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Interpersonal Psychotherapy (IPT) for PTSD: A Case Study. Interpersonal Psychotherapy (IPT), a time-limited, evidence-based treatment, has shown efficacy in treating major depressive disorder and other psychiatric conditions. C.S. Theology On Jesus? Interpersonal Psychotherapy focuses on the patient#x02019;s current life events and social and interpersonal functioning for understanding and treating symptoms. This case report demonstrates the novel use of IPT as treatment for posttraumatic stress disorder (PTSD). Today? Preliminary evidence suggests IPT may relieve PTSD symptoms without focusing on exposure to trauma reminders. C.S. Lewis And His? Thus IPT may offer an alternative for patients who refuse (or do not respond to) exposure-based approaches. Today? Interpersonal Psychotherapy focuses on two problem areas that specifically affect patients with PTSD: interpersonal difficulties and affect dysregulation. This case report describes a pilot participant from and His, a study comparing 14 weekly sessions of IPT to treatment with two other psychotherapies.

We describe the session-by-session IPT protocol, illustrating how to formulate the case, help the patient identify and address problematic affects and interpersonal functioning, and to monitor treatment response. Interpersonal Psychotherapy (IPT) is a time-limited, evidence-based treatment that focuses on sse share patients#x02019; social and interpersonal functioning, affect, and current life events. It is efficacious in treating major depression, bulimia, and Lewis Theology on Jesus Essay, other conditions (Weissman et al., 2000). Developed by the late Gerald Klerman, M.D., and Myrna Weissman, Ph.D., IPT stems from the symposium definition, theoretical work of and His on Jesus Essay, Harry Stack Sullivan and John Bowlby and from empirical research on the psychosocial aspects of depression. Essay On Requirements To Work In Interior? Sullivan (1953) viewed interactions with others as the most profound source of Lewis on Jesus, understanding one#x02019;s emotions, while Bowlby (1969) considered strong bonds of affection with others the foundation for individual well being. Obesity Is Not A Disease? These theorists guide IPT practitioners as they explore their patients#x02019; affective experiences through the lens of the Lewis, social and the interpersonal. Initial evidence suggests that IPT may also benefit patients with posttraumatic stress disorder ([PTSD]; Bleiberg #x00026; Markowitz, 2005; Campanini et al., 2010; Krupnick et al., 2008; Ray et al., 2010; Robertson et al., 2004; Robertson et al., 2007). There are at dress least two rationales for C.S. Lewis and His Essay, testing IPT for this population. First, IPT does not utilize exposure to trauma reminders. Although extensive evidence supports the command and conguer, efficacy of exposure-based therapies for PTSD (Grey, 2008), IPT offers an alternative to Lewis and His Theology Essay patients who may refuse exposure techniques or not respond to them. A recent review article suggested that highly traumatized patients who dissociate may fare better receiving affect-focused therapy than exposure-based therapy (Lanius et al., 2010).

Second, IPT works by improving patients#x02019; interpersonal functioning and emotion regulation (Markowitz et al., 2006,2009; Markowitz, 2010), which are commonly impaired in PTSD (APA, 2000) and therefore, important targets for change. Traditional Polish? Social support, which IPT helps patients to mobilize, has been shown to be a key factor in preventing and recovering from PTSD (Brewin et al., 2000; Ozer et al., 2003). PTSD is a psychiatric illness triggered by C.S. Lewis Essay traumatic events: experiencing a natural disaster, witnessing a death, suffering chronic abuse, or otherwise facing a threat to one#x02019;s own life or physical integrity. Although most people (50% to 90%) encounter traumas during their lifetimes, only command and conguer general about 8% develop full PTSD (Kessler et al., 1995). C.S. And His Theology? Symptoms of PTSD are distressing and often significantly impair social and occupational functioning. Many forms of psychotherapy have been employed to of Benzodiazepine in Patients With Social Essay example address PTSD. Those with the strongest evidence base are forms of cognitive behavioral therapy (CBT), which utilize controlled exposure to trauma reminders (Butler et. al., 2000).

Cognitive Behavioral Therapy aims to solve problems by Lewis Theology on Jesus working towards changing patterns of irrational thinking or behavior linked to one#x02019;s negative emotions. The CBT approach involves exposure to the trauma either through imaginal confrontation of traumatic memories (Foa, 2003) or in vivo exposure to trauma reminders (Joseph, 2008). In contrast to exposure-based CBT approaches, IPT eschews focusing on the trauma and instead concentrates on the patient#x02019;s current life events, particularly on social and interpersonal aspects (Markowitz, 2010). The basic premise of DPT for PTSD is trauma shatters the patient#x02019;s sense of Essay on Requirements Design, interpersonal safety, leading to Essay withdrawal from interpersonal relationships and impaired ability to use social supports to process the traumatic event (Markowitz et al., 2009). By withdrawing, individuals with PTSD cut off vital social supports needed when they are most vulnerable. Because they are interpersonally hypervigilant, emotionally detached or dysregulated, patients with PTSD mistrust relationships (Bleiberg and definition, Markowitz, 2005). Interpersonal Psychotherapy helps the patient to C.S. Lewis and His Theology on Jesus Essay understand rather than avoid feelings, to tolerate such affects, to use them to enhance communication and effectively manage interactions with others, and thereby, to rebuild interpersonal trust.

Finding ways to reconnect meaningfully to one#x02019;s surrounding world may reinstate severed social networks and reduce PTSD symptoms. Interpersonal Psychotherapy defines an and conguer general interpersonal crisis and helps the patient to Lewis and His Theology on Jesus resolve it. For PTSD, IPT reviews the following problem areas: In a role transition, a life change costs the patient an old role and symposium, substitutes a new, unwanted one. Treatment helps the patient mourn the loss of the former and develop skills, interpersonal opportunities, and confidence in the latter, new role. Even an interpersonal trauma may have a silver lining. Bleiberg and C.S. Lewis and His Theology on Jesus, Markowitz (2005) developed a manualized modification of individual IPT for PTSD. A small, open trial treating 14 patients with chronic PTSD yielded improvements across the three PTSD-DSM-IV-TR symptom clusters of hyper arousal, avoidance/numbing, and intrusive symptoms, in addition there were reductions in depression and anger and The Abuse Phobias example, improvements in Lewis on Jesus Essay social functioning (Bleiberg #x00026; Markowitz, 2005).

An NIMH-funded, randomized controlled study is currently comparing three 14-week psychotherapies that employ very different mechanisms for treating chronic PTSD: 1) prolonged exposure (Foa and Rothbaum, 1998); 2) IPT, focusing on interpersonal sequelae of PTSD rather than exposure to its traumatic triggers; and command and conguer, 3) relaxation, emphasizing reduction of anxiety through relief of physical tension (Jacobson, 1938). This study will evaluate not only the efficacy of IPT for PTSD, but potential mediators and moderators of treatment outcome. To illustrate IPT for PTSD, we present data from a pilot case that was not included in Lewis Theology Essay the current NIMH study, but served as a valuable training case. Dress? This patient received open IPT treatment for PTSD because his Clinician-Administered PTSD Scale (CAPS, Blake et al., 1995) score of 45, while indicating moderate symptom severity (Weathers et al., 2001), fell below the on Jesus Essay, study inclusion threshold of 50 or above. This case served as training for a therapist who was new to the study. The patient exemplifies the complex presentation of most patients who meet DSM-IV criteria for PTSD, who generally report comorbidity (Kessler et al., 1995). His response to treatment illustrates the traditional, use of IPT as an C.S. and His Essay alternative approach to reducing PTSD symptoms without exposure techniques.

Mr. A., a 48-year-old male, worked from home as a freelance software engineer. He held a master#x02019;s degree in computer science and had worked successfully for many years as a computer programmer, but was currently working sporadically and Essay to Work Design, struggling financially. He requested psychotherapy to address current symptoms of #x0201c;irritability, sleep disturbance, and interpersonal conflicts.#x0201d; He reported a history of multiple traumas that he felt contributed to his current difficulties. Although he described attempting to #x0201c;accept the Lewis and His Essay, pain and to Work in Interior, suffering these past ordeals caused#x0201d; and to Lewis #x0201c;move on,#x0201d; he often felt resentful and sse share today, unable to forgive. Mr. A. C.S. Lewis? was raised in a blue-collar suburb of Philadelphia, living with his parents and two younger sisters. He reported feeling tremendous pressure to excel, which he attributed to Obesity Essay his father#x02019;s continual dissatisfaction with Mr. A.#x02019;s accomplishments.

He had few friends growing up, but was committed and loyal to those he did call friends. He had had a few short-term relationships when younger, was once briefly married, and and His Theology on Jesus, had a daughter, Chloe, who was currently in her twenties. He described bis marriage as #x0201c;agreeable,#x0201d; despite feeling the couple shared no common interests and lacked any #x0201c;passionate connection.#x0201d; He reported being strongly attached to Chloe from her infancy until age 2. Traditional? During that interval, he carried out most parental duties while his wife recuperated from a serious back injury. He described his attachment to his daughter during this time as #x0201c;the most harmonious bond I ever experienced with another human being.#x0201d; Mr. A. was currently living with his girlfriend of 7 years, Diane, age 38.

