Thursday, March 12, 2020
Transactional Analysis Essays
Transactional Analysis Essays Transactional Analysis Essay Transactional Analysis Essay The reaction of people to a management problem cannot always be anticipated. But, we can predict the kind of responses our interventions may evoke from people. How? The answer is ââ¬âwith the help of transactional analysis. When people interact in assertive or non-assertive ways, there is a social transaction in which one person responds to another. The study of these social transactions between people is called transactional analysis. It is a method of analyzing and understanding behaviour. Transactional analysis was developed by ERIC BERNE for psychotherapy in the 1950s. It was popularized by Berneââ¬â¢s book ââ¬ËGames People Play (1964)ââ¬â¢, the writings of Thomas Harris, Muriet James and Dorothy Jougeward and Abe Wagner. Jougeward and Wagner have shown how the concepts of transactional analysis can be applied to organizations. Objective- The objective of transactional analysis (TA) is to provide better understanding of how people relate to one another so that they may develop improved communication and human relationships. TA is are outgrowth of earlier Freudian psychology Sigmund. Freud was the first to suggest that there are 3 sources within the human personality that stimulate, monitor and control behaviour. The Freudian ego and superego are important concepts, but their definitions are difficult to understand or apply without extensive training in psychotherapy. Thus, one of the major contributions of TA theorists is that they have, in a sense, borrowed from Freud but have put some of his concepts into a language that everyone can understand and without being trained psychiatrists, can use for diagnostic purpose in understanding why people behave as they do. Ego States According to TA, a transaction is a stimulus plus a response. For eg. if we praise somebody, thatââ¬â¢s a stimulus. The thanks which that person gives in return is the response. Thus, transactions take place between people. They can also take place between the people in our heads. If we have a sudden impulse to say something to someone, we may mentally hear a voice telling us not to say it and then a second voice agreeing. These people in our heads are called ego states. According to BERNE, two people interact with eac h other from one of the three psychological positions, known as ego states. PERSONALITY- COLLECTION OF BEHAVIOUR His idea about human personality being multi-faceted was particularly influential on Berne. This idea that regardless of what the particular areas of personality are labeled, each person ââ¬Å"possesses factions that frequently collide with each other. It is these collisions and interactions between these personality factions that manifest themselves as an individualââ¬â¢s thoughts, feelings, and behaviors. â⬠(The International Transactional Analysis Association, 1999). Through Freudian theory, these would be understood as the id, ego, and superego. Dr. Berne felt that Freudââ¬â¢s proposed structures were more ââ¬Å"concepts and not phenomenological realities:â⬠(Berne D. E. , 2001). Although influenced by Freud, his approach took on a different method altogether. Freud believed that the three aspects of personality (Id, Ego, and Superego) needed to be well balanced in order to achieve a good state of mental health. Berne created a theory that considered a different approach, one that was based on the original idea of Freud that personalities are multi-faceted(Berne D. E. , 2001). Berne took the alternative approach to therapy and instead of asking the client about it directly, it seemed that a problem was easier understood by observing the communication (verbal and nonverbal) in a transaction. Therefore, instead of interviewing the client directly, he took a different route and would observe the client in the group setting, noting all of the transactions that occurred between both the patient and the individuals involved in therapy. Also attractive to Berne was Federnââ¬â¢s work on analysis, structure, and the multiple aspects of the ego that resulted in human transactions (Turner, 1986). This also represents the split from the Freudian mainstream between the psychodynamic theorists and the ego psychologists. Probably most notable is Erik Erikson, whose life-span theory focused more on the ego as a separate structure, rather than a derivative of the id. Dr. Berne studied under Erik Erickson for two years prior to striking out on his own. Ericksonââ¬â¢s view on the importance of developmental life stages was the springboard for Transactional Analysis, as demonstrated by the key concepts of this theory. Berne believed that the personality was structured into three different ego states: Parent, Adult, and Child. He moved from believing these were mere ââ¬Å"theoretical conceptsâ⬠to the idea that these were directly observable in his patients. Instead of making assumptions based on prior Freudian teaching, Berne would ask the question directly to the patient, asking which state was currently speaking(Prochaska, 2010). Biologically speaking, there is evidence that helped to also support the development of Transactional Analysis. Dr. Wilder Penfield, a neurosurgeon from McGill University in Montreal, Canada was experimenting with the effects of applying electrical currents to specific regions of the brain(Berne D. E. , 2001). From this he found that by stimulating certain areas, it brought forth meaningful memories, which helped to reveal a personââ¬â¢s past, accompanied with feelings and emotions that went with these forgotten memories. The direct influence on Berne as a result of these experiments was as follows: -the human brain acts in many ways like a camcorder, vividly recording events. While that event may not necessarily be able to be consciously retrieved by the owner, the event always exists in the brain. -both the event and the feelings experienced during that event are stored in the brain. The event and the feelings are locked together, and neither one can be recalled without the other. -when an individual replays his or her experiences, he or she can replay them in such a vivid form that the individual experiences again the same emotions he or she felt during the actual experience (Berne D. E. , 2001). Individuals are able to exist in two states simultaneously. Individuals replaying certain events are able to experience