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Habit versus Addiction

The earlier a problematic behavior or habit is addressed, the less likely it is to progress into a more severe addiction.

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Habit versus Addiction: Case Study

Discover how a young seminary student learns to manage his video game usage in a healthier way.

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The Imperfection of Perfectionism

Setting high standards for ourselves can stimulate personal growth and push us to reach a peak level of performance. These high expectations can become problematic, however, when they are unrealistically high and inflexible.

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The Imperfection of Perfectionism: Case Study

Lukenotes, Spring 2019 Case Study: Father John Father John, 35, recently was assigned to be parochial vicar for an active suburban parish. He previously had been in a smaller parish. Father Michael, the pastor at his new assignment, began to notice that Fr. John seemed constantly stressed, irritable, and absent-minded. He observed that he was […]

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Gratitude as a Daily Practice: Case Study

Lukenotes, Winter 2018 Father Tom requested to come to treatment. Nine months earlier his mother had died, leaving him with no direct family. At the time, he immediately felt a significant decline in his mood, almost like he had fallen off a cliff. He told himself this was normal grief, but instead, “normal” just seemed […]

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Gratitude as a Daily Practice

Lukenotes, Winter 2018 One may define gratitude as “the quality of being thankful.” Alternatively, we can think of it as an attitude, emotion, personal trait, or behavioral practice. However it is conceived, the quality of being grateful is a foundational component of daily social exchange and can carry deep meaning both on interpersonal and intrapersonal […]

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Support Team: Case Study

CASE STUDY by Father Ken Phillips, TOR Father Richard had just finished six months of residential treatment at Saint Luke Institute. Now it was time for him to assemble his support team. One of the people he asked to serve on it was Mary, a former parishioner who had also worked for him as his […]

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Is it ADHD?: Case Study

Lukenotes, Winter 2017 Father Alex came to Saint Luke Institute for an evaluation at the request of his diocese’s vicar for clergy. Father had gone to him, feeling his priesthood was falling apart. He was stressed, could not seem to manage time, kept jumping between projects, and felt completely overwhelmed. During his evaluation, the 42-year-old […]

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Is it ADHD?

Lukenotes, Winter 2017 I recently stumbled upon a quote that struck me: “The essence of verification is the convergence of multiple lines of reasoning at a singular point.” At the time, I thought that it was catchy and might come in handy one day. Then it dawned on me: “That’s exactly the approach that I […]

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Cultural Identity and International Ministers: Case Study

Lukenotes, Summer 2017 Father Charles grew up in a large family in a small town in Nigeria. His parents were not wealthy, but had a deep faith. They took their eight children to Mass every Sunday and often during the week, and prayed the rosary together every evening. They were very proud of their eldest […]

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Cultural Identity and International Ministers

Lukenotes, Summer 2017 With over one-third of U.S. parishes identified as multicultural, 25 percent of newly ordained priests born in other nations, and 10,000 international religious ministering or studying in the U.S. (CARA), diversity enriches and challenges pastoral ministry. Successful ministry in this diverse environment calls for acculturation – adaptation to a new culture through […]

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Diagnosing Adult Autism: Case Study

Lukenotes, Spring 2017 Sister Monica received a message from her superior, asking her to meet later in the day about something that was very important. Immediately, Sr. Monica began to feel anxious. She had a good relationship with Sr. Mary. She found her compassionate, but she could tell by the tone of her voice that […]

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Diagnosing Adult Autism

Lukenotes, Spring 2017 Autism or Autism Spectrum Disorder (ASD) is a term increasingly heard in the news and other public forums. The Centers for Disease Control and Prevention has identified a notable increase in the number of ASD diagnoses, from 1 in 150 children in 2000 to 1 in 68 children by 2012. The increase […]

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Depression or Dementia? Case Study

Lukenotes, Winter 2016 Though retired from teaching, Sr. Moira continued to stop in at the parish school almost daily. At first this was fine, but then she began to become disruptive. Always a bit strong-willed, Sr. Moira was getting into more conflicts with school staff and within her community. She also seemed to be having trouble remembering things. She would blame others for conflicts, and […]

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Depression or Dementia?

Lukenotes, Winter 2016 As individuals age, behaviors often change, but the cause may not be clear. For example, depression and dementia often present similar symptoms on the surface. Neuropsychological assessment, which involves the study of brain-behavior relationships, is an important tool for making a differential diagnosis of psychiatric and neurological disorders. It utilizes tests that evaluate […]

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Which Therapy? Case Study

Lukenotes, Fall 2016 “I’m only here for evaluation. I haven’t decided yet on treatment,” Sister Patty told her evaluation chairperson, who had just explained the Saint Luke Institute evaluation process and how it is utilized to help guide treatment recommendations. Sr. Patty went on to explain that she already had completed two residential treatment programs for […]

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Which Therapy?

Lukenotes, Fall 2016 How can two people referred for the same problem, such as depression, receive two very different treatment recommendations? Why is residential treatment recommended for one and outpatient therapy for the other? A clinician’s task is to determine the modality and level of care she or he believes will lead to the best outcome […]

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Relapse Recovery: Case Study

Lukenotes, Summer 2016 Pastor of a large suburban parish for over a decade, Father Tim was highly respected by his fellow priests for his ability to balance pastoral and administrative responsibilities. He was known for putting people first and had an open-office policy for staff and parishioners. He often shared his personal story. While in […]

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Relapse Recovery

Lukenotes, Summer 2016 When a priest or religious completes residential treatment at Saint Luke Institute, the achievement is celebrated with a commissioning liturgy. Though this may seem like a conclusion, it is more like the end of a chapter than the end of a book. Successful recovery is an ongoing journey that requires vigilance and […]

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