Legislative Requirements of Teaching in Your Specialist Area Essay

Working as a Financial Capability tutor my personal and work values are led by the ethos for Citizens Advice Bureau, my employer; here we value diversity, promote equality and challenge discrimination; our aims and principles set out to both provide the advice people need for the problems they face and improve the policies and practices that affect people’s lives. There are many legislative requirements (laws), and codes of practice (directives and professional ethics) that need to be considered in a learning environment. My organisation has its own policies and proceedures that are applicable to the particular environment; these underpin the legislation to act according to the law as defined in an Act of Parliament and usually enforceable through the courts. My interpretation of ones that will effect me as a teacher are given here. The Health and Safely at Work Act (1974) Everyone has a responsibility for their own safety at work and also a duty to protect the safety and welfare of others, this effects every single organisation. Even if the learners are adults there are still rules and regulations that must be adhered to; As a teacher I need to be fully aware of these rules and ensure that any learners I teach are too. I should always make the class aware of the nearest fire exists and advise of who the fist-aiders are within the building. I must always follow best practise and to lead by example. Risk Assessments are also the responsibility of the teacher in order to establish practices that minimise risk and record any high risk activities. I need to analyse any potential risks when instructing activities within the class. It is my responsibility to assess any risk levels prior to commencement of any tasks in order to minimise the risks. If there are any accidents or incidents, I must also keep a record of these. There are then the legislations that are drawn from the Human Rights Act 2000. Disability Discrimination Act (1995 and 2005) Equality Act 2010 Teachers must respect these laws have been passed to ensure that no one is discriminated against irrespective of any disability (physical or mental) they may have or their gender, age, religion, ethnicity, sexual orientation or marital status/domestic circumstances. For the teacher this means ensuring language, handouts and other learning materials are free from bias; and that inappropriate comments are challenged within the classroom. The environment and all support structures should enable access and include facilities to meet all learners’ needs. . I must ensure that any activities I set are suitable for all learners to participate and must not make any learner feel excluded by their disability. Also when advertising courses and delivering learning, a teacher should not stereotype or in any way disadvantage a group of learners. I would also be using Safeguarding of Vulnerable Adults training when working with my students. Data Protection Act 1998 The DPA requires any organisation that holds sensitive data on anyone for over two months to register as data users. As a teacher, I need to be cautious of how I store my learners personal or sensitive information. I should never share someone’s personal or sensitive information with any other person. Freedom of information act 2000 As an amendment to the Data Protection act the freedom of information act makes provision for the disclosure of information held by public authorities or by persons providing services for them. I should be aware of what my students can request to see when I hold information on them. There are also three other pieces that I would consider in my role The Further Education and Training act 2007, for its requirements on the LSC and on further education institutions to have regard to guidance in relation to consultation with learners, potential learners and employers. And the codes of practice issued by; NIACE regarding Safer Practice and Safer Learning; these help the student to focus on their rights and responsibilities when participating in the lifelong learning sector. They address issues such as harm, abuse and personal safety when taking part in any kind of learning, outlining things that could be wrong, and giving students contact details if they feel that they need to report any wrong doing, without needing access to the teacher. Also the Institute for Learning Code of Practice for Teachers 2008 Code of Professional Practice, which seeks to protect learners and the public interest and will apply to all members of the Institute for Learning . The codes purpose is to promote, value and develop the professionalism of all learning and skills practitioners. The Code outlines the behaviours expected of members – for the benefit of learners, employers, the profession and the wider community. The code lists seven behaviours for members to uphold; Professional Integrity, Respect, Reasonable Care, Professional Practice, Criminal Offence Disclosure, Responsibility during Institute Investigations, Responsibility to the Institute. These will all have an affect on what happens both in and out of my classroom and must be at the forefront of every lesson and lesson plan for a teacher. They will be used in tutor/student contracting and in appeals and complaints policies, and so it is important that I keep up to date with these legislations and codes of practice and part of my responsibility is to make sure that they are being adhered to and that I know what procedure to follow if this is not the case.

From the Perspective of the Priest Child Abuser Essay

The article â€Å"A Priest Child Abuser Speaks† from the book Slayer of the Soul was contributed by a priest who wishes to remain anonymous. He is a self-confessed child abuser during his priesthood, and by writing this, he wishes to share his experiences and his gradual climb back into society. He also believes that writing this article would provide a lesson for both the victimizers and their victims, and hopes that the victimizers would avoid committing such hideous wrongs towards their victims. In the article, the priest shares his journey of self-realization as he slowly vaporized the demon that was poisoning his soul and coercing him to do such crimes against children. The priest recalls that he was convicted for abusing children — sexually, psychologically, and emotionally — in the 1980s, and sentenced to 14 months in a minimum security facility. He believes that he was lucky, knowing that a similar child-abusing priest was sentenced for 20 years of hard labor. The priest mentions that life was tough for him both inside and outside of prison. He felt that a lot of people resented him for what he did to children, and believed that what happened was just a lie, no matter how true it was. Some officers, notably a lieutenant who hated him, bullied and toyed with him. Other prisoners were disgusted at his presence, refused to befriend him, or intimidated him often. For his size, he thought that he would not stand a chance, and he saw that avoiding conflict was the best solution. However, not all of these people resented him or was afraid of him. He recalls making some friends while in prison, ranging from guards to cell mates. They supported him and were sympathetic of him, especially at the time when the lieutenant’s abusive nature went a bit overboard. While in prison, he fought for the system to give him therapy for the â€Å"sickness† he believes that he was carrying. He won that appeal, and the court sent him to therapy twice a week. The Sex and Love Addicts Anonymous (SLAA) provided the opportunity for him to realize the root from which this sickness stemmed. While trying to heal himself, he also experienced rejection from close friends and acquaintances. Life was certainly difficult for him who was branded as a â€Å"child abuser,† which is why he wanted to reform himself in order to reenter society. During his SLAA therapies, he recalled his childhood which was filled with fear, anxiety, misfortune, and harassment. It was at that time when he idolized his parish scoutmaster and weirdly fell in love with him, prompting him into having a sexual relationship with him. It was a very traumatic experience that he knew he had to pull out from. He deducted that this might be the root of his â€Å"sickness† all along, as it was reinforced by an authority figure that it was â€Å"okay† to do it. He was also searching for a father figure, since his real father abandoned him and his family, and his mother declared him as the head of the household. When he entered the parish, he wished to help the children who had no father figure and had an emotionally miserable life. Things boiled over, and pretty soon, he was sexually involved with these young boys. One boy told his parents, and this made him realize his mistake. He mustered the strength to tell their parents that they need immediate therapy, but was arrested in the process when one therapist told the police about him. When he finally got out of prison, he wanted to mend the ties with his family and clear things up with them. However, they failed to â€Å"hear him out,† which was the reason that drove him into an unstable state in the first place. He confronted his scoutmaster and felt betrayed by his insights on the issue involving child abuse, telling him that it was wrong while he was regretting the fact that he believed in his scoutmaster. The damage has been done to him, and he believes that he needs to accept the consequences of his actions and just move on. He mentions that it left a black hole in his life, upon which he was initially placing things to fill that void. However, he realized that it was not the right course of action as he was building his life around that hole, completely avoiding it. Thus, he wished to enter the ministry again in order to help others that are trapped in the same dark cell in which he broke out from, although not completely. The priest mentions that gradually, he was able to recover his life and reform himself into the person that everyone knew before the incident. He was also able to reenter society as himself once again. Hence, he wishes to share his experiences to the world through this article in order to let people know that victims could become victimizers themselves one day, if they are not treated immediately. References A priest child abuser speaks. (1990). In S. J. Rossetti (Ed. ), Slayer of the Soul: Child Abuse and the Catholic Church (pp. 99-111). Mystic, CT: Twenty-Third Publications.

Art and Function in a T-Shirt Essay Example for Free

Art and Function in a T-Shirt Essay Defining and evaluating artistic and aesthetic value has often been a problematic task. This is because aesthetic judgements are subjective and are influenced by prevailing cultural, economic, political, and social norms. Hence, the definition of art remains a contested domain between those who believe in â€Å"high art† and the advocates of artistic and cultural relativism. (Danto 35) The difficulty in ascribing aesthetic value to objects is evident in the fact that relativism, with its focus on the individual subjective experience, would render anything and everything as artforms since humans ultimately attach meanings to objects they possess. Changes in culture and socio-economic conditions also alter and influence the very standards by which the aesthetic value of art forms and other objects are judged. For instance, in judging a t-shirt with Bob Marley’s face printed on it on the front through the use of the silkscreen method, one easily dismisses it as a non-art when judged according to the traditional notions of fine art. This is because the t-shirt and the print on it do not express artistic creativity, which is a prerequisite for objects to be considered art forms. The t-shirt and the print, which can be replicated many times over by any one with knowledge on silk screen printing, do not possess relevant canonic properties of art such as unity, complexity, and intensity which could evoke intense human experiences and therefore, aesthetic appreciation (Goldman 185). The sight of the t-shirt does not stir up feelings of beauty nor does its fabric hold anything extraordinary for the senses. The print on the t-shirt does not convey a particular style to capture attention or cause pain or pleasure, at least not in the way that beholding Picasso’s paintings evoke wonder, mystery, and other psychological sentiments arising purely from the painter’s use of style, colors, and the imagination. Likewise, the t-shirt with the print on it was created not for the purpose of being admired as an art. As such, the t-shirt is not valuable in itself but gains value for its function to humans, contrary to traditional visual and other forms of art. Art forms are valued for their artistic worth or for their ability to command a definite blending of particular perceptual and sensory elements from the audience (Goldman 188). On the other hand, subjecting the t-shirt to evaluation based on the principles of aesthetic value leads to interesting results. The t-shirt with Bob Marley’s face printed on it clearly fulfills two aesthetic principles. First, the t-shirt becomes a medium for the image of Bob Marley, a cultural icon in reggae music and in the historical struggle of Jamaicans. In this case, the t-shirt with Bob Marley’s image transcends its status as an object worn by humans to cover themselves and becomes an expression of the values of reggae and Jamaican culture in a manner similar to cultural artifacts. Second, the t-shirt itself may be valued by an individual for the sentiments attached to the shirt. It could have been given as a gift for an occasion or has been worn to events associated with feelings of happiness which make the t-shirt valuable to the individual because of the memories of joyous times spent while wearing it. Thus, other people might consider the same t-shirt aesthetically valuable. Fenner observes that objects do not have intrinsic aesthetic value; rather it is the subjective experience of humans that create aesthetic value for objects, particularly the expectation of pleasure from an object (122). Those who appreciate and know Bob Marley may value his image on the t-shirt and subsequently feel pleasure or the elevation of other feelings associated with Bob Marley’s musical contribution and historical roots. As such, the t-shirt may be appreciated by people who share a cultural affinity with Jamaica or of the counterculture that Bob Marley represents. The value of Bob Marley’s silkscreened image extends to the t-shirt which carries it and reinforces the value of the shirt for its owner. The t-shirt, donned by the owner, can therefore be considered the medium for the expression of individuality and creativity of the wearer. Wearing Bob Marley may be a political or cultural statement for a particular culture, particularly as a representation of the struggle against apartheid or against conventional popular music and the culture it represents. Hence, the appreciation of Jamaican culture or reggae music becomes another definitive aspect of the aesthetic experience that may be separate from the experiences attached to the t-shirt as an object. Likewise, neither the fact that the t-shirt was not created for the sake of art nor its low economic worth prevents it from being categorized as an art form. Fenner notes that the presence of traditional aesthetic properties do not necessarily lead to an aesthetic experience or to the creation of an aesthetic value (121). Hence, the audience can view a pricey painting without feeling any connection with it which would make the painting worthless in terms of evoking a subjective experience of appreciation for creativity or imagination. On the other hand, the same audience may behold the image on a shirt and feel an instant connection, a feeling of intense emotions from memories or meanings attached to the object of attention. It is clear that the traditional definitions of art and the accompanying distinction and stratification between â€Å"high art† and â€Å"lowbrow art† has slowly been eroded with the rise of cultural relativism and postmodern theory. Doubtless, the rigid formality of art has come under attack even within various artists’ circles itself that ascribe to the fluidity and less structured styles of postmodern culture. Thus, even an ordinary t-shirt can now be considered an art form when, after critical analysis, it is able to fulfill the principles of aesthetic value. Fenner, David E.W. The Aesthetic Attitude. Atlantic Highlands, N.J.: Humanities Press, 1996. Goldman, Alan. â€Å"Beardsley’s Legacy: The Theory of Aesthetic Value.† The Journal of Aesthetics and Art Criticism 63.2 (2005): 185-190. Art and Function in a T-Shirt. (2017, Mar 25).

