encroaching¡¡senility¡£¡¡What¡¡alternative¡¡psychological¡¡explanation¡¡could¡¡explain¡¡why¡¡some¡¡
elderly¡¡individuals¡¡develop¡¡beliefs¡¡that¡¡others¡¡are¡¡keeping¡¡them¡¡ignorant¡¡of¡¡the¡¡actual¡¡
condition¡¡of¡¡their¡¡health£»¡¡plotting¡¡against¡¡them£»¡¡etc¡££¿¡¡What¡¡myths¡¡or¡¡fallacies¡¡appear¡¡
prevalent¡¡in¡¡your¡¡classes£¿¡¡
4¡£¡¡Psychologists¡¡and¡¡sociologists¡¡have¡¡observed¡¡that¡¡certain¡¡homeless¡¡children¡¡have¡¡the¡¡
ability¡¡to¡¡¡°survive¡±¡¡their¡¡homeless¡¡experience¡¡in¡¡better¡¡psychological¡¡health¡¡than¡¡do¡¡some¡¡
others¡£¡¡Have¡¡the¡¡class¡¡speculate¡¡what¡¡conditions¡¡might¡¡predispose¡¡a¡¡given¡¡child¡¡to¡¡
survive£»¡±¡¡to¡¡suffer¡¡minimal¡¡negative¡¡impact¡¡from¡¡the¡¡experience¡¡of¡¡homelessness¡£¡¡What¡¡
makes¡¡some¡¡children¡¡resilient£»¡¡and¡¡not¡¡others£¿¡¡
5¡£¡¡What¡¡perceptions¡¡does¡¡the¡¡class¡¡have¡¡regarding¡¡day¡¡care£¿¡¡Is¡¡day¡¡care¡¡seen¡¡as¡¡an¡¡option¡¡for¡¡
child¡¡care£»¡¡or¡¡a¡¡necessity£¿¡¡What¡¡about¡¡employer¡sponsored¡¡day¡¡care¡¡centers¡£¡¡What¡¡
considerations¡¡are¡¡important¡¡to¡¡your¡¡students¡¡regarding¡¡this¡¡issue£¿¡¡
6¡£¡¡Discuss¡¡with¡¡the¡¡class¡¡the¡¡impact¡¡an¡¡individual¡¯s¡¡gender¡¡identity¡¡might¡¡have¡¡on¡¡his¡¡or¡¡her¡¡
sexual¡¡orientation¡£¡¡Have¡¡them¡¡consider¡¡how¡¡gender¡¡role¡¡behaviors¡¡and¡¡gender¡¡role¡¡
stereotypes¡¡fit¡¡into¡¡this¡¡discussion¡£¡¡
7¡£¡¡Discuss¡¡rites¡¡of¡¡passage£»¡¡nebulous¡¡though¡¡they¡¡may¡¡be£»¡¡in¡¡our¡¡Western¡¡culture¡£¡¡What¡¡
occasions¡¡mark¡¡our¡¡transition¡¡from¡¡one¡¡developmental¡¡stage¡¡of¡¡life¡¡to¡¡the¡¡next£¿¡¡How¡¡does¡¡
our¡¡culture¡¡acmodate¡¡and¡¡acknowledge¡¡these¡¡transitions£¿¡¡What¡¡impact¡¡do¡¡various¡¡
rites¡¡have¡¡on¡¡us¡¡as¡¡individuals£¿¡¡Do¡¡students¡¡feel¡¡our¡¡culture¡¡should¡¡have¡¡more¡¡concrete¡¡
rites¡¡of¡¡passage£»¡¡remain¡¡as¡¡is£»¡¡or¡¡have¡¡less£¿¡¡
8¡£¡¡What¡¡does¡¡the¡¡class¡¡think¡¡about¡¡¡°peer¡¡pressure¡±£¿¡¡Is¡¡it¡¡a¡¡viable¡¡phenomenon£»¡¡or¡¡a¡¡catchall¡¡
invented¡¡by¡¡parents¡¡and¡¡behavioral¡¡scientists¡¡in¡¡their¡¡attempts¡¡to¡¡¡°explain¡±¡¡the¡¡sometimes¡
