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Gestalt therapy reflection summary
Gestalt therapy reflection summary
Reflection on gestalt therapy
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Girl, Interrupted- A Video Response
Differences in Initial Meeting or Diagnosis
Difference in Medical Response1
Susanne tried unsuccessfully to hurt herself and was not admitted to the medical hospital for a 72-hour psych hold. She was released back into the custody of her family. There appeared to be no follow up treatment from the hospital or medical organization that helped thwart the suicide attempt. Susanne was released back into the care of her family without the issuance of a case worker or without referral to external resources to help with her situation. Ultimately, she was sent to a bias family friend to receive treatment for her condition. (Mangold, 1999)
From the unset of her tale, one can tell a few advancements since the timing of the story in the 1960’s. First, it is uncommon when a patient is admitted into an emergency with an active attempt on their life for the patient to be release quickly to their family. Normal procedures state that they patient can be held for 48-72 hours if the physician believes there may be a genuine chance of harm. Second, it is also uncommon, that there would be no human services offered to the patient. It is more likely that if the patient was released, no matter if it is
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From the being of the known session, he may have been using Gestalt therapy practices questioning what Susanna saw as real. There was no true effort to examine what caused the client’s initial behavior. At one point, Susanna lost herself into a flash back and therapist want to blame her feelings and thought process on recreational drug instead of a psychiatric illness that may have been contributed to past experiences. After Susanne stated that she was not on any recreational drugs, the doctor suggests she needed rest to relieve her illness. When Susanne suggested she go home and rest, the doctor stated she needed to go to a place “where people like her could get real rest”. (Mangold,
The younger, healthier patients were evacuated from the hospital via helicopters and boats, followed by the older and sicker patients. It was decided that those who were difficult to move, terminally ill, or had previously signed a “do not resuscitate” order were to be evacuated last, leaving Pou and her colleagues with what they may have perceived as two choices: leave their most vulnerable patients to languish in the heat and discomfort of the hospital and let nature take its course, or hasten their deaths with the assistance of powerful narcotics in order to allocate precious resources to people with higher chances of survival. The abandonment of the patients would have presumably caused more pain and anguish than the swift relief of death, and Pou has maintained that she only acted to ease the suffering of her patients and has since worked to pass legislation that decriminalizes physician-administered euthanasia during disasters (Fink,
Susanna’s actions prove that she is continually working towards recovering. Jim Watson visits Susanna, asking her to run away with him, however, Susanna denies his proposal and stays at the institution: “For ten seconds I imagined this other life...the whole thing...was hazy. The vinyl chairs, the security screens, the buzzing of the nursing-station door: Those things were clear. ‘I’m here now, Jim,’ I said. ‘I think I’ve got to stay here’” (Kaysen 27). Susanna wants to stay at McLean until she is ready to leave; her choice supports what Buddha said, “There are only two mistakes one can make along the road to truth; not going all the way, and not starting” (Buddha). Susanna finds reassurance from McClean as she undergoes her journey. Susanna sees the young nurses at the ward who remind her of the life she could be living: “They shared apartments and had boyfriends and talked about clothes. We wanted to protect them so that they could go on living these lives. They were our proxies” (Kaysen 91). Susanna chooses to take these reminders as a positive motivating force along her journey. However, Susanna is also surrounded by patients who have different, more severe psychoses. These girls do not hinder Susanna’s progression, but instead emphasize her
This is a fascinating case because it presents the distinction between a patient’s right to refuse treatment and a physician’s assistance with suicide. Legally, Diane possessed the right to refuse treatment, but she would have faced a debilitating, painful death, so the issue of treatment would be a moot point. It would be moot in the sense that Diane seemed to refuse treatment because the odds were low, even if she survived she would spend significant periods of time in the hospital and in pain, and if she didn’t survive she would spend her last days in the hospital. If Diane were to merely refuse treatment and nothing else (as the law prescribes) than she would not have been able to avoid the death which she so dearly wanted to avoid.
