Assessing and Treating Patients With Psychosis and Schizophrenia

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ntroduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Decision Point One

Start Zyprexa (olanzapine) 10 mg orally at BEDTIME 

RESULTS OF DECISION POINT ONE

·   Client returns to clinic in four weeks

·   Her PANSS decreases to a partial response (decrease in positive symptoms by 25%)

·   She comes in today with a reported weight gain of 5 pounds. When questioned further on this point, she states that she can never seem to get full from her meals, so she is snacking constantly throughout the day 

Decision Point Two

Change medication to Geodon (ziprasidone) 40 mg orally BID with meals

RESULTS OF DECISION POINT TWO

·   Client returns to clinic in four weeks

·   Client has a significant reduction in her PANSS (reduction of 40% in positive symptoms) 

·   She notices her weight is down slightly from the previous visit (2 pounds) and that her hunger has been curbed since starting this med

·   

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·  BACKGROUND

·  The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month. 

·  Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control,” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.

·  During today’s assessment, she appears quite calm and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She says she knows this because the television is telling her so. 

·  She currently weighs 140 lbs., and she is 5’ 5.

·  

·  SUBJECTIVE

·  Client reports that her mood is “good.” She denies auditory/visual hallucinations but believes that the television talks to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards you but then calms down.

·  A review of her hospital records shows that she received a medical workup from physician, who reported her to be in overall good health. Lab studies were all within normal limits. 

·  Client admits that she stopped taking her Risperdal about a week after she got out of the hospital because she thinks her husband is going to poison her so that he can marry an American woman. 

·  

·  MENTAL STATUS EXAM

·  The client is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is slow and, at times, interrupted by periods of silence. Self-reported mood is euthymic. Affect is constricted. Although the client denies visual or auditory hallucinations, she appears to be “listening” to something. Delusional and paranoid thought processes as described above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.

·  You administer the PANSS which reveals the following scores:

·  -40 for the positive symptoms scale

·  -20 for the negative symptom scale

·  -60 for general psychopathology scale

·  Diagnosis: Schizophrenia, paranoid type

·  

·  RESOURCES

·  PANSS Scale. Available at: http://egret.psychol.cam.ac.uk/medicine/scales/PANSS 

·  § Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261–276. doi:10.1093/schbul/13.2.261

· https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf 

·  § Clozapine REMS Program. (n.d.). Clozapine REMS: A guide for healthcare providers. Retrieved September 7, 2016, from https://www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

·  http://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf

·  § Paz, Z., Nalls, M., and Ziv, E. (2011). The genetics of benign neutropenia. Israel Medical Association Journal, 13(10), 625–629. Retrieved from http://www.ima.org.il/FilesUpload/IMAJ/0/40/20149.pdf 

·   

·   

·   

·   

·   

·   She does complain that it is difficult to remember the second dose and admits to missing afternoon doses on several occasions over the past month 

Decision Point Three

Give the client a few test doses of Risperdal 1 mg orally BID for 3 days to see if she tolerates the medication. If tolerated, start Invega Sustenna at an appropriate starting and maintenance dose

Guidance to Student

Changing to Risperdal oral therapy to test for side effects and then switching to Invega Sustenna is a good option in a client who has problems with compliance and who shows good effect from oral therapy. The manufacturer advertises that clients can be switched from an entirely different medication to Invega Sustenna if tolerability can be shown through oral therapy. From a clinical standpoint, the client may or may not respond to the medication and therefore could be wasted time. Remember, manufacturers have a product to sell, and their information should always be verified before implementing in clinical practice. 

Although Geodon is recommended twice daily with meals, some providers will choose to give the dose once a day and monitor for efficacy in clients who have compliance issues with BID dosing regimens.

Latuda is a medication that behaves much like Geodon and is therefore a good option for someone who responds to Geodon but has compliance problems due to its once daily dosing schedule. Tolerability can be an issue as doses are escalated. Particularly, nausea, vomiting, and extrapyramidal side effects can be problematic and therefore good counseling points for clients. Clients usually tolerate lower doses (40 mg), but significant GI distress and movement disorders can occur when doses are pushed upward toward the daily max of 160 mg.

Create a Project Proposal

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The purpose of the project proposal is to describe a project (i.e., to describe how to automate or improve the automation of a specific business process) and then to explain how completing the project will positively affect the business.

