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1 Undergraduate Studies  ePortfolio Noni Becker Industrial/Industrial Psychology 2010
Personal Statement Reflection of my education took me back twenty-three years of going to night school and raising a family.  The challenges of work, school and staying connected to the needs of my home and family.  Reading my transcripts I remember the challenges of Algebra and my instructor locking the door if we were 5 minutes late for class.
Personal Statement  Biology labs and having to dissect piglets was not one of my finest moments, geology class and learning what cumulus clouds were.  My strengths were always any psychological class and my weaknesses twenty-three years ago and currently is having to overcome any class associated with numbers.  Without the help of my husband I would not have passed my Statistics class.
Resume Noni Becker   53 North Sky Loop, Roswell, New Mexico575-910-6658 Work History   Nov 2008 – Present                   Kymera Independent Physicians Dr. Khorsand Roswell, NM Director of Administration and Finance   Administrative management of four multi-specialty medical offices. Under the direction of the CEO responsible for professional administrative services to assure efficient and smooth running operation of personnel and patient care.  Managed and worked directly with site managers to identify and resolve problems, review and evaluate work methods to access for efficiency and productivity.  Responsible for oversight of thirteen physicians to address administrative concerns, review RVU's to meet contract requirements, recruitment of future physicians, contract negotiations and credentialing requirements.  Assisted in negotiations with drug companies and insurance companies.  Review and approve all expenditures to meet monthly budgets.  Review EFT's for department requirements and review payroll to meet budgets and overtime guidelines.       2006 – Oct 2008                   Leprino Foods                                          Roswell, NM/Denver, Colorado Accounting Payroll Analyst   Payroll Analyst for 450 hourly employees.  Finance Department interfacing on a daily basis with creditors with a collection success rate of 98%.   Yield and Efficiency Analyst for Whey & Processing Production in Roswell.    
Resume 2003-2006Central Valley General Hospital	  Hanford, CA Site Supervisor – Family Health Clinic Managed schedules for physicians providing care to 250+ patients daily Supervised, trained, administered hospital policies and procedures, employee schedules, medical records, all administrative staff Patient complaints, labor, supply and cost budgets, JCAHO, HIPPA,  EEOC, USERRA   2002-2003Dr. Wiley M Elick	Hanford, CA Public Relations/Marketing/Account Auditor Increased production and patient flow from 50 to 70 patients daily Marketing of general dentists in surrounding areas for surgery center Audited accounting practices and training of 25 employees   1999-2000US Census Bureau	Roswell, NM District Manager Trained 600 employees for canvassing of Chaves, Eddy and Lea County. Audited day to day operations of incoming census reports Met goals of Bureau timelines to contact 2000 homes daily  
Resume  1994-2000Pecos Valley Dairy Sales	Roswell, NM Accounting/Full-charge Bookkeeper Accounting of auction cattle sales of $500,000 weekly, Payroll, Quarterly Reports, P&L statements. Meet state and federal testing requirements of cattle and reporting Supervise 10 employees and schedule incoming/outgoing transport Education   West Hills College, Lemoore, California       Metro State, Denver, Colorado        Argosy University B.A. Industrial/Organizational Psychology Master's in Hospital Management – in progress will graduate December 2011 Skills Bilingual – Spanish   Management – Solid background in planning and executing plans.  Developed communication skills to train staff to accomplish tasks.  Seven years experience in physician practice management.     Accounting – Ability to comprehend and implement accounting practices, cost accounting, profit & loss statements and financial budgets.  Payroll and filing of quarterly payroll taxes.   Software Programs Used - Word, Excel, Quattro-Pro, Publisher, Quicken, Peachtree, AS400, Quick Books, Infinium, CMS, SAP, Kronos, Practice Partners   Volunteer – Esperanza House, King County Domestic Violence Center, King County Rape Crisis Center   Additional Work Experience is Medical/Dental as Office Manager from 1980 – 1993    
Reflection Reflection of my education took me back 23 years of going to night school and raising a family.  The challenges of work, school and staying connected to the needs of my home and family.  Reading my transcripts I remember the challenges of Algebra and my instructor locking the door if we were 5 minutes late for class.  Biology labs and having to dissect piglets was not one of my finest moments, geology class and learning what cumbulus clouds were.  My strengths were always any psychological class and my weaknesses twenty-three years ago and to now having to overcome any class associated with numbers.  Without the help of my husband I would not have passed my Statistics class.
Table of Contents Cognitive Abilities: Critical Thinking and Information Literacy Research Skills Communication Skills: Oral and Written Ethics and Diversity Awareness Foundations of Psychology Applied Psychology Interpersonal Effectiveness
Cognitive Abilities: Critical Thinking and Information Literacy Thanatology is the study of dying and bereavement. In our society, there seems to be a taboo when talking about or dealing with death. Many people considered studying dying people very cold and heartless, but many more people know and understand everyone must die for the world to continue. 	In the 1950s and 60s, social scientists and psychologists began to explore the dying process. Programs were developed to provide counseling and therapy for dying individuals and their family members. The goal was to help them to better understand and cope with what was happening. Generally, counseling for dying patients and the family is based on a model that goes through a series of stages or phases. One of the first theories to address dying was Elizabeth Kubler-Ross' Stages of Dying. Since her early work, there have been a number of persons who have explored the processes of dying, grief, bereavement, and mourning. The impact of the aging and/or disease process on a person who is terminally ill 	Each person responds to news of terminal illness in his or her unique way. Responses can be fear, excitement, anger, loss, grief, denial, hope or any combination of emotions.  Becoming aware of this response is to discover how you will live with terminal illness. Find people who will encourage you to teach them how you feel. There is no right or wrong way for you to think and feel.  	The terminal illness will almost surely leave you feeling fatigued. Your abilityto think clearly and make decisions may be impaired. And your low energy level may naturally slow you down. Respect what your body and mind are telling you. Nurture yourself. Get enough rest. Eat balanced meals. Lighten your schedule as much as possible. The impact of acceptance the dying process and how individuals can create a legacy with their families in a humane acceptance of the reality of death	  	Knowing you will die offers you a special privilege: saying good-bye to those you love. When you feel you are ready, consider how you will say good-bye. You might set aside a time to talk to each person individually. Or, if you are physically up for it, you might have a gathering for friends and family. Other ways of saying good-bye include writing letters, creating videotapes and passing along keepsakes.Your survivors will cherish forever your heartfelt good-byes.  
