Monday, September 30, 2019
Notes on a Scandal Essay
The title of the book offers to us an understanding what as to may be to going happen in the story. The story is written with a first person narrator and so we know that the story will be just one personââ¬â¢s way of thinking. Also as a reader we must ask, is the whole story unreliable when written in this diary form because it is one personââ¬â¢s view point? Through the involvement of Barbara in this story we do get a participant and narrator in one person, so we are invited to believe everything that this person is going to tell us about everybody relating to her. But Barbara also uses the power of control, because she does not tell as what we would like to know about her relationship with Jennifer. Her comments hint that Barbara has been obsessed in the past. From Barbaraââ¬â¢s viewpoint we can understand that she is been too intense in the relationship with Jennifer. Barbara wept in a train station after seeing Jennifer with her new friend. This suggests that Barbaraââ¬â¢s feelings go beyond friendship. Barbara tells as that, ââ¬Å"From time to time one of my colleagues will call me ââ¬ËBarbââ¬â¢ or, even less desirably, ââ¬ËBabsââ¬â¢ but I discourage it.â⬠But who would call her ââ¬ËBabsââ¬â¢? Everyone is scared to talk to her; she seems an unpopular person. Heller also hints to us about the similarity in age between Polly (seventeen years old and still a girl without boyfriend) and Connolly (fifteen years old, Shebaââ¬â¢s lover). Sheba is a forty-two-year old pottery teacher at St Georgeââ¬â¢s school. After Sheba fell in love with Connolly she feels much younger and her feelings seem adolescent to the reader. Shebaââ¬â¢s husband is nearly the same age as Barbara around sixty years old, and both of them feel younger by having a relationship with Sheba. Barbara thinks, after the loss of Jennifer, that she has got a kindred spirit in Sheba. Barbara and her diary are inseparable; even when visiting her sister she spends more time with her diary than with the family; suggesting the diary itself has become an obsession. There are also advantages of the first person narrator, because we get the best insight into Barbaraââ¬â¢s character. She shows the reader aspects of her private life, like when she is standing on a chair and talking into the mirror. She also describes her relationships to other people in her diary, so that the reader of the diary has really got a view of her mind. This is a device Heller uses to good effect. Barbara is describing Shebaââ¬â¢s character ââ¬Å"Sheba was so pitifully aloneâ⬠, but she was really describing herself and her character, so here Zoà ¯Ã ¿Ã ½ Heller uses irony. Barbara also writes a lot about the sexual affair between Sheba and the Connolly boy and that the public do not accept relations like this one. It seems really she could be referring to her relationship to Jennifer and the fact that the public would not accept a lesbian sexual affair between two teachers. Barbara confuses the reader with writing such things like: ââ¬Å"I am presumptuous enough to believe that I am the person best qualified to write this small historyâ⬠and ââ¬Å"I rely upon detailed accounts provided by Sheba herselfâ⬠, because we have to question Barbaraââ¬â¢s reliability as she herself is hearing Shebaââ¬â¢s story ââ¬Å"second hand.â⬠It may be that Sheba herself is not entirely honest with Barbara and some elements of truth are lost along the way. An example could be the first kiss between Sheba and the Connolly boy, because there being few aspects of the Connolly business that Sheba has not described to Barbara. In the imagination of the first kiss it has to be the peak of the affair, because this first kiss has got so much energy and satisfaction which can allow every possibility with our feelings in this particular moment. It is situation like this that makes the reader question Barbaraââ¬â¢s reliability. She talks with authority about situations she has not witnessed. ââ¬Å"Certainly, there is no other friend or relative of Shebaââ¬â¢s who has been so intimately involved in the day-to-day business of her affair with Connollyâ⬠. The use of the ââ¬Å"intimatelyâ⬠suggests a relationship not a friendship and itââ¬â¢s not true ââ¬â Sheba didnââ¬â¢t tell her until she has to. ââ¬Å"With my second blow I took the top of the boyââ¬â¢s head off cleanly, like an eggâ⬠. This is an example of symbolism ââ¬â by breaking the sculpture, Barbara destroys the relationship. She thinks this will bring Sheba to her ââ¬â showing the depth of her obsession. The affair actually ends already before it was discovered through Barbara. Heller shows us this in following sentences: ââ¬Å"They made love rather quickly and ââ¬â at Connollyââ¬â¢s behest ââ¬â on the floorâ⬠. Also is shown Connollyââ¬â¢s loss of feelings: ââ¬Å"ââ¬ËNothing like one afterwards is there?ââ¬â¢ he said. Sheba remembers having to suppress a smile at this studied, post-coital nonchalanceâ⬠. Connolly did become interested in girls his age: ââ¬Å"Sheba remarked that her daughter liked to do the same thing when she was smoking and Connolly seemed interested by thisâ⬠. From this moment on Sheba was scared to lose Connolly: ââ¬Å"Sheba interrupted his questioning to kiss him and tell him how handsome he wasâ⬠. Heller also shows us that Connolly is still a boy, even after this affair: ââ¬Å"Connolly grimacedâ⬠. Barbara, this old lady with an unstable psyche, bites the hook which Sheba readied for her and marks this event with two gold stars in her diary: ââ¬Å"For a split second we both looked at the boy. Then she looked back at me. There was fear in her expression but also something else ââ¬â a kind of glee or amusementâ⬠. It is at this point in the novel the two obsessions collide also itââ¬â¢s almost as if, Sheba wants to share her experience. As well as the main two obsessions, there are also minor ones: Jennifer acquires a restraining in order against Barbara; Marcia still sees Richard at family occasions after twenty years of divorce. Sheba is fixated with Pollyââ¬â¢s wardrobe which links in to the latterââ¬â¢s obsession with boys. Finally Brian uncovers the affair to the public, because it was intolerable for him to imagine Sheba being intimate with Connolly. Sheba seems to want to ââ¬Å"shareâ⬠her affair with others. This is confirmed by Sheba coming back home, after intimate contact with Steven; Sheba wants to shout at Richard, because she was feeling younger also she was absolutely proud of this affair: ââ¬Å"Guess what, you complacent old fart? Iââ¬â¢ve been out on the heath, getting fucked by a sixteen-year-old! What do you think of that?â⬠In spite of her immoral behaviour Sheba oddly wants others to know. At the end Steven Connolly was her target of obsession and Sheba did achieve her aim. She had an affair with a young boy and she was his first lady. ââ¬Å"Youââ¬â¢re my first old lady if thatââ¬â¢s what you meanâ⬠. Sheba was infatuated by Connollyââ¬â¢s sex appeal and flattered by his attention. We are told by Heller that Barbara is the winner of this novel, but by closely contemplation; what did Barbara get at the end? The burned out wreck of Sheba! Barbara has to look after Sheba, like she is a child: ââ¬Å"ââ¬ËOh?ââ¬â¢ she said. Her tone was dreamily neutralâ⬠also ââ¬Å"Then I sat her down and I made us some lunchâ⬠. So in my opinion Sheba is the winner of this novel, because of her affair with Connolly and after that she got, Barbara as a replacement for Richard: someone to look after her burned-out body without spirit or life. Sheba has fooled everyone, but she didnââ¬â¢t expect to end up with broken heart and weaker mind. In appealing to the public for understanding of this non-orthodox relationship, Barbara and Sheba are really appealing to a society who would find a close relationship between them laughable.
Cognitive Approach Essay
Abstract: There are pros and cons to everything in life. Because I just started my education program, I was interested in researching the positive and negatives effects of an inclusion classroom. I wondered, what exactly were the positive effects this type of setting had on its special education population? I have always felt, in my opinion, that inclusion classrooms are helpful in numerous ways, but now it was time to see if research agreed. History and Background: In the past special education students were separated from general education students. ââ¬Å"At the federal level, the recent No Child Left Behind Act (2001) and the current and previous versions of the Individuals with Disabilities Education Act (1997, 2004) require access to the general education curriculum for students with disabilitiesâ⬠(Berry, 2006, p.490). Methodology: An inclusion classroom, also known as a CTT or Collaborative Team Teaching classroom, is a classroom that has both a general education population, as well as special education population, combined together. This special education population consists of children with mild to moderate disabilities, including physical, emotional, and learning. According to Berry (2006) ââ¬Å"inclusion may be defined as 100% placement in age-appropriate general education or as a range of learning opportunities both within and outside the general education classroomâ⬠(p.490). A teacher can evaluate different perceptions based on how the students communicate with each other. Results: Berry (2006) found that students with disabilities often have difficulty not only academically, but socially. Placing these students in an inclusion classroom, as opposed to the smaller setting of years ago, helps students to benefit enormously. Depriving disabled children from participating in an inclusive classroom setting, ââ¬Å"may underestimate the extent to which these students might benefit from social interactions and, at the most, deprive them of critical opportunities for learning and participation that can lead to autonomy and empowerment in classroom interactionsâ⬠(Berry, 2006, p.492). Discussion: Inclusion classrooms have two teachers, one that specialized in special education, while the other focuses on general education. While the classroom functions as any other classroom would, incorporating whole, group, and individualized instruction, the smaller classroom setting and extra adults in the room to be quite helpful in helping those students who were struggling. The teachers make sure to use varied teaching techniquesà and made sure to accommodate many different learning styles in their lessons. Howard Gardner, an educational theorist, believed in the idea of ââ¬Å"multiple intelligences.â⬠Gardner believed every child learned differently. According to Berry (2006) it is important for the teachers to learn how their students learn best in order for them to achieve their fullest potential. The teacher also observes how students interact with one another. Bias/Limitations: It has said that inclusion classrooms can hold back a general education student from progressing at a steady pace; when students were paired with other struggling students. I also found the combination of students of all different academic levels to play a positive role. While the ââ¬Å"higherâ⬠student helped the ââ¬Å"weakerâ⬠student academically, both learned social skills. Conclusion: Berry also discusses how language is a useful tool in an inclusion classroom. Berry discusses how reciprocal teaching is often used in these types of classrooms. Reciprocal teaching is a strategy in which the teacher uses ââ¬Å"talkâ⬠to make her ideas clear. This ââ¬Å"talkâ⬠is often focused around comprehension skills such as predicting, questioning, summarizing and clarifying (Berry, 2006). Why article was selected: The education system has come a long way since before the No Child Left Behind Act. In the past, any child with ââ¬Å"special needsâ⬠was placed on the fourth floor of the building, out of sight. When the general education students saw any of the children with special needs, it was only at lunch, and they were easily identified because they were kept in small groups away from the other children. Today, inclusion has made it possible for many of children to interact and learn in the same environment as their peers. They are being treated as equals, rather than being hidden away in a corner. Reference: Berry, R. (2006). Inclusion, power and community: Teachers and students interpret the language of community in an inclusion classroom. American Educational Research Journal 43(3).
