New Jersey History (NJH - E-Journal)
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The Case of "Sonia" Through the Lens of Dialectical Behavior Therapy
No full textScherb (2014) describes the case of Sonia, a 44-year-old woman with severe and complex presentation of borderline personality disorder, along with diagnoses of bipolar disorder, trichotillomania, borderline intellectual functioning, and obesity. At the end of 10 years of therapy with decreasing frequency, Sonia has made a dramatic recovery from almost all of her presenting symptoms. Scherb's therapeutic approach was based on Fernández-Álvarez's Integrative Psychotherapy Model, which incorporates behavioral, cognitive, and emotional components. In this commentary we look at Sonia's psychopathology and treatment through the lens of Dialectical Behavior Therapy, a highly developed treatment model that has shown impressive success in treating individuals with borderline personality disorder and that also combines behavioral, cognitive, and emotional components. A comparison of a DBT approach to Sonia's case with the approach Scherb actually employed reveals many similarities in proposed treatment strategies, as well as differences in the format and delivery of treatment.
Rutgers in the Civil War
No full textThrough extensive research, this article reveals the number of Rutgers College alumni confirmed to have participated in the Civil War was about 165. Glazer summarizes data on these participants and highlights the lives of a few them. He also constructs a list of all of them with pertinent biographical information about each
Preface to Volume 66: The Civil War Still Matters
No full textThe Preface highlights the contents of the current volume as well as briefly describes the the JRUL 100 anniversary of the Civil War special issue (1961). It also provides an update on the usage of articles in the back issues since they were entered into the journal platform (OJS)
"I Prayed and Sung in Every Tent": Israel F. Silvers, U.S. Christian Commission Delegate from New Jersey
No full textPerrone explores the newest additions to Rutgers’ Civil War manuscript collections: two United StatesChristian Commission diaries and related documents of Israel F. Silvers (1832–1864) of Pennington,New Jersey, which were donated to Special Collections and University Archives, Rutgers UniversityLibraries by Israel Silvers’ descendants in 2014. Despite its importance to the Northern war effort, only a few studies have been done of the Christian Commission, and almost nothing has been written on the Christian Commission in New Jersey or about New Jersey delegates. The acquisition of the Israel Silvers collection will make a small contribution towards filling these gaps
A Study of Speed of the Boundary Element Method as applied to the Realtime Computational Simulation of Biological Organs
No full textIn this work, possibility of simulating biological organs in realtime using the Boundary Element Method (BEM) is investigated. Biological organs are assumed to follow linear elastostatic material behavior, and constant boundary element is the element type used. First, a Graphics Processing Unit (GPU) is used to speed up the BEM computations to achieve the realtime performance. Next, instead of the GPU, a computer cluster is used. Results indicate that BEM is fast enough to provide for realtime graphics if biological organs are assumed to follow linear elastostatic material behavior. Although the present work does not conduct any simulation using nonlinear material models, results from using the linear elastostatic material model imply that it would be difficult to obtain realtime performance if highly nonlinear material models that properly characterize biological organs are used. Although the use of BEM for the simulation of biological organs is not new, the results presented in the present study are not found elsewhere in the literature
Complex and Difficult Clinical Patients: Reflections on Fernández-Álvarez's Integrative Psychotherapy Model as Applied to the Case of "Sonia"
No full textFernandez-
Targeting Sexual Stigma: The Hybrid Case Study of "Adam"
No full textThe purpose of this case study is to explore the effects of sexual stigma on mental health and corresponding therapy implications when working with lesbian, gay, and bisexual (LGB) clients during the coming-out process. This case study provides a literature review of sexual stigma and its consequences, describes multicultural considerations, and illustrates what are currently thought of as the best treatment practices when working with sexual minority clients. Treatment considerations are demonstrated via the hybrid case example of "Adam," who serves as a vivid portrayal of a psychotherapy client who struggles with research-consistent symptomatology and a crisis in identity formation. In addition to being informed by clinical examples in relevant psychological literature, Adam’s composite case is assembled from actual psychotherapy cases. Demonstrating Adam’s course of treatment provides an avenue for describing key clinical issues related to LGB mental health and the coming-out process. By adopting a qualitative, disciplined inquiry approach, I illustrate how, theoretically, treatment can be tailored to a potential client’s unique psychological struggles within the context of historical, contextual, and cultural factors. Following a pragmatic case study research format (Fishman, 1999), Adam’s case material is analyzed both qualitatively and quantitatively. It is proposed that the hybrid case of Adam demonstrates the potential for an integrative treatment approach, combining cognitive-behavioral, client-centered, and multicultural theories, in an effort to assist in the treatment of sexual minority patients who struggle with minority-stress, internalized homophobia, and identity formation concerns. The composite case study of Adam is designed to be used as a resource for therapists who seek to gain additional understanding of how to provide effective and affirmative treatment for LGB clients. The case study concludes with a critical discussion of the advantages and limitations of employing hybrid cases in lieu of actual ones