the emotions associated with those events, but they are able to objectively talk about the events (Berne D. E. , 2001). This would explain how a client could identify which ââ¬Å"stateâ⬠from where the discussion or feelings are coming from. Berne worked to assist the patient in identifying the emotions, feelings, and this became the point from which the progress in therapy could begin. It was in 1958 that Berne started the San Francisco Psychiatry Seminars, a small group of professionals that met to discuss their interest in social treatment. Turner, 1986). It was during these sessions that many different approaches to psychotherapy were discussed. The idea of these seminars took off and soon professionals interested in this type of discussion were traveling from everywhere to attend. His theory became a method of therapy, through which standards, training, and certification were developed. Key Concepts/Central Propos itions The framework of this approach is based on a transaction, which Berne considered the fundamental unit of social intercourse. He also used the terminology of ââ¬Å"strokesâ⬠, which he defined as ââ¬Å"units of social recognitionâ⬠(Turner, 1986) He drew on the work of Rene Spitz, who looked at why infants suffered from failure to thrive. Spitz did studies on children in orphanages and the devastating effects of lack of touching and nurturing of the child. It was through these studies that Berne developed the concept of the importance of stroking, and how he felt it crucial for human survival. He expanded on this idea of the physical touch and attention to include that of verbal transactions as well. He defined a stroke as ââ¬Å"the fundamental unit of social actionâ⬠(Berne D. E. , 2001). Berneââ¬â¢s theory of Transactional Analysis explored this idea of stroking, based on the assumption that people spend their lives seeking strokes (Turner, 1986). These strokes can be negative, positive, conditional, and unconditional and can be given verbally, nonverbally, and physically. It is by knowing your own and your clientââ¬â¢s ââ¬Å"stroke economyâ⬠, it helps develop information on how you can problem-solve (Witkin, 1988) together (Turner, 1986). Berne also developed the idea of three ego states; this is in addition to the analysis of the interactions between individuals. He defined the ego state as ââ¬Å"a consistent pattern of feeling and experience directly related to a corresponding consistent pattern of behavior (Berne D. E. , 2001). Berne noticed as he worked with his clients that they had different displays of behavior that constantly changed during his counseling sessions. He would notice that the individual had different ââ¬Å"states of beingâ⬠, which he began to refer to as the ââ¬Å"adult, child, and parentâ⬠. Not at all imitating the id, ego, and superego; these concepts stood on their own as phenomenological realities. He was able to confirm these ego states with observable behaviors that could be measured, thus creating a justifiable place in the scientific community. Berne created unique definitions for the three ego states, Parent, Child, and Adult, all of which were the underlying fabric for his theory. He felt that child were widely influenced by their parents, thus the first few years of life were spent collecting and recording what as experienced and modeled to them. This includes the values, morals, and beliefs taught by the parents. When a patient was in this stage, they would react in a way that they feel their parents would react. Berne referred to this as a time ââ¬Å"when children have no way of filtering the data, therefore these events are ââ¬Å"imposedâ⬠on the childâ⬠(Berne D. E. , 2001). There are two aspects of this Parent ego state which need to be address ed, those being the Nurturing Parent (NP) and the Controlling Parent (CP), both of which have positive and negative aspects (Corey, 2008). The positive consists of nurturing the Child stage and moving from the parental influence to more of how the child actually perceives events. Exploration was done in the area of feelings and emotions that were experienced during this stage. The final ego state in this theory is Adult, this is the time when a child starts to experience some independence (thus, the start of the Adult in the small child). This is exhibited by gross motor activity within the child. Different than what the child observed (Parent) and felt (Child), the Adult provides the platform for evaluating and validating the Child and Parental data. A simplification of Transactional Analysis would be to describe the Parent as the taught concept, the Child as the felt concept, and the Adult as the learned concept(Berne D. E. , 2001). Yet another important concept in Transactional Analysis is what Berne considered Time Structuring(The International Transactional Analysis Association, 1999). Looking at how humans use their time can indicate whether or not they are socially healthy. With each distinction of time usage (withdrawal, ritual, pastimes, activities, games, and intimacy) there are both social advantages and disadvantages. It is through this analysis that one can be determined to be in ââ¬Å"controlâ⬠of their time spent. This theory encourages time spent for creative, spontaneous work and play, which is indicative of a healthy person. In his book, The Games People Play, Berne states that the ââ¬Å"eternal problem of the human being is how to structure his waking hoursâ⬠(pg. 5). Time-structuring is also known as ââ¬Å"programmingâ⬠and consists of three aspects: material, social, and individual. The material programming provides opportunities for ââ¬Å"strokingâ⬠that arise through activities where social exchange must occur in order to progress to the intended goal. These activities offer a matrix for ââ¬Å"strokingâ⬠, recognition, and other more complex forms of social intercourse(Berne E. , 1964). The social aspect of ââ¬Å"programmingâ⬠is the criteria provided by both the parents and the culture in which a child is raised. These are the cues to what types of behavior are acceptable, which are reinforced through structure and reinforcements. This guidance is provided for the individual through unspoken rules and regulations, however, eventually the individual programming will take over. Individual programming takes over and the person may choose to act against the norm- this is known as ââ¬Å"the gameâ⬠(Berne E. , 1964). This individual programming attempts to explain