Sunday, September 29, 2019
Flow of Theory
Do you think an employee's productivity is affected by whether they are satisfied or unsatisfied as an employee? Explain your answer. Yes, I think an employee's productivity is affected by whether they are satisfied or unsatisfied as an employee. As employees spend most of their time at work, the employees' identity is closely linked to their Jobs. Employees have feelings; they must feel satisfied or feel that the Job is treating them fairly. When they feel that they are being appreciated, they become satisfied and hence they tend to outperform unsatisfied employees in terms of labor retention, attendance and work quality.However, satisfied employees are not always more productive than unsatisfied employees. 2. In general terms, describe strategic HRM and its importance in the organization. Strategic HRM is defined as the development and implementation of human resource processes to facilitate the achievement of the organization's strategic objectives. Strategic HRM allows an organiz ation to make informed and purposeful actions. Because of strategic HRM, the company now has a clear common vision of why an organization exists which enables better and more effective HRM decisions.HRM ctivities are now also able to expand awareness of possibilities, identify strength and weaknesses, reveals opportunities and points which are needed to evaluate the probable impact of internal and external forces. A strategic HRM plan which is well designed will allow the HR department to be prepared to cope with changes in external and internal environments. 3. In the past decade, there have been rapid, turbulent, and often strained developments in the relationship between employers and employees. Describe these developments and what they mean to HR managers.New trends and changes have occurred in telecommuting, outsourcing, HRM practices, family medical leave, child care, spousal relocation assistance, pay for skills, benefit cost-sharing, union- management negotiations, testing a nd many other HRM areas of interest. These trends arise due to the rise of new lifestyles and an aging population. Because of these reasons, HR managers need to use new and flexible approaches without jeopardizing the survival of the organization. HR managers in the current time have to cope with changes and still contribute to the organization.
Irish Dancing: A Celtic Family Passion Essay
Every family has some wonderful tradition that they share with each other and the rest of their kindred spirits. Our family holds Irish dancing as our most beloved musical tradition, and we share it amongst ourselves along with those in the world around us. Individuals who have viewed Michael Flatleyââ¬â¢s, Riverdance or The Lord of the Dance, have heard the beautifully entrancing music and the almost hypnotic percussion nimbly played by the tapping of dancerââ¬â¢s feet. The swift and graceful movements, colorful costumes and mystic aura that this Irish dancing traditions hold can only be told best by those who have partaken in the event, danced the dance and been allured by the magic of the sounds. The following writing will explore some of the experiences of our familyââ¬â¢s Irish step dancing tradition, as well as how we share it with the public world. Irish dancing means a great deal to us because it serves as an expression of our ethnicity and of who we are as a family. The females of our kin begin their dance training early, at about the age of three to four years. Almost as soon as they can fit into the shimmering brocaded dresses and tiny tapping shoes, the young ladies eagerly take to their lessons. Each dance that they master acts almost like a rite of passage and many of the girls soon find themselves performing at pubic fairs, parades and even dancing competitions. We pride ourselves in our little dancerââ¬â¢s endeavors since as stated by Wulff, ââ¬Å"When it comes to Irish competitive dancing, the attempt to build character goes back to childhood and circles around the idea of national identityâ⬠(Wulff 2003, 186). Through this media we can express our particular ethnic heritage in the ever diverse United States. Younger and older generations practice together at family gatherings and put on a show for everyone. Males of our family also receive encouragement to pursue the activity, but the accomplishment of the women usually outshines them. In relation, the accomplishments of our Irish dancing heritage come with time, difficulty and dedication, in which our family takes pride. Irish dancing consists of rules of movement that do not make for an easy learning experience. To watch Irish dancers in competitions is to see how they must move in ââ¬Å"jumpsâ⬠with their backs straight, their arms tight to their sides and make it only appear that their legs do the work. Now imagine trying to do all of that and make a distinct rhythm with nimbly tapping feet. One of the proposed theories for why such strict rules of movement in Irish dancing exist states, ââ¬Å"Irish bodies have long been subjected to particularly stringent forms of control by church and state, and within this context dancing has been deemed especially problematicâ⬠(Dyck and Archetti 2003,5). Others believe that the Irish values of, ââ¬Å"proper mannersâ⬠plays a vital role in the dancing posture (Wulff 2003, 182). Either way, the skill comes with hours of practice and dedication. Winning a public award for Irish dancing plays an important role in our family affairs. Those who have competed often travel around the nation at various times of the year, and many of us will travel with them to encourage and support their efforts. Award winners also usually have a lead part in producing the dances for our family gatherings, as well as act as teachers to our younger dancers. Consequently, the type of dancing that has been spoken of thus far constitutes a type of Irish dancing called ââ¬Å"step dancingâ⬠. There are also jigs, polkas and other genres of Irish dancing that we partake in. These less formal types of dance usually occur solely at family gatherings. None of our family members have pursued a professional learning experience or participated in competition in any of these other genres that we know of to date. However, just because we do not pursue them as vigorously as step dancing does not mean that they are not enjoyable. Family events and competitions do not make up the entirety of our Irish dancerââ¬â¢s experiences. As mentioned previously, parades and community events also don the list. Sometimes our family dancers put on shows for charitable causes, church functions and Irish festivals. All of the opportunities that avail themselves help us express ourselves and our unique cultural heritage to our community. Also, as with the charitable causes, we have the opportunities us to use our talents help those in need. Performing for these community gatherings helps to inspire us as, and encourages our dancers to continue on with their grueling practice. Concerning Irish step dancing, it has probably by far the most dynamic of the music structures of Irish dance genres. This is due to the fact that the tapping of the dancers feet give more intricate percussion to the established musical rhythm. For example, ââ¬Å"Riverdance is usually associated with the crescendos of the signature section and the long Chorus Line of Irish dancers pounding out their unison stepsâ⬠(Wulff 2003, 187). The aim of such percussion centers on eliciting a powerful emotional reaction from audiences, aside from just impressing them with complicated dance steps. Irish dancers want their audiences to feel every note, every tap and every emotion that the music and dance combined can convey. As dancers, the goal revolves around letting others experience the heart and soul they put into their activity with every pounding beat on the stage. Joining with several dancers on stage not only urges those feelings deeper into the hearts of the audience members; it also gives them the sense of how the power of several individuals acting in unison can create a breathtaking experience. Acting together to create such a response in the audience helps dancers to recognize and appreciate the bonds of their ethnic heritage as well as their achievement in performance skills. Correspondingly, immense evolution of Irish step dancing has taken place since Michael Flatley entered the spotlight. In his performances Irish step dancing takes on more fluid movements, rather than the rigid, hands-at-sides traditional postures. This addition of the greater emotional expression using body movement caught on and made Irish step dancing quite popular. The outcome: The response was extraordinary; after the performance calls poured in from all over Europe for the video. A CD was recorded; it sold out and the show was transformed into a full-length evening of dance and music, which swept London, New York City, and the world. Today in towns and cities around U. S. boys and girls are taking up step-dancing in record numbers (Finnegan, and McCarron 2000, 394). Flatleyââ¬â¢s work has brought Irish step dancing to the forefront, romanticized it and possibly changed its course in history as the popularity continues to grow. By and large as it can be seen, the magic and honor of our experiences in Irish dancing comes through to our family from many sources. We gain a sense of nationality and cultural heritage from dancing with our fellow family members and other Irish step dancers. We take pride in our ethnic heritage as we perform for both charitable causes and competition, which inspires our public audiences. Not to mention that our familyââ¬â¢s field of musical tradition in turn has taken inspiring turns as Michael Flatleyââ¬â¢s performances have drawn immense amounts of attention and popularity. Overall, the intricate steps and emotional combination of music and movement in Irish step dancing has created for us a unique way for our family to continually appreciate our ethnic background and take pride in our heritage. Works Cited Carmichael, Jennifer. ââ¬Å"Re: Interview questions. â⬠Email to Irish dancer. 9 July 2006. Dyck, Noel, and Eduardo P. Archetti, eds. Sport, Dance, and Embodied Identities /. New York: Berg, 2003. Questia. 10 July 2006 . Finnegan, Richard B. , and Edward T. McCarron. Ireland: Historical Echoes, Contemporary Politics. Boulder, CO: Westview Press, 2000. Questia. 10 July 2006
Saturday, September 28, 2019
Law Sample of Essay Plan
Introduction * The 6 essential elements to form a contract is offer, acceptance, consideration, intention to create legal bound, capacity to contract and legality of promise. * An acceptance of an offer will create an agreement. * However, not all agreements are recognized as contracts. * Agreements with no intention to create legal obligations will not create a contract. * In order to create blinding agreement acceptance must be final and unconditional. Body Paragraph 1 * Acceptance is a clear and undoubted assent to the offer and all of its terms. * The law regard as acceptance when the offeree accepted the offerorââ¬â¢s offer. Not acceptance is when one party disputes whether the other accepted the offer. * Acceptance is important because acceptance will lead to agreement to be formed and contract will comes into existence. Paragraph 2 * 4 rule in acceptance which are, acceptance must be clear and undoubted, offeror requirements must be met, acceptance in reliance upon the offe r and acceptance must be communicated. * Mirror image rule is the rule of contracts that prohibits an offeree from changing the terms of that offer * The alteration in terms of the offer by the acceptance voided the agreement and there will no contract exists. The rationale of the mirror image rule is to ensure the acceptance is final and absolutely unconditional so that blinding contract can be done. Paragraph 3 * Conditional or qualified acceptance is as long as the conditions are not satisfied, an acceptance give subject to a condition will not operate * A conditional acceptance is not a blinding agreement due to acceptance must be final and absolutely unconditional. * This type of acceptance operates as a counter offer, therefore this will destroy the first offer. The purpose of inserting ââ¬Å"subject to contractâ⬠means parties does not want to be bound by the contract until it become the written contract. * This will affect enforceability due to the conditions were not been satisfied. Paragraph 4 * I) Masters v Cameron * II) Souter v Shyamba Pty Ltd * III) First Church of Christ, Scientist , Brisbane as trustee under instrument 7020202154 v Ormile Trading Pty Ltd * IV) Teviot Downs Estate Pty Ltd & Anor v MTAA Superannuation Fund (Flagstone Cheek and Spring Mountain Park) Property Pty Limited * V) Redowood Pty Ltd v Mongoose Pty Ltd VI) Australian Woollen Mills Pty Ltd v The Commonwealth * VII) Godecke v Kirwan * VIII) Niesmann v Collingridge * The past case decisions have shown clear guidelines on what is conditional acceptance Conclusion * Acceptance can occur when there is exist of an offer and through acceptance, blinding agreement will be made. * I agree that blinding agreement can be create through final and absolutely acceptance. * This is to ensure that both parties will not make any loses and prevent injustice to occur. The past case decision can be used due to its accuracy that given out fair and justice to the both parties. (506 Words) Bibliography Book 1) David Parker and Gerald Box, Business Law For Business Student 2011 (Lawbook Co, 1st ed, 2011) 2) Stephen Graw, An Introduction to the law of Contract (LBC Information Services, 3rd ed,1998). Case Law 1) Australian Woollen Mills Pty Ltd v The Commonwealth (1955) 93 CLR 546 (Privy Council) 2) Redowood Pty Ltd v Mongoose Pty Ltd [2005] NSWCA 32 (Spigelman CJ, Tobias JA and Bryson JA)