Walt Dysney Case Study Example | Topics and Well Written Essays - 1250 words

Walt Dysney - Case Study Example The three key elements of such a technology project plan are described below; a. Databases: Detailed information about the existing customers, prospective customers, types of services available, customer orders, other inventory items etc. forms a crucial component of the database. The information, thus generated, can be used to track the periodicity of the customer/s in using the services of the company, tracking of orders, customer preferences etc. Such information can subsequently be used to improve the services of the company. b. Programming: After the company has set up the requisite databases, there's a need to integrate the different database items into one common entity to make the online experience a wholesome e-commerce activity. This can be achieved when there is built-in programming and software coding to assist the database integration and providing a useful user-friendly graphical user interface (GUI). The GUI can be of different types for different segment of customers. The programming also facilitates creation of the order/s, invoice generation, accepting the payment and communicating the shipping details. The programming must make the e-commerce website easy to handle even for a non-technical user. Programming tools like visual basic, java, html, C++ etc. are the most popular one's for creating a user friendly interface. c. Networks: For providing a reliable communication networks function as the backbone. In today's era of Information Technology the world is increasingly becoming networked, technical, and closer to each other. Communication networks are generally defined based on their size and complexity. In general the three main types of networks are Local Area Networks (LAN), Metropolitan Area Networks (MAN) and Wide Area Networks (WAN). Networks not only help the company in information/ data sharing, but it also helps in improving efficiency and reducing costs. When the databases are interconnected though internet or any other type of networking, it also helps in reducing data redundancy and simplification of error handling mechanism. The company can opt for an appropriate network depending upon the type of requirements. Intranets will be used by the company people to update the information for the general user. For example to connection all adjoining database centres within premises the compan y can set up a LAN; to connect two or more company offices within the city the company can set up a MAN while for connecting such data centres located across the countries or regions, it can set up a WAN. Internet will of course be the interface for the user and company officials on the move. Networks will therefore be extremely useful to manage customer orders and inventory. In addition to the above mentioned elements the technology implementation plan requires use of some more assisting technologies so that the new technological solution does not adversely affect any individual/ party concerned with the company. i. Use Cases in System Analysis and Design: Henney (2007) states that, "A 'use case' represents a case of use of a system, ideally one that captures a functional requirement in terms of an identifiable and testable goal." Therefore Disney

Smoke Signal Film Analysis Essay Example | Topics and Well Written Essays - 1000 words

Smoke Signal Film Analysis - Essay Example The existence if this film completed the conception of Indians churning out their own stories a reality. Even so, will self-depiction by Native Americans within Hollywood finally, eventually take place again? American Indians inhabit a controversial position in the Hollywood thoughts. They would seemingly appear to be an element of America’s unusual myth. This falsehood glaringly seems to be overtly determined to twirl into realism. The last decade has observed more Indian themed movies launched with the participation of bona fide Indian actors than ever before. Additionally, whether modern Indian Smoke Signals is an outstanding incident still is debatable. However, time will only tell whether actors of Native American origins will eventually, absolutely, be granted the starring responsibilities to which they rightfully deserve. In the film Smoke Signal, Native Americans were classified into an assortment of the noble savage, the atrocious warrior, the faithful assistant, amid other subversive names (Morgan, 2010). It is evident that Native Americans stand in for a very minimal margin of the American population. The only way they are represented according to solid evidence is though the medium that is the media. The media such as television and movies have a certain primacy with which they represent this minority group of Native Americans. A major exit from the classic action against the Native Americans, Smoke Signal is a superficially human anecdote, superfluous with dissident political commentary (Morgan, 2010). The issue of Alcoholism in the film is brought out by Victor’s father who is an erratic alcoholic. Victor’s father in this scenario depicts parental desertion and alcoholism. Here, the movie sends up Indian cynics, who struggle with dysfunctions. Even more, Smoke Signals gallops on not present fathers and wondering fathers. As a clever way of settling his late father’s affairs, Victor goes down to Arizona and comes back wi th his ashes. Victor is depicted as very bitter at his father’s drinking and desertion. While in Arizona Victor realizes some truths about his father. In this context, Smoke Signals stresses the importance for bringing together between father and son. This movie, as a result, depicts Indians as down-and-out drunks, unseemly addicted to alcohol as they are to the unpleasantness at their batch in life. This film depends heavily on human correlation and salvation. Struggling with the crippling grief, Victor’s father takes to alcoholism and violence as way of escapisms from the challenges facing him. When he dies, Victor is put to the task of inheriting his father’s estate. But the crippling financial challenges combating his family do not allow him to travel to Arizona. But his friend bails him out his financial crisis by providing him with the money required to travel to Arizona. This point depicts that Native American were always looking after each other, incase of dire hardships (Morgan, 2010). Victor’s father abandonment is seen not as decision, but as something he was meant to do. In order to escape from guilt, Victor’s father then resorts to alcoholism. However, the abandonment of Victor’s father is much less important than his own acceptance of it. This is because Victor has is left no option but to continue with his daily existence. Conversely, the Indian reservation is cast in a fashion as if it existed in a time line where progress is

Geographical Information Systems Essay Example | Topics and Well Written Essays - 1000 words

Geographical Information Systems - Essay Example The most important part of a GIS is the ‘gencode’ to which information is connected. It represents a geographical code to highlight a place or location anywhere in the world. A GIS shows vital data in a diagrammatic manner, displaying extended spatial locations, territorial divisions, neighborhood vicinities and their inhabitants with unparalleled clearness. The GIS displays structure upon structure of data {such as characteristics and statistics of human population, income levels, voting preferences, poverty levels, pollution rates, and Internet availability}, and the manner in which all structures work in cohesive unity. The GIS user then selects the data to structure according to the queries that need to be solved. The precise information provided by GIS is being increasingly used for public safety purposes. Public safety officials have discovered that its geospatial information is derived much more spontaneously, and is more productive as compared to data supplied by ambiguous orthodox photography due to the very fast rate at which imagery of a certain area can be displayed as well as the cost savings involved. It is estimated that GIS use has resulted in cutting short land-use and field visits by as much as 70%. Tasks like on-the-way and on-the-scene skillful planning, highlighting the precise origin of wireless calls, advance planning of interior safety and security strategies, and re-directing traffic in times of emergencies have become much easier to undertake and solve more quickly and efficiently (Earth Imaging Journal, 2005). The use of GIS as a crime-fighting tool is increasing in the United States. It enables the police to examine and evaluate crime trends and find precise geographic locations where some crimes are concentrated, connect those crimes to the area in which they take place, and highlight the locations

Case Analysis.Sustainable Development Study Example | Topics and Well Written Essays - 2000 words

Analysis.Sustainable Development - Case Study Example It also helps in suggesting best business practices on various issues on variety of platforms like government, non government and inter-governmental organizations (WBSCD, 2013c). The main objectives of the association are as follows: To be one of the leading business that advocate on matters like sustainable development To actively participate in policy development and in development of the right kind of framework that helps in making an effective contribution in sustainable human progress To develop and promote the business case for sustainable development To demonstrate the business contributions to the development of sustainable business solutions and sharing the knowledge among the members (WBSCD, 2013d). To contribute towards a sustainable future for developing nations The association helps in bringing the forward thinking companies together that help in reshaping the global business community and in creating a sustainable future for society, business and environment. ... It helps the management of various companies to lay emphasis on the societal and environmental concerns in the business interactions and decisions taken by the stakeholders. CSR is in response to the various kinds of civil society and consumer pressure. The main focus of WBCSD is to ensure that the CSR model has been implemented by various organizations that will help in taking managerial decisions ethically (WBSCD, 2013e). The main focus of the organization is to ensure that the companies are aware about the benefits, applications and awareness of the CSR model. WBCSD ensures that the CSR assists the small and medium enterprises in developing countries in promoting environmental awareness and also achieve their organizational goals. Promotion of CSR concept among small and medium enterprise requires several approaches that complements the business capacity and needs and do not have an adverse impact of the business decisions taken by the management. Various techniques like Triple Bo ttom Line theory and other CSR based programme have proven to be instrumental in meeting social and environmental needs without compromising their competiveness. Company Profile: Saipem Saipem is regarded as one of the largest oil and gas companies in the entire oil and gas industry. It is one of the leading companies in engineering, construction and drilling. The company enjoys a superior position in the offshore and onshore oil industry by completion of successful technological projects. Saipem is regarded as one of the global contractor companies with a strong presence in Middle East, Asia, West Africa, North Africa, FSU and Central Asia. It has a strong presence in the European region and the major part

