Ecological Models in Psychology: Overview and Application

Ecological Models in Psychology: Overview and Application Ecological models encompass an evolving body of theory and research concerned with the course and conditions that oversee the lifelong course of human development in their actual environment. Following the diagrammatical illustration of Bronfenbrenner’s social ecological theory, is a personal reflection of my childhood as it relates to the five spheres of ecological influence. This is followed by a reflection on the importance of understanding context for training counsellors, ending the paper with an indebt description of what I have learned so far regarding the distinctiveness in the South African context. Bronfenbrenner’s Social Ecological Theory Bronfenbrenner (1979) defines development as the individual’s growing conception of the ecological environment, their relation to it, as well as their evolving capacity to discover, maintain, or amend its properties. According to Bronfenbrenner (1989), development and socialization are subject to five spheres of influence with which a person is in dynamic interface. Microsystem The microsystem comprises the developing persons closest surroundings assembled from three basic factors comprising position, interpersonal relations, and pattern of activities (Bronfenbrenner, 1979). Common microsystems evident in my childhood include: living with my unautocratic mother for the first half of my childhood which provided me with a loving childhood environment; living with my authoritarian father for the second half of my childhood which exposed me to various forms of family conflict, negatively impacting my school performance; and the incredibly hostile relationship with my older sibling which impaired my sense of self-worth and confidence. Mesosystem The mesosystem comprise the connections and processes proceeding between microsystems containing the developing person (Bronfenbrenner, 1979). Common mesosystems evident in my childhood include: my mother cheering for me at sporting events which enhanced my sense of self-efficacy; the frequent communication between my school teachers and parents during their divorce, which insured we received additional attention and care safeguarding against the impact of their divorce; and my father being a member of the patrolling team in the neighbourhood created a safer environment for me to grow up in. Exosystem The exosystem refers to the communal setting or organisation beyond the person’s immediate experience, both formal and informal, that influence the developing person (Hook, 2009). Common exosystems evident in my childhood include: my father working overseas for many months at a time which caused considerable conflict within the family; deficient municipality services in my hometown which left us without water and electricity on numerous occasions; and the district police and neighbourhood watch working together to increase the responsiveness to crime and violence in my hometown, which made me feel safe and secure in my neighbourhood. Macrosystem The macrosystem encompass the overarching ideology, principles, laws, policies, and customs of a given culture (Keenan, 2002). Common macrosystems evident in my childhood include: my Christian faith which influenced how I relate and respond to the outside world; the ongoing racism in South Africa which made me feel incredibly unwelcome in my own country; and the culture of violence and crime in South Africa which limited my freedom to move around, making me increasingly distrustful of others. Chronosystem The chronosystem explains that probability, personal choice, and context influence members differently over time, and that lives are linked and families constituted by social interdependence (Elder, 1995). Common chronosystems evident in my childhood include: the divorce of my parents which left me feeling vulnerable and isolated; my father remarrying which caused considerable division and hostility among family members; and my mother emigrating to Australia, which left me feeling isolated, and deprived of the emotional support I needed as a child. Importance of Understanding Context for Training Counsellors The effects of Apartheid impacted all South African citizens; however it did so in very dissimilar ways (Bray et al., 2010). Families classified as African experienced the most pernicious effects, seeing that both physical and psychological integrity of family life were undermined through the Apartheid state policies (Bray et al., 2010). As pointed out by Arredondo (1999), people bring to counselling worldviews and connections that are subjected to these types of experiences, which influences the person’s attitude and belief about both self and others. For this reason, South African counsellors need to work in a counselling modality that makes provision for the acknowledgement and appreciation of Black clients’ common history of White oppression, the resentment this generates, the counsellor’s own response to that antipathy, and the impact this has on the counselling relationship (Spangenberg, 2003). Traditional African custom and belief play a significant role in defining psychological problems (Juma, 2011). The corporal complaints, behavioural symptoms, emotional problems, hallucinations