In adolescent males aged 12-18 diagnosed with depression (Population), how does Cognitive Behavioral Therapy (CBT) (Intervention) compare to antidepressant medication (SSRIs) or no treatment (Comparison) in improving depressive symptoms and daily functioning (Outcome)?

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.

In adolescent males aged 12-18 diagnosed with depression, how does Cognitive Behavioral Therapy (CBT) compare to antidepressant medication (SSRIs) or no treatment in improving depressive symptoms and daily functioning over a six-month period?

This research question explores the comparative effectiveness of CBT, SSRIs, and no treatment in improving depressive symptoms and daily functioning among adolescent males with depression.

Breakdown of Components:

  • Population (P): Adolescent males aged 12-18 diagnosed with depression.

  • Intervention (I): Cognitive Behavioral Therapy (CBT) delivered by a trained therapist.

  • Comparison (C):

    • SSRI Medication: Prescribed and monitored by a psychiatrist or physician.

    • No Treatment: Participants receive standard care, but no specific interventions for depression.

  • Outcome (O):

In adolescent males aged 12-18 diagnosed with depression, how does Cognitive Behavioral Therapy (CBT) compare to antidepressant medication (SSRIs) or no treatment in improving depressive symptoms and daily functioning over a six-month period?

This research question explores the comparative effectiveness of CBT, SSRIs, and no treatment in improving depressive symptoms and daily functioning among adolescent males with depression.

Breakdown of Components:

  • Population (P): Adolescent males aged 12-18 diagnosed with depression.

  • Intervention (I): Cognitive Behavioral Therapy (CBT) delivered by a trained therapist.

  • Comparison (C):

    • SSRI Medication: Prescribed and monitored by a psychiatrist or physician.

    • No Treatment: Participants receive standard care, but no specific interventions for depression.

  • Outcome (O):

    • Depressive Symptoms: Measured using validated depression scales, such as the Beck Depression Inventory (BDI) or Children’s Depression Inventory (CDI).
    • Daily Functioning: Assessed using measures of school performance, social engagement, and overall quality of life, such as the Child Behavior Checklist (CBCL) or the Pediatric Quality of Life Inventory (PedsQL).
  • Time (T): Six-month period following the initiation of treatment.

Rationale for the Study:

  • Understanding Treatment Options: This research is crucial for understanding the effectiveness of different treatment approaches for adolescent depression, providing evidence-based guidance for clinical practice.
  • Addressing Gender Differences: Depression often presents differently in males, and this study focuses specifically on adolescent males to better understand their unique needs and treatment responses.
  • Exploring CBT’s Potential: CBT has shown promise in treating depression, but its effectiveness in adolescents, particularly males, warrants further investigation.
  • Examining the Role of Medication: While SSRIs are commonly prescribed for depression, it’s important to compare their effectiveness with non-pharmacological therapies like CBT.
  • Understanding the Impact of No Treatment: Evaluating the outcomes of adolescents who receive no specific treatment for depression can highlight the importance of early intervention and guide treatment recommendations.

Study Design:

A randomized controlled trial (RCT) would be the most rigorous method to investigate this research question. Here’s a possible approach:

  1. Recruitment: Recruit adolescent males aged 12-18 diagnosed with depression.
  2. Randomization: Randomly assign participants to one of three groups: CBT, SSRI medication, or no treatment.
  3. Baseline Assessment: Collect baseline data on depressive symptoms, daily functioning, and relevant demographic and clinical characteristics.
  4. Intervention Delivery: Provide CBT to the CBT group, prescribe SSRIs to the SSRI group, and offer standard care to the no treatment group.
  5. Follow-Up Assessments: Administer the outcome measures (depression scales and daily functioning measures) at 3 months and 6 months after the start of the intervention.
  6. Data Analysis: Compare the changes in depressive symptoms and daily functioning across the three groups to determine the relative effectiveness of each intervention.

Ethical Considerations:

  • Informed Consent: Obtain informed consent from participants and their parents/guardians, ensuring that they understand the study’s risks and benefits.
  • Confidentiality: Maintain the confidentiality of all participant data.
  • Withdrawal: Participants should be allowed to withdraw from the study at any time without penalty.
  • Access to Treatment: All participants should have access to appropriate care, including mental health services, regardless of their group assignment.

Expected Outcomes:

  • CBT vs. No Treatment: CBT is expected to show significant improvements in depressive symptoms and daily functioning compared to no treatment.
  • CBT vs. SSRI Medication: The study might reveal comparable effectiveness between CBT and SSRI medication, or CBT might show a better effect on specific outcomes, such as social functioning or quality of life.
  • SSRI Medication vs. No Treatment: SSRIs are expected to show greater improvements compared to no treatment.

Limitations:

  • Generalizability: Findings may not be generalizable to all adolescent males with depression due to the specific study population.
  • Treatment Fidelity: Ensuring consistent delivery of CBT across therapists might be challenging.
  • Attrition: Participants may drop out of the study, potentially affecting the results.

Overall:

This research study holds the potential to contribute valuable insights into the effectiveness of different treatment approaches for adolescent depression in males. The findings could guide clinicians in selecting optimal treatment options and inform the development of more effective and personalized interventions for this vulnerable population.

thumb_upthumb_down

 

This question has been answered.

Get Answer