Culture contributed to the issues of power, politics, and leadership- Essay

Culture contributed to the issues of power, politics, and leadership- Devil Wears Prada - Essay Example Organizational culture is the set of key values, beliefs and attitudes shared by organizational members. Organizational culture is often created by company founders. (Chuck 2009). Thus, the one person who can formulate, actualize and operationalize an effective organizational culture will have to be an effective leader. The leader through many traits like power will implement or impose that culture. With the culture having been implemented, it will give rise to different responses from the employees bordering on both positive side as well as negative side. Negative side in the sense, there will be some negative office politics because of the imposition of the culture. This paper by focusing, â€Å"The Devil Wears Prada† will demonstrate how the organizational culture based issues of leadership, power and politics were portrayed in the film. As leaders are the men/women in lead, they usually have a major impact on how the group initially defines and sets into an organization. Typically, the leaders have strong assumptions about the nature of the world, the role that organizations play in that world, the characteristics that make up human nature and relationships, how truth is arrived at, and how to manage time and space. They will, therefore, be quite comfortable in imposing those views and personal cultures, on their partners and employees as the organization copes with challenges and targets. This initial stage imposition of founder’s assumptions, as a form of good culture is one of the good leadership traits, because as the workers’ mind will be fresh in their new organizational setup, they will be motivated to adopt that new culture. Motivation is the set of forces that initiates, directs and makes people persist in their efforts over time to accomplish a goal. (Williams 2009). This new culture will co nsist of many

ETHICS Essay Example | Topics and Well Written Essays - 750 words - 3

ETHICS - Essay Example For instance, a consequentialist may at times compromise on lying to someone depending on the situation while a deontologist may not at anytime condone lying of any sort. The case is, however, different for a virtue ethicist, which puts into consideration on what the implication of telling or not telling a lie has on someone’s character (Aristotle 3). Consequently, for a virtue ethicist, the morality of lying is dependent on factors such as group or personal benefits and intentions. The Aristotelian virtue ethics will help deal with the morality dilemma of the invisible ring in a considerable number of ways. An individual while wearing the ring might be tempted to do certain things, voluntary actions. Aristotle explained that ethics is more practical than it is theoretical, therefore, the determinant of my responsibilities while wearing the ring, is my human nature (8). Prior to indulging in any action while wearing the ring, ethics virtue requires me to carry out a moral evaluation of any action presupposing the attributions and contributions of responsibility to other people. The actions that I decide to undertake should at all times be voluntary. Most importantly, the action that I choose to engage myself in while wearing the rings ought to result to giving me true happiness and satisfaction. I will make a deliberate decision on the moral dilemma of wearing the magical ring after I have weighed in my character and the Aristotelian virtue ethics. Should my ch aracter and the Aristotelian virtue ethics be compatible, I would wear the ring if not I would not wear the ring. Confucius social harmony ethics is also the Confucianism or Ruism that occasionally has the descriptions of a religion. Aristotle explained that the Confucian philosophy has shaped and inspired generations for hundreds of years, with its impacts evident in the people’s cultural structures and beliefs (5). The

The effect of advertising on alcohol consumption by young people Essay

The effect of advertising on alcohol consumption by young people - Essay Example This essay "The effect of advertising on alcohol consumption by young people" outlines the impact of the alcohol advertisement on the extent of alcohol consumption by young people. Ringold (2008, 139) states that her research study revealed moderate consumption of alcoholic beverages as the norm in the United States. This is similar to the results of the Gallup polls (2004) which have indicated the same outcome since 1939. The recommendations given by the United States Dietary Guidelines on moderate drinking was consistent with the consumption found in 90% of people who consume alcohol. This is supported by Saad (2005), who states that underage drinking and alcohol abuse have considerably reduced in the last three decades. The per capita consumption of alcohol has continued to decline over the past twenty-five years, states NIAAA (2006). The results of the study by Ringold (2008, 139) reveal that alcoholic beverage advertising does not exert a material influence on total consumption or abuse. On the other hand, it models normative drinking behaviour, hence may be a crucial inhibitor of alchohol misuse. Responsibility efforts sponsored by industry, by government and by nonprofits lead to desired changes, modeling desired drinking behaviours, and may be more beneficial for heavier drinkers. The research study is timely, because of the continued trend of increased expenditure on advertising, undertaken by alcohol manufacturers. This is supported by several studies conducted by governmental agencies.

International Business Finance Essay Example for Free

International Business Finance Essay 1.Introduction This report is specific for JKX Oil Gas. She is a petroleum company focusing on exploration and production in countries of the ex Soviet Union and the Ukraine. Her management is considering weather following her competitor expansion into Far East and Oceania. In this report I am going to show analysis in two sections. The first section is analysis on motivation of cross border investment in using FDI and find out the reasons of home countries host countries encourage company to FDI. The second section is evaluating any key causes of a financial crisis and show how financial crisis affect the international trading. 2.Motivations of using FDI as cross border investment Basically FDI could be divide into three type of motivates they are market-seeking, resource-seeking, and efficiency-seeking (Malllampally and Sauvant 1999). Other than above there are a lot of academics theories, which could explain the motives behind the FDI by enterprises. In these theories I have chosen five theories that is common to be use for explain the motivations of FDI. First is international product life cycle theory (Vernon 1966), every product ought to go thought some stages from a new product to a mature product. In order to take efficient and cost advantages in different stage, production plant move towards foreign. This theory help explain the motive of manufacturing business efficiency-seeking and market-seeking in using FDI but fail to explain reason of using FDI instead of using others methods such as licensing. For example car producer such as Honda, their new car will be firstly starting design and produce in Japan during the new product stage, then shift to USA for listen to the market where have a huge demand and lastly the production will be shift to the East-Asia to produce in order to lower the production cost in the standard product stage. Second is transaction cost theory (Williamson 1993), it stated that when enterprises business is affected by market imperfection, which lead transaction cost increase. They will go international which benefit the efficiency and decrease the transaction cost. Be remind that this theory fail to explain reason of enterprises using FDI instead of using others methods and it is usually apply to manufacturing business efficiency-seeking which products are low in price, heavy, and easily to product in every where. For examples cement manufacturing industry as the raw-material is easy found in every where and easy to product also it is cheap in price and heavy so that firm will be product it locally instead of export it. Third is market imperfection approach, (Hymer 1970) assume that due to market imperfection FDI present. Theory stated that when any factors which lead failure of perfect market. Because of extra cost of cover the barriers, advantage present in foreign countries, and advantages in using FDI over licensing such as full control, unique knowledge, and skill cannot be transferred. Enterprises will do the FDI to achieve profit maximization on their business. This theory help explain the motive of efficiency-seeking in every business by using FDI when they facing market imperfection. Fourth is eclectic theory (Dunning 1993), theory stated that following factors found by enterprise FDI will be present. Firm will get advantage over particular location ownership, the advantage of have location ownership are not by selling or leasing, for the advantage a profit advantage must be gain. This theory help explain the motive of industries using FDI to take advantage of market-seeking and resource-seeking. Fifth is following competitors theory (Knickerbocker 1973), this theory stated that in oligopolies industries firm will follow her competitors to move towards foreign countries. Following competitors in order to reduce the chance monopoly in a new oversea market by her competitor. This theory help explain the motive of oligopolies industries go international for market-seeking But this theory fail to explain the reason of first mover and reason of using FDI to expand other than licensing. Eclectic theory, following competitors theory, and market imperfection approach which help explain why JKX chose to invest internationally with FDI. JKX is focusing on petroleum exploration and production of oil. It is just perfectly apply the eclectic theory because JKX is fully depending on use of local resources oil field. FDI is the only way to gain the resource by takeover the location ownership, and JKX uses the location resource to generate profit by production. Also maybe reason of addition cost on oil production JKX will decide move to other country because of the unique knowledge and skill cannot be transferred JKX need to use FDI to build new production plant. Also exploration and production oil industry in oligopolies. If JXK do not follow her competitors she will lost the potential oil field and her potential customer in new location. Moreover when JKX decides to invest internationally she needs to beware of the following such as economic risks, political risk, exchange rate risk, and cultural risks. 3. FDI impact on nation states Because of FDI bring a lot of advantages to nation states (host home), nation states attempt to encourage FDI to do so. 3.1Advantage of FDI to host country There are seven advantages of FDI to nation states, which explain why host countres attempt to encourage foreign to do FDI. First is resource transfer effects, FDI by foreign firm bring along with their capital, technology, and management skill to host country. Capital bring alone by FDI is an importance source of stable private external finance for every country especially to developing countries. For example JKX buy an oil field form the host country and invest on the oil drilling equipment and build production plant ,which is a long term investment, profit making though production ,and could not leave easily. Moreover the external finance give a big hand on the balance of payment and foreign exchange reserve which is importance element for the economic health. Technology and Management Skill are another resources bring alone with FDI, which enhance productivity and competitiveness of host country. Both of them are importance elements for success in global market when chance comes. Foreign firm provide training on knowledge and skills on how to produce and management skill to local employee in order to facility the production. These knowledge transfer direct benefits to local labors and enhance productivity and competitiveness of host country. For example in the 90’s computer parts MNCs build production plant in Taiwan by FDI, nowadays Taiwan is be came another computer parts manufacturing kingdom in Asia. Second is employment effect, FDI creating employment for host country. Foreign firms build up their manufacture plant in the host country which increases the employment directly by foreign own plant and relative industry, for example in Mexico FDI create every 1 job in the foreign production plant and create 7 job in the relative industry (Farrell 2004). Also the local trained employees may start their own business. But there will be opposite effect in market-seeking† FDI raise unemployment by forcing less competitive companies out of business as foreign firm will bring along with advance technology reduce employment need in same production, For example Wal-Mart’s entry into the Mexican food Market which decrease the margin of that industry push less competitive companies exit (Farrell 2004). But actually this effect is just base how government manage the FDI for example in the 90’s china government restrict of the sold inside market of foreign firm which protect the local employment would not be substitute. Third economic growth and local multiplier effect, high employment leads more consumption by the local country citizen. As a result encourage industries further develop to fulfill increasing consumer needs; lower prices, better quality, and more selection for consumers. It is because of further developed of the industries, which increase employment, and new products encourage consumer to do more purchase, the cycle will go on and on. Fourth credibility in international market because of demonstration of first mover success, build up a model for the followers others foreign firms will be more confident to FDI to the same country. As followers could learn the first-comer experience, enjoy the effort done by first comer in host country such as infrastructures, educated customers, trained labors, and research done. Also stop the first-mover to become monopoly. In additional the credibility may attract short-term investment others than FDI. For example India starting by the first mover to starting computer software relating industry, nowadays it became another silicon valley in. Fifth access to return markets (Malllampally and Sauvant 1999), as FDI by foreign firm increase accessing international marketing network. The network benefit to transnational systems related industry, domestic firm to getting spillovers foreign business, and wider economic of host counties, by greater the links between foreign and domestic. This also helps spread the enhanced productivity and competitiveness of host countries. Sixth tax revenue from profit (Razin 2002), profit generated by FDI contribute to tax revenues to the host country in general. But some countries may cancel out direct taxes for the MNCs to attract for investment, tax revenues will still be benefit as more consumption in local {Sales Tax} and better income of citizen {Income Tax} Seventh reinvestment within local economy, the credibility of host country established the foreign firm may reinvestment into same country by using the profit earns in there. Moreover host counties encourage foreign firms to do so as foreign firm bring the profit back to their home country may deplete the foreign reserve and the profit earned put back to host country will bring along with new benefit to host country. In additional FDI force host country improve their economic health such as policy system, industry, and better the living standard of the host country by better income, lowing price, improve quality and more selection for customer. 3.2Disadvantage of FDI to host country There are also some bad points together with FDI incoming such as, Adverse effects on local competition due to spending power and brand of MNC, MNCs become an impact on government decision due to the economic power of MNCs, Over exploitation of country mineral wealth etc†¦ 3.3Advantage Disadvantage of FDI to home country Looking on the surface impact of FDI to home country surely will be lot disadvantages follow by such as negative impact balance of payment and increase unemployment. But why home country will encourage company to do FDI aboard , FDI will benefit the country in such ways, company go aboard may increase the export due to new development demand, MNCs will bring the FDI profit back to home country that benefit the balance of payment, jobs will be create as additional need of support activity represent by FDI aboard. FDI increase the long-term competiiveness by learn from others countries. Home country could benefit from the FDI of the sunset industries to free labor force form the costly and low-value industry. FDI good to host country and long-run good to home country FDI need management and benefit to both MNCs and host government For FDI to be successful it require win-win situation benefit both MNC and Host country, but require a good control in order to manage FDI well. If the management of FDI is done badly which may result in harmful to whole host country’s economic system. On the other hand FDI going aboard not only bring alone with disadvantage to host country in the long-run which may also give a huge benefit to the home country. The following paragraph will be shown both advantages and disadvantages of FDI to nation states 4.Root causes of financial crisis  There are many underlying reason which form a financial crises such as excess capital inflow, speculation activities, poor financial infrastructure, monetary policy etc.. all these factors encourage financial crises breakout. The following is a simple flow of twin crises (Kaminsky and Reinhart 1999). Starting form establishes of credibility of a country, foreign investors will start to invest into the country because expectation of return high. When the capital going into the local economic, that increase the economic health, local money supply, economic activity, foreign reserves, and government budget. All these factors increase country credibility and once again increase the attractiveness of capital inflow. The continuous increasing expectation of return will form rational bubble (Blanchard 1979) investors and speculators will holding an overvalued currency but would not sell it yet, they believe there will be a further appreciation on the local currency. Because of more and more capital inflow, banks in the country will facing difficult in generating profit as they have too much cash on hand, the banks will decrease the liquidity ratio lend more money out of the banks which result in increase risky loan, overinvestment, over-consumption, and asset price bubble. Banking crisis will more like to happen when bubble bursts and increasing bad loan. When the Banking Crisis outbreak which decline economic activity, costly fiscal bailout, decline the country credibility and lead capital flight. (Aghevli 1999) Capital outflow, costly fiscal bailout, decline economic activity, and speculation activities fasten decline the foreign reserves that result currency crisis.

