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Conversation with theorists - Essay Example

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Dinner Well, my dear friends! I am fascinated by having a chance to communicate with you. Schizophrenia is a mental illness and it is very difficult for nurses to take care about the patients with this diagnosis. Anyway, it is interesting for me to penetrate in the depths of this illness and find out the reasons triggering it…
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Dinner Well, my dear friends! I am fascinated by having a chance to communicate with you. Schizophrenia is a mental illness and it is very difficultfor nurses to take care about the patients with this diagnosis. Anyway, it is interesting for me to penetrate in the depths of this illness and find out the reasons triggering it. I would like to ask you about different approaches to schizophrenia identification and treatment. Mr. Peplau looks confused, because he has many options to communicate with two different scientists providing their original points of view about schizophrenia treatment. Albert Bandura is a cognitive therapist and Carl Rogers is a humanistic therapist. Hildegard Peplau would fight for an opportunity of nurse-patient communication approach. This approach is very attractive for me, since in nursing it is very important to bridge a gap in the communication between a patient and a nurse. It is easier for a patient to share his hallucinations and delusions with someone in the context his usual social environment. Bandura would surely argue that influence of the environment on a person is evident and behavior can influence environment too (Bandura 2002). This mutual dependence can be surely illustrated by the example of patients with a diagnosis of schizophrenia. Actually, patients with this diagnosis would be considered by Bandura with respect to three different factors: environment, behavior, and internal psychological processes of a person. Supposedly, Mr. Peplau would ask: “Hey, Bandura, what is more important behavior or language of a patient with the diagnosis of schizophrenia?” The latter would think a little and then say: “Both of them, of course! Language is the reflection of his thoughts, his mind. It is possible to understand the essence of language by penetrating in the imagery secrets of it.” And here comes Carl Rogers! “Dear Sirs! Don’t worry, be happy and your patients will be happy too! The only key to a successful treatment of schizophrenia or any other type of a mental disorder is an unconditional positive regard and empathy of a doctor. ” Now, let me interfere and say: “Wait, please, my dear great minded interlocutors! I would claim that you are thinking about a person with schizophrenia in unreal context. It is better to be more practical and consider a current mental condition of a patient.” I would take my chance and strongly agree with Rogers and his claim that it is relevant to refer to a patient in a real time, with a great likeness and understanding. During psychotherapy hours a specialist is focused on particular symptoms of his patient and it is better to know how he is behaving at a given moment. Bandura is focused on imagery and language and I think that is easy for him to focus more on observation and learning. Bandura would say: “Humans are agents and it is relevant to implement different practices in the process of patient’s cure”. Different conditions are influential and every man is captured under the influence of external factors. Still, there is no doubt that behavior of a person gives him out at once. For Bandura it is evident that a patient with schizophrenia is not responsible for his actions. Of course, Rogers would hardly support such kind of a passive and observational manner of treatment (Thorne, 1992). He is more a proactive therapist and the one, who has an ability to inspire his patients. Peplau is more practical too and during this dinner these two theorists would move towards each other in their mutual understanding for sure, because of their proactive actions (Taylor&Lillis, 2001). Peplau: “Mr. Bandura, if actions are dominant, why your so-called human agents cannot take control over schizophrenia?” Bandura would respond for sure: “Unfortunately, human mind cannot cope with a chemical reaction leading to schizophrenia. Human actions are lost in vain…but no one can hide words or images, which are hidden behind the words”. Rogers would respond: “my dear, both of you are not right. You took a wrong way to cure schizophrenia. I am telling you that these people suffer from schizophrenia, because such stubborn and gloomy persons like you do not want to understand them, but only oppress them and feeding with drugs them all the time”. Let me argue, Dear Sirs! To my mind, to take care of a patient means a lot. It is evident that people, who have awful hallucination, misbehavior and are suffering from their damaged brains, are in need not only for a positive attitude, but also for medical treatment. Schizophrenia can be considered from various perspectives, but in the very essence it is a kind of a mental disorder and both cooperation of theorists and practitioners can bear fruits. Conclusion Therefore, my dear friends, I was very much impressed by having such a perfect opportunity to communicate with the leading specialists in the field of theoretical nursing and psychology. Their cognitive and humanistic approaches widened my horizon and I started thinking about a necessity of implementing a holistic approach in the process of caring about the patients, a process of diagnostics, treatment or whatever. To my mind, Bandura’s approach is the most appropriate for treatment of schizophrenia. This illness can be considered from various perspectives, but in the very essence it is a kind of a mental disorder and both cooperation of theorists and practitioners can bear fruits. I agree with Bandura and I think it is appropriate to consider the patients on the background of their environment, behavior, and their own internal psychological processes. References Bandura, A. (2002). Selective moral disengagement in the exercise of moral agency. Journal Of Moral Education, 31 (2): 101–119.  Taylor Carol, Lillis Carol. (2001).The Art & Science Of Nursing Care. Philadelphia:  Lippincott. Thorne, Brian. (1992). Carl Rogers - Key Figures in Counselling and Psychotherapy series. Sage publications. Read More
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