Author: chris

In the second week of your internship, the CIO approaches you and asks you to research electronic health records (EHRs). She says, “I must give a presentation at a staff meeting next week, and I’d like you to complete the research and create the slides and notes for me. The presentation must focus on EHRs, which our organization is considering implementing. Please be thorough with the speaker notes.”

The CIO adds that you must consider the effect of this technology on health care as well as the privacy and security implications of adopting the EHRs. Describe the HIPAA Privacy and Security Rules as well as the reasons those rules do or do not apply to this type of technology. These constraints are a major consideration for the staff when selecting new technology.

Develop a 5- to 7-slide Microsoft® PowerPoint® slide presentation that includes the information the CIO requested in the scenario.

List major points in the slides. Include detailed explanations in the speaker notes that correlate to each point.

Include videos, audio, photos, diagrams, or graphs as appropriate.

Include at least two references to support your presentation.

Format your presentation consistent with APA guidelines.

Have a critical analysis providing an article or book that I am able to break down and show why I do or don\’t agree with how the data was presented or if it validates my belief in survival of consciouness and the ability to reincarnate. I was originally going to break down a book called physics of the soul by amit goswami, PhD. But am completely up for suggestions.

The analysis must hit on two specific points. Must state an appropriate evaluative thesis, must write a good objective summary of the source. Must cite sources in appropriate mla style.
identify the sources thesis and state own evaluative thesis. Must incorporate three features summary, analysis, and evaluation.

pic Annotated Bibliography Template
Paper details

The student will complete this assignment using the template provided in Blackboard. This assignment will prepare the student for the Research Paper. The student will select a topic and a minimum of 5 journal articles to review. Each reference must be cited in current Turabian format. This assignment must be submitted through SafeAssign.

Annotated Bibliography – You will be able to submit an Annotated Bibliography this week. In this assignment, you will need to include the Topic of your Research Paper with at least 5 scholarly Journal Articles. It would be helpful for you to begin praying about the direction God is leading you for the final Research Paper.

Topic – You should select a Topic from the approved list in the instructions, and the Topic becomes your Title for the Research Paper. You will add a colon and a specific focus.

Example 1, MAJOR LEAGUE BASEBALL: AN ANALYSIS OF THE TOP FIVE HITTERS
Example 2, NATIONAL FOOTBALL LEAGUE: A COMPARISON OF CONVENTIONAL AND HURRY UP OFFENSES

If you select a Topic that cannot be found on the approved list, it must pertain to this class. In addition, you will be required to defend why you believe the Topic is pertinent to this class when you submit the Annotated Bibliography. You can save yourself much work by selecting a Topic already approved in the instructions.
Annotations – You will need to type each source alphabetically by the author’s last name. Refer to Turabian for instructions concerning how to cite sources correctly in a Bibliography. Describe each source with enough detail so I can clearly understand the thesis and purpose of the source. It may be helpful to include some of the main points and how the author concluded. (Note: students sometimes lose points by not including enough details.)

Sources – Include scholarly sources with an emphasis on Theology not Old Testament, New Testament, Church History, Education, Counseling, etc. Who are Theologians? Look for scholars who teach Theology. You should explore the Online Library at liberty.edu for free Online Scholarly Journals.

Prayerfully Explore – Enjoy your time prayerfully exploring all of the sources that pertain to your Topic. You will find many nuggets worth remembering as you consider the words written by the giants of the faith.

I will give you the instruction for this assuagement and Rubric. As I mentioned, this assginment must be submitted through Safe Assign which means it must be your original sentence because I need to avoid plagiarism.
I want to write about “The Unity of Christ’s Person and Work” given me but I can not still use this name of topic, need to be changed. And I could not find the 5 scholarly journal articles so I recommend you to use site: A few peer-reviewed journals are the Journal of the Evangelical Theological Society, Bibliotheca Sacra, Grace Theological Journal, and the Westminster Theological Journal. Since magazines (e.g., Christianity Today, Visions, etc.) are not considered scholarly, they do not contain appropriate articles to critique. In addition, this journal article emphasize on theology not Old Testament, New Testament, etc as I mentioned above.

