The Strategic Divestment Decision in the Family Business Through the Real Options and Emotional Lenses

Divestments have received little attention in family business research, although representing one of the most important strategic and financial decisions. Additionally, they have been insufficiently studied from the owning family's emotional perspective. This chapter contributes in filling these gaps by focusing on the core entity of the family business as object of divestment from the Real Options and Regret theoretical lenses. It suggests a characterization of the family business divestment decision and a series of propositions with case vignettes around configurations of divestment options, their valuation, and influence in different emotional family business archetypes.

Changing Socio-Cultural Models and Policy Programs in Rehabilitation of Persons With Communication Disorders

The history of rehabilitation of communication disorder has journeyed from magical-religious conceptualizations through biological-medical approaches to the contemporary rights-based paradigm, wherein the person-in-environment is emphasized. The understanding of its nature and characteristics, classification, etiology, treatment, social perception, and practices, including law-making about the affected persons, have all moved in tandem with the temper of the times. This chapter attempts to outline the salient course of these changes under two sections: (1) changing models and paradigms and (2) impacts on policy programs in areas of health, education, economy, housing, and social security with special reference to the Indian sub-continent. Illustrative domains of social change in areas of education are specifically highlighted with appropriate case vignettes. The endnote raises oncoming challenges, issues, and problems related to communication disorders in the emergent dynamic socio-cultural matrix for generation next parents and children.

Cardiac Interventions for Patients With Trisomy 13 and Trisomy 18: Experience, Ethical Issues, Communication, and the Case for Individualized Family-Centered Care

This report is informed by the themes of the session Trisomy 13/18, Exploring the Changing Landscape of Interventions at NeoHeart 2020—The Fifth International Conference of the Neonatal Heart Society. The faculty reviewed the present evidence in the management of patients and the support of families in the setting of trisomy 13 and trisomy 18 with congenital heart disease. Until recently medical professionals were taught that T13 and 18 were “lethal conditions” that were “incompatible with life” for which measures to prolong life are therefore ethically questionable and likely futile. While the medical literature painted one picture, family support groups shared stories of the long-term survival of children who displayed happiness and brought joy along with challenges to families. Data generated from such care shows that surgery can, in some cases, prolong survival and increase the likelihood of time at home. The authors caution against a change from never performing heart surgery to always—we suggest that the pendulum of intervention find a balanced position where all therapies including comfort care and surgery can be reviewed. Families and clinicians should typically be supported and empowered to define the best care for their children and patients. Key concepts in communication and case vignettes are reviewed including the importance of supportive relationships and the fact that palliative care may serve as an additional layer of support for decision-making and quality of life interventions. While cardiac surgery may be beneficial in some cases, surgery should not be the primary focus of initial family education and support.

Neurology in the psychiatric patient: how to think about differentials in altered mental status and diagnoses not to miss

SUMMARY A wide variety of neurological conditions may present first to a psychiatrist and it is important to be aware of these in differential diagnosis. A careful history, examination and a broad differential diagnosis can help set up an appropriate management plan – with room to change if things change in unexpected ways. In this article we explore common ground shared by psychiatry and neurology and show how incorporation of neurological knowledge can improve the practice of psychiatry. Using four fictional case vignettes of altered mental status we explore important neurological differential diagnoses which could present to the Psychiatrist.

Full-Scale Case Conceptualization Practice

This chapter demonstrates the eight-step full-scale case conceptualization strategy using two case vignettes. The chapter summarizes the following eight-step strategy: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify a cultural formulation; Step 5: Specify the client’s relevant protective factors and strengths; Step 6: Specify treatment goals; Step 7: Specify treatment interventions; and Step 8: Specify obstacles, challenges, and facilitators. The readers will formulate the cases through the full-scale case conceptualization worksheet and then will write a full-scale case conceptualization narrative for each case. Exemplar responses for each of the two case vignettes are provided.

Brief Case Conceptualizations

This chapter examines a brief case conceptualization strategy that is summarized in five steps. It reviews how pattern is formulated throughout the five-step process. Pattern links the client’s presenting symptoms to the precipitating event and is driven by the predisposing factors and perpetuants. Pattern also informs the second-order treatment goals and interventions as well as the likely treatment obstacles and challenges. The chapter summarizes the following five-step strategy: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify treatment goals and interventions; and Step 5: Specify obstacles, challenges, and facilitators. The chapter concludes with two case vignettes that demonstrate the five-step brief case conceptualization strategy.

Full-Scale Case Conceptualizations

This chapter examines a full-scale case conceptualization strategy that is summarized in eight steps. It reviews how pattern is formulated throughout the eight-step process. Pattern links the client’s presenting symptoms to the precipitating event and is driven by the predisposing factors and perpetuants. Pattern also informs the second-order treatment goals and interventions, as well as the likely treatment obstacles and challenges. The chapter informs readers to apply the following eight-step strategy with two case vignettes: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify a cultural formulation; Step 5: Specify the client’s relevant protective factors and strengths; Step 6: Specify treatment goals; Step 7: Specify treatment interventions; and Step 8: Specify obstacles, challenges, and facilitators. The chapter concludes with two case vignettes that demonstrate the eight-step full-scale conceptualization strategy.

Brief Case Conceptualization Practice

Brief case conceptualizations are useful in various clinical contexts. This type of conceptualization can be completed quickly after the first session because there are only six behavioral markers for the practitioner to formulate. In this chapter, the five-step brief case conceptualization strategy is demonstrated with two case vignettes. The strategy includes the following five steps: Step 1: Specify presenting problem and precipitants; Step 2: Identify maladaptive pattern; Step 3: Identify predisposing factors and perpetuants; Step 4: Specify treatment goals and interventions; and Step 5: Specify obstacles, challenges, and facilitators. Readers will formulate the case through the brief case conceptualization worksheet and then will write a brief case conceptualization narrative. After each case, the chapter provides exemplar responses for each of the case vignettes.

Barriers to Accessing Health Care in Rural Regions by Transgender, Non-Binary, and Gender Diverse People: A Case-Based Scoping Review

Research shows an overrepresentation of trans people in vulnerable socioeconomic situations, primarily due to experiences of discrimination. At the same time, rural or suburban living areas often lack specialized trans-related health care, which a majority of trans people rely on to some extent. Taken together, the lack of both socioeconomic resources and access to trans-related health care can exacerbate health-related distress and impairment for trans people. We illustrate this problem using case vignettes of trans people from rural and suburban areas in (Northern) Germany. They are currently participating in an e-health intervention and randomized controlled trial (RCT) called i2TransHealth, whose case vignettes provided the impetus for the scoping review. The scoping review analyzes the impact of place of residence and its intersection with barriers to accessing trans-related health care. PubMed and Web of Science Data bases were searched for relevant studies using a search strategy related to trans people and remote, rural, or suburban residences. 33 studies were selected after full-text screening and supplemented via reference list checks and study team expertise by 12 articles addressing the living conditions of remotely living trans people and describing requirements for trans-related health care. The literature on trans people living remotely reveals intersections of trans mental health with age, race, gender expression, geographic location, community size, socioeconomic status, discrimination experiences, and attitudes towards health care providers. Several structural health care barriers are identified. The role of health care professionals (HCPs) for remotely living trans people is discussed. There is no need assuming that rural life for trans people is inevitably worse for health and well-being than urban life. Nevertheless, some clear barriers and health disparities exist for trans people in remote settings. Empowering trans groups and diversity-sensitive education of remote communities in private and institutional settings are needed for respectful inclusion of trans people. Facilitating access to trans-related health care, such as through video-based e-health programs with HCPs, can improve both the health and socioeconomic situation of trans people.