DOCSLIB.ORG

Manual of Psychiatric Care for the Medically Ill This Page Intentionally Left Blank Manual of Psychiatric Care for the Medically Ill

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Manual of Psychiatric Care for the Medically Ill This Page Intentionally Left Blank Manual of Psychiatric Care for the Medically Ill Manual of Psychiatric Care for the Medically Ill This page intentionally left blank Manual of Psychiatric Care for the Medically Ill Edited by Antoinette Ambrosino Wyszynski, M.D. Clinical Associate Professor of Psychiatry New York University School of Medicine Faculty, the Psychoanalytic Institute at New York University New York, New York Bernard Wyszynski, M.D. Clinical Associate Professor of Psychiatry and Assistant Professor of Neurology Albert Einstein College of Medicine Bronx, New York Washington, DC London, England Note: The authors have worked to ensure that all information in this book is accurate at the time of publication and consistent with general psychiatric and medical standards, and that information concerning drug dosages, schedules, and routes of administration is accurate at the time of publication and consistent with standards set by the U.S. Food and Drug Administration and the general medical community. As medical research and practice continue to advance, however, therapeutic standards may change. Moreover, specific situations may require a specific therapeutic response not included in this book. For these reasons and because human and mechanical errors sometimes occur, we recommend that readers follow the advice of physicians directly involved in their care or the care of a member of their family. Books published by American Psychiatric Publishing, Inc., represent the views and opinions of the individual authors and do not necessarily represent the policies and opinions of APPI or the American Psychiatric Associ- ation. Copyright © 2005 Antoinette Ambrosino Wyszynski, M.D. ALL RIGHTS RESERVED Manufactured in the United States of America on acid-free paper 09 08 07 06 05 5 4 3 2 1 First Edition Typeset in Adobe’s Palatino and Frutiger 55 Roman American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Arlington, VA 22209-3901 www.appi.org Library of Congress Cataloging-in-Publication Data Manual of psychiatric care for the medically ill / edited by Antoinette Ambrosino Wyszynski, Bernard Wyszynski.—1st ed. p. ; cm. Includes bibliographical references and index. ISBN 1-58562-118-8 (spiralbound : alk. paper) 1. Consultation-liaison psychiatry. 2. Mental illness—Chemotherapy. 3. Medicine, Psychosomatic. 4. Psychopharmacology. 5. Psychotropic drugs. 6. Sick—Mental health. I. Wyszynski, Bernard, 1954– II. Title. [DNLM: 1. Mental Disorders—therapy. 2. Mental Disorders—diagnosis. 3. Psychophysiologic Disorders—diagnosis. 4. Psychophysiologic Disorders—therapy. 5. Psychotropic Drugs—therapeutic use. WM 400 W995m 2004] RC455.2.C65W973 2004 616.89—dc22 2004052944 British Library Cataloguing in Publication Data A CIP record is available from the British Library. To our daughter Sofia, whose patience, good humor, and understanding made this book possible. A.A.W. B.W. This page intentionally left blank Contents Contributors . xvii Preface. xix Acknowledgments . xxi Dedication. xxiii Chapter 1 The Delirious Patient . .1 Antoinette Ambrosino Wyszynski, M.D. Chapter 2 The Patient With Hepatic Disease, Alcohol Dependence, and Altered Mental Status . .27 Antoinette Ambrosino Wyszynski, M.D. Chapter 3 The Patient With Cardiovascular Disease . .49 Antoinette Ambrosino Wyszynski, M.D. Melanie Schwarz, M.D. Bruce Rubenstein, M.D. Victor B. Rodack, M.D. Manuel Santos, M.D. Chapter 4 The Patient With Kidney Disease. .69 Antoinette Ambrosino Wyszynski, M.D. Chapter 5 The Patient With Pulmonary Disease . .85 Antoinette Ambrosino Wyszynski, M.D. Elyse D. Weiner, M.D. Chapter 6 The Patient With GI Symptoms and Psychiatric Distress . 