Program Evaluation: Benefits And Concerns Of Stakeholders

Dudley (2009) points out that social work practice is usually embedded in programs. While you looked at practice evaluation using single-subject design in Week 3, this week, you shift focus to program evaluation. Program evaluation serves many purposes, including accountability to funders and to the public. Often, funding sources such as government agencies or private foundations requires periodic program evaluations. These evaluations can help provide answers to many different questions, and can contribute to improvement of services. There are a variety of program evaluation models that are appropriate for addressing different questions as well as facilitating the collection and analysis of many different types of data.

To prepare for this Discussion, identify a program within an agency with which you are familiar, which could benefit from process evaluation and outcome evaluation. You do not need to identify the agency in your post. Also, review the different evaluation models highlighted in this week’s resources (needs assessment, program monitoring, client satisfaction study, outcome evaluation, or cost benefit study).

Post(2 to 3) a brief summary of the program that you selected. Recommend a program evaluation model that would answer a question relevant to the program. Explain the potential benefits of the program evaluation that you proposed (both process and outcome). Identify 2–3 concerns that stakeholders might have about your proposed evaluation and how you would address those concerns. Then explain 2–3 concerns that stakeholders may have about your proposed program evaluation and how you would address those concerns.

 

Required Readings

Dudley, J. R. (2014). Social work evaluation: Enhancing what we do. (2nd ed.) Chicago, IL: Lyceum Books.
Chapter 1, “Evaluation and Social Work: Making the Connection” (pp. 1–26)
Chapter 4, “Common Types of Evaluations” (pp. 71-89)
Chapter 5, “Focusing an Evaluation” (pp. 90-105)

Document: Logan, T. K., & Royse, D. (2010). Program evaluation studies. In B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 221–240). Thousand Oaks, CA: Sage. (PDF)
Copyright 2010 by Sage Publications, Inc.
Reprinted by permission of Sage Publications, Inc. via the Copyright Clearance Center.

W. K. Kellogg Foundation. (2017). The step-by-step guide to evaluation: How to become savvy evaluation consumers. Retrieved from https://www.wkkf.org/resource-directory/resources/2017/11/the-step-by-step-guide-to-evaluation–how-to-become-savvy-evaluation-consumers

Chapter 4, “Overview of the Evaluation Process That Reflects Evaluation Thinking”
Chapter 5, “Preparing for the Evaluation”
Chapter 6, “Determine Stakeholders and Engage Them in Evaluation”
Chapter 7, “Developing a Logic Model, Evaluation Questions, “Measurement Framework, and Evaluation Plan”
Chapter 8, “Data Collection and Analysis”
Chapter 9, “Summarize, Communicate and Reflection on Evaluation Findings”

Module Assessment: Dynamics Of Inter-Group Conflict

Examine a scenario that includes an inter-group conflict. In this scenario, you are recognized as an authority in cross-cultural psychology and asked to serve as a consultant to help resolve the conflict. You will be asked to write up your recommendations in a 6-page paper not including your title and reference page.

Darley, J.M. & Latané, B. (1968). Bystander interview in emergencies: Diffusion of responsibility. Journal of Personality and Social Psychology, 8(4), 377-383.

 

Scenario: Culture, Psychology, and Community

Imagine an international organization has approached you to help resolve an inter-group conflict. You are an authority in cross-cultural psychology and have been asked to serve as a consultant based on a recent violent conflict involving a refugee community in your town and a local community organization. In the days, weeks, and months leading up to the violent conflict, there were incidents of discrimination and debates regarding the different views and practices people held about work, family, schools, and religious practice. Among the controversies has been the role of women’s participation in political, educational, and community groups.

 

Part 1: Developing an Understanding (2 pages)

  • Based on the scenario, explain how you can help integrate the two diverse communities so that there is increased understanding and appreciation of each group by the other group. (Note: Make sure to include in your explanation the different views and practices of cultural groups as well as the role of women.)
  • Based on your knowledge of culture and psychology, provide three possible suggestions/solutions that will help the community as a whole. In your suggestions make sure to include an explanation regarding group think and individualism vs. collectivism.

