Happy New Year
Peace + Love Linda + Darlene
Individual, Private + Secure Online + Phone Support for Critical Care Nurses
MOT ©™ is pleased to announce the opening, registration and wait list for 12 nurses providing COVID-19 critical care during this pandemic.
This 2 year service commitment with 3 month terms:
Service Offerings: 3 month terms:
Availability: Linda available 1000 to 2000 MT [except Thursdays day off]
Note: If line keeps ringing, Linda in session and will return your call ASAP
[registered phone number will show up on call display].
Nurses can request, negotiate for additional 3 month terms, PRN
Care for caregivers is essential service !
* If anonymity required, participants can use an alias during phone and/or email posts.
Warmly with you in recovery + healing
MOT Director Special Project
Linda AK Thompson, PhD
By Yasemin Saplakoglu - Staff Writer February 13, 2020
This scanning electron microscope image shows the new coronavirus (yellow) among human cells (blue, pink and purple). (Color has been added to the image to better show the virus and its environment.) (Image credit: NIAID-RML). Published in livescience.com
Matrix of Trauma/MOT is pleased to announce that Linda in Alberta, Canada and Darlene on Big Island, Hawaii will co-lead a private, closed small group [8 members], front-line helping professionals who individually / collectively determine the kind of support they want and need.
SMALL GROUP COVID-19 SUPPORT for FRONTLINE
If anonymity is required, participants can use an alias.
Who: Registration for 8 frontline COVID-19 pandemic helping professionals, service providers.
What: Matrix of Trauma [MOT©™]in a secure, private, closed small group setting will provide compassionate emotional care / support:
Where: Apply by emailing contact information to firstname.lastname@example.org sharing your current phone number, email address + front-line service position.
Let us know what your current support, care needs are!
When: Registration and waitlist opened March 23, 2020 to March 23, 2022.
Why: Linda heard the call for nurses to come out of retirement: Linda & Darlene’s service offering.
Warmly with you in healing,
Linda AK Thompson, PhD [CV pdf available upon request]
Darlene B Viggiano, PhD [CV available upon request]
The MARGARET BENTLEY STORY
On June 14, 2015 on CBC Radio, the host stated: “The devil is in the details” and this phrase got my attention, so I listened on. The content was not about the politics of earth religions – getting rid of the Old Testament, raising up Marcion’s views or finding fault with the RC Pope; the topic presented was entitled: “IN the PRESENCE of a SPOON.”
This is the gist of a true story, the pure angst and medical moral dilemma of Margaret Bentley. Margaret is an 83 year old, retired nurse who is unresponsive, ‘locked in’ her diseased Alzheimer mind. The plight for her daughter, Katherine Hammond is full of excruciating trials and tribulations, while endeavoring to honor and see through, her mother’s 1991, advanced personal directive, living will and right for self-determination, in particularly her end-of-life, palliative or appropriate and compassionate care she expressed when competent and first diagnosed with “Dementia” that included a directive for physician assisted euthanasia.
This case is currently in the BC Courts and deemed “precedent setting.” Mercy cries out once again as citizens around the globe fight for the rights inherent in self-determination and end-of-life care. The need for physician’s orders that matches the expressed wishes covering the scope, all the details surrounding delivery and assistance with the acceptable level of care revolving around “activities of daily living [ADL],” worked out prior to admission into care, diagnosed with end stage disease and deemed incompetent.
“Quality of life” is an ideal strived for to the end-of-life care, final breath - death” that is currently NOT a universally accepted right, privilege or freedom. Anticipating and providing one’s wishes in form to be viewed as “acceptable” care directives that satisfy all the players involved in end-of-life care legalities and technicalities of conflicting Acts, ethics, morals and codes of human being and professional conduct including power-of-attorneys and guardianship rules of any compromised human being deemed incompetent within their operational system, community and culture.
There are defined levels of care in most care facilities to cope and deal with the host of significant end-of-life care issues inherent in life/death trajectories. The sheer number of seniors within the “Baby-Boomer” generation is changing the landscape, perceptions and the governance of care of the aging. Front-line health care issues manifest throughout an individual’s lifespan that accelerates with the passage of time and typically becomes a hot, debated subject matter topic for seniors – our elders.
Acute, long-term and auxiliary care facilities are inundated and plagued with an array of conflicting moral codes and acts that overwhelm staff who work in care facilities – the daily moral and ethical dilemmas in the health care and “dying machine” businesses around the globe.
There are the business policies and procedures inherent in the ethics, law, guardians, health and professional care/Acts and reforms needed. Moral codes of behavior conduct and matter of conscience within systems that deliver and provide care to the elderly and terminally ill [“the dying businesses”] of care facilities around the world is “Big” business now far removed from intimate family care and life.