99 Antoinette Ambrosino Wyszynski, M.D. Brian D. Bronson, M.D. Khleber Chapman Attwell, M.D., M.P.H. Chapter 7 The Obstetrics Patient . 115 Antoinette Ambrosino Wyszynski, M.D. Shari I. Lusskin, M.D. Appendix 7–A: Psychotropics in Pregnancy and Lactation . 148 Appendix 7–B: A Primer on Using Lithium in Pregnancy and Lactation: Why? When? How? . 159 Chapter 8 The Patient Using Steroids . 163 Antoinette Ambrosino Wyszynski, M.D. Van Yu, M.D. Chapter 9 The HIV-Infected Patient. 171 Antoinette Ambrosino Wyszynski, M.D. Bryan Bruno, M.D. Patrick Ying, M.D. Linda Chuang, M.D. Miriam Friedlander, M.D. Bruce Rubenstein, M.D. Chapter 10 The Patient With Hepatitis C. 201 Silvia Hafliger, M.D. Chapter 11 A Primer on Solid Organ Transplant Psychiatry. 205 Silvia Hafliger, M.D. Chapter 12 Assessing Decisional Capacity and Informed Consent in Medical Patients: A Short, Practical Guide. 221 Antoinette Ambrosino Wyszynski, M.D. Carol F. Garfein, M.D. Chapter 13 Psychological Issues in Medical Patients: Autonomy, Fatalism, and Adaptation to Illness . 233 Antoinette Ambrosino Wyszynski, M.D. Chapter 14 When Patients Ask About the Spiritual: A Primer . .237 Stanley Grossman, M.D. Antoinette Ambrosino Wyszynski, M.D. Leonard Barkin, M.D. Victor Schwartz, M.D. Chapter 15 The Seriously Ill Patient: Physician Factors in the Doctor-Patient Relationship: A Short, Practical Guide. .245 Antoinette Ambrosino Wyszynski, M.D. Bernard Wyszynski, M.D. Chapter 16 Epilogue: The Physician as Comforter. .251 Salvatore V. Ambrosino, M.D. Appendix 1 American Psychiatric Association Guidelines for Assessing the Delirious Patient: Checklist . .253 Appendix 2 Worksheet for Organizing Medical Chart Information: The Initial Psychiatric Consultation . .257 Appendix 3 Decision Tree for Psychiatric Differential Diagnosis of Medically Ill Patients. .261 Appendix 4 “VINDICTIVE MADS”: Differential Diagnosis of Mental Status Changes . .265 Appendix 5 A Short, Practical Guide to Treating Dementia-Related Behavioral Problems in the Medical Setting. .269 Ceri Hadda, M.D. Appendix 6 A Guide to Herbal Supplements in the Medical Setting . .275 Nancy Forman, M.D. Appendix 7 Worksheet for Diagnosing and Comparing Serotonin Syndrome and Neuroleptic Malignant Syndrome . .283 Appendix 8 Delirium Rating Scale-Revised-98 . 287 Appendix 9 The Confusion Assessment Method (CAM) Instrument. 293 Appendix 10 Memorial Delirium Assessment Scale (MDAS) . 297 Appendix 11 Risk Factors for Torsades de Pointes. 303 Appendix 12 Guidelines for Adult Psychotropic Dosing in Renal Failure. 307 Appendix 13 Commonly Used Drugs With Sedative-Hypnotic Properties . 311 Appendix 14 Electroconvulsive Therapy in Medical Illness: Practice Guidelines of the American Psychiatric Association . 315 Appendix 15 Diagnosing Depression in the Medically Ill . 319 Appendix 16 Screening Worksheet for Bipolar Spectrum Disorders . 321 Appendix 17 Neuropsychiatric Effects of Electrolyte and Acid-Base Imbalance . 325 Appendix 18 Worksheet for Monitoring Patients Receiving Atypical Antipsychotics. 329 Appendix 19 Case Vignettes and Study Guide. 335 Index. 365 Tables, Boxes, and Figures Chapter 1. The Delirious Patient Table 1–1. DSM-IV-TR diagnostic criteria for delirium due to a general medical condition . 