Thursday, December 26, 2019

Literary Fiction Analysis - 1102 Words

In the world of literature, fiction is often used to portray an entertaining story of a story they have a greater meaning to itself. There are two types of fiction Each of these stories falls on, which are commercial fiction, use to entertain us, as it tends to contain a setting that is easy to understand and a plot that is very distinct. This type of fiction is merely for enjoyment and doesnt have any deeper meaning to the story. In contrast with literary fiction where the stories is more character driven as we focus more on their minds and emotions, it contains a plot that usually underlines a social or cultural thread that impacts the story, however, is less obvious. When the audience reads these type of stories a first read isnt†¦show more content†¦Another aspect that shows its commercial fiction is the details of the protagonist which is Rainford who we find our has a vast experience on hunting â€Å"Ive read your book about the hunting snow leopards in Tibet, you see †(pg 72) as well once he was being hunted by Zaroff he had used tactics to kill him â€Å"... native trick he had learned in Uganda.† which gave Rainsford an advantage toward his opponent when it comes to hunting. The story is seen as commercial fiction because it is a book that is ment to grab our attention and entertain the reader. The only literary fiction out of the three stories is â€Å"Hunters in the Snow† by Tobias Wolff’s which follows three men Tubs, Kenny, and Francis who decide to go hunting in the winter. The plot of the story isnt as obvious compared to commercial fiction, we are put in the thought that these three men are going to hunt for deer, but in reality, they are men lost trying to find a solution towards their problem. Kenny can be seen as someone who wants to be feared and wants power as we see when they go and pick up Tubs â€Å"The truck jumped the curb and kept coming, half on the street and half on the sidewalk†(pg 86) which was heading straight towards him, until Tubs moved out of the way. AsShow MoreRelatedLiterary Analysis : Modern Detective Fiction1573 Words   |  7 PagesModern detective fiction has been employed cross-culturally predominantly with television media in recent decades as detective serve as reflections of cultural assumptions and values con veyed through the genre. Authors of new innovative storylines with unique characterizations and revitalizations of classic, ageless characters coincide to present new shift messages about crimes, the human element, and the detective. The comparable and divergent adaptations of detective genre is coming when comparingRead MoreLiterary Analysis: Hotel on the Corner of Bitter and Sweet as a Historical Fiction1280 Words   |  6 PagesLiterary Analysis: Hotel on the Corner of Bitter and Sweet as a Historical Fiction In Jamie Ford’s historical fiction Hotel on the Corner of Bitter and Sweet, this split narrative focuses on two eras: 1942 and 1986. Within these era’s, Ford’s novel focuses on a Chinese boy, Henry Lee, and what it was like to grow up in the international district with prejudice everywhere, especially in his own family being a first generation American. His novel tells the story of Henry, as well as a Japanese girlRead MoreDoes Fiction Build the Morality of Individuals and Societies, or Does It Break It Down?947 Words   |  4 Pagesspend an extensive amount of time engrossed in literary works, films, television shows and other forms of fiction. Some see this in a positive light, contending that fictitious stories cultivate our mental and moral development. Others however have argued that fiction is mentally and ethically obstructive. Posing the age old question: Does fiction build the morality of individuals and societies, or does it break it down? â€Å"The goal, I suppose, any fiction writer has, no matter what your subject, isRead MoreTruman Capote and Postmodernism1398 Words   |  6 Pagesas with penning great words, was a writer who became as well-known for his late-night talk show appearances as for his prose† (Patterson 1). Capote was a literary pop star at the height of his fame in 1966, after he had written such classic books as, Other Rooms, Other Voices, Breakfast at Tiffany’s, and In Cold Blood. Postmodernism was a literary period that began after the Second World War and was a rejection of traditional writing techniques. It used fragmented sentences and questionable narratorsRead MoreLiterary Review of Bram Stokers Dracula Essay1230 Words   |  5 Pagesto the creation of the literary classic â€Å"Dracula†, Bram Stoker spent his time managing the Lyceum Theatre and legendary actor Henry Irving. According to Jennifer Dorn, when the novel was