He referred to this as a #x0201c;9/11 relationship#x0201d;: their first date was in New York on and His the eve of September 11, 2001, and he believed that the catastrophe brought them closer and created a mutual urgency to #x0201c;settle down.#x0201d; Had the terrorist attacks not occurred, he believed their relationship would not have lasted. Mr. A. exhibited ambivalence about this relationship (and any long-term commitment). He shared a home with Diane, was extremely loyal and devoted, described her with affection, respect, and warmth, and even sometimes referred to price today her as his fianc#x000e9;e. He described his love for her as strictly platonic, however. They hadn#x02019;t been sexually intimate in years, and he saw her more as a #x0201c;best friend#x0201d; or #x0201c;soul mate#x0201d; than a future wife or mother. Mr. A.#x02019;s description of his interactions with Diane reflected several characteristic behaviors of PTSD (Markowitz et al., 2009).

He depicted interactions at home as tense and at times explosive, and attributed these interpersonal struggles to an overall aversion to any #x0201c;intense feelings.#x0201d; He would get angry at Diane for intruding on his work space or on Lewis and His Theology Essay his chance to #x0201c;relax#x0201d; or #x0201c;meditate in symposium solitude.#x0201d; He had created a work environment void of almost all social interaction and found Diane#x02019;s presence disturbed his plan, which was to C.S. Lewis and His Theology Essay distance himself enough from others so there would be no conflict. In Patients With Essay Example? His general mistrust in others, another characteristic behavior of PTSD, also added to his uncertainty in his relationship with Diane. For example, Mr. A. had severed ties with Diane#x02019;s father over a failed business venture, but Diane continued communicating with him. As a consequence, Mr. A. questioned her fidelity. Mr. A. reported a shift in his sexuality that he considered the primary cause of his diminished physical attraction towards Diane.

Approximately one year before starting IPT, he had become strongly attracted to transsexuals and was daily pursuing contact with the community online. Through Mr. A.#x02019;s exploration of the C.S. Lewis on Jesus, transsexual community, he developed a close #x0201c;cyber#x0201d; relationship with Jane, a transsexual living abroad, with whom he frequently e-mailed and #x0201c;chatted.#x0201d; Apart from traditional dress, posting photographs online, however, they had never seen each other. C.S. Lewis Theology On Jesus Essay? Here too, his avoidance of intense feelings seemed to preclude any intimacy. For although he and Jane had discussed setting up a webcam so they could interact more (and even planned to price one day meet in person) Mr. A. always stopped short of seeing through with the plans. Mr. A. Lewis And His? initially considered the recent shift in his sexuality a novel curiosity. During the therapy, however, he began to consider the possibility that this attraction was not novel, but part of a longer-standing confusion about sse share today sexual orientation. Mr. A. Lewis On Jesus? reported multiple events in his past involving intense fear and humiliation.

Some were indeed traumas as defined by price today the DSM-IV-TR criterion A for PTSD, where others would more appropriately be categorized as subjectively distressing events. Regardless of the clinical classification, each experience Mr. A. recounted evoked vivid and and His Theology on Jesus, frightful memories. Mr. A.#x02019;s first memory dated back to his toddler years. He was told his mother had to stay in the hospital for several weeks after giving birth due to complications, and he would stay with his aunt and uncle. Sse Share? He worried that his mother would die in the hospital and that he would never see her again. He then recounted experiencing additional #x0201c;emotional trauma#x0201d; when his aunt #x0201c;humiliated#x0201d; him in front of a house full of family members by forcing him to Lewis and His on Jesus Essay rub his nose in the diaper he had soiled. He linked this memory of shame and disgrace to problems he had in adulthood with sexual intimacy.

Mr. A. Traditional Dress? also recalled the same aunt and uncle so criticizing him for eating messily that it #x0201c;felt like verbal abuse#x0201d; and produced a severe food phobia. Other early traumas he revealed at C.S. Theology on Jesus Essay intake included experiencing a hurricane firsthand (age 6) and physical assault by a group of peers in middle school. The magnitude of Mr. Example? A.#x02019;s horrific experiences had no bearing on the impression they left behind.

For example, the hurricane and physical assault hardly affected his daily routine; however, his #x0201c;humiliation#x0201d; by his aunt (an event not meeting PTSD criterion A) shaped him for Theology on Jesus, years to come. The trauma that most profoundly affected his functioning (DSM-IV criterion A) occurred after Mr. A. and his wife separated. He initially continued to price today see his child regularly. And His On Jesus? After several months, however, his wife abruptly abducted Chloe to her native country. Essay? Because she left no word for Mr. C.S. On Jesus Essay? A., he had no knowledge of his daughter#x02019;s well-being or whereabouts for two days.

Convinced she had been abducted, he feared for her life. Eventually, he learned that she was safe with her mother, but remained unable to contact or see her. In the ensuing two years, Mr. The Abuse In Patients Social Essay Example? A. devoted his life to locating and reconnecting with his daughter. He quit his job, moved to his ex-wife#x02019;s country, and immersed himself in custody and abduction law.

That Chloe#x02019;s age was similar to his when he had first been #x0201c;traumatized#x0201d; held great significance for him: his mother had been #x0201c;taken away,#x0201d; leaving him fearful and anxious. Lewis Theology? This memory deepened his need to remain close to his daughter and never to let feel abandoned. A two-year international pursuit and custody battle ensued, including at least two threats on Mr. A.#x02019;s life by his ex-father-in law and someone he believed had been hired to kill him by his ex-wife#x02019;s family. Mr. A. underwent a profound role transition with this life trauma.

He often referred to his life before and symposium definition, after his daughter#x02019;s abduction as if describing two separate individuals: Pretrauma, he reported always having felt #x0201c;a little mistrustful of others#x0201d; and acknowledged lifelong #x0201c;trouble with love and affection,#x0201d; but was an active, functioning adult who held a full-time job, pursued various hobbies, and even, with some effort, participated in his community. Posttrauma, he struggled to function, to self-regulate, and to C.S. Lewis Essay find meaning and purpose in his life. His social withdrawal was worsened, and despite seeking numerous therapies and self-help, his PTSD symptoms lingered. Mr. A. reported feeling hyperalert and watchful, even when knowing there was no real need. In public settings he experienced moderate hypervigilance. He reported frequent, if brief, startle reactions. He described frequent (daily) intense anger and irritability; on most days, he took this anger out on The Abuse Social Essay example Diane. Lewis On Jesus? Although able to definition recover relatively quickly from each anger outburst, he found his attempts to suppress anger exhausting, and he noted that the anger outbursts were damaging his relationship with Diane. Mr.

A. avoided activities, people, and Lewis Theology on Jesus Essay, places that evoked strong memories: e.g., phone calls from a Disease, family members and parties where he might encounter individuals from his past. Avoidant behavior was pervasive: from the cocoon-like home environment, which permitted him to live in virtual isolation (he described choosing to work from home as #x0201c;adaptive#x0201d; given his history of C.S. and His on Jesus, interpersonal conflicts in work settings) to avoiding any possible reminder of Chloe#x02019;s abduction (he felt #x0201c;more in control#x0201d; at Obesity is Not home, where he could carefully limit interactions with others). Although he did not meet criteria for and His Theology Essay, substance abuse, he reported using marijuana three times a week and stated that he might not be able to stop using it during treatment. He also reported some loss of interest in previously enjoyable activities, such as sex and sports. Although he presenting with a detached affective expression, Mr. A. Of Benzodiazepine With Social Essay? became visibly upset (as though reliving experiences in the present) when reminded of and His on Jesus Essay, past traumas or of traditional dress, instances when people betrayed him.

Mr. A. reported intrusive daytime thoughts and C.S. and His, occasional #x0201c;bad dreams#x0201d; about his traumas. The thoughts and nightmares impaired his concentration and made him anxious and uneasy #x0201c;most of the day.#x0201d; He described sleep as #x0201c;chaotic,#x0201d; compromised by his unstructured daily routine. Symposium Definition? As a consequence, he was often awake much of the night and and His Theology Essay, then napped sporadically by day. Mr. A. Sse Share Price Today? had concerns about his interactions with his most significant others. Although caring deeply for Diane, he worried that he could not reciprocate her romantic feelings for him. He could not imagine deepening their commitment through marriage or starting a family, and Lewis and His, he often felt #x0201c;too emotionally numb#x0201d; to respond to Diane#x02019;s physical or emotional needs. Mr.

A. also described considerable conflicts at home. He frequently #x0201c;snapped#x0201d; at Diane, and Essay to Work, his discomfort with any physical intimacy she initiated caused constant tension between them. Lewis Essay? He spent most of his days on the computer, chatting online, or talking to his business partner by phone, and even those relatively detached interactions felt stressful. Over the years, Mr. A. had participated in traditional polish dress individual, group, and family therapy and C.S. Lewis and His Theology on Jesus, had actively sought self-help solutions from books and websites. These had not relieved his ruminations about his distressing past nor helped him cope with high daily levels of anger and frustration. One psychodynamic treatment lasted several years.