and misfortunes reflect the relation with African worldviews on health and well-being (Juma, 2011). The implication of this conclusion is that a Western based counsellor in a therapeutic relationship with a client whose psychological problems are informed by traditional beliefs and practices, might misinterpret the client’s worldviews and unduly struggle to provide a relevant diagnosis and intervention for the client (Juma, 2011). Important considerations in determining what types of treatment might work best in a given situation entails the client’s context and perspective, as it emanates from their cultural heritage, socio-economic status, and racial assemblage (Austin, 2012). Where the Western perspective relies heavily on talking therapy, the African traditional perspective takes the liability of resolving the problem away from the client by performing rituals, which occasionally involves family members, both alive and deceased (Juma, 2011). One therefore cannot ignore the important role of traditional healing when addressing cross-cultural counselling, as this form of support plays a vital role in traditional African life (Bodibe, 1992; Swartz, 1998). In addition, respecting the client’s culture should embrace aspects such as; making or avoiding eye contact, who should sit, stand, or walk first, and how a woman should converse with a man and vice versa (Du Toit, Grobler Schenck, 1998). It is also important for trained counsellors to examine their own worldviews and cultural biases that have the potential to influence the therapeutic environment, either consciously or unconsciously (Du Toit et al., 2001). In the South African context, a major hindrance in the way of effective counselling is the language difference between counsellor and client (Spangenberg, 2003). According to Maiello (1990), words do not have equal value in African cultures as in verbal communication in Western traditions. In addition, a great deal of communication in African tradition is symbolized through singing, dancing, rituals and ceremonies (Maiello, 1990). One of the implications of this is a possible disruption in communication between the counsellor and client, with the result that the establishment of rapport, being the primary step in building a therapeutic relationship, is greatly affected (Juma, 2011). Juma (2011) warns that the lack of proper understanding of the client’s use of language may lead the counsellor to unduly regard some behaviour or experiences as pathological, and to the incorrect diagnosis of their clients’ condition. There is evidence that a person’s cultural background influences every facet of infirmity experience, from linguistic arrangement and content of delusions (Karno Jenkins, 1993) to the inimitable meaning of expressed emotion (Kleinman, 1988). Therefore, it is crucial to regard the cultural background of individuals as well as their exposure to cultural change, in order to develop accurate inferences of pathology and to recognize existing disorders (Westermeyer Janca, 1997). In the traditional African worldview, Ubuntu constitute an intrinsic part of rural African life (Spangenberg, 2003). Broodryk (1996) defined ubuntu as a communal way of life that believe humanity must be run for the sake of all, requiring collaboration, sharing, and liberality. A client rooted in this approach, seeking the services of a Western based counsellor is likely to be disgruntled when such a counsellor focuses on him/her as a target of intervention instead of focussing on the system (Juma, 2011). Bronfenbrenner (1979) argues that to understand human development one needs to examine multi-person systems of interaction that are not limited to a single setting. Consequently, counsellors must recognise the impact on the whole family system when a member suffers from a mental disease. In these circumstances, responsible members are faced with many challenges including: the implications of the emotional and practical support needed for the client; their own complex emotional reactions to the situation; the impact on interpersonal relations; the financial burden placed on family members; and ultimately the stigma and social discrimination experienced in that given cultural context (Jonker Greef, 2009). Distinctiveness of the South African Context Socio-cultural advances in psychology, as demonstrated by the works of Vygotsky and Bakhtin, provides the necessary tools to critically explore the notion that psychological processes such as self-understanding emanate from the social basis of life (Mkhize, 2004). Vygotsky argued that ontogenesis proceed from social, cultural and historical forms of life (Mkhize, 2004). Therefore, higher mental function are arbitrated by cultural tools, namely, the forms of life that is reflected in activities such as plays, hymns, and cultural narratives, which are ultimately internalised to govern our own actions (Mkhise, 2004). By means of internalisation, the developing child learns to apply with respect to himself the same forms of behaviour that others previously performed with deference to him/her (Mkhize, 2004). This will contribute to the distinctiveness seen in the South African context given that internalisation paves a way for the manifestation of personhood from the collective forms of life (Mkhize, 