In Abbot's study of the values of different professions, which of the following professions' values were most like those of social workers?
a. Medicine
b. Teaching
c. Business
d. Psychology
D
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What is the status of Jamie’s physical health?
DSM Diagnosis F64.1 Gender dysphoria in adolescents and adults F41.0 Panic disorder Rationale Jamie qualifies for the diagnosis of gender dysphoria because he: 1. Has experienced a lifelong incongruence between his experienced (male) and assigned (female) gender, including a desire to have male sex characteristics, be a male, be treated as a male, and the conviction that his typical feelings and reactions are those of the male gender; 2. Experiences associated clinically significant distress in social and occupational functioning. Jamie also qualifies for the diagnosis of panic disorder because he: 1. Has recurrent and unexpected panic attacks characterized by the following six symptoms (four are required): palpitations, pounding heart, and accelerated heart rate; sweating; trembling and shaking; sensations of shortness of breath; feeling dizzy, unsteady, and light-headed; and fear of losing control of going crazy. 2. Has a persistent concern that additional panic attacks will occur, and fears what their consequences might be. 3. These symptoms are not attributable to substance abuse, a medical condition, or another mental disorder. Additional Information Required More information needs to be ascertained about Jamie’s psychological history, including the tumultuous years with his parents, to understand how it may have influenced his attachment style, interpersonal patterns, and ways of dealing with conflict. He has not yet stated his long-term interpersonal and occupational goals, and these may have influence on decisions he makes about presenting his gender identity to others. Finally, details of his panic experiences will be necessary to uncover to know how best to behaviorally minimize the possibility of their recurrence. Risk and Resilience Assessment Nothing is known of Jamie’s genetic or biological characteristics and the influences they have had on his development of a male gender identity. The same can be said of his psychological influences; that is, it cannot be determined at this time how they may have influenced his gender development. Socially, he experienced an absence of cultural acceptance of gender incongruity, many episodes of victimization and related interpersonal conflicts, and a lack of adequate peer and social support, all of which are risk influences. Regarding protective influences, Jamie always had cognitions that supported his alternative gender identification and he has had as a supportive mother and eventually some supportive friends. The disclosure of his transgender identity to a few significant others is also a protective influence. What techniques could be used to assess for additional strengths in this client? In the next meeting with Jamie the practitioner could ask: “You are concerned that you might lash out physically against a co-worker, but have not yet done so. What coping techniques have you been able to mobilize so this did not happen?” “How would you summarize your interpersonal skills?” “You have an interest in landscaping as a career. What is it about that profession that appeals to you? Do you have other interests?” “What are some of the way in which you manage conflict constructively with the people close to you?” “Your panic attacks are serious but as of yet not debilitating, in that after a break you are able to attend to your activities of daily living. How are you able to manage that?” “You have experienced a great deal of negativity from others because of your gender identity. Is there anything about your identity that makes you a better person in the context of relationships?” Intervention Plan Jamie’s reasons for seeking help include desires to develop strategies to better manage his distress related to having to withhold his gender identity from others; to eliminate his episodes of intense anger and anxiety; and to possibly generate more support from family members or significant others. He is not seeking help in dealing with his physical transformation but the social worker will monitor the psychological and social outcomes of his hormone injections. His initial goals and objectives will thus include: Goal #1: To develop a broader range of coping skills when dealing with direct and indirect personal criticism and prejudice. ? Objective: Jamie will learn at least two new active and passive stress management strategies that do not involve physical aggression by participating in a behavioral assessment so that physical, emotional, behavioral, social, and environmental triggers of stress responses can be evaluated, and learning about and rehearsing at least two new cognitive/behavioral strategies as replacement responses. Goal #2: To become able to monitor internal emotional states and express them outwardly. ? Objective: To increase sensitivity to positive and negative emotional states so that they can be appropriately expressed and modulated by reflecting with the social worker on experiences of all emotions, including anxiety, that is, identifying them and predicting their occurrence and expressions, and developing two new strategies for expressing anxiety outwardly Goal #3: To experience a positive physical gender confirmation process ? Objective: To monitor the psychological, social, physical, sexual, occupational implications of hormone treatments, by differentiating safe from unsafe situations in the social environment; exploring the actions of significant others to any physical changes, and understanding the risks and benefits of additional self-disclosure practices. Critical Perspective Jamie’s presentation epitomizes the controversy surrounding the diagnosis of gender dysphoria. That is, the distress he experiences and which accounts for his coming to the agency has nothing to do with personal dysphoria about his gender identity; it is due instead to his reactions when feeling judged, oppressed, and ridiculed by intolerant other persons. If our society was accepting of transsexualism as a legitimate lifestyle, a direction in which it appears to be heading, Jamie would not have to deal with the negative attitudes that cause him distress. He might seek help from a mental health practitioner for anxiety, depression, and impulse control problems, but they would be diagnosed without reference to his gender identity. Yet, at this point in time, the American Psychiatric Association’s DSM-5 compromise position keeps Jamie’s gender identity in the forefront of his assessment.
Eligibility for Temporary Assistance for Needy Families (TANF) includes enforcement of child support
a. True b. False
Sex is abused when it
a. is manipulative. b. is aimed at dominating another person. c. evokes guilt. d. is the tool of aggression and control. e. all of the above.
Which of the following situations favor an adversarial approach to communication?
A) When the relations between two parties are amicable. B) When both parties have a fixed initial position. C) When onlookers do not pressure the parties for an outcome. D) When mutual concessions are valued.