My intentions in the interview were mainly geared towards illustrating the existence of discrimination and how it affects a huge portion of the population today, and secondly to demonstrate my skills in social work practices. The conversation captured in the interview illustrates the tribulations of the individual featured prior to our meeting, a problem which is common with majority of the people today. Despite her current state and the important features that define her personality, there are a number of psychological wounds that she carries that no one can illustrate with general communication. The problem she illustrates in the interview are only part of what is present in the world today and the lessons that the interview generate serve as benchmarks giving a guideline on what should be done to address the problem. Irrespective of the fact that she was the only individual featured in the interview, the extent of the problem that face her can be used as a mirror to state what is present in the current society, hence necessitating the implementation of a number of measures to maintain a status quo which is reflective of the needs of the society.
With regard to the interview, the selection criteria which determined the person in the interview was basically random taking into consideration the nature of the person and the relatedness of their behaviour and experiences to what I ought to capture in my interview. The person in the interview was a lady I had met at my gym and I had known her for the last six months. Our meeting was generally random and the selection criteria was inspired by her changes in moods mainly caused by some of the bad days she had and her constant behaviour which illustrated to me that, she had a lot in her mind. Basing on the uniqueness of her condition, I sought to query her on her willingness to participate in my interview which was a part of my school work. She was very understanding and she agreed to participate and subsequently complied with the expectations of the interview as expected. As a social worker and part of my practices, confidentiality was discussed as part of the interview process. As illustrated earlier, the major focus of the interview was to illustrate the importance of social work in the community today and the role that social work plays in maintaining a status quo which complies with the popular expectation of the current society and demonstrating my social work skills in the process of my practice. During the interview, the deficit in social work services was clear as the client narrated her story and illustrated the bad experiences that she had prior to the interview. The process was disheartening as I came into terms with the events that are concealed in the society and how the experiences impact the lives of the affected individuals negatively, In the process i was able to demonstrate critical social work practice by listening and demonstrating good body language which made client comfortable to express herself. Through the course of the interview, the client became very emotional illustrating the ordeals that she had to deal with before obtaining some of stability in her life. With regard to the objectives of the interview, the main factor which necessitated the instigation of the interview was captured through the course of the interview. The interviewee/client was very candid on how she experienced violations which dented part of her earlier life.
The nature of the situation at hand was based on the abuse of one party who is the interviewee in this case, and the aggressors were mainly people of one gender. According to her illustration, the interviewee states that her growth and maturity was coupled by cases of abuse which affected her growth and approach to life in general. With relation to the concept of power relations, the interviewee’s tribulations were caused by her husband and a family member who abused her when she was still young. The ignorance and lack of acknowledgement of the level of abuse that the family member posed to her has been an impediment to her moving on and still haunts her. Irrespective of the fact that she wishes to move on and admits to have forgiven the family member, the thought of the actions that transpired still dents her memories. The same case applies to her ex-husband who was abusive to her and her daughter and she states that he was controlling a factor which contrasted with her free spirited approach. As a social worker, it was important for me to make my client comfortable to express her feelings and talk about her past, Although this was a struggle for me at the start of the interview process, I was able to successfully achieve that intension. The interviewee is a go getter and tends to make her own decisions rather than wait for the contribution of other parties. This aspect led to constant problems which included being locked out of their house with her young daughter. Irrespective of the fact that she acknowledges that her husband has moved on and become a better person, the effects of power relations are still evident as she states that she has resolved to stay alone and take care of her daughter.