2004). However one needs to consider that what can be said of a given developmental environment today may not necessarily be true of that environment tomorrow (Hook, 2009). Bakhtin noted a dialogical interaction between national languages in the sense that one language may be used at home, a different one in school, and perhaps even another for religious purpose (Mkhize, 2004). Moreover, Bakhtin observed that within a single national language there might subsist a number of social languages, suggestive of the social placement of the speaker (Mkhize, 2004). Furthermore Bakhtin referred to what he called collective voices, pointing to the opinions, points of view and perceptions that reflect the views of our social and cultural community (Mkhize, 2004). For example, a man who considers himself superior to women is most probably ventriloquating the patriarchal views in his society which he has consolidated into the self, apart from expressing his inimitable point of view. The belief that the self emanates from kinship is consistent with the African conceptions of personhood (Mkhize, 2004). Let us consider the saying: Umuntu ngumuntu ngabatu. This expression points to the belief that the selfhood emerges dialogically, through participation in a community of other human beings (Mkhize, 2004). In addition, selfhood in conventional African thought is conceptualised in space and time, where the person is perpetually in the making, never truly a finished product (Mkhize, 2004). It is through participation in the community of others, which in some cultures include rituals of conversion, that one becomes fully human (Mkhize, 2004). The plurality of selves articulated in African belief is expressed differently, depending on the individuals’ cultural heritage (Mkhize, 2004). For example, most traditional South African communities believe over and above the unique individual self, that people are born with a spiritual being representing their ancestors. The spiritual self is thought to be more pronounced in those called to become traditional diviners and healers i.e. izangoma (Mkhize, 2004). Furthermore, it is recognized that both native and Western worldviews can coeval within a single person (Mkhize, 2004). A need to continually shift self perspectives already characterizes the lived experiences of many African people (Mkhize, 2004). For example, an elderly man who works as a sweeper in the mines may be a highly esteemed headman in his rural community. The quality of relationships is maintained in part by reference to and use of cultural norms governing social interaction that have emerged from particular community standards, regulating social interaction that have stemmed from respective community histories (Bray et al., 2010). The isiXhosa word ukuhlonipha, to respect, describe what is considered an essential element of interpersonal relationships, especially between generations, which is widely used by children and adults alike (Bray et al., 2010). Patriarchy and a broadly accepted gendered social division are common aspects of South African communities across the spectrum of wealth, language and tradition, but manifest in rather different ways both across and within different communities (Guma Henda, 2004). There is evidence that patriarchal ideology directly influence behaviour, so much so, that male farm-workers vindicated violence against their partners based on their household headship (Paranzee Smythe 2003; Dawes et al., 2006). With the feminisation of poverty, women find themselves increasingly vulnerable to HIV infection attributable to the intersection of economic and gender power inequalities (Shefer, 2004). Such dynamics play a significant role in South Africa as cultural laws, financial viability, and gender power disparities all intersect to create barriers for women in the negotiation of heterosex (Shefer, 2004). Furthermore, the imperative for women to be involved in sexual relationships for monetary gain have also been demonstrated (Shefer, 2004). Much of this is subject to the cultural construct of male and female sexuality (Shefer, 2004). On another note, Emily Fenichel (2003) has observed that young children are growing up in a greater variety of families than ever before. Newborns enter families through birth, adoption, or fostering; they are conceived through intercourse or assisted reproductive technology; they live in families formed by marriage and remarriage, in cohabiting heterosexual families, in lesbian- and gay-headed families, and in single-parent families. Levels of household income demonstrate a stronger influence on parental residence than race, signifying that the post-apartheid economic landscape wield a stronger influence on family organization than former state policies (Bray et al., 2010). However, Bray et al. (2010) found that African children in low- income households are less likely to reside with one or both parents than coloured children in similar income households, with negligible differences between white and coloured children in households with high income (Bray et al., 2010). It is important to remember that family members have caring responsibilities that extend beyond the care of dependent children and beyond households. Many family members care for aged parents, frail relatives, adult