first published in 1897, critics regarded it as a â€Å"pulp fiction potboiler† (Dorn). The novels declaration as a literary masterpiece came many years later. A graduate of Trinity college, Stoker came from a middle class Irish family, the son of a civil servant. The publication â€Å"The Literary World of Bram Stoker,† byRead MoreEssay on Henry James The Art of Fiction647 Words   |  3 PagesHenry James The Art of Fiction In an essay written in response to an essay written by Walter Besant, both titled The Art of Fiction, Henry James provides both a new understanding of fiction and greater understand of his own works. James analyses, however briefly, the process of creation of a work of fiction, readers responses to it, and the requirements of the work and the author. James language within this essay may be in need of some levity, but he does occasionally break through theRead MoreThe Mystery Of Detective Fiction1648 Words   |  7 PagesDetective Fiction exists as one of the most popular fiction genres of all-time. Detective fiction uses facts and other details to solve a mystery which surrounds a perplexing murder in a novel. Many people gain excitement over a challenge or a test of knowledge when solving a puzzle. A puzzle may baffle or confuse the puzzler; therefore, the puzzler likes to solve the puzzle before the ending. People enjoy the experience of sheer satisfaction of solving a myste ry before ending the literary workRead MoreEssay about The Things They Carried Literary Analysis764 Words   |  4 PagesLiterary Analysis of The Things They Carried: Metafiction   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Tim O’Brien brings the characters and stories to life in The Things They Carried. He uses a writing style that brings stories to life by posing questions between the relationship of reality and fiction (Calloway 249). This is called metafiction and it exposes the truth through the literary experience. Tim O’Brien uses metafiction to make the characters and stories in The Things They Carried realistically evocative of the VietnamRead MoreThe Lagoon By Joseph Conrad962 Words   |  4 Pagesin the Malayan Archipelago. The story exists as one of the earliest examples of the literary world’s slow nudge into the modern fictional literary movement. The short story earns its place in that category because of its use of the same characteristics found in modern fiction today. Those same characteristics cc an be found with some analysis of his short story. The Lagoon contains the elements of modern fiction within its theme, tone , setting, plot and characters. The theme of the story contributesRead MoreWomen Writers: Restoration and 18th Century1392 Words   |  6 PagesWomen Writers: Restoration and 18th Century Ballaster, Ros, Seductive Forms: Women’s Amatory Fiction from 1684–1740, Oxford: Clarendon Press, 1992,; New York: Oxford University Press, 1992, Landry, Donna, The Muses of Resistance: Laboring-Class Women’s Poetry in Britain 1739–1796, Cambridge and New York: Cambridge University Press, 1990 Myers, Sylvia Harcstark, The Bluestocking Circle: Friendship and the Life of the Mind in Eighteenth-Century England, Oxford: Clarendon Press, 1990; New York: Oxford

Wednesday, December 18, 2019

Playing A Traumatic Brain Injury Essay - 1558 Words

Football players risk their lives every time they walk onto the field. Although, some players do not see the risk, because no one has informed them of the consequence. They are not aware that their next football game might be their last game or that their small headache could, in fact, be the beginning of a traumatic brain injury. The coaches are fixated on winning the game and they lose focus of their main priority, their players safety. Due to their lack of knowledge, the players do not receive proper treatment and continue to play. Acting as if nothing is wrong, they go to school and find themselves forgetting where their class is. Memory loss is one of the many symptoms associated with a traumatic brain injury, or concussion. A concussion can be caused by one traumatic impact or many minor blows to the head; also, in some cases, it can be fatal. Preventing concussions is vitally important to ensure the safety of athletes in the future. In today’s society, football is worshiped and the risks taken by the players are seen as signs of strength. Athletes risk their bodies hoping to win the game; however, it is not the gratification of winning a game that some players go home with. Off the field, some football players experience headaches, lack of concentration, memory loss and even depression. These are all symptoms causes by a concussion. In the eyes of a football player, a concussion is hardly important when there is a game