Sunday, September 15, 2019
Dbq India vs Japanese Workers Cotton Industry
Japan and India in the 1880s-1930s had many similarities such as same economic change from mechanization to treatment and payment of the laborers in the cotton industry, however, differences in workers on social gender and employment rates. The Western influences of mechanization from Industrialized countries increased both economies of India and Japan through the increase production of cotton. Documents 1 and 2 is reliable data because the source being of educated authorities.In India cotton increased by doubled amount of its original production as seen in Document 1, but this only would’ve happened by filling job openings the machines came with based off the evidence in document 6. The Indian economist, Mukerjee, is in favor of the private investors for bringing mechanization to India because it will increase trade throughout the global trade networks connecting India to more parts of the world.Although Japan was later mechanized in cotton production, its increase of cotton yarn from year 1884 to 1914 held higher percentage than India, in conclusion Japanese economies also gained a better profit which would lead to connections to other parts of the world by exporting cotton. The vast amount of production in the cotton industry had employees from the working and lower class.Contained in Document 5, Japanese cotton corporations paid their workers very low wages by taking advantage of the surplus of people having the status of unemployment, an outcome of this is possible capitalism so the worker could not save money and try to start a business of his own. In comparison, India paid low wages in result to capitalism as well, but also permits a worker for only two years maximum because possible over-usage of workers reducing speed production represented in Document 9.A document from a factory owner containing the profits over the time of the cotton boom would be helpful in understanding the wages of employees being so low because its possible the owner had l ittle money to give after buyingthe machines to produce cotton and also to payback its investors. With all the new mechanization and unemployment on the high, companies hired many workers. However, Japan hired giant amounts of women compared to India.Indian workers in the cotton industry mainly consist of males because when under British ruling, women and children had labour laws where they could only work certain amount of hours that was less than males. Document 7 details the decline of women employees of years 1909-1934 because of these laws in place. However, Document 7 shows Japanese consistency of percentage in women employees because the Japanese society didn’t have any labour laws and women were cheaper to pay.Japanese families lived in poverty and saw their daughters as a way to have another source of income, because of subsistence farming most rural Japanese farmers sent their daughters to work for the good of the family in conclusion of document 4. We are given in document 3 the treatment and conditions on japanese workers through a personal recalling. The remembrance of her sister who died because of the work conditions could have altered her story, making the factory work seem much worse than what it might have been.However, if we had obtain a additional document containing the same standard of an Indian worker in the cotton industry showing how life was in the factories we could better compare and contrast the two countries work life. A personal letter to the workers family could show exaggeration of factory life similar to the one in Japan making a more fair comparison. Document 8 and 10 both photos taken by official documentors shows reliable source as documents. Both representing a picture of how factory working was like in India and Japan with different gender workers between the two countries.India however in document 10 is using mechanized machines compared to document 8 where women are handweaving cotton. In document 10 we can see m ore amount of yarn compared to 8 showing India thriving faster then in Japan factories that aren’t mechanized yet. The 1880s-1930s was a time where their was a economic boost for both Japan and India as well as employment rises but wages remain for the workers, however these countries differed on the workers they employed on gender and amounts.
Saturday, September 14, 2019
Personal Position paper on Psychotherapy Essay
Introduction â€Å"People are always changed by disasters, and other life events, but they need not be damaged by them.†-John D. Weaver            When we study human behavior, specifically focusing on the development of personality and crucial to how a person or individual conducts him/herself, psychology offers a variety of dimensions. The concept of personality is central to our attempt to understand ourselves and others and is part of the way in which we account for the differences that contribute to our individuality. Psychologists have been particularly concerned with shaping of the personality in relation to genetic and environmental influences. We have been fortunate that the study of human personality has been thriving and fruitful. We can choose from as many models we can to help us see ourselves better and maintain good relationships.            