Life, Unplugged

Author(s):  
Angela Duckworth ◽  

A year ago, I wrote about my friend Tiffany Shlain and her genius idea of a Tech Shabbat: every week, from Friday night to Saturday night, her family turns off all screens—cellphones, TVs, computers. As Tiffany recounts in her new book, 24/6: The Power of Unplugging One Day a Week, the idea for riffing on the tradition of the sabbath came during a time of grief. Her father was dying, and it struck Tiffany as obvious that you don't check your texts when you're spending precious moments with a loved one. It has been nearly a decade since Tiffany, her husband, and their two girls (now ages 16 and 10) have been observing Tech Shabbats. Last weekend, my friend Michelle and I decided to give it a try. Michelle planned ahead. On Friday afternoon, she sent preemptive emails warning coworkers that she'd be unplugged for 24 hours. “If you need me, call my landline,” she instructed her closest friends. She printed out directions to a restaurant where she and her husband Jon had reservations that night.

2017 ◽  
Vol 16 (5) ◽  
pp. 520-527 ◽  
Author(s):  
Eunjeong Ko ◽  
Jaehoon Lee ◽  
Carlos Ramirez ◽  
Denicka Lopez ◽  
Stephanie Martinez

AbstractObjective:Family caregivers play an important role in end-of-life (EoL) decision making when the patient is unable to make his/her own decisions. While communication about EoL care between patients and family is perhaps a first step toward advance care planning (ACP)/EoL decisions, not every culture puts great value on open communication about this topic. The aims of the present study were to explore EoL communication and the aspects of communication among caregivers of Latino patients in the rural United States (U.S.)–Mexico border region.Method:This study analyzed data from a hospice needs assessment collected from 189 family caregivers of Latino patients at a home health agency in a rural U.S.–Mexico border region. Bivariate tests and logistic regression were used to address our aims.Results:About half of the family caregivers (n = 96, 50.8%) reported to have ever engaged in EoL discussion with patients. Significant predictors of EoL discussion included life-sustaining treatment preference (odds ratio [OR] = 0.44, p < 0.05); knowledge of an advance directive (AD) (OR = 5.50, p < 0.01); and distrust of physicians (OR = 0.29, p < 0.01). Caregivers who preferred extending the life of their loved one even if he/she had to rely on life supports were less likely to engage in EoL communication. Also, caregivers who worried that physicians might want to stop treatments (i.e., “pull the plug”) too soon were less likely to do so. Conversely, caregivers who had knowledge about ADs were more likely to engage in EoL communication.Significance of Results:EoL communication is a complex process influenced by individual, social, and cultural values and the beliefs of both the patient and his/her family. Inclusion of family caregivers in the ACP process and facilitating culturally tailored EoL communication between patients and family caregivers is important.


Temida ◽  
2019 ◽  
Vol 22 (3) ◽  
pp. 263-288
Author(s):  
Mirjana Dokmanovic

The subject of this paper is the analysis of the way the daily printing in Serbia is engaged in the reporting on suicide and the level of respect of the Code of Ethics of Serbian Journalists. The aim of thee paper is to present and analyse the findings of the research on the manner of reporting on cases of suicide in electronic editions of eight daily newspapers in the period from 1st January to 30th September 2018. Both quantitative and qualitative analysis of the media content, including photographs and video footage was performed. The research findings showed that only two dailies out of eight fully followed the professional and ethical conduct for journalists. In total, 223 articles have been published about cases of suicide. Out of this number, the Code of Ethics has been violated in 147 articles (65.9%). In 40 articles media un-ethically reported on cases of suicide of children and minors. The most frequent methods of the Code of Ethics? violations include: disrespect of dignity, privacy and grief of people who have experienced the death from suicide of a loved one, publishing photographs of the scene of a given suicide, and pictures of an individual who has died by suicide and of his/her family members, and using language which sensationalises suicide. Due to unethical reporting, members of the family of the persons who committed suicide have been exposed to additional trauma and stigmatization, thus becoming invisible victims of irresponsible media reporting. The analysis of the legal and institutional framework has shown that mechanisms for the protection of their right to privacy and dignity are in place. Beside court protection, the victims of non-ethical reporting may seek protection from the Press Council, an independent self-regulatory body that has been established for monitoring the observance of the Code of Ethics and solving complaints made by individuals and institutions related to media content. However, it has been found that the traumatised and stigmatised family members very rarely use these opportunities provided. The analysis of the complaint proceedings before the Press Complaints Commission from the beginning of its work in September 2011 to 2019 showed that only three persons filed complaints against media seeking protection of their right to privacy and dignity.