Cognitive Abilities: Critical Thinking and Information Literacy   The impact of social structures on the process of death and dying	  	Many of us grew up believing, “Do it on your own so you don’t have to depend on anyone else.” But confronting a terminal illness cannot and should not be done alone. As difficult as it may be for you, you must reach out to your fellow human beings. Most of us know whom we feel comfortable turning to when we are under stress. Whom do you turn to? Give yourself permission to reach out for prayers, support and practical assistance.   Influences that contribute to the socio-emotional development of people as they cope with the issues of death and dying	 	If faith is part of your life, express it in ways that seem appropriate to you. You may find comfort and hope in reading spiritual texts, attending religious services or praying. Allow yourself to be around people who understand and support your religious beliefs. If you are angry at God because of your illness, realize that this is a normal and natural response. Find someone to talk to who won’t be critical of whatever thoughts and feelings you need to explore. 	For people who experience normal reactions and who are not seen as being at particularly high risk for adverse consequences of bereavement, the support of family and friends, perhaps augmented by some type of mutual support interventions, will generally be sufficient. However, for people who define themselves or who are seen by others in the community as continuing to be overwhelmed by their grief (or unable to grieve), psychotherapeutic interventions may be warranted. 	For most people, bereavement triggers a long and painful process in which one's emotional, social, and physiological functioning may be substantially altered for more than a year. Everyone needs information and support to help them get through this stressful time.
Research Skills   Public School Students Increased Odds of Becoming Adult Smokers   To understand some of the reasons why people start smoking we need to research if some of the reasons that people start smoking are attributed to exposure in school.  If we can define that, some of the exposure is through the school system we can better prepare to educate students in the earlier grades of risks of smoking and difficulties as adults for smoking cessation.   The system used was a quantitative method.  The quantitative approach is logic-based and the objective method and better designed in measuring behavior.  My research paper is based on two variables; the independent variable, which affects measurable responses, that are dependent variables in a cause and effect manner.   The independent variables in this research paper were graduating students that were smokers or non-smokers as adults.  The dependant variables were students that had graduated from public schools or home-schooled.   	Participants – The research was conducted in Roswell, New Mexico.  The participants were recruited through the Roswell Daily Record.  Participants were volunteers and were asked to please e-mail nbecker.kymera@yahoo.com to receive a questionnaire.  Received 45 responses and 30 were invited to participate.  15 were home schooled over the age of 18 and 15 were public school students over the age of 18.  Participants were 20 female and 10 male.   	Materials – Ad in the Roswell Record, which published Nov 29, 2009 through Dec 2, 2009.  E-mail address for responses, questionnaire and excel spreadsheet for statistics. 	Procedure – Instructed participants to fill out the questionnaire in detail and return in to my e-mail address.  When I received the questionnaires, I reviewed them so that they all met the same measurements.  Measurements were 1) home-schooled that graduated from high school = 1 point 2) public schooled that graduated from high school = 1 point; over the age of 18.   The control variables in this research were participants home-schooled and participant's public schooled.
Research Skills   			Graduated High School	Smoke	Non Smokers Home Schooled		15	     4	        11 Public Schooled		15	   10	          7     The results were that there is a tendency for public school students to have an increased tendency to become smokers as adults.  Further research needs to be conducted for accuracy of the test subjects.  Some other variables that may affect these results are the age groups that participated and what participants were exposed to smoking in the home.
Communication Skills: Oral and Written   Selection interview - Interviewing an unhappy employee   	The purpose of this interview is to meet with an employee that has been unhappy and has been very vocal about how he has been mistreated in his department and was overlooked for a promotion within his department.  I want to be able to establish rapport with the employee and listen and lead him to find a solution to the problems he perceives. 	I first established rapport with Dan by introducing myself to him and letting him know that I heard he was having some difficulties within his department and I would like to see how I could help him.  That I was certain we would be able to resolve any problems so that everyone would be in a better position to work together.   	My first few questions to Dan were open-ended questions asking him to please share with me what he felt was happening in his department to make him feel that he was being treated unfairly.  During this 5 minute explanation I listened intently and with nonverbal cues smiled, encouraged him to go on with nodding my head and at times burrowing my eyebrows.  At one point I reached out to him when he became angry and paused to encourage him to continue.  I became confused when he said that he had overhead some of the other employees had been whispering that he wasn’t qualified for the job, so I asked him how did he know that they were speaking about him.   	As I viewed the main interaction I felt that I showed support and interest in what he was saying.  I did not interrupt him but encouraged him to be more specific in certain areas of his conversation.   	After Dan told me how he felt I asked him several questions about the job in the department that he had applied for and what were the qualifications.  He told me he had all the experience to do the job but didn’t have the degree in finance that was required, but that he felt his experience would be sufficient.  This gave me the opening I needed to try and have Dan see that this position was a management entry position that would become a supervisory position in another department.   I told him that this position needed the finance degree and asked him if he was willing to further his education, our company had benefits to help employees further their education so that they could advance with the company.
