Many individuals with HIV disease and AIDS are living longer, experiencing improved health, and planning for their futures due to the increased efficacy of new drug therapies and drug combinations for the treatment of HIV disease and AIDS. Learning more about how individuals with HIV disease and AIDS are managing their illness in regards to work was the focus of this study. A core phenomenon emerging from this study centered on the importance that work held in the lives of people living with HIV disease and AIDS. Within this core phenomenon, four categories were identified: (a) providing access to affordable insurance and health care, (b) providing a distraction from the disease, (c) allowing one to be a contributing member of society, and (d) serving as a measure of health. Implications for rehabilitation practitioners and directions for future research are discussed.
It is estimated that half of the 35 million people in the United States who are over the age of 65 are in need of mental health services, though fewer than 20% are actually being treated (Comer, 2004). Coexisting mental and physical problems make recognition of depression in elder persons more difficult because presenting symptoms of depression are often masked by physical problems. In addition, most elder people who have depression never seek or obtain treatment because of the commonly held myth that depression is a normal part of the aging process and that elder people cannot benefit from psychotherapy. The purpose of this article is to survey these issues as they relate to mental health counseling.
This paper discusses positive therapeutic gains made with veterans whose primary treatment for posttraumatic stress disorder (PTSD) was artifact corrected neurofeedback. Assessments completed after both 20 and 40 halfhour sessions of treatment identified significant improvements for both auditory and visual attention using the IVA-2 and significant improvements in well-being based on the General Well-Being Scale (GWBS). It was discovered that neurofeedback impacted individuals' overall auditory attention and IVA-2 global auditory test scores significantly improved after both 20 (p < .007, Cohen's d = 0.5) and 40 training sessions (p < .0001, Cohen's d = 0.8). Veterans were found to have significant enhancements in auditory vigilance (p < .03), processing speed (p < .0009) and focus (p < .01). The IVA-2 global measure of visual attention was also found to show significant improvements after 20 sessions (p < .004, Cohen's d = 0.5) and after 40 sessions (p < .06, Cohen's d = 0.4). Specific improvements in visual processing speed (p < .04) and focus (p < .02) were identified after 40 sessions. Ratings of well-being significantly improved after treatment (p < .001, Cohen's d = 0.8) with 84% of the veterans improving five points or more on the GWBS. Improvements in well-being were found to be significantly correlated with increases in veterans' overall auditory attention (r = .44, p < .03) and auditory processing speed (r = .57, p < .005).
The diagnosis and treatment of the behaviors associated with attention-deficit/hyperactivity disorder (ADHD) predominantly involves pharmacological interventions. Many children experience significant negative side effects (e.g., appetite suppression, insomnia, headaches, stomachaches, irritability, and impaired height) from the initial and continued use of stimulant medication. Consequently, many parents are motivated to consider alternative treatments for ADHD such as neurofeedback. This paper presents an archival review of the improvements in auditory and visual attention and response control after 40 sessions of artifact-corrected neurofeedback for 51 children ages 6 to 17 with ADHD. Initially, the majority of these clients were identified as having severe to extreme auditory and visual attention impairments. The IVA-2 CPT was administered prior to treatment and after 20 and 40 treatment sessions were completed. After 20 sessions of neurofeedback significant improvements of both auditory and visual attention and response control were found with small to large size effects. The clients continued to improve after an additional 20 sessions, with medium to large size effects after 40 sessions. At completion of treatment the mean of eight of the nine attention and response control scores fell within the "normal" range.
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