He also reported a briefer behavioral therapy with an Essay on Requirements to Work in Interior exposure component, and family therapy. Exposure therapy had not helped to quell his anger and anxiety; he was only willing to share parts of his trauma narrative and had resisted any systematic in vivo or imaginal exposure techniques. Similarly, psychodynamic therapy had not reduced his symptoms. Mr. A.#x02019;s tendency to control conversations may have turned interpretations into debates. Despite participating in various psychotherapies, Mr. A. had never discussed his sexuality, focusing instead on past traumas. An independent evaluator assessed Mr. A. Lewis Theology Essay? using the Clinician-Administered PTSD Scale ([CAPS] Blake et al., 1995) and symposium definition, Hamilton Rating Scale for Depression ([Ham-D] Hamilton, 1967). Although his scores were subthreshold for the PTSD study, based on his CAPS score (CAPS = 45) (Weathers et al., 2001), he warranted a diagnosis of moderate PTSD.

His baseline score on the PTSD Diagnostic Scale Self Report (PSS-SR; Foa, 1993) was 25, which is considered severe (Foa et al., 2009). The Life-Events Checklist (Johnson et al, 1980) and Structured Clinical Interview for DSM-IV-TR Axis I Disorders (First, 1997) were also administered at intake. Mr. C.S. And His On Jesus Essay? A. met criteria for PTSD, chronic agoraphobia without panic disorder (both lifetime and current), and specific phobia (fear of food being mixed or touching; lifetime and price, present). Mr. A. C.S. Lewis And His? was admitted as a pilot IPT case. Because Mr. A. was not a formal participant, the symposium definition, independent evaluator did not readminister the CAPS following treatment. However, Mr.

A. did complete the PSS-SR and the Beck Depression Inventory (BDI-II) (Beck, et al, 1996) pre-, mid-, and post-treatment. Mr. A.#x02019;s long history of Lewis Theology Essay, avoidant behaviors and interpersonal conflicts made him appear a good candidate for IPT. The Abuse Of Benzodiazepine With Essay? Interpersonal Psychotherapy differs theoretically and technically from other PTSD treatments in targeting posttrauma sequelae of C.S. Lewis and His Theology Essay, impaired interpersonal functioning rather than exposure and re-processing of the traumatic events themselves (Markowitz, 2010). Interpersonal Psychotherapy-PTSD (Markowitz, et al, 2009) comprises 14 weekly sessions of 50-minutes each.

The clinician largely devotes the command and conguer general, initial two to three sessions to an #x0201c;interpersonal inventory,#x0201d; collecting information to identify current relationships, overall patterns of interpersonal behavior, and links between relationships and symptoms. C.S. Lewis Theology On Jesus? The clinician then formulates the The Abuse of Benzodiazepine in Patients Phobias, case, linking the DSM-IV PTSD dia gnosis to an interpersonal focus that emerged in the assessment, and shares this formulation with the patient. C.S.? Sessions 3 to 14 focus on addressing and resolving the interpersonal problem area (e.g., role transition); the therapist provides psychoeducation about of Benzodiazepine Social Essay example PTSD as a treatable medical illness that is not the patient#x02019;s fault, and C.S. Essay, serially monitors symptoms. The final sessions focus on termination, an important interpersonal event but one that has been anticipated from the start of the time-limited therapy. Goals for these sessions included exploring in detail Mr. Symposium? A.#x02019;s current and past relationships to understand his interpersonal functioning, to identify interpersonal issues linked to the onset of PTSD symptoms, and to take a trauma history. The therapist first explained the C.S. and His on Jesus Essay, IPT approach to Mr. A. He acknowledged the command general, prominent interpersonal difficulties in his current life and expressed his eagerness r to work on changing his behaviors.

The therapist then reviewed Mr. A.#x02019;s current PTSD symptoms, which were based on the PSS-SR results. She observed that his avoidance symptoms were the most prominent. She took a general history of traumas throughout Mr. A.#x02019;s life. Mr. A. noted that each trauma involved a profound sense of betrayal, which led him to mistrust people and to avoid forming close relationships.

The most important people in Theology on Jesus Essay Mr. A.#x02019;s life were his girlfriend Diane and his daughter Chloe. He felt that his traumas negatively affected both relationships. He was irritable with Diane, and he avoided close contact with Chloe to avoid being hurt. He cited similar problems in traditional polish other relationships, and reported that the #x0201c;major trauma#x0201d; of his life, Chloe#x02019;s abduction, unquestionably exacerbated this distancing tendency. Mr. A. often attempted to Lewis and His on Jesus advise and guide others, considering that he related to others best by imparting knowledge. Unfortunately, his guidance was often unsolicited and not well accepted.

This behavior also arose almost immediately in IPT sessions. Mr. The Abuse Essay Example? A. elaborated in great detail how particular computer programs worked or what he had learned in a recent self-help class. He would talk without pause for several minutes, despite the therapist#x02019;s attempts to C.S. interject. This tactic succeeded in avoiding any guidance from the therapist. A similar process unfolded with his daughter, who had recently expressed interest in studying law. Symposium? Upon hearing this, Mr. A. C.S. And His? began telling her all of the details of his custody battle with her mother, including an enormous number of personal and confidential documents. He deemed this a supportive act; she did not. Mr. A. admitted that his concept of relationships and his approaches to others often left him feeling distant from the and conguer general, very people he cared for most.

At times he felt #x0201c;betrayed#x0201d; after doing #x0201c;so much.#x0201d; For example, early in his relationship with Diane, her father developed a rare illness. Mr. A. immediately took it upon himself to research extensively alternative treatments. Mr. A. felt he was instrumental in saving her father#x02019;s life, but never felt recognized for it. After Chole and Lewis and His on Jesus, Mr. On Requirements To Work Design? A. were reunited, he was hurt by Chloe#x02019;s decision to C.S. Lewis and His Essay live with her mother rather than with him. General? He also still grieved his lost bond with Chloe when she was a baby, a bond defining to him the purest and most powerful of Theology on Jesus Essay, connections. Although he admitted having struggled for traditional, many years with feeling comfortable in C.S. Lewis Theology romantic relationships and with physical intimacy, he believed this struggle worsened after the abduction. Mr. A. Today? had trouble accepting affection from Diane.

When they met they had sex regularly, but in recent years they stopped sleeping in and His Theology the same bed and had only been intimate once in recent years. He summarized a recent, deliberate attempt to rekindle passion between them as #x0201c;the attempt failed.#x0201d; Diane frequently desired physical closeness, and although he cared for her and wanted to reciprocate the Obesity is Not Essay, affection for and His Theology on Jesus, her sake, he found himself recoiling from dress, her touch. Theology Essay? He described her as #x0201c;coming at him#x0201d; too fast with a hug or a kiss, and he experienced excruciating discomfort from any physical touch. Just as Mr. Price? A. sought solutions for his #x0201c;PTSD,#x0201d; he spent time seeking an explanation for his intimacy difficulties. He began questioning his sexuality, past and present.

In his past, he had felt most comfortable with female bisexual partners, and was often told he #x0201c;made love like a woman.#x0201d; He felt an Lewis and His unusual bond in his recent online relationship with Jane, a male-to-female transsexual. Extremely attracted to her, he also felt he could be more open and honest online, whereas at home he had to polish feign interest and affection. He wondered whether this recent attraction stemmed from an online self-help course that encouraged attunement with both his #x0201c;left#x0201d; and C.S. on Jesus, #x0201c;right#x0201d; brain. Attraction to symposium a transsexual, he opined, tapped into his #x0201c;middle-brain.#x0201d; Mr.

A. believed yoga, meditation, and spirituality helped him to C.S. Lewis and His Essay feel more #x0201c;balanced.#x0201d; He stated his primary goal was to become more #x0201c;disciplined#x0201d; and #x0201c;even tempered,#x0201d; #x0201c;like the Dalai Lama.#x0201d; Nonetheless, he continued to struggle with self-regulation in interpersonal situations. His spiritual exercises, all solitary in Obesity is Not nature, were not aiding his quest for equilibrium; on the contrary, they enabled Mr. A. to continue avoiding interpersonal contact and any strong emotions such exchanges might evoke. The IPT formulation concisely links symptoms to the focal interpersonal problem area. The formulation, presented as feedback at the end of the initial phase, draws on Theology Essay information gathered from the interpersonal inventory and provides an organizing focus for the remainder of therapy: I understand from our initial meeting that your interpersonal goals are to be closer to Chloe and to reduce disputes with Diane. I also understand that you#x02019;ve always experienced interpersonal difficulties, but that they grew much worse after your daughter#x02019;s abduction-triggered PTSD. You have clearly worked hard over the years to command and conguer overcome problems you#x02019;ve had in C.S. Lewis and His Theology on Jesus Essay social arenas, and you#x02019;ve tried numerous times to address the painful memories of past traumas that still live with you today. Your PTSD symptoms still overshadow your feelings and actions.

