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Essay Subject: Examines clinical issues and interventions that therapists could use working with the elderly Hispanic population.... More...

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Paper Abstract: Examines clinical issues and inteventions that therapists could use working the the elderly Hispanic population. Devising interventions that work. Acknowledging differing values and perspectives. Sociocultural factors. Components of Hispanic culture. Family relations. Developmental issues of the elderly; psychological problems and dementia. Types of therapeutic interventions. Possible approaches. Paper Introduction: Clinical Issues and Interventions with the Elderly Hispanic Population Introduction Although the movement is still small, there has been recognition that multicultural factors impact the therapeutic process, and that acknowledgment of differing values and perspectives is important in devising interventions that work. The intention in this paper is to look specifically at the elderly Hispanic population and the kinds of clinical issues and interventions that might be effective with these individuals. Sociocultural factors First, it is important to note that this is a diverse population in itself. There is both an immigrant population and a native population. Among the immigrants there are diverse gro Text of the Paper: The entire text of the paper is shown below. However, the text is somewhat scrambled. We want to give you as much information as we possibly can about our papers and essays, but we cannot give them away for free. In the text below you will find that while disordered, many of the phrases are essentially intact. From this text you will be able to get a solid sense of the writing style, the concepts addressed, and the sources used in the research paper. of differing values and perspectives is important with these individuals Sociocultural factors groups too including refugees fromoppression in several different The immigrant experience One of the more useful asked to explore the adjustments they made to living abuelas in a residential seniorcitizen center her research Olmedo focused on several cultural issues inthe noted that ethnic outsiders might not recognize there were also differences Not all points too including an intense belief inChristianity and work and helping their families to survive They somewhat critical of At the same time family relations and family assistance communities placed a premium on recent language barriers traditionalmistrust of institutions because of situations from have an unmarried parent and more likely to have Developmental issues of the elderly Although Erikson was the first looking at Erikson's scheme For Erikson later engaged The core pathology to to resolve is immortality versus of life Thecore pathology to Erikson is difficult inertia Despite the many critiques of Erikson's work there is to maintain social contacts that meettheir and Kaplan looked at predictive factors in middle adulthood amounts of alcohol Problems of aging The problems of sensory changes andincreased chronic illness They by death or physical loss and the beginning of what may non-Hispanic Whites in rural areas The authors found that also tended tohave higher levels of cognitive impairment thatincreases in chronic disease and functional disability is topsychotherapy individual therapy family therapy grouptherapy and et al inrelationship to family therapy approaches Some of the important elementsin their a specific multicultural context that impacts the therapeutic process the therapist At a minimum theyrecommend assessing the family's multicultural or behavioralinterventions Sinnott et al Sinnott et al behavior problem and living situation Participantsrated six types of psychotherapy was rated as the most were certain characteristics thatmade Hispanic important barriers tohelp-seeking behavior or responsiveness to cultural beliefs For example theysuggest what does the therapist in each sociocultural context The individual within them References Black S C Schwartz R C and the Alameda County study American Journal ofPublic by the Mini-Mental State Examination TheJournals memories ofelderly Latinas Qualitative Inquiry Sinnott J D Burgio elderly parents Unobservedheterogeneity across families Research still small there has been at the elderly Hispanic population and the immigrant population and a native population Among is a difficult task but there are suggestions about somegenerally reflect upon itsexperience Olmedo did just that project was called Project Memorias coming to the United States as adults after World WarII her subjects formally and with therespectful title of dona even requiredit What she also learned whose father had favored theindependence movement for the island rather the experience ofthe women and the be resourceful for their families Americanculture Family relations In looking specifically at the in the Hispanic community than in either the African-American orEuropean-American madethat intensive interrelationship more common These in thiscountry Wong et al also noted This may lead to more now about the kinds of issues that help at this stage was For very old age which Erikson defined as quality of confidence Confidence for Erikson involvedboth because of self-doubt This sounds very similar to earlier example Jewett describedcharacteristics common to those he described as successful adaptability a sense of humor broadreligious perspective weight higher family income no symptoms ofhypertension arthritis or with the physical changes of old age tasks of very old age Adults also social service agencies include such things as study looking specifically atcognitive functioning hadmodest levels of severe impairment in old age with chronic disease functional disability and psychological distress amongmembers of discomfort were most associated withdepressive symptoms Types of therapeutic multicultural perspective although still in its infancy of families According to theauthors these create formative values gender age race and regional background All of need to be aware of these factors and it helps various approaches utilized in working with older adultswith and older They were presented with writtenscenarios depicting activity Surprisingly enough all wereconsidered acceptable interventions The barriers mentioned by Wong et al are Specifically language barriers distrust of institutions and from different cultures of whatever age is for therapists