Trauma, sexual trauma & counselling Essay Example for Free

Trauma, sexual trauma counselling Essay †¢ A strain we feel at different times/in different situations †¢ Set of external forces impinging on the person (unemployment, crime, etc) †¢ Set of psychological physiological reactions (racing heart, sweating palms etc) †¢ Can be opportunity for growth The spark that pushes us into action †¢ The extent to which an individual experiences stress depends on the event, together with the individual’s personality ability to cope Crises †¢ A normal reaction to a difficult experience an individual has not faced before †¢ In crises a person feels Confused, overwhelmed unable to cope †¢ Can be an external event, or an internal one caused by development †¢ A turning point An opportunity to learn skills, find resources adapt Trauma Trauma Definitions †¢ â€Å"Situations in which the victim is rendered powerless and great danger is involved† â€Å"Profound deviation from normal life experience† THUS sudden, overwhelming, unanticipated, suggests threat of injury or death. experience fear, helplessness, loss of control extreme powerlessness †¢ Traumatic events extraordinary overwhelm the ordinary human adaptations to life generally involve threats to life or bodily integrity, or a close personal encounter with violence or death. †¢ Most notable characteristic: the feelings of helplessness terror that victims are left to deal with. 4 The Effects of Trauma †¢ Trauma overtaxes the ability to cope †¢ Can damage mental health †¢ Traumatised people feel act as though their nervous systems have been disconnected from the present: Persistent expectation of danger Imprint of the traumatic event that does not fade Numbing response of giving up that becomes generalised. †¢ Psychologically mentally, trauma refers to: wounding of emotions, will to live beliefs about the self the world dignity and sense of self security †¢ Impacts normal ways of thinking feeling, so previous coping mechanisms to handle stress is no longer functional. †¢ Victim feels like a thing, a vulnerable object, subject to the will of a power/force greater than themselves Different Kinds of Traumas †¢ Natural disasters(flood, fire, hurricane, etc) †¢ Man-made catastrophes(war, terrorism, bus disasters, etc) †¢ Unintentional violence(car accidents, culpable homicide) †¢ Intentional violence (forms of victimisation involving threat to life, health limb) †¢ Trauma caused by nature → Disaster Trauma caused by humans → Atrocity Direct vs Indirect Trauma †¢ Indirect trauma affects those exposed to or witnessing the traumatic event symptoms of indirect victims can be identical to those of direct victims family of the victim, those in helping profession, children in domestic violence situations †¢ Can be a victim of direct indirect trauma at the same time witnessing a rape/murder while being held hostage. Single vs Multiple Trauma †¢ Trauma can be a single event, or multiple events (being hijacked more than once) Continuous vs Complex Trauma †¢ Continuous Traumatic stress: Situations in which people are exposed to ongoing trauma Residents of areas with high levels of violent crime Repeated exposure to violent situations Develop a numbing response to additional traumatic events, making it difficult to detect they are traumatised Can seem lethargic or depressed, don’t understand what is going on so don’t seek assistance †¢ Complex Trauma: Situations in which victims experience prolonged, repeated traumatic events Usually there is a relationship between the victim offender Victim is under control of offender, and cannot escape for an extended period First trauma is unexpected, but over time the victim awaits further incidents with enormous psychological tension Eg marital rape or child sexual abuse Conclusion †¢ People respond differently One person’s â€Å"stressful event† can be another person’s â€Å"trauma† All are relative to how individuals react to situations †¢ A hypothetical continuum plots stress, crises trauma, plotting the increase in intensity †¢ In practice it can be difficult to draw distinctions, the client’s definition should always be used 1.2 DEFINING SEXUAL TRAUMA †¢ Sexual trauma is: Trauma of a sexual nature The trauma creates emotional turmoil for the survivor May impair the survivor’s functioning in certain areas (self-esteem, relationships sexuality) Problems may manifest much later, when the survivor develops understanding of the wrongness of the activities they participated in, given that participation may even have been passive. 9 1.2.1 Rape and Child Sexual Abuse †¢ 1 in 4 children in SA are sexually abused at some time †¢ Just as many boys as girls under age 10 are sexually abused †¢ 80% of offenders are well known to, and trusted by, their victims †¢ There has been a significant increase in young offenders (