Communication Skills: Oral and Written Critique Introduction:    _5__Included a statement of the purpose of the interview _2__Addressed limits of confidentiality _5__Gave a statement that establishes that the critique is on the student _5__Provided an open-ended beginning   Body of the interview:   _5__Showed listening (verbal and non-verbal) _5__Established rapport _5__Asked questions and follow-up for clarity and understanding? _4__Avoided assuming _3__Avoided problem solving _4__Could sit in silence when appropriate _5__Showed empathy/support/respect/acceptance
Communication Skills: Oral and Written _3__Smoothly transitioned between topics _4__Used summarizing skills _3__Used time of interview appropriately _3__Smoothly transitioned into closing   Closing: _2__Stayed within the 30-minute time frame _3__Summarized before ending _3__Asked volunteer if there is anything else and reminded them when coming to a close _5__Acknowledged the volunteer’s time and willingness to participate _4__Articulated well 			Graduated High School	Smoke	Non Smokers Home Schooled		15	     4	        11 Public Schooled		15	   10	          7     The results were that there is a tendency for public school students to have an increased tendency to become smokers as adults.  Further research needs to be conducted for accuracy of the test subjects.  Some other variables that may affect these results are the age groups that participated and what participants were exposed to smoking in the home.
Ethics and Diversity Awareness Joe violated the ACA Code of Ethics Confidentiality, Privileged Communication, and Privacy and the APA Code of Conduct Privacy and Confidentiality when he decided to contact Jill's boss and informed him that he was counseling her.  Joe being specific about why she was in counseling was irrelevant just giving the information that she was in counseling violated the Privacy and Confidentiality Code of Ethics  (ACA Code of Ethics, 2005) (Ethical Principles of Psychologists and Code of Conduct, 2002).      American Counseling Association Code of Ethics  B.1.c Respect for Confidentiality   Counselors do not share confidential information without client consent or without sound legal or ethical justification.ACA Code of Ethics, 2005).  Exceptions to breach confidentiality are (1) danger and legal requirements; (2) contagious, life-threatening diseases;  (3) court-ordered disclosure; (4) minimal disclosure.   American Psychological Association Ethical Principles of Psychologists and Code of Conduct 4.01 Maintaining Confidentiality    Psychologists have a primary obligation and take reasonable precautions to protect confidential information obtained through or stored in any medium, recognizing that the extent and limits of confidentiality may be regulated by law or established by institutional rules or professional or scientific relationship. (Ethical Principles of Psychologists and Code of Conduct, 2002).
Ethics and Diversity Awareness     4.05 Disclosures   Psychologists disclose confidential information without the consent of the individual only as mandated by law, or where permitted by law for a valid purpose such as to (1) provide needed professional services; (2) obtain appropriate professional consultations; (3) protect the client/patient, psychologist, or others from harm; or (4) obtain payment for services from a client/patient, in which instance disclosure is limited to the minimum that is necessary to achieve the purpose . (Ethical Principles of Psychologists and Code of Conduct, 2002).   	The American Counseling Association and American Psychological Association are similar in their guidelines of confidentiality.  Both recognize that trust is a cornerstone of the counseling relationship.  Counselors aspire to earn the trust of clients by creating an ongoing partnership, establishing and upholding appropriate boundaries, and maintaining confidentiality  Perfectly indicated.   Does this include AIDS?  This is interesting…how would you explain this?
Foundations of Psychology     Sally is a 33-year-old European-American woman who says that she has been depressed and anxious since her adolescence. During the interview, you ask if she experienced any depression or anxiety prior to her adolescence. She says she doesn’t know because she has almost no memory of her childhood prior to age 13. She has taken a variety of antidepressants, including Tricyclics, SSRIs, Welbutrin, and Effexor; however, none of these have helped much. She has refused psychotherapy in the past, saying she doesn’t want to think about things that happened to her. She reports having frequent nightmares but refuses to elaborate further. She gets startled easily and has many fears. She has come to the hospital to participate in the therapeutic milieu because she experiences increasing suicidal ideation. You refer her to a psychologist for her inpatient stay, suggesting that this kind of service might be helpful to her. Later, the psychologist who is treating her discusses her case in a hospital staffing. You are invited to attend the staffing as a member of her treatment team — when Sally came to the hospital, she signed an informed consent that said that hospital employees involved in her care would discuss her progress. The psychologist explains that Sally has disclosed to him a history of sadistic child abuse along with significant memory and time loss. Because you are a trainee, the psychologist is also interested in your opinions about this case. The psychologist asks you to explain:   What might be the cause of her memory problems?   I think that Sally is suffering from Post-Traumatic Stress Disorder. PTSD is an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD include violent personal assaults, natural or human-caused disasters, accidents, or military combat.  