Once a project proposal is accepted, project work can begin; therefore, a successful project proposal must include all of the information necessary for stakeholders to make a go/no-go decision, including a statement of scope, a list of the benefits you expect the proposed project to provide, and a rough estimate of how long it will take and how much it will cost to complete the project.

For this assignment, you will create a 3- to 4-page project proposal for the business scenario you selected earlier this week and that was approved by your instructor. For your project proposal, be sure to:

  • Complete the Project Proposal Template based on the business scenario you selected (and that was approved by your instructor) earlier this week. If you prefer, you may re-create the template using another software application of your choice, such as Microsoft Excel®.
  • Develop a project definition and scope that defines the project and articulates the business context for the project.
  • Identify problems that the proposed system is expected to solve (or opportunities the proposed project is expected to produce).
  • Create project objectives.
  • Create the project methodology or game plan.
  • Compile a high-level schedule for completing the project scope.

Journal: Advanced Human Services Professional Practice—Knowledge, Skills, and Abilities

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Each profession requires a unique combination of knowledge, skills, and abilities that differentiates it from other professions. The human services profession is no different. Becoming an effective advanced human services professional practitioner requires that you develop knowledge, skills, and abilities in many targeted areas, including social policy, information literacy, and program planning and evaluation.

For this Journal Assignment, you complete two professional assessments, which will help you determine the knowledge, skills, and abilities you already possess and those that you need to develop to be an effective leader in the field. Keep in mind that that you may have many gaps in your knowledge, skills, and abilities, given that you are just beginning your program of study. This is normal and can serve as a useful tool throughout the rest of the program to focus your efforts on those areas that require further development.

To Prepare

  • Complete the O*Net Interest Profiler, and review your results. Reflect on how your interests might influence the skills and abilities that come naturally to you. For instance, if you scored high on social interests, skills and abilities related to working with people may come more easily to you.
  • Complete the Human Services Assessment. Identify your strengths and limitations related to each of the categories in the assessment. Consider how your strengths and limitations in each area could influence your effectiveness as an advanced human services professional practitioner in a leadership position.

Submit a 1- to 2-page journal entry that addresses the following:

  • Based on the results of your human services assessment:
  • Describe two knowledge areas, skills, and/or abilities that you currently possess that could contribute to your effectiveness as an advanced human services professional practitioner in a leadership position. Explain how.
  • Describe two knowledge areas, skills, and/or abilities that you need to develop further to be an effective advanced human services professional practitioner in a leadership position. Explain two strategies you could use to develop the knowledge areas, skills, and/or abilities.

Effective strategies to relieve stress for students enrolled in online learning programs.

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 1. Submit the complete Literature Review section for the research paper you are writing. Please ensure that your Literature Review contains at least five (5) sources published within the last five years. Do not forget to provide the complete References list of the sources used in writing your Literature Review.

2.  Formulate the Research Methods for your selected topic. Please note that all students are to carry out a meta-analysis research method. Make sure that you incorporate all appropriate elements:

* the type of research used

* the step-by-step process of the research

* the tools used during the research

* how these tools were handled

Note: Remember that you should use the past tense, 3rd person, active or passive voice. 

 This is my work what I need is the references in both

1. Literature Review

The paper will begin with a background on the stress experienced by students enrolled in learning programs by putting it within the context of the Covid-19 pandemic, as presented in “Stress in Students after Lockdown Due to COVID-19 Threat and the Effects of Attending Online Classes,” which found that 69.8% of students are stressed about their studies (Raj & Fatima, 2020).

The paper will use information from the article “Understanding and Promoting Stress Management Practices Among College Students Through an Integrated Health Behavior Model”, which was published in the American Journal of Health Information in 2018. The article notes that college students are susceptible to undermanaged stress and its detrimental effects, and though they could use evidence-based stress reduction techniques (SRTs) to remedy this, many do not (Bistricky et al, 2018). The article provides a framework through which institutions can better serve students that are enrolled in online classes.

One such intervention was evaluated in the article “Evaluating an Online Stress Management Intervention for College Students,” which was published in the Journal of Counseling Psychology in 2016. The study found a number of effective techniques that reduce stress in online learners and focused on the intervention focused on present control because it has been found to be associated with a range of positive outcomes, including lower levels of depression, anxiety, and stress, controlling for a range of other variables (Hintz et al, 2016).

