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	<title>lack &#8211; Fountain Magazine</title>
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		<title>Mass Trauma, PTSD, and Treatment Options</title>
		<link>https://fountainmagazine.com/all-issues/2019/issue-130-july-aug-2019/mass-trauma-ptsd-and-treatment-options/</link>
		
		<dc:creator><![CDATA[The Fountain]]></dc:creator>
		<pubDate>Mon, 01 Jul 2019 23:26:51 +0000</pubDate>
				<category><![CDATA[Issue 130 (July - Aug 2019)]]></category>
		<category><![CDATA[collective]]></category>
		<category><![CDATA[community]]></category>
		<category><![CDATA[criterion]]></category>
		<category><![CDATA[disorders]]></category>
		<category><![CDATA[exposure]]></category>
		<category><![CDATA[husband]]></category>
		<category><![CDATA[lack]]></category>
		<category><![CDATA[mass]]></category>
		<category><![CDATA[Mass Trauma]]></category>
		<category><![CDATA[mental]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[Psychiatry]]></category>
		<category><![CDATA[ptsd]]></category>
		<category><![CDATA[reactions]]></category>
		<category><![CDATA[required]]></category>
		<category><![CDATA[Science]]></category>
		<category><![CDATA[stress]]></category>
		<category><![CDATA[support]]></category>
		<category><![CDATA[therapy]]></category>
		<category><![CDATA[trauma]]></category>
		<category><![CDATA[traumatic]]></category>
		<category><![CDATA[treatment]]></category>
		<category><![CDATA[victims]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2019/issue-130-july-aug-2019/mass-trauma-ptsd-and-treatment-options/</guid>

					<description><![CDATA[Nooriye is a 39-year-old Iraqi female. She had a pretty normal life until a group of terrorists knocked on her door. Her two sons were killed in front of her. She was abused and tortured for days, as was her husband. Rebels eventually took her husband and left. Some neighbors helped her to bury her [&#8230;]]]></description>
										<content:encoded><![CDATA[<p><img fetchpriority="high" decoding="async" class=" size-full wp-image-6722" src="https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473.jpg" alt="Mass Trauma, PTSD, and Treatment Options" width="1920" height="1200" srcset="https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473.jpg 1920w, https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473-300x188.jpg 300w, https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473-1024x640.jpg 1024w, https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473-768x480.jpg 768w, https://fountainmagazine.com/wp-content/uploads/2019/07/04_Mass_trauma-473-1536x960.jpg 1536w" sizes="(max-width: 1920px) 100vw, 1920px" /></p>
<p>Nooriye is a 39-year-old Iraqi female. She had a pretty normal life until a group of terrorists knocked on her door. Her two sons were killed in front of her. She was abused and tortured for days, as was her husband. Rebels eventually took her husband and left. Some neighbors helped her to bury her sons and provided her with shelter and food. She was about to kill herself when, miraculously, her husband came back 57 days later. He never told her what he went through during those 57 days. They were both in extreme pain but able to hold onto each other.</p>
<p>They immigrated to the U.S. a year later. Her husband found a job and is still working. They are safe now, but it has not been enough to heal them. Both still have nightmares and flashbacks. She spends all her time in her home. She stares at walls, feels numb and very fearful, and cries every day. Her speech is sparse, and she never smiles. She goes out with husband once a day but grabs his hand and won’t let him go when they are out. When faced with stress, she often passes out.</p>
<p>Her husband “has to be strong because she is the only thing he has,” although he also has extreme pain. He hides his tears from his wife, is unable to sleep at night, feels guilty, and misses his sons. He is afraid to make any Iraqi friends and stays away from mosques.</p>
<p>Obviously, providing a safe place, food, and a job is not enough to heal these people’s pain. Invisible wounds and problems are much harder to treat than visible ones.</p>
<p>In this article we will try to elucidate some elements of what Nooriye and thousands of other families have been exposed to all around the world.</p>
<h3>Mass trauma</h3>
<p>When a group of people, regardless of size, experience psychological effects after a trauma that was suffered collectively, this is called a mass trauma. Sometimes an entire society witnesses the same trauma, and this may cause a collective sentiment, often resulting in a shift in that society&#8217;s culture and mass actions.<sup>1,2</sup></p>
<p>Wars, political violence, natural disasters, exile, torture, and terrorism are examples of mass trauma. The Holocaust, the Atomic bombing of Hiroshima and Nagasaki, slavery in the United States, and the 9/11 attacks are well-known collective traumas.</p>
<p>Collective traumas have been shown to play a key role in group identity formation. Having the same problems, suffering from the same pain, and being under the same pressures bring individuals together. This togetherness eventually helps to build a community, a group, and sometimes a nation. Almost every nation has traumatic events in their history. Even the concept of “nation” is extensively affected by these events.</p>
<p>Nevertheless, despite its role in building group identity, mass trauma is still individually painful. In fact, the effects of mass trauma can be very deep and transferred through the generations. In 1966, clinicians observed that large numbers of children of Holocaust survivors were seeking treatment in psychiatric clinics in Canada. Moreover, when compared to the general population, the grandchildren of Holocaust survivors were three times more likely to seek clinical psychiatric help.<sup>3</sup></p>
<h3>Post-Traumatic Stress Disorder</h3>
<p>According to the National Center for Posttraumatic Stress Disorder, the most common stress reactions in the wake of disaster may include the following:</p>
<p><em>Emotional reactions</em>, including shock, fear, grief, anger, guilt, shame, feeling helpless, feeling numb, and sadness.</p>
<p><em>Cognitive reactions</em>, including confusion, indecisiveness, worrying, shortened attention span, and trouble concentrating.</p>
<p><em>Physical reactions</em>, including tension, fatigue, edginess, insomnia, bodily aches and pains, startling easily, racing heartbeat, nausea, change in appetite, and changes in other bodily desires.</p>
