Psychological Affiliates Inc delivers Orlando patients state of the art Psychologists services. Our experts specialize in Family Counseling, Psychology and Collaborative Divorce Psychology.
In late October, a man by the name of Bryan Santana was accused of murdering his female roommate, Shelby Fazio, 23, and her pit bull, stealing her car and checkbook and attempting to kill a second roommate with a knife. Due to Santana's actions in his cell right before his trial, Judge Renee Roche ordered a mental examination. Our very own Jacquelyn Olander, a licensed psychologist here at Psychological Affiliates, was selected by the state to examine Santana's mental state. Dr. Olander told the judge that he was competent and she believed he was faking a mental illness, multiple personality disorder, to avoid the trial. Judge Roche found the psychologist's testimony credible, and ordered Santana's trial to begin.
Orlando Neuropsychological Evaluations are important because they can determine whether thinking skills, mood, or personality have been changed or affected by a neurological abnormality. The evaluation includes the establishment of a baseline by which changes in skills and personality can be compared over time, for purposes of monitoring the condition and deciding on appropriate treatments or courses of action. Neuropsychological evaluations also help the patient and their family make important decisions pertaining to personal responsibilities, work, and their lifestyle. Family members can be educated on how the disorder or abnormality affects the patient’s functioning, allowing them to understand and aid the patient more effectively. These evaluations also allow the patient’s supervising doctor access to information that can help them decide on medication or treatment methods. This may prevent unwanted side effects, and improved cognition. Neuropsychological evaluations are required for any person who is contemplating deep brain stimulation as a method of treatment, in order to identify whether such a treatment would be appropriate. These valuations can also allow doctors to make more specific diagnoses, especially when the neural dysfunction does not outwardly seem to have one specific, categorical cause. The brain does not tend to have clear-cut, distinct boundaries for functioning and cognition; if an injury or abnormality occurs within the brain, a plethora of disorders can result. With neuropsychological evaluations, neuropsychologists are given a much clearer picture of how the damaged areas are affecting the patient.
In a recent interview with Slate Magazine, Esther Perel, author and therapist, brings fresh perspectives to the age-old issue of infidelity. Surveys consistently show that most marriages/long-term relationships are touched by infidelity at some point. Ms. Perel cites research showing that very often, cheaters are basically happy with their marriages or relationships. This seems to be especially true for men. Most cheaters say they really do not want to leave their relationships, yet they are willing to take risks and seriously hurt their partners and families.
Esther Perel makes some excellent points in her interview. Key among them is her observation that what cheaters really are seeking is a different self. Through an affair, a different aspect of one’s personality is brought to life, often in an overwhelmingly intense manner. This intense activation of a perhaps long suppressed or previously unrecognized persona is the real unconscious goal rather than seeking to have a different lover.
Ms. Perel also draws a distinction between cheating and non-monogamy. She suggests that “examining monogamy is our next frontier.” Instead of the old roles of cheater and the cheated-upon, new relationship models are needed which can demonstrate how to respectfully handle the shades of grey around the many sexual/intimacy/friendship/digital issues that affect modern relationships.
Many couples still agree that sexual monogamy is their ideal. For these couples, a therapist can help impart and sharpen skills such as conflict resolution, caring behaviors, prioritization, and sexual enrichment. A therapist also can offer craving management to help relationships withstand challenges. For couples dealing with the aftermath of infidelity, a specific problem may need to be addressed, such as sexual avoidance or sexual addiction.
Other couples may mutually agree to explore more autonomy, self-expression, or personal fulfillment rather than cheating or lying to one another. Even an unconventional arrangement, such as swinging, requires relationship boundaries and expectations for both partners.
A qualified sex therapist can work within a couple’s value system to help improve their shared sexual satisfaction. Having the courage to address such delicate topics is a start. A therapist can help couples build upon that beginning by having both partners clarify their priorities and cultivate acceptance of one another.
Provided by Alan Grieco, Ph.D.