to be won. It takes a lot ofShow MoreRelatedAthletes And Concussions With Concussions1738 Words   |  7 Pagesconcussions each year (11 Facts). A concussion is a traumatic brain injury that causes swelling of the brain s soft tissue and disrupts normal brain function (Concussion). A concussion has potential to impact memory and coordination for the rest of the athlete s life along with lead to other, more serious, brain injuries. In order for athletes to reduce the effects from concu ssions, they need to be educated on the symptoms, ways to avoid the injury, and the possible lifelong effects. For an athleteRead MoreThe Reality Of Brain Damage From Football1387 Words   |  6 Pages The Reality of Brain Damage from Football Introduction to Psychology Northcentral Technical College Stacy Schmidt Football brain injuries are somewhat common and people are more aware of the types of damage it can cause to the brain. A concussion is a mild traumatic brain injury. It can occur after an impact to the head or after a whiplash-type injury that causes the head and brain to shake quickly back and forth. Concussions are usually not life-threateningRead MoreChronic Traumatic Ptsd ( Cte )1522 Words   |  7 PagesIntroduction Chronic traumatic encephalopathy (CTE) is the current understanding of a form of progressive dementia that used to be classified as punch drunk syndrome in boxers as early as the 1920s all the way up until the 1950s and 1960s 6. What makes this disease so elusive is its difficulty to be detected until postmortem autopsies are conducted 6. As a consequence, several professional athletes experiencing head injuries were unaware of the fatal consequences of participating in sports involvingRead MorePersuasive Speech On Concussions1276 Words   |  6 PagesInjuries can be caused through playing sports and getting in accidents at any moment of time. Soccer is known as a contact sport from headers to player-player contact. Any type of contact while playing soccer the risk of injuries depend on how hard the compact is. Injuries from playing soccer that are common are concussions, they are a major factor that can cause brain-trauma. Soccer isn’t the only sport with the risk of concus sions, any sport with any physical contact has a risk of concussions,Read MoreShould Sports Managers Be More Protective Of Their Players?879 Words   |  4 Pagesdollars worth to you? Is it worth ruining your life? Football managers should be more protective of their players because even though NFL Players are paid well, bad or even deadly injuries can happen to them, as well as college and high school players. Researchers from the National Center for Catastrophic Sports Injury Research studied 243 football deaths recorded between July 1990 and June 2010. Another study showed that each year in the U.S. an average of a dozen high school and college footballRead MoreInjuries in NFL Players Essay797 Words   |  4 PagesInjuries in Sports Al Toon, father of Saints receiver Nick Toon, was forced to leave professional football after sustaining nine concussions in eight years of professional football. Football is one of the most dangerous games. As the years go on, more and more rules are being written to prevent the danger, but danger is the nature of the game. Most of these rules are for the protection of the players, but there are times when injuries can be a good thing. The Philadelphia Eagles were 3-5 to startRead MoreThe Effects Of Football Concussions On Football Essay1540 Words   |  7 Pagesare many consequences to playing football, but the greatest is concussions. Football is a game of tackles, sacks, and other hard hitting plays that involve big men playing their hearts out. Within the game of football, whoever has the ball is the one to be hit the hardest, on most plays. These immense blows to the body and head lead to awful injuries, both physically and mentally. Most players will be injured in some way d uring their football career, with the worst injuries being those that are mentalRead MoreConcussions And Its Effect On Children1309 Words   |  6 Pagesrecognize how severe the effects of concussions are, the individual must first understand what a concussion is. According to Medicine.Net, a concussion is, â€Å"a traumatic injury to soft tissue, usually the brain, as a result of a violent blow, shaking, or spinning. A brain concussion can cause immediate but usually temporary impairment of brain functions, such as thinking, vision, equilibrium, and consciousness† (Medicine.Net). Concussions can increase in effect or cause permanent damage if not takenRead MoreEssay On Disocus1062 Words   |  5 Pages25 October 2017 Head to Head Over recent years there had been increasing attention focused on the