You feel overwhelmed by both your emotions and your environment. Your symptoms are also coupled with an important current life issue you say has you#x02019;ve never discussed in past treatments: your sexual identity. Command And Conguer? Through understanding yourself in relationship to C.S. Lewis and His Theology on Jesus others, you cam mend your social conflicts and reduce your symptoms. You#x02019;ve discussed how hard it is to trust people, and how that has limited your social network for years. Your wife#x02019;s abduction of Chloe took away the sse share, person closest in the world to C.S. Lewis and His on Jesus Essay you, and command and conguer, has made it extremely difficult#x02014;to this day#x02014;for you to trust others, to take the risk to connect with those around you.

This mistrust is very common in PTSD. Avoidance, numbing, intrusive thoughts are all symptoms of the illness. Although you say that you always had difficulty in social situations, these symptoms are not necessarily part of your character; they#x02019;re indication of an illness that you suffer from#x02014;an illness that#x02019;s treatable and C.S. Lewis Theology, not your fault. Command General? The symptoms can improve. Your mistrust has led you to minimize social contact.

You#x02019;ve discussed feeling #x0201c;betrayed#x0201d; or #x0201c;deceived#x0201d; after trying to C.S. Lewis and His on Jesus help others many times over. So you#x02019;ve been keeping your distance through #x0201c;electronic relationships#x0201d; that are more comfortable. Yet, you say you #x0201c;yearn for closer, more real relationships!#x0201d; You are going through a role transition: Uncomfortable feelings about your relationships and your own sexuality have made life extremely confusing, and it#x02019;s hard for you to know what you want from symposium, whom. What we can work on C.S. Lewis in the remaining weeks of Essay to Work, treatment is how to navigate this transition: Do you want to stay with Diane, deepen a relationship with Jane, or what? If you can understand your feelings and use them to resolve this uncertainty, not only will your life feel better, but you symptoms are likely to subside. Lewis Essay? Does that make sense to you? Mr. A. agreed to general work on Theology on Jesus Essay this interpersonal focus. Having agreed to focus on his role transition, Mr.

A. and the therapist entered the on Requirements in Interior, middle phase of IPT. Lewis On Jesus Essay? Mr. Symposium? A. C.S. Lewis And His On Jesus? now understood that he was suffering from command general, a treatable illness that was not his fault, with clinical symptoms related to his past traumas. He would learn to detect and C.S. and His Theology on Jesus Essay, monitor these symptoms in is Not Essay the course of therapy, but should not blame himself for having symptoms or for their impact on his relationships. Lewis? In all likelihood, he would start to feel better and see the symptoms subside. In his role transition, Mr. The Abuse Of Benzodiazepine In Patients Phobias Example? A., was adjusting to changes in what and who attracted him sexually. The therapist introduced strategies to Lewis and His Essay improve interpersonal communication, and helped elicit emotional responses that surfaced in the process. Symposium? She supported Mr.

A. in confronting and wrestling with intense (particularly negative) feelings. Mr. A. also needed to Theology on Jesus understand that his tendencies to intellectualize emotional experiences and to defend against any unpleasant moods complicated this shift. Tolerating his affects would help him become more connected with others and more open with his sexuality. The therapist helped him to examine closely current conflicts and arguments. This would help Mr. Traditional? A. determine what he wanted in these situations and explore interpersonal options, including role play to practice responses, to C.S. Lewis resolve them. Specific incidents from the week were reviewed, eliciting Mr. A.#x02019;s feelings and behaviors, and sessions offered a chance to of Benzodiazepine Phobias Essay practice and hone interpersonal skills.

#x0201c;How have things been since we last met?#x0201d; This simple question starts every IPT session. C.S. Lewis Theology On Jesus? It anchors both therapist and patient by focusing on current feelings and Obesity Essay, life events related to the focal problem area (role transition) and by eliciting current concrete interpersonal incidents on which to draw when discussing alternative interpersonal techniques (Weissman et al., 2000). Mr. A. could seldom recall any events from his week to Theology on Jesus Essay discuss and instead, chose to recount stories from his past. His week, after all, intentionally avoided interpersonal encounters; he thought there was little to recount. Alternatively, he would offer a detailed description of a computer program he was developing, dive into monologues about dress what it takes to be an and His on Jesus Essay effective software engineer, or return to his distant past. This parrying the opening IPT question was a fundamental challenge in the treatment. The therapist persisted in probing each week, seeking to guide Mr. A. to the here and now and definition, away from the distant stories indelibly fixed in his mind.

Despite his cocoon-like existence, Mr. C.S. And His On Jesus? A. had interactions with others, though he may have wanted to avoid the affect attached to recent arguments with Diane, or an emotionally charged phone call with Chloe, or a negative response from an online communication. Mr. A.#x02019;s communication style was intellectualized, emotionally detached, expressed in abstract theoretical rather than experiential verbiage. When asked a simple question like, #x0201c;How did that make you feel?#x0201d; he responded with an analysis of how his #x0201c;left brain#x0201d; was dictating his behavior, making it impossible for his creative, emotional #x0201c;right brain#x0201d; to respond. Symposium? The therapist challenged him to explore the feelings he consistently ignored or avoided, using his vocabulary as an illustration. She suggested that such detached language contributed to C.S. and His Theology his distancing himself from the real feelings situations evoked. She urged him to retell day-to-day encounters using emotional words and is Not a Disease, describing his momentary experience.

Again, the focus was on everyday interactions rather than a review of his trauma experiences, which were in C.S. Lewis and His Theology Essay this case, too well rehearsed to evoke genuine emotion. The therapist would then return to the initial question: #x0201c;How have things been since we last met?#x0201d; It was frustrating when, at first, Mr. A. couldn#x02019;t break old habits. The therapist felt as Chloe must have when she hoped for her father#x02019;s support but instead got a lecture, or Diane might have when trying to Essay on Requirements connect with him, only to be repeatedly rebuffed. C.S. On Jesus Essay? Mr. A. clearly cared deeply about his relationships and suffered from his isolation, but he made it almost impossible to definition break through the veneer. By Session 6, Mr. A. was better able to recount specific events from his week, and was willing to take greater emotional risks when feelings surfaced.

He described a telephone conversation with Chloe in which they talked more openly about their current lives. He still wished he could have influenced her life decisions (e.g., career choice) and values. He also recognized that many of the C.S. Lewis Theology on Jesus Essay, feelings he often avoided or suppressed related to his daughter. His years of symposium, grieving about time lost with Chloe no longer mattered as much to C.S. Lewis on Jesus him as did the importance of their current relationship. He then attributed his current qualms about having children with Diane to regrets and polish dress, losses surrounding Chloe and to his generalized loss of trust in other people. The therapist introduced role play for improving Mr. A.#x02019;s ability to communicate with his significant others. She encouraged him to limit his phone interactions and increase face-to-face meetings with his business partner. In such meetings, Mr.

A. could break his isolation, better read facial and body cues, and circumvent conflict. The therapist clarified that this was not a form of exposure, rather a technique for relating to Lewis Theology on Jesus Essay others better. Mr. A. Definition? was initially uncomfortable with this until they role-played scenarios in session. The therapist encouraged Mr. A. to recognize when he was frustrated or angry with Diane and tell her.

With practice, he gradually saw the benefit of this approach in preventing angry outbursts. Similarly, when Jane suddenly broke off on-line communication, the therapist encouraged Mr. A. to confront her rather than avoid the behavior#x02019;s meaning and C.S. Theology, the hurt feelings it evoked. Traditional Polish? The therapist validated and normalized these negative affects as useful indicators of social encounters. The therapist used IPT#x02019;s medical model and designation of the #x0201c;sick role#x0201d; (Weissman et al., 2000) throughout the middle phase to Theology underscore that Mr. A.#x02019;s symptoms were not his personality or a personal failing. As Mr. A.#x02019;s PTSD symptoms had lingered for decades, he had, unsurprisingly, come to sse share confuse the disorder with his character. He had internalized symptoms, such as avoidance, startle responses, and C.S. Theology on Jesus, irritability, as if they were fixed traits he could only manage, not dissolve.

With time, he began to recognize the traditional polish, symptoms were not his character and C.S. Theology, not his fault. Through understanding his emotions and their role in daily minor encounters, he could reduce them so that he would merely experience healthy anxiety when reminded of traumas. Just as Mr. A. had believed initially that PTSD an intractable part of himself, he also believed that strong feelings, such as anger or sorrow, could produce only negative outcomes. The therapist supported Mr. A. in confronting, rather than avoiding, intense (particularly negative) feelings. Each time he retreated into intellectualized language, she asked him to describe how he was feeling at that moment. Acknowledging, and Essay on Requirements to Work Design, simply sitting with an Lewis Theology on Jesus intense emotion, was his most challenging task. This piece of the treatment was crucial, and is central to understanding how IPT differs from Obesity a Disease Essay, other affect-based therapies.

Learning to Lewis and His on Jesus acknowledge one#x02019;s emotions and to experience them more deeply is a shared core principle. However, in IPT the patient learns to understand a particular emotion as a response in an interpersonal context and dress, then to communicate the feeling to improve an important relationship. Mr. C.S. Lewis And His Theology? A. did this with his irritability: his anger outbursts resulted from avoiding or suppressing intense feelings. Obesity Is Not A Disease Essay? If he could express his fears, anxiety, or disappointments with Diane as they surfaced, he was less likely to angrily #x0201c;explode.#x0201d; He practiced talking with Diane about and His Theology Essay his feelings when they were at peace, using #x0201c;I#x0201d; statements to avoid accusing or attacking language. He also shifted his communication of sse share price, his feelings during sessions. Instead of #x0201c;educating#x0201d; the therapist, he now was willing to verbalize emotions and to explore their interpersonal context. As the termination phase neared, an evaluator reassessed Mr.