In the course of our study, every individual counselor – therapist eventually develops his/her own approach in the therapeutic process. The path that the practitioner takes concerning his/her choice of approach or model depends a lot on his/her own personal preferences, personality and understanding of human nature. An eclectic approach is usually the direction that anyone in this field would take; however, certain emphasis is made on some specific positions simply because these are the dominant theories which help guide him/her in focusing the essentials of the process with the client. Though the attempt is said to be eclectic then, the therapist still has this open option to change or vary some details of his/her strategy along the course of the interaction or treatment phases. Discussion            There is a need for integration not only for its theoretical applicability but also for its practical usefulness. Presuppositions or philosophical conceptualizations are the pillars of any worldview, and to successfully establish a new one requires that changes or reinforcements be made at this plane. The integrative approaches were framed at this level so as to remove mental oppositions as they arise every time in one’s thoughts. When this is not adequately laid down, no audience can align their thoughts or understanding with what the author tries to convey. This paper is an attempt to convey a personal understanding of human behavior in the context of psychotherapeutic approaches that are modified for use by the author. It appreciates the accomplishments of the various approaches such as Behavioral, Cognitive-Behavioral, Psychoanalytic, Existential, Humanistic, Family Systems, Gestalt and Client-Centered developments in the profes sion. The following reflects the views of the author in the healing process of the mind and emotions. Key Concepts of My Approach            It is therefore expected that though at this point I value the primary theories or perspectives that I am thus enumerating afterwards, this also implies that I am open to the various developments that are expectedly to occur in my practice in the future. Since this is an eclectic approach at employing strategies I have found to be beneficial personally and that of others, I wish to mention many of these in the following statements. I am persuaded further that key elements or themes are found all throughout my own version of the approach. The smaller yet finer points come only in the between. For the thrust that this paper is taking, I wish to mention then my views individually, on Behavioral, Cognitive-Behavioral, Psychoanalytic, Existential, Humanistic, Family Systems, Gestalt and Client-Centered approaches. Behavioral Therapy            This model utilizes what is termed as the learning theory posited by Skinner and Watson and the rest of the Behaviorism school. It assumes that the principles in learning i.e., conditioning (Associative and Operant) are effective means to effect change in an individual. Generally, the thrust of this theoretical perspective is focused on the symptoms that a person is experiencing. Just as many of the errors of the patterns of behavior come from learning from the environment, it is also assumed that an individual will be able to unlearn some if not all these by using the techniques as applied based on the learning principles. To a certain extent I believe that this still works: reinforcements are effective to some extent and in some or many people hence I am incorporating this stance separate or distinct from the Cognitive-Behavioral approach.  In behavior therapy therefore, thoughts, feelings and all those â€Å"malfunctioning†an d unwanted manifestations revealed in one’s activities can be unlearned and the work of a behavior therapist. The basic concepts include â€Å"extinguishing†– utilized when maladaptive patterns are then weakened and removed and in their place habits that are healthy are established (developed and strengthened) in a series or progressive approach called â€Å"successive approximations. When these (factors) are reinforced such as through rewards in intrinsic and extrinsic means, the potential of a more secure and steady change in behavior is developed and firmly established (Rubinstein et al., 20074; Corey, 2004). Although few psychologists today would regard themselves as strict behaviorists, behaviorism has been very influential in the development of psychology as a scientific discipline. There are different emphases within this discipline though. Some behaviorists contend plainly that the observation of behavior is the best or most expedient method of exploring psychological and cognitive processes. Others consider that it is in reality the only way of examining such processes, while still others argue that behavior itself is the only appropriate subject of psychology, and that familiar psychological terms such as belief only refer to behavior. Albert Bandura’s social cognitive approach grew out of this movement. Bandura’s method emphasizes cognitive processes over and above observable behavior, concentrating on not only the influence of the person’s upbringing for example, but also â€Å"observation, imitation, and thought processes†(Plotnik, 2005). Cognitive-Behavioral            In the cognitive approach alone, the therapist understands that a client or patient comes into the healing relationship and the former’s role is to change or modify the latter’s maladjusted or error-filled thinking patterns. These patterns may include wishful thinking, unrealistic expectations, constant reliving and living in the past or even beyond the present and into the future, and overgeneralizing. These habits lead to confusion, frustration and eventual constant disappointment. This therapeutic approach stresses or accentuates the rational or logical and positive worldview: a viewpoint that takes into consideration that we are problem-solvers, have options in life and not that we are always left with no choice as many people think. It also looks into the fact that because we do have options then there are many things that await someone who have had bad choices in the past, and therefore can look positively into the futu re. Cognitive-Behavioral Therapy postulated primarily by Ellis and Beck â€Å"facilitates a collaborative relationship between the patient and therapist.†With the idea that the counselor and patient together cooperate to attain a trusting relationship and agree which problems or issues need to come first in the course of the therapy. For the Cognitive Behaviorist Therapist, the immediate and presenting problem that the client is suffering and complaining from takes precedence and must be addressed and focused in the treatment. There is instantaneous relief from the symptoms, and may be encouraged or spurred on to pursue in-depth treatment and reduction of the ailments where possible. The relief from the symptoms from the primary problem or issue will inspire the client to imagine or think that change is not impossible after all. In this model, issues are dealt directly in a practical way. Coaching the patient on the step by step procedure of CBT is a basic and fundamental ingredient. Here the client is enlightened as to the patterns of his thinking and the errors of these thoughts which bore fruit in his attitudes and behavior. His/her thoughts and beliefs have connections on his/her behavior and must therefore be â€Å"reorganized.