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Our children are concerned about the demands of caregiv- ing on Blaine and try to make sure that he gets away from the house so that he’ll stay healthy discount 100pills aspirin overnight delivery, both physically and mentally. Still, Blaine asks me to go with him every time, and this helps me to get out even more. One couple in our support group had an interesting problem because he is a large man, and his wife is an average-sized woman. On several occasions, electric power outages occurred while he was in his electric-lift chair, in a reclining position. It was quite a problem to get him out of the reclined chair, but like a lot of cou- ples, they laughed about it and didn’t make it a big issue. Another wife of a man with Parkinson’s, who has since passed away, said that her biggest problem was always being tired. Sometimes the caregiver must take over the responsibilities of running the household, from paying bills to taking care of insur- ance and income taxes, to making other financial decisions the spouse had made before Parkinson’s intruded into their lives. As the caregiver, the wife may now find that she has to learn to unplug a sink or a toi- let, fix a sticking window, or do other things that her husband had always done. One thing a person with Parkinson’s needs to take responsibil- ity for is not getting into impossible situations. One man with Parkinson’s decided to do something on the roof, but once he got up there, he couldn’t get down. I learned that I’m likely to fall if I try to pick up something on the floor that I used to be able to retrieve easily. The more I do to keep myself in control, the less strain it will put on my caregiver. Remember, if you are a martyr and complain all the time, it won’t contribute to a good relationship with your caregiver. Blaine is familiar with all of my problems by now, and he doesn’t need a continual barrage of my complaints.

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She has well-detailed hands cheap 100 pills aspirin otc, considering the use of markers and difficulty associated with drawing fin- gers. Her one-dimensional legs appear slightly regressed (indicative of 6- year-old); however, the addition of high-heeled shoes shows her attention to detail and focus on shoes versus the legs. Just above the home is found a 146 Interpreting the Art sun (representative of parental love and support) wearing sunglasses with a "Charlie Brown" smile (normal for age group). When asked to tell what was going on in this picture she said the girl was her and that she lived in the house with her sister, Dad, and her Dad’s girlfriend. She titled the drawing using her own name (which has been changed): "Heather’s Creation. Since a medical etiology was ruled out for the somatic com- plaints, it would appear that she is experiencing a kinesthetic sensory system (Mills & Crowley, 1986) whereby anxiety is revealed through physical symptoms. The difference between her and her older sibling is that this child finds stability and structure within the environment, allowing her to move through the necessary stages of development. It will be important to ascertain the level of abuse that occurred, and it is possible that the younger sibling was not the primary victim of the attacks but was protected by her older sister. However, her drawing items ap- pear more in keeping with a 7-year-old’s with attendant expression of moodiness and anxiety. In contrast, the younger sibling shows adequate development within her artwork and an increased attention to the envi- ronment. Therefore, her adjustment parallels the use of age-appropriate in- tellectual defenses together with age-appropriate expansive symbolism (note size of person). At this juncture the older sibling appears to be having a much more dif- ficult time adjusting even though the younger sibling is experiencing a wealth of somatic issues. However, her symptoms are not merely focused on physical complaints, and this signifies an etiology focused on worry and anxiety that should resolve itself with individual and family therapy as well as ongoing structure and safety. Overall, the older child appears to be with- drawing from contact with the outside world and clinging to infantile qual- ities within her relationships. This indicates a lower level of functioning, increased depressive features, and the possible utilization of the defense mechanism of regression. If we review the postdrawing inquiry, although both girls showed a paucity of response, the younger sibling placed the entire "protective" family within the home (the tiny door perhaps not allowing others within this protective 147 Reading Between the Lines circle), while the older child added only herself and her sister.

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Brent Bradley discount aspirin 100 pills on-line, PhD, is assistant professor of counseling and director of the marriage and family therapy track in the Graduate Counseling Department at Indiana Wesleyan University. He received his doctorate in Marriage and Family Therapy from Fuller Seminary School of Psychology in 2001. He is a clinical member of the American Association for Marriage and Family Therapy. Bradley has published original research in emotionally fo- cused couples therapy (EFT), and actively researches, writes, and presents the approach. Stephen Cheung, PsyD, is an interim core faculty of clinical psychology at Antioch University in Los Angeles. He is teaching Brief Therapy, Family Therapy, Group Therapy, and Psychological Testing. Cheung had been a program director and clinical psychologist at Asian Pacific Counseling and Treatment Centers (APCTC) in Los Angeles coordinating and supervising their children and adult programs for 12 years. For almost three decades, he has been providing short-term and longer-term psychotherapy to a wide variety of clients. He has specialized in: Eating, Substance-related, Personality, Mood, and Anxiety Disorders; grief therapy; and psychological testing. Since 1996, he has been teaching at Phillips Graduate Institute, California State University at Los Angeles, and Pepperdine University. He has also been presenting training in strategic and solution-focused brief therapy, an integrated treatment approach to eating disorders, and psychotheray with childhood abuse survivors in local, national, and international men- tal health conferences. Kahni Clements received her BA in psychology from the University of Cal- ifornia at Los Angeles. She is currently a graduate student in clinical psy- chology at Indiana University-Bloomington. Her research interests are relationship violence and couples communication interactions. Yolanda de Varela, PhD Candidate, is a clinical psychologist with a master’s degree in educational psychology and is completing her doctorate. She has About the Contributors xi been president of the Panamanian Psychological Association, a founding member of the International Institute of Object Relations Therapy, and direc- tor of the Panama Satellite Program of IIORT.

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