Foundations of Psychology Sally’s is showing signs of Avoidance symptoms such as: Staying away from places, events, or objects that are reminders of the experience  Feeling emotionally numb  Feeling strong guilt, depression, or worry  Losing interest in activities that were enjoyable in the past  Having trouble remembering the dangerous event. Things that remind a person of the traumatic event can trigger avoidance symptoms. These symptoms may cause a person to change his or her personal routine. For example, after a bad car accident, a person who usually drives may avoid driving or riding in a car.     Sally is also showing  Hyperarousal symptoms: Being easily startled Feeling tense or “on edge”  Having difficulty sleeping, and/or having angry outbursts. Hyperarousal symptoms are usually constant, instead of being triggered by things that remind one of the traumatic event. They can make the person feel stressed and angry. These symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating. It’s natural to have some of these symptoms after a dangerous event. Sometimes people have very serious symptoms that go away after a few weeks. This is called acute stress disorder, or ASD. When the symptoms last more than a few weeks and become an ongoing problem, they might be PTSD. Some people with PTSD don’t show any symptoms for weeks or months.
Foundations of Psychology  Why have the antidepressants not helped her much?    The main treatments for people with PTSD are psychotherapy (“talk” therapy), medications, or both. Everyone is different, so a treatment that works for one person may not work for another. It is important for anyone with PTSD to be treated by a mental health care provider who is experienced with PTSD. Some people with PTSD need to try different treatments to find what works for their symptoms (NIMH, 2009). If someone with PTSD is going through an ongoing trauma, such as being in an abusive relationship, both of the problems need to be treated. Other ongoing problems can include panic disorder, depression, substance abuse, and feeling suicidal. Sally did not get psychotherapy and the medication may have suppressed her trauma but ultimately without the counseling needed any of these medications would not heal her mental anxiety and stress. Your supervisor asks you to review the work that you have done so far as a trainee for the patient education program of the neurology, psychiatry, and neurosurgery service, and to address the following issues:    Explain ethics or diversity issues that need to be considered in the educational and referral services that you provided.  Explain to what degree sensitivity to diversity is an ethical issue.   Understanding the impact of difference and diversity on peoples lives and it’s implications for working practices Develop strategies to handle the emotional and physical impact of own practice, seeking appropriate support where necessary, with good awareness of boundary issues. Awareness of limits of competence/appropriate level of autonomy Manage own personal learning needs Use supervision to reflect on practice and make appropriate use of feedback
Foundations of Psychology Work constructively and collaboratively, respecting diverse view points   If we do not as professionals use the above tools we may have a tendency to diagnose and treat patients and do harm.  We need to ethically always be collaborating with other professionals in this regard.    
Applied Psychology  Leadership and power are closely linked. People tend to follow those who are powerful. In addition, because others follow, the person with power leads.  The Power and Influence Approach to leadership states, "leadership is best understood by the use of the power and influence exercised by a person with a group (Muchinsky, 2009, p. 414).   Our lecture notes (Argosy, 2009) suggest that power is the leader's potential to influence the attitudes and behaviors of others.   David's team members describe him with attributes of an excellent leader.  French and Raven have described five bases of power.  The five steps or bases of power that leaders may have include the following: Reward Power - This results from one person's ability to compensate another for compliance.  David has the ability to measure his staff's behavior and performance and offer incentives through raises and bonuses   Coercive Power - This comes from the belief that a person can punish others for noncompliance. David is able to approve or disapprove changes in their work schedule including vacations.     Legitimate Power – This comes from the belief that a person has the right to make demands, and expect compliance and obedience from others. As a supervisor, employees see David in a role of authority.   Expert Power – This is based on a person's superior skill and knowledge.  The assignment does not give specific experience or education that David may have.  My assumption is that when David was hired he met the education and experience for his supervisory position.  His leadership skills in relation to managing staff through setting clear job guidelines and the ability to successfully assign responsibilities that fit the needs of the department leads me to believe that he has these expert power leadership skills.  
Applied Psychology Referent Power - This is the result of a person's perceived attractiveness, worthiness, and right to respect from others. David shows respect and consideration for his staff, giving them the tools through training opportunities, incentives and delegating assignments and projects.  His staff refers to him with any problems and issues because of his consideration, flexibility and approachable leadership style.   In the five bases of power listed, I have noted how David's leadership skills are relevant to each base.  Legitimate power is used as a daily influence on routine matters, reward power is beneficial to encourage and reinforce positive behavior, coercive power is used to reverse negative behavior and expert and referent power are used to help motivate in tasks that are challenging.   These five bases of power are not limited to those in authority.  Employees that demonstrate an expertise in specific jobs, for example a billing clerk that has experience and extensive knowledge in insurance coding. Her knowledge will influence others effectively because of their skills and personal qualities.     David's ability to give clear expectations so that employees giving them the ability to measure their own performance and adjust to meet their goals.  David is approachable as a supervisor and employees have the confidence in his supervisor skills to treat him as an expert and refer to him with any challenges they may have.     The LBDQ is the Leader Behavior Description Questionnaire.  This questionnaire is a detailed questionnaire designed to describe how leaders behave. Two dimensions that David has shown high marks are consideration for his employees and initiating structure within his department.  Anyone is capable of holding power and influencing others: you do not need to have an important job title or a big office. However, if you recognize the different forms of power, you can avoid being influenced by those who use the less effective types of power - and you can focus on developing expert and referent power for yourself. This will help you become an influential and positive leader (Mind Tools, n.d.).
Interpersonal Effectiveness
Interpersonal Effectiveness
Interpersonal Effectiveness
Interpersonal Effectiveness
My Future in Learning Being a lifelong learner doesn't end with a degree but starts when we are born and continues until we die.  My academic education has been a challenge but also been such a rewarding experience.  Watching my sons mature and go to college and surpass me academically challenged me to continue my education.  Through these many years of education and life experiences I feel I am better equipped to assist those that need therapy and will devote my attributes to being a contributor to our society.