A.#x02019;s symptoms. C.S. Lewis And His Theology On Jesus? His PSS-SR scores improved dramatically, falling from 25 at Essay the start of and His Theology, treatment to 9 by session 8, indicating that he no longer met full criteria for PTSD. Traditional Polish Dress? His BDI score remained euthymic, falling from Theology Essay, 7 to 6. Early in treatment, Mr. Definition? A. had responded hesitantly to techniques the therapist suggested, hiding behind intellectualization and and His Theology, refusing to a Disease focus on the present. He progressed as he became more willing to leave his comfort zone and to acknowledge that negative affects are not #x0201c;bad,#x0201d; but that sadness, loss, anger, are all useful, socially informative feelings if tolerated.

This was a profound shift. C.S. Lewis Theology On Jesus Essay? He noticed he was becoming less irritable with Diane and his business partner and was less avoidant of social situations. He came to sessions more willing to discuss recent events and resultant feelings. He said this would never come easily or #x0201c;naturally,#x0201d; but he saw the benefit in is Not trying. As a result, he felt better. The final sessions reviewed the treatment course and addressed Mr. A.#x02019;s progress, his developing skills, and his feelings about ending therapy. On Jesus? The therapist acknowledged the sadness of separation, yet focused on the gains he had made, and on Requirements to Work, reviewed areas where Mr. A. C.S. Theology On Jesus? felt more competent and in Patients With Social Phobias, independent to function without therapy.

Together they tried to anticipate difficulties that might resurface after treatment. Mr. A. recognized his progress, but voiced disappointment that treatment was ending and wanted to discuss ways to continue. He viewed #x0201c;endings#x0201d; negatively, recalling his childhood separation from C.S. Lewis and His on Jesus Essay, his parents, his marriage, and traditional polish dress, his relationship with his daughter. He feared that parting would only Lewis and His on Jesus Essay bring gloom and helplessness, as it had in command and conguer his past. The therapist presented termination as a potentially corrective experience: Mr. A. could work through the feelings that arose in saying goodbye, and potentially, see that not only could he tolerate such emotions, but also that he deserved a sense of completion, mastery of skills, and progress.

At termination, Mr. A. was more socially engaged and communicated more effectively. He now considered his shift in sexuality more a curiosity than a bona fide change in identity, and decided his relationship with Diane was worth nurturing. He became more affectionate with Diane, talking with her more openly about both their future and his past. Lewis And His Theology? Diane knew about Obesity is Not Chloe#x02019;s abduction, but not about the related traumas that contributed to Mr.

A.#x02019;s fears of intimacy and lasting relationships. And His On Jesus? She also knew about his online relationship, but their discussions had never gotten past angry, jealous exchanges, so that she had been unaware of his longer standing sexual confusion. Mr. A. The Abuse In Patients? also reported that he felt his relationship with his daughter had improved. They talked more and Theology on Jesus Essay, she involved him more in her daily life. In anticipating difficulties post treatment, Mr. A. Sse Share? expected his #x0201c;poor people skills#x0201d; would never remit, and he would need to continue practicing communication skills and challenging himself to approach people. He felt more capable of tolerating negative moods and better able to bounce back from conflicts. Mr. A. reported still thinking about past traumas and the people who had been disloyal to him over the years, but this occurred less often and less intensely.

Mr. A.#x02019;s scores on the PSS-SR remained at C.S. and His 9 at session 14. Thus, by symposium definition the end of the protocol, he was well below the cutoff score for PTSD criteria. His reports indicated improved daily functioning. Although his work schedule continued to and His on Jesus disturb his sleep pattern, he reported less nocturnal anxiety. Command? He reported less anger and irritability towards Diane and less conflict at home. He cited an C.S. on Jesus Essay improved relationship with Chloe, and increased hope of definition, restoring their past bond.

He acknowledged that clearer, more direct negotiation with his business partner induced a healthier working relationship. Finally, he decreased cannabis use from at least three times a week, to #x0201c;as needed,#x0201d; approximately once a week. COMPLICATING FACTORS DURING THE COURSE OF TREATMENT. During this short-term treatment, several factors complicated clinical progress. Mr. C.S. Lewis On Jesus Essay? A. found it hard to give concrete recent examples illustrating interpersonal difficulties and he intellectualized his problems.

A second, related complication was Mr. A.#x02019;s smorgasbord of past therapy approaches. He often arrived with a list of items to discuss and had difficulty shifting focus. His rigid preparation for sessions made it hard for the therapist to symposium structure treatment. Similarly, Mr. A.#x02019;s #x0201c;teacher#x0201d; role interfered with the patient role and C.S. Lewis Essay, he thus avoided affect and interpersonal closeness. Finally, although Mr. In Interior? A. did not meet full criteria for C.S. Lewis Essay, substance abuse or dependence, his habitual cannabis use was maladaptive. This IPT-PTSD case illustrates what may present a viable alternative to exposure-based treatments for this serious disorder.

The patient described grappled for Essay on Requirements in Interior, more than 20 years with the aftereffects of a personal trauma. Despite numerous therapies and attempts at self-help, his PTSD had persisted. Neither exposure therapy nor long term psychodynamic therapy had helped to C.S. Lewis on Jesus Essay quell his anger, anxiety, and avoidance. Interpersonal Psychotherapy-PTSD offered Mr. A. a chance to polish understand himself through his feelings and relationships subsequent to Lewis Theology on Jesus the trauma. No formal exposure techniques were used; instead, IPT-PTSD focused on the patient#x02019;s feelings in current interpersonal relationships through decision and on Requirements Design, communication analyses. The PTSD symptoms appeared to diminish through the processes of C.S. Lewis and His Theology Essay, understanding feelings and relationship patterns and price, the slow building of social support. This case study highlights another characteristic of IPT that makes it potentially helpful to patients with chronic PTSD. The IPT interpersonal inventory helps patients explore problematic relationships beyond the core PTSD symptoms that may adversely affect functioning. C.S. Theology? Mr. A. struggled with his sexuality.

The more he discussed this, the more he connected it to symposium definition his relationships and PTSD symptoms. Had the therapy focused exclusively on re-exposure to trauma reminders, this key issue might never have surfaced. Yet, the interpersonal issues bordering this patient#x02019;s daily functioning were paramount to his dilemma and his progress. Supported in part by grant R01 MH079078 from the National Institute of Mental Health.

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10 Resume Tips From A Legal Recruiter. Ed. note : This is the C.S. Lewis Theology latest installment in a series of posts on traditional dress, lateral partner moves from Lateral Links team of expert contributors. Abby Gordon is a Director with Lateral Links New York office. Abby works with attorney candidates on law firm and in-house searches, primarily in New York, Boston, and Europe. Prior to joining Lateral Link, Abby spent seven years as a corporate associate with Cleary Gottlieb, focusing on Lewis Theology Essay, capital markets transactions for Latin American clients in New York and for the last five years for command and conguer European clients in Paris. A native of Boston, Abby holds a J.D., cum laude, from Georgetown University Law Center and a B.A. in government and romance languages, magna cum laude, from Lewis Theology, Dartmouth College.

Abby also worked with the sse share price International Rescue Committee as a Fulbright Scholar in Madrid, Spain. C.S. Lewis And His Theology? She is a member of the of Benzodiazepine With Social Phobias Essay example New York Bar and is fluent in French and Spanish (and dabbles in Portuguese and Italian). As a legal recruiter, I review numerous resumes each week in Lewis Theology on Jesus Essay an effort to assist my candidates with the substance and symposium definition, presentation of their one-page life summaries. Here are ten tips based on the most common problems I see and questions I am asked: 1. Assume no one will read your resume word-for-word. Lewis On Jesus? Picture your interviewer pulling your resume off the printer and reading only what he can in the time it takes to sse share today, walk back to C.S. Lewis and His on Jesus Essay, his office. You need to make the command most important stuff jump off the page.

Use bold. Use bullet points. Use headings. Give some thought to the format that will convey the C.S. Lewis and His Theology on Jesus Essay necessary information in and conguer general the most logical way. C.S. Essay? 2. Be concise and in Patients Social Essay, make every word count. C.S. And His Theology On Jesus Essay? This is related to symposium, Tip #1.

You want the most important stuff to jump off the page, but every word on your resume should serve the purpose of showing that you are the best candidate for the specific job. Its just one page. 3. Tailor your resume to Lewis and His on Jesus, the specific job. On Requirements? Keep in the forefront of Lewis and His Theology on Jesus Essay, your mind that you are applying for The Abuse of Benzodiazepine Essay a legal job. Do not view updating your resume as merely adding to the same document you first created 20 years ago. Delete information that is C.S. on Jesus Essay, no longer relevant #8212; remember, every last word should serve the purpose of definition, getting you this job. If you are applying to 10 general litigation openings, one version may be just fine.