Juvenile Justice Policy Paper Research Example | Topics and Well Written Essays - 1500 words
Juvenile Justice Policy - Research Paper Example The juvenile system deals with youth who have broken the law and are at risk of turning into a problematic issue for the justice system in the future. Unlike the established judicial system that has been designed to punish and rehabilitate wrongdoers within the society, the juvenile system mainly focuses on the aspect of rehabilitation rather than punishment for the mistakes of those who have been committed to the system (Barbaree & Marshall, 2008). The idea behind this is that those who are still in the youthful stages of their lives have a higher chance of correcting their ways and becoming assets to their communities, and this is what the system has been made to help them achieve. The juvenile system aims at trying to redirect young delinquents back to the right path before it is too late. There are several policies that have been setup as a result with a view to achieving this aim and one of these was focused on the Native American population and their education. This policy focu sed on finding Native American youth who were not receiving the required level of care and attention with regard to issues such as the development of their education and stepping into the parental roles to provide these needs (Woolard & Scott, 2009). At one time, the policy functioned by identifying these youthful individuals and removing them from their homes when deemed necessary and placing them in residential schools. This policy emerged after it was discovered that many Native Americans did hold much weight in the western education system and thus did not insist on their children acquiring this education from the school systems that were at their disposal (Bartol & Bartol, 2009). As a result, a large number of these youth resorted to juvenile crimes that got them in trouble with law enforcement and set precedence for them in terms of their future. It was figured that if this was to continue, many of these youth delinquents would grow up to be serious criminals unless something was to be done about the situation. The system worked with the collaboration of the members of society who would report instances where they felt that their neighbors were neglecting their children and thus intervention was needed. The government would then send an official to investigate the claims, and if the accusations were found to be justified the minor was removed from the home and taken to foster care where they would be enrolled into a residential school that was near the vicinity (Siegel& Welsh, 2011). The children would also be identified according to files that were developed on those who had been found culpable of a number of crimes and thus had a record with the juvenile system. If an individual was a repeat offender then concern would be raised within the department, and an official would be sent to the individualââ¬â¢s home to determine whether their domestic environment was a reason behind their delinquent behavior (Barbaree & Marshall, 2008). These methods of id entification seemed to be successful at the beginning, but as time wore on there were a number of issues that were found with such arrangements. Some of the disadvantages or flaws that were identified within the system included issues such as greed whereby foster parents would attempt
Friday, September 27, 2019
The Beginnings of Feminist Oppression Essay Example | Topics and Well Written Essays - 500 words
The Beginnings of Feminist Oppression - Essay Example The transgressions of sexual behavior have been attributed to Eve and have resulted in the subjugation of women for 2,000 years. The story of the Garden of Eden has been characterized by sexual overtones and depicts sex as sinful. Yet, it has forever been the greater sin for the woman. Eve was the temptation that Adam succumbed to. Paul writes in Corinthians that, "Let those who have wives live as though they had none" (17). Paul preaches that marriage and therefore women are a necessary evil. According to the original scriptures as taught by Paul and later Augustine, woman's only purpose is procreation. Laws were written and the foundation of the church was based on this institutional bias against women.The monopoly on morality has been used by individuals as well as the church to maintain power. Augustine declares that Adam's sin, the sin of the carnal knowledge of Eve, transformed the "structure of the universe itself". The eventual result was the punishment of death. To validate its authority the Catholic Church adopted Augustine's belief that "death comes to us by will, not by necessity" (145). The continued belief that sex equates to sin, and henceforth death, has been handed down and promotes the church as the only moral authority and our only hope for salvation.Elaine Pagel's book, Adam, Eve, and the Serpent, is a straightforward explanation for the bias we see in our laws and prejudices towards women. It helps to explain why a woman's sexuality may be condemned.
The Uses Of Liberal Education Essay Example | Topics and Well Written Essays - 750 words - 3
The Uses Of Liberal Education - Essay Example Using logos, the author explains that poor people lack the power to negotiate their position and life condition. They are trapped by external and internal forces, which sometimes appear too overwhelming and thus insurmountable. The only weapon they can use to navigate through life is an equal force to match the forces they are encountering. This force for them is violence and gun culture. It is for this reason that many of them end up in prison. If they knew that there were other ways to negotiate and that they too could enjoy a voice in public matters, these people could come out of the vicious circle of poverty. Pathos has been effectively employed- mostly to highlight the plight of those who suffer from extremes of poverty. It is most prominent in the case of Niecie, the inmate at Bedford Hills who first gave the idea of the use of liberal education as a weapon for success. Viniece Walker was a twenty-year-old when she came to the prison and during her time there, her HIV had progressed significantly but she had defiantly pursued a college degree in psychology. She had been described as the best inmate because apart from her education, she was also fully engaged in offering counseling services to inmates. Ethos comes into action when the author tries to establish the moral grounds for his research. Why should the poor always remain poor? Why must the rich have the tools of negotiation while poor were completely ignorant of them? The author raises the question: why are poor people poor? And realizes that none of the people he interviewed mentioned lack of money or proper jobs. Some of them had a vague idea; others clearly felt that lack of education was the reason. The ethics of this argument lies in the inability of the poor to access the tools of negotiation that rich possessed.
Thursday, September 26, 2019
Daily Assignment Essay Example | Topics and Well Written Essays - 750 words - 1
Daily Assignment - Essay Example 3. The Americans rural economies reinforced the elements of tradition society via numerous ways such as holding cultural events maintain videos and recordings that may help the future generation to understand their traditions. They perform thanks giving ceremonies to reinforce their traditions. Further, the maintain museums and monument sites to foster the elements of tradition society. 4 Slavery and free labour affected social surplus in the sense that it infringed some members of the society whereby, those subjected to slavery to produced surplus labour which benefited those who did not work. This means that the output was maldistributed because there was unequal allocation of resources. 5 The elements of command that still exist in the U.S today include: the economy has a very powerful sectors of the government. A part from labour all other factors of production are owned by the state. The government plans how resources are going to be distributed among various economic sectors. 6 The specific difference between Agricultural society and industrial society is that agricultural society is based on farming while Industrial society is based on application of machines to produce. Further, agricultural society produces raw materials while industrial society converts raw materials into finished products. 7 I would consider Serf to have been exploited by their Feudal Lords because they were underpaid despite doing complex jobs. The benefit gained by Serfs according to Feudal lords is the benefit of security, place to stay and land for farming. The cost involved was that, Serf had to pay some fee for the use of land to the Lords, further they were supposed to work in the houses and fields as feudal lords slaves. 8 The difference between guild and modern business is that, during ancient periods women could not be members of guilt unlike today where women are members. Guild required members to learn, keep and pass trade skills to the
Artifact Essay Example | Topics and Well Written Essays - 750 words
Artifact - Essay Example They are a source of comfort and give us the opportunity to connect with ourselves when alone. I donââ¬â¢t consider the rocking chair as a piece of furniture but something that I can resort to when I need to rejoice the moments spent with my grandfather or when I need sometime for myself away from the noise and pollution of this world. These rocking chairs add to the household making the entire environment very comfortable. The rocking chair is practically affiliated with Americans who have immense love for this wonderful creation. The origin of this ornament is quite controversial as we do not really find how or why this was designed. Although the first rocking chair was skates attached to a chair. With time this conventional design was modernized to the recent form. It is estimated that the rocking chair resulted from two distinct pieces of furniture that is a cradle and a rocking horse during the eighteenth century. Both these ornaments are generally associated to children who relax and rejoice on them. The cradle and the rocking horse were found to give immense pleasure to little ones hence with the passage of time a similar thing was designed for adults that would give them the same joy and comfort. It will not be wrong to say that the rocking chair gives a modern touch to sleep. The rocking chair at my home is an antique wooden chair made out of dark oak wood which has been carved to perfection. The basic design is similar to a conventional rocking chair that moves front and back which are joint to the legs of it. Further is has a curved shape to support my backbone. There is a faint shine on it. This rocking chair makes squeaky voices in particular; furthermore in order to give a modern touch to the rocking chair I have accessorized it with floral summery cushions giving a pleasant feel overall. The rocking chair has far more to offer than just comfort and relaxation. Like I mentioned earlier,
A Review of lloyd and Craig 2007 Essay Example | Topics and Well Written Essays - 1000 words
A Review of lloyd and Craig 2007 - Essay Example The following review examines Lloyd and Craig's (2007) framework and provides an evaluation of its proposed benefits. Summary of Article According to Lloyd and Craig (2007), taking a patient history is "arguably the most important aspect of patient assessment." Because of the continually expanding role of nurses, the need exists to expand their assessment skills as well. In this article, Lloyd and Craig provide a detailed framework for conducting a patient history assessment. First, Lloyd and Craig believe it is important to prepare the environment so that it is properly equipped, safe, free of distractions, and allows the patient to feel comfortable. Second, nurses must practice effective communication in order to enhance trust and obtain the most accurate information from the patient. Nurses can use both verbal and non-verbal cues to signify interest and empathy for the patient. Finally, consent is essential and nurses must obtain some form of informed consent by the patient or pat ient's surrogates before proceeding with the assessment. Lloyd and Craig then outline the history-taking process and illustrate the importance of maintaining some form of order when asking questions. Questions should begin in an open-ended format in order to generate conversation and obtain a large amount of information. Nurses can then follow up with closed questions to receive more detail about a particular point of concern. Lloyd and Craig draw on the Calgary Cambridge framework for structuring the consultation. This model proposes five stages of history taking, including: (a) explanation and planning; (b) aiding accurate recall and understanding; (c) achieving a shared understanding; (d) planning through shared decision making; and (e) closing the consultation. This model provides a systematic order to guide nurses' assessment-taking. While Lloyd and Craig advocate following an order, these authors also highlight the importance of following the natural flow of conversation. Simp ly reading off a checklist of questions seems mechanical and impersonal, and can prevent the patient from wanting to reveal personal information. Therefore, Lloyd and Craig suggest using their framework as a practical reference, and not a step-by-step operations manual. Lloyd and Craig also provide examples of behaviors to avoid while conducting a patient history assessment. Examples of such behaviors include giving advice, interrupting, using defensive responses, jumping to conclusions, and several more. Improper interview techniques can disrupt communication and trust, and ultimately hinder the nurse's ability to treat the patient. Respect for each patient's individuality and rights as a human being is a critical component of most nursing associations' codes of ethics. Finally, Lloyd and Craig include examples of key points to remember in the history assessment, including family and occupation history, drug and alcohol use, sexual history, and family and social history. These can be difficult questions to ask and patients may not always feel comfortable answering them. Therefore, effective communication and establishing a positive rapport with the patient is vital to the consultation. At the same time, these difficult questions reflect the importance o