Following her passing on Thanksgiving, “Munoz and his wife’s parents told the hospital that Marlise, herself a veteran paramedic, had made it clear to everyone she didn’t want to be kept alive by machines under any circumstances” (Goodwyn).... ... middle of paper ... ... “The Strange Case of Marlise Munoz and John Peter Smith Hospital.”
she’d never actually attempted suicide. While she was using antidepressants, however, she attempted suicide twice and her habit of self-harm increased.
Andrea Yates’ life started out completely normal. She graduated number one in her high school class, became a registered nurse for the Anderson Cancer Center in Houston, and met the love of her life and got married. Her life sounds as normal as anyone’s does. Four months after she gave birth to her fourth child, something changed. She tried her first suicide attempt by swallowing 40-50 sleeping pills. She was hospitalized to a psychiatric facility and diagnosed with major depressive disorder. Her doctor’s attempt to medicate her was unsuccessful. She was discharged due to insurance restrictions and according to Charles Patrick Ewing, a forensic psychologist and attorney who wrote the book Insanity, Murder, Madness, and the Law “her family contracted to keep a close eye on the patient.” Several months following her hospitalization, her mental health declined. She lost 13 pounds, had no energy, slept all day, and had memory and conce...
In June 1990, there was a large spark of this issue of mercy killing and assisted suicide when Dr. Jack Kevorkian assisted Janet Adkins a patient in suicide. This debate later on sky rocketed in March 1991 when a doctor, Timothy Quill also came clean to his assistance in the professional suicide of Diane Trumbull. From here, a large number of public events followed regarding physici...
Safranek, J 1998, Autonomy and assisted suicide: the execution of freedom, The Hastings Center Report, vol. 28, no. 4, pp. 32-6, viewed 10 May, .
Susan starts her first person account with stating her educational background and job at the time. She had been teaching at a high school and decided that she wanted to return to school as a graduate student and assistant at a West Coast college. She describes how she enjoyed this life and was very happy, until later that year she would experience the onset of delusions. Susan is very descriptive in her account of her delusions. They started off as nightmares for her, each getting more and more gruesomely violent until she had awoken from her sleep thinking that her unconscious had been influenced by some sort of evil dictator. She describes the nightmares in very bloody and morbid detail, explaining how she had interpreted this as a sign that this evil dictator was attempting to convert her into a serial killer. She felt that there was a g...
Lesser, H. (2010). Should it be legal to assist suicide?. Journal Of Evaluation In Clinical
Nicole Dagan, age 19, has recently attempted to commit suicide. She was bullied at work and at home. The people she worked with would make fun of her because she was a teen mom of two kids and they believed she made a mistake by marrying her husband. Her family told her that her husband and children were a mistake and that her husband was cheating on her. She felt oppressive and snapped. She decided that ending her life would be easier than having to live with all the stress and bullying. Nicole attempted to commit suicide by cutting her throat from ear to ear; she failed at ending her life, but she is now in the hospital getting mental help.
Considering all the treatment methods used at Mclean Hospital, harsh physical treatments were rarely productive. Methods such as seclusion, ice-baths, Electro-shock therapy, and even the Hospitals atmosphere itself can make one wonder how anyone came out of there better than they went in. It seems odd that people teetering on the edge of sanity were subjected to such horrible treatments. Although such treatments sometimes worked, it in no way outweighs the horrible side effects that usually happen.
The triage set up for evacuation didn’t give priority to critically diseased patients; instead many were euthanized by the exhausted medical and nursing crew. Unexpectedly, the rescue came to evacuate the entire hospital on the fifth day of the events. Fink ponders the legal consequences of the deadly choice to euthanize patients and the ethical issues surrounding euthanasia in health care setting during large scale disasters.
The patient’s efforts to avoid abandonment may include the next criterion of participation in repetitive suicidal behaviors such as cutting or suicide threats. Self-mutilation, often being the reason ...
Smith, M. (2002, October 24). THE RODRIGUEZ CASE: A REVIEW OF THE SUPREME COURT OF CANADA DECISION ON ASSISTED SUICIDE.Government of Canada . Retrieved December 26, 2010, from dsp-psd.pwgsc.gc.ca/Collection-R/LoPBdP/BP/bp349-e.htm#B. Section 12(txt)