Going globally, the paper will analyze the efficacy of using web applications for stress management during the pandemic, as seen in a sample of Iranian college students in a study by Khademian et al (2020). This application outlines the implementation of techniques and strategies to help college students who are working online due to the pandemic.

Finally, the cumulative information will guide us to the most effective tips for successful online learning, as recommended by Walden University in their article “9 Stress Management Tips for Successful Online Learning,” found at Walden.edu. After all this, we will have enough information to decide how to best help online students reach their goals without being affected by stress.

Note: Missing References in APA format 7th Edition

2.  A meta-analysis method was performed in this study, to synthesize different results found between several studies. The MRU virtual library was used to access all the available research through the EBSCOhost databases. In an advanced search, the following keywords were used: “Students”, “Online”, and “Classes”. A limitation was set for research published within the last 5 years from February 2016 to February 2021 with articles published in English, Chinese, German, Korean, Polish, and Portuguese. The search provided access to 102 articles of which 1 of the studies was selected based on the topic and 101 were discarded. 

Professor Notes:  Please note that you need to incorporate at least five studies.  

second admenment

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Todd Patterson, a 33-year-old husband and father, is a proud gun owner who has multiple handguns, shotguns, and two automatic weapons. In this case an automatic weapon is defined as a firearm that continuously fires so long as the user presses the trigger and there is ammunition in the gun.

Todd has no criminal record. When he was 17 years old, after losing both his parents in a plane crash, he had a mental breakdown resulting in a six-month institutionalization. Todd lives in the fictitious state of Varneyland where he works as a social studies teacher and soccer coach at a local high school.

On a sunny morning in a neighboring state, a man with a history of mental illness enters an elementary school and kills 3 teachers and 10 students with an automatic assault rifle. In response to this shooting, many states across the country, including Varneyland, pass legislation requiring the registration of all automatic weapons. As part of the registration process, those seeking to register their automatic weapons are required to submit to a mental health background check.

In filling out the application to register his automatic weapon, Todd reveals his prior institutionalization, but also states that he has not had any mental health issues since he was a teenager. When the state of Varneyland conducts Todd’s mental health background check, it uncovers that Todd had a diagnosis of major depression with suicidal tendencies. Todd’s mental health records also reveal a history of self-harm.

Based on the review of Todd’s mental health records, Varneyland denies Todd’s application to register his automatic weapons and sends Todd a letter demanding that he forfeit his automatic weapons or risk criminal and civil penalties. Because Todd refuses to hand over his automatic weapons, the state police arrest him and charge him with possession of an unregistered automatic weapon (a felony crime under Varneyland law).

At his criminal trial, Todd argues that the registration requirements and his subsequent arrest are violations of his Second Amendment rights.

Based on recent case law, do you think that Todd’s arguments possess any merit? Please be sure to specifically discuss recent case law and how it affects Todd’s case. 

Please note that the recent 2nd Amendment case law can be used

What are Five-line Laser Levels for Builders

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What are Five-line Laser Levels for Builders?

Builders require more versatile laser levels that can project multiple laser lines at the same time. 5-line laser levels for cabinets and other building construction works are automatic self-leveling levels that could also come as rotary laser levels. They also come with great features that you may not find in many other laser levels. 5-line laser levels may come with tilt mode, flashing points, and alarm features, fine-tune rotation, and locking features for safety. The best cross line laser level should have better battery power to support several hours or days of leveling.

Five-Line Laser Levels are Fast-levelling and Provide Greater Output

Depending on the type of five-line laser level device you have, you may find a specific device with four vertical lines and one horizontal line. Some could come with three vertical laser lines plus two horizontal lines. Regardless of the number of vertical and horizontal line combinations, you will surely apply your laser level for multiple leveling simultaneously. Similarly, the ultra-range flashing prompt and alarm on the five-laser leveler provide greater output and high-speed leveling effects.

Five-line Laser Levels – Power and Safety Features

As the best laser level for builders, five-line laser levels do come with several safety features that make them convenient and safe for usage. The typical five-line laser level comes with a locking structure that ensures the device is locked when it is not being operated. There are low voltage tips plus a power indicator to allow you to monitor your power usage. With its fine-tuning rotation feature, you can adjust the operations of these laser levels to suit your needs and provide more convenience. As the best rated laser level for leveling, a five-point laser level comes with a battery that can offer more than 10 hours of continuous power supply.

