pllz give your ideas Read the following case scenario carefully Khalid came to Mr. Jamil, a counselor working in a local hospital, with the presenting complaints of  having anger, difficulty in maintaining relationships, feeling of being alone and lack of interest in daily activities. Khalid also reported himself to be restricting in his social activities since the death of his wife. Counselor developed a management plan for Kahlid for six sessions in which he used different behavioral and cognitive techniques. On the sixth session (the last session) with Khalid the counselor told him that today he will terminate the counseling however he can come for the follow up sessions. But Khalid told the counselor that still he does not find himself able enough to quit counseling sessions. However counselor was of the view that six sessions were more than enough to get out of his problem and now he should practice what he had learned during the course of counseling. Now answer the following ques

Comments   Valeed Ahmed Apart from observational learning theory,is there any other theory applicable here   Rabia Jihan Classical Conditioning Sanam Munir Operant learning Precious Faimii opernt conditionning, *punishment   Valeed Ahmed Operant? Punishment is not a reinforcer   Precious Faimii 4 types of reinforcemnt,, negative reinforcer, positive reinforcer, punishment and extinction.,,,    if i m not wrong   Valeed Ahmed Yep u r right   Noor Noor Classical conditioning Angel's Dua Classical conditioning,    first of all its important to evaluate the problem of the child before applying any technique, i.e to see what is the cause of his this beh,,,   then according to the problem solve the issue,,,,  u may apply positive reinforcement to encourage the positive beh and negative reinforcement to reduce negative beh   Brothers Doll Operant therapy as well as observation is too much important... bcoz through observation we know better those factors which disturb

Pathological jealousy is a paranoid symptom or syndrome ? Comments Inam Ul Haque Masood I believe it is a syndrome as it is a constellation of symptoms which gives uniqueness to the syndrome Abbas Sepah The other name is Othello's syndrome, so it's a syndrome Valeed Ahmed Yeah othello s :D,    Have heard this name dozens of times.  ok it is a syndrome as there is a group of systematized symptoms consitent with the central theme of the delusion and not just the delusion

An adult patient is severely depressed refuses get treated for HCV infection. How should this patient be dealt with ? First treat depression and then for HCV Treat for HCV and depression without consent Obtain a court order to treat for both Comments Anam Najam First treat depression and then for HCV Waleed   Ahmed When a mentally ill patient refuses consent to medical treatment, the steps are Step 1 treat the psychiatric condition Step 2 treat the medical condition If psychiatric condition can not be treated, consider legal action e.g. Court order or consent from relative Angel's Dua agreed

Which of the following is responsible for dementia seen in adults with Down’s syndrome? A. Loss of genetic material in chromosome 21 B. Extra genetic material in chromosome 21 C. Genetic material lost from chromosome 14 D. Loss of genetic material corresponding to presenilin -1 E. Loss of genetic material corresponding to Apoe4 Ok extra genetic material is the correct answer. The gene that codes for b amyloid is located on chromosome 21. Since down syndrome is due to trisomy 21 so there is increased amount of genetic material that production of its product proteins. Product protein of the APP gene located on chromosome 21 is beta amyloid that is central to the aetiology of alzheimers

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You are about to check a patients Blood pressure. As you Reach the bedside and open your BP apparatus, the patient extends her arm to let you check her BP although you have not asked for a consent yet. What is the best next step Take verbal consent Check her BP without asking Comments   Asma Zafar A    Immo Mani Check without asking   Sarmad Mushtaq A   Nazia Tanveer B    Salma Sultan Obviously without asking   Valeed Ahmed Extending her arm when she sees a bp apparatus is implicit consent which obviates the need for an explicit consent. The other exceptions for explicit consent are emergency and neccessity (harm likely, competency in doubt)   Misbah Mustafa Means explicit consent should still be taken right?    Valeed Ahmed No. It is not needed.   Inam Ul Haque Masood Her extending the arm so that you can take blood pressure is a sign of consent and I believe that taking verbal consent is not mandatory

A 25-year old woman developed postpartum psychosis. The newborn developed cyanosis due to congenital heart disease. The newborn needs cardiac surgery. Surgeon discussed the procedure with the mother. She understood the procedure. Can she give the consent ? Comments   Asma Zafar Yes   Immo Mani Yes   Annie Hassan No   Sarmad Mushtaq No   Valeed Ahmed The pre-requisites for consent are that the patient (or the other person in charge) must fully and clearly understand the condition and its treatment., be competent and agree to the consent voluntarily. As the patient understood everything, so she her consent is acceptable. One person may be competent for one decision and be incompetent for another one. In this case the patient is competent as she was able to understand the decision   Anam Najam logically correct laikin yaqeen nhi a raha :-/   Valeed Ahmed Please read the consent topic in oxford once more. There is a similar statement   Valeed Ahmed   Anam Najam Thanks :)

A 17-year old boy came to a surgeon for bilateral vasectomy. He is the father of one child and does not want to have any more children. He does not want to tell his girlfriend and parents. He lives with his parents. What should a surgeon do in this situation? Comments   Anam Najam perform the procedure   Asma Zafar Tell him both the advantages and disadvantages of performing the procedure and make him to write cost benefit analysis to realize the situation   Ali Al Shikh Consent is necessary  But first he has to know the cause of this surgery ( may has psychological cause)   Valeed Ahmed He is a minor as yet and may not understand the implications of such a serious decision. The surgeon should refuse the vasectomy and offer other less harmful alternatives.   Anam Najam Isnt it so that one can give consent if one is above 16 yrs of age?   Valeed Ahmed Not in every case.   Ghada Hegazy He's a minor living with his parents. The guardian must consent. The only exception is if he

A 40-year old schizophrenic patient needs hernia repair. Surgeon discussed the procedure with the patient who understood the procedure. Can the patient give consent? Anam Najam yes Like · Reply · July 2 at 10:44pm Asma Zafar No Like · Reply · July 2 at 11:06pm Immo Mani Yes Like · Reply · July 3 at 12:39am Valeed Ahmed Yes, as already explained, if someone understands the procedure, agrees to it and be competent, he can give the consent Like · Reply · 2 · July 3 at 2:49pm Angel's Dua yes since he is in good state of health who can understand the procedure so he can also give consent