2 Table 1–2. Common drugs with significant anticholinergic effects . 6 Table 1–3. Generally accepted risk factors for postoperative delirium . 7 Table 1–4. Drugs potentiating serotonin in the central nervous system . 10 Table 1–5. Steps to prevent suicidal behavior . 17 Table 1–6. Specific psychiatric interventions to prevent suicidal behavior in medical-surgical patients . 17 Table 1–7. Initial haloperidol doses for the treatment of delirium . 18 Table 1–8. Atypical antipsychotics for the treatment of mild to severe agitation in delirium. 19 Box 1–1. Practical suggestions for bedside manner in the general hospital setting . 11 Box 1–2. Bedside assessment tests of cognitive function . 12 Box 1–3. A checklist of supportive interventions for the delirious patient (“SPOCCC”) . 15 Box 1–4. General principles for treating delirium . 16 Chapter 2. The Patient With Hepatic Disease, Alcohol Dependence, and Altered Mental Status Table 2–1. Stages of alcohol withdrawal. 28 Table 2–2. Differential diagnosis and psychiatric treatment of the delirious psychotic patient with hepatic encephalopathy. 30 Table 2–3. Risk factors for delirium tremens . 32 Table 2–4. Neuropsychiatric abnormalities associated with hepatic encephalopathy . 34 Box 2–1. Diagnostic workup of the cirrhotic, psychotic patient. 29 Figure 2–1. CIWA-Ar: Addiction Research Foundation Clinical Institute Withdrawal Assessment for Alcohol—Revised . 39 Figure 2–2. CAGE questions . 40 Figure 2–3. Alcohol Use Disorders Identification Test (AUDIT) . 41 Figure 2–4. Michigan Alcoholism Screening Test (MAST) . 42 Figure 2–5. Management of alcohol withdrawal: symptom-triggered medication regimen . 43 Figure 2–6. Management of alcohol withdrawal: structured medication regimens . ..
Load more

Recommended publications
  • WRAP THESIS Currer 1986.Pdf
    University of Warwick institutional repository: http://go.warwick.ac.uk/wrap A Thesis Submitted for the Degree of PhD at the University of Warwick http://go.warwick.ac.uk/wrap/34623 This thesis is made available online and is protected by original copyright. Please scroll down to view the document itself. Please refer to the repository record for this item for information to help you to cite it. Our policy information is available from the repository home page. Health Concepts and Illness Behaviour: the rage of same Pathan 14others in Britain. Caroline Mary Currer. Thesis subraitted for the Degree of Doctor of Philosopay. University of iliarwick Department of Sociol)gy. Mar-n 1986. Table of Contents. List of Tables. Acknowledgements. Declaration. Summary. Note concerning foreign words. XV Chapter One. Introduction: 1 1. The Scope and Contribution of this Work. 1 2. Background to the Study. 9 3. Theoretical Perspectives and Assumptions. 11 A. The Nature of Concepts. 12 B. Lay or Medical Concepts. 14 C. Health Care Encounters: An Interactive Perspective. 16 4. Analytic Framework. 20 5. Definitions. 25 A. Concepts. 25 B. Culture, Ideology, Social Structure. 26 i) Culture. 29 ii) Ideology. 30 iii) Social Structure. 30 C. Ethnicity. 32 D. Mental Illness. 32 6. Layout. 32 PART I. RESEARCH AND SOCIAL PROCESS: ISSUES OF METHODOLOGY. 34 Chapter Two. Drawing up the Research Project. 41 1. Identifying the Research Problems. 41 2. Towards a Research Strategy. 44 3. Research Techniques and Instruments. 46 4. The Ordering of the Work. 49 Chapter Three. Entering the Field. 51 1. Discussions with Health Care Practitioners and Research Colleagues.