Contact Me Thank you for viewing my ePortfolio. For further information, please contact me at the e-mail address below.  sndjsb@cableone.net

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Au Psy492 M7 A3 E Portf Becker N.Doc

  • 1. 1 Undergraduate Studies ePortfolio Noni Becker Industrial/Industrial Psychology 2010
  • 2. Personal Statement Reflection of my education took me back twenty-three years of going to night school and raising a family. The challenges of work, school and staying connected to the needs of my home and family. Reading my transcripts I remember the challenges of Algebra and my instructor locking the door if we were 5 minutes late for class.
  • 3. Personal Statement Biology labs and having to dissect piglets was not one of my finest moments, geology class and learning what cumulus clouds were. My strengths were always any psychological class and my weaknesses twenty-three years ago and currently is having to overcome any class associated with numbers. Without the help of my husband I would not have passed my Statistics class.
  • 4. Resume Noni Becker   53 North Sky Loop, Roswell, New Mexico575-910-6658 Work History   Nov 2008 – Present Kymera Independent Physicians Dr. Khorsand Roswell, NM Director of Administration and Finance   Administrative management of four multi-specialty medical offices. Under the direction of the CEO responsible for professional administrative services to assure efficient and smooth running operation of personnel and patient care. Managed and worked directly with site managers to identify and resolve problems, review and evaluate work methods to access for efficiency and productivity. Responsible for oversight of thirteen physicians to address administrative concerns, review RVU's to meet contract requirements, recruitment of future physicians, contract negotiations and credentialing requirements. Assisted in negotiations with drug companies and insurance companies. Review and approve all expenditures to meet monthly budgets. Review EFT's for department requirements and review payroll to meet budgets and overtime guidelines.     2006 – Oct 2008 Leprino Foods Roswell, NM/Denver, Colorado Accounting Payroll Analyst   Payroll Analyst for 450 hourly employees. Finance Department interfacing on a daily basis with creditors with a collection success rate of 98%. Yield and Efficiency Analyst for Whey & Processing Production in Roswell.  
  • 5. Resume 2003-2006Central Valley General Hospital Hanford, CA Site Supervisor – Family Health Clinic Managed schedules for physicians providing care to 250+ patients daily Supervised, trained, administered hospital policies and procedures, employee schedules, medical records, all administrative staff Patient complaints, labor, supply and cost budgets, JCAHO, HIPPA, EEOC, USERRA   2002-2003Dr. Wiley M Elick Hanford, CA Public Relations/Marketing/Account Auditor Increased production and patient flow from 50 to 70 patients daily Marketing of general dentists in surrounding areas for surgery center Audited accounting practices and training of 25 employees   1999-2000US Census Bureau Roswell, NM District Manager Trained 600 employees for canvassing of Chaves, Eddy and Lea County. Audited day to day operations of incoming census reports Met goals of Bureau timelines to contact 2000 homes daily  
  • 6. Resume  1994-2000Pecos Valley Dairy Sales Roswell, NM Accounting/Full-charge Bookkeeper Accounting of auction cattle sales of $500,000 weekly, Payroll, Quarterly Reports, P&L statements. Meet state and federal testing requirements of cattle and reporting Supervise 10 employees and schedule incoming/outgoing transport Education   West Hills College, Lemoore, California Metro State, Denver, Colorado Argosy University B.A. Industrial/Organizational Psychology Master's in Hospital Management – in progress will graduate December 2011 Skills Bilingual – Spanish   Management – Solid background in planning and executing plans. Developed communication skills to train staff to accomplish tasks. Seven years experience in physician practice management.   Accounting – Ability to comprehend and implement accounting practices, cost accounting, profit & loss statements and financial budgets. Payroll and filing of quarterly payroll taxes.   Software Programs Used - Word, Excel, Quattro-Pro, Publisher, Quicken, Peachtree, AS400, Quick Books, Infinium, CMS, SAP, Kronos, Practice Partners   Volunteer – Esperanza House, King County Domestic Violence Center, King County Rape Crisis Center   Additional Work Experience is Medical/Dental as Office Manager from 1980 – 1993    
  • 7. Reflection Reflection of my education took me back 23 years of going to night school and raising a family. The challenges of work, school and staying connected to the needs of my home and family. Reading my transcripts I remember the challenges of Algebra and my instructor locking the door if we were 5 minutes late for class. Biology labs and having to dissect piglets was not one of my finest moments, geology class and learning what cumbulus clouds were. My strengths were always any psychological class and my weaknesses twenty-three years ago and to now having to overcome any class associated with numbers. Without the help of my husband I would not have passed my Statistics class.
  • 8. Table of Contents Cognitive Abilities: Critical Thinking and Information Literacy Research Skills Communication Skills: Oral and Written Ethics and Diversity Awareness Foundations of Psychology Applied Psychology Interpersonal Effectiveness
  • 9. Cognitive Abilities: Critical Thinking and Information Literacy Thanatology is the study of dying and bereavement. In our society, there seems to be a taboo when talking about or dealing with death. Many people considered studying dying people very cold and heartless, but many more people know and understand everyone must die for the world to continue. In the 1950s and 60s, social scientists and psychologists began to explore the dying process. Programs were developed to provide counseling and therapy for dying individuals and their family members. The goal was to help them to better understand and cope with what was happening. Generally, counseling for dying patients and the family is based on a model that goes through a series of stages or phases. One of the first theories to address dying was Elizabeth Kubler-Ross' Stages of Dying. Since her early work, there have been a number of persons who have explored the processes of dying, grief, bereavement, and mourning. The impact of the aging and/or disease process on a person who is terminally ill Each person responds to news of terminal illness in his or her unique way. Responses can be fear, excitement, anger, loss, grief, denial, hope or any combination of emotions. Becoming aware of this response is to discover how you will live with terminal illness. Find people who will encourage you to teach them how you feel. There is no right or wrong way for you to think and feel. The terminal illness will almost surely leave you feeling fatigued. Your abilityto think clearly and make decisions may be impaired. And your low energy level may naturally slow you down. Respect what your body and mind are telling you. Nurture yourself. Get enough rest. Eat balanced meals. Lighten your schedule as much as possible. The impact of acceptance the dying process and how individuals can create a legacy with their families in a humane acceptance of the reality of death   Knowing you will die offers you a special privilege: saying good-bye to those you love. When you feel you are ready, consider how you will say good-bye. You might set aside a time to talk to each person individually. Or, if you are physically up for it, you might have a gathering for friends and family. Other ways of saying good-bye include writing letters, creating videotapes and passing along keepsakes.Your survivors will cherish forever your heartfelt good-byes.  