siblings and offspring during times of social and personal emergency and in conditions of chronic illness and disability (Amoateng et al., 2004). Moreover, many children take on parenting roles to fulfil the place of working parents, parents who are ill, and when families are in crisis (Amoateng et al., 2004). On a final note, I believe it is important to acknowledge the contribution that migrants from neighbouring and foreign countries make to the diversity seen in the South Africa context. Throughout this reflective journey I have come to appreciate how each of the five spheres of ecological influence, as captured in Bronfenbrenner’s social ecological theory, have impacted my childhood and consequently development. Upon reflection of the content dealt with in this assignment, the unmistakable importance of understanding the impact of context for training counsellors comes to the light, seeing that a counsellor in a therapeutic relationship with a client whose psychological problems are informed by traditional beliefs and practices, might misinterpret the client’s worldviews and unduly struggle to provide a relevant diagnosis and intervention if they fail to comprehend the client’s unique context. Customer Care Policies: Effectiveness Customer Care Policies: Effectiveness The changes taking place in the world are taking place at a very rapid pace, and inorder to survive and remain fit in the competition it is required by hotel industry to have a good policy that gives quality service and satisfy the needs of the customers. The hotel must identify its commitment to meet the service and satisfying needs of every customer making him feel important and respected. According to Cardiff University (2010) noted that there would be assistance for all the customers in case of any queries against the services provided or services used and the staff employed by the division. Therefore the obligations to meet these are made into different procedures and policies. The main aim of customer care policy in any industry is to handle the grievances of mainly the direct users of service in a timely, reasonable and positive manner. The main aim of this report is to analyse the customer care policy of a particular hotel (RITZ) and its effectiveness. The primary information presented in this report is from the personal visit by the author to the hotel and the secondary resource is taken from various articles and the net source. The RITZ hotel in London established in 1906 by a Swiss hotelier Caesar Ritz. It is a 133 room hotel located in Piccadilly in London. It is a 5 star hotel with many big hoteliers acknowledging it as the worlds greatest hotel .The Ritz hotel was managed by the hotel managed for many years and has been transferred to many hands later on, the latest is David and Fredrick Barclay in 1995 from Trafalgar house for 80 million. The greatest accomplishment by Ritz is being considered as a benchmark through which other hotels were measured (Theritzlondon, 2010). The details of this hotel will be presented at various stages in this report. TYPES OF CUSTOMERS In my personal visit to the Hotel these are the various customers identified frequently visiting the hotel. (1) TOURISTS The tourism industry in U.K is considered to be one of the biggest sectors in U.K.According to Euromonitor (2008) London seems to be major place of tourist attraction and millions of people visiting it round the year. The tourists are those people who move out of their dwelling place to a different location for a more than one or certain number of days but less than a year .The main reason behind this is to do some leisure and recreation activities(Social, cultural etc). RESAON FOR VISIT Hotel Ritz is located on Piccadilly, over the green park and it is in central London. It is evident that central London has much tourist attraction (London eye, Buckingham palace, Big Ben, etc) (Moment of truth).The other reason is the existence of coach and train station nearby (London Victoria) and frequent trains to Gatwick and Heathrow airport. This is the reason to be more preferred by tourists. (2)CORPORATES The term corporate is derived from the word business person referring some in a white collar job. The corporate individuals are particularly top in the rank in hierarchy and work towards the profit maximization in the organization. At certain times it is required by them or the company to conduct certain meetings or a get together with people from different companies and promoting their business. They are needed to be given due importance because they make huge businesses. REASON FOR VISIT Hotel Ritz renders various facilities conference halls, private meeting rooms with high speed broadband (100mb) wireless network, which helps in conducting and executing meetings. The existence of lavish Private and big dining rooms can be suitable for the get together ,in regards to meeting different dignitaries from different countries(Theritzlondon,2010). ARCHITECTURAL VISITORS Architects are those people who play an important role in making a place very attractive and beautiful. These kinds of visitors are always interested in different, unique and rare designs. REASON TO VISIT Hotel Ritz has unique French chateau architecture and Louis XVI furnishings and themes, with the presence