My experience in the interview was appalling as the interviewee revealed her emotions and how the experience had change her outlook to life. (Yuen, 2007) addresses the issue of recurrent trauma illustrating that the response and effects approach to people who have experienced trauma is a determinant factor towards validating the role played by social workers. (Yuen, 2007) states that her position as a social worker has enabled her to empower people to ensure that they do not succumb to their prior trauma cases. She addresses the different interventions that different individuals, can employ to ensure that people are not affected by violence and minor occurrences that result to trauma. With respect to my experience with the interviewee, it is important to note that her resolve to move on and disregard past occurrences had contributed largely to her healing process, an approach which ought to be adopted collectively. As a social worker, the major initiative should be directed towards alleviating the experiences of individuals who suffer from abuse and violence in general which is a feature which may not be evident to many. (Ferguson &Lavalette, 2015) is of the view that the current system that defines the responsibilities of social workers has lost its meaning thus creating the assumption that social workers have lost touch of what they are supposed to do. The current systems present different scenarios which are contrasting from the initial illustrations during the presentation of the training program. With relation to the illustration above, the changes in the status of the interview, which resulted to the revelation of factors which were emotionally appealing and witnesses the effect that the experiences had on her I tended to approach her more and the role she had taken to safeguard her life and that of her daughter.
Taking into consideration my individual strength, As a social worker, I think the basis of the approach would be evaluated using (Barnoff et al, 2007) approach to effective social work. In his illustration, he is of the view that social work should be laid on the principle of anti-oppression. He states that the emphasis on anti-oppression lays the ground for equality and the freedom from domination. In the interview, the interviewee acknowledges the restraints that her partner had put against her resulted to her seeking an alternative life which was independent from her daughter’s father. Taking into consideration the illustration above, the involvement of the interview reveals the changes that ought to be effected in my social work practice. Majority of the people involved in modern day violations are ignorant of the extent of the cases and i think social workers should be able to bridge the gap and establish the root cause of these occurrences. (Waldegrave, 2009), is of the view that majority of cases relating to oppression can be attributed to self-determination. In real sense, I think majority of the problems relating to oppression are attributed to minor ethnic groups which largely disregard the plight of other people in the society at large. Irrespective of the extent that social work has covered to date, my approach to social work would be inclusive of the whole society targeting those who seem to be disengaged from the society. In addition, according to (Madigan, 2011), the common therapy approach taken today are racially discriminatory as majority of the therapists today tend to approach cases on racial grounds. This form of profiling is a major hindrance to recovery which is an issue that is addressed in my approach to social work.
(Hartman et al., 2008) gives an illustration stating the viable approach that should be adopted to address social work related to cases facing teenagers in the society. Based on my beliefs and values as a social worker and a considering factor as part of my developing practice framework, will be to practice a without not discriminating on age or the racial classification of the individual involved and confidentiality. The biases associated to social work has been a major impediment to service delivery and through my practice, my approach will be more direct and reflective of the individual’s past and how the effects of repetitive trauma affect the recovery process. As part of my practices as a social worker, I was able to be empathetic by giving my client the break when she got emotional about her past. I demonstrated good listening skills and using the tools i have as a social worker to support her by recommending some services available in the community.
(Baines, 2008), acknowledges the racial profiling in Canada illustrating how the trend has resulted to First Nation and people of colour to change their approach which has been inspired by restructuring in places of work. This trend has had a detrimental effect on the society as different individuals tend to redefine the approach to social work to accommodate the changes in the society. Throughout this course i have been able to improve on my social work practice and skills. I think the best approach that represents the beliefs and principles of a good social worker is one that illustrates respect, transparency and protection of the rights of the disadvantaged in the society. Irrespective of the anomalies that exist in the society, according to the principle used by the Canadian Association of Social Workers (CASW), the inclination of any social worker should not be biased.
The establishment of different social work organizations is built on the need to increase equality in service delivery and to ensure that equal standards are applied across all boards to reduce the discrimination and biases that defines today’s social system. Through the interview it emerged that issue of discrimination illustrated above is a reality. It emerged from the interview that the community today suffers from different forms of discrimination which forms the basis of the interview featured in the text below as I seek to illustrate the niche that exists in social work and how more needs to be done to maintain a society which is considerate of other people’s preferences. The emergence of the concept of individual rights as reflected in the interview has sparked a debate which seeks to define the parameters that govern discrimination cases and how the act is quantifiable to warrant the interception of different civil rights bodies which have emerged to date. According to (Alison et al, 2003), the establishment of a good family which is strong and functional is based on the ability to perceive problems and rectify the problems before they threaten the existence of the family. Additionally, she illustrates the importance of family therapy which is a proper approach to address family related problems. The above approach acts as the illustration which verifies the importance of the interview validating the context captured and its significance in addressing social problems.