    [Show full text]
  • Anarchist Modernism and Yiddish Literature
    i “Any Minute Now the World’s Overflowing Its Border”: Anarchist Modernism and Yiddish Literature by Anna Elena Torres A dissertation submitted in partial satisfaction of the requirements for the degree of Joint Doctor of Philosophy with the Graduate Theological Union in Jewish Studies and the Designated Emphasis in Women, Gender and Sexuality in the Graduate Division of the University of California, Berkeley Committee in charge: Professor Chana Kronfeld, Chair Professor Naomi Seidman Professor Nathaniel Deutsch Professor Juana María Rodríguez Summer 2016 ii “Any Minute Now the World’s Overflowing Its Border”: Anarchist Modernism and Yiddish Literature Copyright © 2016 by Anna Elena Torres 1 Abstract “Any Minute Now the World’s Overflowing Its Border”: Anarchist Modernism and Yiddish Literature by Anna Elena Torres Joint Doctor of Philosophy with the Graduate Theological Union in Jewish Studies and the Designated Emphasis in Women, Gender and Sexuality University of California, Berkeley Professor Chana Kronfeld, Chair “Any Minute Now the World’s Overflowing Its Border”: Anarchist Modernism and Yiddish Literature examines the intertwined worlds of Yiddish modernist writing and anarchist politics and culture. Bringing together original historical research on the radical press and close readings of Yiddish avant-garde poetry by Moyshe-Leyb Halpern, Peretz Markish, Yankev Glatshteyn, and others, I show that the development of anarchist modernism was both a transnational literary trend and a complex worldview. My research draws from hitherto unread material in international archives to document the world of the Yiddish anarchist press and assess the scope of its literary influence. The dissertation’s theoretical framework is informed by diaspora studies, gender studies, and translation theory, to which I introduce anarchist diasporism as a new term.
    [Show full text]
  • A Performer's Guide to Richard Danielpour's a Woman's Life Carline Waugh Louisiana State University and Agricultural and Mechanical College
    Louisiana State University LSU Digital Commons LSU Doctoral Dissertations Graduate School 2015 A Performer's Guide to Richard Danielpour's A Woman's Life Carline Waugh Louisiana State University and Agricultural and Mechanical College Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_dissertations Part of the Music Commons Recommended Citation Waugh, Carline, "A Performer's Guide to Richard Danielpour's A Woman's Life" (2015). LSU Doctoral Dissertations. 2542. https://digitalcommons.lsu.edu/gradschool_dissertations/2542 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Doctoral Dissertations by an authorized graduate school editor of LSU Digital Commons. For more information, please [email protected]. A PERFORMER’S GUIDE TO RICHARD DANIELPOUR’S A WOMAN’S LIFE A Monograph Submitted to the Graduate Faculty of the Louisiana State University and Agricultural and Mechanical College in partial fulfillment of the requirements for the degree of Doctor of Musical Arts in The School of Music by Carline Waugh B.M Performance, Atlantic Union College, 2009 M.M, Performance, University of Mississippi, 2012 August 2015 ACKNOWLEDGEMENTS I would like to thank Mr. Richard Danielpour for creating this wonderful work and for giving of his time throughout this project. I also would like to thank Ms. Angela Brown for her tremendous wisdom and insight. I would like to extend sincere thanks to the chair of my committee and major professor, Dr. Loraine Sims for her continuous guidance and kindness. You truly are an inspiration to me.