 

Part 2: Socio-Emotional, Cognitive, and Behavioral Aspects (2 pages)

  • Based on your explanations in Part 1, how do your suggestions/solutions impact the socio-emotional, cognitive, and behavior aspects of the scenario and why?

 

Part 3: Gender, Cultural Values and Dimensions, and Group Dynamics (2 pages)

  • Explain the impact of gender, cultural values and dimensions, and group dynamics in the scenario.
  • Further explain any implications that may arise from when working between and within groups.

Support your Assignment by citing all resources in APA style, including those in the Learning Resources.

Journal of Personality and Social Psychology 1968, Vol. 8, No. 4, 377-383

BYSTANDER INTERVENTION IN EMERGENCIES:

DIFFUSION OF RESPONSIBILITY3

JOHN M. BARLEY

New York University

BIBB LATANfi

Columbia University

Ss overheard an epileptic seizure. They believed either that they alone heard the emergency, or that 1 or 4 unseen others were also present. As predicted the presence of other bystanders reduced the individual’s feelings of personal responsibility and lowered his speed of reporting (p < .01). In groups of size 3, males reported no faster than females, and females reported no slower when the 1 other bystander was a male rather than a female. In general, personality and background measures were not predictive of helping. Bystander inaction in real-life emergencies is often explained by “apathy,” “alienation,” and “anomie.” This experiment suggests that the explanation may lie more in the bystander’s response to other observers than in his indifference to the victim.

Several years ago, a young woman was stabbed to death in the middle of a street in a residential section of New York City. Al- though such murders are not entirely routine, the incident received little public attention until several weeks later when the New York Times disclosed another side to the case: at least 38 witnesses had observed the attack— and none had even attempted to intervene. Although the attacker took more than half an hour to kill Kitty Genovese, not one of the 38 people who watched from the safety of their own apartments came out to assist her. Not one even lifted the telephone to call the police (Rosenthal, 1964).

Preachers, professors, and news commenta- tors sought the reasons for such apparently conscienceless and inhumane lack of interven- tion. Their conclusions ranged from “moral decay,” to “dehumanization produced by the urban environment,” to “alienation,” “anomie,” and “existential despair.” An anal- ysis of the situation, however, suggests that factors other than apathy and indifference were involved.

A person witnessing an emergency situa- tion, particularly such a frightening and

1 This research was supported in part by National Science Foundation Grants GS1238 and GS1239. Susan Darley contributed materially to the design of the experiment and ran the subjects, and she and Thomas Moriarty analyzed the data. Richard Nisbett, Susan Millman, Andrew Gordon, and Norma Neiman helped in preparing the tape recordings.

dangerous one as a stabbing, is in conflict. There are obvious humanitarian norms about helping the victim, but there are also rational and irrational fears about what might happen to a person who does intervene (Milgram & Hollander, 1964). “I didn’t want to get involved,” is a familiar comment, and behind it lies fears of physical harm, public embar- rassment, involvement with police procedures, lost work days and jobs, and other unknown dangers.

In certain circumstances, the norms favor- ing intervention may be weakened, leading bystanders to resolve the conflict in the direc- tion of nonintervention. One of these circum- stances may be the presence of other on- lookers. For example, in the case above, each observer, by seeing lights and figures in other apartment house windows, knew that others were also watching. However, there was no way to tell how the other observers were reacting. These two facts provide several reasons why any individual may have delayed or failed to help. The responsibility for help- ing was diffused among the observers; there was also diffusion of any potential blame for not taking action; and finally, it was possible that somebody, unperceived, had already initiated helping action.