annoying¡¡behaviors¡¡displayed¡¡by¡¡adolescents£¿¡¡When¡¡during¡¡development¡¡do¡¡individuals¡¡
feel¡¡it£»¡¡and¡¡when¡¡during¡¡development¡¡does¡¡it¡¡cease¡¡to¡¡influence¡¡thoughts£»¡¡feelings£»¡¡and¡¡
behavior£¿¡¡
199¡¡
PSYCHOLOGY¡¡AND¡¡LIFE¡¡
SUPPLEMENTAL¡¡LECTURE¡¡MATERIAL¡¡
The¡¡Effect¡¡of¡¡Divorce¡¡on¡¡Children¡¡
Divorce¡¡is¡¡troubling£»¡¡difficult£»¡¡and¡¡painful¡¡for¡¡children¡£¡¡Discuss¡¡with¡¡your¡¡class¡¡about¡¡the¡¡negative¡¡
effects¡¡a¡¡divorce¡¡might¡¡have¡¡on¡¡a¡¡child¡¡between¡¡the¡¡ages¡¡of¡¡2¡¡and¡¡12¡¡who¡¡lives¡¡with¡¡the¡¡mother¡¡and¡¡
visits¡¡with¡¡the¡¡father¡¡on¡¡alternate¡¡weekends¡£¡¡After¡¡mentioning¡¡the¡¡issues¡¡raised¡¡below£»¡¡ask¡¡the¡¡class¡¡
how¡¡the¡¡concerns¡¡may¡¡be¡¡eliminated¡£¡¡
¡£¡¡The¡¡child¡¡may¡¡feel¡¡that¡¡he¡¡or¡¡she¡¡caused¡¡the¡¡divorce¡£¡¡
¡£¡¡The¡¡child¡¡may¡¡feel¡¡that¡¡the¡¡father¡¡wouldn¡¯t¡¡have¡¡left¡¡if¡¡the¡¡father¡¡really¡¡loved¡¡him¡¡or¡¡her¡£¡¡
¡£¡¡The¡¡child¡¡may¡¡feel¡¡insecure¡£¡¡If¡¡one¡¡parent¡¡leaves£»¡¡the¡¡other¡¡may¡¡leave£»¡¡too¡£¡¡If¡¡the¡¡father¡¡is¡¡
unable¡¡to¡¡keep¡¡a¡¡weekend¡¡visit¡¡with¡¡the¡¡child£»¡¡the¡¡child¡¡may¡¡feel¡¡that¡¡he¡¡doesn¡¯t¡¡want¡¡to¡¡see¡¡
her¡¡or¡¡him¡£¡¡
¡£¡¡The¡¡child¡¡misses¡¡the¡¡things¡¡he¡¡or¡¡she¡¡did¡¡with¡¡the¡¡father£»¡¡and¡¡bees¡¡lonely¡¡when
thinking¡¡about¡¡games¡¡they¡¡played¡¡together¡£
¡£¡¡The¡¡child¡¡may¡¡have¡¡a¡¡conflict¡¡about¡¡loyalty¡¡to¡¡the¡¡parents¡£¡¡
¡£¡¡The¡¡parents¡¡may¡¡involve¡¡the¡¡child¡¡in¡¡their¡¡disputes£»¡¡or¡¡use¡¡the¡¡child¡¡as¡¡a¡¡pawn¡¡to
manipulate¡¡one¡¡another¡£
¡£¡¡Financial¡¡considerations¡¡may¡¡make¡¡it¡¡necessary¡¡for¡¡the¡¡mother¡¡to¡¡move£»¡¡and¡¡for¡¡the¡¡child¡¡to¡¡
change¡¡schools¡¡and¡¡make¡¡new¡¡friends¡£¡¡
¡£¡¡The¡¡mother¡¡may¡¡have¡¡less¡¡time¡¡for¡¡the¡¡child¡¡after¡¡the¡¡separation¡¡or¡¡divorce¡¡because¡¡of¡¡a¡¡job¡¡
outside¡¡of¡¡the¡¡home£»¡¡in¡¡addition¡¡to¡¡her¡¡usual¡¡responsibilities¡£¡¡
¡£¡¡The¡¡mother¡¯s¡¡own¡¡emotional¡¡turmoil¡¡over¡¡the¡¡divorce¡¡may¡¡make¡¡it¡¡difficult¡¡for¡¡her¡¡to¡¡