†For instance, the ways that a client looks at an issue of his/her life will direct the path of his reactivity to the issue. When corrected at this level, the behavior follows automatically (Rubinstein et al., 2007; Corey, 2004). Psychodynamic Therapy            The Psychodynamic perspective is based on the work of Sigmund Freud. He created both a theory to explain personality and mental disorders, and the form of therapy known as psychoanalysis. The psychodynamic approach assumes that all behavior and mental processes reflect constant and often unconscious struggles within the person. These usually involved conflicts between our need to satisfy basic biological instincts, for example, for food, sex or aggression, and the restrictions imposed by society. Not all of those who take a psychodynamic approach accept all of Freud’s original ideas, but most would view abnormal or problematic behavior as the result of a failure to resolve conflicts adequately. Many of the disorders or mental illnesses recognized today without a doubt have their psychodynamic explanation aside from other viewpoints like that of the behaviourist, or the cognitivists. From simple childhood developmental diseases to Schizophrenia, there is a rationale that from Freud’s camp is able to explain (Kaplan et al, 1994). Existential Therapy            The Existential approach, as put forward by Nietzsche, Kierkegaard, Sartre, Heidegger, Rollo May, and Frankl, believes that the individual’s potential may lie dormant but that it is there waiting to be ushered in time. It recognizes that man is able to achieve great heights and that these are just waiting to be tapped not only by him/herself but that also when helped by a practitioner who is persuaded of this notion. It examines such major issues as free will and the challenges of exercising this free will, the issue of mortality, loneliness and in general, the meaning of life. The Therapy is effective when the practitioner works with elderly care and death and dying issues. It focuses on the individual needs but takes into consideration the significant relationships and the meanings they bring into the person’s life. Transcending the issues and problems are primary intentions of the therapist at the same time being realistic that certain limitations do exist and may hinder the process of recovery (Rubinstein et al., 2007; Corey, 2004). Humanistic Therapy            Allport, Bugental, Buhler, Maslow Rollo May, Murphy, Murray, Fritz Perls and Rogers are those that helped usher in the Humanistic theory and consequent therapy. It holds in view the individual as possessing the options or freedom to choose, creativity, and the capability to attain a state where he/she is more aware, freer, responsible and worthy of trust. Because the human mind has immense potential, the approach assesses as well that forces from the environment bear on with the individual and depending on the interplay that occurs within the individual person, the result will either be destructive or constructive to the person. In sum, humanism takes into the perspective that essentially humans are good and not evil, and that the therapy facilitates by harnessing on the human potential through the development of interpersonal skills. This results to an enhanced quality life and the individual becomes an asset rather than a liability to th e society where he revolves in (Rubinstein et al., 2007; Corey, 2004). Family Systems Therapy            This theoretical viewpoint has been the by-product of the works of Bateson, Minuchin, Bowen, Ackerman and many others. Usually done in pairs or by a team of practitioners, family systems therapy has its roots in behavioral and psychoanalytic principles. This model understands that the family is a unit and its members or any of its members with an issue or a problem must be addressed in the context of the family as a unit. It puts its emphasis on the relationships among the family members, their patterns of communication more than their individual traits and/or symptoms. The systems theory portion of the therapy indicates that whatever is occurring or happening is not isolated but is a working part of a bigger context. In the family systems approach then, no individual person can be understood when removed from his relationships whether in the present or past, and this is specially focused on the family he belongs to (Rubinstein et al., 200 7; Corey, 2004). Gestalt Therapy            Gestalt therapy has this goal of reducing if not removing the symptoms with the rationale that the individual has personal responsibility and that the here-and-now experience is thus very important. This two-fold emphasis on the present moment as experienced by the person and that another reality is that our existence is entangled actually with other aspects and parts of the environment. It is when we understand that we are related with other things that insights to our issues are achieved and help us in finding solutions to our existence. When we are free from the obstructions of things that are â€Å"unfinished†then we reduce the obstacles and enhance the opportunities to our optimal satisfaction and fulfillment and eventual growth (Rubinstein et al., 2007; Corey, 2004). Client-Centered Therapy            Developed and known because of the works by one person – Carl Rogers – Client Centered Therapy focuses on the person who needs aid and his/her improvement depends on the client himself although with the facilitation and assistance of the therapist. The rationale for the direction of the therapy lies in the notion that humans basically possess the ability to move towards the fulfillment of his/her possibilities. According to Rogers, â€Å"Individuals have within themselves vast resources for self-understanding and for altering their self-concepts, basic attitudes, and self-directed behavior; these resources can be tapped if a definable climate of facilitative psychological attitudes can be provided†(Rogers, 1980, p 115-117 in Rubinstein et al., 2007).            