abnormal, dysfunctional behavior, which Berne describes as ââ¬Å"gamesâ⬠(The International Transactional Analysis Association, 1999). As related to the concept of needing strokes, whether positive or negative, dysfunctional behavior is a result of attempting to get these strokes. Often times, this need for strokes tends to reinforce negative feelings and self-concepts, which in turn, tends to help hide the real thoughts and emotions of people. Thus, the negative behavior of the individual continues. Berne described this cycle as a result of ââ¬Å"self-limiting behaviorsâ⬠- these are actions that were learned during childhood that were used as a means of survival. This is what is known in Transactional Analysis as the ââ¬Å"life scriptâ⬠, or the pre-conscious life plan that governs the way life is lived out (The International Transactional Analysis Association, 1999). The purpose behind Transactional Analysis is changing this ââ¬Å"life scriptâ⬠through a mutual contracting for change. It acknowledges that clients have the ability to decide what they need for their lives and work in a positive manner to make the changes needed to move towards reaching these goals. Assumptions Transactional analysis is based on the assumption that individuals have the ability to become aware of decisions that govern behavior. These individuals are assumed to have the capacity to make new decisions that will alter the life course in a beneficial manner(Corey, 2008). Another core assumption of this theory is that a life position is chosen early in life, based on early experiences. Children make a precocious decision about how they are in life compared to others around them. This ââ¬Å"life positionâ⬠has four possibilities: ââ¬Å"Iââ¬â¢m OK- youââ¬â¢re OK, Iââ¬â¢m OK- youââ¬â¢re not OK, Iââ¬â¢m not OK- youââ¬â¢re OK, or Iââ¬â¢m not OK- youââ¬â¢re not OKâ⬠(Prochaska, 2010). Berne believed that generally, all children are born with the notion that they are ââ¬Å"OKâ⬠, it is the programming that occurs that may change how the child views themselves and the world around them. This theory also assumed that people experiencing social or emotional difficulty are intelligent and capable of understanding their stress. People are responsible for their own healing process. He also felt that all social and emotional difficulties are curable, given adequate knowledge and a proper approach. Berne demonstrated through Transactional Analysis theory the belief that anything that has learned can be relearned(Corey, 2008). There are some instances where we have not discovered how to approach specific populations of people that are diagnosed with things such as schizophrenics, alcoholism, etc. Berne felt that these populations of people were ââ¬Å"goodâ⬠and capable of leading satisfying lives that do not interfere with others. Using the foundation of theory evaluation criteria provided by Witkin and Gottschalk(1988), the first condition is that the theory should be explicitly critical; including an examination of its historical, political, and cultural implications. This theory is substantive in that it collects content based on the three ego states(Berne D. E. , 2001). Through this procedure, it provides a methodology of steps needed in therapy, information that is important to obtain, and ways to evaluate and analyze information collected. It takes into account the aspects of social constructivism, which is an attempt to develop a meaningful science of human behavior(Witkin, 1988). Social contructionism, as defined by Witkin and Gottschalk(1988), consists of assumptions based on common understandings of the world as a function of cultural and historical contexts. This understanding occurs through a process of social interaction and the understanding is based on social processes- these descriptions and explanations of social phenomena constrain certain patterns and reinforce others(Witkin, 1988). Transactional Analysis theory parallels social contructionism through the life scripting that occurs early in childhood, based on the transactions and reinforcements that occur through programming, particularly the social aspect. By utilizing the client as the resource for gaining the information, whether it is through observing interactions both verbal and nonverbal, it will provide a better comprehension of the meaning behind the clientââ¬â¢s communication. Witkin and Gottshcalk(1988) also consider the idea the theory should recognize that humans are active agents, meaning people act according to their intentions nd can surmount obstacles and transform them. Based on this concept, Transactional Analysis fits this criteria perfectly. It is a theory based on the idea that it is essential for people to be involved in their own treatment process. Berne had an implicit viewpoint that humans understand their stress more than any other and they also realize that the change process is v ital to their happiness. Witkin and Gottschalk(1988) also evaluate theory on the aspect that it should account for the life experiences of the client. By looking at the three ego states of Transactional Analysis; the Child, the Parent, and the Adult, it takes into consideration the specific influences, both internal and external that each person has experienced in their life. This is the basis for the predicated movement towards change for the client. The social justice aspect would be present in allowing the opportunity for each individual to feel their experiences were valid, and beneficial to the therapeutic process (Witkin, 1988). Viewing this theory through another analytic framework provided by Fischer(1973), there are five areas of theories that may be considered for analysis to determine effectiveness. The structural characteristics of Transactional Analysis are proscriptive in nature, meaning there is an explanation and tools to use in therapy. Unlike Freudian concepts that are descriptive, Berne was able to create measurable terminology that was used to determine findings in a consistent manner. The measure of an effective theory, according to Fischer(1973), is that the theory is testable. Through Transactional Analysis theory, there are clearly defined terms, such as strokes (both positive and negative), ego states, and transactions. Berne gave solid, measurable definitions of these terms and provided the ability to test this theory in a scientific, measurable manner(Berne D. E. , 2001). By following the process of script