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Neonatal Physical Therapy

Posted on October 10, 2019 in Uncategorized

Physical therapy is generally employed for adults after acute or chronic injury in order to restore functional and anatomical stability of tissues, joints and ligaments. Although employed mostly in adults, a sub-specialty of physical therapy, pediatric physical therapy is becoming increasingly popular in individuals younger than 18 years of age. According to the research report published in Journal of the American Medical Association (JAMA), all Extremely Low-Birth-Weight (with a birth weight below 1000 g) require functional, neurological and medical assessment during pediatric years due to high risk of cognitive and musculo-skeletal issues in childhood years, associated with developmental delays and poor growth.

Chest physical therapy is generally employed in babies that are born pre-maturely or after a difficult labor. Moreover, babies who develop complications (or are at risk of developing complications) due to birth trauma can also get benefitted from the preliminary assessment and evaluation of neonatal physical therapists. All physical therapists evaluate children on the grounds of the motor and sensory behavior (the musculoskeletal and neuromuscular systems), cardiovascular system that is also indicative of stress (babies respond to stress and anxiety by changes in the respiratory rate and heart rate), the functional responsiveness and response to external stimuli.

Sometimes birth trauma or childhood injuries that affect the spine or other vital parts of the musculoskeletal system are missed by parents until symptoms of the primary damage deteriorate to produce secondary complications. Your child may need an evaluation from a physical therapist if he or she exhibits these sign and symptoms:

If your child is not gaining optimal weight or growth according to his biological age
If your child is not achieving essential developmental milestones like social smile, crawling, sitting, walking etc.
If your child does not frequently tilt his head to both sides of the body or lie on only one side of the body or use one side of the body more than the other side.
If your child is unable to walk properly (when other children of his age can) or if he walk awkwardly.
If your child experience frequent falls or show signs of improper coordination.
If your child has a history of significant injury involving musculoskeletal system that has not resolved completely.

Pediatric physical therapist helps with pediatricians and other nursery care staff in newborn babies who develop moderate to severe complications as part of birth trauma. A physical therapist helps in restoring functional, motor and sensory responses by helping in facilitation of the recovery process, improving sensory stimulation by tilting the head of the baby towards the source of sound and light, help in restoring functional mobility by promoting limb movements, help in tracking the development of baby, educate parents to take optimal physical, functional and neuropsychological care of the baby, help in guiding parents about the optimal positioning of the baby to prevent damage to vital systems and organs.

A physical therapist can work with older children as well who are unable to perform after injuries or as part of a congenital defect or infection. On the basis of the initial evaluation and assessment, physical therapists may introduce some modifications and interventions in the dietary, sleeping and external environment like the use of certain aids and accessories for physiological regulation and well-being of the child, advice regarding exercises or maneuvers (depending on the age and nature of injury) to promote fully coordinated, smooth movements, promotion of self-regulated behavior, and advising certain exercises, activities and maneuvers that can improve the functional status and help the child in regaining physical independence.

The treatment interventions employed by pediatric physical therapists include adaptive play activities, safety and prevention program, therapeutic exercises, mobility training and activities/ exercises that can promote balance and coordination.

Psychodynamic History

Posted on September 2, 2019 in Uncategorized

Sigmund Freud (1856 – 1939) is the founder of psychoanalysis and he developed the psychoanalytical theory during the years 1885 to 1939 when he died in England a refugee from the Nazi regime prior to World War Two.

Freud’s theory of the mind was not a psychological school of thought but came out of his work in medicine, particularly the problems of the nervous system. Freud dissatisfied with the way psychiatry treated the mentally ill by classifying, that all abnormal activity arose from the explanation of disease, but he proposed that some forms of abnormality arose from an imbalance of the mind due to the stresses and strains of everyday life. Freud could not experiment with the techniques of today but relied on observation of his patients in the course of treatment, which lead to his insight of a theory of the mind.

Freud’s case studies led him to believe that many of his patients reported disturbances in their daily lives through hysterical reactions to life events that they could not cope with. Freud discovered that through analysis of their childhood experiences and current problems he could see a link (association) between their current behaviour and that of childhood trauma. After much thought and discovery Freud developed his theory of personality based on the idea of conflict in the mind as a basis for a splitting of the personality into three areas of competing self interests that struggled for dominance within the person’s mind.