This approach is very popular today and many therapists usually incorporate this model into their own eclectic method. Rogers identified three important concepts termed as conditions: these are congruence, unconditional positive regard and empathy. Many in the mental health circles have these in their day-to-day jargon. In the aforementioned conditions, a person moves toward what Rogers call â€Å"constructive direction†when these three conditions are afforded. The Role of the Therapist            I aspire to be a therapist – counselor whose practice is characterized as empowering and collaborative. By empowering, I understand the limitations of my role and as such I am constrained at the same time to impart my best knowledge and efforts to enable my client/patient to understand him/herself, and lead the treatment to the point where he/she is able to stand on his/her own without my help anymore. Further, it means that I recognize the patient or client as a person who is not only complex, he/she is also is imbued with the nature that inherently can heal, grow and mature. They contribute to the process, and their attitude towards the whole duration of the healing relationship is a crucial aspect to the attainment of their goals. The therapist then must remove by all means any barrier or obstruction to the achievement of goals especially when these come potentially from the therapist him/herself (that’s me). By collaborative, again because there are set limitations on my capacities, I recognize the availability and expertise of others in realms that I hardly know and that working with them, collaborating with them, gives my client more options, and provides him/her the best and comprehensive interventions that there is in the field. A therapy that is beneficial looks beyond my set style and preferences of diagnosis and treatment; it is progressive and seeks to enhance the initial strategies that had been established and continually expands oneself by learning and researching. Most importantly, by collaboration, my client is the most significant â€Å"collaborator†and that notion should not be missed all throughout (Rubinstein et al., 2007; Corey, 2004). .            The effectiveness of therapy in counselling is dependent substantially on two factors; namely, the patient’s cooperation, and the expertise of the therapist. Many experts in the field of Psychology have observed the significant contribution of the client to the over-all process. The individual’s perception of the therapist is extremely crucial to the ensuing treatment. Without the needed initial positive perception of the therapist on the part of the one seeking treatment, the whole process will not generate a desired momentum that would set the entire scheme in a strategic stance. Of course, the expertise of the therapist is another major factor – actually, the other half – but it’s a given to the whole package of treatment (Rubinstein et al., 2007; Corey, 2004).            Since a â€Å"working alliance†has to be established first before the actual treatment is administered, there are important or vital considerations for this â€Å"working alliance†between client and therapist to occur, and this is in prà ©cis, the intentions of this paper. What we will be considering in this paper are the challenges that new therapists face as they practice their profession. The past baggage of the client.            From any vantage point, the level of trust by client on his therapist, whether that perception is based on attractiveness, trustworthiness or as someone who knows what he may be dealing with in terms of credentials, are valid, and is the utmost concern of the helping relationship. Trust in the part of the client is necessary for the healing process. However, because the full ramifications of the issue almost always hinge on the perceptions of the client, the problems and hindrances need to be addressed or at least cited for clarity and deliberation at the outset of the relationship. As hinted above, the client may be bringing (emotional) baggage into their mutual involvement which may be due to prior engagements with other professionals in the therapeutic relations, whether positive or negative. Oftentimes, in many cases, these may be liaisons which were unsuccessful, distasteful or even traumatic for a few. The author pointed out that any form of future therapy will be affected due to these previous experiences, and it has to be dealt with right away at the outset (Horvath & Luborsky, 1993, p. 4). The fitness of the therapist            By fitness, we mean sufficient, wide-ranging exposure, and right training to the kind of illness/es or disorder/s that he may be dealing. Even with years spent in the academe will not guarantee the development of skills in handling such complex and true-to-life situations or scenarios. At times, the theoretic skills acquired, instead of enabling the new therapist, may deter or hamper the process. This means to say that the therapist must possess more than head-knowledge; he should not allow his schooling to affect him to the extent that it made him conceited with no room for more learning especially when additional knowledge are available in the patient himself. He must also have the sensitivity to employ his gut-feeling to at times, direct the course of the therapy (Rubinstein et al., 2007; Corey, 2004). Therapeutic relationships are almost always exhausting, but it will be an undesirable experience for the alliance partners when just one of them becomes disinterested, hence as Luborsky pressed that â€Å"reciprocity†must be established, cultivated or maintained until the relationship is terminated, hopefully because the client is well (Horvath & Luborsky, 1993, p. 4). III. The Therapeutic Process            The therapeutic process is initiated by the therapist primarily as soon as the client or others who refer or brought the patient in for the assumed long haul of the healing relationship. It would be impossible to do all approaches at one time. By eclectic and as frequently emphasized, the usage of any of the methods will be dependent on the need of the patient, and other pertinent information that help guide which of these the therapist will be using. The therapist then is enjoined to be able to diagnose well; it is at this stage that any practitioner is well aware of the risks should he/she fail to diagnose properly the needs and or issues /problems of the client. However, as he/she matures and advances in the profession, many instances occur that the mistakes made in diagnosis are oftentimes corrected while at the treatment stage, hence the traits of flexibility and humility (admitting mistakes for instance) are valued highly in this pro fession (Rogers, 1980, p 115-117 in Rubinstein et al., 2007).            