<p><em>Interpersonal reactions</em>, including distrust, conflict, withdrawal, work or school problems, irritability, loss of intimacy, and feeling rejected or abandoned.<sup>4</sup></p>
<p>Several factors present in the acute-phase recovery environment of a disaster have been found to aggravate stress reactions and therefore increase survivors&#8217; risk of developing negative outcomes. These include:</p>
<ul>
<li>Lack of emotional and social support</li>
<li>Presence of other stressors such as fatigue, cold, hunger, fear, uncertainty, loss, dislocation, and other psychologically stressful experiences</li>
<li>Difficulties at the scene</li>
<li>Lack of information about the nature and reasons for the event</li>
<li>Lack of, or interference with, self-determination and self-management</li>
<li>Treatment [given] in an authoritarian or impersonal manner</li>
<li>Lack of follow-up support in the weeks following the exposure</li>
</ul>
<p>Protective factors that may mitigate negative effects include:</p>
<ul>
<li>Social support</li>
<li>Higher income and education</li>
<li>Successful mastery of past disasters and traumatic events</li>
<li>Limitation or reduction of exposure to any of the aggravating factors listed above</li>
<li>Provision of information about expectations and availability of recovery services</li>
<li>Care, concern and understanding on the part of the recovery services personnel</li>
<li>Provision of regular and appropriate information concerning the emergency and reasons for action.<sup>5</sup></li>
</ul>
<p>In most cases, the symptoms of trauma eventually disappear, but unfortunately, some of the survivors of the mass trauma will eventually develop Post-Traumatic Stress Disorder (PTSD). PTSD is a mental disorder resulting from exposure to an extreme traumatic stressor.</p>
<p>The National Comorbidity Survey Replication (NCS-R), conducted between February 2001 and April 2003 in the U.S., estimated the lifetime prevalence of PTSD among adult Americans to be 6.8%.<sup>6</sup> The lifetime prevalence of PTSD among men was found to be 3.6% and among women 9.7%.<sup> 7</sup></p>
<p>PTSD is described in the <em>Diagnostic and Statistical Manual of Mental Disorders</em> (Fifth Edition) (DSM 5) which is published by the American Psychiatric Association, as:</p>
<p>Criterion A (at least one required): The person was exposed to: death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence, in the following way(s):</p>
<ul>
<li>Direct exposure</li>
<li>Witnessing the trauma</li>
<li>Learning that a relative or close friend was exposed to a trauma</li>
<li>Indirect exposure to aversive details of the trauma, usually in the course of professional duties (e.g., first responders, medics)</li>
</ul>
<p>Criterion B (at least one required): The traumatic event is persistently re-experienced, in the following way(s):</p>
<ul>
<li>Intrusive thoughts</li>
<li>Nightmares</li>
<li>Flashbacks</li>
<li>Emotional distress after exposure to traumatic reminders</li>
<li>Physical reactivity after exposure to traumatic reminders</li>
</ul>
<p>Criterion C (at least one required): Avoidance of trauma-related stimuli after the trauma, in the following way(s):</p>
<ul>
<li>Trauma-related thoughts or feelings</li>
<li>Trauma-related reminders</li>
</ul>
<p>Criterion D (at least two required): Negative thoughts or feelings that began or worsened after the trauma, in the following way(s):</p>
<ul>
<li>Inability to recall key features of the trauma</li>
<li>Overly negative thoughts and assumptions about oneself or the world</li>
<li>Exaggerated blame of self or others for causing the trauma</li>
<li>Negative affect</li>
<li>Decreased interest in activities</li>
<li>Feeling isolated</li>
<li>Difficulty experiencing positive affect</li>
</ul>
<p>Criterion E (two required): Trauma-related arousal and reactivity that began or worsened after the trauma, in the following way(s):</p>
<ul>
<li>Irritability or aggression</li>
<li>Risky or destructive behavior</li>
<li>Hypervigilance</li>
<li>Heightened startle reaction</li>
<li>Difficulty concentrating</li>
<li>Difficulty sleeping</li>
</ul>
<p>Criterion F (required): Symptoms last for more than 1 month.</p>
<p>Criterion G (required): Symptoms create distress or functional impairment (e.g., social, occupational).</p>
<p>Criterion H (required): Symptoms are not due to medication, substance use, or other illness.<sup>8</sup></p>
<p><strong>Treatment for mass trauma:</strong></p>
<p>Treatment for mass trauma should be delivered at two different levels: the community level and the individual level.</p>
<ol>
<li><strong> Community level: </strong></li>
</ol>
<p>Dr. Frantz Omar Fanon gives the recipe for mass trauma treatment at the community level: “Mass trauma can be alleviated through cohesive and collective efforts such as recognition, remembrance, solidarity, communal therapy and massive cooperation.”</p>
<p>The statement above can be a topic for a separate article. Here, we would like to express the importance of the remembrance days. People comes together on remembrance days and remind the victims that they are not alone and not forgotten. This can be therapeutic for the victims and alleviate their pain.</p>
<ol start="2">
<li><strong> Individual level</strong></li>
</ol>
<p>PTSD treatment includes pharmacotherapy (medical treatment) and psychotherapy. Some of the medications which have been helpful combatting depression are selective serotonin reuptake inhibitors (SSRIs), such as Fluoxetine (Prozac), Sertraline (Zoloft), Paroxetine (Paxil), and serotonin-norepinephrine reuptake inhibitors (SNRIs) such as Venlafaxine (Effexor) and Duloxetine (Cymbalta). </p>
<p>There are several therapy types that have been shown to be effective at treating PTSD. Trauma-focused psychotherapies are the most highly recommended psychotherapies for PTSD. In these therapy types the treatment focuses on the memory of the traumatic event or its meaning. These treatments use different techniques to help a victim process their traumatic experience. Some involve visualizing, talking, or thinking about the traumatic memory. Others focus on changing unhelpful beliefs about the trauma. Prolonged exposure therapy, Cognitive Processing Therapy, Eye-Movement Desensitization and Reprocessing, Brief Eclectic Psychotherapy, and Narrative Exposure Therapy are the some of the therapies that have been found to be helpful for PTSD patients.</p>
<p>Additionally, spirituality might help treat PTSD, too. A study of Bosnia-Herzegovina war veterans suggested that veterans who prayed had significantly higher levels of incorporation, self-protection, and reactive formation and significantly lower levels of regression, compensation, transferring, lack of control, and aggressiveness than their peers who did not pray. <sup>9</sup></p>