    [Show full text]
  • Adolescent Female Embodiment As a Transformational Experience in the Lives of Women: an Empirical Existential- Phenomenological Investigation Allyson Havill
    Duquesne University Duquesne Scholarship Collection Electronic Theses and Dissertations Summer 2006 Adolescent Female Embodiment As A Transformational Experience In The Lives of Women: An Empirical Existential- Phenomenological Investigation Allyson Havill Follow this and additional works at: https://dsc.duq.edu/etd Recommended Citation Havill, A. (2006). Adolescent Female Embodiment As A Transformational Experience In The Lives of Women: An Empirical Existential-Phenomenological Investigation (Doctoral dissertation, Duquesne University). Retrieved from https://dsc.duq.edu/etd/ 639 This Immediate Access is brought to you for free and open access by Duquesne Scholarship Collection. It has been accepted for inclusion in Electronic Theses and Dissertations by an authorized administrator of Duquesne Scholarship Collection. For more information, please contact [email protected]. Adolescent Female Embodiment as Transformational Experience in the Lives of Women: An Empirical Existential-Phenomenological Investigation A Dissertation Presented to the Faculty of the Psychology Department McAnulty College and Graduate School of Liberal Arts Duquesne University in partial fulfillment of the requirements for the degree of Doctor of Philosophy by Allyson Havill March 31, 2006 Paul Richer, Ph.D. Anthony Barton, Ph.D. Eva Simms, Ph.D. ii TABLE OF CONTENTS Page TABLE OF CONTENTS ii ACKNOWLEDGEMENTS iv ABSTRACT v INTRODUCTION 1 REVIEW OF THE LITERATURE 9 Phenomenological Theories of the Body 9 The Body and Adolescent Development 19 Contemporary Theories
    [Show full text]
  • Pnadz405.Pdf
    National Institute of Mental Health & Neuro Sciences PSYCHOSOCIAL CARE FOR WOMEN IN SHELTER HOMES 2011 Supported by Copyright©: UNODC, 2011 Year of Publication: 2011 A publication of United Nations Office on Drugs and Crime Regional Office for South Asia EP 16/17, Chandragupta Marg Chanakyapuri New Delhi – 110 021 www.unodc.org/southasia Disclaimer : This document is published by the UNODC Regional Office for South Asia. The opinions expressed in this document do not necessarily represent the official policy of the United Nations Office on Drugs and Crime. The designations used do not imply the expression of any opinion whatsoever on the part of the United Nations concerning the legal status of any country, territory or area or of its authorities, frontiers or boundaries. This publication has not been formally edited. Language editor: Ms. Hamsa Sripathy Design: Yellow Ocher Printed by: Bright Services ACKNOWLEDGEMENTS UNODC is grateful to the team of NIMHANS, Bangalore, for developing this document: Principal Author: Dr. K. Sekar, Professor and Principal Investigator Support Team of Nimhans Dr. Prakashi Rajaram, Associate Professor and Co Investigator Dr. Kavita Jangam, Psychiatric Social Worker and Co Investigator Dr. E. Aravind Raj, Psychiatric Social Worker and Co Investigator Dr. M. N. Vranda, Senior Research Officer Dr. Grace Henry, Junior Research Officer UNODC Regional Office for South Asia Ms. Cristina Albertin, Representative Dr. Suruchi Pant, Deputy Representative Mr. R. Gunashekar, Regional Expert, HIV and AIDS Ms. Swasti Rana, Programme Associate i FOREWORD Trafficking of women and children is an organized crime that violates basic human rights. A core element of UNODC’s mandate under the U.N.
    [Show full text]
  • 'I Cannot Accept What I Have Not Done': Storytelling, Gender and Transitional Justice
    ‘I cannot accept what I have not done’: Storytelling, Gender and Transitional Justice ERIN BAINES AND BETH STEWART Liu Institute for Global Issues University of British Columbia (UBC) 6476 NW Marine Drive Vancouver, British Columbia, V6T 2T6 [email protected] Downloaded from [email protected] Abstract Storytelling can be a process of seeking social equilibrium after violence. We http://jhrp.oxfordjournals.org/ examine this proposition through the stories of Ajok, an Acholi woman who was abducted by the rebel group, the Lord’s Resistance Army (LRA) in northern Uganda and who was forced into marriage and motherhood. We consider how her stories contest discrimination by her neighbours and family since her return, creatively reinterpreting the past to defend her innocence and moral character throughout the war and to defend her rightful place in present society as an Acholi woman and mother. The article concludes by reflecting on the value of locally based and culturally relevant storytelling for survivors in the field and practice of transitional justice. at Georgetown University on August 6, 2012 Keywords: Acholi; armed conflict; forced marriage; northern Uganda; sexual and gender based violence; transitional justice Introduction Following the conclusion of a more than 20-year-old war in northern Uganda, an uneasy tension exists amongst survivors.1 The war was charac- terized by the mass abduction and forced recruitment of an estimated 54,000 to 75,000 people (Pham et al., 2008). The Lord’s Resistance Army (LRA) are infamous for their brutal training of young boys and girls, for forcing them to kill or harm others and for subjecting ‘new recruits’ to exhausting labour and unforgiving beatings in an effort to create loyal and obedient followers (Blattman and Annan, 2010).