minister¡¡adequately¡¡to¡¡the¡¡child¡¯s¡¡needs¡£¡¡
¡£¡¡Although¡¡the¡¡child¡¡visits¡¡with¡¡the¡¡father¡¡on¡¡a¡¡bi¡weekly¡¡basis£»¡¡the¡¡child¡¡may¡¡not¡¡have¡¡
constant¡¡access¡¡to¡¡a¡¡male¡¡role¡¡model¡£¡¡
¡£¡¡The¡¡child¡¡may¡¡perceive¡¡female¡¡friends¡¡of¡¡the¡¡father¡¡and¡¡male¡¡friends¡¡of¡¡the¡¡mother¡¡as¡¡
threats¡¡to¡¡his¡¡or¡¡her¡¡relationship¡¡with¡¡the¡¡parent¡£¡¡
Alzheimer¡¯s¡¡Disease¡¡
A¡¡man¡¡in¡¡his¡¡late¡¡60¡¯s¡¡enters¡¡a¡¡hardware¡¡store£»¡¡and£»¡¡for¡¡a¡¡moment£»¡¡bees¡¡disoriented¡£¡¡He¡¡then¡¡
remembers¡¡that¡¡yesterday¡¡he¡¡was¡¡looking¡¡for¡¡the¡¡car¡¡keys¡¡that¡¡he¡¡already¡¡had¡¡in¡¡his¡¡hand¡£¡¡A¡¡
dreadful¡¡thought¡¡es¡¡to¡¡mind£º¡¡¡°Could¡¡I¡¡have¡¡Alzheimer¡¯s¡¡disease£¿¡±¡¡
Alzheimer¡¯s¡¡disease¡¡is¡¡named¡¡after¡¡the¡¡German¡¡psychiatrist£»¡¡Alois¡¡Alzheimer£»¡¡who¡¡first¡¡described¡¡it¡¡
in¡¡1907¡£¡¡The¡¡characteristic¡¡signs¡¡of¡¡Alzheimer¡¯s¡¡are¡¡abnormalities¡¡in¡¡and¡¡loss¡¡of¡¡neurons¡¡in¡¡the¡¡
areas¡¡of¡¡the¡¡brain¡¡known¡¡as¡¡the¡¡hippocampus¡¡and¡¡the¡¡cortex¡£¡¡As¡¡the¡¡disease¡¡advances£»¡¡
abnormalities¡¡of¡¡the¡¡brain¡¡can¡¡be¡¡identified¡¡with¡¡imaging¡¡techniques£»¡¡such¡¡as¡¡magnetic¡¡resonance¡¡
imaging¡¡£¨MRI£©£»¡¡but¡¡a¡¡definite¡¡diagnosis¡¡cannot¡¡be¡¡made¡¡until¡¡the¡¡brain¡¡tissue¡¡is¡¡examined¡¡after¡¡
death¡£¡¡
A¡¡book¡¡on¡¡dementias¡¡£¨dementia¡¡is¡¡Latin¡¡for¡¡madness£©¡¡published¡¡in¡¡1945£»¡¡claimed¡¡that¡¡to¡¡date¡¡only¡¡150¡¡
cases¡¡of¡¡Alzheimer¡¯s¡¡disease¡¡had¡¡been¡¡reported¡¡and¡¡that¡¡the¡¡disease¡¡was¡¡considered¡¡to¡¡be¡¡very¡¡rare¡£¡¡
At¡¡the¡¡time£»¡¡Alzheimer¡¯s¡¡was¡¡classified¡¡as¡¡pre¡senile¡¡dementia¡¡because¡¡the¡¡onset¡¡was¡¡thought¡¡to¡¡
occur¡¡before¡¡the¡¡age¡¡of¡¡65¡£¡¡For¡¡people¡¡over¡¡65£»¡¡virtually¡¡the¡¡same¡¡pattern¡¡of¡¡signs¡¡and¡¡symptoms¡¡was¡¡
diagnosed¡¡as¡¡senile¡¡dementia¡£¡¡The¡¡cause¡¡of¡¡Alzheimer¡¯s¡¡was¡¡unknown£»¡¡but¡¡senile¡¡dementia¡¡was¡¡
attributed¡¡to¡¡age¡£¡¡As¡¡a¡¡result¡¡of¡¡the¡¡similarity¡¡of¡¡most¡¡cases¡¡of¡¡senile¡¡dementia¡¡to¡¡Alzheimer¡¯s£»¡¡it¡¡