<p>In brief, providing shelter, food, and a safe environment are mandatory for trauma patients, but they aren’t nearly enough. Psychological traumas are very hard to treat, and treatment may take years. It has been shown that soldiers who have somebody to share their war experience/trauma with, have a lower risk for PTSD when compared with the ones who can’t talk to anybody. Victims need professional help along with community support. Trauma can be alleviated through cohesive and collective efforts and cooperation. Praying for the trauma victims, as politicians suggested for recent hurricane victims, definitely has some social impact. It has also been shown that medication/prayers decrease PTSD symptoms <sup>10</sup>; however, showing support and empathy, listening to victims, and acts of remembrance are the other key elements of community support. </p>
<h3>References </h3>
<ol>
<li>Lisa Gale Garrigues, &#8220;<a href="http://www.yesmagazine.org/issues/love-and-the-apocalypse/free-yourself-from-the-past">Slave and Slave Holders Break Free of History&#8217;s Trauma</a>&#8220;, Yes Magazine, August 2, 2013</li>
<li><a href="http://www.ncbi.nlm.nih.gov/pubmed/18729704">Updegraff, Silvler, Holman, &#8220;Searching for and Finding Meaning in Collective Trauma, Journal of Personal and Social Psychology, September 2008</a></li>
<li>Coffey, R. (1998). Unspeakable truths and happy endings. Sidran Press. <a href="https://en.wikipedia.org/wiki/International_Standard_Book_Number">ISBN</a><a href="https://en.wikipedia.org/wiki/Special:BookSources/1-886968-05-5">1-886968-05-5</a></li>
<li><a href="https://www.ptsd.va.gov/professional/pages/handouts-pdf/Reactions.pdf">https://www.ptsd.va.gov/professional/pages/handouts-pdf/Reactions.pdf</a></li>
<li>NSW Institute of Psychiatry and Centre for Mental Health. (2000). <em>Disaster Mental Health Response Handbook.</em>North Sydney: NSW Health.</li>
<li>Kessler, R.C., Berglund, P., Delmer, O., Jin, R., Merikangas, K.R., &amp; Walters, E.E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. <em>Archives of General Psychiatry, 62(6)</em>: 593-602.</li>
<li>National Comorbidity Survey. (2005). NCS-R appendix tables: Table 1. Lifetime prevalence of DSM-IV/WMH-CIDI disorders by sex and cohort. Table 2. Twelve-month prevalence of DSM-IV/WMH-CIDI disorders by sex and cohort. Accessed at: <a href="http://www.hcp.med.harvard.edu/ncs/publications.php">http://www.hcp.med.harvard.edu/ncs/publications.php</a></li>
<li>American Psychiatric Association. (2013) Diagnostic and statistical manual of mental disorders, (5th ed.). Washington, DC.</li>
<li>Pajević I, Sinanović O, Hasanović M. Association of Islamic Prayer with Psychological Stability in Bosnian War Veterans. J Relig Health. 2017 Dec;56(6):2317-2329. doi: 10.1007/s10943-017-0431-z.</li>
<li>Gallegos AM, Crean HF, Pigeon WR, Heffner KL. Meditationand yoga for posttraumatic stress disorder: A meta-analytic review of randomized controlled trials. Clin Psychol Rev. 2017 Dec; 58:115-124. doi: 10.1016/j.cpr.2017.10.004.</li>
</ol>
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		<title>Dispersing Hopelessness from the Depressive Thoughts: Is There Any Way?</title>
		<link>https://fountainmagazine.com/all-issues/2013/issue-95-september-october-2013/dispersing-hopelessness-from-the-depressive-thoughts-is-there-any-way/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Sun, 01 Sep 2013 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 95 (September - October 2013)]]></category>
		<category><![CDATA[Belief]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[Depressive Thoughts]]></category>
		<category><![CDATA[feeling]]></category>
		<category><![CDATA[figure]]></category>
		<category><![CDATA[god]]></category>
		<category><![CDATA[health]]></category>
		<category><![CDATA[hope]]></category>
		<category><![CDATA[hopelessness]]></category>
		<category><![CDATA[lack]]></category>
		<category><![CDATA[lead]]></category>
		<category><![CDATA[literature]]></category>
		<category><![CDATA[mental]]></category>
		<category><![CDATA[modesty]]></category>
		<category><![CDATA[negative]]></category>
		<category><![CDATA[people]]></category>
		<category><![CDATA[person]]></category>
		<category><![CDATA[praying]]></category>
		<category><![CDATA[problems]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[religious]]></category>
		<category><![CDATA[sadness]]></category>
		<category><![CDATA[suicide]]></category>
		<category><![CDATA[symptoms]]></category>
		<category><![CDATA[thoughts]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2013/issue-95-september-october-2013/dispersing-hopelessness-from-the-depressive-thoughts-is-there-any-way/</guid>

					<description><![CDATA[Depression is a major medical illness that causes feelings of dispassion and lessens productivity in individuals. It is usually manifested as a feeling of hopelessness and associated with sadness or the lack of pleasure from otherwise enjoyable activities. Depressed people may be irritable, anxious, or have low energy levels without even being aware of these [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Depression is a major medical illness that causes feelings of dispassion and lessens productivity in individuals. It is usually manifested as a feeling of hopelessness and associated with sadness or the lack of pleasure from otherwise enjoyable activities. Depressed people may be irritable, anxious, or have low energy levels without even being aware of these symptoms. The prevalence of depression in the US is 9%, according to the Center for Disease Control (CDC) reports. The data about the prevalence of depression in other countries is variable, however the rate of depression is estimated to be around 8%.</p>
<p><span id="more-1532"></span></p>
<p>All health issues are best understood and treated with a combination of biological, psychological, and social factors rather than with purely biological means. This context entails thoughts, emotions, behaviors, social factors, and environment, all of which play significant roles in human functioning and overall health. Therefore, it is important to gather input from all aspects of an individuals’ life to get better insight into depression.</p>