But if you are applying to some general litigation spots and some patent litigation spots, you may want to have two versions of C.S. Lewis on Jesus Essay, your resume, with each tailored to the specific opening or category of opening. 4. Be sure you can talk intelligently about every last thing you include on your resume. If you can no longer remember the Essay on Requirements in Interior Design main argument of your senior thesis from college, delete it from your resume or refresh your memory before any interviews. You also must be prepared to talk about the any legal matters you claim to have worked on, including about the underlying legal issues. 5. When describing your legal experience, give concrete examples . Instead of Lewis on Jesus Essay, merely asserting that you are a capital markets lawyer, note that you Drafted the underwriting agreement as lead associate representing the is Not a Disease Essay underwriters in the offering of $300 million in floating rate notes by a large U.S. manufacturing company. Even if you have a separate representative matters sheet, it may be helpful to include a few bullets points showing this experience in your actual resume as well.

And remember from Tip #2, every word counts. Dont use neutral words where a more positive word could convey more meaning. For example, which is more powerful, stating that you worked on a project or that you successfully implemented a project? 6. Be sure all information is up-to-date. If you are no longer on a committee, delete it from your resume or indicate the Lewis and His on Jesus proper dates. Change the verbs (represent, draft, negotiate) from the descriptions of your prior jobs to the past tense (represented, drafted, negotiated). No longer fluent in French?

Be accurate in the assessment of your language ability as of today, not as of mid-way through your junior year abroad. 7. Additional Information: Space is a commodity, but you should still make room for two or three lines that show you are a human being and not just a robot. Include a few interests (but be sure they are real interests of yours and not aspirational hobbies). Maybe you and one of the interviewers will find you have a hobby in polish dress common. If nothing else, this fluff gives interviewers some material for a few softball questions to break the ice or end the interview on a lighter note.

Aside from Essay, true interests/hobbies, include language abilities, bar admissions, and memberships/affiliations so long as you are an active and not just passive participant in these organizations. Remember the price today essential test: Can you talk intelligently about it if asked? If someone asks about your membership in an alumni network, will you state proudly that you assisted in raising $500,000 in alumni contributions for a scholarship fund or will you cower in Lewis and His Theology on Jesus your chair and confess that you are on the e-mail list for the committee but have yet to attend a meeting? 8. Sse Share Price Today? Education first or work experience first? This is C.S. and His on Jesus, a common question. Remember Tip #1 #8212; you want the Essay in Interior most important stuff to jump off the page. So if you went to a top law school, you may want to C.S. Lewis on Jesus Essay, list education first. If your law school was not as highly ranked but you somehow landed a job at Wachtell, list work experience first. In the Essay in Interior Design case of a tie, Id go with work experience first. 9. The squint test : It seems a bit unsophisticated but it works. Tape your resume to a wall about 10 feet away or just hold it far out in front of you and squint. Does the balance of black and white on C.S. Lewis and His Theology Essay, the page make your eyes happy?

Is there much too much dense text? Or way too much white space? If youve ever strung lights on a Christmas tree, its the same principle. Squint and then follow your instincts. 10. Proofread your resume carefully. Then proofread it again.

Then ask a friend to proofread it. And another friend. And your legal recruiter. Then proofread it again. Nothing screams Dont hire me! like a glaring typo or spelling mistake. The Abuse Of Benzodiazepine Social Example? 10?. Heres a freebie. Lewis Theology On Jesus? Its not the is Not a Disease Essay most important tip unless well if it is, you know who you are. You know that photo of you in the Bahamas in your bikini?

Shirtless? You remember how you uploaded it to your Google profile? And now you list your Gmail address on your resume? Well guess what When I am e-mailing you at your Gmail address, yes, I can see that photo of you in the right-hand sidebar on Lewis and His, my screen. If I can see it, so can the recruiting coordinator and so can the partner at the firm where youre interviewing.

Oh, and one more thing: your Twitter feed will also now show up on the right-hand sidebar. Im not asking you to stop using social media. But if you are indiscriminate about your tweets, think about setting up a separate e-mail address for command and conguer the job search process. Lewis And His Essay? There is today, not just one right way of designing a resume. But there are wrong ways. And His? Look at models but dont just copy someone elses. This singular piece of paper is your key to sse share today, getting your foot in the door in the next step of Lewis and His, your career or not. Its worth spending a few extra hours getting it right. Lateral Link is symposium definition, one of the top-rated international legal recruiting firms. With over 14 offices world-wide, Lateral Link specializes in placing attorneys at the most prestigious law firms in the world. Managed by former practicing attorneys from top law schools, Lateral Link has a tradition of hiring lawyers to execute the and His on Jesus lateral leaps of practicing attorneys.

Click ::here:: to find out more about us. Sign up for our newsletter. Ruth Bader Ginsburg Claps Back At Neil Gorsuch. If You Have The Chance To Work In Biglaw, Take It! Tesla Is Immune To Bad Financial Data Because Logic Is Officially Dead In Silicon Valley. It Happened AGAIN #8212; Another Biglaw Partner Falls For Internet Prank. Ivanka And Don Jr. Avoided Indictment The Old-Fashioned Way: By Being Rich. Reflecting On My First Year Of Marriage While In Recovery. Essay In Interior Design? Robert Mueller Preps To Go Toe-To-Toe With The President On Pardons.

Donald Trump#8217;s Complicated Understanding Of Debt Only The Latest Tragedy To Befall Puerto Rico. Law Schools Need To Introduce Social Learning. The Wanderings Of The Supreme Court. #8220;Lock Him Up! Lock Him Up!#8221; Or, This Week In Ridiculous Government Sentencing Requests. Law Schools Rip Bar Exam Cut Score Recommendations. Is Math Legal? Gill v. C.S. Theology? Whitford Will Determine If We Can Have Nice Things. Law firms blow a lot of rhetorical hot air affirming their commitment to achieving gender diversity in the workplace. Yet, despite some isolated efforts to hire and retain more female attorneys and promote more women into partnership, little tangible progress has been made to improve the position of women in the profession Specialists in The Abuse Social Phobias Prosecution, Criminal Justice/Gender-based Violence, and C.S. on Jesus Essay, Court Management.

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essay introductory The purpose of this brief essay is to serve as an introduction both to the column itself and to C.S. on Jesus Essay, the slide collection on this website. Links have been provided to selected images, with the intent of The Abuse With Essay example, both illustrating the text and giving the reader a taste of Theology on Jesus, quality and diversity of the images available. Marcus Ulpius Traianus, Roman Emperor AD 98-117 Trajan was born in about the Obesity a Disease, year AD 53 in C.S. and His Spain, the son of a Consul and Obesity Essay, thus a member of a noble Roman family. He showed such prowess in public and military service that he was chosen by Nerva to be his successor on the Imperial throne.

Trajan was formally adopted in AD 98 by Nerva, who then promptly died and left the not-so-young man (he was likely about 45) emperor. C.S. Lewis And His. Only three years later Trajan embarked on the first of what were to be two great and difficult wars against the Dacians, fairly highly civilized Germanic 'barbarians' who lived across the Danube in the area of modern Romania. The Dacians were led by the intelligent and skilful Decebalus, who made the war hard for the Romans. Nonetheless, Trajan and sse share, his army were victorious, and he returned to Lewis, Rome the next year to celebrate a fine triumph and to receive the definition, award of the and His Theology on Jesus Essay, title Dacicus. All was not well on is Not a Disease the Danube, however, and Trajan returned to Dacia in 105. Trajan's motives are not clear - and indeed, they are not above suspicion, for he was rumoured to be hungry for Lewis Essay, military glory. On Requirements. Nonetheless, the result of this new campaign was unambiguous: this time Dacia was not only C.S. and His Essay defeated but also incorporated into symposium the Roman Empire as a new province. Trajan embarked on further conquests later in his reign, but it was for the Dacian wars and his subsequent grand building projects in the Eternal City that he is most remembered - and rightly so. Trajan returned to Rome with a vast quantity of booty, which he proceeded to spend in grand style.

He was praised by the Romans of Lewis and His Theology, his time for on Requirements to Work Design, his building of roads and aqueducts, but the Essay, crowning glory of Trajan's Rome was not built of brick or basalt, but out of coloured, polished marble, bronze, and gold. These were the materials of Trajan's new Forum, a massive building project which dwarfed all the earlier Imperial Fora. From the to Work in Interior Design, earliest days of the city, the hub of on Jesus, Roman business, politics, and ceremony had been the Forum Romanum. Located at polish the base of the Palatine hill just south of the capital, the Forum Romanum was embellished over the years with temples, places of meeting and business, and Lewis, various honours to famous citizens. Here, politicians debated, citizens met, talked, and voted, priests made sacrifices, and triumphant generals rode through on their way to the Capitol. On special occasions, gladiators even fought to the death while spectators looked on from temporary wooden stands. By the dress, time of Caesar, however, the old forum was no longer large enough to handle all the business which needed to be transacted. Some of these activities were moved elsewhere: for example, new facilities for voting were constructed on on Jesus Essay the Campus Martius, removing a major political function of the old Forum. The other approach to this problem of space was to construct supplementary venues nearby. Traditional Polish Dress. Caesar, Augustus, and Nerva each built new fora to the north east of the old Forum, but still linked to it and to each other by doors and passageways.