  • 10. Cognitive Abilities: Critical Thinking and Information Literacy   The impact of social structures on the process of death and dying Many of us grew up believing, “Do it on your own so you don’t have to depend on anyone else.” But confronting a terminal illness cannot and should not be done alone. As difficult as it may be for you, you must reach out to your fellow human beings. Most of us know whom we feel comfortable turning to when we are under stress. Whom do you turn to? Give yourself permission to reach out for prayers, support and practical assistance.   Influences that contribute to the socio-emotional development of people as they cope with the issues of death and dying If faith is part of your life, express it in ways that seem appropriate to you. You may find comfort and hope in reading spiritual texts, attending religious services or praying. Allow yourself to be around people who understand and support your religious beliefs. If you are angry at God because of your illness, realize that this is a normal and natural response. Find someone to talk to who won’t be critical of whatever thoughts and feelings you need to explore. For people who experience normal reactions and who are not seen as being at particularly high risk for adverse consequences of bereavement, the support of family and friends, perhaps augmented by some type of mutual support interventions, will generally be sufficient. However, for people who define themselves or who are seen by others in the community as continuing to be overwhelmed by their grief (or unable to grieve), psychotherapeutic interventions may be warranted. For most people, bereavement triggers a long and painful process in which one's emotional, social, and physiological functioning may be substantially altered for more than a year. Everyone needs information and support to help them get through this stressful time.
  • 11. Research Skills   Public School Students Increased Odds of Becoming Adult Smokers   To understand some of the reasons why people start smoking we need to research if some of the reasons that people start smoking are attributed to exposure in school. If we can define that, some of the exposure is through the school system we can better prepare to educate students in the earlier grades of risks of smoking and difficulties as adults for smoking cessation. The system used was a quantitative method. The quantitative approach is logic-based and the objective method and better designed in measuring behavior. My research paper is based on two variables; the independent variable, which affects measurable responses, that are dependent variables in a cause and effect manner. The independent variables in this research paper were graduating students that were smokers or non-smokers as adults. The dependant variables were students that had graduated from public schools or home-schooled. Participants – The research was conducted in Roswell, New Mexico. The participants were recruited through the Roswell Daily Record. Participants were volunteers and were asked to please e-mail nbecker.kymera@yahoo.com to receive a questionnaire. Received 45 responses and 30 were invited to participate. 15 were home schooled over the age of 18 and 15 were public school students over the age of 18. Participants were 20 female and 10 male. Materials – Ad in the Roswell Record, which published Nov 29, 2009 through Dec 2, 2009. E-mail address for responses, questionnaire and excel spreadsheet for statistics. Procedure – Instructed participants to fill out the questionnaire in detail and return in to my e-mail address. When I received the questionnaires, I reviewed them so that they all met the same measurements. Measurements were 1) home-schooled that graduated from high school = 1 point 2) public schooled that graduated from high school = 1 point; over the age of 18. The control variables in this research were participants home-schooled and participant's public schooled.
  • 12. Research Skills   Graduated High School Smoke Non Smokers Home Schooled 15 4 11 Public Schooled 15 10 7     The results were that there is a tendency for public school students to have an increased tendency to become smokers as adults. Further research needs to be conducted for accuracy of the test subjects. Some other variables that may affect these results are the age groups that participated and what participants were exposed to smoking in the home.
  • 13. Communication Skills: Oral and Written   Selection interview - Interviewing an unhappy employee   The purpose of this interview is to meet with an employee that has been unhappy and has been very vocal about how he has been mistreated in his department and was overlooked for a promotion within his department. I want to be able to establish rapport with the employee and listen and lead him to find a solution to the problems he perceives. I first established rapport with Dan by introducing myself to him and letting him know that I heard he was having some difficulties within his department and I would like to see how I could help him. That I was certain we would be able to resolve any problems so that everyone would be in a better position to work together. My first few questions to Dan were open-ended questions asking him to please share with me what he felt was happening in his department to make him feel that he was being treated unfairly. During this 5 minute explanation I listened intently and with nonverbal cues smiled, encouraged him to go on with nodding my head and at times burrowing my eyebrows. At one point I reached out to him when he became angry and paused to encourage him to continue. I became confused when he said that he had overhead some of the other employees had been whispering that he wasn’t qualified for the job, so I asked him how did he know that they were speaking about him. As I viewed the main interaction I felt that I showed support and interest in what he was saying. I did not interrupt him but encouraged him to be more specific in certain areas of his conversation. After Dan told me how he felt I asked him several questions about the job in the department that he had applied for and what were the qualifications. He told me he had all the experience to do the job but didn’t have the degree in finance that was required, but that he felt his experience would be sufficient. This gave me the opening I needed to try and have Dan see that this position was a management entry position that would become a supervisory position in another department. I told him that this position needed the finance degree and asked him if he was willing to further his education, our company had benefits to help employees further their education so that they could advance with the company.