<p>Many people use the word “depression” to explain the feeling of sorrow, but depression is much more than just sadness. Sadness is a normal reaction to life’s struggles, setbacks, and disappointments. However, depressed people don&#8217;t feel sad—they may feel lifeless, empty, apathetic, and hopeless. Depression starts with just a feeling and then manifests in physical behaviors. The feeling of helplessness, hopelessness, and worthlessness are intense and unrelenting. An unwanted complication of depression is suicide, which in fact has a higher rate than homicides in the US (1).</p>
<p>Hopelessness is the main indicator leading to suicide, a trapped pattern of thinking where individuals believe things will never get better. The deep despair and hopelessness that accompanies depression can make suicide seem like the only way to escape from the overwhelming circumstances. Therefore, suicidal thoughts must be considered as a cry for help and dealt with accordingly.</p>
<p>Psychosocial context appears to be the commonly associated culprit that may predispose people to depression instead of genetic predisposition and other secondary etiologic factors. Depression in the psychosocial context is related to a person’s perception of daily events. A specific event in a person’s life can trigger the beginning of a vicious cycle. Examples could include: changes in occupation, loss of a loved one, etc.</p>
<h3><b>Modesty</b></h3>
<p>In addition to hopelessness, avarice can lead to depression because it contributes to dissatisfaction, disappointment, and loss of sincerity. Sometimes, the lack of material goods can make a person happier than having them. Jealously chasing material things that others have can lead a person into depression. For example, the ancient philosopher Plato was wise but not wealthy; despite his lack of money he was content with his life. One day, as he was passing by a spring, he noticed a boy drinking water with his hands. The average person, having witnessed this, would give the child a cup, but Plato asked himself if the cup is even needed. If you focus on what you do not have, you will always be disappointed. Actually focusing on what you need in the present time can decrease the damage one incurs from his or her problems. The child was thirsty and he only needed water, so the cup was unnecessary.</p>
<p>If a person is only concerned with his or her own situation and not noticing the condition of those around them, it can turn trivial problems into mountains. By comparing one’s own problems with greater problems of others, the person can get a more accurate perspective. Though a person’s burden may appear unbearable, God has created each person with the ability to handle these burdens. It is recommended to keep hope by exercising patience and concerning yourself with the present condition rather than bringing problems up from the past or worrying about the future. The patience given to human beings is sufficient to all types of difficulties, unless used inappropriately to obsess about what already happened in the past or to worry about distant future.</p>
<h3><b>Never lose hope</b></h3>
<p>As shown in Table Figure 1, The American Psychiatric Association (APA) has established the universal criteria for health professionals to diagnose depression. According to The Diagnostic and Statistical Manual of Mental Disorders IV (DSM IV) criteria, physicians diagnose an individual as having depression, which is further classified as minor or major in terms of the severity of the symptoms (2).</p>
<p>Hopelessness deserves special concern because it often triggers the other symptoms which may eventually lead to inertia.</p>
<p>Belief and prayer have found to be extremely helpful in combatting hopelessness by keeping hopes high. This can help to prevent serious depression or even suicide, for even in the most difficult times, belief can allow a person to stand firm with the conviction that even a single leaf would not drop without God’s knowledge. The Qur’an states: “Say (God gives you hope): ‘O My servants who have been wasteful (of their God-given opportunities and faculties) against (the good of) their own souls! Do not despair of God&#8217;s Mercy. Surely God forgives all sins. He is indeed the All-Forgiving, the All-Compassionate’” (The Qur’an 39.53).</p>
<p>The Bible echoes a similar tone when it says, “For as high as the heavens are above the earth, so great is his steadfast love toward those who fear him; as far as the east is from the west, so far does he remove our transgressions from us (Psalm 103, 8-12).</p>
<h3><b>What does the literature say about belief?</b></h3>
<p>A survey revealed the fact that 82% of Americans believe that prayer can cure serious illness, 73% believe that praying for others can cure illness, and 64% want their physicians to pray with them. Health professionals &#8211; especially doctors and nurses &#8211; should be aware of the spiritual needs of their patients, should be familiar with literature on the effectiveness of prayer, and should integrate it into their comprehensive care plans (3).</p>
<p>From the biological perspective, as shown in Figure 2, symptoms and signs of depression shown in Figure 1 occur as a result of the change in the level of neurotransmitters &#8211; namely serotonin, norepinephrine, and dopamine. Today, pharmacological interventions to heal depression are mainly provided by drugs. These regulate the levels of the neurotransmitters. There aren’t many scientific studies focusing on depressing and religion, however McCullough’s review of literature clearly states that “People with high levels of general religious involvement, organizational religious involvement, religious salience, and intrinsic religious motivation are at reduced risk for depressive symptoms and depressive disorders” (4).</p>
<p>In conclusion, depression may arise from the lack of staying active. In order to keep away from the negative thoughts which serve as a starting point for depression’s vicious circle, praying and seeking help from the All-Knowing, All-Wise serves as a shelter from the negative feelings of temporary worldly troubles. Praying may provide a protection against negative thoughts that may arise from an external or internal source, eventually leading to a distortion of healthy thinking.</p>
<p>Subjective healing and improvement in health after praying, psychological therapy, and family and social support may stimulate some neurotransmitters, though this needs to be further clarified by comprehensive studies (5). However, even simple words may have an impact on the mood of any individual. Hearing a compliment may cause a smile, or receiving a phone call giving a bad news might cause sadness. How could sincerely pouring one’s heart out to the All-Knowing not reverberate from His eternal source into the body, even if the circumstances appear overwhelming?</p>