Wednesday, September 25, 2019
The Sherman Antitrust Act Essay Example | Topics and Well Written Essays - 750 words
The Sherman Antitrust Act - Essay Example This paper illustrates that the Sherman Anti-Trust Act of the year 1890 was put in place in 1890 for the main intention of promoting economic competitiveness. The Act was effective in that it introduced the possibility of control of large corporations that took advantage of their monopoly to overcharge the ordinary citizens. The Act ensured that big corporations could not take advantage of their trusts to rule the market and dictate prices between states. The Act also ensured that the raising of artificial prices was prevented since the market strategies that encourage it, the namely monopoly was capped by the introduction of the Act. Another effect of the Act was that it provided for a way to govern companies that operate between states as there were no prior regulations addressing them. Before those companies charged different prices through different states and exploited the consumers of these states differently. The Act was also effective in that it ensured that the Actââ¬â¢s provisions would be implemented through the authority given to government attorneys and courts. à This is by making them responsible for the seeking out and investigation of companies suspected to have violated terms that were specified in the Act. The Act that was put in place to protect the consumers had several strengths that made it an important legislation at a time when consumer rights needed attention. The act saved small businesses that were discriminated by the bigger corporations.
Can the Gulf Cooperation Council (GCC) emulate the model of the EU Essay
Can the Gulf Cooperation Council (GCC) emulate the model of the EU - Essay Example Despite this noticeable difference between the EU and the GCC, the former can still share its experience on enhancing the performance of regional agencies, managing the adjustment costs created by reducing barriers, and achieving integration, with the Arab world. The Arab and European countries meeting correspondingly in the Gulf Cooperation Council (GCC) and the European Union (EU), while having crucial political and strategic commonalities, have generated markedly different wide-ranging pattern of strategic relations and issues in the last two to three decades.1 Both have particular interests in their corresponding region, on the one hand, and tremendously important global alliances, on the other. Nevertheless, it is unquestionable that the GCC countries have progressed globally more than the EU, particularly on political status, whilst the EU has concentrated on its region and organised its regional structure far more radically than the GCC.2 Ultimately, whilst both the EU and the GCC countries have a critical, but distinct security and political relations with the United States, the latter are at present basically directed towards Asia from a strategic framework, whilst the EU is directed towards its own region and North America3, with t he GCC serving an absolutely more isolated role. Nevertheless, argument for the EU as an exemplar for other regional integration contexts could be restricted, given the distinctive conditions in which it was built and endorsed. Founded due to conflicts, the EU gained from particular events in its expansion, such as the developed character of the European economies, the United States pledge and fostering role, and the Cold War, which are not located anywhere else.4 It would hence appear more relevant to apply the experience of EU not as a blueprint or paradigm to evaluate the failure or success of the GCC regional integration
Tuesday, September 24, 2019
Primary Functions of Human Resource Management Research Paper
Primary Functions of Human Resource Management - Research Paper Example Besides that, this department clarifies and sets forth daily objectives for the firm and is responsible for organizing people in the entire organization and planning for the future objectives and ventures involving all the people in the company (Raymond, 2006). This paper is seeking to give a detailed explanation of how human resource management influences sectors such as equal employment opportunity and affirmative action, planning, recruitment, selection, development, compensation, and benefits. Additionally, it will also resolve to expound on human resource role in safety and health, employee and labor relations. Equal employment opportunity and affirmative action Equal employment opportunity refers to equal job consideration where it is applicable to every citizen and is essential to fair practices of employment. It also conforms to federal and state laws requirement. On the other end, affirmative action is a tool that an organizationââ¬â¢s human resource management uses to pr ovide steps that are necessary in ensuring parity and disparity (Gary, 2004). In an organization, the primary function of human resource management is to ensure a fair and full equal employment opportunity and affirmative action for all employees, regardless of factors such as race, genetic information, marital status, sexual orientation, age, color, and religion as well as national origin among others. Factors involved in equal employment opportunity are essential as they facilitate creation of a harmonious working environment where employees feel protected and appreciated. These aspects are congruent factors of mobilization and motivation. These factors are essential since they assist on creating harmony in working places and set forth a platform of opportunities where the qualified and protected classes of people compete fairly for the available position This system provides for an equal opportunity where an organization has a platform where it gives every employee a chance to co ntribute towards building the power of the company by use total dedication via exhausting all the available resources every staff can contribute. In this sector, human resource provides for indiscriminative treatment where all employees feel equal while in the course of executing their daily duties in their respective working places. Just as elaborated in affirmative action, the protected class which includes those individuals protected by the state against employment discrimination such as minorities, people with disabilities, women, and people aged 40 and above years (Hyde, 2004). Under these circumstances, when an employment opportunity arises probably to transfer, resignation, or termination of contract of an employee, the work of the human resource is to declare the vacancy open and set an open competitive procedure in which qualified personnel will fit under the merit system. Human resource agents or affirmative action representatives have the responsibility of helping manager s in hiring through all the set selection process. The presence of both managers and affirmative action representatives is to ensure full consideration to equal opportunities of employment implications regarding the complete hiring process and interview and correct affirmative actions for the agency. The functions of human resource are uncountable. In an organization, it helps managers employ effective and efficient techniques of recruiting in order to obtain a diverse and broad
Banned tv ads Essay Example | Topics and Well Written Essays - 500 words - 1
Banned tv ads - Essay Example In this paper we discuss the issues that have led to the banning of two condom adverts in the United States and also describe their intended meanings. The first advert informs and persuades consumers to use Dulex condoms, this advert is aimed at encouraging people to use Dulex condoms, the advert shows a male meeting a woman across the street but he is accompanied by some creatures at the back and this are intended to be signify sperms, however this creatures are trapped in the condom. In the second advert we have a man and male child where the child wants a product but the adult refuses to purchase the product, this shows that parents or adults should not restrict children to purchase products in the market including condoms, the other meaning is that adults should use condoms to avoid unwanted pregnancies that may lead to financial instability where one cannot afford products for their children. The adverts are created in such a way that they are appealing to the general public, they are supposed to pass the message to a lot of people and the more appealing an advert is then the more effective it becomes in the market, for this reason therefore adverts will use humor and other appealing features to encourage viewing and therefore achieve its intended purpose. The first reason why the adverts were banned is due to the fact that US advert regulation is very strict on adverts that are related to food and health, condoms are no exception in that they help in reducing sexually transmitted diseases and unwanted pregnancies, however these adverts may encourage individuals to engage in sexual activities, the adverts may encourage young children to have sex and this will have a negative impact in the society, this is because the advert is aimed at informing the consumers about an existing product and this advert is aimed at explaining its market size through encouraging people to have sex using
Monday, September 23, 2019
Strategic management Essay Example | Topics and Well Written Essays - 500 words
Strategic management - Essay Example This paper shall analyze this article in terms of its structure, content accuracy and noteworthiness. Ty McMahan begins by highlighting the turning point towards the enhanced implementation of strategic management in the firm that came with the appointment of Michael Skarzynski as King Pin at Arbitron earlier this year. The content of the article finds its root in a rather vague introduction to the subject; one that can very easily be perceived differently by different readers. It proceeds to elaborate upon the numerous ventures that Arbitron chose to take a go at in light of the improved strategic management of its investment funds and the eventual outcomes to which they led. The article is quite accurate as Ty McMahan notes that not only is a higher degree of investment a part of this improved strategic management policy but also the acquisition of companies that could assist Arbitron in doing so. However, even though the author has highlighted how the redefinition of the implementation of strategic management in the firm has allowed it to bring about a higher and more accurate read out on the return on investment made towards marketing through television advertisements, there is a certain degree of noteworthiness that the article could do with since the author has spent most of the time merely f orwarding the opinions that have been expressed by other experts in the field rather than coming to a conclusion by himself in the end. However, the content of the article is a success in the fact that we can surmise from it that strategic management is an element that firmââ¬â¢s exercise in particular in matters where the firmââ¬â¢s center of stability is concerned. It is used as an instrument to ensure that no decision or measure is taken without keeping the long term consequences in perspective. McMahan, Ty. Arbitron, Looking To Make Strategic Investments, Takes Page
Personal Statement 1 Page Essay Example | Topics and Well Written Essays - 500 words