This is the gist of a true story, the pure angst and medical moral dilemma of Margaret Bentley. Margaret is an 83 year old, retired nurse who is unresponsive, ‘locked in’ her diseased Alzheimer mind. The plight for her daughter, Katherine Hammond is full of excruciating trials and tribulations, to honor and see through, her mother’s 1991, advanced personal directive, living will and right for self-determination, particularly specified end-of-life, palliative or appropriate and compassionate care including euthanasia.
Mercy cries out once again as the need for physician assisted, quality end-of-life to death care for the mentally + physically terminal cases continue to be brought to light. Force-feeding adults with swallow + gag reflexes alongside high risk for “choking” incidents is painful to observe and an uncomfortable “duty” performed on so many elderly citizens in care facilities around the globe who do “open their mouth in the presence of a spoon.” Inevitably many die from aspiration pneumonia and septicemia.
“In the presence of a spoon” is at question in the courts for does “an open mouth” imply consent to be fed or is it simply an unconscious reflex? Who makes this determination?
The devil is in the details and Margaret’s due care and attention concerning her last will and testament regarding future care once deemed unresponsive and incompetent secondary to end-stage Dementia is at the bottom of the matter for the argument posited at the last court hearing inferred:
The staff at the Maple House in Abbotsford are to feed her and placed a “police order” in place with the care facility to ensure as a default position to ensure “food + water” are given to her for the main witness stated he was “not sure what they [people with end-stage dementia] want regarding eating in her own demented world.”
A guest speaker, representative for “The Canadian Centre for Elder Law” stated on that the upholding of a person’s last, living’ will details can be disavowed as evidenced in the cases of Margaret Bentley. She states the current status of legal law of wills in our Canadian courts; the honoring of legal “living” wills is a myth! That despite astute will and estate planning, Margaret [and her assigned agent] are impotent, her expressed wishes are disregarded of, both are impotent because of “the systems” with no legal rights for self-determination regarding end-of-life care once deemed incompetent and unresponsive, except for the opening of her mouth in the presence of a spoon.
The professional moral dilemma/ethics remain: to follow her wishes could result in professional charges of neglect [Guardian legislature] and the opposing argument is “spoon feeding is not a health care act but a matter of personal care.” Medical decisions verses personal directives unresolved conflict that leaves this woman in a “degrading – a horrible place’ as stated by her daughter/advocate. The final comment to this news release was “in the dying business, we have no control.”
Food for thought for the DPA Community [no spoon feeding]: What kind of shape are you in and how safe do you feel in regards to the status of your Living and Last Will + Testaments? Peace + Love Linda
Have a great day! Peace + Love Linda
This Blog site content contains information I have used to help me in depth conversations with others keeping informed on the latest suggestions concerning my ethical behaviours in my service work. Content analysis of context and review of ethical postures helps me makes decisions in moral dilemmas. Everything is simply complex, so I need tools to help me along in my calling and service to others.
Originally, this information was posted in Forum on September 12, 2012 @ 7:25am in Depth Psychology General and below is the log of posts submitted there. The "old" forum discussions "Conversational Levels" has been deleted and this Blog site opened in it's place.
Good morning - This is my first Forum Post, encouraged by Bonnie, so here is my search. Back in the 1990's I took a text out of the U of Calgary Library and it was so good concerning a Jungian descriptor of the 5 Levels of Conversation, I made two pages of notes, but unfortunately for me, I did not write the source - title, authors name, etc. in my notes.....these notes have recently re-emerged and I do want to write an article on this wonderful material....so I do need to reference the source.
The five levels are: Formal Operations, Contact Maintenance, Standard Conversations, Critical Occasions and Intimacy. My memory recall is that this text was named 'Depth Psychology,' however, this could be wishful thinking on my part for I know this text is responsible for my strong affinity towards Jungian Psychology in the first place.
Bonnie and I have completed initial searches and come up empty handed - this source appears to be a mystery and if you have the time or this above descriptor triggers recall of this conversational level material in any text that anyone in the community is aware of, I shall be indebted to get back to my conversational text - roots. Thanks for reading and helping. Regards Linda
Reply by Bonnie Bright on September 21, 2012 at 2:48am
Hi everyone. Can you help Linda here? There are so many of us (almost 1600!) here in the Alliance community. I hope someone is familiar with this info! Good luck, Linda!
Reply by Linda AK Thompson, PhD on September 22, 2012 at 1:49pm
Hi Bonnie - thank you for the cue to all to help me find this source. Much appreciated. Regards Linda
Reply by Linda AK Thompson, PhD on October 10, 2012 at 11:38am
Good afternoon fellow Forum followers - I decided to post another comment as the deadline to create an article on the 5 conversational levels is fast approaching and the source still remains a mystery. I am thrilled to see conversation got 18 views. I recently wondered about texts concerning 'content analysis’, which along with depth remain mainstays of my use/analysis of spoken words/ language - gist of narratives.