  • 14. Communication Skills: Oral and Written Critique Introduction:   _5__Included a statement of the purpose of the interview _2__Addressed limits of confidentiality _5__Gave a statement that establishes that the critique is on the student _5__Provided an open-ended beginning   Body of the interview:   _5__Showed listening (verbal and non-verbal) _5__Established rapport _5__Asked questions and follow-up for clarity and understanding? _4__Avoided assuming _3__Avoided problem solving _4__Could sit in silence when appropriate _5__Showed empathy/support/respect/acceptance
  • 15. Communication Skills: Oral and Written _3__Smoothly transitioned between topics _4__Used summarizing skills _3__Used time of interview appropriately _3__Smoothly transitioned into closing   Closing: _2__Stayed within the 30-minute time frame _3__Summarized before ending _3__Asked volunteer if there is anything else and reminded them when coming to a close _5__Acknowledged the volunteer’s time and willingness to participate _4__Articulated well Graduated High School Smoke Non Smokers Home Schooled 15 4 11 Public Schooled 15 10 7     The results were that there is a tendency for public school students to have an increased tendency to become smokers as adults. Further research needs to be conducted for accuracy of the test subjects. Some other variables that may affect these results are the age groups that participated and what participants were exposed to smoking in the home.
  • 16. Ethics and Diversity Awareness Joe violated the ACA Code of Ethics Confidentiality, Privileged Communication, and Privacy and the APA Code of Conduct Privacy and Confidentiality when he decided to contact Jill's boss and informed him that he was counseling her. Joe being specific about why she was in counseling was irrelevant just giving the information that she was in counseling violated the Privacy and Confidentiality Code of Ethics (ACA Code of Ethics, 2005) (Ethical Principles of Psychologists and Code of Conduct, 2002).     American Counseling Association Code of Ethics B.1.c Respect for Confidentiality   Counselors do not share confidential information without client consent or without sound legal or ethical justification.ACA Code of Ethics, 2005). Exceptions to breach confidentiality are (1) danger and legal requirements; (2) contagious, life-threatening diseases;  (3) court-ordered disclosure; (4) minimal disclosure.   American Psychological Association Ethical Principles of Psychologists and Code of Conduct 4.01 Maintaining Confidentiality   Psychologists have a primary obligation and take reasonable precautions to protect confidential information obtained through or stored in any medium, recognizing that the extent and limits of confidentiality may be regulated by law or established by institutional rules or professional or scientific relationship. (Ethical Principles of Psychologists and Code of Conduct, 2002).
  • 17. Ethics and Diversity Awareness     4.05 Disclosures   Psychologists disclose confidential information without the consent of the individual only as mandated by law, or where permitted by law for a valid purpose such as to (1) provide needed professional services; (2) obtain appropriate professional consultations; (3) protect the client/patient, psychologist, or others from harm; or (4) obtain payment for services from a client/patient, in which instance disclosure is limited to the minimum that is necessary to achieve the purpose . (Ethical Principles of Psychologists and Code of Conduct, 2002).   The American Counseling Association and American Psychological Association are similar in their guidelines of confidentiality. Both recognize that trust is a cornerstone of the counseling relationship. Counselors aspire to earn the trust of clients by creating an ongoing partnership, establishing and upholding appropriate boundaries, and maintaining confidentiality  Perfectly indicated.  Does this include AIDS?  This is interesting…how would you explain this?
  • 18. Foundations of Psychology     Sally is a 33-year-old European-American woman who says that she has been depressed and anxious since her adolescence. During the interview, you ask if she experienced any depression or anxiety prior to her adolescence. She says she doesn’t know because she has almost no memory of her childhood prior to age 13. She has taken a variety of antidepressants, including Tricyclics, SSRIs, Welbutrin, and Effexor; however, none of these have helped much. She has refused psychotherapy in the past, saying she doesn’t want to think about things that happened to her. She reports having frequent nightmares but refuses to elaborate further. She gets startled easily and has many fears. She has come to the hospital to participate in the therapeutic milieu because she experiences increasing suicidal ideation. You refer her to a psychologist for her inpatient stay, suggesting that this kind of service might be helpful to her. Later, the psychologist who is treating her discusses her case in a hospital staffing. You are invited to attend the staffing as a member of her treatment team — when Sally came to the hospital, she signed an informed consent that said that hospital employees involved in her care would discuss her progress. The psychologist explains that Sally has disclosed to him a history of sadistic child abuse along with significant memory and time loss. Because you are a trainee, the psychologist is also interested in your opinions about this case. The psychologist asks you to explain:   What might be the cause of her memory problems?   I think that Sally is suffering from Post-Traumatic Stress Disorder. PTSD is an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD include violent personal assaults, natural or human-caused disasters, accidents, or military combat.  
