Imogene King Goal Attachment Theory

Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of

Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.

John Bowlby, the backbone of attachment theories will be discussed throughout this essay to explain and evaluate the key theories of attachment. Health and well-being which is made up of four factors ‘physical, intellectual, emotional and social ' (Jones, 2016), will also be discussed within the essay. The definition of attachment is ‘an act of attaching or the state of being attached. ' (Dictionary, 1400) This will be showed in the assignment, using theorists to analyse the meaning. Sharing the strengths and weaknesses in some theorists will help conclude this assignment.

Within the outline of attachment theory, Mary Ainsworth was the first to provide a detailed description of maternal sensitivity. Maternal sensitivity is a mother 's ability to perceive and understand the meaning behind her infant 's behavioral signals, and to respond to them quickly and appropriately. In study with 73 mothers and their second-born child, stability and main-level differences between measures of maternal sensitivity across settings and over time were studied. Maternal sensitivity was considered at three and six months during bathing, free play on mother’s lap and the starting point and gathering episode of the Still Face Paradigm. Harsh discipline was predicted by maternal sensitivity at three months, which was fully mediated by maternal sensitivity at six months. The widespread attention for sensitive parenting behavior is certainly not without ground, since many studies have shown major relationships between maternal sensitivity and a variety of positive outcomes such as secure attachment, self-regulation, social functioning, and cognitive competence. What started with Ainsworth’s elaborate full-day observation developed into more well-organized methods used across a variety of settings ranging from natural daily routines to play and stress-encouraging patterns.

King’s Theory of Goal Attainment was proposed in the 1960s and published in 1981. It was derived from her conceptual system which presented in 1968, and incorporates the concept of self, perception, growth, development, time, interaction, communication, role, and coping. The Theory of Goal Attainment is a practice methodology based on the nurse and patient setting goals together, and the nurse assisting the patient to meet these goals they set for their health (Caceres, 2015). These interactions between the nurse and patient are the process in which the professional relationship develops, mutual goals are set, and actions are planned to achieve these goals. It is an interaction-transaction process and is based on the nursing

EFT is an attachment based research theory, that suggest that couples have strong need to stay connected (bond) to each other. As such, bonding is very important in marital relationships and if the bond is disappearing, then stressful and negative cycle pattern begins to emerge. Thus, the goal of EFT is to support couples walk through a process of healing (overcoming the negative patterns, rebuilding the connection again, and fortify the bond) (Goldenberg, Stanton, & Goldenberg, 2017). From the assessment that has carried out by the therapist it is clear that Tam and Lisa do not have what it takes to manage or settle conflicts without it escalating into something else. As such, the bonding between them is disappearing and it’s becoming stressful and disturbing to them and their children. Because Jimmy and Emma even though do not see their parent fight or disagree in the open but they can sense the disconnection between their parent and feel the tension whenever both of them where at home. More so, because of the negative pattern that has emerge as a result of lack of secure attachment, there is no more interactions between the couple and each others needs are not met. From the case conceptualization, and to decide what treatment plan should target or focus on the therapist will use the step-by-step treatment manual provided by Johnson and Greenberg (1995) as cited in (Goldenberg et al., 2017) for the therapy process:

The attachment theory is a theory by Bowlby that refers to the joint mutual relationship that babies experience and develop with their primary caregiver (Bowlby, 1982). This theory is not supported by research in various sceneries. However, even though the attachment theory began as an initiative, the clinical application to the daily clinical understanding of adult mental health complications has penned red behind the current available research. I believe that the theory can give valuable insight into both the developing nature of recognized psychiatric disorders as well as in the development of the therapeutic relationship in adults. My position provides an overview of (a) the application of attachment theory to diverse psychopathologies

John Bowlby’s Attachment theory is relevant to serial murderers since it looks at the child’s early life experiences, focusing on the bond between the mother and child (Bretherton, 1992). It argues that a break in the bond will lead the child to a life of crime and delinquency. In this paper we will discuss two points. The first point is discussing Aileen’s Wuornos life from childhood to adulthood and the second point is explaining how her life is relevant to Bowlby’s Attachment Theory. We will finally know what happened in Aileen Wuornos’ life that caused her to become one of the most famous female serial killers of all time.