When only one bystander is present in an emergency, if help is to come, it must come from him. Although he may choose to ignore it (out of concern for his personal safety, or desires “not to get involved”), any pres-

377

 

 

,178 JOHN M. DARLEY AND BIBB LATANTC

sure to intervene focuses uniquely on him. When there are several observers present, however, the pressures to intervene do not focus on any one of the observers; instead the responsibility for intervention is shared among all the onlookers and is not unique to any one. As a result, no one helps.

A second possibility is that potential blame may be diffused. However much we may wish to think that an individual’s moral behavior is divorced from considerations of personal punishment or reward, there is both theory and evidence to the contrary (Aronfreed, 1964; Miller & Bollard, 1941, Whiting & Child, 19S3). It is perfectly reasonable to assume that, under circumstances of group responsibility for a punishable act, the pun- ishment or blame that accrues to any one individual is often slight or nonexistent.

Finally, if others are known to be present, but their behavior cannot be closely observed, any one bystander can assume that one of the other observers is already taking action to end the emergency. Therefore, his own intervention would be only redundant—per- haps harmfully or confusingly so. Thus, given the presence of other onlookers whose behavior cannot be observed, any given by- stander can rationalize his own inaction by convincing himself that “somebody else must be doing something.”

These considerations lead to the hypothesis that the more bystanders to an emergency, the less likely, or the more slowly, any one bystander will intervene to provide aid. To test this propostion it would be necessary to create a situation in which a realistic “emergency” could plausibly occur. Each sub- ject should also be blocked from com- municating with others to prevent his getting information about their behavior during the emergency. Finally, the experimental situa- tion should allow for the assessment of the speed and frequency of the subjects’ reaction to the emergency. The experiment reported below attempted to fulfill these conditions.

PROCEDURE

Overview. A college student arrived in the labora- tory and was ushered into an individual room from which a communication system would enable him to talk to the other participants. It was explained to him that he was to take part in a discussion

about personal problems associated with college life and that the discussion would be held over the intercom system, rather than face-to-face, in order to avoid embarrassment by preserving the anonym- ity of the subjects. During the course of the dis- cussion, one of the other subjects underwent what appeared to be a very serious nervous seizure simi- lar to epilepsy. During the fit it was impossible for the subject to talk to the other discussants or to find out what, if anything, they were doing about the emergency. The dependent variable was the speed with which the subjects reported the emer- gency to the experimenter. The major independent variable was the number of people the subject thought to be in the discussion group.

Subjects. Fifty-nine female and thirteen male stu- dents in introductory psychology courses at New York University were contacted to take part in an unspecified experiment as part of a class requirement.

Method. Upon arriving for the experiment, the subject found himself in a long corridor with doors opening off it to several small rooms. An experi- mental assistant met him, took him to one of the rooms, and seated him at a table. After filling out a background information form, the subject was given a pair of headphones with an attached microphone and was told to listen for instructions.

Over the intercom, the experimenter explained that he was interested in learning about the kinds of personal problems faced by normal college students in a high pressure, urban environment. He said that to avoid possible embarrassment about dis- cussing personal problems with strangers several precautions had been taken. First, subjects would remain anonymous, which was why they had been placed in individual rooms rather than face-to-face. (The actual reason for this was to allow tape recorder simulation of the other subjects and the emergency.) Second, since the discussion might be inhibited by the presence of outside listeners, the experimenter would not listen to the initial discus- sion, but would get the subject’s reactions later, by questionnaire. (The real purpose of this was to remove the obviously responsible experimenter from the scene of the emergency.)

The subjects were told that since the experimenter was not present, it was necessary to impose some organization. Each person would talk in turn, pre- senting his problems to the group. Next, each person in turn would comment on what the others had said, and finally, there would be a free discussion. A mechanical switching device would regulate this dis- cussion sequence and each subject’s microphone would be on for about 2 minutes. While any micro- phone was on, all other microphones would be off. Only one subject, therefore, could be heard over the network at any given time. The subjects were thus led to realize when they later heard the seizure that only the victim’s microphone was on and that there was no way of determining what any of the other witnesses were doing, nor of discussing the event and its possible solution with the others. When these instructions had been given, the discus- sion began.