Employing the Behavioral, Cognitive-Behavioral, Psychodynamic, Existential, Humanistic, Family Systems, Gestalt and Client-Centered Eclectic stance primarily involves the incorporation of distinct concepts within a single framework. The important thing is that of flexibility and resiliency on my part when to apply or implement which of the theories in the context of my client. It starts with the identification of specific problems and especially the root causes. When this is confidently achieved, the therapist is actually midway to attaining his/her goals which includes not only the relief of the symptoms that the sufferer is currently experiencing but especially the reduction of the occurrence if not altogether eliminated. The specific treatment goals are likewise essential and it helps in the remaining aspects or levels of the process. The diagnostic part by itself in most cases is considered therapeutic since many clients have experienced immediate relief; in the language of psychoanalysis, the â€Å"cathartic†effect is helpful already. In addition, another important ingredient in the process is to identify effective reinforcers which help people in crisis for instance or those in acute and chronic mental and emotional anguish to sustain their plan for change and control of their disorders. Helping the client set up a kind of self-help management program is a very effective strategy to pursue within the relationship (Rubinstein et al., 2007; Corey, 2004). ~Identifying clients in crisis            Despite breakthroughs in scientific researches and the success of many crisis interventions by established churches, there are â€Å"fly by night†operations which prey on funding of private and government groups on such types of operations. There are those who minister lacking the necessary spiritual maturity and corresponding abilities in this kind of endeavor, hence the necessity of proper credentials to minimize abuses in the profession (Buttman, p.59). Crucial to the treatment or interventions of people in crisis is the identification of clients experiencing crisis in life. â€Å"Knowledge of the three core components of crisis intervention theory (a precipitating event, client perception of the event, and the client’s usual coping methods)†is essential in this kind of work (Walsh et al, 2005). The Goal of Therapy            Trauma inducing and crisis triggering situations have spiraled its occurrence and in its primacy in the US and in many other countries in recent years. Its broad spectrum ranges from the national disaster category such as that of Hurricane Katrina or the 911 terrorist strikes in New York, Spain and England, to private instances such as a loved one’s attempt at suicide, the murder of a spouse or child, the beginning of mental illness, and the worsening situation of domestic violence (Teller et al, 2006). The acute crisis episode is a consequence of people who experience life-threatening events and feel overwhelmed with difficulty resolving the inner conflicts or anxiety that threaten their lives. They seek the help of counselors, paramedics and other health workers in crisis intervention centers to tide them over the acute episodes they are encountering. These are defining moments for people and must be adequately addressed else they lead lives with dysfunctional conduct patterns or disorders (Roberts et al, 2006).            In the integrated or eclectic approach the goal of the therapy is not just relief to the patient or client. Although an immediate relief is very helpful, this may not always be the case in most illnesses. The goal as mentioned in the preceding pages is to provide long-term reduction of the symptoms and the occurrence of the disease altogether if possible. The management then is not impossible but neither is this easy. Specifically, the counselee or patient must want to heal or believe that there is going to be curative effects in the process. It presupposes that he/she must learn to trust the therapist in his/her capabilities as well in leading or facilitating the changes or modifications. It is very much essential that (in the perspective of a cognitive-behaviorist) that the client understands ownership to the deeds and choices in thought patterns he/she made are crucial to the recurring or occurring condition that s/he experiences (Rubinstein et al., 2007; Corey, 2004).            Moreover, the identification of specific treatments or interventions according to the diagnosed issue will be accommodated and implemented based on the chosen treatment modalities fit with the therapeutic approach utilized. It may be a single modality based on a single approach (e.g., learning principles and desensitization for a patient with specific phobias) or it maybe a combination of many modalities (CBT, Rogerian, Phenomenological, or Family systems) (Rubinstein et al., 2007; Corey, 2004). The Nature of the Relationship between the Therapist and the Client            The client throughout the process is a person in need of help and support and this reality is throughout reinforced in the process until the need to terminate the relationship. The therapist is the helper, who ushers the client to discover insights into his needs and problems and until the client is able to stand on his/her own the therapist aids him/her in more ways than one. Because of usual and common abuses that either the client suffers or that the therapist at times undergoes, definite