<p> </p>
<p><em>Mucteba Muezzinoglu is a freelance currently living in Illinois, US.</em></p>
<p><em>Nate Emru is a Mental Health Counselor in Indianapolis, Indiana, US.</em></p>
<h3><b>References</b></h3>
<ol>
<li>Further information is available at http://www.sprc.org/basics/about-suicide. Reached in April 25.</li>
<li>The Diagnostic and Statistical Manual of Mental Disorders (DSM). American Psychiatric Association provides a common language and standard criteria for the classification of mental disorders.</li>
<li>Ameling A. 2000. “Prayer: an ancient healing practice becomes new again.” Holist Nurs Pract. Apr;14(3):40-8.</li>
<li>McCullough ME, Larson DB. 1999. “Religion and depression: a review of the literature.” Twin Res. Jun;2(2):126-36.</li>
<li>National Institute of Mental Health. What medications are used to treat depression? Reached from the website. http://www.nimh.nih.gov/health/publications/mental-health-medications/complete-index.shtml#pub5</li>
</ol>
<p> </p>
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		<title>Little Professor Syndrome</title>
		<link>https://fountainmagazine.com/all-issues/2013/issue-91-january-february-2013/little-professor-syndrome/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Tue, 01 Jan 2013 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 91 (January - February 2013)]]></category>
		<category><![CDATA[asperger’s]]></category>
		<category><![CDATA[Asperger’s Syndrome]]></category>
		<category><![CDATA[autism]]></category>
		<category><![CDATA[average]]></category>
		<category><![CDATA[behaviors]]></category>
		<category><![CDATA[child]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[disorder]]></category>
		<category><![CDATA[interactions]]></category>
		<category><![CDATA[lack]]></category>
		<category><![CDATA[language]]></category>
		<category><![CDATA[parents]]></category>
		<category><![CDATA[people]]></category>
		<category><![CDATA[problems]]></category>
		<category><![CDATA[Psychology]]></category>
		<category><![CDATA[repetitive]]></category>
		<category><![CDATA[school]]></category>
		<category><![CDATA[social]]></category>
		<category><![CDATA[strengths]]></category>
		<category><![CDATA[symptoms]]></category>
		<category><![CDATA[syndrome]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2013/issue-91-january-february-2013/little-professor-syndrome/</guid>

					<description><![CDATA[Autism—and its milder cousin Asperger’s—affects 1 in 150 children across the US. Speculation goes that people like Albert Einstein, Benjamin Franklin, Leonardo da Vinci, William Shakespeare and Ibn al-Haytham had this so-called “little professors” syndrome. Our hearts are broken today” said the President Obama after the school shooting in Connecticut on December 14, 2012. These words [&#8230;]]]></description>
										<content:encoded><![CDATA[<p>Autism—and its milder cousin Asperger’s—affects 1 in 150 children across the US. Speculation goes that people like Albert Einstein, Benjamin Franklin, Leonardo da Vinci, William Shakespeare and Ibn al-Haytham had this so-called “little professors” syndrome.</p>
<p>Our hearts are broken today” said the President Obama after the school shooting in Connecticut on December 14, 2012. These words reflected most concisely the emotions all of us felt that tragic day, as our minds and hearts failed to grasp how possibly this could have happened, how come a seemingly human being could go this much lower than the wildest beasts. One of the ideas that was proposed to explain this murky situation was that the gunman had an Asperger’s syndrome, which was immediately refused by experts. &#8220;First and foremost, our thoughts go out to the families,&#8221; says Lisa Goring, vice president of family services for Autism Speaks. &#8220;We are all searching for answers, but it can be so irresponsible to label autism as the cause of this because we endanger totally innocent kids&#8221; (1). This article aims to explain what the Asperger’s Syndrome is about in an effort to save especially kids with this syndrome from another stigma that they have to deal with on top of so many other things.</p>
<p><span id="more-1456"></span></p>
<p>Thirty years ago, only 4 or 5 Autism spectrum disorder (ASD) cases were reported per 10,000 people. Today, however, approximately 1 in 150 children across the U.S. is diagnosed with it; so chances are, you know someone affected either directly or indirectly by these disorders (2). This being the case, the debates, advocacy, and awareness activities are on the rise. Individuals with ASD show abnormal social interactions, language difficulties, repetitive or restrictive behaviors, and special interests. ASD includes Autism, Pervasive Developmental Disorder and Asperger’s Syndrome (3).</p>
<p>Asperger’s syndrome was first recognized by Hans Asperger in 1944 and the term was popularized by English psychiatrist, Lorna Wing, in 1981. The incidence of this syndrome is not well established, but experts in population studies estimate that two out of every 10,000 children have the disorder. It is more common in boys. They are three to four times more likely than girls to have Asperger’s syndrome (ninds.nih.gov). However, the prevalence in females might be lower because of the fundamental lack of awareness of what Asperger’s Syndrome looks like in females. A female with Asperger’s Syndrome might be considered as shy, quiet, perfect at school, tomboyish, moody, overly competitive, aloof, Gothic, depressed, anxious, or a perfectionist (disabled-world.com).</p>
<p>It is always challenging for people with Asperger’s to lead a normal life in spite of it because this disorder makes it hard to develop social and conversational skills. Affected people display socially and emotionally inappropriate behavior, limited facial expressions, body gestures and inability to recognize nonverbal signals. They lack interest in other people; however, they are obsessively interested in unusual and specific subjects. In addition, they prefer to follow repetitive routines or rituals because they cannot cope with unexpected changes.</p>
<h3>Children with Asperger’s Syndrome</h3>
<p>A child with Asperger’s syndrome may have the listed signs and symptoms (kidshealth.org):</p>
<ul>
<li>inappropriate or minimal social interactions</li>
<li>conversations almost always revolving around self rather than others</li>
<li>“scripted,” “robotic,” or repetitive speech</li>
