resources, focus on the associated features, development, and course of the illnesses in the schizophrenia spectrum. Also focus on descriptions of the disorder and the way it develops for different individuals.

Choose two articles from the list in the Learning Resources that apply to treatment support and interventions for the schizophrenia spectrum and other psychotic disorders chapter in the DSM 5. Choose either Saks or McGough to focus on for this assignment.

Submit a 3- to 4-page paper, supported by at least 4 scholarly resources (See below) (not including DSM-5), in which you address the following:

  • Describe Saks’s or McGough’s experiences with schizophrenia. Identify onset, associated features (specifically referencing the positive and negative symptoms), development, and course.
  • Explain how you would use the Clinician Rated Dimensions of Psychosis Symptom Severity measure and the WHODAS to help confirm your diagnosis.
  • Explain how you would plan treatment and individualize it for Saks or McGough. Support your response with references to scholarly resources. In your explanation, consider the following questions:
    • What are the long-term challenges for someone living with the illness?
    • What social, family, vocational, and medical supports are needed for long-term stabilization?
  • Briefly explain how race/ethnicity, gender, sexual orientation, socioeconomic status, religion, or other identity characteristics may influence an individual’s experience with schizophrenia.

Resources to use: see attachments as well

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Review the Trauma Case Study for Maryam. Write a 750-1,000-word essay answering the following questions. Your number one goal is to make sure she is safe.

Provide appropriate support for your answers by citing the DSM.

  1. What are the key assessment issues to consider?
  2. Do you think this is a crisis situation? Why or why not? Explain.
  3. What is the client’s immediate need? Be specific.
  4. What specific interventions do you feel are necessary with this client?
  5. What is the possible diagnosis for this client? Provide supportive reasoning for your diagnosis. Why?
  6. Is this client suffering a stress disorder? Define which one and the symptoms associated.
  7. How does the biology of trauma present in this case?
  8. Should Maryam’s family be notified? Explain.
  9. Would you feel competent enough to work with this client? Why or why not?
  10. Should you seek additional resources to help with this case? Explain.
  11. Do you have coordination or treatment issues to consider? Explain.

Include a minimum of three scholarly references in addition to the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

Trauma Case Study

Reason for Referral

Maryam is a 17-year-old Caucasian female university student who was referred to your agency by her physician Dr. Jaffee. Maryam presented in her doctor’s office complaining of lack of sleep. Dr. Jaffee did not give her medication as Maryam has reported drinking three to four glasses of vodka and orange juice per night to sleep. Dr. Jaffee’s report indicates the patient is sleeping 2-4 hours per night and often awakens with nightmares. Blood tests were normal with the exception of slightly elevated liver enzymes. Blood pressure was 130/94. Patient was scheduled for a follow-up appointment in 2 weeks.

Behavioral Observations

Maryam arrived on time for her appointment. She was driven to the appointment by her university roommate. The client appeared anxious, had circles under her eyes, and was tearful during the intake. Maryam was oriented to time, place, and person. Client vocabulary was above average. Client appeared tired and despondent evidenced by low voice, soft speech, and flat affect.

Presenting Problem

Maryam states “I can’t drive a car. I am too afraid that someone will hit me or I will hit someone else. I can’t sleep so I don’t get up to go to class in the morning.” Client states, “I am afraid to drive.” She goes on to state, “I made such a horrible mistake; I don’t deserve to live. I am so stupid.”

Client states that she was involved in a three car accident 2 months ago. Client reports one person was critically injured and the other was treated and released at the hospital. Client reports she received a citation, as she turned in front of two oncoming cars at a red light.

Support System

Client reports that she lives in student housing on the campus of a local university. She has one roommate who brought her to today’s appointment.

Legal: Client is facing legal problems due to the accident.

Family Support: Maryam’s family lives out of state. She has no relatives that live locally.

Discuss other strategies that align with operational conditioning that could also sculpt the behavior in your peer’s choice of scenario. Would classical conditioning be effective? Does observational learning play a role in this behavior?

Please respond to each student in 300 words or more. Total of at least 600 words.

For the responses:

  • Review the suggestions provided by your peer and provide useful input on the potential effectiveness.
  • Discuss other strategies that align with operational conditioning that could also sculpt the behavior in your peer’s choice of scenario. Would classical conditioning be effective? Does observational learning play a role in this behavior?
  • If you did not post originally on this content, share you own behavioral modification plan.

Student 1: Ashley Drummond

 

Joe wants his son to earn good grades

“Learning is defined as relatively permanent changes in behavior that result from experience but are not caused by fatigue, maturation, drugs, injury, or disease.” (Lefrancois, Guy. 2020,2016, 2011).  Learning is something that can be changed, Joe wanting his son to earn good grades is something that can be done. Joe may need to get more involved and help his son reach a goal of better grade. This could include studying together, making sure his does his assignments, communicate with both his son and the teacher to make sure he is understanding the material, and offer him any of support or resources he may need. All children these days are obsessed with electrics. A cell phone can be used to make him work harder. Chores are good for children to have. They teach responsibility and how to clean up after themselves as well as how to maintain a home. More chores or a more difficult chore can be added as punishment Joe can offer positive reinforcer.

  • If you bring up your grades, I will allow you to have your phone on weeknights.

Joe can off negative reinforcer as well.

  • If you do not bring up grades, I will add cleaning the kitchen to your chore list.

Negative punisher

  • Since you didn’t bring up your grades, your phone will be taken away all together.

Three factors that could impact the success of Joe’s learning are intellectual factor, emotional and social factors, and environmental factors. Intellectual factor “refers to the individual mental level. Success in school is generally closely related to level of the intellect” (Mondal, P. n.d.). If Joe’s son has a low intellectual factor, it is going to make it more difficult to learn and understand the material and get a high grade.