of Parisian architectural traditions on the outside. The other reason is the works of great architects like Charles Mewes and Arthur Davis. BIOGRAPHERS These are the people who write on the real life stories of great people in different parts of the world. REASON FOR VISIT Hotel Ritz had housed many famous people like Chalie chaplin,Winston chruchill,King Edward VIII and various other Hollywood actors and celebrities etc(London-traveltrips,2010).This will help biographers to know about certain personal interest of celebrities(For ex. food). TO UNDERSTAND THE IMPORTANCE OF CUSTOMER CARE POLICIES AND ITS IMPORTANCE The purpose to commence any business to create and attract a customer (Drucker, 1998) The formulation of the customer care policies in most of the industries is done by the management in order to suit the current situation and satisfy the needs of the customers. In the hotel industry it is customers acceptance and like for the policies that leads to gaining more customers and making profits. Therefore the policies made must be focused on retaining the old customers as well as attracting new customers. Given below are certain policies followed in the RITZ hotel to attract customers. Creation of positive business environment:- The creation of this positive environment is possible by making the customer feel good about themselves and the company and this finally leads to spending by the customer. The staffs play an important role in this creation, so they must be trained properly to know the required tools and know-how techniques to make the customers stay a memorable one. (For ex) Provision of Cab facilities at cheap rates for new tourists. The existence of a guide to educate customers about various architecture and antiques. Proper handling of grievance or provide a solution:- In situation like the customer coming out with any problem, in that case the staffs are trained to take the role of a parent and make the customers to reduce their temper and then give solutions that satisfy the customer. Even in the cases of no solution is identified, it is the staffs duty to hear them and respect their point of views. It is also the staffs duty to educate and make aware the limitation to the customers. In general, offering free coffee snacks to customers when they wait in the reception for check in or out. Regular checks on the cleanliness and the working of appliances. (Especially for corporate meetings get together). Measuring customer satisfaction and feedback:- The best ways to measure whether the customers are satisfied or no is by getting feedbacks from them on using the service. The implementation of various systems like informal face to face polls, feedbacks, surveys and questionnaires that will help in giving a chance for training the employees, handling the grievances and problems an adapting to current situations. It is also important to be flexible with the staff as they are key role players in delivering good customer service. (For ex) Getting feedback for every staff response on handling the customer calls and service from customers. This part of the chapter deals with the effectiveness involved in the establishment of the customer care policies in the hospitality industry. EFFECTIVENESS OF CUSTOMER CARE POLICY. The battle for repeat business is critical for long-term success in todays intensely competitive marketplace. Customer service is not just a competitive advantage, but it is a competitive advantage in many industries .Service is the new standards by which the customers judge the performance BAND (2002) CEO Coopers and Lybrand Consulting, Toronto The main reason for every organization in the hospitality industry to structure a customer service policy is to satisfy the customers and to reveal the value given to customer from this industry. These customer service policies are similar to Bundling process as explained by Greneir Kini (1991) providing value added advantage around the satisfaction and service the hotel renders. It is natural that the customers come back to the hotel where they are given a bundle of extra services at considerable cost. Certain explanations reveal that the customer service policy plays a major role in giving suggestions or solutions for the various question rose by customers. But Patsula (2004) articulation in his book of successful business planning stating that the customer service policies also helps in other ways such as developing the companys image, creating a positive business environment and building customer loyalty. But according Tschlol Stavig (2002) most of the businesses dont understand the fact that customer service and its policies are really selling, as it is attracting the customer to make many visits. The main reason behind this is that the managers are reluctant to look at it as a marketing strategy, but as an after sales service. Therefore it is necessary by every staff working in the hotel industry to be aware of the customer policies and consider it as a marketing strategy, as it helps in improving the business and realize the benefits from good customer service. Similar explanation by Bill Gates to Business Journal (2010) that every unhappy customer for the business is a great source of learning for the business. The company will be at risk, when the hotel doesnt focus on the quality and consistency of customer experience they offer. But as per Seybold Marshak (2001)articulations the customer have taken control of the companies destinies and are transforming the hotel industry. Therefore it is the duty of staff to render proper service and different ways presented by Patsula (2004) are:- The staff should reveal their interest in serving people Giving the team pride and confidence to do a go job. Building customer loyalty Make the presence of management felt in case of criticism Handling complaints properly. BIBILIOGRAPHY CARDIFFUNIVERISTY.2010.Customer care policy. [WWW]http://www.cardiff.ac.uk/resid/resources/Customer%20Care%20Policy.pdf(2010)(Accessed on 28th April 2010) THERITZLONDON.2010.About company.