this family and this minority group as well as other minoritysubpopulations since it recognizes the multiplicity Americans The Journals of Gerontology Guralnik J M and Kaplan Shetterly S M Baxter J Cognitive functioning and impairment among approach Pacific Grove CA Brooks Cole Publishing Company Olmedo I Wong R Kitayama K E and Soldo B Clinical Issues and Interventions with indevising interventions that work The intention First it is important to note that this countries e g Nicaragua and Guatemala To try to define ways to gain information about the experienceof an in themainland United States and what they were in Chicago The eight women were between and research design itself such as the the need forthat level of were Catholic with two members who were Evangelical or spiritualism which is a central factor in Hispanicculture did not portray themselves as they were adaptable enough toacknowledge different noting that therelations between adult children familial support and caregiving there were their home countries and fear of interacting a parentover the age of to develop a detailed approach todevelopment throughout the adulthood from about had to deal with thepsychosocial crisis of be concernedabout was disdain or a extinction The process helping with resolution of this crisis to understand He termed it difference and utility inusing his divisions and looking at need the ongoing pursuit of activities that challenge them and that were linked tohealthy aging These were more physical factors old age as noted by Newman and Newman aremany postulated that developed apsychohistorical perspective and wisdom helped The psychological problems that bring turn out to be dementia including Alzheimer's afterremoving ethnic bias from the scale at very old ages In yet another associated withincreased psychological distress and depressive symptomatology In marital therapy Any of these may become relevant in veryold They impose a multiculturalmetaframework on the family systems system include gaining an understanding of the culturaltransition historical generational infamily systems therapy In order for context in planinginterventions which take into account its explored theacceptability ratings of various intervention including person-centeredtherapy strategic family acceptable The authorsdid not explore differences based on ethnicity elderly more likely to rely on family caregivers than othergroups outside intervention Conclusion Breunlin et believe about diversity Do they validatediversity in their practice framework that they provide seems to create a good A Goodwin J S and Markides K S Theassociation Kune-Karrer B M Metaframeworks Transcending Health Jewett S Longevity and of Gerontology B P P Newman B L D Lakein D and Pappas K Acceptability on Aging recognition thatmulticultural factors impact the therapeutic process and thatacknowledgment kinds of clinicalissues and interventions that might be effective the immigrants there are diverse important components of Hispanic culture with a group of elderly Latinaswho she and she began itwith a group of Puerto Rican grandmothers The group met biweekly for five months In though they addressed her by her firstname She though was that despite the similaritiesamong group members than American association However there were clear focal stereotypes of Hispanics they were stronger moreresilient more involved in in a culture that theywere elderly Wong et al exploredtime transfers communities While both the African-American andHispanic included a history offamily immigration sometimes more that Hispanic adult children aremore likely to needfor time assistance and hands-on care impact older adults and theelderly Let's start with wisdom which provided adetached approach while still beyond age theprimary psychosocial crisis a trust in oneself and a belief in the meaningfulness stages in school age where paralysisprevents actions through inhibition or agers Theseincluded such things as an ability and an enjoyment of life Guralnik back pain and they did not smoke and consumedonly moderate whichinclude behavioral slowing loss of bodily functions need to manage patterns ofnew living arrangements often brought about situationaldepression from grief clinical depression despair anxiety substanceabuse withdrawal and impairment among the Hispanic elderly comparedto percent ofHispanic subjects so identified Those with less education the Mexican-American population The authors noted interventions In looking at therapy there are four basic approaches One interesting framework is provided by Breunlin that impact interaction with thetherapist and with the therapist's values these according to them contributeto for there to bea cultural fit between the family and behavioral problems the most common are medication a year-old woman with a problem varying bycognitive capacity by the older respondents but person-centered individual therapy substantial ones forthis population She noted that there fear of authorities or formal agencies represent toexamine their own presuppositions and Do they consider theconstraints and the opportunities of ways in whichfamilies vary impacting each A M M Breunlin D G A Predictors of healthy aging Prospective evidence from rural elderly Hispanics and non-Hispanic whites as assessed M Redefining culture through the J Ethnic differencesin time transfers from adult children to the Elderly Hispanic PopulationIntroduction Although the movement is in this paper is to lookspecifically is a diverse population initself There is both an values social traditions and orientations for such adiverse group individual or group is to ask that group to able to retain from their owncultures Olmedo's years with seven of them formality required when dealingwith the elderly She always addressed respect but that cultural communicative competence Pentecostal Protestants They haddifferent political beliefs including one There were also important differences between particularly oppressed or victimized but as needing to cultural norms and the values of some of and their elderly parents were much morehomogenous special characteristics within the Hispanic community that with authorities and formal agencies than the other two cohorts lifespan there is much more informationavailable integrity versus despair The prime adaptivequality that could be of feeling of scorn for oneself and others because ofweakness is social support witha primary ego defied it as an inability to act some of the characteristics of healthyaging and troubled aging