came¡¡to¡¡be¡¡known¡¡as¡¡senile¡¡dementia¡¡of¡¡the¡¡Alzheimer¡¯s¡¡type¡£¡¡In¡¡recent¡¡years£»¡¡the¡¡distinction¡¡based¡¡
on¡¡age¡¡of¡¡onset¡¡has¡¡gradually¡¡been¡¡dropped¡£¡¡Presently£»¡¡dementia¡¡is¡¡medically¡¡defined¡¡as¡¡a¡¡loss¡¡of¡¡
mental¡¡petence¡¡with¡¡significant¡¡decline¡¡from¡¡the¡¡person¡¯s¡¡former¡¡mental¡¡capability¡£¡¡
200¡¡
CHAPTER¡¡11£º¡¡HUMAN¡¡DEVELOPMENT¡¡ACROSS¡¡THE¡¡LIFE¡¡SPAN¡¡
Approximately¡¡5£¥¡¡of¡¡people¡¡over¡¡65¡¡develop¡¡Alzheimer¡¯s£»¡¡with¡¡the¡¡incidence¡¡rising¡¡to¡¡about¡¡20£¥¡¡in¡¡
those¡¡past¡¡the¡¡age¡¡of¡¡80¡£¡¡It¡¡is¡¡a¡¡degenerative¡¡disorder£»¡¡progressive¡¡in¡¡its¡¡destruction¡¡of¡¡functional¡¡
abilities£»¡¡is¡¡irreversible£»¡¡and¡¡terminal¡£¡¡At¡¡the¡¡present£»¡¡there¡¡is¡¡no¡¡known¡¡cure£»¡¡although¡¡some¡¡
medication¡¡has¡¡been¡¡approved¡¡for¡¡its¡¡treatment¡£¡¡Diminution¡¡and¡¡loss¡¡of¡¡short¡term¡¡memory¡¡is¡¡
generally¡¡the¡¡first¡¡indication¡¡of¡¡Alzheimer¡¯s¡£¡¡A¡¡set¡¡of¡¡questions¡¡designed¡¡to¡¡test¡¡the¡¡reality¡¡
orientation¡¡of¡¡the¡¡individual¡¡includes¡¡such¡¡questions¡¡as¡¡¡°Where¡¡do¡¡you¡¡live£¿¡±¡¡and¡¡¡°What¡¡day¡¡of¡¡
the¡¡week¡¡is¡¡it£¿¡±¡¡The¡¡individual¡¯s¡¡responses¡¡are¡¡one¡¡aspect¡¡of¡¡making¡¡tentative¡¡diagnosis¡¡in¡¡the¡¡early¡¡
stages¡¡of¡¡the¡¡disorder¡£¡¡Arriving¡¡at¡¡a¡¡tentative¡¡diagnosis¡¡of¡¡Alzheimer¡¯s¡¡also¡¡involves¡¡a¡¡process¡¡of¡¡
elimination¡£¡¡Organic¡¡brain¡¡disorders¡¡such¡¡as¡¡schizophrenia£»¡¡tumors£»¡¡and¡¡strokes¡¡must¡¡be¡¡ruled¡¡out¡¡
as¡¡potential¡¡causes¡¡of¡¡the¡¡symptoms¡¡being¡¡displayed¡¡by¡¡the¡¡patient¡¡before¡¡hazarding¡¡a¡¡tentative¡¡
diagnosis¡¡of¡¡Alzheimer¡¯s¡£¡¡
Following¡¡the¡¡initial¡¡loss¡¡of¡¡memory£»¡¡deterioration¡¡of¡¡cognitive¡¡functioning¡¡is¡¡noted¡¡and£»¡¡as¡¡the¡¡
disease¡¡progresses£»¡¡the¡¡individual¡¡gradually¡¡loses¡¡the¡¡ability¡¡to¡¡walk£»¡¡to¡¡feed¡¡him¡¡¡or¡¡herself£»¡¡and¡¡to¡¡
control¡¡the¡¡bladder¡¡and¡¡bowels¡£¡¡In¡¡the¡¡terminal¡¡stage¡¡of¡¡the¡¡disease£»¡¡the¡¡individual¡¡is¡¡reduced¡¡to¡¡a¡¡