Find an article in a social science journal that report the results of actual research. (Be sure it is not an article that only reviews and summarizes other research.) Answer the following questions about the article and the research.
1. List the author(s), title of article, journal,month and year of publication, and pages.
2. Did the researcher(s) begin with at least one hypothesis? If so, write one hypothesis and identify the independent and dependent variables. If there was no hypothesis, but there was a research question, write it down.
3. Identify the main purpose(s) of this study as exploratory, descriptive, explanatory,or applied.
4. Describe the population and the sample in this study. Is the population a cohort?
5. If this study used only one or a few cases or analyzed the cases as a whole rather than by  focusing on variables, then it might be a case study. If you believe it is a case study, give support for this conclusion and skip Questions 6–9. If it’s not a case study, skip this question and answer the rest.
6. How many times were data collected in this study?
7. If data were collected more than once, how many samples were selected?
8. Did the researchers try to control or manipulate the independent variable in some way?
9. Did the researchers use a case, crosssectional, panel, trend, or cohort study design? If so, which one? Give support for your answer.
10. Was the design useful for the researcher’s
purposes and goals or would another designhave been better? Give support for your answer

QUANTITATIVE CRITIQUE CRITERIA

Part I (4 pages)

1. Problem Statement/Purpose 15 points
a. State the problem directly from the article.
b. Does the problem statement clearly identify the independent and dependent variables? Identify the variables.
c. Does it imply empirical testability?
d. Is the population specified within the problem statement?
e. Is the problem relevant to nursing?
f. State the purpose.

2. Review of the Literature 15 points
a. Are the independent and dependent variables adequately reviewed?
b. Are strengths and weaknesses of each study included in the review?
c. Does the literature provide linkages between the variables?
d. Does the review include conceptual and data-based literature?
e. Are mainly primary sources used?
f. Are the sources current?
g. Is there a synthesis summary of the reviewed literature?
h. Are conceptual and operational definitions clearly identified?
i. Are gaps or inconsistencies identified?

3. Theoretical Framework 15 points
a. Is the theoretical framework clearly identified?
b. Is the theoretical framework consistent with the conceptual definitions?
c. Is the theoretical framework based on a nursing theory?

4. Hypotheses/Research Questions 15 points
a. Are the hypotheses/research questions clearly identified?
b. State the hypotheses/research questions.
c. Do the hypotheses/research questions clearly relate to the research problem?
d. Do the hypotheses/research questions express a predicted relationship between the variables?
e. Are the hypotheses/questions supported by the literature review?
f. If research questions are used, are they used appropriately?

5. Design 15 points
a. What type of design is used in the study?
b. Does the design control for threats to the internal validity of the study? If so, how?
c. Are threats to the external validity taken into consideration? If so, how?

Part II (4 pages)

6. Sample 15 points
a. How was the sample selected? Was a probability or non-probability method used?
b. What kind of bias, if any, was introduced by this method?
c. To what extent is the sample representative of the population?
d. Are eligibility criteria and delimitations clearly identified?
e. Is the sample size adequate?
f. How was the sample size determined?
g. Are there indications that the rights of the subjects have been insured?