analysis, Transactional Analysis provides the individual with the awareness of how they acquired their life script and allows them to see more clearly their life role. This realization assists the individual in opening up possibilities for making changes and contracting provides the roadmap. Fisher (1973) also provides criteria that the theory should be comprehensive in nature, which Transactional Analysis seems to comply. It allows the client to explore both learning externally (the Parent) and internally (the Child), with the client analyzing these interactions through an exploration of how one affects the other (the Adult). This would appear to be a useful theory, as it is provides techniques for therapeutic intervention. Transactional Analysis is able to explain normal behavior, although it is not clear on abnormal behavior such as schizophrenia or criminal behavior. It does not account for those clients that do not have a positive viewpoint or willingness to change their ââ¬Å"life scriptâ⬠. When utilizing Fischerââ¬â¢s method of analyzing theory, one must consider the assumptions made about human nature. This theory views people in a very optimistic, positive manner. It promotes creativity, relaxation, and the ability to recognize what changes need to be made(Berne D. E. , 2001). It emphasizes a positive worker/client relationship that promotes good rapport, trust, and the willingness to create a plan for change(Clary, 1980). It appears to be in line with the core values of social work, including self-determination and respect for client rights, individualism, and dignity(NASW, 2008). This is demonstrated by allowing the client to recognize instances of how the ââ¬Å"life scriptâ⬠developed and thus clients are increasing empowered to choose their ego state at any particular time(Prochaska, 2010). Transactional analysis provides the opportunity for the therapist to relate as an equal to the client. The clients are able to progress in therapy at their own pace, further demonstrating the value of self-determination. This theory encourages the volitional powers of patient right from the onset of treatment by making it a contractual arrangement(Prochaska, 2010). According to the analytical framework provided by Fischer, this would appear to be a very useful, valid theory for use in practice (Fischer, 1973). Using the theory in the social work profession Transactional Analysis still is utilized today in the field of social work. In fact, there still exists training and certification in this very area of specialization. Berne was interested in more than just the client progressing slowly, he wanted to provide a method of coping that would assist individuals on an immediate, daily basis. In general, social workers also strive for immediate relief for clients, groups, and communities. It is important to establish an immediate rapport with clients in order to make progress towards meeting goals. Transactional analysis describes this very concept through ââ¬Å"stroking ââ¬Å", which requires a social worker to understand both their need and ability to provide this type of reinforcement (Berne D. E. , 2001). In practice social workers must be able to model positive stroke giving as an important part of effective practice. In theory, the process of learning to give and receive strokes will help alleviate feelings of depression and loneliness and increase personal intimate relationships. Using the three identified ego states allows for the therapist to make assessments regarding the client in the areas of thinking, feeling, and learning. Berne provides four ways to identify or diagnose ego states; behavioral, social phenomenological, and historical(Berne D. E. , 2001). Behavioral diagnosis would consist of gesture, voice, and vocabulary that are typical in each ego state. A social diagnosis would consist of how people react to the client; a phenomenological diagnosis is experiencing in the present old feelings from the past, and a and historical diagnosis would be looking at the past reflected in the present. All of these consist of the process of deciding how one wants to be socially with others, social work theory and practice support methods to gain autonomy (Turner, 1986). Providing an atmosphere for change is another way in which this theory is used in social work practice. The Child ego state wants comfort and warmth, time for exploration and activity. This is provided for the client using this theory by giving them a comfortable atmosphere in which to do therapy. This helps to develop a caring position for developing the rapport needed for the client to be able to problem solve and work towards changing their behavior. To be effective, transactional analysts must be genuine in therapy, they must believe in relating as equals with clients(Prochaska, 2010). Another form of social treatment using the Transactional Analysis method for social workers is the initial use of positive stroking. In this field the recognition of asking for help is a sign that the client is trying to cope and it is an indicator of client autonomy. Therefore, it is essential in the initial stages that the practice of positive stroking occurs, this builds rapport and provides and effective, therapeutic environment(Napper, 2009). The social worker also is able to provide a provision of protection for the client, in both an individual and group therapy situation(Corey, 2008). A client is encouraged to participate in self-analysis, this type of therapy provides them with a safe, nurturing environment in which to do so. Group therapy is preferred in Transactional Analysis, in part because it allows a greater number of transactions, including more troubled transactions, than might ordinarily occur with an individual therapist relating primarily as an Adult(Prochaska, 2010). Regardless of the venue, providing clear rules about the session and what to expect will allow the client to feel safe to reveal themselves, thus allowing the opportunity for a trusting relationship with those involved in the therapeutic process. Patients are not the only potential game players in transactional analysis. Therapists using this method must be ever vigilant in enacting their own scripts at their clientsââ¬â¢ expense(Prochaska, 2010). Self-awareness of the social work practitioner assists in eliminating this phenomena It would also be essential that the therapist seek strokes away outside of the workplace so as not to utilize