Pseudohallucinations in an Adolescent: Considerations for Diagnosis and Treatment in the Case of "Kate"
No full textHallucinations are usually considered a hallmark of severe psychopathology, most commonly psychotic or thought disorders such as schizophrenia or other organic brain syndromes. However, several studies describe '"non-psychotic hallucinations" occurring in children and adolescents who experience hallucinations without other core symptoms of true psychosis, such as the presence of a thought disorder, disorganized behavior, and pervasive dysfunction. Some authors describe the controversial subject of "pseudohallucinations," which appears to be more representative of conversion disorder symptoms rather than psychotic symptoms. We present a case of "Kate," a 16-year-old adolescent female who required psychiatric hospitalization for auditory hallucinations with secondary delusional thinking. She was initially given a diagnosis of psychotic disorder, not otherwise specified (NOS), and treated with an antipsychotic and an antidepressant. At outpatient follow-up, although Kate continued to endorse hallucinations and delusional thinking, her symptoms were not felt to be part of a true psychotic disorder. The hallucinations could be viewed as a product of extreme anxiety; a diagnosis of generalized anxiety disorder (GAD) was made, and Kate was maintained on the antidepressant and antipsychotic medications. However, this did not entirely explain Kate's symptoms. The consideration of "pseudohallucinations" as conversion disorder symptoms in the form of psychiatric symptoms was key to making an accurate diagnosis, predicting prognosis, and tailoring treatment for Kate and her parents. A total of 29 months of a combination of both cognitive-behavioral and psychodynamic treatment by the first author (MAS) included both weekly individual therapy and weekly therapy with her parents for the first 12 months, biweekly individual and parents therapy for the next eight months, and monthly individual sessions for the final nine months, during which Kate was 18 years old. During the initial course of treatment, the antipsychotic was tapered and discontinued without precipitating an exacerbation of symptoms. Symptoms continued to improve throughout treatment with both patient and parents. We discuss the differences between psychosis and “pseudopsychosis” and the reasons for making the distinction in this case. We also discuss the possible explanation for these "pseudohallucinations" in Kate and how treatment was tailored. Finally, we discuss the implications for diagnosis, prognosis, and treatment of this and similar cases of non-psychotic hallucinations
Using Phenomenology To Understand Hallucinatory Experiences
No full text This commentary responds to Shapiro, Bussing, and Nguyen’s (2014) case study of "Kate," a 16-year-old adolescent female who required psychiatric hospitalization for auditory hallucinations with secondary delusional thinking. I continue their discussion about the conceptualization of hallucinatory experiences in the context of an individual case, and the significance of this conceptualization for diagnosis and treatment. In particular, this commentary summarizes contemporary research on the diverse manifestations of auditory verbal hallucinations (AVHs) and the difficulties with developing a meaningful classification system for these phenomena. It then investigates one approach to understanding AVHs, philosophical phenomenology, and argues for the relevance of this approach in clarifying the formal features of a symptom and relating these in a meaningful way to the overall structure of the underlying pathology. Finally, this commentary applies a phenomenological perspective to Kate’s particular symptomatology, and discusses the implications of its findings for treatment approaches with Kate and others who experience various forms of AVHs.
Living Casualties of War: Civil War Solders as Victims of Psychological Trauma
No full textAlthough the Civil War has been frequently written about, the emotional hardships endured by soldiers and the psychological trauma that those hardships produced did not appear in Civil War historiography until the late 1990s. For more than a century it was presumed that soldiers were impervious to mental illness and that doctors had no understanding of battlefield psychology as it exists today and could not interpret the experience of Civil War veterans until the identification of PTSD. Now that the soldier’s emotional battlefield experiences are becoming a part of the historiography. Scholars have rediscovered contemporary documents that refer to “nerve injury,” that is now being interpreted as a form of PTSD. Fleming reveals documents of New Jersey institution that treated this disease after the Civil War.