Emotional and social factor play huge roles in education. Emotions can run high and cause children to pull back from education when they are struggling with the material, teacher, or even peers. Emotions will run high, and negative causing children to associate education with feelings like disgust, shames, hate, and pain. “Some pupils are in a continuing state of unhappiness because of their fear of being victims of the disapproval of their teachers and classmates. This is an unwholesome attitude and affects the learning process to a considerable degree. This is often­times the result of bad training” (Mondal, P. n.d.).

Environmental factors included physical factors needed for learning. A major factor that affects learning efficiency is where it takes place. This includes the classrooms, textbooks, equip­ment, supplies, and other any other materials. Proper learning and engagement from children can’t happen without the proper resources and support. “In the school and at the home, the conditions for learning must be favorable and adequate if teaching is to produce the desired results. It cannot be denied that the type and quality of instructional materials and equipment play an important part in the instructional efficiency of the school” (Mondal, P. n.d.).

According to Lefrancois, operant conditioning is “learning that involves an increase in the probability of a response as a function of reinforcement” (2020, 2016, 2011). This includes behaviors such as walking, watching television, and listening to music, classical conditioning doesn’t have an explanation for these behaviors. “Skinner calls them operants because they are operations that are performed on the environment rather than in response to it” (Lefrancois, Guy. 2020,2016, 2011).

Student 2: Trisha Atkinson

 

Scenario: Moore wants his dog to stop jumping up on visitors.

There are two types of conditioning in learning, classical conditioning and operant conditioning. Classical conditioning is defined as “the process by which an initially neutral stimulus acquires the ability to elicit a predictable response (LeFrancois, 2020).” Operant conditioning is defined as “operations that are performed on the environment rather than in response to it (LeFrancois, 2020).”
Moore wants his dog to stop jumping up on visitors. In order to do that, a plan will need to be placed. A combination of classical conditioning and operant conditioning will be used. Beginning with a continuous schedule, then switching to an intermittent schedule. Using the correct amount of reinforcement and punishment will lead to matching law. Matching law is “when placed in a choice situation, an organism’s behavior tends to be guided by the probability of reinforcement (LeFrancois, 2020).”

Classical conditioning and operant conditioning can be effective for training the dog. Several factors are related directly to the ease with which a classically conditioned response can be acquired. One is the distinctiveness of the CS. Not surprisingly, a stimulus that is easily discriminated from other stimulation will more easily become associated with a response. That’s why a bell, a buzzer, or a single shouted command is a good stimulus for conditioning a dog. A sentence, however meaningful it might be, is not likely to be nearly as effective (LeFrancois, 2020). An effective way of training the dog to stop jumping up on visitors, Moore can acquire a whistle. Each time the dog jumps up on a visitor, Moore blows the whistle and removes the dog from the visitor. This is an example of positive reinforcement and negative reinforcement. Positive being adding the whistle, negative being removing the visitor. To be added to this, punishment for jumping up on a visitor can occur. Moore will blow the whistle, remove the dog from the visitor and places the dog in a kennel, associated with time out. This will begin the learning process. Each time a visitor comes in and the dog does not jump up on the visitor, the dog receives a treat. Another form of positive reinforcement. In time, the dog will learn that the whistle means no and that jumping on a visitor is not an acceptable behavior. Staying down off a visitor is the desirable behavior being sought. Each time this happens, the dog will associate not jumping with a treat, therefore leading to the desirable behavior. This is shaping. “Reinforcement increases the probability of a behavior (LeFrancois, 2020).”
Three factors that might impact the success of this plan are as follows: One, the dog may associate the visitor with a treat each time, instead of the desirable behavior. Two, visitors not coming frequently because without the stimulus the behavior can not be learned appropriately. Three, other outside influences such as, the visitor tapping the chest and saying up, or others in the home not conceding with the imposed plan. Ethical considerations with operant conditioning in this case are that the punishment for jumping up on a visitor require the dog to be in a kennel, basically for a time out. This may not seem ethical because, it could cause the dog emotional stress each time the dog is in a kennel, even if the reason is not for punishment.

What  is the name of the theory reinforcement (R) and punishment (P) are a  part of? Explain the name. (2) Who created this theory (2)?

By using my notes and reading book chapters. Pick one essay to complete.

Answer in complete sentences and academic  paragraphs (min. 8 sentences). Use your own words (UYOW) to complete  essays in a minimum of two typed pages;10% deduction from total possible  points if not in own words; 10% deduction if essay does not meet  minimum length requirements; 10% deduction if no citation or reference  page; 50% deduction if not based on class data.

What  is the name of the theory reinforcement (R) and punishment (P) are a  part of? Explain the name. (2) Who created this theory (2)? What portion  of this three part theory do R and P represent (4)?  What is the  intended purpose of reinforcement (2)?  What is the intended purpose of  punishment (2)? Define and then provide an example of positive  reinforcement, negative reinforcement, positive punishment, and finish  with negative punishment (36). Explain one way learning is related to  memory and intelligence (12) (define then relate terms for full credit).

What are the three goals of thinking? (6) Define  an algorithm (2). List and explain one strength and one weakness of  using an algorithm (6). Define a heuristic (2). List and explain one  strength and one weakness of using a heuristic (6).  Provide an original  example of an algorithm that you have used (6), and provide a properly  named example of a heuristic you have used (6). How can cognitive  distortions hinder thinking (4)? Identify two distortions from the list  (describe what they mean, and share how each of the distortions you  chose might distort reality) (12)? What is one relationship between  intelligence and cognition (use definitions then relate terms for full  credit)(10)?