<li>lack of “common sense”</li>
<li>problems with reading, math, or writing skills</li>
<li>obsession with complex topics such as patterns or music</li>
<li>average to below-average nonverbal cognitive abilities, though verbal cognitive abilities are usually average to above-average</li>
<li>awkward movements</li>
<li>odd behaviors or mannerisms</li>
<li>lack of eye contact</li>
</ul>
<p>Parents usually sense there is something abnormal about a child with Asperger’s by the time of his or her third birthday, and some children may exhibit symptoms as early as infancy. Their early language skills retain but motor development delays (for example, crawling or walking late, clumsiness) are sometimes the first indicator of the disorder (ninds.nih.gov).</p>
<p>Hans Asperger called the children with these behaviors “little professors” because they could talk continuously and in great detail about their favorite subjects. These little professors may have an amazing ability to recall dates, names, and events. One parent laughs about how her ten-year-old knew the scientific name of everyday things—from the sugar in the kitchen to the trees in the backyard. He would keep discussing things using the scientific classification (yourlittleprofessor.com).</p>
<p>Most children with Asperger’s syndrome have difficulty interacting with their peers due to the problems in understanding figurative language and tendency to use language literally. Children with this syndrome do not recognize non-literal language that includes humor, irony, and teasing. They struggle just to understand common social cues so they are mostly loners and may display odd behaviors. A child with Asperger’s, for example, may spend hours each day preoccupied with counting cars passing on the street or watching only the weather channel on television. Children with Asperger’s syndrome are also at risk for other psychiatric problems including depression, attention deficit disorder, schizophrenia, and obsessive-compulsive disorder (aacap.org).</p>
<p>While the more obvious symptoms of autism are usually at their most florid in early childhood, the symptoms of Asperger’s syndrome may only become noticeable with the social and functional demands of adolescence (autism.net.au). Luke Jackson, a thirteen-year-old boy with Asperger’s Syndrome from England, wrote a book named Freaks, Geeks and Asperger’s Syndrome: A User Guide to Adolescence. He wrote this informative, sincere and entertaining book about complicated topics such as bullying, friendships, when and how to tell others about Asperger’s syndrome, school problems, dating, relationships and morality (4).</p>
<p>The idea that every child with Asperger’s syndrome is a potential genius can put excessive pressure on a child with Asperger’s syndrome (yourlittleprofessor.com). Luke Jackson, for example, complains that he is always watching television about high functioning autistic people who can do things like play the piano brilliantly without taking lessons, draw detailed renditions of buildings they had only seen once or add numbers in their heads like Rain Man. “I find these television programs depressing,” he says. “I got all the nerdiness and freakishness but none of the genius.”</p>
<p>Seeing a child struggle socially and emotionally can be particularly heartbreaking for parents. Children who had seemed to be developing in normal and delightful ways suddenly retreat into their own world, excluding their loving moms and dads in the process after being diagnosed with ASDs. Learning more about ASDs can help parents take charge of their child again and find treatments and therapies that work (specialchildren.about.com). In some states, expanded services are available through public school programs. The most valuable service might be “parent in-home training” with a behavior specialist sponsored by the school. Moreover, parent education and skill building groups organized by some hospitals or health centers can be helpful for parents of youth with ASDs.</p>
<h3>Speculations about famous people with Asperger’s Syndrome</h3>
<p>There are many famous people for whom there is a lot of speculation that they had Asperger’s Syndrome (5 and 6), such as Albert Einstein, Benjamin Franklin, Leonardo da Vinci, William Shakespeare and Ibn al-Haytham. We may never know for sure if all these people have been affected by Asperger’s syndrome. However, most of the listed geniuses focused on something which interested them and their works were not disrupted by the everyday interactions that take up so much time for the rest of us. This might be the key factor behind all their great inventions. Then we can think of their Asperger’s syndrome as a blessing for humanity, because it does give certain strengths and brilliance to these scientists or pioneers that others do not have. In brief, Asperger’s syndrome is not a handicap, but rather a collection of strengths and challenges. If Asperger’s individuals are supported as they explore their capabilities, they can build on their strengths; they can even be the most successful people in history.</p>
<h3><b>References</b></h3>
<ol>
<li>http://shine.yahoo.com/parenting/why-asperger-8217-didnt-cause-sandy-hook-school-164900109.html</li>
<li>Delaney T. and Madigan T. 2009. The Sociology of Sports: An Introduction. Jefferson, NC: McFarland.</li>
<li>Llaneza DC, DeLuke SV, Batista M, Crawley JN, Christodulu KV, Frye CA. 2010. “Communication, Interventions, and Scientific Advances in Autism: A Commentary.” Physiol Behav. 100, 268-276.</li>
<li>Jackson, L. (2002). Freaks, geeks and Asperger syndrome: A user guide to adolescence. Philadelphia, PA: Jessica Kingsley Publishers.</li>
<li>Steffens, B. 2007. Ibn al-Haytham: First Scientist (Profiles in Science). Greensboro, NC: Morgan Reynolds Publishing.</li>
<li>www.news.bbc.co.uk/2/hi/3766697.stm</li>
</ol>
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		<title>How Can We Motivate Our Children To Learn?</title>
		<link>https://fountainmagazine.com/all-issues/2007/issue-60-october-december-2007/how-can-we-motivate-our-children-to-learn/</link>
		
		<dc:creator><![CDATA[Louima Cunningham]]></dc:creator>
		<pubDate>Mon, 01 Oct 2007 00:00:00 +0000</pubDate>
				<category><![CDATA[Issue 60 (October - December 2007)]]></category>
		<category><![CDATA[achievement]]></category>
		<category><![CDATA[boys]]></category>
		<category><![CDATA[child]]></category>
		<category><![CDATA[child’s]]></category>
		<category><![CDATA[children]]></category>
		<category><![CDATA[desire]]></category>
		<category><![CDATA[Education]]></category>