neurological sequelae of sports-related traumatic brain injury, particularly concussion. Concussion can often lead to ALS and CTE. ALS is mostly found in Athletes, which affects the athletes playing ability. CTE is found in people with a history of repetitive brain trauma, mostly athletes as well. CTE includes symptomatic concussions. The sports world should educate the players about the dangers of headRead MoreSymptoms And Symptoms Of A Concussion1312 Words   |  6 Pageslong-term brain damage and cognitive impairment later in life. A concussion is a subset of a Traumatic Brain Injury (TBI) and results from shaking the brain within the skull. The American Association of Neurological Surgeons (the â€Å"AANS†) has defined a concussion as â€Å"a clinical syndrome characterized by an immediate and transient alteration in brain function, including an alteration of mental status and level of consciousness, re sulting from mechanical force or trauma.† (Sports-related Head Injury) The

Tuesday, December 10, 2019

Self Analysis Speech free essay sample

I have always been terrified of giving speeches, the night before a speech I usually can not sleep Just thinking about standing in front of a large audience. After reading these tips, I will incorporate tip # 3 into my next speech. By using tip #3, Ill feel more comfortable speaking to three people Instead of the whole class; and It will also help me remember to look to all parts of the class when speaking. Dear Mrs.. Ochs, When sending email to your professors we must remember to be professional and concise with what we write.Just because you are writing an email it does not mean hat bad grammar and spelling are okay, instead use spell check or a dictionary. Finally dont forget that your email may be viewed by many others not Just your professor, so make sure that what the email contains is appropriate. Thank You Erik Fernando 3. We will write a custom essay sample on Self Analysis Speech or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Dear Mrs.. Ochs The syllabus was clear and I have no questions, my only concern is presenting to the front of the class. Thank You I am notified of all ETC closings through ETC Alerts which sends me text or voiceless, and I also check Tulsa. Du for any Information, My personal goals for this course If first of to pass with nothing less then an A, and secondly to become a ore confident speaker. The only significant hurdles I am faced with that might impede my goal, are my writing skills. Even though I have taken both Com I and II my creative writing skills are not the best. We should refer to our agenda to find out what we missed in class, what is due, or where we will meet on a particular day. Each week of class will be worth 20 points. If you have an unexcused absence 10 points will be deducted from any points earned that week.Excused absences consist of, dire emergencies, serious illness, military obligation, and a court date. Each day that you are arriving more than ten minutes late to class, 10 points will be deducted from any points earned that week. Starting class on time Is a good practice because In the real world no one is going to Walt for you. Time Is valuable and Its something we should all respect from one another. If you arrive 20 minutes after class has begun you will be deducted 10 points from the points earned that week. You should still come to class because you dont want to miss anymore then what you already have.The consequences for leaving class early is a deduction of 10 points. I believe this policy is in effect because it is important to stay for the whole class and its rude and distracting to other students. I work well with groups, I am a bit of a leader and always like to lead but I am also very open to others opinions and ideas. The email I use most frequently is my ETC email address [emailprotected] Tulsa. Dude. In order to avoid sending an email before it is finished wait to fill in the email address on the To box until it is ready to be sent. Mrs.. Ochs Is going to think I am a complete moron, especially after doing this exercise.Self Analysis Speech By Inker-Rodriguez comfortable speaking to three people instead of the whole class; and it will also help Finally dont forget that your email may be viewed by many others not Just your voiceless, and I also check Tulsa. Dude for any information. My personal goals for this course if first of to pass with nothing less then an A, and secondly to become a class on time is a good practice because in the real world no one is going to wait for you. Time is valuable and its something we should all respect from one another. If Mrs.. Ochs is going to think I am a complete moron, especially after doing this exercise.