1993 ◽  
Vol 2 (2) ◽  
pp. 171-173
Author(s):  
Omar Franca

My experience concerning cases similar to the Wanglie case indicates that there was virtually no possibility of a solution for the conflict between the different expectations of the Wanglie family and those of the physicians caring for Helga Wanglie. A persistent vegetative state precludes a return to consciousness unless an extraordinary phenomenon takes place. Therefore, the physicians expected to be relieved of the duty of continuing to give Mrs. Wanglie respiratory care. However, her family thought it their duty to provide their loved one with the best possible treatment. The family based their position on the claim that life is God's gift and that only He has the right to terminate it. Such spiritual convictions are perceived as reflective of a higher “truth” and are not predisposed to negotiation or change according to the situation.


2015 ◽  
Vol 13 (6) ◽  
pp. 1787-1790 ◽  
Author(s):  
Mayumi Ishida ◽  
Hideki Onishi ◽  
Hiroaki Toyama ◽  
Chizuko Tsutsumi ◽  
Chieko Endo ◽  
...  

ABSTRACTObjective:The death of a loved one is one of the most stressful events of life, and such stress affects the physical and psychological well-being of the bereaved. Dissociative amnesia is characterized by an inability to recall important autobiographical information. Dissociative amnesia in the bereaved who have lost a loved one to cancer has not been previously reported. We discuss herein the case of a patient who developed dissociative amnesia the day after the death of here beloved husband.Method:A 38-year-old woman was referred for psychiatric consultation because of restlessness and abnormal behavior. Her 44-year-old husband had died of pancreatic cancer the day before the consultation. On the day of the death, she looked upset and began to hyperventilate. The next day, she behaved as if the deceased were still alive, which embarrassed her family. At her initial psychiatric consultation, she talked and behaved as if her husband was still alive and in the hospital.Results:Her psychiatric features fulfilled the DSM–V criteria for dissociative amnesia. The death of her husband had been very traumatic for her and was considered to have been one of the causes of this dissociation.Significance of Results:This report adds to the list of psychiatric symptoms in the bereaved who have lost a loved one to cancer. In an oncology setting, we should consider the impact of death, the concomitant defense mechanisms, and the background of the families.


2017 ◽  
Vol 41 (S1) ◽  
pp. S728-S728 ◽  
Author(s):  
A.B. Yasar ◽  
A.E. Abamor ◽  
F.D. Usta ◽  
S. Erdogan Taycan ◽  
M. Zengin Eroglu

BackgroundLoss of a loved one is a distressing event that may result in grief characterized by emotional distress, longing of the dead, and dysfunctionality. Persistent complex bereavement disorder (PCBD) is differentiated by extended and damaging bereavement [1], which is being treated by some with EMDR [2]. In this study, the effects of an EMDR session on a patient with PCBD will be analyzed.CaseG.Ö. (45) is a married housewife who had been working, mother of a kid and a baby. She has lived with her family and her mother in a metropolitan city until her mother died a year ago, unexpectedly. Then, she quitted her job and they moved in a small city upon her husband's wish. The inpatient had complaints such as active suicidal thoughts, marital dissatisfaction and an ongoing deep sadness. EMDR therapy is applied on her grief and dysfunctional beliefs.ConclusionAfter one session of EMDR, her mood improved, her ruminations declined, she sought job, and became hopeful for the future. In our case, even one session of EMDR let remarkable improvements on PCBD. Indeed, as for other trauma-related issues, EMDR therapy can be utilized on PCBD.Disclosure of interestThe authors have not supplied their declaration of competing interest.