Personal Statement 1 Page - Essay Example With reference to my qualifications, I graduated with a GPA above 3.0. Over the years, my passion in nursing career has evolved and developed into something I yearn to know more every day. Since the year I experienced the impact of a nurse in the life of an old patient eighteen years ago, I felt a deep burden in my heart to offer care, compassion and love to the sick. I remember the old man, groaning in pain and needed help. He was so dirty, yet sick; it took a selfless nurse with a ââ¬Ëbig heartââ¬â¢ to attend to the man. At that point, I marveled and realized that nursing is more than the professional qualification. Today, my dream is not just to be a good nurse, but one who is committed, compassionate and with a vision in the nursing career. I have excellent analytical skills. I have always admired the visionary pictures when I would give to the community my full potential as a nurse. I have a passion to contribute to the health and sanitation industry in my home. Since, there is a great need to become more mobile in reaching out to many patients, I would like to ensure that my desire while working in this field is significant and efficient to serve many in need. In essence, I would prefer to attend to public health issues especially children and participate in the development and improvement of hospital services. Given a change to work with your organization will greatly contribute to my dream fulfillment because of the great opportunity to enhance direct transformation (Learn4Good Ltd 2013). In the first three years after my graduation, I would like to spend it learning new skills and accruing immense wealth of experience. My focus is in consolidating strong academic qualifications with a wide background in nursing and phlebotomy. My efficiency lies in the ability to have competence in judging and accepting responsibility in completing tasks is essential. Ultimately, the ability to
Sunday, September 22, 2019
Need a management theory and explain it Research Paper
Need a management theory and explain it - Research Paper Example In this paper communication has been discussed within the context of helix and structuration theories. Globalization has exerted more pressures to operate efficiently and effectively and has pushed organizations to employ skillful means to enhance efficient organizational functions. The effectiveness of an organizationââ¬â¢s employee is grounded on organizational culture, effective communication and solid leadership at the workplace. From the case study provided, it is evident that Ford clearly lacks these important elements that can motivate employees and hence increase productivity. It is obvious from the excerpt that there is a complete lack of leadership from the supervisors employing old school tactics to manage new age problems. Culture, communication and leadership are critical elements of an effective homogenous work force that is bent of increasing productivity. These three elements are intricately linked and must be continually sought by the dynamic and high achieving organisation out to make a competitive edge in business. the role of the leader with an organizational s et up is to steer the firm towards realization of a common objective goal. In the case study, Bob through application of this principles management to successfully meet and surpass his quotas daily, much to the chagrin of other supervisors. Communication enjoys a crucial place within organizations and its importance is not in doubt; in fact it is the lifeblood of any organisation that seeks to gel and improve as a unit. The success of an organization can be partly attributed to the degree of communication within an organization as it serves as an essential link for any formal organization, thereby linking the mutual objectives that people within the familiar setting seeks to achieve. In the case provided, communication between the management and the hourly employees has completely broken down and their mode lacks the essential elements that define
Characteristics seen in Hamlet throughout the play Essay Example for Free
Characteristics seen in Hamlet throughout the play Essay I have been studying the text of Hamlet and the following characteristics are what he shows throughout the play. We see that Hamlet can be Nationalist. He is being nationalist when he is criticising Denmark and says it is a drinking country which is saying he does not trust them much. He is also like this when he says that Norway is robbing the land from Denmark, so this is then proving that Claudius is weak and so they might as well lose all their land. Hamlet is being very nationalist, when he says that Denmark is like a prison. This means that he feels as if he has no freedom to do what you want to do. Hamlet can be loving towards his friends and family easily, except to his uncle. He can be loving in a friendly way towards Horatio. He shows love towards his mother all throughout the play. He is being loving because he does not want his mother to flirt and have sex with his uncle so close after his fathers death. Hamlet says he is disgraced and when he confronts his mother in her bedroom, he asks her questions about his uncle. He then sees movements behind the curtains and thinks that it is his uncle who is too scared to face him, and so he draws his sword and stabs the person behind the curtain only to find out that it was Ophelias father (Polonius). He then plays around with his uncle and he acts as if he is mad and he will not tell him where the body is. I think Hamlet killed the person behind the curtain because he thought it was time to get revenge for his father, by killing his uncle. So this was the right thing to do, but only if he definitely knew who was behind the curtain in his mothers bedroom. He is seriously in love with Ophelia, and both she and Hamlet admit their love for each other. Hamlet expresses his love for Ophelia on page 187 Act 5 Scene 1: Forty thousand brothers Could not with all their quantity of love make up my sum. Earlier on in the play, Hamlet shows his love for Ophelia his girlfriend. The second time he expresses his love for her was at her funeral. This was in front of everyone and then a fight ensued between Hamlet and Laertes. Ophelia shows her love for Hamlet on page 84(Act 1 Scene 3). She also tells everyone that Hamlet has said he loves her. Hamlet is very religious and he goes to a Protestant school in Wittenberg, but on the other hand he is a Catholic because when he is going to kill his uncle in a religious place he realises he will go to heaven. This was on page 144. Act 3 Scene 3: Now might I do it pat, now a is a-praying I, his sole son, do this same villain send To Heaven We see that when Hamlet finds the ghost he is very shocked by it and yet he still does what it says. He tells his friends that it is real and to believe in it, which also proves he is religious. Throughout the play, he uses two different religions, which are found to be; Protestant and Catholic. Hamlet can be very sarcastic and intelligent in the play especially when Polonius asks him what he is reading, and he replies with Words! This then leads Polonius to start quizzing Hamlet on ting about him and Ophelia. Therefore, the answers that Hamlet gives Polonius he then goes and tells them to King. Due to the answers, that Hamlet has given leads to Polonius to say it proves that Hamlet is mad. So the King and Polonius set up a trap for Hamlet to fall into by getting Ophelia to ask Hamlet questions, but Hamlet plays smart and so he gives weird answers which leads people to think he is mad and then he uses it against his uncle at the end of the play. Hamlet is also intelligent when he is being sent to England by boat because he reads the Kings notes on what they have to do to him and then he changes the notes to what he wants them to say, so this is Hamlet playing smart. He then seals the envelopes, by using his ring to put an indent into the wax on the page so it looks as if it was from the King. The page where he finds out about the letter was; Page 153 Act 3 scene 4: Theres letters sealed Let it work. At this time, he was talking to his mother. Hamlet is also intelligent when he gets the actors to act out the death of his father. By doing this he can find out if his uncle is guilty or innocent. By doing this and constantly taking to the King, he is using his educated mind to find out the truth. Therefore, throughout this play we see that Hamlet can use a lot of emotions and characteristics. When Hamlet uses them, they are used with power and forcefully to make an effect on who ever he is talking to. He makes an impact most of the time except from when everyone thinks he is mad they just think that he is talking rubbish. His intelligence brings out the best in him especially when he gets the play put on for his uncle. So in my opinion Hamlet is smart and very intelligent.
Saturday, September 21, 2019
The Effect of a Change in Language of Instruction on the Returns to Schooling in Morocco Essay Example for Free
The Effect of a Change in Language of Instruction on the Returns to Schooling in Morocco Essay According to this journal, in the last few decades, language reform has been a strong movement throughout the Kingdom of Morocco from a primarily French speaking country, to an Arabic speaking one. In the schools, the French teachers were removed and replaced with native speaking ones. Although the Curriculum changed, the books language did not, because many of the jobs available are in a French speaking language and nation. So, the economic value of the Moroccan people speaking French is greater than only speaking Arabic. In 1983, A process named ââ¬Å"Arabizationâ⬠by many, removed the French language and replaced it with Arabic. In schools in Morocco, many parents left their children in middle school until there was room for them in secondary school. In this article they have correlated the similarities between speaking the French language and The economy, and how each has affected each other. Islamic Radicalism Slows Moroccan Reforms. Steven Erlanger and Souad Mekhennet. New York Times. 26 August, 2009. According to this article, Morocco has been viewed as ââ¬Å"a rare, liberalizing, Islamic Stateâ⬠¦that can live in peace with Israel. â⬠(NY Times) King Mohammed VI is under extreme Islamic pressure and has slowed the pace of change. Although he says he is focused on democracy, according the article, it is more of just a facade. Many of the head officials have talked of a balance between freedom and democracy but many are worried of extremism. In 2003, bombings by Islamic radicals have increased tension in Morocco, and may have thwarted the attempts to make it a more accepting society. Since the Bombings, there has been a major crackdown on extremists in the country, going so far as to jail someone for having a long beard, and accusing them of terrorist activities because of this. Some say this is all over the top and the arrests are based on circumstantial evidence, but others such as Moroccoââ¬â¢s intelligence leader stated that it was not based on political parties but a crack-down on terrorism. The king has decided to rid the country of the slums, in an attempt to smut out all radicalism. Although this crackdown has removed some extremism , it has interfered with human rights, especially that of people in jail. Background Note: Morocco. U. S Department of State. Bureau of Northeastern affairs. 12 March, 2012. This United states government website gives a profile of the geography, people, government, and economics of the Kingdom of Morocco. The location is North Africa on the Atlantic Ocean and Mediterranean Sea. The population is listed as 34,859,364 people. Their GDP as of 2010 was $90. 5 million. According to this article, the Moroccan people are mainly Sunni Muslims of Arab descent. Arabic is Moroccoââ¬â¢s official language but French is most widely taught. It also states that most people live west of the Atlas mountains, near Casablanca. Although education is compulsory, the average literacy rate is surprisingly low, around 30% for women, and approximately 65% for men, but in rural areas is expected to be about only 10% for women. During World War II there was a strong campaign for independence from France. Morocco finally gained its independence on March 2nd, 1956. Currently Moroccan Government is ruled by a monarchy, but now has a stronger parliament to help improve democracy and human rights. Introducing Morocco. Lonely Planet. Website. 20 January 2012. http://www. lonelyplanet. com/morocco This Travel site describes Morocco as a sensory overload. Tangier is considered a common first port of call, but Casablanca is the most recognizable due to its popularity from portrayals in movies. Their monetary system is the Dirham, which is comparable, 1 USD= 8. 15 (DH). It also states that their chief of state is Mohammad VI. The Article says that Malaria is no longer a problem in the country. CIA. The World Fact book. Website. https://www. cia. gov/library/publications/the-world-factbook/fields/2049. html This site explains the main exports of Morocco, which are clothing and textiles, electrical components, crude minerals, fertilizers, petroleum products, citrus fruits, vegetables, and fish. It is a very diverse, open-market economy. The economy over the years has seen steady growth with low inflation rates. The core of the economy revolves around agriculture, tourism, and apparel. Although they have had slow economic success, they still suffer from unemployment and poverty. Key challenges for the Moroccan economic system includes fighting corruption and reducing government spending. In 2006, Morocco entered a Free Trade Agreement with the United States, the only African country to have one. Moroccoââ¬â¢s Labor force as of 2011 has 11. 6 million people approximately.