Monday, December 2, 2019

Self Defeating Behaviours Essay Example

Self Defeating Behaviours Essay They go on to qualify this as Those who engage in a repetitive cycle of failed attempts to fulfill a core human need -? whether it be the need for intimacy, affiliation, control, or acceptance may be vulnerable o mental health difficulties such as depression, anxiety, social isolation, or compensatory exterminating problems. Basic issues individuals share are frustration with having a core need remain unfulfilled and diminishing hope and/or lack of self-efficacy in future attempts to change ones situation Elf- defeating behaviors may reflect a self-perpetuating negative spiral in which the more the individual attempts to fulfill an unmet need, the greater the resulting sense of frustration, hopelessness and perceived lack of control. Self-defeating behavior is something we all experience at some time or another. Examples range far and wide. For example, a child may be determined to gain attention through naughty behavior, initially this may be positive attention, later negative att ention but attention all the same. Perhaps an adult avoiding work they are not looking forward to until it becomes an excessively stressful situation; proving to themselves that it was going to be stressful anyway. It may be someone in repeated abusive relationships or a sports professional who outperforms at home and underperformed in competition. It is, in away, a maladaptive coping strategy. In a positive sense, we would SE ego defense mechanisms to cope with certain situations. However, the mechanism is no longer effective when the outcome is negative for the individual. This cyclical process rotates around an expectation of a negative nature can be either sustained or worsen over time. Self-defeating behaviors ensure we fail to reach our goal(s). Perhaps we are scared to be successful or the process of change is more painful than the end result. Many self-defeating behaviors are managed perfectly well and may never need support of a counselor. Many may be simple unconscious efforts to ensure we gain the desired outcome (I. . Lateness to the interview of a job that doesnt appeal). However, a client may finally decide a change is required. We will write a custom essay sample on Self Defeating Behaviours specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Self Defeating Behaviours specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Self Defeating Behaviours specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The client may not perceive they themselves have an issue with their mindset or behavior. Mostly likely belief that an outside factor is causing an issue. Types of SOB Psychologists key to the research into Sads include Banister, Ocher and Burglars. The list of types of SUB are lengthy. However, Banister has outlined the some simple classes: Primary Self-Destruction This group includes individuals who intentionally choose an action that will bring harm to themselves. Masochism forms part of this group. De-railing activities may include self-harm, eating disorders, addiction and attempted suicide. Its important to note that anyone falling into this group is referred to their GPO for their primary care plan. [Psychosis. Com -? Self-Defeating Behavior] Trade-off Also known as Self-Handicapping. Creating a balance where in causing harm whilst seeing a beneficial output. Ultimately, the cost outweighs the gain. Most obvious involving health; over-eating, drinking, smoking. Less obvious may be avoidance; such as work or social interaction. A major player in this area is procrastination. Anyone falling into this group may or may not be aware of this trade-off. They do not intend to cause harm to themselves, believing negative affects are long in the future or change is too costly. (Banister) The advantage of giving yourself a handicap is that you can have the illusion of success without having to risk losing it. (Burglars, 1987) Counterpart active Strategies Has no intention of causing any harm to themselves, aiming for a positive outcome. Perhaps a misjudgment in capability or situation. Behaviors formed over time that may have originally been successful. The behavior becomes an automatic thought or response to a situation even if it gains a negative outcome. Choking under pressure is an example. Require careful handling as awareness of performance challenges can further exacerbate self-esteem issues that caused the SUB originally. (Banister) Treatment Models The two models we are looking auto treat are: H. I. N. D. S. I. T. E Honesty, Identification, New Choices, Intervene, Decision, Select, Transition and Empower T. I. M. E Temporal, I ntervene, Multi-modal, Empathetic Using both these models for treatment plans, it becomes clear that both are relevant. Using HINDSIGHT without considering a multimedia approach or originating issue seems unrealistic. Similarly, using TIME without considering the clients honesty or empowerment also seemed unrealistic. Additionally, the subject matter is not an end to end process but more a cycle. Recognizing a first time fix may not often happen, Ive merged the models into one cyclical model (below). The model considers that there may need to be reassessment at any time given a change of information, model, tool and level of success. It is not meant to signify a constant cycle of solution/ resolution, but rather recognize the journey. Figure 1: