The Single Case Study: Understanding the Life History of a Tuskegee Syphilis Study Descendant

Author(s):  
Tina K. Sacks
2021 ◽  
Vol 06 (04) ◽  
pp. 1-1
Author(s):  
Sue Anne Fuller ◽  
◽  
Peta Stapleton ◽  

A 37-year-old female with a history of complex trauma, anxiety and depression was treated with Emotional Freedom Techniques (EFT) supplemented with guided imagery within the first 24 hours of having a stroke that affected the right side. CT scans indicated a haemorrhage and brain clot. Surgery was delayed as another seizure was expected. Interventions occurred during COVID-19 restrictions. The patient then engaged in 90 minutes of EFT every day over the course of a week while in hospital. After seven days she was discharged, and there were significant reductions in depression, anxiety and pain, and mobility returned. Upon discharge the patient had evident improvement in balance and coordination and successfully completed a driving test within the weeks that followed. Subsequent CT scans reveal very little scaring or evidence of the stroke, blood pressure remained stable, and no medication was warranted. This case study presents the practitioner’s perspective of the sessions provided.


1998 ◽  
Vol 12 (4) ◽  
pp. 289-302 ◽  
Author(s):  
Anthony Bates ◽  
David M. Clark

A recent cognitive model of social phobia which pays particular attention to the maintenance of the disorder is outlined. Within this model self-focused attention, safety behaviors, and selective retrieval strategies interact to prevent social phobics from disconfirming their negative beliefs about the way they appear to others. The model suggests specific clinical interventions which target each of the maintaining factors and which also address key interpersonal assumptions particular to this disorder. The successful 12-session cognitive application of this model to a 30-year-old woman with a 13-year history of the problem is described.


2017 ◽  
Vol 27 (14) ◽  
pp. 2222-2232 ◽  
Author(s):  
Jake Rance ◽  
Rebecca Gray ◽  
Max Hopwood

There are particular complexities faced by people attempting to tell their stories in the context of social stigma, such as the hostility which often surrounds injecting drug use. In this article, we identify some of the distinct advantages of taking a narrative approach to understanding these complexities by exploring a single case study, across two life-history interviews, with “Jimmy,” a young man with a history of social disadvantage, incarceration, and heroin dependence. Drawing on Miranda Fricker’s notion of “hermeneutical injustice,” we consider the effects of stigmatization on the sociocultural practice of storytelling. We note the way Jimmy appears both constrained and released by his story—how he conforms to but also resists the master narrative of the “drug user.” Narrative analysis, we conclude, honors the complex challenges of the accounting work evident in interviews such as Jimmy’s, providing a valuable counterpoint to other forms of qualitative inquiry in the addictions field.


2012 ◽  
Vol 40 (4) ◽  
pp. 383-399 ◽  
Author(s):  
Emma Warnock-Parkes ◽  
Paul M. Salkovskis ◽  
Jack Rachman

Background: Mental contamination is a phenomenon whereby people experience feelings of contamination from a non-physical contaminant. Rachman (2006) proposes that standard cognitive behavioural treatments (CBT) need to be adapted here and there is a developing empirical grounding supporting the concept, although suggestions on adapting treatment have yet to be tested. Method: A single case study is presented of a man with a 20-year history of severe treatment resistant Obsessive Compulsive Disorder (OCD) characterized by mental contamination following the experience of “betrayal”. He was offered two consecutive treatments: standard CBT and then (following disengagement with this) a cognitive therapy variant adapted for mental contamination. Clinician and patient rated OCD severity was measured at baseline and the start and end of both interventions. Results: Six sessions of high quality CBT were initially attended before refusal to engage with further sessions. There were no changes in OCD severity ratings across these sessions. A second course of cognitive therapy adapted for mental contamination was then offered and all 14 sessions and follow-ups were attended. OCD severity fell from the severe to non-clinical range across these sessions. Conclusions: The need to consider adapting standard treatments for mental contamination is suggested. Limitations and implications are discussed.


1978 ◽  
Vol 18 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Kevin Howells

A single case study is presented of a person with a history of interest in poisoning. Repertory grid technique is used to map features of the person's social perceptions. It is suggested that, in some cases, deviant behaviour may need to be viewed in the context of possible ‘alternative definitions’ of reality by the person.