7. Data Collection 15 points
a. Are data collection instruments clearly identified?
b. Is the method appropriate for the problem being studied?
c. Are data collection procedures similar for all subjects?
d. Are instruments reliable and valid? Was reliability and validity established prior to the study?
e. What methods were used to test reliability and validity?

8. Data Analysis 15 points
a. Was the level of measurement appropriate for the statistics used?
b. What descriptive statistics were reported?
c. What inferential statistics were reported?
d. Were the inferential statistics used appropriate for the hypothesis?
e. Is the level of significance reported?
f. Is the reliability reported for the current study?

9. Analysis of Findings/Discussion 15 points
a. Were the hypotheses/research questions supported?
b. Are results interpreted in the context of the problem, hypothesis, and theoretical framework?
c. Are any generalizations made?
d. Are any unwarranted interpretations of causality made?
e. Do charts, graphs, and tables support the text?

10. Conclusions, Implications, Recommendations 15 points
a. Are the results summarized in a clear concise manner?
b. Are the results supported by the literature?
c. Are the limitations of the study identified? Give examples.
d. Are implications for nursing practice identified? Give examples.
e. Are recommendations for future research discussed? Give examples.

Assignment Specification

Relates to Learning Outcome

Assignment – to include:

• Demonstrate a critical awareness of psychological aspects of the self. (30%).
• Displays critical understanding of ambiguities and uncertainty around theoretical perspectives. (30%).
• Communicate accurately and reliably with an innovative approach to layout and structure (10%)
• Show a depth of critical reflection in line with the needs of the question (20%).
• Evidence of academic research and referencing (10%).

a) Critically analyse the origins of, and contemporary research in, psychological aspects of the self.
b) Identify and gain a critical understanding of the uncertainty and complexity of the range of approaches and theoretical perspectives.
c) Critically reflect on the nature of the relationship between individual effectiveness and the work environment.

Marking Guidance.

ASSESSMENT 1

Semester 1 Assessment – Academic Poster

In answering the assessment students should show a systematic understanding of the key aspects of the module. In this assessment, the content and layout of the poster is of the students choosing, however there should be evidence of research and application of relevant taught theory and models, along with wider appropriate research, relating to the learning outcomes.

With regard to the needs of the question, there are many ways to potentially achieve the learning outcomes, so answers will vary depending on how the student devises, sustains and portrays relevant arguments. In successfully meeting the learning outcomes the student should meet the requirements of the assignment specification.

A relevant answer will include, but is not limited to, for example; identification of some relevant theory; justification of the theory; development of lines of argument and reflection around self management.

On a policy area of interest to you (say, corruption in Canada)
Paper details

NOTE: You must submit your Stata work along with your paper. Stata .do and .log files must either be copied and pasted in the same Word document as the write-up or appended to the write-up and everything must be submitted as a single PDF document.
The final paper is meant to be an empirical paper in a policy area of interest to you. You may draw upon any secondary data that are available either as nationally representative datasets or datasets collected by researchers for specific projects. You may choose any of the estimation techniques covered in class.

Expected length of the paper is 3000 words excluding tables, charts, and references.

The paper must include the following components:
1. Background, research question (policy relevant), and hypotheses: This section must situate your question in the policy as well as theoretical context.
2. Data and methodology: This section must describe the data and lay out the estimation strategy that you have chosen.
3. Results: This section must include your main findings as well as results from any supporting tests and robustness checks.
4. Discussion: This section must discuss the results in relation to the background, theory, and hypotheses.
5. Conclusion: This section must summarize your main findings. Do not over-generalize your analyses.

Given the timeline, the suggestion is that you choose a fairly narrow question which requires a modest volume of data. Whatever estimation technique you choose make sure that you specify the model correctly paying attention to the nature of the variables (continuous, dummy, or categorical) and functional forms. Wherever necessary, test the assumptions and conduct robustness checks.