vegetative¡¡state£»¡¡unaware¡¡of¡¡the¡¡presence¡¡of¡¡friends¡¡and¡¡family£»¡¡the¡¡surrounding¡¡environment£»¡¡and¡¡
even¡¡his¡¡or¡¡her¡¡own¡¡identity¡£¡¡Death¡¡usually¡¡occurs¡¡four¡¡to¡¡five¡¡years¡¡after¡¡onset£»¡¡but¡¡the¡¡range¡¡is¡¡two¡¡
to¡¡ten¡¡years¡£¡¡
The¡¡cause¡¡of¡¡Alzheimer¡¯s¡¡disease¡¡is¡¡not¡¡known¡£¡¡The¡¡disease£»¡¡or¡¡some¡¡form¡¡of¡¡it£»¡¡may¡¡be¡¡genetically¡¡
transmitted¡£¡¡There¡¡are¡¡similarities¡¡between¡¡Alzheimer¡¯s¡¡disease¡¡and¡¡Down¡¡syndrome¡£¡¡Down¡¡
syndrome¡¡is¡¡sometimes¡¡called¡¡Trisomy¡¡21¡¡to¡¡indicate¡¡the¡¡presence¡¡of¡¡three£»¡¡rather¡¡than¡¡two£»¡¡
chromosomes¡¡at¡¡the¡¡21st¡¡position¡£¡¡A¡¡gene¡¡on¡¡the¡¡same¡¡chromosome¡¡has¡¡been¡¡tentatively¡¡linked¡¡to¡¡
Alzheimer¡¯s¡£¡¡Other¡¡hypotheses¡¡about¡¡the¡¡causal¡¡agent¡¡for¡¡Alzheimer¡¯s¡¡include¡¡a¡¡slow¡acting¡¡virus¡¡
and¡¡toxic¡¡substances¡¡such¡¡as¡¡aluminum¡£¡¡Whatever¡¡the¡¡primary¡¡causal¡¡agent£»¡¡its¡¡presence¡¡is¡¡
believed¡¡to¡¡result¡¡in¡¡biochemical¡¡changes¡¡in¡¡the¡¡brain¡£¡¡These¡¡changes¡¡have¡¡been¡¡posited¡¡to¡¡include¡¡
reduction¡¡in¡¡the¡¡availability¡¡of¡¡one¡¡or¡¡more¡¡of¡¡the¡¡following¡¡substances£º¡¡acetylcholine£»¡¡a¡¡
neurotransmitter£»¡¡corticotropin¡releasing¡¡factor£»¡¡a¡¡hormone£»¡¡and¡¡ribonucleic¡¡acid¡¡£¨RNA£©¡£¡¡Another¡¡
change¡¡noted¡¡in¡¡brain¡¡tissue¡¡is¡¡the¡¡appearance¡¡of¡¡fibers¡¡in¡¡the¡¡cytoplasm¡¡of¡¡neurons¡£¡¡Dr¡£¡¡Alois¡¡
Alzheimer¡¡called¡¡these¡¡fibers¡¡neurofibrillary¡¡tangles¡£¡¡He¡¡also¡¡observed¡¡that¡¡some¡¡neurons¡¡appeared¡¡
to¡¡have¡¡shriveled£»¡¡with¡¡their¡¡dendrites¡¡deteriorating¡¡to¡¡the¡¡degree¡¡that¡¡the¡¡cell¡¡could¡¡no¡¡longer¡¡
function£»¡¡causing¡¡the¡¡neurons¡¡to¡¡collapse¡£¡¡Alzheimer¡¡referred¡¡to¡¡sections¡¡of¡¡the¡¡brain¡¡where¡¡clusters¡¡
of¡¡the¡¡collapsed¡¡neurons¡¡were¡¡found¡¡as¡¡neuritic¡¡plaques¡£¡¡
In¡¡spite¡¡of¡¡scientific¡¡advances¡¡in¡¡knowledge¡¡about¡¡Alzheimer¡¯s¡¡disease£»¡¡for¡¡the¡¡patient¡¡and¡¡the¡¡
patient¡¯s¡¡family£»¡¡the¡¡disease¡¡remains¡¡irreversible£»¡¡incurable£»¡¡and¡¡virtually¡¡untreatable¡£¡¡Custodial¡¡