I will transcribe the notes I made in the nineties and post the article on the current Blog I am an author on, committed to. Hopefully, Bonnie will want to read this article and consider posting it somewhere within DPA. I shall dream of finding this conversation source! Have a great day. Regards Linda
Reply by Bonnie Bright on October 10, 2012 at 1:00pm
The article sounds great, Linda. Thanks for doing it and let us know where we can find it once it's done.
Reply by Linda AK Thompson, PhD 5 hours ago
Cutting + Pasting the content from the other discussion site [same topic area] to keep it all in one place. Deleting the other discussion site now - I hope:
Reply by Linda AK Thompson, PhD on February 9, 2015 at 7:33am
Good morning - my update is lost and I learned an invaluable comment lesson...when I am creating a new comment in the discussion forum, I need to send it and not click "Preview." My recall of the update content is the decision to search the net for articles, which may help me re-create another, but combine both the Conversations Levels [unknown author/text] with Stages of Ethical Judgments [the other 1 pager word map [also an unknown author/text resource], utilized while I scribed my dissertation, plus when I faced, worked through the multitude of moral dilemmas inherent in the field of trauma counseling.
The 3 articles that caught my attention and may help me merge the 2 word maps from the 90's are:
1) What Do Blog Readers Think [ethics about ghost blog writers] @ instituteforpr.org
2) New Research on ethics presented @ AEJMC Conference
3) Gilligan-Kohlberg Controversy by Leena Kakkori @ et.net [it appears this is where the stages of ethical judgments in caring comes from - both of these writers].
Found this image on my goggle page yesterday and I wonder what words describe this pictorial view of the mind?
Have a great day. Regards Linda
Reply by Linda AK Thompson, PhD on March 13, 2013 at 1:21pm
Good afternoon - I finally submitted an article about the 5 levels of conversation that was split by the editor and published in the following noted Counsellor Connect Blog Site www.ccpa-accp.ca/blog/?author41 and www.ccpa-accp.ca/blog/?p=2770.
I submit the entire article to DPA with the hope that someone will know the original author/source of this wonderful material, which I condensed a long time ago, and used during work with clients [surviving traumatic lifetime events] to provide them with a framework of depth conversations that transpire during trauma counselling.
Thank you for your time and help. Regards Linda
DPA - Conversational Levels.pdf, 302 KB Delete
Reply by Linda AK Thompson, PhD 20 hours ago
JULY 1, 2015 – STAGES of ETHICAL DEVELOPMENT:
I share the following resource with the DPA community. This tool was created in 1990’s, during my PhD process in preparation and for professional use in my Collision + Conflict: Policy + Procedures, for my private practice, Nursing Counselling Services [NCS 1990 – 2013]. Unfortunately, I did not record the author or source used to create this tool. If anyone is familiar with the content and knows the author or source, please let me know. Thank you.
STAGE 1 - PUNISHMENT ORIENTATION: Basic and functional where decision-making is defined by external factors. Behavior is governed by sanctions and physical consequences for the helper. Reasoning is absolute and fundamental with the belief in punishment for bad behavior. In other words, while engaging in bad behavior one knows they could get caught and it is OK to engage in the behavior until one gets caught. This is the first phase of moral development.
STAGE 2 – INSTITUTIONAL ORIENTATIONS: Public exposure and press is present where making decisions is defined by the rules and policies of the particular institution. Right decisions are dependent upon the expectations of authority and one is expected to tow the line without question. A hierarchy, paternalistic structure, dominates helpers.
STAGE 3 – SOCIETAL ORIENTATION: Status quo and the “acceptable, dominant cultural norms,” full of deviant disapproval matters. Decisions re defined by “ideals” about the general welfare of society at large and the approval of others. When the individual and society are in conflict, the individual becomes secondary – sacrificial, statistically. The helper follows the established social welfare mandate.
STAGE 4 – INDIVIDUAL ORIENTATION: Safety, duty and righteous bound where decisions are defined internally. Judgments are based on what is best for the individual, although concern for laws and societal welfare remains, they are secondary to the welfare of the individual so that their needs are met.
STAGE 5 – PRINCIPLE OR CONSCIENCE ORIENTATION: Persona and professional with spiritual beliefs are internalized where decisions are defined by the individual’s sense of conscience and justice. This is a strong stance of a consistent “internal” ethical code where principles are upheld without regard to external pressures, consequences, or situational factors. There is an implied understanding of the principles underlying one’s professional or service work codes of behaviors. The helper is at risk when there is a collision between professional and personal principles or parties; however, human regard and dignity prevails.
During service provision, I aim high for 5th level of conversation and ethical orientation for the people I typically served have already fallen through their family and governmental systems cracks Truly a road full of shock and awe, wonder and mystery that requires strong faith, and my repeated NDE's certainly provided me with lots of experience in these realms expediting my triune development.
Peace + Love Linda
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