boundaries are set in place at the outset. This must be established at the initial stage and from time to time emphasized to mind either of the parties in the limits of the relationship. The therapist is guided by morality and ethics of his/her profession in the proper exercise of his/her duties and bound by law to implement this in the process and make this known as well to the client. The therapist terminates the relationship readily or refer the cli ent to another competent practitioner should the limits be reached and the relationship has become unrealistically difficult for either of the two parties. Best Practices for Techniques            Techniques or the utilization of various modalities come in a variety of forms and each when employed has the potential to meet the individual’s needs. The modality of choice at particular client/patient depends on such considerations as family support, financial constraints or financial capability, the patient’s preference, diagnosis, and age of patient (Rubinstein, et al., 2007). Employing the cathartic method, teaching the client to examine his/her thought patterns, to discern the errors of judgment and gain insight into him/herself, and to handle with patience the whole process are fundamentals in the process. When the therapist is able to shift effectively in various standpoints and enables the client to gain a better, realistic and eradicate unrealistic expectations of the self and others, they are both on the way to achieving wholeness and healing that which the client so need and aspire. This requires practice, or con stant training and endurance on the part of the therapist (Rubinstein et al., 2007; Corey, 2004). VII. Methods of Therapy            Every theoretical approach has its own assumptions. In the psychodynamic theory, the following three assumptions help guide a student of human behavior or an expert in this field determine the underlying factors that explain the overt manifestations of specific behaviors. These assumptions therefore, help guide the diagnosis of the presence or absence of mental illness. They are the same assumptions that guide the therapist in choosing what treatment that will better help heal, cure or alleviate the symptoms.            These assumptions are: â€Å"There are instinctive urges that drive personality formation.†â€Å"Personality growth is driven by conflict and resolving anxieties.†â€Å"Unresolved anxieties produce neurotic symptoms†           (Source: Kaplan et al, 1994).            The goals of treatment here include alleviating patient of the symptoms which specifically works to uncover and work through unconscious conflict. The task of psychodynamic therapy is â€Å"to make the unconscious conscious to the patient†(â€Å"Models of abnormality†, National Extension College Trust, Ltd). Employing the psychodynamic viewpoint, the therapist or social scientist believes that emotional conflicts, or neurosis, and/or disturbances in the mind are caused by unresolved conflicts which originated during childhood years. In the psychodynamic approach the treatment modality frequently used includes dreams and free association, at times hypnosis (as preferred by either the therapist or by the client). The therapist actively communicates with the client in the on-going sessions. The scenario appears that a given patient may have up to five times a week session and runs up to five years in length (Rubinstein et al., 2007).            The methods of therapy incorporate the methods of the eight models. In Behavioral Therapy – the development of behavioral skills that encourage effective actions which is done through incorporating principles in learning or classical and operant conditioning. It utilizes shaping, modeling and such concepts as behavior modification, counterconditioning and exposure, and systematic desensitization.  Behavioral or action therapies utilize insight just as much as the psychodynamic model. Just as the cognitive–behavioral model also recognizes the concept of insight as well, this is only a matter of emphasis or focus. In behavioral/cognitive-behavioral therapies the focus is on the modification or control of behavior and insight usually becomes a tangential advantage. Techniques include CBT through such strategy as cognitive restructuring and the current frequently used REBT for Rational Emotive-Behavior Therapy where irrational beliefs are eliminated by examining them in a rational manner (Corey, 2004; Davison and Neale, 2001). Whereas in insight therapies the focus or emphasis is on the patient’s ability in understanding his/her issues basing on his inner conflicts, motives and fears. Techniques then include reflection of feelings and free association; the former as employed in the client–centered therapy and with the latter in psychodynamic therapy. Cognitive Strategies are utilized to promote functional thoughts which are likely to result in adaptive and healthy habits (Corey, 2004; Davison and Neale, 2001).            Client-centered therapy avoids the imposition of goals on the patient or client during therapy. It is the client who takes the lead in the session and of the conversation. It is the job of the therapist to create the conditions conducive to the client’s positive judgment of those experiences that are intrinsically satisfying to the client. The ‘goal’ then is to reach the point where the client desires to be a good and â€Å"civilized person.†Unconditional positive regard enhances this atmosphere however, and although the goal may be difficult to achieve, unconditional positive regard eventually, according to Rogers, encourages even the â€Å"`unbehaved†to conform or even transform (Corey, 2004; Davison and Neale, 2001). Gestalt therapy techniques on the other hand, include the I-language, The Empty Chair, Projection feelings, Attending to Nonverbal Cues, and the Use of Metaphor (Corey, 2004; Davison and Neale, 2001).            The techniques may sound a lot like pulling â€Å"this and that†from one’s tool box but in practice it is far from whimsical and impulsive. There is given time to much thought and analysis per client and an evaluation in between is mustered in order to be kept on track according to the specific goals that had been established at the outset. Here, professionalism counts and much of the efforts poured into every patient’s benefit.            In order to avoid what Corey says as a syncretistic and hodgepodge type of â€Å"eclectism†a theoretical rationale must be underpinning in the overall approach of the therapist (Corey, 2001, Article 29 in Lazarus, 1986, 1996; Lazarus, Beutler, & Norcross, 1992). This means that I as the therapist must establish firmly my own worldview, which contains my value system, and communicates this at the outset to the client and intermittently in the therapeutic process.