the client in this manner. This is beneficial not only to the client/therapist relationship but to the basic premise behind the theory of Transactional Analysis. Major Contributions One of the major criticisms of the science or lack thereof behind psychotherapy is based on the fact that there is often no unit of measurement for study. Berne was able to create a measurable concept by defining the transaction of stroking, thus providing a measure that was able to give some credibility to this theory in the world of science. In the book Games People Play (1964 ), Berne defined transactions as a unit of social intercourse: ââ¬Å"If two or more people encounter each otherâ⬠¦sooner or later one of them will speak, or give some other indication of acknowledging the presence of the others. This is called transactional stimulus. Another person will then say or do something, which is in some way related to the stimulus, and that is called transactional response. ââ¬Å"(Berne, 1964) Transactional Analysis is a versatile theory that can be used in group, couples, family, and individual therapy (Corey, 2008). This theory focuses on establishing intimacy and joy in interaction and communication, which is effective in creating positive outcomes for group and family members. By acknowledging ego states and the programming that has occurred, this can assist clients in becoming more self-aware and confident in their communication and interactions. It is through this realization that self-actualization can occur, thus providing a platform for success in changing behavior (Sills, 2007). Transactional analysis makes extensive use of the interpersonal interactions between therapist and client within sessions (Prochaska, 2010). This theory is still utilized currently still in therapy, there is a certification one can obtain in this theory that consists of training in the areas of psychotherapy, educational, organizational, and counseling arenas (The International Transactional Analysis Association, 1999). This movement continues today and has a worldwide list of members that both practice and belong to the International Transactional Analysis Association, thus supporting the idea that this is an effective theory that can be used in current practice. Ethical Issues/Consistency with social work values and ethics/Diverse Populations Transactional Analysis provides the foundation for self-determination (NASW, 2008). It recognizes client autonomy and the importance of allowing the client to guide their own decision making process (Corey, 2008). It embraces the ethics of preserving the value of human beings, equality (social justice), and self-responsibility(NASW, 2008). By observing the clientââ¬â¢s interactions and behaviors (verbal and nonverbal), this honors the client as the expert and would require the therapist to have competence when working with various cultures. This would encourage and promote education on the differences of social constructionism when working with clients of diverse populations. The user-friendly nature of Transactional Analysis transcends cultural barriers, along with the educational approach to personal development (Corey, 2008). The idea of ââ¬Å"life scriptsâ⬠encompassed in this theory help to break through assumptions when it comes to our clients, whether it is with personality, culture, or other dramatic scripts that may include drug addiction or mental illness. These types of scripts, particularly those of cultural can affect whole populations in a harmful way. This violates our ethical principles of self-determination and by working through these situations using Transactional Analysis, it would serve to enhance the core values of social work. This type of theory is useful in working with women due to the use of contracts, equal relationships between client and practitioner, and empowerment of individuals (Corey, 2008). The feminist perspective is also celebrated by allowing the client to become empowered, and giving the opportunity to challenge the therapistââ¬â¢s ideas, allowing them to compare their reality with that of other women (Corey, 2008). Requisite skills for the practitioner Transactional Analysis would require a practitioner to have excellent observation skills and special training. The Berne Institute offers this training to those wishing to excel in the area of psychotherapy using the Transactional Analysis Techniques (The International Transactional Analysis Association, 1999). Practitioners would need to be familiar with the strengths perspective and have the ability to identify their own ego states. It would require maturity and the ability to recognize how their own external and internal experiences have affected them. By recognizing this it will allow the practitioner to remove biases and act in a professional manner when helping clients. The practitioner would need to be able to engage clients in a positive style and create rapport through the stroking method as proscribed through this theory (Berne D. E. , 2001). Strengths/Weaknesses of the theory Noted strengths of this theory are that it is positively focused and client centered. The client leads the sessions, and the identification of the ego states allows insight into the coping power of clients (Berne D. E. , 2001). Transactional analysis is a contractual and decisional model for change on the part of the client. It connects that mind and body, moving the transactional analysts to take a more holistic approach. These contracts may lead to new behaviors and give the client a sense of control. Therapy interventions are more likely to succeed and produce enduring change when involving the emotional and behavioral approaches (Corey, 2008). This theory would appear to be flexible and its concepts easily applied to individual, couples, families, groups, and community interventions. Also noted by Corey (2008) is that the concepts in this theory are congruent with a gender-sensitive approach to group work. Many clients are often unaware of how gender plays a role in their lives, this theory applied is helpful in realizing the role of importance it has and the effect is has on the client. It is often used in evaluating organizations, thus proving that it is a versatile theory with the ability to go from the micro to the macro in application (Clary, 1980). The emerging conclusions are that Transactional Analysis with adults has been proven more effective than no treatment, it roduces