The Group ◽  
2018 ◽  
Author(s):  
Donald L. Rosenstein ◽  
Justin M. Yopp

“Dad, you cannot be serious!” Julie had made what she thought was a simple request: Could she go to the hockey game with her friends on Friday night? To her father, Neill, it was a very big deal. That Friday would be the first anniversary of the death of his wife (Julie’s mother), Deanna. Neill had spent weeks figuring out just the right way to mark the date, ultimately deciding to take his four children to visit the gravesite, release balloons, and then have dinner at what had been Deanna’s favorite restaurant. Most importantly, they would spend the day together as a family, something Deanna would have liked. Now, with the anniversary only a week away, his fifteen-year-old daughter wanted out. “Are you really saying that I can’t go?” Julie asked again. “That’s exactly what I’m saying,” Neill said tersely. “You do realize why next Friday is so important, right?” When he questioned whether she cared more about going to a hockey game than honoring her mother, Julie became indignant. She shot back that just because she wanted to hang out with her friends did not mean she had forgotten about Mom. The argument escalated quickly. Neill was resolute; like it or not, she would be spending next Friday night with her family. Julie stormed off to her room and slammed the door. For the next several days, they barely spoke to each other. Neill could not believe his daughter was acting as if the first anniversary of her mother’s death was just another day. Still, he hated that they were arguing. He knew that Julie was grieving too and he worried, not for the first time since Deanna died, that his initial reaction had been unnecessarily harsh. Neill felt lost and alone. As he had done from time to time over the past year, he lay down on his bed, looked up, and talked aloud to Deanna. But the one-way “conversation” brought little clarity. The next night, Neill attended a support group for men who were widowed fathers raising children on their own.


2012 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Lynn E. Fox

Abstract The self-anchored rating scale (SARS) is a technique that augments collaboration between Augmentative and Alternative Communication (AAC) interventionists, their clients, and their clients' support networks. SARS is a technique used in Solution-Focused Brief Therapy, a branch of systemic family counseling. It has been applied to treating speech and language disorders across the life span, and recent case studies show it has promise for promoting adoption and long-term use of high and low tech AAC. I will describe 2 key principles of solution-focused therapy and present 7 steps in the SARS process that illustrate how clinicians can use the SARS to involve a person with aphasia and his or her family in all aspects of the therapeutic process. I will use a case study to illustrate the SARS process and present outcomes for one individual living with aphasia.


Author(s):  
Nancy Lewis ◽  
Nancy Castilleja ◽  
Barbara J. Moore ◽  
Barbara Rodriguez

This issue describes the Assessment 360° process, which takes a panoramic approach to the language assessment process with school-age English Language Learners (ELLs). The Assessment 360° process guides clinicians to obtain information from many sources when gathering information about the child and his or her family. To illustrate the process, a bilingual fourth grade student whose native language (L1) is Spanish and who has been referred for a comprehensive language evaluation is presented. This case study features the assessment issues typically encountered by speech-language pathologists and introduces assessment through a panoramic lens. Recommendations specific to the case study are presented along with clinical implications for assessment practices with culturally and linguistically diverse student populations.


Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Erin F. Ward-Ciesielski ◽  
Madeline D. Wielgus ◽  
Connor B. Jones

Background: Suicide-bereaved individuals represent an important group impacted by suicide. Understanding their experiences following the suicide of a loved one is an important research domain, despite receiving limited attention. Although suicide-bereaved individuals may benefit from mental health treatment, their attitudes toward therapy and therapists are poorly understood. Aims: The present study aimed to understand the extent to which bereaved individuals’ attitudes toward therapy and therapists are impacted by whether their loved one was in therapy at the time of death. Method: Suicide-bereaved individuals (N = 243) from the United States were recruited to complete an online survey about their experience with and attitudes toward therapy and therapists following the suicide of a loved one. Results: Bereaved individuals whose loved one was in therapy at the time of death (N = 48, 19.8%) reported more negative and less positive attitudes toward the treating therapist than those whose loved one was not in therapy at the time of death (N = 81, 33.3%) or whose loved one was never in therapy/the deceased’s therapy status was unknown (N = 114, 46.9%). Conclusion: The deceased’s involvement with a therapist appears to be an important factor impacting the experience of bereaved individuals and should be considered when attempting to engage these individuals in postvention.


1997 ◽  
Vol 42 (7) ◽  
pp. 652-652
Author(s):  
Terri Gullickson
Keyword(s):  

Sign in / Sign up

Export Citation Format

Share Document