Freud saw personality split into three areas that of the Super-Ego, which was developed through parental guidance initially and refined by schooling and peer group pressures. The second and more dynamic was the Id, that part of the mind that controlled biological needs and wants. The Id sought pleasure and avoided negative consequences. The last part was the Ego in which the persons present reality decided on the best course of action between the controlling aspects of the Super-Ego and the Id. For example the Id may require satisfying the need for hunger, this

Freud saw as a drive that was biologically motivated. However the Super-Ego may be in conflict with this request through the modern idea of diet and thinness and so put pressure of the mind to prevent the need being satisfied. The Ego must then step in and referee this conflict by testing reality. Is the required hunger the result of a length of time without food or is it the desire of seeing desirable food such as chocolate and wanting this even though there is no beneficial requirement for its consumption? The conflict in normal people would be resolved by the Ego insight of the current state of weight or need of the individual. The Id could be suppressed by the Ego from satisfying its desire and so the Super-ego would triumph over its rival. On the other hand if the Ego allows the consumption of the chocolate the Id has triumphed and the need satisfied.

Freud believed that these processes where mainly unconscious in the respect of satisfying biological needs and the mind only brings these to the surface during a conflict of interests. In this case the desire for chocolate would become conscious only for the time of debate. However Freud was much more interested in his day of the underlying reasons for hysteria involved in the frustration of the Id by social convention particularly involving sexual frustration amongst women clients who during this era would have been subject to many taboos about their sexuality and the role they were expected to play in society. Dominance by a male society led many of Freud’s clients to suffer guilt at inappropriate feelings that they would need to suppress in order to fulfil their role of subordinate females. Many of Freud’s patience deflected these conflicts between desire (Id) and social expectations (Super-ego) by building defences against mental anguish. These defences Freud became to list as the mind’s way of protecting itself from dissonence (Festinger 68).

Defence mechanisms came in several forms. Repression pushes unacceptable thoughts into unconscious; an example would be child abuse. A young woman whose stepfather has touched her genital area during her formative years may feel guilty that she found this touching pleasurable but later learned that it was morally wrong. Having pushed these thoughts and memory into unconsciousness she later transfers these feelings to others by projecting her guilt. When she eventually marries she may find that her husbands sexual advances unconsciously remind her of the abuse and she rejects her husband and becomes frigid in her approach to lovemaking. Her husband may become abusive through frustration and merely reconfirm her inner-feelings that men are naturally abusers. Freud believed that through therapy the woman could be given insight into her childhood trauma and through catharsis would relive the trauma and be able to put it into perspective and so relieve her defensive attitude towards her current situation.

Other defence mechanisms that Freud explained were Reaction Formation, in which the opposite of an unacceptable impulse is expressed, Rationalisation where socially acceptable reasons are given for unacceptable motives, Displacement, an emotional response is redirected towards a safe object and Projection where unacceptable motives/impulses are transferred to others.

Freud believed that his theory was heavily rooted in the childhood experiences of his patients and that the process of being raised within a family has lasting effects on the personality of the individual. From this idea he developed a stage theory of childhood emotional growth based on sexual maturation of the child from baby to adult. In the first of these stages the pleasure for the child is derived from the mouth as the instrument of exploration. Babies pick up objects and put them into their mouths to explore their shape and texture. Pleasing textures would match the feel of the breast in which the child already associates with the satisfaction of the Id’s need for nourishment. After the first year the child moves to the Anal stage in which Freud believed that pleasure was derived from anal excretions and the holding or releasing of faeces. If a mother fusses over the baby when potty training the child realises that he can have approval and attention from its mother by giving its expulsion to her in the form of faeces. The mother’s pleasure in receiving this is expressed as attention giving behaviour. For other babies withholding faeces forces the mother to continually attend to the child and showing concern at the lack of production.

Caution here should be noted that Freud was giving an example here of behaviour and not emphasising this one and only example. The same effect can be witnessed in the child that throws its spoon onto the floor and witnesses its mother retrieving it. The child will throw the spoon several times to the floor having realised that attention can be won by repeated behaviour. The next stage after the age of three Freud saw as the Phallic where pleasure was achieved through the manipulation of the genitals. Children learn that touching themselves can create a pleasant feeling. Parents often discourage this behaviour though censure. Often by telling the little girl that that is dirty or not nice. Boys on the other hand may be encouraged by a Father’s pride at his boy discovering his manhood. Girls may be brought to a belief that that area is dirty which Freud believed led in later life to equate with uneasiness at being touched by a man sexually. By the age of six years Freud believed that a period of Latency began in which sexual motivation losses its importance up until the age of puberty in which the Genital stage begins through the discovery of pleasure through heterosexual relationships. Freud felt that it was important that each stage was progressed through normally for the adult to function within society without perversions coming to the fore.

Freud was particularly interested in the conflict early on in childhood between the emotional battles for attention seeking. In boys he called this the Oedipus complex after the legend of a son killing his father to marry his mother. Freud saw that boys would often compete for theirs mother’s affection with their father who seemed to dominate her time. At first this would be seen in the form of tantrums but later the boy would try to emulate his father by copying his way of behaving to eventually replace him in the mother’s affection. Much of this is unconscious in character and usually resolves itself through maturation. In girls a weaker version was the Electra complex in which they emulated their mothers to impress the father and this could take the form of sexual flirting with the father to encourage his attentions. In today’s society with such a taboo on incestuous relations many modern fathers aware of sexual abuse have been made to feel uneasy in their relations with their daughters as being misinterprated by others as not natural.
Once Freud had formulated his theory he believed that it was universal in nature, meaning it could apply to all cultures and that through these insights patients could be understood in the light of their emotional conflicts, rather than a medical model of abnormality that strived for biological explanations of disturbed minds resulting in maladaptive behaviour.

