Wk9 (22) Essay Example | Topics and Well Written Essays - 750 words

Wk9 (22) - Essay Example Lois has probably been raised with the idea of marianismo which would mean that she was taught to obey her husband, listen to his rules, be obedient and timid (Paniagua, p. 6). The strength of this approach would be that the therapist could help Lois understand the behaviors that she is exhibiting that trigger issues with her husband. If the husband will come to therapy, the therapist can also help him develop a different way of working with Lois and her mother. Using a Genogram may help her understand each persons place within the family. Another strength is that she has come to understand her own behavior so she may be motivated to work through this process. It would also probably work best if it is a brief therapy rather than something that lasts a long time. Limitations of this therapy may be that it concentrates on behavior rather than on getting to the bottom of what is going on within the family. It may be a good idea to combine it with other models. The attitude of her husban d may cause the therapy to be a weakness because to help this couple, both adults will have to work together. Another limitation is that family therapy does not look at the individual and how they are functioning within the unit (Corey, 2009, p. 440). Couples and family therapy focuses on the family and how they are functioning together. The main objective is to focus on the observable behavior within the family unit (Corey, 2001, p. 247). Families are able to train themselves to monitor reinforcements that come about because of the change in behavior that they create. It also suggests that members of a family actually influence each other by their behavior. Corey suggests that when one family member is acting out in some way, it creates a cognitive, behavioral or emotional reaction in the other members of the family (Corey, 2001, p. 248). When using cognitive behavior therapy in this

Effect of screening mammography on breast cancer Research Paper

Effect of screening mammography on breast cancer - Research Paper Example This listing of alternative treatments, under the current legal system, must even include the risks and benefits of non-treatment (Marshall, 2005). Despite being clinical screenings, including annual screening mammography and other treatments, being named the most effective method for reducing mortality and detecting early cancers by the United States Preventative Services Task Force (Greco et al., 2009), there is great difficulty in determining the actual efficacy of the technique on mortality rates (Spencer et al., 2004). The difficulty lies in separating the effect of screening on the actual mortality rates of detected cancers versus its effect on the time of detection, what researchers refer to as the lead-time bias (Spencer et al., 2004). Also, any longitudinal study faces the issue that as medical science improves, long-term survival rates for cancer patients improves as well. The sample becomes contaminated as the researchers cannot separate survival due to better screening or due to better treatment (Marshall, 2005). ... d screening mammography is generally done routinely only for women, a perception of its effectiveness should be examined under Madeleine Leininger's theory of transcultural nursing. Women in and of themselves could be considered a cultural group, and they are also subject to high levels of pressures on their behavior due to their cultural environment. Cultural care requires making allowances for the age, ethnic background, and other personal background characteristics of a patient (Hammerschmidt, Zagonel, and Lenardt, 2007). Breast cancer screening effectiveness must be looked at through the eyes of the women in different cultures, generations, racial and ethnic backgrounds, and income brackets (Shyyan et al., 2006; Wujcik et al., 2009), as the usage of screening treatments by all of these women is integral to the success of any study. Research Methodology The determination of effectiveness requires quantitative analysis of numerical data. The literature research method should theref ore focus on finding such statistics, but also ensuring that such statistics are comparable. Data from different age groups, for example, should not be analyzed together without allowances for that variance. CINAHL was searched for articles that contained the phrases â€Å"breast cancer†, â€Å"screening mammography†, and â€Å"breast cancer mortality†. The search was limited to articles since 2001. Additionally, Google Scholar was used to locate articles and information about the Leininger theory of cultural care. All sources used are from peer-reviewed medical and nursing journals to ensure the quality of the research. Review of Literature Two major types of studies exist about screening mammography: attempts to determine, empirically, the success of screening techniques, and the general