Diagnosing Co-Morbid Substance Use Disorders (SUDs)
Diagnosing Co-Morbid Substance Use Disorders (SUDs) What do the following have in common: alcoholism, obesity, smoking, drug abuse and compulsive gambling? Until recently, there were thought of as relatively independent and separate problem areas. Psychologists, psychiatrists, social workers, and other mental health professionals have previously specialised in the treatment of one of these behaviours, but few had attempted to extend their therapy and research efforts to cover more than one or two of these disorders. As well as their expertise, specialists in these areas have not worked in concert with one another, or communicated with each other about treatment and research issues. However, several changes have been induced in recent times with the concept of addictive behaviours, and this has led to possible commonalities among these seemingly diverse problems. There is also the increased awareness that workers in each of these areas have much to learn from one another, and that there may be significant and instructive similarities i n aetiology, process and treatment. The interesting similarity among the above mentioned problems has collectively come to be known as additive behaviours. According to Miller (1980) addictive behaviours involve some form of indulgence for short-term pleasure of satisfaction at the expense of longer-term adverse effects. The various substance abuse disorders all involve significant health risks as various chronic diseases. There are enormous social costs of addictive behaviours, both in personal expenditures as non-essentials and costs to the public as health care, crime control etc. The following essay aims to critically review DSM-IV guidelines for diagnosing co morbid substance use disorders (SUDs), the factors that undermine definitive diagnosis of co morbid disorders, and the potential diagnostic changes that could address these issues. In particular this essay shall examine alcoholism which is one form of substance abuse. Attempts shall also be made to investigate the types of research that would act as a support for the criteria and guidelines for diagnosing SUDs and psychosis. Substance use disorder is caused due to psychoactive drug use and may be referred to as a condition arising from the abuse of alcohol and psychoactive drugs. Alcohol and other substances can have varied physiological and psychological effects. Although the effects of alcohol and drug consumption may appear as desirable, prolonged and heavy usage may result in physical harm, dependency and withdrawal problems and long term psychological damage or social harm. For the diagnosis of patients with co morbid psychotic symptoms and substance use disorders (SUDs) the Diagnostic and Statistical Manual of Mental Disorders 4th ed. (DSM-IV), makes clear distinctions between independent psychotic disorders (bipolar disorder, schizophrenia) and substance-induced syndromes (delirium, dementia etc.). Most substance-induced psychotic symptoms are considered to be short lived and that it subsides with sustained abstinence along with other symptoms of substance intoxication and withdrawal. One of the m ost frequent situations in psychiatric diagnosis are challenges posed by patients who experience the onset of psychotic symptoms during episodes of current or recent psychoactive substance use (Rosenthal Miner, 1997). All major categories of non-organic psychotic disorders in DSM-IV have an exclusion criterion for symptoms that are not caused due to the direct physiological effects of a substance. For patients with SUDs, psychotic disorders can be diagnosed as either independent or having one of the many substance-induced mental disorders. Psychosis forms a feature of this categorisation. When changes occur relating to the pharmacological effects of different categories of substances, the symptoms include ââ¬â acute intoxication, intoxication delirium, withdrawal, substance-induced psychotic disorder with hallucinations etc (caused due to the use of substances such as, alcohol, stimulants etc.). The only exception is for alcohol-induced pathological dementia. All other substance-induced psychotic mental disorders are considered as time limited (Rounsaville, 2007). Alcohol dependence syndrome according to DSM-IV (APA,1994), is characterised by the presence of three or more of the following symptoms ââ¬â a strong compulsion to drink; difficulty in controlling either the onset or termination of drinking or the levels of alcohol use; a physiological withdrawal state on the stopping of alcohol consumption or the use of alcohol to avoid withdrawal symptoms; increasing tolerance to alcohol (i.e. the need to consume larger quantities of alcohol to achieve a similar effect as produced originally from smaller amounts); digressive neglect of other interests; and persisting use of alcohol despite awareness of the harmful effects from consumption. Alcohol-related psychosis is a secondary psychosis with hallucinations occurring as the predominating feature in many alcohol-related conditions. These include but are not limited to acute intoxication; withdrawal, after a major decrease in alcohol consumption, and alcohol idiosyncratic intoxication. According to Larson (2008), alcohol is a neurotoxin that affects the brain in a complex manner through prolonged exposure and repeated withdrawal. This results in significant morbidity and mortality. Larson further argues that, alcohol-related psychosis is often an indication of chronic alcoholism. As such, it is associated with medical, neurological, and psychosocial complications. The discontinuation of alcohol rapidly clears alcohol-related psychosis but may continue on later alcohol related exposure. Although distinguishing alcohol-related psychosis from schizophrenia through clinical presentation often is difficult, the general consensus is that alcohol-related psychosis suspends wi th abstinence, unlike schizophrenia. Larson (2008) has also noted that, alcohol-related psychosis lacks the in-depth research needed to understand its pathophysiology, demographics, characteristics, and treatment when compared to alcoholism. According to Rassool (2006) psychoactive drugs are substances which have an effect on the central nervous, as they alter mood, cognitive processes and behaviour. Rassool (2006), states that, the uses of psychoactive drugs are considered illegitimate depending on the social customs and laws of different cultures and societies. In most societies, no adjustments are made in the interest of the use and misuse of tranquilisers, heroine, volatile substances, and stimulants such as amphetamines and cocaine. Legal drugs such as alcohol, caffeine and nicotine are used as a social lubricant and as self-medication, as a means to relieve tensions and anxieties of everyday life. They are also used as a mechanism to ease social intercourse. He further agues that, although there is an increased risk of morbidity and morality, alcohol is actively encouraged and socially reinforced in some societies. There have also been observations that consumption levels are on the rise in most countries and hence , statistics have been obtained for the UK to demonstrate this fact below. According to the NHS Information Centre (2009), an estimated 863,000 alcohol related admission in hospital in 2007/08. This is an increase of 69% since 2002/03 when the alcohol related admission was at 510,200. The statistics bulletin further states that, in England in 2007, the number of individuals who were on prescription items for the treatment of alcohol dependency were 134,429. These were prescriptions that were dispensed in primary care settings or NHS hospitals and those dispensed in the community. This shows a marked difference since 2003 when there were 102,741 prescription items (an increase by 31%). Further findings from the bulletin indicate that, there were 6,541 deaths in England in 2007, and these were directly related to alcohol (an increase by 19% since 2001). Of these alcohol related deaths, majority of the individuals died from alcoholic liver disease (estimate of 4,249). Alcohol misuse related harm is estimated to cost the NHS in England approx. à £2.7 billion i n 2006/07. As an attempt to ensure a moderately even account of the statistics on alcohol misuse in UK, the Audit Scotland report has been reviewed and provides further evidence of Scotlands growing problem with drug and alcohol misuse. The Audit Scotland (2009) report presents that Scotland has a higher level of drug and alcohol misuse compared to the rest of the UK. According to the report, the levels of alcohol dependency are three times higher than that of England. The report states that estimating the size of Scotlands alcohol problem is not accurate due to lack of national data and under-reporting of consumption. Based from findings from the Office of National Statistics (2002), an estimated 4.9% of the population in Scotland aged 16 and over are dependant of alcohol. The higher prevalence of alcohol dependency is Scotland has been argued to be found due to high rates of alcohol dependency in Scottish women. There were 42,430 discharges from acute general hospitals with an alcohol-related diagnosis in 2007/08. When compared to statistics from the past five years, there has been an increase by 5% in discharge rates (Alcohol Statistics Scotland, 2008). In Scotland, 11% of all accident and emergency attendances are considered to be as a result of alcohol. The busiest time of alcohol-related attendances are recorded as Friday night of Saturday morning ranging between midnight and four in the morning (NHS Quality Improvement Scotland, 2006). Scotland has the highest alcohol-related death rate in the UK with 1,399 alcohol-related deaths in 2007. This is a 75% increase over ten years and over 100% increase over fifteen years (General Register Office for Scotland, 2009). A report from Strathclyde Police in 2007 showed that between April 2006 and March 2007, two-thirds of those in custody at three Glasgow police stations were for violent offending under the influence of alcohol. The reasons for highlighting the statistics on alcohol misuse in UK as well detailed statistics from Scotland is not just to emphasise the ever growing alcohol and drug consumption in the country, but also to understand the common co-occurring psychiatric disorders related with the misuse of these substances. The recent recognition of this co morbidity can be attributed to a number of reasons. Abou-Saleh Janac (2004), state that, the development of drug abuse services was separate from that of the development of general psychiatric services, with little interference between them. Furthermore, the move from hospitals to community care of individuals with severe mental disorders has exposed these individuals to the risk of developing alcohol and drug problems, thereby merely heightening their psychopathology and disability. There is also the high risk of self-harm not just to individuals who are within general psychiatric services, but also those with severe personality disorders with in addiction services. A number of etiological models for co morbidity have been introduced in research. These include ââ¬â common factor models, secondary substance misuse models, and secondary psychiatric illness models (Mueser, Bellack Blanchard, 1998). According to Mueser et al (1998), the common factors models include common genetic factors and antisocial personality disorder. However, Abou-Saleh Janac (2004) argue that studies have not supported the existence of a common genetic factor in the causation of substance misuse and psychiatric disorders. At the same time, the presence of antisocial personality disorder was shown to be a common factor in substance misuse. They further go on to argue that, patients with sever mental illness and antisocial personality disorder are morel likely to have substance misuse than those with no antisocial personality disorder. Adversity in childhood can seem omnipresent in patients with alcohol misuse who are co morbid with psychiatric conditions. A study condu cted by Langeland, Dralijer Van der Brink (2004), found that childhood detrimental influences such as early loss of a parent, witnessing domestic violence and parental alcoholism, exemplified as variations in types of co morbid psychiatric disorders in men with alcohol dependence. A further study by Mueser et al (2000), in a cohort study involving 325 patients with co morbid psychiatric disorder and substance misuse distinguished the predictors of co morbidity as male, young age, lacking education, involved in criminal activity, conduct disorder, and