History of Present Illness: Patient is a 24 year old male. He has been on deployment for the past year where he sustained two traumatic brain injuries and lost several members of his unit during an explosion where he was the driver. Patient has been seen in primary care and treated with bupropion for depression and ativan for panic attacks. Patient has stated that over the past six weeks his mood has gotten worse. He was initially feeling depressed but now he states he has become more irritable and withdrawn. He has experienced nightmares, flashbacks, and intrusive thoughts of combat and the explosion. He also reported panic attacks while driving and has begun to avoid driving.

Assessment: Patient is alert and oriented. Voice is projected and speech is fast paced. Fidgets with hands while speaking. Patient appears irritable, ungroomed and distraught. Eye contact is not engaged.

Treatment Plan:

· Suicidal and homicidal evaluation

· Assess living circumstance and help with securing safe environment

· Enrollment in psychotherapy that uses Gestalt’s therapy

· Medication Regimen based on symptoms. SSRI such as Fluoxetine (Prozac), ativan for abortive treatment of anxiety, melatonin for sleep.

· Needs to be enrolled in either school or work program that allows for him to create productive time within his day

· Enrollment in group setting with others who are going thru PTSD as well

· Follow up appointment to discuss progress in all areas and how medication regimen is working out.

This patient’s treatment plan is based on the person as a whole. The Gestalt therapy has the goal of assisting the patient in restoring their organismic self-regulation system. A medication regimen based on symptoms will help alleviate discomforts while he is working through his mental state. The group therapy sessions can help the patient understand that he is not alone in the journey. There are other people who have experiences similar to his (Wheeler, 2020).

Wheeler, Kathleen. Psychotherapy for the Advanced Practice Psychiatric Nurse. Available from: VitalSource Bookshelf, (3rd Edition). Springer Publishing LLC, 2020.

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

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