    [Show full text]
  • Copyright by Grace Drake Gibson 2019
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UT Digital Repository Copyright by Grace Drake Gibson 2019 The Report Committee for Grace Drake Gibson certifies that this is the approved version of the following report: Pathology and Pregnancy: Constructions of Female Difference in Plautus’ Amphitruo APPROVED BY SUPERVISING COMMITTEE: Ayelet Haimson Lushkov, Supervisor Lesley A. Dean-Jones Pathology and Pregnancy: Constructions of Female Difference in Plautus’ Amphitruo by Grace Drake Gibson Report Presented to the Faculty of the Graduate School of The University of Texas at Austin in Partial Fulfillment of the Requirements for the Degree of Master of Arts The University of Texas at Austin May 2019 Dedication To my mother, Lida Grace Burris. Sicut mater, ita et filia eius. Acknowledgements I would like to thank Dr. Ayelet Haimson Lushkov and Dr. Lesley Dean-Jones for their support and guidance. v Abstract Pathology and Pregnancy: Constructions of Female Difference in Plautus’ Amphitruo Grace Drake Gibson, MA The University of Texas at Austin, 2019 Supervisor: Ayelet Haimson Lushkov Plautus’ Amphitruo departs from Roman theatrical precedent by combining tragic convention with comic elements, creating the new genre of “tragicomedy.” Also unprecedented is the play’s presentation of a pregnant character on stage: as Amphitruo, Alcumena, and the enslaved Sosia struggle to orient themselves amidst the confusion caused by Jupiter and Mercury, Alcumena also prepares for the birth of a child by her husband and, unbeknownst to her, the birth of Hercules by Jupiter. I examine the way that her visible and oft-referenced pregnancy heightens the dramatic thrust of the tragicomedy, arguing that Alcumena’s otherness, emphasized visually and thematically by her pregnancy, serves as a destabilizing force which contributes both to the sense of comedic befuddlement and to the narrative’s potentially tragic stakes.
    [Show full text]
  • Ladyslipper Catalog Table of Contents
    I ____. Ladyslipper Catalog Table of Contents Free Gifts 2 Country The New Spring Crop: New Titles 3 Alternative Rock 5g Celtic * British Isles 12 Rock * Pop 6i Women's Spirituality * New Age 16 R&B * Rap * Dance 64 Recovery 27 Gospel 64 Native American 28 Blues ' 04 Drumming * Percussion 30 Jazz • '. 65 African-American * African-Canadian 31 Classical 67 Women's Music * Feminist Music 33 Spoken .... 68 Comedy 43 Babyslipper Catalog 70 Jewish 44 Mehn's Music 72 Latin American 45 Videos 75 Reggae * Caribbean 47 Songbooks * Sheet Music 80 European 47 Books 81 Arabic * Middle Eastern 49 Jewelry, Cards, T-Shirts, Grab-Bags, Posters 82 African 49 Ordering Information 84 Asian * Pacific 50 Order Blank 85 Folk * Traditional 51 Artist Index 86 Free Gifts We appreciate your support, and would like to say thank you by offering free bonus items with your order! (This offer is for Retail Customers only.) FMNKK ARMSTRONG AWmeuusic PIAYS SO GHMO Order 5 items: Get one Surprise Recording free! Our choice of title and format; order item #FR1000. Order 10 items: choose any 2 of the following free! Order 15 items: choose any 3 of the following free! Order 20 items: choose any 4 of the following free! Order 25 items: choose any 5 of the following free! Order 30 items: choose any 6 of the following free! Please use stock numbers below. #FR1000: Surprise Recording - From Our Grab Bag (our choice) #FR1100: blackgirls: Happy (cassette - p. 52) Credits #FR1300: Frankie Armstrong: ..Music Plays So Grand (cassette - p. 14) #FR1500: Heather Bishop: A Taste of the Blues (LP - p.