antisocial personality disorder. Secondary substance misuse models include those of self-medication, alleviation of depression, and super sensitivity. Abou-Saleh Janac (2004), further state that the self-medication model depict psychiatric patients as using specific substances to alleviate specific symptoms. However, this argument has not been supported and psychiatric patients who use alcohol or drugs have worse outcomes. As depression can be associated with a general proneness to addiction and not the use of a specific substance, the alleviation of depression model is more acceptable. According to the super sensitivity model, patients with severe mental illnesses react in a highly sensitive manner to low doses of alcohol and drugs, in particular amphetamines leading to a hasty relapse in the individuals illness. The secondary psychiatric illness model alcohol and drug use disorders are viewed as causing the co morbid mental disorder (Abou-Saleh Janac, 2004). An interesting note about the above stated models is t hat, causality is one-directional. In clinical practice, substance abuse may form both a cause and a consequence of another mental disorder. A mental disorder at the same time may be both a cause and a consequence of substance abuse, thereby creating a vicious circle. In individual cases, multiple pathways of association between substance abuse and other mental disorders may act simultaneously in both directions. A review of certain factors (bio physiological and genetic, socio cultural and psychodynamic) as well as a detailed review of other models (social learning and behavioural) which all put together helps formulate what is known and thought about why human beings come to abuse themselves by abusing alcohol. When split apart, each model explains a part of every abusers problem, together they provide a comprehensive etiological perspective. According to Miller (1980), one of the most obstinate theories of the bio physiological model of alcoholism is that alcoholics and non-alcoholics differ in the rate at which they metabolise alcohol. Identifying such a difference would suggest that the etiological factor resides in the rate-limiting mechanisms involved in the metabolism of ethanol. However, no metabolic studies of alcoholism indicate the existence of such a rate difference (given that the alcohol consumption is kept constant) (Mello Mendelson, 1978). Charles Lieber, claims that alcohol ics have two metabolic routes by which they break down alcohol while non-alcoholics have one (Korsten Lieber, 1979). According to this theory, alcoholics metabolise alcohol differently from non-alcoholics and thus gain the capacity to consume larger amounts of alcohol for longer periods of time than non-alcoholics. Even if such proof were available, there still lie the important roles of environmental, behavioural and socio-cultural factors in alcoholism. Numerous studies have been carried out, suggesting that alcoholism runs in families (Goodwin, 1979). Evidence that genetic factors play an important role in the development of alcoholism has been derived from twin studies, family studies, adoption studies, observations of ethnic differences, and studies of biological risk factors (Goodwin 1979, 1985). Studies of monozygotic (identical) and dizygotic (fraternal) twins generally suggest that there is some degree of heritability in the frequency and quantity of alcohol consumed (Schuckit 1987). Monozygotic twin pairs also tend to show a significantly higher level of concordance compared with dizygotic twin pairs (Schuckit 1987; Agarwal and Goedde 1990). Family studies indicate that approximately 40% of alcoholics have an alcoholic parent (Institute of Medicine 1987), and that the alcoholism rate is significantly higher in relatives of alcoholics than in relatives of non alcoholics (Cotton, 1979; Guze et al, 1986). Alcoholics with a fami ly history of alcoholism tend to begin drinking earlier in life. They also tend to have more alcohol-related problems than those alcoholics without a family history of alcoholism (Cloninger et al. 1981). These data, taken together, suggest that there may well be a genetic component to alcoholism, though its extent and influence of inheritance is not a simple one, as both genetic and environmental factors may be involved (McNeece DiNitto, 2005). The pharmacology and physiology of physical dependence and tolerance to the drugs of abuse continue to be explored, but this model alone cannot adequately define alcoholism. As mentioned earlier, cultural patterns have a profound impact on drinking and rates of alcoholism. Miller (1980), states that although cultural influences can predispose a person to alcoholism, social variables play a major role in translating that predisposition to actual addiction. He further states that cultural influences can operate to maintain alcoholic drinking. For e.g. peer pressure, has a powerful influence on the development of deviant drinking among adolescents (Jessor Jessor, 1975). Social historians have argued that the pervasiveness of social setting-related influences on persons to drink heavily (Zinberg Fraser, 1979). Psychoanalysts explain alcoholism in several ways. Alcoholism is seen by some psychoanalysts as fundamentally suicidal, trying to destroy bad, depriving mothers with whom the person has identified with. Others claim that alcoholics are defining themselves against underlying depression by drinking to oblivion (Williams, 1976). Critics of the psychoanalytic approach to alcoholism, argue that there is no empirical data to support these hypotheses. They also argue that psychoanalysis does not help alcoholics who seek treatment (Schuckit Haglund, 1977). Dynamic theories of drug addiction, describe the addict as a person whose habit represents a return to the oral stage of psychosexual development. As such, dependency needs being paramount, the addict is frustrated with their inability to derive satisfaction of these needs. Inability to meet their oral dependency needs in more appropriate ways, leads the addicts to use drugs or alcohol to obtain gratification. Although the complex psychoa nalytic theory has been simplified to a great extent, it has relatively little impact on the prevailing views of aetiology and treatment. The cognitive behavioural approach views any type of psychopathology as a maladaptive learning process. As such, the central goal of cognitive behavioural approaches is to design techniques through which maladaptive responses can be disentangled and replaced with adaptive responses. The first behavioural explanation for alcoholism was that of tension-reduction. Tension-reduction is based on the hypothesis that, alcohol appears to reduce anxiety. Hence, alcohol is presumed to reinforce drinking by alcoholics. Empirical support for the theory came from earlier studies of experimentally-induced conflict in animals (Conger, 1951, 1956; Masserman Yum, 1946). However, tension reduction has not received universal support (Cappell Herman, 1972; Brown Crowell, 1974). The behavioural effects of alcohol involve a complex interaction of factors. The expectations an individual holds about alcohol effects their behaviour (Pliner Cappell, 1974). Expectancies themselves are complex because it is based on belief systems, prior drinking experiences, the immediate social and physical setting of drinking, dosage levels etc. Such complexity suggests that the potential reinforcing capabilities of alcohol remain uncertain. The social learning model views alcohol and drug abuse as socially acquired, learned behaviour patters that are maintained by numerous anticipatory causes (classical conditioning) and consequent reinforces (operant conditioning). The causes and reinforces may be of a psychological, sociological or physiological nature (Miller Eisler, 1975). The relationship between SUDs and psychiatric disorders pose commonplace diagnostic challenges for both clinicians in treatment settings and researchers in community settings. This is because both SUDs and psychiatric disorders are intermeshed with resemblance of intoxication and withdrawal effects to the symptoms of psychiatric disorders in most patients who come for treatment. Research findings suggests that there are high rates of SUDs amongst individuals with schizophrenia (Regier et al 1990), and even higher rates were reported among samples with first episode psychosis (FEP) (Sevy et al, 2001; Kavanagh et al, 2004; Wade et al, 2004). Addressing co morbidity is clinically relevant because SUD in schizophrenic patients is associated with poorer clinical outcomes (Swofford et al, 1996) and contributes significantly to their morbidity and morality (Rosen et la, 2008). The reasons for high co morbidity between SUD and schizophrenia although poorly understood, are considered to be a n involvement of brain pathways and is likely to be a shared feature in co morbidity that is common to all drugs of abuse (Volkow et al, 2007). The co morbidity of SUD and schizophrenia could also be a direct consequence of the underlying neuropathology of schizophrenia. This may contribute to enhanced addiction vulnerability in individuals by disrupting the neural substrates that mediate positive reinforcement (Chambers, Krystal Self, 2001). The challenge has been to design measures to differentiate three conditions. Firstly, differentiating between expected intoxication and withdrawal symptoms; secondly, being able to distinguish between psychiatric disorders occurring during periods of active substance use. The third measure includes being able to differentiate between psychiatric disorders that are clearly independent from substance use. Prior to the publication of DSM-Iv, there existed no specific criteria for making these differentiations in substance abusers. This gave rise to a number of reliability and validity problems, including low levels of agreement between study groups, even when the same measures were used (Hasin, Samet, Nunes, Meydan, Matseoane Waxman, 2006). Eventually, DSM-IV clarified the guidelines to a considerable extent for differentiating independent and substance-induced disorders. According to DSM-IV, if a psychiatric episode occurs when substance use is insufficient to produce persistent intox ication or withdrawal, it would be diagnosed as primary (independent). Subsequently, substance-induced psychiatric disorders are defined as those that occur during periods of heavy substance use (or remitting shortly thereafter) and that have symptoms that exceed the expected effects of intoxication or withdrawal listed in DSM-IV. Hasin et al (2006), also argue that no study has yet addressed the reliability of the DSM-IV system of differentiating between intoxication/withdrawal symptoms. Disorders whose symptoms exceed intoxication/withdrawal effects and psychiatric disorders that is temporally independent from periods of substance use. In order to create a diagnostic instrument that was reliable and valid for assessment of psychiatric disorders in substance abusers, the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) was developed (Hasin, Trautman, Miele, Samet, Smith Endicott, 1996). The pre-DSM-IV PRISM included standardised guidelines and probes to differentiate between organic and non organic syndromes and was administered by experienced clinical interviewers. Hasin et al (1996) conducted a study involving 172 dual-diagnosis or substance abuse patients. The result showed good to excellent reliability for many diagnoses, including SUDs, primary affective disorders, eating disorders, some anxiety disorders, and psychotic symptoms. The need to incorporate the new DSM-IV criteria (including the criteria for substance-induced disorders), to shorten and simplify the interview, and to add assessment of specific psychotic disorders led to the development of the PRISM-IV (Hasin et al, 2006). The PRISM-IV is a semi structured interview. The covers the diagnosis for current and lifetime time frames. These include abuse and dependence (by substance), major depressive disorder, mania, schizophrenia, mood disorder with psychotic features, delusional disorder, brief psychotic disorder, personality disorders etc. The most fascinating feature of the PRISM-IV is that, diagnostic modules can be selected to suit specific research needs. Apart from this, substance use disorders that are unimportant to the research question can be omitted as well. Other than PRISM-IV and DSM-IV, there are various other assessment tools that can be used for the assessment of psychiatric disorders in substance abusers. One such tool is the International Classification of Diseases Diagnostic Criteria (ICD-10). ICD-10 provides specific criteria