outcomes at best comparable to other forms of insight-oriented psychotherapy (Prochaska, 2010). Some notable limitations to the approach are that it has not been adequately subjected to empirical validation (Corey, 2008). Some of Berneââ¬â¢s concepts were stated in a manner that it would be impossible to design a research study to test them. Although there are measurable items in place (i. e. contract builds and supports accountability), the main determinate of success is based on feeling and observations (Corey, 2008). There is also the danger of losing the client to the jargon or structure of the theory- this structure can be used to avoid person-to-person interactions and focus on labeling ego states. Clients may be replacing old processes with new terms, and in doing so, preventing themselves from reaching self-actualization (Corey, 2008). Other Limitations with regards to Transactional Analysis are not openly apparent, with perhaps the exception of the cognitive aspects of reviewing the ego states (Berne D. E. , 2001). If a client is not mentally capable of identifying situations of learning and past experiences, or if they are limited in their capabilities for emotion, this may inhibit the effectiveness of this theory. Perhaps there may be a flaw in thinking that we can experience the past as it actually occurred, when in fact we are in the present. There needs to be some consideration as to how the present influences our thinking and assumptions. Based on where we are today, our morals, values, and experiences, it would be difficult not to be biased in some way when discussing our Child/Parent experiences and filtering it through the Adult ego state. Overall, the optimistic quality of this therapy seems to be a positive indicator, along with a positive client/therapist relationship that is encouraged by stroking and identifying the ego states essential to creating a contract for success.. References Berne, D. E. (2001 Feb). Transactional Analysis- As Originated by Dr. Eric Berne. Retrieved 2010 10-March from from Detailed History and Description of Transactional Analysis: www. ericberne. com/transactional_analysis_description. htm Berne, E. (1964). Games People Play- Basic Handbook of Transactional Analysis . New York, NY: Ballantine Books. Clary, T. C. (1980). Transactional Analysis. Training and Development Journal , 48-54. Corey, G. (2008). Theory and practice of group counseling. 7th Ed. Belmont, CA: Brooks/Cole. Eagly, A. H. -S. (2003). Tranformational, Transactional, and Laissez-Faire Leadership Styles: A Meta- Analysis Comparing Women and Men. Pscyhogical Bulletin , 129 (4), 569-591. Fischer, J. (1973). A Framework for the Anlaysis and Comparison of Clinical Theories of Induced Change. In J. Fisher, Interpersonal Helping (pp. 110-130). Springfield, IL: Charles C. Thomas. Napper, R. (2009). Positive Psychology and Transactional Analysis. Transactional Analysis Journal , 39, 61-75. National Association of Social Workers (2008). Code of Ethics. Retrieved 2010, 4 May from National Association of Social Workers. socialworkers. org/pubs/Code/code. asp Nichols, M. P. (2008). Family Therapy Concepts and Methods (Eighth Edition ed. ). Boston, MA: Allyn and Bacon, Inc. Prochaska, J. O. (2010). Systems of Psychotherapy: A Transtheoretical Analysis (7th Edition ed. ). Belmont, CA: Brooks/Cole. Sills, C. (2007). Transactional Analysis- a relational psychotherapy. Therapy Today , 18 (1), 15-17. The International Transactional Analysis Association. 1999). Retrieved 2010 10-March from Key Ideas in Transactional Analysis: www. itaa-net. org/ta/CoreConcepts/index. htm Tudor, K. (2009). In the Manner of: Transactional Analysis Teaching of Transactional Analysis. Transactional Analysis Journal , 39 (4), 276-292. Turner, F. J. (Ed. ). (1986). Social Work Treatment: Interlocking Theorectical Approaches. New York, NY: The Free Press. Wal sh, J. (2006). Theories for Direct Social Work Practice (2nd Edition ed. ). Belmont , CA: Wadsworth Cengage Learning. Witkin, S. . (1988). Alternative criteria for theory evaluation. Social Service Review , 62, 211-224.
Tuesday, February 25, 2020
What are effective treatment strategies in early onset dementia Essay - 1
What are effective treatment strategies in early onset dementia - Essay Example on Only Available (includes abstract); Vossel KA; Miller BL; Current Opinion in Neurology, 2008 Dec; 21 (6): 708-16 (journal article - review, tables/charts) ISSN: 1350-7540 PMID: 18989117 CINAHL AN: 2010121091 The Extended Tau Haplotype and the Age of Onset of Dementia in Down Syndrome.Citation Only Available By: Jones, Emma L.; Margallo-Lana, Marisa; Prasher, Vee P.; Ballard, Clive G.. Dementia & Geriatric Cognitive Disorders, 2008, Vol. 26 Issue 3, p199-202, 4p, 1 Chart; DOI: 10.1159/000152044; (AN 34830358) A novel presenilin 1 mutation (V261L) associated with presenile Alzheimerââ¬â¢s disease and spastic paraparesis.Full Text Available By: Jimà ©nez Caballero, P. E.; de Diego Boguna, C.; Martin Correa, E.; Servià ¡ Candela, M.; Marsal Alonso, C.. European Journal of Neurology, Sep2008, Vol. 15 Issue 9, p991-994, 4p, 2 Black and White Photographs, 3 Diagrams; DOI: 10.1111/j.1468-1331.2008.02230.x; (AN 33625318) A case of atypical early-onset dementia in a 54-year-old female.Citation Only Available (includes abstract); McDuffie E; Rodriguez F; Sloan P; Lantz MS; Clinical Geriatrics, 2007 Dec; 15 (12): 27-30 (journal article - case study, tables/charts) ISSN: 1095-1598 CINAHL AN: 2009745790 Interdisciplinary Clinic for Adults with Early Onset Dementia in a Mental Health NHS Trust.Citation Only Available By: Thompson, S. B. N.; Coates, T. D.; Chaà ¢bane, F.; Cherry, P.; Collins, L.; Pennicott, H.; Watson, F.; Rogan, N.. Clinical Gerontologist, 2006, Vol. 29 Issue 4, p99-104, 6p; DOI: 10.1300/J018v29n04à ±07; (AN 22624577) Clinical comments. Interdisciplinary clinic for adults with early onset dementia in a mental health NHS trust.Citation Only Available (includes abstract); Thompson SBN; Coates TD; Chaà ¢bane F; Cherry P; Collins L; Pennicott H; Watson F; Rogan N; Clinical Gerontologist, 2006; 29 (4): 99-104 (journal article) ISSN: 0731-7115 CINAHL AN: 2009309447 Early-Onset Dementia: Diagnostic Considerations and Implications for Families.Full Text Available By:
Saturday, February 8, 2020
Reaction Paper Essay Example | Topics and Well Written Essays - 500 words - 7