Cognitive Behavioural Therapy for Psychosis

Cognitive Behavioural Therapy for Psychosis A literature review in chronological order from past 5 years Introduction The blanket term Psychotherapy covers a multifaceted pluralistic enterprise in which a range of therapies is required to meet a patient’s various needs (Holmes J 2002). The National Service Framework cites cognitive behaviour therapy as being the psychotherapeutic method of choice for conditions that include â€Å"depression, eating disorders, panic disorder, obsessive-compulsive disorder, and deliberate self harm.† (Rouse et al. 2001) Literature review The first article we shall consider is a letter to the editor of the BMJ by Van Meer (R 2003). It is comparatively unusual since it is a clinician referring to clinical matters which are both intuitive and experience based. The author refers to the fact that many psychiatrists and related healthcare professionals actually avoid talking about the content of psychotic symptoms. The generally accepted rationale being that these are diagnostically of no significance and therefore therapeutically irrelevant. Van Meer contrasts this view with the basic concepts of cognitive behaviour therapy. He suggests that in his experience, the patient actually often will want to talk about issues that are central to their experience and are distressed when they are kept out of the conversation. He suggests that this is one of the reasons why cognitive behaviour therapy is popular with psychotic patients is that they have the opportunity to discuss with sympathetic professionals the significance of the ir experiences and this is capable of giving them a mechanism of dealing with what may be otherwise unexplainable to them. This publication is selected because of its counterintuitive thrust to support cognitive behaviour therapy against the â€Å"mainstream† of current clinical psychiatric practice and is written by an experienced practising clinician. This area of consideration is given a further twist with a different insight from Moorhead (S 2003). He agrees that psychiatric professionals tend to try to avoid engagement with psychotic patients on the subject of their psychosis and â€Å"thereby unwittingly add to the prejudice that blights the lives of people who live with psychosis† . He points, very succinctly, to the fact (and cites Brabban A et al. 2000) that the central tenet of cognitive behaviour therapy is that the therapist should endeavour to show a clear linkage between â€Å"personal experience, core beliefs (schemas), and emergence of psychotic symptoms†. The significance of this publication is that it is unusual insofar as it outlines the benefit of cognitive behaviour therapy for the staff as much as the benefit for the patient, by suggesting that staff trained in the techniques of cognitive behaviour therapy are able to empathise on a much deeper level with the patient and this, in itself, has a â €Å"remarkable remoralising effect of developing a meaningful understanding of the psychotic phenomenon with a patient†. This point is echoed in the discussion of the Craig paper. The Craig paper (Craig T K J et al. 2004) is a carefully constructed, but badly reported, randomised controlled trail of the current efficacy of specialised care modalities for cases of early psychosis. (Vickers, A. J et al. 2001). It is presented here as a case study in critical analysis. The interventions were delivered in two groups. The entry cohort was allocated to a standard care group (the control) or the intervention group (specialised care group). Both sets of treatment were delivered by the community mental health teams. The outcomes for both groups were rates of relapse or readmission to hospital. (Friedman GD. 1994) We present this paper to illustrate a common problem with this type of trial. On first appreciation, it demonstrates the fact that the intervention group did better than the control group. The difficulty in critical analysis comes in trying to decide which of the treatment modalities actually produced this beneficial effect. (Mohammed, D et al. 2003) The entry cohort was quite impressive for a study of this type with 319 presenting with psychotic illness over an 18 month period and 144 of these meeting the inclusion criteria. 94% of these were remained in the trial over the 18 months of follow up. We note that, although the programme of interventions did include cognitive behaviour therapy, it also included other treatment options such as low dose atypical antipsychotic regimens, cognitive behaviour therapy based on manualised protocols, and family counselling and vocational strategies based on established protocols (Jackson H et al. 1998). From the point of view of our considerations here, on the one hand the results appeared to be good insofar as the study showed that the intervention group had fewer readmissions to hospital in the study period and also they had fewer psychotic relapses (although this was of low statistical significance). On the other hand the paper tells us that all patients had medication and the ultimate choice of treatment pathway was decided by the intervention clinician, so although cognitive behaviour therapy was used, we have no absolute idea of its effectiveness from this trial. (Green J et al. 1998). All we can say with confidence is that, as part of a total package, cognitive behaviour therapy appeared to have helped to contribute to a beneficial outcome for a significant number of psychotic patients. A completely analytical and minimalist approach to this particular trial could suggest that it is indeed possible that cognitive behaviour therapy is actually ineffective per se. other than it served to keep the patient in closer contact with the clinicians. (Piantadosi S. 1997) In this respect this is an instance of a trial which is seemingly supportive but does not contribute greatly to the evidence base On first sight this particular view might be considered pedantic, but it is echoed by Yates (DH 2005) in a letter in the BMJ, where he specifically takes up this very point. He points to the fact that there is very little description of the regimes of cognitive behaviour therapy and the degree that it’s impact can be isolated from the overall effect. He also refers to the fact that a breakdown of the various therapies offered and the degree that each was helpful would have improved the paper tremendously. We have to agree. We will next consider a high profile paper by Morrison (A P et al. 2004) which has been widely cited. This paper took the pioneering work of Yung (et al. 1996) who identified a high risk group of patients who would develop psychosis and studied the effect of cognitive behaviour therapy on the prevention of the development of the clinical state. Morrison et al. identified the fact that other studies (McGorry, P. D et al. 2002) had demonstrated that it was possible to reduce the incidence of psychosis development with a multifaceted approach, like that of Craig, which included elements of cognitive behaviour therapy. Morrison however, elected to carry out a study that used cognitive behaviour therapy as a single strand approach in this high risk population. (Leaverton P E. 1995) The results from this study convincingly demonstrated that cognitive behaviour therapy alone â€Å"significantly reduced the likelihood of making progression to psychosis as defined on the Positive and Negative Syndrome Scale over 12 months.† (Kay, S. R et al. 1987) The authors were also able to demonstrate that cognitive behaviour therapy also reduced the likelihood of a patient being prescribes antipsychotic medication. Other criteria of analysis demonstrated that cognitive behaviour therapy â€Å"significantly improved the positive symptoms of psychosis â€Å" in the target population. This is an important study as it is one of the first to provide a reasonably secure evidence base that cognitive behaviour therapy works in the psychotic patient. It also shows that it works in the high risk group and has the possibility of a prophylactic effect by minimising the likelihood of psychotic relapse. A critical analysis would observe that the intervention cohort was comparatively small and a disproportionately small number were entered in the control group (37 and 23 respectively). High risk psychotic patients are comparatively rare and therefore one has to appreciate the practical difficulties involved in accumulating a sufficiently large sample to study. (Grimes D A et al. 2002), The last publication that we shall consider is that by Trower (P et al. 2004). It was published at the same time as the Morrison paper and is notable for the fact that, like the Morrison paper it recognises the shortfalls of the previous multi-modality studies and isolates cognitive behaviour therapy in its analysis. It also specifically targets a notoriously treatment-resistant group of psychotics, those who suffer from command hallucinations. (Haddock, G et al. 1999) This was a single blind randomised trial with 38 patients. The trial was complex in structure but, in essence, it was able to show, with convincing statistical significance that cognitive behaviour therapy interventions alone was able to reduce the patient’s compliance rate with the psychotic commands. The authors noted that this reduction in compliance was associated with a reduction in levels of both anxiety and depression. In conclusion we would like to commend the book by Eisenman (R 2004) â€Å"The Case Study Guide to Cognitive Behaviour Therapy of Psychosis† as a particularly authoritative and clinically useful overview. It cites a number of clinical case studies and analyses them in depth. It supports the view that cognitive behaviour therapy, by attempting to confront the patient’s distorted thinking and allowing them to appreciate their thoughts in a more rational and realistic way, can have beneficial results and it places cognitive behaviour therapy in a clinical context amongst the other, generally accepted modes of psychotherapy. It is not a peer reviewed publication so we shall not consider it further than that. References Brabban A, Turkington D. 2000  The search for meaning: detecting congruence between life-events, underlying schema and psychotic symptoms. Formulation-driven and schema focussed CBT for a neuroleptic-resistant schizophrenic patient with a delusional memory. In: Morrison T, ed.  A casebook of cognitive therapy for psychosis.  Brighton : Psychology Press, 2000. Craig T K L, Philippa Garety, Paddy Power, Nikola Rahaman, Susannah Colbert, Miriam Fornells-Ambrojo, and Graham Dunn 2004 The Lambeth Early Onset (LEO) Team : randomised controlled trial of the effectiveness of specialised care for early psychosis BMJ, Nov 2004 ; 329 : 1067 ; Eisenman R 2004 The Case Study Guide to Cognitive Behaviour Therapy of Psychosis Am J Psychiatry, Jul 2004 ; 161 : 1318. Friedman G D. 1994  Primer of Epidemiology. 4th ed.  New York : Mc-Graw-Hill, 1994. Green J, Britten N. 1998  Qualitative research and evidence based medicine.  BMJ 1998 ; 316 : 1230-1233 Grimes D A, Schulz K F.2002  Cohort studies: marching towards outcomes.  Lancet 2002 ; 359 : 341-5 Haddock, G., McCarron, J., Tarrier, N., et al (1999)  Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS).  Psychological Medicine, 39, 879 –889. Holmes J 2002  All you need is cognitive behaviour therapy?  BMJ, Feb 2002 ; 324 : 288 294 ; Jackson H, McGorry P, Edwards J, Hulbert C, Henry L, Francey S, et al. 1998 Cognitively orientated psychotherapy for early psychosis (COPE).  Br J Psychiatry 1998 ; 172 (Suppl 33) : 93-100.  Kay, S. R. Opler, L. A. (1987) The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 507 -518. Leaverton PE. 1995  A Review of Biostatistics. 5th ed.  Boston: Little, Brown, 1995 McGorry, P. D., Yung, A. R., Phillips, L. J., et al (2002)  Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis first-episode in a clinical sample with subthreshold symptoms.  Archives of General Psychiatry, 59, 921 -928. Mohammed, D Braunholtz, and T P Hofer 2003 The measurement of active errors: methodological issues Qual. Saf. Health Care, Dec 2003 ; 12: 8 12. Moorhead S 2003  Cognitive behaviour therapy can help end alienation of psychosis  BMJ 2003 ; 326 : 549 Morrison A P , Paul French, Lara Walford, Shà ´n W. Lewis, Aoiffe Kilcommons, Joanne Green, Sophie Parker, and Richard P. Bentall 2004 Cognitive therapy for the prevention of psychosis in people at ultra-high risk: Randomised controlled trial Br. J. Psychiatry, Oct 2004 ; 185 : 291 297. Piantadosi S. 1997  Clinical Trials: A Methodologic Perspective.  New York: John Wiley, 1997.   Rouse, Jolley, and Read 2001 National service frameworks BMJ, Dec 2001 ; 323 : 1429. Rower P, MAX BIRCHWOOD, ALAN MEADEN, SARAH BYRNE, ANGELA NELSON, and KERRY ROSS 2004 Cognitive therapy for command hallucinations: randomised controlled trial Br. J. Psychiatry, Apr 2004; 184: 312 320. van Meer R 2003  To listen or not to listen  BMJ 2003 ; 326 : 549 Vickers, A. J. Altman, D. G. (2001)  Analysing controlled trials with baseline and follow up measurements.  BMJ, 323, 1123–1124 Yates D H 2005 Specialised care for early psychosis: More detail is needed BMJ, Jan 2005 ; 330 : 197 Yung, A., McGorry, P. D., McFarlane, C. A., et al (1996)  Monitoring and care of young people at incipient risk of psychosis. Schizophrenia Bulletin, 22, 283 -303. 5.5.06 PDG Word count 2,313