    [Show full text]
  • Show Guide Contents
    THE NEW MUSICAL BASED ON A TRUE STORY OFFICIAL SHOW GUIDE CONTENTS 1. The Story .................................... P. 1 5. Where to Turn...............P. 17 GIVE US THE SKINNY as to the nuts ‘n bolts of this FABULOUS new MUSICAL! 6. More to Talk Aboot P. 2 2. CAST & CREATIVES ��������������� FACT VS. FICTION............................p. 19 Check out the talent responsible for getting this show UP on its FEET! WHAT ARE YOU TALKING ABOOT....p. 21 WHO’S WHO IN THE BOOT?.......p. 22 7. For TEACHERS 3. WHO’s WHO in KINKY BOOTS? P. 6 i) Pre-show lesson… p. 23 Who are these people you ask? ii) Post-show lesson… p. 27 Well, we tell you. iii) National Learning Standards… p. 30 iv) Guide Sources… p. 31 v) Appendices (teacher handouts)… p. 32-34 4. CONNECTING TO YOUR CORE THEMES OF KINKY BOOTS LET ME BE ME .................................... p. 7 Celebrate our authentic selves! 8. About SOUTHGATE EDUCATION...P. 35 UNLIKELY PARTNERSHIPS .. p. 12 Oil & Water: Don’t Mix (or do they?) WHAT ELSE CAN I DO? ................ p.15 Take a Stand! NEED A CHANCE TO GET RE-CHARGED? CHECK OUT OUR RE-BOOT BOXES CONTENTS KINKY BOOTS - THE STORY YOU CHANGE THE WORLD WHEN YOU CHANGE YOUR MIND From Grammy® Award-winning pop icon CYNDI LAUPER Based on a true story, KINKY BOOTS features a sensational and four-time Tony Award® winner HARVEY FIERSTEIN comes new score, knockout dancing and a spectacularly inspiring story. the exhilarating new musical KINKY BOOTS, directed and KINKY BOOTS is the must-see new musical that proves that choreographed by Tony Award winner JERRY MITCHELL.
    [Show full text]
  • Ð'ð°Ñ€Ð±Ñ€Ð° Ð
    Барбра СтрайÑÑ​ ŠÐ½Ð´ ÐÐ​ »Ð±ÑƒÐ¼ ÑÐ​ ¿Ð¸ÑÑ​ ŠÐº (диÑÐ​ ºÐ¾Ð³Ñ€Ð°Ñ„иÑÑ​ ‚а & график) My Name Is Barbra https://bg.listvote.com/lists/music/albums/my-name-is-barbra-581836/songs The Way We Were: Original Soundtrack https://bg.listvote.com/lists/music/albums/the-way-we-were%3A-original- Recording soundtrack-recording-10381909/songs Streisand Superman https://bg.listvote.com/lists/music/albums/streisand-superman-3283152/songs Songbird https://bg.listvote.com/lists/music/albums/songbird-3283581/songs Classical Barbra https://bg.listvote.com/lists/music/albums/classical-barbra-3283055/songs Funny Lady https://bg.listvote.com/lists/music/albums/funny-lady-10286521/songs https://bg.listvote.com/lists/music/albums/highlights-from-just-for-the-record- Highlights from Just For the Record 10295520/songs The Ultimate Collection https://bg.listvote.com/lists/music/albums/the-ultimate-collection-9358283/songs Life Cycle of a Woman https://bg.listvote.com/lists/music/albums/life-cycle-of-a-woman-60740650/songs Release Me 2 https://bg.listvote.com/lists/music/albums/release-me-2-107121308/songs Je m'appelle Barbra https://bg.listvote.com/lists/music/albums/je-m%27appelle-barbra-1509314/songs Guilty https://bg.listvote.com/lists/music/albums/guilty-1554096/songs What Matters Most https://bg.listvote.com/lists/music/albums/what-matters-most-1935707/songs https://bg.listvote.com/lists/music/albums/the-barbra-streisand-album- The Barbra Streisand Album 1699113/songs A Love Like Ours https://bg.listvote.com/lists/music/albums/a-love-like-ours-675915/songs
    [Show full text]