 

 

BYSTANDER INTERVENTION IN EMERGENCIES 379

In the discussion, the future victim spoke first, saying that he found it difficult to get adjusted to New York City and lo his studies. Very hesitantly, and with obvious embarrassment, he mentioned that he was prone to seizures, particularly when studying hard or taking exams. The other people, including the real subject, took their turns and discussed similar problems (minus, of course, the proneness to seizures). The naive subject talked last in the series, after the last prerecorded voice was played.2

When it was again the victim’s turn to talk, he made a few relatively calm comments, and then, growing increasingly louder and incoherent, he continued:

I-er-um-I think I-I necd-er-if-if could-er-er-some- body er-er-er-er-er-er-er give me a liltle-er-give me a little help here because-er-I-er-I’m-er-er- h-h-having a-a-a real problcm-er-right now and I-er-if somebody could help me out it would-it would-er-er s-s-sure be-sure be good . . . because- cr-there-er-cr-a cause I-er-I-uh-I’ve got a-a one of the-er-sei er-cr-things coming on and-and-and I could really-er-use some help so if somebody would-er-give me a little h-help-uh-er-er-er-er-er c-could somebody-er-er-help-er-uh-uh-uh (choking sounds). . . . I’m gonna die-er-er-I’m . . . gonna die-er-help-er-er-seizure-er-[chokes, then quiet].

The experimenter began timing the speed of the real subject’s response at the beginning of the vic- tim’s speech. Informed judges listening to the tape have estimated that the victim’s increasingly louder and more disconnected ramblings clearly repre- sented a breakdown about 70 seconds after the signal for the victim’s second speech. The victim’s speech was abruptly cut off 125 seconds after this signal, which could be interpreted by the subject as indicating that the time allotted for that speaker had elapsed and the switching circuits had switched away from him. Times reported in the results are measured from the start of the fit.

Group size variable. The major independent vari- able of the study was the number of other people that the subject believed also heard the fit. By the assistant’s comments before the experiment, and also by the number of voices heard to speak in the first round of the group discussion, the subject was led lo believe that the discussion group was one of three sizes: either a two-person group (consisting of a person who would later have a fit and the real subject), a three-person group (consisting of the victim, the real subject, and one confederate voice), or a six-person group (consisting of the victim, the real subject, and four confederate voices). All the confederates’ voices were tape-recorded.

Variations in group composition. Varying the kind as well as the number of bystanders present at an

2 To test whether the order in which the subjects spoke in the first discussion round significantly af- fected the subjects’ speed of report, the order in which the subjects spoke was varied (in the six- person group). This had no significant or noticeable effect on the speed of the subjects’ reports.

emergency should also vary the amount of respon- sibility felt by any single bystander. To test this, several variations of the three-person group were run. In one three-person condition, the taped by- stander voice was that of a female, in another a male, and in the third a male who said that he was a premedical student who occasionally worked in the emergency wards at Bellevue hospital.

In the above conditions, the subjects were female college students. In a final condition males drawn from the same introductory psychology subject pool were tested in a three-person female-bystander condition.

Time to help. The major dependent variable was the time elapsed from the start of the victim’s fit until the subject left her experimental cubicle. When the subject left her room, she saw the experimental assistant seated at the end of the hall, and invari- ably went to the assistant. If 6 minutes elapsed without the subject having emerged from her room, the experiment was terminated.

As soon as the subject reported the emergency, or after 6 minutes had elapsed, the experimental assistant disclosed the true nature of the experi- ment, and dealt with any emotions aroused in the subject. Finally the subject filled out a questionnaire concerning her thoughts and feelings during the emergency, and completed scales of Machiavellian- ism, anomie, and authoritarianism (Christie, 1964), a social desirability scale (Crowne & Marlowe, 1964), a social responsibility scale (Daniels & Berkowitz, 1964), and reported vital statistics and socioeconomic data.