Friday, September 13, 2019
Strategic management Essay Example | Topics and Well Written Essays - 4250 words
Strategic management - Essay Example Organizational culture can be defined as an existence of shared understanding in a society, organization, team or group. Culture is understood to be a multifarious phenomenon which operates at various levels such as visible and invisible, conscious and subconscious. Culture helps in shaping the history and legacy of an organization (Wilkins and Ouchi, 2003). Cultural analysis of an organization can be used to be aware of the strengths and weaknesses of an organization. Organizational culture creates patterns of behaviour and also includes the way through which strategy can be managed in an organization. Culture has its relevance in every organization. Culture decides the way the staff interacts in the organization. A healthy culture within the organization motivates the employees and encourages them to stay loyal to the organization. Culture of the workplace also ensures existence of a healthy competition in the workplace (Cooke and Rousseau, 2011). It is the culture of the organization that drives the employees to attain the goals of the organization by performing efficiently. The culture within the organization provides the employees with predefined sets of policies and guidelines which will direct them towards achieving success at workplace (Bloor and Dawson, 2004). Work culture ensures creating a brand image of the organization in the long run by providing a unique identity to it. Most importantly, organizational culture unites all the employees who otherwise belong to different cultural backgrounds. Every organization therefore must focus on enhancing its culture to bring in p ositive changes. Organizational stability involves maintaining status quo and emerging in a methodological and slow manner. The organizations that have attained a level of growth desire to maintain the stability of such growth in the future and for that various strategies are to be implemented by the organization (Schwenk, 1989 ).
Thursday, September 12, 2019
A trip Essay Example | Topics and Well Written Essays - 250 words
A trip - Essay Example Since we had no special plans for the weekend, we halfheartedly decided to go with Oliver. To our surprise, with every passing second, we became more and more excited about the trip. And so, the night before the trip, we failed to contain our excitement and hardly fell asleep. It was a Sunday morning. The time was almost 5:30 a.m. when we heard a familiar honking of a car. It was Oliver. The sun has not fully come out yet, and the house was still dark. Our parents were asleep. Oliver had arranged for our breakfast, so we rushed out as soon as we heard the car horn. Once outside the house, we were greeted by the cool morning breeze. Sliding into the front seat next to Oliver, I grabbed the biggest burger and started munching instantly. In all the excitement, I forgot to pass over Sam’s share in the back seat. A questioning look on Oliver’s face made me realize what I had missed doing. Therefore, I passed Sam his burger; I felt embarrassed. After that, our journey began. As I watched the car drive through the same route, my heart sunk. It was the same route we took almost every weekend with our family. But when Oliver did not take the last turn, the excitement returned. I knew we were headed for â€Å"different†. After twenty five minut es’ drive, we stopped at a roadside densely lined with trees. It seemed like a jungle. When Oliver got out of the car, I realized it was the starting point of our trip. The plan was to meet our usual hiking trail but through the jungle. Taking only a few steps into the trees, we found ourselves standing amidst a dense forest. The sounds of birds, insects and animals echoed all around us. Thick vegetation grew everywhere. The shelter of leaves blocked the sun, so it was slightly darker. The air was damp and had a strange smell. Oliver was leading the way, and we were tracing his steps. Sam was in front of me. The way Oliver was making his way through the bushes and trees was admirable as I could hardly see any path. I
Wednesday, September 11, 2019
University Personal Statement Essay Example | Topics and Well Written Essays - 500 words
University Personal Statement - Essay Example One of my uncles studied from USA and, according to him, studying in USA was the right choice for me as students get highly professional teachers and scholars who help them excel in their fields. People have always been globe-trotting for good education and the hot education destination is always USA. I also wanted to avail excellent quality of education and training which is recognized worldwide. Also because there are a wide variety of courses offered in USA, I preferred to apply in some university which offered me my desired courses. Why I chose the University of New Haven, Boston Post Road West Haven, is because it offered me the major in fire science which I wanted to avail and start my career in. The university is a private, top-tier institution and offers globally recognized experiential education. It offers highly qualified teachers. It helps the students in various means like in getting a tutor, scholarships, free-ships, stipends, internships, and etcetera. Special training courses are also held which enable the students to apply the knowledge practically. This university has also been nominated as North America’s Best Colleges in the US News and World Report Magazine. These factors made me choose this university for my higher studies.