Reaction Paper - Essay Example This is the same reason why Saeko had to seek the help of the doctor after she felt her glue tricks would fail her one day. It is her fear of looking unattractive again that drives her to have cosmetic surgery done (Cullen, ââ¬Å"Changing Facesâ⬠). In accordance to the reaction paper, one could clearly pin point the effect of inequities in health care. The number of practitioners that got sued due to medical mishaps related to cosmetic surgery somehow increased over the years due to shoddy jobs done by people not licensed to do so. In poorer places, a lot of people claiming to offer cosmetic surgeries mushroomed and offered people to pay less money for the same services offered by registered practitioners. The unregistered health providers in this poorer areas resulted in increased number of lawsuits due to their poor health service (Cullen, ââ¬Å"Changing Facesâ⬠). The poor that wanted to get attractive fell for this unregistered health providers tricks since they offered them low prices for the same services. If not for poverty, this people would have looked for better services from registered cosmetic surgeons. From the film, it is clearly depicted that gender plays a role in health. Women are more likely to seek for health services compared to men. From the sociological perspective, Saeko went to seek the help of a cosmetic surgeon in order to have her eye widened so as to look attractive. In addition, more women in Asian countries are seeking to have their physical appearances made more attractive as westernization sets in and defines beauty in another way. From the film, women tend to have better health seeking behaviour compared to men. Men often are satisfied with the way they look and seek less services related to cosmetic surgery (Cullen, ââ¬Å"Changing Facesâ⬠). In addition, Saeko got employed as a hostess in a given bar after she
Thursday, January 30, 2020
Violence In Of Mice and Men by John Steinbeck Essay Example for Free
Violence In Of Mice and Men by John Steinbeck Essay To use violence or not to use violence, that is the question that every author aspiring to write a novel must ask. Of Mice and Men by John Steinbeck is about two men working ranches out west and How to Read Literature Like a Professor by Thomas Foster is about literary symbolism, and they both refer to violence. How to Read Literature Like a Professor explains violence and its significance, and Of Mice and Men includes violence as major plot events. How to Read Literature Like a Professor by Thomas Foster in Chapter 11 refers to violence and what it means. In this chapter Foster writes ââ¬Å"Violence is one of the most personal and even intimate acts between human beings, but it can also be cultural and societal in its implications.â⬠( Foster 88) This quote describes how violence is always meaning more than just simply violence. Violence can be symbolic, thematic, or even biblical in its meaning, but it is never just violence for violenceââ¬â¢s sake. In Of Mice and Menââ¬â¢s case, the violence was symbolic in a foreshadowing way. This quote takes place while George and Lennie are in the wilderness thinking of memories, and Lennie remembers this memory. ââ¬Å"Iââ¬â¢d pet ââ¬Ëem, and pretty soon they bit my fingers and I pinched their heads a little and then they was deadââ¬âbecause they was so little.â⬠(Steinbeck 10) This quote is foreshadowing of how Lennie will kill Curlyââ¬â¢s wife later in the book, because she does something mean to him like the mouse and then he does something to stop her, just like he stopped the mouse. He also ended up killing both the mouse and Curlyââ¬â¢s wife. To the reader this shows that Steinbeck carefully intertwined symbolism into his novel in the form of foreshadowing. As demonstrated, How to Read Literature Like a Professor was right in saying that violence is always more than violence, and Of Mice and Men is an excellent example of that. Whether violence is biblical, thematic, or symbolic in its usage, it always adds the electricity that powers a good literary work.
Tuesday, January 21, 2020
Sterility Drug Progesterex Urban Legend :: Urban Legends
Sterility Drug Progesterex Urban Legend The source for this urban legend is a 19 year old male of Palestinian descent who is currently studying engineering at Montgomery College. His father owns a heating and air conditioning company and his mother is manager for a high school cafeteria. This source first heard the story on the Internet when he received the story on an online Web group. He then spread the warning to all of his contacts. You should tell all the girls you know to be careful because there have been cases in Boston where girls who have been slipped ââ¬Å"roofiesâ⬠[rohypnol, a common date rape drug used to incapacitate the victim] for date rape were also slipped a horse sterilizer. This new drug is becoming popular because when it is used the woman that is raped canââ¬â¢t have a child and later identify the suspect through DNA testing. Apparently one girl was slipped these two drugs and was found the next morning by police and was taken to the hospital. There the doctors say that at least five men had raped her. The girl had no knowledge of the events because of the roofy she was slipped. Doctors also informed the police and the patient that upon blood testing that a low grade horse sterilizer was used on the victim and that she would never be able to have children due to the effects of the drug. The horse sterilizer is readily available to veterinarians and farmers, so it is easy to find. This new drug will sterilize someone forever, so tell them to be careful. This harrowing story was told quite compellingly with strong body language. What was most effective about this performance was that the source never hesitated when he spoke and was very clear on details. During the entire course of this performance, it seemed that the performer was fully convinced of the validity of this story. During the entire performance the word which he emphasized the most was "forever," when mentioning the effects of the horse sterilizer on women. He was very insistent that the drug affects women permanently and that is why it is so dangerous. Upon further research of horse sterilizers and rape, the name that came up most often was Progesterex. A site search of Progesterex on www.webmd.com (a health service page) resulted in zero finds, with suggestions for progesterone, which is a naturally occurring hormone in women that prepares the uterus for pregnancy.