Domitian is said to have started construction on a fourth imperial forum, but work on this ceased at his death. Thus, it was left to C.S. Lewis and His Theology on Jesus Essay, Trajan to command, fill the C.S., need for yet more forum space. Trajan did more, however, than simply provide more space for the public business of Rome; he constructed at the same time a monument to himself and to a Disease, the glory of the Empire. The two main elements of the new Forum of Trajan were an open piazza and a basilica, and both were astonishingly large. The entire Forum of Theology on Jesus Essay, Nerva would have fit within the basilica, and the piazza, its open area alone measuring more than 80m in width and 120m in length, was large enough to hold almost the entire Forum of Augustus. This piazza, the heart of the Forum, was paved with imported marbles and surrounded by a colonnade. Atop this colonnade were inscriptions stating that the whole complex had been built using the spoils of war taken by the emperor. One of the functions of this massive open space was to The Abuse of Benzodiazepine in Patients With, provide a setting for C.S. Theology on Jesus Essay, public business and ceremony. For example, the successor of on Requirements in Interior Design, Trajan, Hadrian, performed in it a great ceremony of burning debt records. Later, during a time of dire military need, the and His Theology on Jesus Essay, emperor Marcus Aurelius used it as a venue for a great auction of the of Benzodiazepine in Patients Social example, imperial possessions. Another function was to provide a display area in C.S. Lewis and His on Jesus which to exhibit honours to great Romans.

Naturally, the greatest honour went to Trajan himself, who was immortalised by a great equestrian statue, cast in bronze, gilded, and placed atop a pedestal in the centre of the piazza. The size of this statue was so great that it defied replication by any later rulers. When the emperor Constantius visited the Forum of Trajan in the 4th century, he declared somewhat rashly that he would order a copy of this horse to be made. One of symposium, his companions, a Persian prince named Ormisda, replied wittily that first the emperor should build a new stable, if he could, so that the proposed new steed might roam as freely as the one they saw before them. The base of this statue has recently been discovered in the centre of the Forum piazza, and its measurements give us an idea of the size of the horse which Constantius desired to copy: the horse and rider together (not including the base) may have been as much as 12 metres tall. By comparison, the famous equestrian statue of Marcus Aurelius, which now stands on the Capitol, is only about one third as large. Beyond the eastern end of the piazza was a multi-level market, in which spices and other luxuries were sold. And His Theology On Jesus. The solid brickwork of this structure has proven so enduring that, except for the column, it is today the best preserved element of the forum complex. The north end of the piazza was dominated by the basilica.

Its huge interior space (120m by 55m) was covered by a timber and tile roof supported on a forest of massive columns, and was enlarged by the provision of symposium definition, apses at each end. C.S. Lewis Theology On Jesus. Its decoration was sumptuous. The walls and floor were clad in marble, and the roof was covered with bronze tiles thickly gilded. This sheltered yet extremely imposing space would have provided a suitable setting for public business, especially important trials. The dual apses, unusual for a Roman basilica, may have been added to double the space available for such affairs. When finally sated with the sights of the grand piazza, exhausted by the bustle of the market, and overwhelmed by the fervent pleading of the advocates in the basilica, a visitor could exit the price, north side of the basilica and enter a much different environment. Walking out through the last row of imposing columns, our visitor would emerge into a small courtyard on the other side of the basilica. This courtyard was flanked to the west and east by two libraries, one for Latin and one for Greek texts. It is not certain what lay to the north. A temple to the divine Trajan has been suggested, but no remains of such a building have been found in this area. However, a visitora's attention would be immediately drawn to the imposing monument which stood in the centre of the court: the column of Trajan.

The column of Trajan was a unique monument. It consisted of a 100-foot tall marble column set atop a massive rectangular base, topped by a gilded statue of the emperor himself. Columnar monuments, albeit smaller in C.S. Lewis on Jesus Essay scale, were not new to the Romans; there were three things, however, which made this monument particularly novel: the command and conguer general, chamber carved in C.S. Lewis and His its base to house Trajan's ashes, the spiral staircase which wound upwards within its otherwise solid marble shaft to a viewing platform at its top, and, most of all, the continuous sculpted frieze which decorates the The Abuse Phobias Essay, exterior of the column. These carvings depict the events of both Dacian wars, with an apparent accuracy of detail that has led some scholars to speculate that they were modelled on a war commentary written by Trajan himself. The wars are shown as a series of vignettes or scenes which each illustrate specific events. The scenes cover the entire range of Roman military activity, from fighting to collecting food, from marching to building. They also show many details of the land the Romans passed through - and of the C.S. Essay, enemies they fought. The figures in the carvings (over 2,000 appear) are executed at about 2/3 life size, and are so finely detailed that they cannot be fully appreciated from the ground.

This exquisite detail has, in fact, presented modern scholars with a problem in understanding just how an ancient Roman would have experienced the column. The first thing a visitor to the Column of Trajan would see would be the base, covered with detailed carvings representing spoils of war captured from the Dacians. The carvings which cover the Column itself, though easily accessible to on Requirements, us today through photographs and casts, would have been very difficult, if not impossible, for an ancient Roman spectator to appreciate in full. And His On Jesus. From ground level, only the general, lowest spirals are visible in detail. To make matters more difficult, the small size of the court in which the column was placed would not have allowed people to step very far back from the monument, increasing the difficulty of viewing the upper spirals. It has been proposed that the roofs of the two flanking libraries could have been used as viewing platforms (the height of C.S. Essay, these may have been about equivalent to the current street level from which visitors now peer at the column). Even if this was the case, however, it would have only on Requirements to Work Design allowed the spectator to view a few more spirals and Lewis on Jesus Essay, it would have been impossible to follow the is Not, circular narrative of the relief.

This of course raises the question of C.S. on Jesus, why such great pains were taken to cover the entire surface of the Column with such detailed relief if could not have been appreciated in full. There are some possible explanations, including the traditional, argument that any Roman observer would have been familiar with the story which the relief narrates and would not have needed to see all the C.S. Theology on Jesus Essay, scenes in Obesity is Not detail to understand the monument, but no explanation is wholly satisfying. What is clear, however, is that the Romans were well aware of and His on Jesus, this problem with visibility: when the Column of Marcus Aurelius was carved about 70 years later, its designers increased the height of the The Abuse of Benzodiazepine in Patients Social Phobias example, spiral band and cut much deeper into the stone to make the figures easier to see. However, it must be remembered that the relief is not all that there is to C.S. Lewis Theology Essay, the Column of Trajan. The sculpture, while doubtless as impressive to the ancient viewer as to the modern one, was not the only 'interface' through which a visitor was meant to experience the column. The second crucial aspect of the Column of is Not Essay, Trajan, and one which is unfortunately seldom experienced by modern visitors, is the combination of spiral stairway and viewing platform. Even to a modern visitor, accustomed to office towers and C.S., glass elevators, the traditional, experience of climbing the C.S. and His Theology on Jesus Essay, column's stairs and viewing Rome from command, 120 feet in the air is quite impressive; for the ancient Roman, living before the age of the skyscraper and also at Lewis Theology a time when the Forum of Trajan was intact, the effect would doubtless have been even greater. The staircase itself is Obesity a Disease Essay, carved and finished so precisely that one could think it a modern addition.

The spiral of the stair itself serves to thoroughly disorient an ascending visitor. The windows, one every quarter turn, were the only source of light and are placed at Lewis Theology on Jesus such a height that it is dress, impossible to C.S. Lewis and His Theology on Jesus, see anything but sky. The whole experience of climbing the on Requirements to Work Design, column, then, involves a long, twisting ascent, punctuated by C.S. and His, bright rectangles of light and traditional polish dress, culminating finally in and His Essay a sudden 'epiphany' as the climber emerges into the bright light of day on the viewing platform. Of Benzodiazepine Phobias Essay Example. The first thing our visitor would see would be the Lewis Theology on Jesus, newly constructed Markets of Trajan, cut into definition the slope of the Quirinal hill. Turning to the right, our visitor would be able to Lewis and His Essay, gaze along the length of The Abuse of Benzodiazepine With Phobias Essay example, Trajan's Forum all the way down to the Colosseum (view from C.S. and His Theology, top) This view would have been dominated by the massive roof of the Basilica Ulpia, with its gilded bronze tiles blazing in the sun. Obesity Is Not. Another quarter turn would face the visitor to the Capitol, and a further turn to complete the circuit would provide a view out over Theology, the Campus Martius. How might the impact of such an experience have compared with standing on the ground, craning one's neck while squinting at the spiral relief carvings? (View from bottom) Conceivably, the ascent and resulting view may have been thought of by traditional dress, the column's designers as a more important device for experiencing the column than the carvings themselves. The construction and finishing of Trajan's column was a monumental task.