  • 19. Foundations of Psychology Sally’s is showing signs of Avoidance symptoms such as: Staying away from places, events, or objects that are reminders of the experience Feeling emotionally numb Feeling strong guilt, depression, or worry Losing interest in activities that were enjoyable in the past Having trouble remembering the dangerous event. Things that remind a person of the traumatic event can trigger avoidance symptoms. These symptoms may cause a person to change his or her personal routine. For example, after a bad car accident, a person who usually drives may avoid driving or riding in a car.     Sally is also showing Hyperarousal symptoms: Being easily startled Feeling tense or “on edge” Having difficulty sleeping, and/or having angry outbursts. Hyperarousal symptoms are usually constant, instead of being triggered by things that remind one of the traumatic event. They can make the person feel stressed and angry. These symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating. It’s natural to have some of these symptoms after a dangerous event. Sometimes people have very serious symptoms that go away after a few weeks. This is called acute stress disorder, or ASD. When the symptoms last more than a few weeks and become an ongoing problem, they might be PTSD. Some people with PTSD don’t show any symptoms for weeks or months.
  • 20. Foundations of Psychology  Why have the antidepressants not helped her much?   The main treatments for people with PTSD are psychotherapy (“talk” therapy), medications, or both. Everyone is different, so a treatment that works for one person may not work for another. It is important for anyone with PTSD to be treated by a mental health care provider who is experienced with PTSD. Some people with PTSD need to try different treatments to find what works for their symptoms (NIMH, 2009). If someone with PTSD is going through an ongoing trauma, such as being in an abusive relationship, both of the problems need to be treated. Other ongoing problems can include panic disorder, depression, substance abuse, and feeling suicidal. Sally did not get psychotherapy and the medication may have suppressed her trauma but ultimately without the counseling needed any of these medications would not heal her mental anxiety and stress. Your supervisor asks you to review the work that you have done so far as a trainee for the patient education program of the neurology, psychiatry, and neurosurgery service, and to address the following issues:   Explain ethics or diversity issues that need to be considered in the educational and referral services that you provided. Explain to what degree sensitivity to diversity is an ethical issue.   Understanding the impact of difference and diversity on peoples lives and it’s implications for working practices Develop strategies to handle the emotional and physical impact of own practice, seeking appropriate support where necessary, with good awareness of boundary issues. Awareness of limits of competence/appropriate level of autonomy Manage own personal learning needs Use supervision to reflect on practice and make appropriate use of feedback
  • 21. Foundations of Psychology Work constructively and collaboratively, respecting diverse view points   If we do not as professionals use the above tools we may have a tendency to diagnose and treat patients and do harm. We need to ethically always be collaborating with other professionals in this regard.    
  • 22. Applied Psychology  Leadership and power are closely linked. People tend to follow those who are powerful. In addition, because others follow, the person with power leads. The Power and Influence Approach to leadership states, "leadership is best understood by the use of the power and influence exercised by a person with a group (Muchinsky, 2009, p. 414). Our lecture notes (Argosy, 2009) suggest that power is the leader's potential to influence the attitudes and behaviors of others. David's team members describe him with attributes of an excellent leader. French and Raven have described five bases of power. The five steps or bases of power that leaders may have include the following: Reward Power - This results from one person's ability to compensate another for compliance. David has the ability to measure his staff's behavior and performance and offer incentives through raises and bonuses   Coercive Power - This comes from the belief that a person can punish others for noncompliance. David is able to approve or disapprove changes in their work schedule including vacations.   Legitimate Power – This comes from the belief that a person has the right to make demands, and expect compliance and obedience from others. As a supervisor, employees see David in a role of authority.   Expert Power – This is based on a person's superior skill and knowledge. The assignment does not give specific experience or education that David may have. My assumption is that when David was hired he met the education and experience for his supervisory position. His leadership skills in relation to managing staff through setting clear job guidelines and the ability to successfully assign responsibilities that fit the needs of the department leads me to believe that he has these expert power leadership skills.  
  • 23. Applied Psychology Referent Power - This is the result of a person's perceived attractiveness, worthiness, and right to respect from others. David shows respect and consideration for his staff, giving them the tools through training opportunities, incentives and delegating assignments and projects. His staff refers to him with any problems and issues because of his consideration, flexibility and approachable leadership style.   In the five bases of power listed, I have noted how David's leadership skills are relevant to each base. Legitimate power is used as a daily influence on routine matters, reward power is beneficial to encourage and reinforce positive behavior, coercive power is used to reverse negative behavior and expert and referent power are used to help motivate in tasks that are challenging.   These five bases of power are not limited to those in authority. Employees that demonstrate an expertise in specific jobs, for example a billing clerk that has experience and extensive knowledge in insurance coding. Her knowledge will influence others effectively because of their skills and personal qualities.   David's ability to give clear expectations so that employees giving them the ability to measure their own performance and adjust to meet their goals. David is approachable as a supervisor and employees have the confidence in his supervisor skills to treat him as an expert and refer to him with any challenges they may have.   The LBDQ is the Leader Behavior Description Questionnaire. This questionnaire is a detailed questionnaire designed to describe how leaders behave. Two dimensions that David has shown high marks are consideration for his employees and initiating structure within his department. Anyone is capable of holding power and influencing others: you do not need to have an important job title or a big office. However, if you recognize the different forms of power, you can avoid being influenced by those who use the less effective types of power - and you can focus on developing expert and referent power for yourself. This will help you become an influential and positive leader (Mind Tools, n.d.).
  • 28. My Future in Learning Being a lifelong learner doesn't end with a degree but starts when we are born and continues until we die. My academic education has been a challenge but also been such a rewarding experience. Watching my sons mature and go to college and surpass me academically challenged me to continue my education. Through these many years of education and life experiences I feel I am better equipped to assist those that need therapy and will devote my attributes to being a contributor to our society.
  • 29. Contact Me Thank you for viewing my ePortfolio. For further information, please contact me at the e-mail address below. sndjsb@cableone.net