Follow the writing style of a typical quantitative paper. Do not get into overly verbose discussions and descriptions. Provide full references in a standard reference format (Chicago, Harvard, APA) both at the end of the paper and in-text.

You may look at the following sources to search for datasets:

1. http://microdata.worldbank.org/index.php (can search by country)
2. http://www.icpsr.umich.edu/icpsrweb/ICPSR/index.jsp (can search by country and topic)

3. http://www.paulhensel.org/data.html (Database for international relations data)

4. http://iresearch.worldbank.org/lsms/lsmssurveyFinder.htm (World Bank Living Standards Measurement Survey)

5. http://www.measuredhs.com/data/available-datasets.cfm (Demographic and Health Surveys)

6. http://geodata.grid.unep.ch/ (Environmental data)

7. http://www.worldvaluessurvey.org/index_surveys (Public opinion surveys covering several countries around the world)

8. http://data.worldbank.org/data-catalog/world-development-indicators (World Development Indicators)

9. http://www.doingbusiness.org/data (Doing Business data)

10. http://www.wto.org/english/res_e/statis_e/statis_e.htm (WTO international trade and market access data)

11. https://international.ipums.org/international/ (Census data from around the world

The gross national income nearly equals that of the United States due to the big population of China compared to the population of the United States.
Nigeria
Inflation rates
The inflation rate of Nigeria was at 8.10 percent by October 2014. The figure has increased at the moment to about 8.3 percent. However, this is not the highest inflation rate in Nigeria. An inflation rate of about 47.56 percent was recorded in the January 1996. It has also had the lowest inflation rates in the in 2000 when the inflation rate was -2.49(Nigerian Bureau of Statistics, 2014)
Interest rates
The interest rate in Nigeria is at 13 percent. This is the figure as at November 2014. Nigeria has shown some level of stability in terms of interest rates. From the year 2007 to 2014 interest rate was on average 9.66 percent. In 2006, the interest rate was 6 percent. This indicates a rapid increase in the interest rates in Nigeria.
Economy system
Nigeria is a mixed system economy and is within the middle income status. It is ranked number 60 by the World Bank.
Exchange rates
The exchange rate of Nigeria is about 167 naira for one dollar buying. The selling rate is about 168 against the dollar. The central exchange rate is about 167.5 naira for a dollar. This is the figures as at the 5/12/2014. The Nigerian naira has been weakening against the dollar. This is because on 27/11/2014 the buying rate was 164. In a span of 8 days the buying rate shot to 167 naira against the dollar.
South Africa
Inflation rates
The inflation rate of South Africa was at 5.90 in the October 2014. The inflation rate had averaged 9.4 percent until 2014. This indicates an improvement in the Economy of South Africa.
Interest rates
The interest rate of South Africa stands at 5.75 percent. In 2012 it was at 5 percent. Form the year 1988 to 2014 it averaged13 percent. The interest rates of South Africa has stabled at about 5 percent (South Africa Reserve Bank, 2014)
Exchange rates
The exchange rate is at 11.36. A dollar is about 11.36 South African Rand. This indicates that the South African Economy is strong.
Economy system
South Africa is a mixed economy where capitalism and socialism co-exist. The private sector is not blocked from participating in the economy (Laurence Harris, pg 33).
Japan
Inflation rate
The inflation rate of Japan stood at 2.90 percent this year. From the 1958 to 2014 the rate averaged 3.16. This indicates the stability and growth of the economy.
Interest rate
The interest rate of Japan stands at 0 percent. This shows the strength of the economy of Japan. From 1972 to 2014 it averaged at 3.11 percent.
Exchange rate
1 Japanese Yen equals 0.0082 US dollars.
Economy system
Japan is currently leaning towards a mixed economy. This is because there has been increase in private ownership of businesses. The government though is socialist. The private ownership has increased the growth of Japan. It is therefore mixed by it generally a market economy. Individuals have the factors of production. This is similar to the situation in the United States
India
Inflation rate
The inflation rate of India stands at 5.52. From 2012 to 2014 the rate averaged 9.23. This indicates economic improvement.
Interest rate
The interest rate of India currently stands at 8 percent. It had averaged 6.67 percent between the years 2000 to 2014.
Exchange rate
The Indian rupee changes at the rate of 61.94 against the dollar.
United States
Inflation rate
The inflation rate stands at 1.7 percent (Bureau of Labor Statistics, 2014)
Interest rates
The interest rate of United States stood at 1.7 percent in 2013(World Bank, 2014)
Part Three
All the counties are a mixed economy. This therefore means that the States does not fully control factors of production. Expansion to a socialist State would be a bit difficult. This is because countries that do not operate under a market economy control business. Countries that put the factors of production on the state aim at preventing foreign domination.
All the four countries except Nigeria have stable inflation rates. The inflation rates of India and South Africa is around 5 percent.