2019 ◽  
Vol 56 (1) ◽  
pp. 53-76
Author(s):  
Matthew D. Milligan

This article serves as a contribution to the financial primacy of Buddhist women in early historic South Asia. Presented here is a single case study from the first century bce monastic stūpa site from Central India called Sanchi whereby gender demographics are analysed over two subsequent stages of funding. Investments by women not only fuelled the construction of the built landscape but, as time went on, female donors were crucial to the economic solvency of the monastic institution at Sanchi. Such a micro-history of Buddhist women from classical India illustrates the agency of women during Buddhism’s formative years.


Author(s):  
Oliver Sündermann ◽  
Jonathan Wheatley ◽  
David Veale

AbstractBody dysmorphic disorder (BDD) is characterized by a preoccupation with a perceived flaw in one's appearance, and is often emotionally linked with early adverse experiences. Cognitive behavioural therapy (CBT) is effective but may not resolve shame and anger that can be at the emotional root of BDD. This paper presents a single-case study of a 25-year-old man with a history of treatment-resistant BDD characterized by a preoccupation with facial skin linked to a developmental history of sexual abuse and bullying. He was treated at a national residential specialist unit for 16 weeks during which time he received three individual 1-hour weekly CBT sessions (42 sessions overall), and participated in the residential group programme and therapeutic community. CBT was enhanced using imagery rescripting, compassion-focused therapy and family work to specifically target shame and anger-based past experiences. Severity of BDD was assessed with the BDD-Yale–Brown Obsessive Compulsive Scale (BDD-YBOCS) at pre-, mid-, post-, 3-month and 18-month follow-ups; a weekly self-report measure (Appearance Anxiety Inventory), and a client-drawn self-portrait of his perceived skin flaws at pre- and post-treatment. Treatment outcome was positive. The BDD-YBOCS dropped 94% from the extremely severe range pre-treatment to the sub-clinical range post-treatment. BDD symptoms improved progressively throughout treatment, and when the emotions of anger and shame were resolved (as reported by the client) fell to the non-clinical range. Gains were maintained at 18-month follow-up. We conclude that enhancing CBT for BDD using emotion-focused techniques is to be recommended, particularly when emotional memories continue to affect body shame.


2021 ◽  
Vol 9 (6) ◽  
pp. 1303-1306

Hypothyroidism is the low activity of the thyroid gland that leads to inadequate production of thyroid hormones. Hypothyroidism is the most common endocrine disorder, mainly female in present era. Thyroxin is the control the general metabolism by regulating the rate of oxidation and production of energy. In Ayurveda, it can be corelated with Kapha Dosha Dushti, Rasavaha Strotasadusti, Medadushti and Manovaha Strotasa Dushti. As per Charak Samhita we can categorize hypothyroidism in Anukta Vyadhies. Vata and Kapha are two main Doshas involve in this Vyadhies. A 32 years female patient suffering from weakness, dizziness, breathlessness since last 3 years, and from last 3 months all symptoms are increase rapidly. Patient having history of thyroid disorder and under allopathic treatment since last 3 years. The present case study has focused effectiveness of ayurvedic treatment in subclinical hypothyroidism. Keywords: Subclinical Hypothyroidism, Anukta Vyadhies, Kapha Dosha.


2021 ◽  
Vol 6 (1) ◽  

This qualitative study explored the positive effect of physical activity on the prognosis of chronic patient with schizophrenia. This single case study carried out on the patient with schizophrenia who was admitted at the age of 36 at Fountain House Lahore Pakistan. The member belonged to single parent and had the history of wandering behavior and ran out 4 times from house and lastly stayed around 8 months away from his home. After getting admitted at Fountain House member undergone drug therapy along with that he was involved in physical exercise, assembly and given sports responsibility by the sports therapist. After 6 months of continuous stay at Psycho social rehabilitation center and involved in the physical activities and conducting sports as assistant remarkable improvement was seen in the overall behavior of the member. The member discussed in semi structured interview that his life became disciplined, positively elevated his mood, provided him confidence and he does not feel like to be sedentary. The most encouraging remark he shared that he got more awareness about his symptoms of disease instead of reacting now he wanted to share any change in him with his father or the therapist.


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