Ophelia as a Foil to Shakespeares Hamlet Essay -- GCSE English Litera

Ophelia as a Foil to Hamlet  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚      In Shakespeare's tragedy, Hamlet, the audience finds a docile, manipulated, scolded, victimized young lady named Ophelia. Ophelia is a foil to Hamlet. Plays have foils to help the audience better understand the more important characters in the play.   The character of Ophelia is necessary so that the audience will give Hamlet a chance to get over his madness and follow his heart.        Ã‚  Ã‚  Ã‚   Similarities are an important part of being a foil. One similarity that Hamlet and Ophelia share are that they both are children of controlling parents. [SV - 1] Hamlet's father, who is murdered, comes back as a ghost to tell him who his murderer is. This news is his father's way of controlling him from the grave. Hamlet's mother and stepfather are also controlling him by persuading Hamlet not to go to Wittenburg. Ophelia is also controlled by her father. She tells him how Hamlet has tried many times to express his affections for her. Ophelia's father does not believe Hamlet is sincere and orders her to stay away from him. Ophelia obeys her father's wishes. Women were expected to do as they were told and believed what they were told to be true.      Ã‚  Ã‚  Ã‚  Ã‚   Another similarity between Hamlet and Ophelia is the feelings they have for each other. In the beginning of the play, we are led to believe that Hamlet loves Ophelia. This frightens Ophelia, but that does not mean she does not have feelings for him also. It is her father who encourages her to suppress any feelings she may have then. Later in the play Ophelia confesses her love for Hamlet, and he then hides his feelings and denies that he loved her. He suggests that she go to a nunnery. This makes Ophelia feel worthless and not wanted. .. ... when Ophelia takes her life, Hamlet does just that. [SS-1] He again admits to his love for her and apologizes to her brother Laertes for the death of their father. At the end of the play Hamlet's madness is also brought to an end, and he joins Ophelia again.    Works Cited and Consulted: Pennington, Michael. "Ophelia: Madness Her Only Safe Haven." Readings on Hamlet. Ed. Don Nardo. San Diego: Greenhaven Press, 1999. Rpt. of "Hamlet": A User's Guide. New York: Limelight Editions, 1996. Pitt, Angela. "Women in Shakespeare's Tragedies." Readings on The Tragedies. Ed. Clarice Swisher. San Diego: Greenhaven Press, 1996. Reprint of Shakespeare's Women. N.p.: n.p., 1981. Shakespeare, William. The Tragedy of Hamlet, Prince of Denmark. Massachusetts Institute of Technology. 1995. http://www.chemicool.com/Shakespeare/hamlet/full.html No line nos.      

Kate Chopins Unorthodox Awakening :: Chopin Awakening Essays

Kate Chopin's Unorthodox Awakening The Awakening, written by Kate Chopin, was a book that was truly ahead of its time. The author of the book was truly a genius in her right, but yet she was seen as a scoundrel. At the time, it was "a world that values only her performance as a mother, whose highest expectations for women are self sacrifice and self-effacement." ( ? ) The people of that era were not ready to admit or accept the simple but hidden feelings of intimacy or sexuality and the true nature of womanhood. Kate Chopin's book portrayed a woman of that time in a quite unorthodox way. In fact, [ When she wrote the book in 1899, she ] "achieved what was to prove her literary masterpiece and her ultimate break with popular taste" ( Cully, Intro. ) That book was written in 1899. During this era women were seen as very proper and sophisticated individuals who were considered caretakers of the home. They wore an excessive amount of clothing and never exposed themselves in public or otherwise. If a woman was caught exposing herself in public, would be shunned and looked down upon. Loyalty and commitment to the family was very important during this time. Regardless of their family problems, they were expected to endure and stay faithful. [ In fact, ] " the nineteenth century's message of the supremacy of motherhood was so strong and so intense that it was absorbed into the systems of it's women - even women like Edna [ ,a character in Chopin's book, ] who were not maternally inclined." ( ? ) You could almost say that women were considered symbols of everything that is pure in the society in which they lived. Anything short of that was considered unacceptable. Because of the time that Chopin lived in: " The Appearance in print of her most recent work had brought her harsh criticism and condemnation, as well as ostracism from many of those who had always formed a close-knit world of St. Louis society" ( Cully , vii ). Her book was seen as a vile and disgusting piece of literature. One critic of that time stated : "One cannot refrain from regret that so beautiful a style and so much refinement of taste have been spent by Miss Chopin on an essentially vulgar story."( ? ). Most critics and readers of that era felt the same way as this critic did. People were not willing to put up with what they felt was a trashy novel.

Science and Relgion Essay example -- Essays Papers

Science and Relgion Science and religion have not always peacefully coexisted. There have been many issues where scientific discovery and religious belief have clashed. Religion is based on ancient belief passed down through generations. As humans discovered more and more about themselves, they found that many of the things that religion told could not true. This caused an incredible crisis between the pious religious and the scientific world, especially in the Western world where Christianity dominated society, and where these scientific discoveries were being made. It was difficult for people at first to believe in God and at the same time except these new scientific findings that negated many things that religion had told them. Astonomer Kepler During the scientific revolution many religious issues were taken up. One was the issue of the earth being the center of the Universe, which the Christian doctrine held up as the truth. Through the work of astronomers like Copernicus, Kepler and Galileo, much was learned about our universe. One thing that was learned was that the earth revolved around the Sun, along with all the other planets of our solar system. Also it was learned that the sun is only one star among hundreds of billions of other stars of different shapes and sizes. This discovery baffled the church. How could we be only a tiny part of something greater? It was believed that God created the Universe to accommodate humankind and that everything in that Universe revolved around this. It now became apparent that this is not true. During the seventeenth century the Catholic Church was quick to reject these findings. Galileo didn’t understand the conflict, and pointed out that scripture is very old and is meant to ... ... science, and who feel that the bible should be taken literally. On the same hand there are many people in the science community who read the bible literally and announce there could be no God since the facts of the bible are so far removed from what scientific discovery has told us. There will probably never be day when science and religion completely agree, and there are no conflicts between the two sides. It is natural for men to question discovery, and when something tells you that thing you have believed in are wrong, it is natural to reject these things. Still, there have been considerable advancements in the understanding between religion and science. Links to web pages concerning science and religion: Http://salon.cma.univie.ac.at/~neum/sciandr.html http://homepages.tcp.co.uk/~carling/main_sci.html http://www.cco.caltech.edu/~newman/sci-faith.html Science and Relgion Essay example -- Essays Papers Science and Relgion Science and religion have not always peacefully coexisted. There have been many issues where scientific discovery and religious belief have clashed. Religion is based on ancient belief passed down through generations. As humans discovered more and more about themselves, they found that many of the things that religion told could not true. This caused an incredible crisis between the pious religious and the scientific world, especially in the Western world where Christianity dominated society, and where these scientific discoveries were being made. It was difficult for people at first to believe in God and at the same time except these new scientific findings that negated many things that religion had told them. Astonomer Kepler During the scientific revolution many religious issues were taken up. One was the issue of the earth being the center of the Universe, which the Christian doctrine held up as the truth. Through the work of astronomers like Copernicus, Kepler and Galileo, much was learned about our universe. One thing that was learned was that the earth revolved around the Sun, along with all the other planets of our solar system. Also it was learned that the sun is only one star among hundreds of billions of other stars of different shapes and sizes. This discovery baffled the church. How could we be only a tiny part of something greater? It was believed that God created the Universe to accommodate humankind and that everything in that Universe revolved around this. It now became apparent that this is not true. During the seventeenth century the Catholic Church was quick to reject these findings. Galileo didn’t understand the conflict, and pointed out that scripture is very old and is meant to ... ... science, and who feel that the bible should be taken literally. On the same hand there are many people in the science community who read the bible literally and announce there could be no God since the facts of the bible are so far removed from what scientific discovery has told us. There will probably never be day when science and religion completely agree, and there are no conflicts between the two sides. It is natural for men to question discovery, and when something tells you that thing you have believed in are wrong, it is natural to reject these things. Still, there have been considerable advancements in the understanding between religion and science. Links to web pages concerning science and religion: Http://salon.cma.univie.ac.at/~neum/sciandr.html http://homepages.tcp.co.uk/~carling/main_sci.html http://www.cco.caltech.edu/~newman/sci-faith.html

Kohler Company Essay

Kohler is one of the largest and oldest privately held companies in America. It started by manufacturing plumbing fixtures, famously inventing the first modern bathtub, and soon after began manufacturing small engines and generators. Today the company is also in the furniture and luxury resort business. Most of the company’s shares are held by members of the Kohler family, however 4% of the outstanding stock is owned by outsiders. Herbert Kohler Jr. , the CEO and Chairman of Kohler, would like to do what he can to keep Kohler stock within the Kohler family and its interests. This led to the 1998 recapitalization. In this restructuring of equity, family members and permitted transferees (Kohler Trusts, Kohler Foundations, ect. ) were given the option to exchange their stock for several different classes of stock, such as common stock, non voting stock, Series A and Series B. The shareholders not classified as a permitted transferee would either have to sell their shares for what an independent firm determines fair market value, or dissent and allow fair market value to be determined by a legal proceeding. The fair market price offered by Kohler in 1998 was $55,400. Kohler’s stock recently fetched between $100,000 to $135,000 and the two largest outside shareholders recently bought a combined 93 shares right around $100,000. So Gen, a mutual fund and largest outside shareholder, believed market value per share could be $400,000. Because of this discrepancy in price; outside shareholders decided to file suit against Kohler claiming the price of $55,400 undervalued the stock and was not fair market value. It is now April 2000 and Herbert Kohler Jr. must decide whether to settle with the plaintiffs or go to trail in 2 days. It was very possible that the court would determine fair market value to be much higher than price offered. Herbert also must consider that the IRS will use a court determined share price to determine the tax liability of Herbert’s deceased brother’s estate. The share price will also affect the way the Kohler Foundation could operate, since by law it must annually pledge %5 of its assets, which is mostly Kohler stock. Analysis: Much of the share price was driven by the speculation that Kohler might soon go public. Herbert thought this was the primary reason the shares were extremely overvalued. However, the assumption of a future IPO was inaccurate. One of the core values and strengths of Kohler is the private classification of equity. Kohler considers it a competitive advantage to not have to disclose its financial position to the public. Not only does it give away proprietary information to competitors, but public reporting also affects the way a company can make decisions. Kohler feels that many of the business decisions that made Kohler a success, such as investing in cast iron production at a time when the industry was moving away from it, would not have been possible if they were accountable to pubic shareholders. Without the possibility of an IPO a lower share price than what share prices recently traded for was could be justified. However, Herbert must also consider the effects of having the valuation be determined in court. The first drawback to this is how costly legal proceedings are. On top of lawyer fees and court costs, it could be very expensive to reconcile and audit all financial documents as well as pay for expert opinions concerning the valuation. Since there is no standard or correct metric to value a company, there is increased risk as to how the court will value the company. If Kohler decides to continue with the trial they are leaving themselves, the Kohler Foundation, and the Kohler estate open to a lot of uncontrollable risk. Recommendation: I recommend Kohler offer to settle with the plaintiffs at $140,000. Kohler should settle outside of court to mitigate the risk and cost associated with the trial. While the price is not ideal, settling outside of court allows Kohler to control the price at a manageable level. This will be the best way to hedge against risk and lookout for the interests of Kohler, the Family, and its charities. In order to settle Kohler must offer a price of $140,000 to give the mutual funds the return on investment they desire. Since the purpose of mutual fund is to create value for their investors, they are probably more than willing to take the matter to court if they feel they are not receiving a fair return. The per share price of $140,000 will give the mutual funds roughly a 20% return on investment which should be enough for them to consider the offer favorable.