Select a diagnosis from the following: PTSD

Select a diagnosis from the following:

  • PTSD
  • Anorexia Nervosa
  • Schizophrenia
  • Bipolar Disorder
  • Insomnia
  • Other type of diagnosis with instructor approval

Write a 750-1,000-word paper about your selected diagnosis. Use headings and include the following in your paper:

  • A brief summary of the chosen disorder that includes symptoms, prevalence, development, and course according to the most recent version of the DSM.
  • An explanation of the types of tools that would be used in order to make a diagnosis of the disorder. One tool described should be the DSM‘s cross-cutting symptom measure.
  • A minimum of two recommended psychological tests that could be used for the selected diagnosis.
  • For each of the tests listed, include an explanation if the test is considered reliable and valid (use the Mental Measurements Yearbook in the GCU Online Library for this information). The Mental Measurements Yearbook can be found by navigating to the Mental Measurements Yearbook link, then scrolling to the Mental Measurements Yearbook with Tests in Print.
  • Would a personality assessment be an appropriate tool for diagnosis? Why or why not?
  • Additional information about each test to include the price, length of time to administer, and any other relevant information.

Include at least three scholarly references in addition to the textbook in your paper.

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.

Split Brain

“Split My Brain” by Julia Omarzu Page 1

Part I—Jerrod and Jump Jerrod Hamilton is seven years old. He is an only child and much loved by his parents, Karen and Jeff , and by his extended family of grandparents, aunts, uncles, and cousins. Jerrod has always been a very active boy. He loves hockey, baseball, swimming at the local pool, climbing trees, and playing with his golden retriever, Jump. Making friends has never been a problem for Jerrod. He has several good friends he plays ball with whenever he can. He also does fairly well in school, although he is not as interested in the classroom as he is in recess.

Shortly before Jerrod’s seventh birthday, he had a small seizure. He was out playing with his dad and Jump in the yard, when suddenly he stopped, his right arm twitched a little and he seemed disoriented for a few seconds. Afterward he said he was fi ne, but his mother Karen thought he was quieter than usual. Both his parents watched him more closely in the following days. Soon he had another couple of episodes of muscle twitching and weakness. During these seizures, Jerrod also stared blankly, moving his head slightly back and forth, and for a minute or two could not respond to his parents. When the seizures ended, Jerrod had no memory of them.

Jerrod’s parents took him to their pediatrician, Dr. Madeline Sierra, who listened as Jerrod’s parents described his symptoms.

“Before I try to conclude anything, I’d like to order several tests for Jerrod, including an EEG and an MRI scan. I know that sounds a little scary, but the tests are painless and noninvasive. We should get the results back very quickly. Once I see those, I’ll know more about what’s going on.”

“A friend of mine said it sounds like Jerrod might have epilepsy,” said Karen. “Is that what you think? How serious would that be?”

“Epilepsy is one possibility,” replied the doctor. “It is a relatively common problem and there are some very good treatments for it.”

Dr. Sierra went on to explain: “Th e brain uses electrical energy. Th e cells of the brain, called neurons, emit a small electrical charge when they send messages to other cells. Th is is how the brain communicates and runs your mind and body.” Dr. Sierra interrupted her explanation for a moment to show them a diagram of a neuron.

Split My Brain: A Case Study of Seizure Disorder and Brain Function by Julia Omarzu Department of Psychology Loras College, Dubuque, Iowa

 

 

“Split My Brain” by Julia Omarzu Page 2

“In epilepsy, the neurons somehow get out of control,” Dr. Sierra continued. “Th e electri- cal activity increases to a level that the brain can not manage. Th at produces what we call seizures, where people lose control of their voluntary behaviors for a brief time. Sometimes seizures are nothing more than short lapses of consciousness. Other times they involve con- vulsions or involuntary movements.”

Jeff and Karen looked at each other. “Th at sounds sort of like what’s happening to Jerrod,” Jeff said.