to differentiate between primary disorders and disorders resulting from psychoactive substance use, but only for psychotic disorders. ICD-10 excludes psychotic episodes attributed to psychoactive substance use from a primary classification similar to DSM-IV. Unlike DSM-IV, ICS-10 does not provide a separate psychoactive substance-related category for any other type of psychiatric disorder. In ICS-10, organic mental disorders exclude alcohol or other psychoactive substance-related disorders. Furthermore, organic mood disorders and organic delusional disorders cannot be used to diagnose episodes co-occurring with heavy psychoactive substance use (Torrens, Matrin-Santos Samet, 2006). Different interviews for psychiatric diagnosis based on DSM-IV or ICD-10 criteria are available for clinical and research studies. These include Structured Clinical Interviews for Axis I disorders (SCID-I) for DSM-IV (First et al, 1997). There exists the Schedule for Clinical Assessment in Neuropsychiatry (SCAN) (Janca et al, 1994) and the Composite International Diagnostic Interview (CIDI) (WHO, 1998). The SCID-IV is a semi-structured interview that allows diagnosis of primary or substance-induced disorders. However, it does not provide any specific guidelines other than those stated in the criteria. The differentiation of primary and substance induced disorders is made on a syndrome level in SCID-IV (Torrens, Matrin-Santos Samet, 2006). A range of clinical phenomena can be assessed by SCAN. A core instrument of the SCAN is the Present State Examination (PSE-10). PSE ratings are coded on score sheets and based on these ratings, a computer program generates ICD-10 and DSM-IV diagnos es. The PSE is a semi-structured clinical examination. The interviewer uses clinical judgment to attribute specified definitions to clinical phenomena using the SCAN Glossary. The glossary consists of a list of definitions of clinical symptoms and experiences (Torrens, Matrin-Santos Samet, 2006). Finally, the CIDI is a fully structured interview design. The interviewers read the questions as written without interpretation (Robins et al, 1988). CIDI relies heavily on the subjects opinion for primary substance-induced differentiation. The CIDI generates ICD-10 and DSM-IV diagnoses. Symptoms attributed to alcohol, drugs, or physical illnesses are eliminated for consideration when making psychiatric diagnoses in CIDI. The method of evaluation used in CIDI is very varied in comparison to SCID-IV, SCAN or PRISM-IV. Torrens et al (2006) argues that, currently, most DSM-IV psychiatric disorders can be assessed in substance-abusing subjects with acceptable to excellent reliability and validity by specifically using the PRISM assessment tool. Having reviewed the statistics, aetiology and assessment of co morbidity in alcohol abuse, the next section is going to analyse the different treatment approaches. One of the biggest problems in the treatment of SUDs is preventing a relapse after abstinence or controlled substance use has been achieved. Whilst there is no general theory of relapse, Marlatt Gordons approach to treatment is based principles of social learning theory, and draws heavily on the concepts of self-efficacy (Bandura, 1977). The approach emphasises on the methods to enhance confidence in individuals to enable them to perform activities leading to an effective outcome. According to self-efficacy theory, individuals who possess a high self-efficacy on their ability to perform a particular task are more likely to initiate and maintain that behaviour (Wilson, 1996). Wilson (1996) argues that the self-efficacy theory has been criticised on a number of conceptual grounds including difficulty in distinguishing betwe en response-outcome expectancies and performance self-efficacy (Lee, 1989). The Stages of change model by Prochaska DiClemente (1983), suggest four stages in the process of change. These include: pre-contemplation (not thinking about cessation); contemplation; action (attempting to engage in cessation); and maintenance (stopped using drug, and attempting to remain abstinent). Wilson (1996) argues that, although this model cannot be considered to be a general theory of relapse, there are opportunities different types of interventions for different individuals. He further argues that theory helps make specific and testable predictions about the matching of individuals for treatments. Other than the theoretical explanations for prevention of replace in individuals with alcohol abuse, there also exists medical treatment and social treatment approaches. Detoxification is an abrupt stop of alcohol drinking coupled with the substitution of drugs that have similar effects to offset the withdrawal symptoms. Detoxification treats only the physical effects of prolonge d use of alcohol, but does not actually treat alcoholism. There is a high chance of relapse without further treatment. Various forms of group therapy or psychotherapy can be used to deal with underlying psychological issues that are related to alcohol addiction, as well as providing relapse prevention skills. Miller (1980) states that when problem drinkers are treated, approximately one-third become abstinent and an additional one-third show substantial improvement without abstinence. He has based his findings from short-term studies; however, data from long-term studies suggest that on average only 26% of those treated remain abstinent or improved after one year. A few other treatment strategies for alcohol addiction include aversion therapies, family therapies, controlled drinking therapies etc. To conclude, while progress is apparent in the study of substance abuse; more research is needed on the commonalities and differences among the addictions. Numerous theories have been developed to help explain the causes of addiction, but it is important not to lose sight of essential differences among substances and their effects. Individuals with recurrent or severe and enduring mental illness and co morbidity with substance-misuse have complex needs. This requires the continuing care of specialist mental health services and substance-misuse services. It has been reported that around 30% of those seeking help for mental health problems have current substance misuse problems, and of individuals seeking help for substance misuse, more than half have had a mental disorder in the previous six months (Department of Health, 1998). According to Appleby (1999), individuals with substance-misuse and psychiatric disorders find it hard to engage with appropriate services. He further states th at suicide is a high risk factor amongst this group. The different assessment tools that have been devised by DSM-IV for the diagnosis of co morbidity in SUDs, whether in primary or specialist care should consider how to access appropriate specialist input. Recent studies have examined the relationship
Friday, September 20, 2019
Vodafone Marketing Strategies
Vodafone Marketing Strategies Advertisementâ⬠¦. Vodafone has a specific advertisement strategy in new Zealand .Vodafone try to target its customers through advertisement. Vodafone spend huge money on its advertisement that customer can get full and correct information about products. On the TV channel of new Zealand ads of Vodafone products can be seen comanlly.Vodafone dominate on TV radio newspaper and other ways which provide information to customer .Vodafone give ads o TV before launching in the marketing to promote that product.Vodafone is well known company in newzealand because of its promotional ways which attract to customer in effective way.vodafone sponsor to worriz team in new Zealand which team promote its products or service in new Zealand. Personal sellingâ⬠¦.. Vodafone promote its product by using personal selling method of marketing. Employees of Vodafone communicate with customer to convince to buy product or service.vodafone regular conduct sales meeting in stores that how to satisfy to customer by giving good service or product. We can know about products by call to customer care of Vodafone which is 24 hours for help to its customers and also can know about products or services .it can be seen in Auckland cities salesmen of Vodafone show samples of products to attract to customer for example information about new plans ,showing new mobile phones of Vodafone company .i think it is most effective way to promotion because seller come to know about seeks and wants of buyer and company can have feedback through this idea. Direct marketingâ⬠¦.. Vodafone use both way of direct marketing like face to face or indirect communication through television ,radio, newspaper.vodafone employees go to door to door and sell their product .Vodafone use mail or letters to target audience they putt browser in letter box however sometime it is junk mail but company has opportunity to get fast response from customers.vodafone do street advertisement for example on queen street of Auckland.vodafone gives preference to such way specially door to door because they are successful to sell their product or service. Publicity â⬠¦ Vodafone is such company which is one of most popular in new Zealand so media has special observation on Vodafone activities which helps to Vodafone make more attract or noticeable of customers .Articles and newspaper give information of companies future products or services and it also focus on policies ,actions of company which give information about company to its customers Internet marketingâ⬠¦. Vodafone has its own website which has every thing whatever customer want to know .second way of promotion is face book or twitter Vodafone nz has pages on both which is also a way to promote .company also send mail to its target audience those who log in companys site. Advantages and disadvantages of used promotional tools Advantages Advertisements are most successful way to promote any product. Advertisement has both audio and video effects if it is shown on television which helps to consumer to analysis that product by seeing like we can see size of product,figtures ,shape ect.Advertisement has great access to people because almost everyone watch television, listen radio, and read newspaper or magazines .advertisements on television specially send actual message to customer with right and unique way because we can watch and listen so consumer get message whatever company want to send to its consumer. Advertisements attract to people because some celebrity indorse particular product for example David backham is brand ambassador of Vodafone company for world wide. Personal selling brings customer to company by convincing them. Salesman makes understand to customer about product and service so salesman get response on the spot. Communication becomes stronger due to this way of promotion. Direct marketing is cheap way of promotion like sending mail to customers. Internet marketing which can be define one of most accessible way to reach to consumers .Today heaps of product are launched by different companies in the whole world so internet becomes a way to promote that product or service in the world.Throught internet customer can be targeted for example if any company make product for younger people then company can promote by social sites like facebook,orkut ect. Disadvantages Advertisements is costly function of promotion generally if company spend money on ads for promotion then cost of per item will increase and company covered this cost by increasing price of product. Some advertisements mislead to customers which ads are cleverly made by companies to create misleading impression of products .it has happened with Vodafone so Vodafone had to pay fine for such advertisement .company has to spend huge amount of money to make an video advertisement for example David Backham charge huge money to indorse of one advertisement. Direct marketing can irritate to consumer because sometime consumer are not ready to face salesman .door to door promotion idea consume more time than other way of promotions. Internet marketing has also some disadvantages because customer cannot experience product before buying for example if anybody purchase Vodafone companies cell phone then customer cannot experience features ,apps ect .Internet promotion has other big fault that it is not secure mostly internet has security reasons. Conclusions â⬠¦Ã¢â¬ ¦.at the end I would like say that promotion tools which are used by Vodafone new Zealand are effective because due to such tools Vodafone is most popular company in new Zealand as well as in whole world. Every thing has pros and cons so promotional tools of Vodafone also have these things.
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