Monday, January 13, 2020
Case: The Law Offices of Jeter, Jackson, Guidry and Boyer Essay
The issues that are presented in this case study are not uncommon problems that happen in the working environment. It was clear from the case that the partners in the law firm worked from a style of collaboration and meeting to understand the needs of their employees. However, their growth left them needing someone to take over the day to day, yet important operations of the organization like human resources, and marketing. The partners decided to create a General Operations Manager. The partners hired someone who had a background as a longtime administrator from the insurance industry seeking a final career change. This personââ¬â¢s leadership style was autocratic which means ââ¬Å"the leader makes decisions on his or her own and then announces those decisions to the groupâ⬠(Bateman and Snell). Hiring a person with this type of leadership style placed the firm in jeopardy of losing excellent employees and clients. As the case stated the law firm did lose clients. When the partners learned about the problems, the new General Operations Manager told them it was normal activity for what was taking place, and that they should just wait it out. This suggestion of sit back and wait given by the GM Brad Howser put a persona out to the partners that more clients would come and the employee morale would not remain low. The partners should not sit back and wait as Brad Howser has instructed them to do. Sitting back and waiting could destroy the company quicker then it took to build it up. This could cause more clients to leave the company and employees to leave the company. The partners needed to step in and develop a plan of how to address the issues that have developed since Brad Howser has taken the GM position. First, they needed to meet with Brad Howser and express their concern about losing clients and the sinking morale among their employees. This will require explaining to Brad Howser that their desired organizational culture, one that is caring, compassionate and respectful to everyone they serve. Another issue to bring up is that the autocratic leadership style Brad presents is not matching their mission and values of the company. They will need to give Brad a chance to change or leave, just as he presented the same information to the employees if they didnââ¬â¢t want to change. If he chooses to stay, he will need to overturn the rules he implemented. The partners must provide Brad with their vision for the company and the initial goal of hiring of a GM for Operations, which is to help manage the different offices and to continue to grow each year. They should also reinstate flex hours for employees and at the same time reinforce their importance to the firm. Having happy employees are far more productive then having unhappy employees. Brad will have to be educated on the different tasks of the jobs to know that they are not required to be done during specific hours. Finally, to finish cleaning up the disaster created, each client will need to be contacted that received one of Bradââ¬â¢s letters to pay up. This will cause the partners to apologize to and ensure to their customers that this will never hap pen again. They will also have to convince their clients into coming back to their company. The leadership style needed for a General Manager-Operations position is a style that can handle participation and collaboration. A style that incorporates these characteristics is called a transformational leader. ââ¬Å"Transformational leaders get people to transcend their personal interests for sake of the larger communityâ⬠(Bateman and Snell). The transformational leader will bring excitement to a company because they have the following qualities charisma, individualized attention, the ability to delegate challenging work to deserving people, keep lines of communication open and provide one-on-one mentoring to develop people. They will also bring the following skills to a vision of where they want to take the problem presented; the ablity to communicate their vision to the all the parties involved, build trust with employees and executives and hold a positive self-regard. A person in this job that is able to be dig into the weeds and find out way to lean out the company pr ocesses. They are also able to communicate about the changes being made and why they need to be made. Also the leader must be able to meet their employees where they are and figure out how to grow them as the company grows. A leader is not a stranger to hard work and putting their needs on the back burner. The leadership style I would pick for myself would be a mix of Transformational and Transactional and this person can ââ¬Å"achieve set goals by acting within established procedures and standards. This leader assigns specific, well-defined tasks to subordinates and requires that they fulfill their responsibilities and meet standards precisely as prescribed or agreed uponâ⬠(Inc). Transactional leadership styles are good at improving processes, setting up rules and regulations and leaning out the resources used by the company. A person with this leadership style will be good at managing smaller operations and developing areas. In transformational I like to have a vision and mission for what I am currently trying to work towards. In my work place I want everyone around me to know what the vision is that we are working towards. I can be a mix of both of these depending on the situation I would be placed in. I would seek jobs in management in the technology field, military and logistics areas. Jobs that I would avoid are ones that put me in power over large groups of people like president of the country, CEO of a company and a person who is willing to make sacrifices in pursuit of the dreams they articulate in speeches. Being a public figure is not a good job for someone with these leadership styles. I believe all leadership styles can be used in various situations but you have to find a style or styles that best fit your life balance. Works Cited Bateman, Thomas S and Scott A Snell. Management Leading & Collaborating in a Competive World. New York: The McGraw-Hill Irwin , 2013. Inc, Human Metrics. Leadership Styles . 20 January 2013 .
Sunday, January 5, 2020
Higher Education Essay - 1482 Words
Higher Education Education is one of the key ingredients to building a strong foundation for a successful future; there is not enough emphasis put on education at a young age. Another question arises though, how hard should we push our children? They are children after all. On the other hand an absence of interaction between student and teacher may cause our children to grow up to become mindless drones. There needs to be a student-teacher relationship, not a dictatorship. Students are not just vessels to be filled with knowledge; they are alive, and must be allowed to grow on their own. Without interaction and life experiences, the materials that are taught is stored, but not understood. We would do without thinking, feeling, andâ⬠¦show more contentâ⬠¦No one way is more correct than another. If life was an equation we could solve, then we, as a race, would never survive, people would not be able to adapt, and we would be unable to make further progress. It is not one s ability to recall what has been taught it is there ability to teach it to others. It is those people who know how to use the knowledge bestowed on them that will survive. In Deweys Thinking in Education he speaks a lot of knowledge; he states that knowledgeÃ⦠[is] indispensable(305). Dewey puts a large emphasis on how knowledge is gained through experience and not through reading textbooks alone. Experience alone is a slow teacher, though in order to gain knowledge one must have the proper foundation. That foundation starts with a proper education. Studying the past, learning from it, and being able to use it. Newton did not just sit under an apple tree and get hit by an apple to discover gravity. He used what he learned from proper schooling as a foundation. If he did not have proper schooling, Sir Isaac Newton most likely would have just been irritated for having just been hit in the head with an apple. Not that Dewey is wrong though, one must have real world applica tions for what they have learned. If you are able to apply what you have learned in a real life situation, then you are being taught properly. No amount of improvement in the personal technique of the instructor will wholly remedy the state of things (303). 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