Attachment theory is an emotional bond that connects one person to another. Attachment theory deals with intimacy in relationships and the impact an attachment can have across a person’s lifespan. Attachment theory usually focuses on the relationships between a child and a parent/caregiver or between partners. John Bowlby and Mary Ainsworth are responsible for the creation of attachment theory after they began to work on mother-infant interactions. There were three categories that were formed due to their findings; Secure, Insecure, Anxious attachment with 3 sub categories avoidant, ambivalent, and disorganized. According to the article on Attachment style and the Cognitive Representation of Communication Situation attachment theory is associated specifically with communicative behavior in relationships. The bond between a child and mother is the primary force of infant development as per Bowlby and Ainsworth.

Erik H. Erikson was a significant psychologist that greatly changed the field of child development. In the 1950’s, Erikson advanced a Freudian approach in development. He viewed that social development as a series of eight challenges that people have to overcome. Each challenge has an outcome that’s either favorable or unfavorable. The outcome drastically affects a person’s personality. For example, in a favorable outcome, the result can leave a positive feeling. With a positive outlook, it’s easier for a person to cope with challenges in life. An unfavorable outcome can leave a person at a disadvantaged for the future. During the first couple challenges, Erikson believed that the caregiver has a great impact on a child’s development

The theory from chapter 1 that I chose was attachment theory. Attachment theory, coined by John Bowlby, is a concept in developmental psychology that concerns the importance of "attachment" in regards to personal development. It states that the ability for an individual to form an emotional and physical "attachment" to another person gives a sense of stability and the means necessary to take risks, branch out, and grow and develop as a personality. One of Bowlby’s main points in attachment theory is “separation anxiety is experienced when attachment behaviour is activated and cannot be terminated unless reunion is restored” (Bowlby 1969). “They also, have trouble maintaining a boundary between someone else’s distress and their own” (Weinfield, Sroufe, 1999) and they do everything possible to prevent separation. Bowlby has four assumptions: “infants and young children develop emotional ties with individuals early in life, the way a child is treated early in life has a major contributing factor to their future relationships and the way their personality is formed, attachment behaviour can form an 'internal working model ' which guide the child 's thoughts, feelings and expectations as a result of the reactions of others towards their behaviour, it is difficult to alter attachment behavior but it is not impossible” (Green 2003). There are also five different attachments styles, secure, avoidant, ambivalent, disorganized, and reactive.Secure attachment style individuals are

those around him; his relationship with God would be a negative one, promoting a negative image of God.

As humans, building relationships between others is a form of connecting and communicating. It is a social situation that is experienced every day through the course of a lifetime. The initial relationship that is made is between the mother and the child. This bond that connects two people is known to be called attachment. The theory of attachment begins at birth, and from that, continuing on to other relationships in family, friends, and romance. Attachment is taught through social experiences, however the relationship with the mother and her temperament are the key factors in shaping the infants attachment type, which

This paper is about Imogene King and her Theory of Goal Attainment. This paper details the components of the theory as well as practical application of those components today. Goal setting and patient education are discussed in relation to King’s theory. The role of the nurse as educator is explained. The importance of King’s theory and practical application of that theory is displayed.

Many psychologists have come and gone, and many different theoretical orientations have been developed. With each orientation has come a new perspective on development, behaviour and mental processes. Some are similar, yet others could not be more contradictory. Attachment is one such theoretical orientation, developed by John Bowlby out of his dissatisfaction with other existing theories. Although Bowlby rejected psychoanalytical explanations for early infant bonds, the theory of attachment was influenced in part by the principles of psychoanalysis; in particular the observations by Ana Freud and Dorothy Burlingham of young children separated from