HINDSIGHT and TIME Models from Chrysalis Courses. Z Fosters interpretation. Within each of the sections, the counselor needs to make a choice appropriate to the client. Maybe starting with ACT to support open conversation; understand client goals, history, values, beliefs, rationale for change and so forth. Equally, psychoanalysis may be used if the issue clearly has roots in the development. Perhaps a Thought Record to identify patterns of behavior ready for the next discussion. However, an easily bored client may need such exploration done during a counseling session as recording issues may feel back facing and counterproductive. Modality may be key; they may like to draw a picture instead of writing a diary. The models above give a path to follow, a guide. Eke many paths; it will not always be a straight line, it may be that the client and counselor need to stop and check their direction or backtrack to take another path. The methods used will always need to reflect the individual. Whilst it can by cyclical, it must not remain so, intervention and challenge to help the client look to their ultimate goal. Some Considerations during Treatment Expectations of the Client Regardless of whether the client is feeling wronged or on a journey to change a belief, expectation is part of the discussion. Honesty is key, but also understanding what can and cannot be influenced. The Circle of Influence can be a useful tool. It can be discussed or printed, depending on modality and retained for reassessment. Here is a version below: Source: Z Fosters interpretation of Circle of Influence The worry tree HTTPS://bridegrooms. Files. Wordiness. Com/2014/07/worrywart. Ping Relapse and Cost of Change -behavioral change is superficial if not accompanied by an alteration Of perception and increase in social interest. Dryden) A challenge in changing any SUB is the price a client pays for change versus the true benefit gained. Behavior can turn into a habit based on a long standing belief system. The client will find it easier to take the well worn path, defaulting to the familiar. Stress or tiredness may exacerbate this. Similarly fear, anger, frustration. The counselor also needs to understand the knock on effect of change to family, friends and colleagues. Understanding the root cause of feelings and how these are restricting change are key. The counselor needs to help the client be open to identifying conflicts when hey arise; understand them and looking to manage them. The two models outlined in HINDSIGHT and TIME both clearly show this journey; demonstrating that there may not be one, but several ways to address a problem. Going through a process of exploration may reveal the best option for the client. I say may, as I?s equally likely that the client does not want to effect a positive outcome and may want to prove that the process will not succeed in support of the SUB. Emotional Desegregation Supporting awareness of where you can/cant ethically treat a client. This scale refers to: an emotional response that is poorly modulated, and does to fall within the conventionally accepted range of emotive response [Wisped Emotional Desegregation] Those who cannot regulate their emotions; in particular strong outbursts or physical aggression may need additional support via the GPO. It may be symptomatic of disorder(s), chronic maltreatment or brain injury. If in doubt the counselor must always take advice from their supervisor. External Factors Obvious factors may include alcohol, drugs, smoking, abusive or unhealthy relationships. Perhaps the clients living circumstances are difficult or dire. Perhaps dealing with a seriously ill loved one or supporting someone dealing tit any of the above. Addiction may be to gambling or even technology; a person may be disconnected from the world around them, but believe they are fully involved using social media. If a client has been abused or raped, caution is required as to how much past can be delved into and how soon they are willing to share. Painful memories may require the counselor to primarily focus on future goal and change in behavior. When looking to make changes to an SUB that has sustained someone, albeit negatively, these factors need active consideration. As always, supervision is key. SUB Relationship to Theory Whilst many theories may be used as part of TIME or HINDSIGHT, here are some connecting thoughts. Not an exhaustive list as there are many tools and theories: Transactional Analysis: Mode in support of SUB (I. E. , parental mode, perhaps moral superiority over being wronged). Psychoanalysis: Relating back to an unresolved crisis at a key period. Not just related to childhood, includes adult crisis (I. . , a failed marriage leading to fear of rejection). Personality: Fundamental personality of a client (I. E. Cognitive may be more self-aware of behaviors; sensory may test how change goes for them and what results hey SEE or FEEL). Client Centered: Understanding past history, opening up discussion, create trust and empathy. May be less effective to instigate change itself. Cognitive: Limiting or damaging beliefs. Clients generally believe the harming factor to be external, but discover during counseling that actually they need to change all or part of a belief. Behavioral: Conditioning of an individual. (I. E. , the perfectionist may have come from parental conditioning). Includes Fight/Flight/Freeze conditioning (amazedly changes). CB and