Tradition Hinders Our Progress

Tradition is the enemy of progress Weather it's religious traditions preventing the study of the dead for better understanding of the living to the churches traditions stopping the progress into the realization that the Earth is not the center of the universe or to take something recent Umbilical cord debates over weather to use them for life saving stem cell research. Tradition is the common enemy among Progress into the future people want the results of science we live our lives due to science but often many of our general populous does not agree with the means we use to get the radical discoveries of science. I can see how traditions can hinder progress:if you subscribe to past ideals it can deter from advancement. If we are going to look back at what Mary and John did in the past to solve a problem every time, then how are we going to move forward? What am saying is that look back once or twice get the formula then learn and apply that knowledge, improve on it then build but we keep going back and back and back and back!! It is in fact the enemy for progress. I think that traditions do prevent progess. The best example of this can be seen rulal areas where knowledge is just passed over from one generation to another and children are not allowed to study more they are just used as a labour. Another example is of early marriage of girls who are married at an age of 10 or 11 which ruin their lives. in the end i would like to conclude that these tradions r blocking our way to new things.

Ethics of Doctor Assisted Suicide

One of the most hotly debated topics going on now is the one concerning the ethics of assisted suicide and euthanasia. Nowadays with all the progress that the medical profession has gained, people who are terminally ill have more options, and there have been continued efforts to give them the â€Å"right to die† when they choose this option. I was interested in researching this topic because I think the debate has a lot to do with politics. This dilemma has been hotly debated and I was open to seeing how this movement was progressing. In the beginning, I was a proponent on this issue, and believed people should not be denied their wishes when they wanted to end their pain. However, I was open to learning more about the opposite stance and what the reasons for opposition were. It always seemed unusual to me that suicide was not illegal, but it was illegal to assist in one even with a consenting party. I wondered how this could be, and how people could deny people this right in unending pain. There never seems to be a prosecution of doctors who participate in these acts, even though they frequently go to court. I wondered why this occurred and what the laws really said regarding this. I also wondered how people distinguished between forgoing medical interventions and actually assisting in the suicide. As I approached the research, my main questions were regarding the opposition. I really did not know all the problems that could occur. Research about this brought to light many things that are not discussed in the media, although this is a highly publicized subject. I found that it is very difficult to end the debate because all the arguments are just matters of opinion. Opposers and protestors have good arguments. No one really knows what would happen, so opinions are used to predict it. Since all the media attention, I will try not to discuss the many things that are already known. I found myself intrigued at what I did not know, and found my views profoundly affected. After reading current articles about what was going on legally and about cases, reviewing the history of this topic, and reading books showing the two opposing viewpoints, I have made my conclusions. I will show how people are currently handling this and how they are being viewed. I will discuss the main arguments on both sides. Finally, I will show what I concluded from this and how my views have been altered by information that I did not know before. I will begin by explaining how the terms are defined. Euthanasia derived from Greek roots and means â€Å"good death. † Active euthanasia is a direct and deliberate intervention to kill the patient. It is â€Å"intended to end the life of the competent, terminally ill patient who makes a fully voluntary and persistent request for aid in dying. † Voluntary euthanasia takes place when the patient requests the action and it is involuntary if the patient is not mentally competent enough to make the right choice. Passive euthanasia is withholding treatment from a patient. A physician-assisted suicide occurs when the patient does the actual act, but the physician provides either enough information or the means to do it. One source defines it as a â€Å"desperate measure, justified only in exceptional cases where every effort has first been made to care for a dying person by other means. † The terms euthanasia and physician-assisted suicide usually are used for the same thing and are not generally distinguished from one another. Typically the means of suicide is lethal doses of a poison such as pills, an injection, or gas. Motive causes euthanasia to be distinguished from murder, because its intent is merciful and is done out of kindness. The physician's intentions can make considerable differences concerning how their act will be classified. The most common reason for a patient to want this aid is a terminal illness. Unbearable suffering has caused the person to become intolerant of the physical and/or emotional pain. The other reason is a physical handicap that is debilitating and the patient would rather die than live with it. Most people are able to cope with this, but in some cases, it is impossible for the patient to do so. In ancient times, euthanasia was encountered often. However, suicide was condemned. During the sixteenth century, some people began to see it as more of a personal choice. It eventually became decriminalized, but assisted suicide and euthanasia are still crimes in most countries. The introduction of powerful analgesics caused a rise in the interest in the â€Å"right to die† movement. It was advocated in the late 1800's, and has been a topic for debate since the early 1900's. Doctors have been helping patients die for centuries. Some cultures today have people that will stop eating and wait to die when they become seriously ill. The â€Å"right to die movement† is encouraged by several factors. Modern technology has come along to extend human life. The fear of the dying process is of great concern to some people, especially when it accompanies physical and psychological suffering. Patients are becoming more in charge of their own fate and have more of a voice. Finally, there is a concern about the high health care costs. They cost more than 60 billion annually, and 1/3 of Medicaid payments go to patients in their last year of life. Medicine's main goal has always been the preservation of life. Now, this is being challenged in an attempt to change it. The two sides of the issue are being debated. On one side are the people who think it is not a physicians place to kill a patient, because he/she should only help, not harm. The opposition thinks that suffering is the real harm. The debate comes at the point of the onset of the terminal illness, when it will be time to decide on the means. This is sometimes called the â€Å"Kevorkian moment. † Proponents give examples of people who could be helped, while opponents give counterexamples of people who may be harmed. There are many moral and legal considerations. The support for a physician's participation is increasing. According to opinion polls, about 60% of people in the U. S. are supporters. About 15% of physicians practice it when it is justified. It is actually impossible to know for sure how much takes place because incidents are usually kept secret to avoid prosecution. Most people who have reported that they would consider it give reasons such as that they would not want to be a burden, would not want to live in pain, or would not want to depend on machines or others. The main argument for the support of euthanasia and physician-assisted suicide is that people should have the right to control their life and death, and should be able to end their lives when they wish if they are suffering needlessly. It is argued that it is a private choice and society has no right to be concerned. They usually portray it as a case of individual liberty. One source states â€Å"euthanasia, if legalized, would be the ultimate civil liberty, since it would secure the freedom to determine and to control our own death. † Physicians must then decide if they are willing to take part in either directly killing the patient or by assisting the patient in suicide. The physician should follow the demands of the patient, even if it means killing them, because that would respect their wishes and the rights of the patient. Physicians treat patients with the purpose of restoring health. If the patient can't be restored to a reasonable level of living, it shouldn't be wrong to discontinue it. Euthanasia supporters often try to get sympathy by relating stories to make one feel like suicide is the only option in their case. The media has sparked a lot of interest, and continues to show stories like this. Simi Linton, psychologist, says, â€Å"I'm disturbed at how the media treats it, as: here are these poor folks; let's help them end their lives† (qtd. in 1). It makes it seem as if would be inhumane to deny anyone this option. Basically, it is the quality of life that is the main concern of the patient. They may feel that life is not worth living in their state. It would not be humane to insist that every means be taken to keep someone alive. A physician's main concern is to relieve suffering, so sometimes there is only one way to achieve that goal. At the time that efforts are no longer doing any good, the main concern is to make the patient comfortable and alleviate symptoms such as pain. Drugs do not always get rid of all the pain, especially when it is excruciating. Sometimes a patient will be drugged into unconscious with severe pain that cannot be controlled. This does not seem like effective pain management to me. I do not believe people will be satisfied living in such a state as that. They would want to be put out of their misery. Legalization would cause many changes. It would give rights to the person who does it, rather than the person who dies. It is about the right to kill, rather than the right to die. 9 Physicians would need to be trained in more areas regarding this, such as information about medications and dosage, and about the mentality of the patient. They will need to gain expertise in understanding patients' motivations for requesting it, assessing their mental status, diagnosing and treating depression. The medical profession is developing greater expertise in managing terminal illness but would need to develop similar expertise in responding to requests for physician-assisted suicide. The debates over assisted suicide have forced clinicians to be more aware of what can be done to relieve suffering. Doctors are improving palliative care and their own behavior. Patients are becoming more aware of their options. The problems associated with legalizing assisted suicide are usually not talked about when the proponents make their argument. The discussion of the potential for abuse, the ways it could be prevented or better helped are put on a backburner. The main argument against legalization is that human life is sacred, and it is not a human right to take it away. Some say that there is no need for suicide, because health care should resolve all problems and pain management has come a long way. Most people who commit suicide suffer from depression, so it is often debated whether this could be the reason for someone wanting assisted suicide. Often, when their depression is treated, the patient responds well, and would like to live. A regular physician cannot make the determination of whether a patient is suffering from depression. This is something that is difficult to diagnose in terminally ill patients. Just because a patient request suicide does not mean this will be an appropriate solution. Sometimes, a patient may even request suicide, but when the time draws near, they change their mind because it did not seem so imminent before. The will to request the suicide must be voluntary, but this decision is left up to the physician. How can a physician judge whether it is voluntary or not? It is also difficult to determine what terminal is. When people say that it should be reserved for people who are terminally ill, they cannot define it. It is used to mean someone whose death will occur in a relatively short time. Some people may say that if they will die in 6 months it is considered terminal, but it is difficult to determine exactly how long someone has to live. They may live much longer than that. A person could also be terminal who is in a vegitative state, but will live for years in that state with continued medicine. People cannot reach an agreement on what the definition of terminal would be, some even say old age is terminal. Marianne Smith, Program Development Director of the Death with Dying National Center defines it as â€Å"an illness in which there is no chance of recovery and that death is imminent. â€Å"15 Activists of euthanasia use the demonstration that suicide is the only means to control unbearable pain. Most pain is supposed to be able to be eliminated, or greatly reduced. Many people do not get enough pain control. 6 One reason is the underknowlege many physicians have about this, and that they are afraid the patient will become addicted. Also, too much pain medication can cause symptoms that may be worse than the disease was itself. One source says that â€Å"patients and physicians alike may be unaware of the options available in the medical system, including advances in pain control that could help patients but are not routinely provided. â€Å"3 There may be no solution to these problems, but some things can be done. Better health care education, more access to health care, and informing patients of their rights. 