“Yes, it does. But let’s not jump to any conclu- sions. I’d rather wait for the tests.” Dr. Sierra paused. “I would also recommend something else,” she said. “Th is is something that many families fi nd helpful. Starting today, I suggest that you keep a journal or record of Jerrod’s illness. Include his symptoms, tests, informa- tion from doctors, any treatments or therapies. Document everything. I will help you, but ultimately, you and Jerrod are the ones who will have to make the decisions, and there will be lots to think about along the way. I think you will be grateful later to have a record of what you learn and observe.”

Th at evening Karen and Jeff called a family meeting to share the results of the doctor’s visit.

You will help Jerrod’s family by keeping the record Dr. Sierra suggested. Begin creating Jerrod’s records by including the following information in a way that Jerrod’s family can use and understand. You are encour- aged to do further research, but you must synthesize the information you get from the research into a new form that suits Jerrod’s situation. Do not just cut and paste from the Internet.

Jerrod’s Records • Why is there electrical activity in the brain? Describe how it is used by neurons. • What happens in the brain during a seizure? • What is epilepsy? How is it diagnosed? • What are the procedures for doing an EEG test and MRI scan? What type of information does each of

these tests provide? (See http://www.epilepsy.com/articles/ar_1066258237.html and http://www.epilepsy.com/articles/ar_1066257900.html.)

• What are some possible causes of seizures other than epilepsy? • Based on the information in the case, what type of seizures does Jerrod appear to be having? • What should you do during a seizure to help Jerrod? • What are some treatments for epilepsy?

 

http://www.epilepsy.com/articles/ar_1066258237.html
http://www.epilepsy.com/articles/ar_1066257900.html

 

“Split My Brain” by Julia Omarzu Page 3

Part II—A Diffi cult Decision Jerrod’s tests were done right away, and his parents met again with Dr. Sierra. Jerrod’s symptoms were esca- lating. He had daily seizures, and they included disorientation as well as uncontrollable repetitive movements on the right side of his body. He often felt tired and weak after the seizures.

“Why is this happening to Jerrod?” his mother asked. “Did he get hit in the head or something?”

Dr. Sierra shook her head. “Jerrod’s test results show no evidence of an injury like that. Th e other good news is that there is nothing to indicate a brain tumor. I am more confi dent that we are dealing with a form of epilepsy, which is probably very treatable. It’s also unlikely to be caused by anything he did or you did. However, given the rapid change in Jerrod’s symptoms, I would like to refer you to a specialist in neurologi- cal disorders. Our offi ce will help set up an appointment.”

“Now, I want you to know I’m not abandoning you on this. I’ll be following Jerrod carefully, too. But I don’t think we should take any chances with this little guy.” She smiled and ruffl ed Jerrod’s hair.

Dr. Sierra’s referral sent Jerrod and his parents to a neurologist who specialized in seizure disorders. Dr. Benjamin Singh questioned Jerrod and his parents carefully about the seizures. He then opened up the folder with Jerrod’s test results and discussed them with Karen and Jeff .

“Here is the output from Jerrod’s EEG exam.” Dr. Singh showed them a printout. “Th is test shows us the level of electrical activity in Jerrod’s brain. Th ere is a particular pattern of spikes here that shows his seizure activity. Based on these tests and some other indications, I believe Jerrod’s seizures are what we call ‘partial’ seizures. Th is means that they only involve part of the brain. And right now, his MRI scan is okay.”

Jerrod’s parents looked at each other with some relief.

“However,” the doctor added, “if we do not fi nd a way to reduce or control the current level of seizure activity I am afraid that Jerrod’s brain will begin to show some damage, regardless of how much of it is now involved. Fortunately, there are several treatment options available to us. Let’s start with a seizure medica- tion.”

Dr. Singh prescribed medication to help treat Jerrod’s disorder. Th e fi rst medication didn’t succeed, so Dr. Singh and Dr. Sierra conferred and then tried another. After some time and other combinations of medica- tions, it became clear that this type of treatment would be problematic for Jerrod. His seizures were becom- ing more severe and more frequent. Th e doctors ordered more tests and then Dr. Singh met with Jeff and Karen.