Much of today’s treatments in which Neo-Freudians work is still based in his belief in childhood development and adult conflict between the opposing areas of the Id, Super-Ego and Ego. Eric Berne (64) developed a popular version of Freud’s ideas in the replacement of the Id, Ego and Super-Ego by the model of people acting as Child, Adult and Parent. This form of analysis was called Transactional Analysis in which the communications between adults where routed in choosing behaviour that brought about a desired outcome. His famous book “Games People Play” shows that Freud’s ideas can be interpreted in many forms. Other theorists such as Karen Horney believed the Freud did not consider the complex feelings of women and that his theory is heavily based on Victorian attitudes to the dominance of a patriarchal society. Despite all these criticisms Freud’s ideas have become part of the western cultural, identity and language. The most popular form of psychoanalysis is Freud’s original version, which looks at the dynamics of the patient’s history and its effects on their current behaviour. Using such techniques as Dream analysis to uncover unconscious symbolism to Free Association in which the patient expresses deep emotional thoughts and desires, later to be known as the “talking cure”. Freud felt that other areas such as transference and counter-transference in which the patient would project the father role onto the therapist and that the therapist would project their mind-set onto the patient all gave insightful material in which to help the patient regain control over their mind and behaviour.

References: Gross, R. (1999) Psychology a New Introduction, Pgs. 10/11, 101/103 507/510.
Berne, E (1964) Games People Play, Pgs. 1/37.
Feldman, R (1993) Understanding Psychology, Pgs. 588/9.

Why Are We So Obsessed With Losing Weight?

Posted on September 1, 2019 in Uncategorized

While doing some posting on a few forums that I am a member of, I was reading posts about people trying to lose weight and some of the ladies who were saying they still needed to lose 10-20 pounds look so skinny right now they look like they are skeletons!

So why is America so obsessed about their weight? Could it be because of all the commercials, MTV, the skinny stars and sports fanatics who are constantly bombarding us with their idea of an attractive person? The tv or movie commercials that say if you are not a size 4 you are overweight!

I was watching The Devil Loves Prada the other night and was so upset when they told the secretary that she was a pig at a size 4! I couldn’t imagine being in a size 4, let alone being told I needed to lose weight to be in a size 0 in order to look good! Come on!

Why are we so obsessed?

Why can’t we love ourselves for ourselves?

Below is what I posted in reply to someone asking for diet tips etc:

I too am doing a “healthy living lifestyle” change…I have found for myself if I focus on losing weight I want to eat more items that are bad for me. I refuse to tell myself I am losing weight…I don’t need to lose weight I just need to become healthier and tone up, sure there may be a few pounds I could lose BUT that should not be the main focus, becoming healthy should be.

What I have been doing, and this is for me as it works for me, is eating more raw fruits and vegetables, have a salad already made up as during the day I reach for something quick and easy to eat since I am working or chasing my 4 yr old around that I don’t want to take the time to cook for myself.

I also have added more water to my diet, when I get hungry and its not meal or snack time I reach for the water.

Another thing I have been doing is finding DVD’s that I enjoy some of you may laugh at the one I do that I just find so much fun to do and the time just melts away (no pun intended lol) I bought Carmen Electra’s Strip Tease aerobics…I know but you know what it is so much fun! I also vary it with Turbo Jam and Yoga Booty Ballet all of them are fun and have great music that keeps me going.

Cutting out the real sugars I can’t do as far as using items like Splenda etc because I don’t feel they are safe, so I just cut down on how much real sugar I use in my coffee which I have also cut back from 2 pots, yep 2 pots a day, to 2 cups a day which is a feat in and of itself for me a coffee addict.

Everyone says to stop eating when you are not hungry, that’s simple if you have the will power or are not using food to deal with other issues as I have been doing since my MIL died.

I was anorexic and bulimic once, sorry about the sp, and I know all about eating and emotional disorders. If you look at food as either the enemy or a comfort food you need to see your doctor about those issues so you can get those resolved before you start any diet…trust me I have been on both sides: so skinny I looked like I was dying, I was…and being overweight it was affecting my entire health and mental well being and for me both sides I was dealing with emotional problems and the only way I felt in control was with food.

Good luck to those who are trying to lose weight, for me this year my goal is healthy living! I did this once 10 years ago, just watched what I ate and exercised 5 days out of 7 and lost 30 pounds while hubby was in Korea. So I know I can do it.