For areconsistent with their life goals with healthy functioninglater adults having average A primary one is coping people deal with thecrises and individuals to the attention ofcounselors and disease Mulgrew et al conducted a they used both NHWs and Hispanics study Black et al looked at the associationof theMexican-American population conditions most associated with substantialphysical impairment pain and age Most of them have also developed a approach that acknowledges theimportance of the sociocultural contexts sequences immigration andacculturation economics education ethnicity religion therapy to be most effective therapists evolving circumstances Possible approaches Out of the other kinds of therapeutic interventionswith a group of adults aged therapy transactional analysis play reading group therapy and purposeful however Possible barriers to treatment these characteristics also represent barriers to therapeuticintervention al noted that a good beginning in working withclients What is the impact of their practice onmembers of starting pointfor working with the Hispanic elderly between chronic diseases and depressive symptomatology in olderMexican the models of family therapy San Francisco CA Jossey-Bass Publishers the longevity syndrome Gerontologist Mulgrew C L Morgenstern N M and Newman P R Development through life Apsychosocial ratings of psychotherapeutic treatments for elderlyindividuals Journal of Applied Gerontology of differing values and perspectives is important with these individuals Sociocultural factors groups too including refugees fromoppression in several different The immigrant experience One of the more useful asked to explore the adjustments they made to living abuelas in a residential seniorcitizen center her research Olmedo focused on several cultural issues inthe noted that ethnic outsiders might not recognize there were also differences Not all points too including an intense belief inChristianity and work and helping their families to survive They somewhat critical of At the same time family relations and family assistance communities placed a premium on recent language barriers traditionalmistrust of institutions because of situations from have an unmarried parent and more likely to have Developmental issues of the elderly Although Erikson was the first looking at Erikson's scheme For Erikson later engaged The core pathology to to resolve is immortality versus of life Thecore pathology to Erikson is difficult inertia Despite the many critiques of Erikson's work there is to maintain social contacts that meettheir and Kaplan looked at predictive factors in middle adulthood amounts of alcohol Problems of aging The problems of sensory changes andincreased chronic illness They by death or physical loss and the beginning of what may non-Hispanic Whites in rural areas The authors found that also tended tohave higher levels of cognitive impairment thatincreases in chronic disease and functional disability is topsychotherapy individual therapy family therapy grouptherapy and et al inrelationship to family therapy approaches Some of the important elementsin their a specific multicultural context that impacts the therapeutic process the therapist At a minimum theyrecommend assessing the family's multicultural or behavioralinterventions Sinnott et al Sinnott et al behavior problem and living situation Participantsrated six types of psychotherapy was rated as the most were certain characteristics thatmade Hispanic important barriers tohelp-seeking behavior or responsiveness to cultural beliefs For example theysuggest what does the therapist in each sociocultural context The individual within them References Black S C Schwartz R C and the Alameda County study American Journal ofPublic by the Mini-Mental State Examination TheJournals memories ofelderly Latinas Qualitative Inquiry Sinnott J D Burgio elderly parents Unobservedheterogeneity across families Research still small there has been at the elderly Hispanic population and the immigrant population and a native population Among is a difficult task but there are suggestions about somegenerally reflect upon itsexperience Olmedo did just that project was called Project Memorias coming to the United States as adults after World WarII her subjects formally and with therespectful title of dona even requiredit What she also learned whose father had favored theindependence movement for the island rather the experience ofthe women and the be resourceful for their families Americanculture Family relations In looking specifically at the in the Hispanic community than in either the African-American orEuropean-American madethat intensive interrelationship more common These in thiscountry Wong et al also noted This may lead to more now about the kinds of issues that help at this stage was For very old age which Erikson defined as quality of confidence Confidence for Erikson involvedboth because of self-doubt This sounds very similar to earlier example Jewett describedcharacteristics common to those he described as successful adaptability a sense of humor broadreligious perspective weight higher family income no symptoms ofhypertension arthritis or with the physical changes of old age tasks of very old age Adults also social service agencies include such things as study looking specifically atcognitive functioning hadmodest levels of severe impairment in old age with chronic disease functional disability and psychological distress amongmembers of discomfort were most associated withdepressive symptoms Types of therapeutic multicultural perspective although still in its infancy of families According to theauthors these create formative values gender age race and regional background All of need to be aware of these factors and it helps various approaches utilized in working with older adultswith and older They were presented with writtenscenarios depicting activity Surprisingly enough all wereconsidered acceptable interventions The barriers mentioned by Wong et al are Specifically language barriers distrust of institutions and from different cultures of whatever age is for therapists this family and this minority group as well as other minoritysubpopulations since it recognizes the multiplicity Americans The Journals of Gerontology Guralnik J M and Kaplan Shetterly S M Baxter J Cognitive functioning and impairment among approach Pacific Grove CA Brooks Cole Publishing Company Olmedo I Wong R Kitayama K E and Soldo B If this paper is not 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