[WWW]http://www.theritzlondon.com/about/index.asp(Accessed on 29th April 2010) LONDON-TRAVELTIPS.2010. Celebrities interest in RITZ. [WWW]http://www.london-traveltips.com/the-ritz-hotel.htm(Accessed on 30 th April 2010) EUROMONITOR.2008.Londin visitors.[WWW]http://www.euromonitor.com/top_150_city_destinations_london_leads_the_way(Accessed on 29th April 2010) DRUCKER, P.1998. Customer quotes cited in the book of ZEMKE, R WOODS, J.A. 1998. Best practices in customer service, HRD press, Pg 24 GREINER, D KINNI, T.B. 1999.1001 ways to keep customer keep coming back, Prima publishing, Pg 1 TSCHOHL, J STAVIG, V.2002.Acheveing excellence through customer service, Best sellers publishing, Minnesota, Pg 1-10. PATSULA, P.J.2004. Successful business planning ,A step by step guide for writing a business plan and starting your own business,3rd edition, No 51,Patsula media publishers Bill Gates.2010. Bill Gates on applying the best minds to the biggest problems, Puget sound Business journal, Business review, April 19 2010. SEYBOLD, P.B MARSHAK, R.T . 2001. The Customer revolution, Crown business; 1st edition, Pg 2-10.

Katy Perry One of the Boys and Tomb Raider Under World texts Analysis

I will be analysing two different texts, â€Å"Katy Perry – One of the Boys† and â€Å"Tomb Raider – Under World†. I will consider three different things; Visual codes, mode of address language and layout design. Firstly I will be looking at â€Å"Katy Perry – One of the Boys†. Katy Perry releases mostly pop music, she is also known widely around the world. The scenery in this text is a complete juxtaposition against the title ‘One of the Boys', there is a lot of feminine colour, the stand out one being candy pink. Stereotypically boys are not associated with such feminine colours. This shows the text to be unconventional. Also unconventional could be seen in the fact that Katy Perry is the dominant figure in this picture, this is very unusual when an extreme long shot is used. When using the word pop artist usually the words perfection come to mind, however the text suggest imperfection, this could be seen with use of the cloud its covering the beautiful clear blue sky. This could be linked back to the title â€Å"one of the Boys† suggesting boys are allowed to show imperfection and this can hint towards the direction of the lyrics in this song. Katy Perry also draws further attention to herself by looking directly at the camera, she is addressing the audience directly. The fact they haven't used a real bird, suggest the need to look perfect in the pop industry and enhance the fake side and the fact everything is put together and has its place. Secondly I will be annotating â€Å"Tomb Raider – Under World†. Tomb Raider is generally based around a female in very revealing clothing completing very daring mission. The scenery of the text consists of different shades of green and yellow. The Yellow shades look similar to the colour that is create when the is a massive explosion and the models pose looks very unshaken, this can show her to have a very high shock level. The green shades are typical camouflage colours which are usually associated with the army, this can suggest that the game consist of violence and unexpected action. However the game has a user's age of 12+. This tells the audience that the game won't consist of extreme violence, because a 12 year is able to play it. This devalues what the game looks like it is all about, violence. This can demotivate older audience member such as 18 year olds from buying the game. There is some sex appeal from the costume she is wearing. The models eyes are cut out of the picture which suggests secrecy. This can also enhance the sex appeal of the cover, a mysterious woman. This game can be played on the Wii console which is generally advertised as a family console, this is very far from their usual games they choose to release I have analysed both text and in conclusion, â€Å"Katy Perry – One of the Boys† is unconventional, this is shown through the scenery and camera angles. It also suggests imperfection through the scenery and use of text. This text is goes against the normal. This is probably to engage the audience. â€Å"Tomb Raider – Under World† sends out mixed signals because of the age that is allowed to play this game and the violence that is suggested is in this game because of props and scenery. Also the fact it is playable on the Wii console would usually mean it is a family game. Both texts are unusual in different ways, but this in fact makes them stand out more.