What are the Other Features You Should Expect from Five-line Laser Levels?

A high degree of vertical and horizontal laser line accuracies are some of the best features you will find on five-line laser levels. The accuracies can vary from +/-1 nm/5m to +/- 2/5m. Working temperatures for most five-line laser levels can go from -10C to 50C degrees. Regarding power supply, five-line laser levels may be powered by disposable batteries or rechargeable batteries, depending on the brand. You may want to consider rechargeable batteries over disposable options because it takes a long time to replace such batteries, and that will save you more money in the long run.

The best laser level for cabinets should have adjustable feet to stabilize the device, especially on uneven terrain. Some of these laser levels come with an angle adjustment bracket and tripod that you may also purchase separately. Most five-point laser levels are designed for outdoor applications, and these options have more comprehensive ranges. Indoor five-point laser levels do come with shorter ranges and can handle most home-based applications. The best laser level for builders should come with a universal adapter for use in different regions. High-end five-point laser levels come with many years of manufacturer warranty.

Lorem Ipsum is not simply random text.

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Where does it come from? Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC, making it over 2000 years old.

law

Description
What is Lorem Ipsum?

Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has been the industry's standard dummy text ever since the 1500s, when an unknown printer took a galley of type and scrambled it to make a type specimen book. https://coolassignment.com/2021/06/06/homework-4/ It has survived not only five centuries, but also the leap into electronic typesetting, remaining essentially unchanged. It was popularised in the 1960s with the release of Letraset sheets containing Lorem Ipsum passages, and more recently with desktop publishing software like Aldus PageMaker including versions of Lorem Ipsum.



Why do we use it?

It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout. The point of using Lorem Ipsum is that it has a more-or-less normal distribution of letters, as opposed to using 'Content here, content here', making it look like readable English. Many desktop publishing packages and web page editors now use Lorem Ipsum as their default model text, and a search for 'lorem ipsum' will uncover many web sites still in their infancy. https://bestofassignment.com/english/write-about-the-history-of-the-english-language-where-change-in-the-spelling-sys/ Various versions have evolved over the years, sometimes by accident, sometimes on purpose (injected humour and the like).





Where does it come from?

Contrary to popular belief, Lorem Ipsum is not simply random text. It has roots in a piece of classical Latin literature from 45 BC, making it over 2000 years old. Richard McClintock, a Latin professor at Hampden-Sydney College in Virginia, looked up one of the more obscure Latin words, consectetur, from a Lorem Ipsum passage, and going through the cites of the word in classical literature, discovered the undoubtable source. Lorem Ipsum comes from sections 1.10.32 and 1.10.33 of "de Finibus Bonorum et Malorum" (The Extremes of Good and Evil) by Cicero, written in 45 BC. This book is a treatise on the theory of ethics, very popular during the Renaissance. The first line of Lorem Ipsum, "Lorem ipsum dolor sit amet..", comes from a line in section 1.10.32.



The standard chunk of Lorem Ipsum used since the 1500s is reproduced below for those interested. Sections 1.10.32 and 1.10.33 from "de Finibus Bonorum et Malorum" by Cicero are also reproduced in their exact original form, accompanied by English versions from the 1914 translation by H. Rackham.



Where can I get some?

There are many variations of passages of Lorem Ipsum available, but the majority have suffered alteration in some form, by injected humour, or randomised words which don't look even slightly believable. If you are going to use a passage of Lorem Ipsum, you need to be sure there isn't anything embarrassing hidden in the middle of text. All the Lorem Ipsum generators on the Internet tend to repeat predefined chunks as necessary, making this the first true generator on the Internet. It uses a dictionary of over 200 Latin words, combined with a handful of model sentence structures, to generate Lorem Ipsum which looks reasonable. https://homeworkhelpersblog.com/this-reflection-essay-should-be-in-an-informal-writing-style-please-cite-any-so/ The generated Lorem Ipsum is therefore always free from repetition, injected humour, or non-characteristic words etc.