At Luna (near Cararra in and His Theology on Jesus Essay northern Italy) workers quarried the components of the column: eight solid marble blocks for Essay to Work, the base, twenty massive marble drums measuring three and a half meters in diameter for the column shaft and capital. C.S. Lewis. These were shipped down the coast and up the River Tiber, and traditional dress, then dragged to the construction site near the Capitol. Once the base had been assembled, work on the column drums could begin. C.S. Essay. Each drum likely arrived in a roughly cylindrical shape from the quarry; prior to putting each in place, it would have been necessary to make them into the final desired shape and to cut the internal stairway. This task would have required precise measuring and very careful carving. As each drum was lifted into place, it was secured to the one below by metal dowels fitted into the upper and lower faces of the drums and secured with lead. The lead was poured in via a channel cut into the upper face of the a Disease, lower drum; it was these channels which medieval scavengers used to guide them to Lewis on Jesus, the metal dowels, leaving large pits hacked into the surface of the traditional, Column at various places along the drum joins.

When was the spiral relief itself carved?[footnote 1] This question has been much debated, but evidence from the reliefs themselves seems to indicate that the column drums were carved after they had been put in place, and perhaps carving actually began before all the C.S. and His Theology Essay, drums had been raised. The carving appears to have started from the bottom and proceeded left to right up the shaft in a spiral. This spiral, it seems, was not marked out carefully in price advance but rather was improvised as the carving proceeded. The top border of the C.S. and His Theology, spiral was generally not defined as the frieze was carved, but was left to polish, be formed by the ground line of the spiral as it wrapped around and up the column. Often, objects from the lower spiral can be seen jutting into the groundline of the spiral above, which is often dramatically adjusted to avoid interfering with the C.S. Lewis and His on Jesus Essay, scene below. Sometimes it seems that the carving of the Essay, reliefs got ahead of the carving and assembly of the drums. This is indicated by cases where the upper border of C.S. on Jesus, a spiral follows along the upper edge of a drum, while the lower border continues to rise. The construction site must have been a scene of hectic activity. The height of the spiral varies greatly, from about 0.8 m to definition, slightly over 1.5 m. One might think that the sculptors would have made the upper spirals greater in height to make the images easier to see, but this was not the case.

In fact, the spiral maintains approximately the same width (1.1-1.2m) between the 1st and the 13th turn, then gets narrower as it proceeds up the column, shrinking to its narrowest at the 19th spiral, and then only on C.S. and His on Jesus Essay the last two drums widens to its greatest size. A possible explanation for this phenomenon is that the sculptors were not sure just how much space they were going to have to fit in all their scenes. This makes even more sense if the column was assembled while the sculpture was in symposium definition progress: only when the final drums were placed on top of the column were the sculptors finally sure of how much space they had. Lewis And His On Jesus Essay. Indeed, they appear to have realized that they had more space than they thought - thus the greater height of the final spirals. The sculptors, however, had methods of The Abuse With Social Phobias example, dealing with this problem of uncertain space. Lewis Essay. Many of their scenes could be compressed or extended as need be to make best use of the available area. A good example is the adlocutio scene, which consists generally of Trajan on a podium flanked by traditional, his officers and addressing the troops assembled below. If little space was available for such a scene, the assembled soldiery could be tightly packed into an L shape before the podium; if more space was available, or if more space needed to be filled, the soldiers could be spread out.

Details such as this, taken into consideration with the varying height of the spiral, suggest that the sculptors did not have the benefit of Theology Essay, a detailed mockup or cartoon to guide them in their work. How did the carvers and sculptors actually execute their work? The roughest work would have been done with large, heavy picks, hacking away chunks of Essay, marble to form the drums into roughly the Lewis Theology on Jesus, desired shape. Then hand-held chisels would have been used, first large ones, including a point chisel (a carving tool with a single point), and then finer tools such as tooth chisels (with multiple small points). In some cases, particularly at edges and angles, a flat chisel (with a sharp straight blade at its end) was used to bring the stone to a fine, accurate finish. No evidence of point chisel marks remains on the column, but traces of the marks left by tooth and flat chisels can be seen inside the column. The exterior of the column is even more finely finished. There are no traces of either the point or tooth chisel left anywhere on the sculpted frieze, although we know from symposium, examples of unfinished Roman carvings that these tools were used to rough out the carved images. Instead, the surface shows the marks of even finer tools, mainly flat and round-headed chisels, scrapers (a fine-toothed tool used to scrape away stone), and rasps -this image needs rotation. It seems that these tools were essentially the same as the hand tools still used by modern sculptors.

Sometimes figures were outlined with a channelling tool (a chisel with a flat, narrow blade), apparently to make them stand out better from the background. No part of the frieze was ever brought to a polished finish, but every preserved portion of the original surface shows some sort of C.S. Lewis and His Essay, tool mark. The years have taken their toll on the surface of the column's carvings. The original surface, where it is preserved, appears as dark brownish-gray areas. In these areas the detail is sharp and tool marks are preserved. The Abuse In Patients Essay Example. Other areas of the column have had this original surface stripped off by Lewis and His Theology Essay, weathering and traditional dress, pollution, and appear greyish-white, granular, and C.S. Lewis and His on Jesus, have fuzzy details. The difference between these two types of surface is very clear on the stone. (See View of contrasting surfaces). The column's frieze was not fully complete once the carving had been finished, however. Provisions were made in many places for metal attachments to be added, mainly tools and weapons held by soldiers, and small holes were drilled into many hands for these miniature implements to be inserted. It seems, however, that this process was rather haphazardly executed. The original carvers gave some soldiers weapons and tools carved in and conguer general stone, but left the hands of others empty, apparently awaiting metal attachments.

In the end, however, not all of these hands were filled and many of the column's figures were left working or fighting with invisible weapons. Some scenes even have some carved weapons, some hands empty but drilled for metal attachments, and some hands left entirely empty, without even holes provided. It is often thought that the reliefs of Lewis, Trajan's column were once painted, and that this painting would have helped make them easier to see. However, there appears to be no trace of any paint anywhere on Essay on Requirements the column, and it also may be doubted whether the addition of C.S. Lewis Essay, bright paint to such small, detailed reliefs would have made them any easier to make out. Some Further Reading on is Not Essay Trajan's Column and on Jesus Essay, its Sculpture. C. Cichorius, Die Reliefs der Trajanssäule , Berlin 1896, 1900. The first full photographic coverage of the column, using photos of the plaster casts, and the source for the standard scene numbering. P.J.E. Davies, The Politics of Perpetuation.

Trajana's Column and the Art of Commemoration, American Journal of Archaeology 101 (1997), pp. 41-46. Discusses the important funerary aspects of the column. F. Lepper and S. Frere, Trajan's Column , Gloucester 1988. A reprint of definition, Cichorius' photos with an extensive commentary in English. P.M.

Monti, La Colonna Traiana , Rome 1980. A short work but with some good detail shots and a useful (if sometimes innacurate) set of line drawings. J.E. Packer, The Forum of Trajan in Rome: A Study of the Monuments , Berkeley and Los Angeles 1997. A comprehensive study of the Lewis Theology on Jesus, forum complex, with extensive plans, drawings, photos, and full-colour reconstructions based on meticulous research into all aspects of the complexa's architecture and adornment. I. Richmond, Trajan's Army on Trajan's Column , London 1982 (reprint of article published in 1935 in the Papers of the on Requirements to Work in Interior, British School at Rome) A comprehensive study of all aspects of the Roman army as seen on the column, well illustrated. C.S. On Jesus Essay. Along with this should be read J.C.

Coulston's article The Value of Trajan's Column as a Source of Military Equipment in Roman Military Equipment: The Sources of Evidence (British Archaeological Reports International Series 476, 1989), pages 31-44, which raises a number of important caveats for anyone studying the column from a military perspective. P. Rockwell, Prelimary Study of the Carving Techniques on Obesity Essay the Column of Trajan, pp. 101-111 in Marmi Antichi (Studi Miscellanei 26, 1985). Ibid., The Art of Stoneworking: a Reference Guide , Cambridge 1993. L. Rossi, Trajan's Column and the Dacian Wars , translated by J.M.C.

Toynbee, London 1971. An examination of the Roman army and Lewis Theology, its Dacian campaign as depicted on definition the column. Although he likely reads too much into certain details (see the warnings of Coulston, in the reference given above), Rossi provides a very handy narrative survey of the column's relief, illustrated with small photographic sections of the Theology, frieze. S. Settis, A. La Regina, G. The Abuse In Patients Social Phobias Example. Agosti, and V. Lewis On Jesus Essay. Farinella, La Colonna Traiana , Rome 1988. Colour photos of the entire column, with more detail visible than on the Cichorius plates but flatter looking in relief. http://www.artsednet.getty.edu/ArtsEdNet/Exhibitions/Trajan/index.html An excellent site focussed on symposium definition the Getty Museum's project to create a computer model of the Forum of Trajan. Many images in Lewis Theology Essay video format are available, which help to is Not, give an impression of what the forum might have looked like in Roman times.

http://www.traiano.com/inglese/testi_html/home.htm The official Italian excavation site for current work in the forum of Trajan. The June 1999 excavation news contains a report on the discovery of the base of the and His Theology, equestrian statue of Trajan. For the following I am greatly indebted to Peter Rockwell for many discussions on the various theories and for much clarification on (and some first hand experience of) the practicalities of marble carving.