  • 72832 SSM News Nov06.Qxd
    society European Province St Michael’s Priory, Newport Road, Willen, of the Milton Keynes, MK15 9AA Telephone: 01908 242190 sacred E-mail: [email protected] St Antony’s Priory, 74 Claypath, Durham, DH1 1QT Telephone: 0191 384 3747 mission E-mail: [email protected] SSM Priory, 1 Linford Lane, Willen, Milton Keynes, MK15 9DL Telephone: 01908 663749 May 2017 E-mail: [email protected] MARK OAKLEY and THE SPLASH OF WORDS A. I am a Shropshire lad, born in Shrewsbury. “Shropshire born, Shropshire bred, strong in the body, thick in the head”. That’s a nice bit of poetry to launch us! I was born as an only child to parents who divorced when I was two years old, and I was really brought up by my grandparents. Because I was an only child stuck in the middle of sheep- laden fields, I developed an inner, imaginative life to get me through the days. I began to be interested in what you might call the inner life, who I am. I was very attracted to nature; in Shropshire there are beautiful landscapes. Then, one day, I just walked into a church. I was eleven years old, my family were not religious at all, and I can still smell the church now. It was obviously Harvest Festival. I went into this tiny church, and there were a few people dotted around and this man came out of a room in bright green. He started to say things, and I didn’t understand a word of it, but I was haunted by its beauty.
    [Show full text]
  • Psychosocial Care for Women in Shelter Homes
    National Institute of Mental Health & Neuro Sciences PSYCHOSOCIAL CARE FOR WOMEN IN SHELTER HOMES 2011 Supported by Copyright©: UNODC, 2011 Year of Publication: 2011 A publication of United Nations Office on Drugs and Crime Regional Office for South Asia EP 16/17, Chandragupta Marg Chanakyapuri New Delhi – 110 021 www.unodc.org/southasia Disclaimer : This document is published by the UNODC Regional Office for South Asia. The opinions expressed in this document do not necessarily represent the official policy of the United Nations Office on Drugs and Crime. The designations used do not imply the expression of any opinion whatsoever on the part of the United Nations concerning the legal status of any country, territory or area or of its authorities, frontiers or boundaries. This publication has not been formally edited. Language editor: Ms. Hamsa Sripathy Design: Yellow Ocher Printed by: Bright Services ACKNOWLEDGEMENTS UNODC is grateful to the team of NIMHANS, Bangalore, for developing this document: Principal Author: Dr. K. Sekar, Professor and Principal Investigator Support Team of Nimhans Dr. Prakashi Rajaram, Associate Professor and Co Investigator Dr. Kavita Jangam, Psychiatric Social Worker and Co Investigator Dr. E. Aravind Raj, Psychiatric Social Worker and Co Investigator Dr. M. N. Vranda, Senior Research Officer Dr. Grace Henry, Junior Research Officer UNODC Regional Office for South Asia Ms. Cristina Albertin, Representative Dr. Suruchi Pant, Deputy Representative Mr. R. Gunashekar, Regional Expert, HIV and AIDS Ms. Swasti Rana, Programme Associate i FOREWORD Trafficking of women and children is an organized crime that violates basic human rights. A core element of UNODC’s mandate under the U.N.
    [Show full text]