Marks and Meanings - 935 Words

Kylee Lologo Professor Turnbull English 1A 9 July 2014 Marks and Meanings Tattoos are just one way that someone can express themselves. There are thousands of designs and artists that are able to create pictures desired by some people. There are many styles of tattoos that are seen today such as; American traditional, Japanese traditional, realism, and portrait. One style that is completely different from the rest is Polynesian tribal tattoos. Polynesian tattoos are separate from the rest in that their design is very structured and geometrical. Following lines and shapes each tattoo may have their own style, but all of them are similar because of the details that go into them. With each island in Polynesia the tattoos may differ,†¦show more content†¦The tattoo artist will dip the bone combs into the ink and puncture the skin repeatedly in order for the ink to set into the skin. He works with two assistants that will stretch the skin and wipe the excess ink off of the body. This process takes place while lying on mats put on th e ground with the artist around the patient. Usually family members will surround the space to give support to the man who is getting the tattoo. If he was not to finish the tattoo, it is seen as a sign of weakness, and he will bring great shame to him and his family. These tattoos could ultimately take weeks to finish and is a very painful process to go through. Just sitting through what it takes to receive the tattoo shows a sign of strength and having the tattoo is believed to bring good to who have it. Getting these tattoos takes a lot of thought and consideration. Thinking about the different symbols that one wants inside the tattoo depends solely on the reason they are getting it. The placement is also a factor that leads to the meaning of the tattoo and can ultimately change what the whole thing stands for. Going through the process of this is a task within itself, and once you start, it is not worth it to stop. 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Symptoms And Treatment Of Medical Records - 1568 Words

This is a 56-year-old female with a 1-11-2015 date of injury, when he tripped over some cables and fell. 01/08/16 DWC Form RFA for Acupuncture; X-Rays C/S, T/S, Bilateral shoulders; Referrals FCE, Ortho surgeon, pain management; medical records are requested; and re-evaluate. 01/08/16 Progress Report noted that the patient sustained an initial injury in June 2014, due to a cumulative trauma. She sustained a new injury in January 2015 as well. She sustained an injury to her neck, right shoulder, right arm, and right knee. She had X-rays and MRI post injury. Her right knee swelled, but improved right after she received treatment for her right shoulder and right knee. She received PT and chiropractic treatment twice a week, medications and surgery to her right shoulder in May 2015. She has received no treatment for her neck or left shoulder. She has not received acupuncture. The patient presented today with complaints of occasional, mild to moderate, throbbing neck pain, stiffness and cramping. The physical exam of the cervical spine revealed positive tenderness to palpation of the cervical paravertebral muscles and bilateral trapezii. There is also a muscle spasm of the cervical paravertebral muscles. The cervical ROM is decreased and painful. Shoulder depr ession causes pain. The exam of the thoracic spine showed tenderness to palpation of the thoracic paravertebral muscles, right trapezius, T1-T2 spinous process, T2-T3 spinous process, right Rhomboid and right lateralShow MoreRelatedThe On Adult Survivors Of Child Sexual Abuse1144 Words   |  5 PagesSSA only requested records from a crisis stabilization program facility, which did not provide any information. There was no indication that SSA attempted to obtain records from other sources such as primary care providers, Emergency Room records, school records, obstetrical or other specialist’s records. 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