care¡¡by¡¡a¡¡family¡¡member¡¡at¡¡home¡¡or¡¡in¡¡an¡¡institution¡¡is¡¡generally¡¡required¡¡as¡¡the¡¡disorder¡¡
progresses£»¡¡in¡¡order¡¡to¡¡prevent¡¡the¡¡patient¡¡from¡¡hurting¡¡him¡¡¡or¡¡herself¡¡or¡¡wandering¡¡off¡¡and¡¡getting¡¡
lost¡£¡¡The¡¡nature¡¡of¡¡the¡¡disease¡¡is¡¡best¡¡described¡¡as¡¡regressive¡¡in¡¡that¡¡a¡¡once¡petent¡¡adult¡¡loses¡¡
the¡¡ability¡¡to¡¡think¡¡rationally£»¡¡language¡¡deteriorates£»¡¡temper¡¡tantrums¡¡like¡¡those¡¡of¡¡early¡¡childhood¡¡
may¡¡occur£»¡¡motor¡¡skills¡¡are¡¡lost£»¡¡and¡¡finally£»¡¡with¡¡loss¡¡of¡¡the¡¡ability¡¡to¡¡feed¡¡oneself¡¡and¡¡to¡¡control¡¡the¡¡
bladder¡¡and¡¡bowels£»¡¡the¡¡regression¡¡to¡¡an¡¡infant¡like¡¡state¡¡is¡¡plete¡£¡¡
Critical¡¡Periods£º¡¡The¡¡Story¡¡of¡¡Genie¡¡
In¡¡1970£»¡¡a¡¡13¡year¡old¡¡girl¡¡was¡¡discovered¡¡in¡¡Los¡¡Angeles¡£¡¡Her¡¡name¡¡was¡¡Genie£»¡¡and¡¡the¡¡conditions¡¡
in¡¡which¡¡she¡¡was¡¡found¡¡were¡¡appalling¡£¡¡Genie¡¡had¡¡been¡¡treated¡¡like¡¡an¡¡animal¡¡since¡¡the¡¡age¡¡of¡¡20¡¡
months¡£¡¡She¡¡was¡¡confined¡¡to¡¡a¡¡small£»¡¡curtained¡¡room¡¡and¡¡spent¡¡most¡¡of¡¡her¡¡days¡¡strapped¡¡to¡¡a¡¡
potty¡chair£»¡¡unable¡¡to¡¡move¡¡except¡¡for¡¡her¡¡hands¡¡and¡¡feet¡£¡¡At¡¡night£»¡¡Genie¡¡was¡¡confined¡¡in¡¡a¡¡cage¡
like¡¡crib£»¡¡and¡¡restrained¡¡in¡¡a¡¡straightjacket¡type¡¡garment¡£¡¡She¡¡had¡¡no¡¡bowel¡¡or¡¡bladder¡¡control£»¡¡
could¡¡not¡¡stand¡¡in¡¡an¡¡erect¡¡posture£»¡¡was¡¡severely¡¡malnourished£»¡¡and¡¡was¡¡unable¡¡to¡¡chew¡¡solid¡¡
food¡£¡¡Genie¡¡was¡¡also¡¡mute£»¡¡she¡¡could¡¡not¡¡speak¡¡and¡¡could¡¡not¡¡understand¡¡language¡£¡¡The¡¡only¡¡
sounds¡¡she¡¡had¡¡ever¡¡heard¡¡were¡¡those¡¡made¡¡by¡¡her¡¡father¡¡on¡¡the¡¡occasions¡¡he¡¡beat¡¡her¡¡for¡¡crying¡¡or¡¡
making¡¡noises¡£¡¡Genie¡¡had¡¡been¡¡held¡¡prisoner¡¡by¡¡her¡¡father£»¡¡a¡¡man¡¡who¡¡never¡¡spoke¡¡to¡¡her£»¡¡and¡¡
201¡¡
PSYCHOLOGY¡¡AND¡¡LIFE¡¡
would¡¡not¡¡allow¡¡anyone¡¡else¡¡to¡¡do¡¡so¡£¡¡
Genie¡¡was¡¡removed¡¡from¡¡her¡¡father¡¯s¡¡custody£»¡¡and¡¡taken¡¡to¡¡Los¡¡Angeles¡¡Children¡¯s¡¡Hospital£»¡¡where¡¡
she¡¡was¡¡nursed¡¡back¡¡to