Dr. Singh pulled out Jerrod’s records. “Here is a picture from Jerrod’s new MRI scan. Look at this area in the left side of the brain. We are beginning to see some slight abnormalities here that indicate Jerrod’s brain is starting to be damaged by the seizures.”

Jeff asked, “What is going on? Why don’t the medicines work? You’ve said there’s no injury or tumor. So, is this a condition he inherited from us somehow? Or is it an allergic reaction to something?”

 

 

“Split My Brain” by Julia Omarzu Page 4

“No,” Dr. Singh reassured them. “Most likely none of those things are causing Jerrod’s problem. Th is is also not your fault or Jerrod’s fault. I believe that Jerrod has a disorder called Rasmussen Syndrome. Unfortu- nately, we don’t know what causes it. Some people suspect it may be some type of viral infection, but we don’t know for sure. So, likely there is nothing you could have done to prevent it. It involves the type and frequency of seizures we are seeing in Jerrod and usually occurs in children of about Jerrod’s age. I must warn you that it is a progressive and potentially serious illness that often does not respond to medication.”

Dr. Singh went on to describe another type of more drastic treatment that might work in Jerrod’s case.

“Th e upper part of the brain, the cerebrum, is divided into two halves, or two hemispheres,” Dr. Singh explained. “In some cases of severe seizure disorders, seizure activity seems to be concentrated in one half or hemisphere of the brain. Th is is the case in Jerrod’s illness.”

Dr. Singh showed them a diagram of the brain.

“In Jerrod’s case, his seizure activity is located primarily in the left hemisphere of his brain. Sometimes, we can control or even eliminate seizure activity by removing the portion of the brain which is suff ering. We call this a functional hemispherectomy.”

“What do you mean, ‘removing’? You take out his brain?” Karen was horrifi ed.

 

 

“Split My Brain” by Julia Omarzu Page 5

Copyright © 2004 by the National Center for Case Study Teaching in Science. Originally published 09/19/04 at http://www.sciencecases.org/split_brain/split_brain.asp Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

“Not his entire brain, just the parts that show abnormal activity. In Jerrod’s brain, that would mean a large part of his left hemisphere. We would remove Jerrod’s left temporal lobe, part of his left frontal lobe, and perhaps some areas in his parietal and occipital lobes. We would also sever the corpus collosum, the band of tissue that connects the two hemispheres and allows them to communicate. We would leave intact Jerrod’s thalamus, amygdala, hippocampus, and other deep structures of the brain.”

Dr. Singh looked at their worried faces. “It sounds terrible, but there have been quite a number of these surgeries performed. We have an excellent team of specialists with a great deal of experience performing this type of surgery and with the rehabilitation that would follow. In cases like Jerrod’s, where medications are not working, it can lead to a signifi cantly better quality of life for the patient. Believe it or not, and I know it is diffi cult to believe, this may be our best option.”

Dr. Singh took out a sheet of paper from a folder. “I have the name of a support group that can put you in contact with people who have had to make this same decision for their children. You may want to talk with some of them before you decide.”

Jerrod’s Record—continued Add to the family records information about the following:

• What is Rasmussen Syndrome (what are its history, symptoms, prognosis, etc.)? • What structures or abilities of the brain are concentrated in the areas of the left hemisphere that would

be removed in the hemispherectomy? • Other than reducing his seizures, how else might Jerrod’s thinking or behavior be aff ected by losing

these parts of his brain? • What types of abilities would he still retain, because the brain structures would remain intact? • What might the family do to help Jerrod recover after such a surgery? • If Jerrod had the surgery, would his level of functioning get better, worse, or stay the same over time? • What other kinds of questions would you have about the surgery? Can you fi nd the answers? • What decision do you recommend to the family? Why or why not go ahead with surgery?

Image Credit: Diagrams courtesy of National Institute on Drug Abuse (NIDA).

 

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