		<category><![CDATA[homework]]></category>
		<category><![CDATA[important]]></category>
		<category><![CDATA[interest]]></category>
		<category><![CDATA[lack]]></category>
		<category><![CDATA[learn]]></category>
		<category><![CDATA[learning]]></category>
		<category><![CDATA[life]]></category>
		<category><![CDATA[motivation]]></category>
		<category><![CDATA[parents]]></category>
		<category><![CDATA[positive]]></category>
		<category><![CDATA[school]]></category>
		<category><![CDATA[teacher]]></category>
		<category><![CDATA[time]]></category>
		<guid isPermaLink="false">http://107.21.79.195/all-issues/2007/issue-60-october-december-2007/how-can-we-motivate-our-children-to-learn/</guid>

					<description><![CDATA[How often do we hear the words “I hate maths” or “I don’t want to do my homework” and “I don’t like school.” Just imagine how a carer or parent who is concerned and exerts a great deal of time and effort feels when they find the child still refuses to respond positively towards learning. [&#8230;]]]></description>
										<content:encoded><![CDATA[<p><b>How often do we hear the words “I hate maths” or “I don’t want to do my homework” and “I don’t like school.” Just imagine how a carer or parent who is concerned and exerts a great deal of time and effort feels when they find the child still refuses to respond positively towards learning.</b></p>
<p>“Why is my child not interested in learning?” “What makes my child not want to go to school? Why does my child say learning is boring?” “Why is he/she showing higher results in one subject than in another?” “Why does he/she no longer enjoy English?” These are just some of the questions which arise with concerned parents when their children demonstrate a lack of interest in studying both at home or at school. Some parents have opted for home schooling, others have their children join breakfast clubs, sports clubs or after-school creative clubs as a means to enhance their child’s thinking and stimulate interest in them for learning. God Almighty urges us in chapters of the Holy Qur’an to spread knowledge and not to conceal it.</p>
<p>He also speaks of children in numerous verses with regards to their upbringing and welfare. The first verse which was revealed to the Prophet pronounced powerfully “IQRA” meaning “READ”; this again emphasizes the power of knowledge for a human being to attain success in both worlds. It was narrated by Ibn Masud “The Prophet Muhammad, peace be upon him, would take care of us by preaching at a suitable time so that we would not become weary. He abstained from pestering us with religious talk and knowledge all the time.”1 The Prophet said, “The pen has been lifted from three: the child until he reaches puberty, the insane until he is cured and the one who is sleeping until he awakens.”2 We are commanded to be mild and loving towards children. Give instructions gently to make things easy. It takes time for the child to understand what you’re saying and to respond correctly.</p>
<p>But remember a child is not accountable for their actions so be patient while they respond to you in their own time. Children differ from one another in intelligence and comprehension. Some can be corrected by a mere stern glance and others need to be scolded firmly. But we should never stop following the advice of the Prophet Muhammad who said “Those who do not show mercy to our young are not from us.”3 A child is won with tenderness, mildness, and love. Let us now look at some of the reasons why our children may display a lack of interest in learning. Sometimes the reasons can be obvious; maybe the parents do not have the time to interact with homework tasks and the children struggle without this assistance, or maybe there is far too many distractions in the environment, so the child finds it hard to concentrate. But there can also be hidden pressures; perhaps the child does not like a particular subject, or finds it difficult to understand it, or does not enjoy writing or arithmetic. Some times a change of routine or a new teacher can affect the child, peer pressure or lack of confidence can also result in a lack of interest in studying at school or at home. The important question is how do we, as parents or education workers, draw the child’s attention to learning and generate joy and satisfaction in them? The early years of a child’s life are of utmost importance and play a crucial role in determining every child’s future. Brain research has confirmed that the experiences children undergo in the first five years of life form vital connections in the brain. These connections lay the foundation for all later learning and social/emotional development. Children develop at individual rates; therefore, variations in development are to be expected. Professional education workers come in contact with children from a variety of linguistic and cultural backgrounds. This includes children who are learning a language that is different to their native language. New guidelines provide extra activities to meet these children’s needs. Sometimes boys perform less well than girls and a survey report back in July of 2003 by the Office for Standards in Education in</p>
<p>Britain published two reports on methods schools can use to raise achievement among boys. They found that macho peer pressure remains a key reason why boys underperform in comparison to girls in nearly all subjects, except for maths and science. They also found that boys were more affected than girls by how interesting the lessons are. Teachers who were best at motivating boys were those who used humor and real life situations. Children with extra special needs and those who have a short concentration span will not settle at one activity for more than 5 to 10 minutes. Their needs are different from other children, and thus there are curriculum guidelines that help them with appropriate learning. Spending time with your child through the process of playing or completing homework is a key opportunity for interaction and establishes confidence and motivation for the child to learn; we must not forget that children are learning all the time and not just at schools. Tips to encourage motivation Therefore, the following top ten tips are useful in encouraging motivation in your child:</p>
<p>1. Nurture your child’s interest by providing opportunities for them to explore and learn about their interests, be they dinosaurs, stars, or flowers.</p>
<p>2. Expose your child to new ideas and areas by participating in community programs and not just school programs. It is important not to single out traditionally female activities or male activities, as it is the child’s interests that are important.</p>
