Case Analysis
A Term Paper
Presented to the
Faculty of Nursing – Graduate School
Saint Louis University
School of Nursing
Baguio City
In Partial Fulfillment
Of the Requirements for the Course
Practicum in Psychiatric and Mental Health Nursing
Submitted By:
Alfred D. Waldo, RN, RGC
MSN1
12 May 2013
I. INTRODUCTION: In any human endeavor, in medicine as a cardinal example, when ever facts are sparse, strongly held theories proliferate. Because the pros and cons for the use of medicine in psychiatry are not absolutely clear or agreed upon, strong arguments have risen on all sides. Radical biologists insist that all psychiatric illness result from abnormalities in the brain. Drugs are almost seen as the answer and the adverse effects as simply inconvenient. To these practitioners “talking” therapies of whatever variety are simply a waste of time. Diametrically opposed to the radical biologists are the dogmatic psychologists who insist that psychiatric problems are not medical problems but rather the products of unconscious conflict, bad life experiences, incorrect thinking, or adverse social circumstances. These theorists are fond of claiming that medical treatments “cover up” psychiatric symptoms, whereas psychological treatments-be they psychoanalysis, behavioral modification, cognitive restructuring, and so on-get the true “root” of the problem (Gorman, 1990). My objectives however as a practicing mental health nurse and as a counseling psychologist is not to create a division in the clinical practice. Rather, to create an understanding and a better picture if both practice is utilized in the welfare of our clients in the mental health profession. In this regard I opted to utilize and employ the Biopsychosocial Model (BPM) of psychiatry in the presentation of my case analysis. BPM was popularized by psychiatrist George L. Engelis. This is a general model or approach that posits that biological, psychological
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