similar: Culmination of above; tools and theory that can be used to instructively build a way forward for the client. Also consider ACT to change conditioned response. REBUT in particular came up as a strong framework for Sods. SUB Relationship to Intervention Validation/Challenge:Asking the client to explain the reasoning behind their beliefs this may need to be cyclical to dive down to the originating belief. Reflection:Repeating what the client has said to help them see their approach in a mirror and develop discussion around its validity. Rehearsal: Recreating a situation where a situation that involves the SUB is created to help understand its process for discussion. Could be utilized with Guided Imagery or Role Play below when looking to make changes. Guided Imagery:Cognitive behavioral technique shown to be effective in helping individuals learn to modify behaviors. In particular, working through the outcome of a changed goal. [Encyclopedia of Mental Disorders] Story-boarding: A step forward from the guided imagery above. A visual story of situation. Role-Play: Allowing the client a safe environment in which to practice any changes and allowing the client/therapist to test methods that may challenge any change. Conditioning: Several methods including placing the client in a situation fully flooding) or progressively. Also reward or punish through changes (this last one not deemed to be a strong method). Thought Record: Understanding when, where, who, feelings, hot thoughts, values. In order to reflect, understand and discuss options. Materials: TO support a clients consideration of belief, challenges and changes. Poems, stories (both real and fictional), even online materials for those who prefer, such as happily. Com This list is certainly not exhaustive and at the risk of sounding like a broken record, approaches would have a regular check and balance via supervision o define the most beneficial approach for any given aspect of the treatment. Conclusions If refer to a quote at the start of this paper may be vulnerable to mental health difficulties such as depression, anxiety, social isolation, or compensatory exterminating problems (Browns and Hartley) in relation to Sibs. Couple this with a quote from a McKinney paper Changing individual behavior is increasingly at the heart of healthcare. The old model of healthcare -? a reactive system that treats acute illnesses after the fact -? is evolving to one more centered on patients, prevention, and the ongoing management of chronic conditions. (Dixon-File) What are the wider social implications of self-defeating behaviors? Modern society with it benefits and comfort also brings with it an ill; expectations, excess, treatment of one another resulting in maladaptive coping strategies. Such stresses can lead to ill health or even mental disorders over time. Of course, an SUB may also simply be a symptom of a disorder. Gaps have to be to broad shoulders of the T in terms of knowledge. Perhaps the INS requires a training system to consider the broader information from a patient and avoid repeated referrals to different specialists? How would the health service do this? A GPO may see that a patients physical symptoms and/ or stress may be exacerbated by a behavioral issue. Review by specialists to decide upon a holistic approach that may include a mental health specialist such as counseling. Still even if talking therapy is identified, the client/patient needs to want to make a change. Take social avoidance as an example. Low self-esteem and/or personal experiences may have led to a maladaptive coping strategy. This may carry with it secondary issues around lack of exercise, eating habits, and self- dedication or more seriously self-harm. History and originating factors may include conditioning developmental crisis or a specific trauma. They could be under great pressure from relatives/friends to resolve the issue or even conversely supporting the belief that this avoidance will not change. Understanding the reason a client wants to change, the originating cause(s), emotions, beliefs; the counselor and client may then look at understanding an ideal goal/outcome. The therapist may need to consider CB/ACT/REBUT and tools such as a worry tree or goal ladder to help the client find a route forward. Role-play to create a safe environment in which to test scenarios and of course expectation setting that there will be positive and negative experiences whilst the best path is found. Nothing is perfect, but what the above thought process shows is that for any given SUB, there could be many causes, factors and results. The treatment of any SUB brings together all the models we have learnt and key intervention skills to be used. It is also important to remember we can only deal with what the client presents us. It may be that a client is struggling with a task because they have been asked to do something beyond their means rather than they are sabotaging themselves. One can only challenge and reflect with the help their client to consider their statements and honesty. Finally, feel a health warning is again required; a counselor has a great deal of influence once they have understood a client and are entrusted to help with change. The client will want direction. The counselor must be mindful of the clients desires, whilst we will challenge a client, we must not lead them by our own compass but instead support them in finding their own way.