<p>3. Attempt using short term goals and rewards since sometimes a child becomes overwhelmed by a large task. It is not that the task is difficult in itself, but the child may feel nervous, fearful or confused, resulting in a need for more time or input to understand the concept better. A child will sometimes abandon a task they even begin to try, so it is best to help your child break the task down into a series of smaller tasks. Also allow children to set their own weekly targets which they can reward themselves for completing.</p>
<p>4. Help your child learn to arrange time as when they start to go to school some may learn quickly and easily at different levels or stages of learning, but others may not. However later on, they will need to know how to independently set time aside to complete certain tasks.</p>
<p>5. Praise your child’s efforts since some children have trouble connecting personal effort to achievement. To help a child succeed, efforts should be praised at every success and the praise should be specific. So rather than saying “you could have done that better,” you could say “you tried your best and worked hard.”</p>
<p>6. Help your child take control; underachievers sometimes see achievement as something that isbeyond their control and this makes them feel as if all their efforts are pointless. The child needs to understand the role personal responsibility plays through success.</p>
<p>7. Keep a positive attitude about school because children need to see that their parents value education. Even if a child’s problems in school are a result of a problem with the schools or the teacher, you need to be careful about what you say and when.</p>
<p>8. Help your child make a connection between their schoolwork and their interests. Sometimes children lack motivation because they cannot make a connection between the work they are being asked to do and their goals and interests. For example, a child who wants to be an astronaut should know that maths and science are important in these jobs. However, under-motivated children generally do not focus on anything but the present. They cannot plan ahead for the near future, so rarely reflect on adult life or ambitions.</p>
<p>9. Turn homework into games as most children love a challenge, particularly with a familiar person whom they trust. Sometimes, dull homework can be turned into something excited like a challenging game. Checking children’s work shows them you care about it. Another creative approach to homework is to link it to an interest or encourage them to mark it for themselves.</p>
<p>10. Adults should keep in mind that motivation is not always about school achievement and that it is important to note that some children are highly motivated to achieve goals, even if the goals are unrelated to school. Remember achievement is NOT motivation. It is therefore very important to know that while you may get your child to get the homework done, he or she may never be truly motivated to do it. So what is the difference between the two; what is motivation? Motivation is a temporal and dynamic state that should not be confused with personality or emotion. Motivation is having the desire and the willingness to do something. A motivated person can be aiming at a long–term goal, such as becoming a professional writer, or a more short-term goal like learning how to spell a particular word. Attention from a pupil is necessary and essential for learning and this gives a student a feeling of self worth and makes them want to exert effort. If a teacher can secure the interest of the pupil and the student does the work assigned, and if the work holds their attention, the interest is maintained. There are two kinds of interest, the positive and the negative. When a student has a positive interest in learning, they are getting value because there is something they want to obtain. But if they only have a negative interest, they may still learn a small portion of what is being taught, but not as much as if they were to have a positive interest. The student needs to have a desire of their own to learn and learning should be a result of this, not of outside pressure. They will strive to learn if their interest is positive. If a child is interested in a subject, a wise teacher or parent can make use of this interest. They can work towards maintaining this motivation for learning. But before an adult can hold a child’s interest, they need to have an understanding of how the interest is obtained and how purposes that cause an appetite for learning develop in individuals. A person’s daily life, their character and their personality all determine their drive for learning. This interest can lead them to take action and want to acquire knowledge. There is also a need for a desire to be active; if a person is lazy, they will not have desires or urges to learn. A student also needs to have a desire for approval from their parents, teachers and peers. They need to have a desire to have a feeling of accomplishment, as this will lead them to seek more and more knowledge. They need to feel proud about their personal accomplishments.</p>
<p>We have not been able to mention all the desires that lead to motivation and learning here, but we have touched upon a few of the primary desires. Some parents may feel they do not know the best way to keep their child motivated with the same joy and satisfaction away from school and at home. Parents can worry over this, but it is comforting to know that a simple activity, such as a trip to the park or library or a small activity such as cooking or planting with your child can be interactive, fun, enjoyable and always a creative part of learning. Talking to your child’s teacher or other parents in similar situations is always encouraging and you may pick up tips for new steps that will help bring enthusiasm to your child’s education. At the present time we are fortunate to have easy and affordable resources and free websites which help parents to understand this topic better and which provide step-by-step guidelines on how to generate the joy of learning in kids. The curriculum in schools is continuously reviewed and updated to be a friendly and interesting framework of teaching and learning, with interaction between teachers and students across the globe.</p>
<h3><b>Notes</b></h3>
<ol>
<li>Muslim 1:68.</li>
<li>Tirmidhi, Hudud, 1; Nasai, Hudud, 17.</li>
<li>Tirmidhi, Birr, 15.</li>
</ol>
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