6 Everyone has the right to pain relief. Patients should get adequate health care, and not killed. Physicians argue that if good care of the dying is being provided, then a request for suicide would be rare. 4 Some patients may want to consider suicide, but are incapable of administering medicine. Some people may also lose their mental capabilities, and will be unable to request it. It is difficult to assess fairness in cases like these. Some people use a form of advance directive and make their request before deterioration occurs. It is hard to extend the same rights to all patients without causing abuse. If someone is unable to communicate their request, it would be frightening for someone to make that decision for them and to say that their life is not worth living, so we must kill them. There is great potential for abuse if it were to be legalized. Depressed people, elderly, and very frightened people would be greatly affected. People may feel pressured into giving up. Elderly are especially vulnerable to this. Now that there are more people living longer, this problem will increase. They may tend to feel they are a burden on their families, or are selfishly consuming resources. If a physician advocates it, they also may be swayed. People may also feel distrustful of the physician's advice. This may cause a hardship in getting appropriate care. 10 Legalization will only encourage more people to take part in it. It does not seem as if we would be ready for this to occur, because we are only just beginning to explore some realms of the medical world. It took a long time to figure out about adequate care for many patients and when is the right time to withdraw life support, so it would not seem that we would be ready for this step. The â€Å"slippery slope† argument is used by opponents, saying that legalization will lead to involuntary euthanasia. My own opinion is that if assisted suicide were legalized, we may not be as inclined to advance medical progress and knowlege. It would seem easier to just put the patient out of his/her misery. They may not use their experience to increase what we know about medicine and learn how to help the illness, or better cope with it. Proponents have said that euthanasia should be considered â€Å"medical treatment. † If this is so, there could be great potential for abuse. Then it may be more likely to be administered to people who cannot make the request. Some decisions that have gone to court say that assisted suicide is a constitutional right and that someone else can make the decision for the patient. If direct killing can be legalized by someone else, someone who is not competent could be euthanized without ever expressing that wish. It seems to be inevitable that patient are going to be killed without permission if legalization occurs, even with rules about consent. The main argument of how abuse of the practice could occur is called the â€Å"slippery slope argument. † It says that â€Å"even if particular acts of killing are sometimes morally justified with particularly pain-ridden patients, sanctioning practices of killing would run serious social risks of abuse, misuse and neglect. 3 The bad consequences of legalization would occur over time as this practice became more used. Another potential form of abuse lies in the fact that it would be cheaper to euthanize a patient than to continue medical treatment. It is thought that it could become a means of health care cost containment. Some of the main supporters of euthanasia are people concerned about lowering health care costs. 6 Religion has caused many people to debate it. Most churches are adamantly opposed to the idea of suicide. However, some Christians believe that God would not want them to suffer. 9 Although most religions and churches disagree with intentionally killing a patient, many people who hold this stand will allow the withdrawal of life support. It is believed that there is a difference between killing and letting die. Someone who is against euthanasia may agree with letting someone die who is being kept alive solely by life support that is not really helping them. 3 People feel that the intent in these cases is different. The more accepted approach does not involve killing. One interpretation of the difference shows that the intent is different because actively killing is aiming at death, and withdrawing support simply accepts that we are limited to help the dying and cannot reverse the process. 8 However, some peole believe that since death is the outcome no matter what, there is no moral difference between them. Another matter of intent distiction regards what is called the â€Å"double effect. † A physician will administer a pain medication to relieve pain, but knows that it may cause death. The patient would be in pain without it, but it may cause death if it is administered. It is usually believed to be moral if the doctor's intent is to relieve the suffering, and not to cause death. It is allowed if the death is foreseen but not intended, because it is the intent that makes it wrong. Although suicide is no longer a crime, giving assistance in it is, everywhere except for Switzerland, Germany, Norway, and Uraguay. In Australia, a law was passed that allows terminally ill patients to ask for assistance by injection or taking drugs themselves. 7 There is a debate about it because Parliament wants to overturn the statute, which is the world's only voluntary euthanasia statute. In the Netherlands, it is actually a crime, but it has been ruled that physicians may assist in death under certain conditions. Some of these are that the patient must be ruled competent, and two doctors must conclude that the patient has less than 6 months to live. 8 The United States has used them as an example to see what would happen if it were to occur here. They are having problems with it, mainly with abuse. The physicians there have reported that the main reasons people request it are â€Å"low quality of life, the relatives, inability to cope, and no prospect for improvement. 0 Some sources show that people are requesting it for physical symptoms that it is almost ridiculou that they would go to such an extreme measure for. I think that the potential for abuse here may be great, because it is getting out of hand over there. People are becoming afraid to go to hospitals because euthanasia is becoming so commonplace. It now accounts for 15% of deaths. 1000 unconsenting deaths occur each year. 1. In 1994, the state of Oregon passed a ballot that gives limited physician-assisted suicide legality. This makes it the first in the nation to do so. A doctor must determine the patient has less than six months to live. A second doctor must decide that they are mentally competent and not suffering from depression. The patient must request it in writing with two witnesses, and then 48 hours before the doctor delivers the prescription the request must be repeated orally. 1 It must be a voluntary act. However, those jugements are left to the physician. So far, it has never been put into action. Other states are considering similar legislation, such as California which has proposed a law that is similar to the guidelines that the Dutch have adopted. Lawsuits in Washington State and New York were ruled by the 9th and 2nd U. S. Circuit Courts of Appeals that laws prohibiting physician-assisted suicide are unconstitutional. The legal fate will be determined by the Supreme Court. In 1990, the decision of Cruzan v. Missouri Department of Health resulted in people having the right to avoid unwanted medical treatment, including food and water. 5 It recognized the right to terminate unwanted medical treatment even when death would be the result. 14 People often use the Constitution as a basis for argument. The 14th amendment prohibits the state from depriving â€Å"any person of life, liberty, or property without due process of law. † So to deny a dying patient medical assistance when requested is to â€Å"threaten this patient's request for help is judged denial of constitutionally protected due process. â€Å"4 As the courts were in session to hear a case about whether terminally ill people have a constitutional right to physician assisted suicide, demonstrators sang and picketed outside a Supreme Court building. The emotions of the rights issue has been compared to that of abortion. Both of these issues dig into whether we have the right to choose such personal issues. People can feel very strongly about the issues of mercy killing, whether they oppose or support it. The lack of laws cause people to avoid prosecution for assisting in a suicide. Kevorkian has escaped prosecution because there is not a state law prohibiting it, according to a Michigan judge. 9 People are afraid that activities such as his would become widespread if assisted suicide were legalized. His actions have been opposed not because of the assistance, but because he had no real relationship with his patients and had not given them any kind of clinical evaluation. Many were also not terminally ill. 3 It seems to show what is lacking in the medical sysytem, or what could become of it. Every case of assisted suicide is not convicted or prosecuted, even in states that make it illegal. However, the fact that there are many landmark â€Å"right to die† cases, shows that the law is commited to the prohibition. However, the procedures are not described as killing. If this were the case, the act would have to be justified similar to killing someone out of self defense. 4 It is hard to define the conditions that there must be in order to make it legal, because there is so much that we do not know. For euthanasia to be ethical, there must be certain guidelines. The person must be a mature adult, and has been shown to be mentally competent and willing to make the decision. Some medical help will have already been given, and it should seem that the fight is hopeless. 9 Many organizations have beliefs on this and they try to educate the public on euthanasia and what their views are. I contacted Marianne Smith, the Program Development Director of the Death with Dignity National Center. 15 She explained to me in e-mail how the organization feels about euthanasia and what they do to educate the public about it. The organization is working toward better health care for paients. She feels that assisted suicide should be legal, but that â€Å"physician-assisted dying should be the response of last resort,† and â€Å"when all other options fail to relieve unbearable suffering, when the patient is acting on his or her own initiative, is not clinically depressed, and is capable of administering the medication personally. The people who could be elgible are â€Å"only terminally ill, competent adults with decisionmanking capacity. † I also asked whether euthanasia could be avoided with adequate pain medicine. Her response was that â€Å"Physicians, medical associations and hospices all have stated that not all pain can be controlled. † Their view, which is one I encountered a lot, is that the medical professionals have not been trained adequately in pain management. Regarding the issues of potential â€Å"slippery slope† abuse, she says that physician's aid in dying is more common than people realize, and legalization would just make it happen openly, instead of secretly. However, the state regulation should provide strict guidelines and penalties for violations. I think that it is hard to make sure that the decisions are correct, so it should be carefully thought out. We are dealing with a very serious issue, which is death. It should not be an easy decision to make or to carry out. Becaue death is the consequence, the decision to kill oneself, and carrying it out should be very difficult and carefully thought out. This would help ensure that people have thought about it enough and know that this is the best decision. I don't know how a solution can be thought of to deal with the debate, but things such as more health care education and informing patients of their rights should be a consideration. I hope that if legalization ever were to take place, that they would carefully restrict who qualified for euthanasia. After all my research, most of my questions have been answered. It is difficult to come to a conclusion because there is no right or wrong answer. I don't know how anyone can determine what should be done. Who can put a price on life and say who has the right to die? The basic choice is whether to let doctors help people die, and if so, how? I have found many great arguments either opposing or protesting this issue, which has led me to my conclusions. When I began this paper, I dove into it thinking that I was going to condone the idea of assisted suicide. I knew I could convince someone that it should be the moral and legal thing to do. I could not imagine a life without the ultimate choice or having to endure great suffering. I was going to defend this side, but also show the opposing side. Once I got into the research, I found many facts that I had not known before about why it has not yet been legalized. Many questions and opinions showed me that there were things I had not even bothered to think about before. What a surprise to me that I could begin a project as a supporter, and then turn around my views. I now see where the opposers are coming from. There are just too many problems and considerations to think about before this could ever happen, and there are alternate solutions. I cannot say that this has given me a complete turn in the opposite direction, but I am definitely leaning toward the opposing side except in extreme circumstances when nothing could ever help the patient.