Confict viewpoint

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Week 3 Assignment – Conflicting Viewpoints Essay: Part 1 The assignment is divided into two parts: the prewriting paper (Part 1) due this week, and the essay (Part 2) due in Week 5. Overview When looking for information about a particular issue, how often do you try to resist biases toward your own point of view? This assignment asks you to engage in this aspect of critical thinking by playing the “Believing Game.” The Believing Game is about making the effort to “believe,” or at least consider, the reasons for an opposing view on an issue. Instructions In the Week 2 Discussion, you examined the biases discussed in Chapter 2 of the webtext and reviewed one of the topics from “https://www.procon.org/”. You may use the same topic from this discussion or find another: Select one of the topics from “https://www.procon.org/”, state your position on the issue, and identify three premises (reasons) listed under either the Pro or Con section—whichever section opposes your position. For the three premises (reasons) that oppose your position on the issue, answer these “believing” questions suggested by Elbow: What’s interesting or helpful in this view? What would I notice if I believed this view? In what sense or under what conditions might this idea be true? Read the excerpt about critical thinking processes: The Believing Game and How to Make Conflicting Opinions More Fruitful [PDF]. Engage in prewriting to examine your thoughts. The paper should follow guidelines for clear and organized writing: Include an introductory paragraph and concluding paragraph. Address the main ideas in body paragraphs with a topic sentence and supporting sentences. Adhere to standard rules of English grammar, punctuation, mechanics, and spelling. This prewriting assignment has no page requirement. There is no requirement at this time to include references in the assignment.

Maintaining the security triad in an enterprise environment – Project paper and PPT

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PAPER

For your chosen or assigned topic, write an 8-page paper that must include all of the following:

  • Discuss the strengths/weakness of the topic and possible improvements.
  • Use at least one NIST resource as a reference.
  • Use a minimum of 10 peer-reviewed resources.
  • APA format; Times New Roman 12-point font.

The title page and reference page do not count towards your 8-page minimum.

PRESENTATION

  • A minimum of 10 slides.
  • The title slide and reference slide do not count towards your 10-slide minimum.
  • You MUST include speaker notes in your presentation.
  1. Required Slide Elements:
  • A title for each slide
  • A unified theme
  • Subtle slide animations appropriate for a business/academic environment
  • Diagrams or pictures as necessary (must include citations if needed)
  • Reference slide(s) using APA format. Place this at the end of your presentation
  1. Proofread your slides carefully for errors in spelling and grammar. Overall appearance counts. Consider how you can go beyond the project instructions to create an effective and visually pleasing presentation.

Using APA in a PowerPoint presentation works much the same way as in a research paper.

  • “Direct quotes” (Author/Source Material, Year)
  • Paraphrase (Author/Source Material, Year)
  • Clip Art – no citation needed
  • Personal photos – no citation needed
  • Images from the Web – assume that all images not your own are copyrighted and should receive credit with a full citation as the caption for the image.

Example: Figure1. Threat Analysis Group (TAG, 2018) Retrieved from www.website.com

  • References Slide(s): Provide complete citations as you would any research paper. Include all sources used in your slides or mentioned orally.

Essay – Deviant Behavior

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A definition of deviant behavior often depends upon historical circumstance. What was considered deviant a generation or two ago may not be considered deviant at all today. This assignment is an examination of our historical definitions of deviant behavior.

Thoroughly discuss one example of behavior that was considered deviant 50 years ago, but today is considered conventional or normal. Why is this behavior now considered normal? Using sociological theories and concepts from the course readings, and your own research, explain what changes in society have led to the acceptance of this once deviant behavior.

Next, thoroughly discuss one example of a behavior that was considered acceptable 50 years ago, but today is considered deviant. Why is this behavior now considered deviant? Using sociological theories and concepts from the course readings, and your own research, explain what changes in society have led to the rejection of this once acceptable behavior.

Conclude your paper with a prediction: what is one well-known deviant behavior exhibited today that may be considered acceptable in the future? Explain in detail why you think this behavior will be considered acceptable in the future. What is one well-known acceptable behavior exhibited today that may be considered deviant in the future? Explain in detail why you think this behavior will be considered deviant in the future.

Your essay should be 3-4 pages double spaced (not including your cover page and reference page). Please make sure to use academic sources to validate your discussion. Please format your paper in APA style formatting.