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aN iMPERFECT LIFE

What You Should Know about Service dogs

2/23/2015

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When you come to my office for a visit, you will see that I have a service dog. His name is Cupido, he's hypoallergenic. He will be in a kennel for your first visit to the office. Most of the time - you won't even know he's there. 

A lot of individuals are not familiar with service dogs. I decided to put some information together. 

What is a service animal?
As defined by the Americans with Disabilities Act (ADA), a service dog (or miniature horse) is one that performs a task for the benefit of a person with a disability.

What is a disability?
It is any physical or mental condition that substantially limits major life activity. Some disabilities are not visible, such as deafness, epilepsy, diabetes, and psychological conditions.

What are some tasks that service animals can perform for someone with a disability? 
-Guide people who are visually impaired
-Alert epileptics to an impending seizure or protect them during a seizure
-Retrieve dropped items
-Help a person rise after a fall

How can I be sure a dog is a service animal and not just a pet?
 If a person wants to bring their dog into a public place, the only questions allowable are, “Is that a service animal?” and, “What task does s/he perform?” Asking about the person’s disability or requiring that you watch the animal perform the task are in violation of the person’s rights.


Service Dog Manners
When you meet a person with a service animals, please remember that the dog is working. Don’t do anything to interrupt the service animal while it is performing its tasks.

Some guidelines for interacting with people who use service animals:  
·     Speak to the person first. Do not aim distracting or rude noises at the animal.
·     Do not touch the service animals without asking for, and receiving, permission.
·     Do not offer food to the service animal.
·     Do not ask personal questions about the handler’s disability.
·     Don’t be offended if the handler does not wish to chat about the service animal. 
·     Do not ask for a demonstration. 

About Heather's Service Dog:
My service dog is named Cupido, he is a Lagotto Romagnolo, a rare breed from Italy. Cupido is a gluten-detecting service dog. He is one of just a few gluten detecting dogs in the world. Cupido does not need to taste my food or touch my food to know if there is gluten in it - he simply smells it and lets me know. 

For more information about Cupido, go to: www.gofundme.com/celiacservicedog, www.facebook.com/celiacservicedog, www.celiacservicedog.org.

A gluten-detecting service dog can be obtained by contacting Maja Golob, K9 Services in Slovenia. You can reach her at: www.hydrargium.si, [email protected].

Thank you to Pet Partners for some of this content. (875 124th Ave NE, Bellevue, WA 98005, 425.679.5500, www.petpartners.org)



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Attachment Theory and Childhood Trauma

2/18/2015

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According to Bessel A. Van der Kolk (2003), “it is virtually impossible to discuss trauma in children without addressing the quality of the parental attachment bond." Attachment is “an inborn system in the brain that evolves in ways that influence and organize motivational, emotional, and memory processes with respect to significant care giving figures” (Siegel, 1999). Attachment provides a sense of security, helps with regulation of affect and arousal, facilitates expression of feelings and communication and provides a base for exploration (Davies, 1999). 
            
John Bowlby (1988) in Developmental Psychiatry Comes of Age describes the patterns of attachment. Secure attachment is consistent with a healthy development where the person is confident in their caregiver’s responsiveness (Bowlby, 1988). The child is confident that the caregiver will be available and helpful in adverse situations (Bowlby, 1988). The second pattern of attachment is the anxious resistant attachment where the child is uncertain whether or not the caregiver will be available when needed (Bowlby, 1988). Last is the anxious avoidant attachment pattern where the child has no confidence in their caregiver’s responsiveness, which can often lead to the development of a personality disorder (Bowlby, 1988).

Another type of attachment pattern has been identified by Mary Main (Davies, 1999). This attachment pattern is disorganized/disoriented attachment (Davies, 1999). The children who relate with this attachment pattern are often contradictory in their behavior and were more likely to have experienced trauma (Davies, 1999). It is important to note that 80% of traumatized children have disorganized attachment patterns (Van der Kolk, 2003).

Abuse demonstrates a sense of helplessness in the attachment relationship. It is important to note that “Disorganized/disoriented behavior is expectable whenever an infant is markedly frightened by its primary haven(s) of safety, i.e. the attachment figure(s)” (Hesse & Main, 2000). There is a push and pull relationship demonstrated when the child feels obligated to be with their primary caregiver while being afraid of them.  

Victims of abuse may demonstrate dissociative symptomatology and social difficulties if they have a disorganized/disoriented attachment pattern (Siegel, 1999). Chronically traumatized children lack capacity for emotional self-regulation (Van der Kolk, 2003; Siegel, 1999). Children who have experienced trauma tend to react in a fight-or-flight or freeze reaction (Van der Kolk, 2003). These are totalistic reactions that keep them from being able to learn from their experience (Van der Kolk, 2003).

Attachment theory aids in understanding childhood trauma. This is the lens that many trauma informed clinicians will refer to when considering treatment. I have extensive training in attachment theory and the implications the theory when considering trauma. I feel honored to share the journey of recovery with clients. 

Please email me to get a listing of references for this post. 

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Perspectives of Having Celiac Disease and Eating Disorders

2/5/2015

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The issue of eating disorders among individuals with celiac disease is a growing concern; yet, it receives little clinical research attention. The purpose of the research completed in 2012 was to explore perspectives of individuals who have celiac disease and eating disorders. The research sought to learn more about the development of eating disorders and celiac disease for individuals, how individuals perceive the interaction between the two disorders, and what individuals think would be beneficial in treating these comorbid diseases? 

Using a qualitative design, nine individuals agreed to be interviewed about their experience of having celiac disease and an eating disorder. Data was analyzed using both inductive and deductive approaches which categories were first developed from the interview responses and linked to previous literature. 

The findings indicated that there is a significant interaction between celiac disease and eating disorders. The celiac disease often made it more “convenient” for participants to engage in their restrictive eating disorder symptoms. There is a continued need for ongoing research in this area of celiac disease and eating disorders.

An executive summary is available of this research. 
exec_summary_perspectives_of_having_celiac_disease_and_eating_disorders.pdf
File Size: 147 kb
File Type: pdf
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