Reference
Laurence Harris, (1990).The mixed economy of a democratic South Africa, investment analyst journal
“Economic systems” Retrieved from http://www.ssag.sk/files/Economic-Systems.pdf
R. Radhakrishna and Manoj (2006) Panda Macroeconomics of Poverty Reduction: India Case Study

“Kathy” is a 29 year old white married female who after having taken an overdose of sleeping pills in her home, was discovered by her husband and admitted to a hospital. This overdose was attributed to her inability to cope with her responsibility as a wife and mother. The husband reported that several times he had found food burning in the oven. On one occasion the patient was saved from a fire in the home but was unable to recall how it started. The patient also denied ever having had a sexual relationship with her husband, although she was the mother of his three children.

The patient’s early development was uneventful except for temper tantrums and nightmares. The nightmares began at about age three when the parents would entertain in their home leaving the child to cry for hours. She would eventually fall asleep only to wake up frightened and screaming.

At age four, she had her first traumatic experience. One night she found her father naked in bed with her five year old neighbor. She said that she was stunned with fear and surprise and ran away to her room. Her father followed her and gently persuaded her to take off her clothes and to join him and the other girl in their sexual play. Later, alone in her room, she felt guilty and cried for several hours, denying to herself what had taken place, and only got relief when she attributed what had happened to someone else, whom she called “Pat.” The second day when approached by her father and the girl, she insisted on being called ‘Pat.” Also, she continued to engage in oral sex with the father, for nearly five years.

At age nine she experienced her second traumatic event, when her mother caught her with her father. The mother became angry with the father, wept for some time and insisted on taking her daughter in her bed every night. After a short time, the mother became attached to her daughter sexually in what the mother described as a safer relationship. “Kathy” could not accept this, denied to herself what was happening and attributed it to a new person, “Vera”, who continued the relationship with the mother for another five years.

At age 14, she suffered her third traumatic experience. This was rape by an older man, who was her father’s best friend. “Kathy” became very depressed, called herself “Debby” and slept away from the mother. At that time, she was described by the parents as being very miserable. She became mute and was admitted to a hospital. According to the hospital records, she showed a mixture of depression and trance-like symptoms, with irritability and extensive manipulation
which caused confusion and frustration among the hospital staff.

Following discharge she was seen by a therapist to whom she became very attached. He showed marked curiosity about the different personalities and became fascinated with her case. He suggested hypnosis as a treatment for her condition. His hypnotherapy sessions focused on the rape incident. He felt that “Debby” was the strongest of the personalities.
Instead of concentrating on “Kathy”, he encouraged “Debby” to dominate the therapy sessions and talk about “Pat” and “Vera”, reinforcing their roles as dominant personalities. It was at this period, she terminated her therapy and began to call herself “Kathy”, “Pat”, “Vera”, and “Debby” at different times.

At the age of 18, she made another suicide attempt which resulted in admittance to a mental hospital It was there she met her husband who was also a patient there due to an attempt to take his own life.