Besides you need to be at a healthy weight and not a skinny minny…who needs to look like a model or those ladies on tv who everyone loves and wants to be like.

If you are happy with the way you look or know your goal weight so you can feel better is to only lose 10 pounds then go for the 10 pounds and not the 20 pounds to fit societies image…sorry this is a hot topic for me, I have two nieces right now that are so thin they would blow away if the wind picks up and they are starving themselves because they want to look like the stars or sports people they know when I look at them all I see is what I did to myself and my body and how many of my health issue right now stem from not loving myself for me.

So what if you weigh 145 are you in good shape? Do you love what you see? If not you need to explore whether it is really for health reasons or emotional reasons why you want to lose weight…

I am off my soapbox now but I just wanted to wish all of you good health and let you know some of the things I do 🙂

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Daughter and Father Complex Issues

Posted on August 19, 2019 in Uncategorized

Daughter and father complex issues can stem from an overbearing father, an absentee father or even from the mother. Yes, even from the mom.

Daddy issues

Daddy issues or what is called the Electra syndrome, is a complex issue of a daughter competing with her mother for the attention of the father. As the child grows up, she eventually tends to look for male attention outside of the home front. When a girl is ultra flirtatious, sexually aggressive, wanting to catch men’s attention, then there is a very high chance that the girl has issues called the Electra complex.

Unrealized expectation or dream

Some issues result from the dad being very strict, constricting the freedom of the daughter, and imposing perfectionism. The daughter would either respond by living up to the father’s expectation and even actually living her father’s unfinished dreams; or rebel. There are fathers who wanted a son but ended up getting a daughter. This unrealized expectation or dream, when not properly managed, will cause the daughter to feel inferior and will try to compensate by living up to the role of a son. She will live the life of her father’s “son” and will soon find herself with no identity. This can cause the daughter to excel in school, appear very successful in her career, but unbeknownst to the outside world, she has poor self-image and is overstressed trying to live up to her father’s expectations.

Daughter’s self-identity

The problem in this type of daughter and father complex issue can cause confusion and dilemma in establishing the daughter’s self-identity. At a certain point in her life, she will start to wonder why she is feeling “not herself” or “unsuccessful” in spite of excelling in everything that she does. Living up to other people’s expectations can be very straining on anybody and this is what happens to the daughter. Another offshoot to this is at a point when the daughter snaps and suddenly drops the ball. She might feel the weight too heavy to carry that she may opt to go against the will of the father and become self-destructive.

Overpowering dads

Some daughters with overpowering dads can choose to react aggressively even as a young girl and will never try to please her dad at all. In fact, she will go out of her way to show her displeasure for her dad’s micro-management. She will smoke, have low grades, and might resort to drugs and alcohol just to rebel and make her point. This produces the complete opposite of the perfectionist daughter.

Not worthy of a father’s love

Another daughter and father complex issue is derived from the lack of a father figure. It may be that the father is usually traveling, or worse, the father left them without a word. The latter condition leaves a very strong dent on the self-esteem of the daughter. The daughter can grow up with the thought that she is not worthy of a father’s love. Some may even think that they caused the parents’ break up and the father leaving them.

Low self-confidence and feeling of guilt

With low self-confidence and feeling of guilt, a daughter can grow up to be withdrawn and mediocre. The daughter’s yearning for a father’s affection, protection and guidance can cause deep melancholy and pain as the girl grows up. And some pent-up anger can be directed inwardly that affects the mental health of the daughter.

Absentee fathers to get into drugs

It is not uncommon for daughters with absentee fathers to get into drugs, go into depression and have multiple partners. Sadly, these problems are not very easy to show as the cause for the problematic life of the adult daughter. When a grown up daughter spirals downward with some drug or alcohol issues or multiple divorces, the root cause which goes all the way to her childhood may not be apparent even to the closest people to her. Many daughters suffering from this daughter and father complex issue may not even recognize the root cause of her failing life.

Touching her inappropriately

The worst daughter and father complex issue is if the daughter feels that the father is touching her inappropriately or lusts for her. These complex issues can cause not only stress, depression or anxiety but even neurosis. The girl can hate the father and hate herself for allowing such things to happen.

Father figure is very important

A father figure is very important to the health of a daughter’s emotional and psychological growth. The father’s presence can fill up a daughter’s most memorable moments. The father, being the first adult male encounter of any daughter, can spell the success or failure of the daughter’s future relationships with men.

Can devastate the future

Parents should recognize that daughter and father complex issues are real and can devastate the future of their daughter. They should work out a plan on raising their daughter properly.

Conclusion: A genuinely caring father who gives time and shows affection to his young daughter can provide an anchor so that her girl will not go astray; and keep on the right path towards success in different fronts of life, especially in marriage.

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