Tuesday, September 10, 2019
Discharge planning of a patient using a patient profile Essay
Discharge planning of a patient using a patient profile - Essay Example These readmissions crop up as a result of mistakes resulting from lack of proper care for the patients after discharge, or discontinuation of medication (DOH, 2005). Low health literacy being in high rates gives rise to increased rates of re-hospitalisation, especially, in urban patients, who earn low income. Lack of coordination between the in-patient and out-patient process, boosts the risk of readmission in hospitals, together with gaps in social care and supports. Primary care physicians find it hard to understand the complex process of hospitalisation, since the inpatient care is provided in the hospitals (Bortwick et al., 2009). A discharge plan is the key tool used by the primary care- providers so as to go on with the care of the patient. Therefore, a safe and comprehensive discharge plan is essential when discharging a patient, in order to aid the primary care providers and social workers in their duties. A discharge plan Discharge is a vital component of care management in any aspect. It makes sure that social care and health systems remain proactive when supporting patients, their families and carers, when there is the need to go home, or move to a different setting (SPLG, 2010). Mr. Sharma, 87 years old man has been hospitalized and, due to the considerable progress he has made in recovery, he will be discharged after ten days. A safe and comprehensive discharge plan needs to be developed which will suit him, and which will ensure his recovery without re-hospitalisation. Mr. Sharma’s discharge plan is supposed to prepare the home for him, to meet all his needs, reduce the probability of readmission, as well as saving on social care services (SPLG, 2010). Putting in mind that Mr. Sharma has multiple conditions, an open wound, he is taking many drugs, and that he is an old man, the following discharge plan will best suit him. A discharge plan will help his carers after he is discharged, to coo rdinate services and care (Katikireddi and Cloud, 2009). This paper will address the probable problems, the interventions, and the rationale behind the decisions made. Problem The patient is an old man aged 87 years old. Outcome Being an old person, the patient requires careful and extra care since he is exceptionally delicate. Close supervision should be done always to ensure all the medical requirements are done (Lindenberg, 2010). Intervention 1. Meet with the family members and the carers of the patient, in order to discover who takes care of the patient most time, prior to discharge (Roberts, 2002). 2. Explain the need to have a person close to Mr. Sharma always, and close supervision. 3. Ensure that the patient will be kept busy and occupied. This can be through the provision of a television set or even constant company, to avoid boredom. 4. Discover if there is polypharmacy. Rationale The patient is an elderly person and hence the need to meet with the family members and the carers to enlighten them on the complications faced by old people after discharge, and the factors that can lead to readmission. According to the National Service Frame work for older people, old people are likely to suffer multiple complications, unlike, young people. They can have different conditions requiring different and specific treatment (DOH, 2001). The need to meet with the family members and carers of the patient is to make them understand how to care for the old person to reduce the case of readmission. The elderly patient needs a person close to him to monitor
Febrile Seizures Research Paper Example | Topics and Well Written Essays - 3000 words
Febrile Seizures - Research Paper Example Up to 5% or may be more in the population is estimated to have had at least one seizure arising from any cause during their lifetime. Epilepsy can be found in any individual ranging from young babies to aged old men and women. It is clinically known that epilepsy can have its beginning or onset in both old age and in childhood. The underlying causes of seizure in medical terms in unknown. More than 32 different kinds of seizures are known today (Seizure and Epilepsy, 3). These are divided into focal seizures and generalized seizures. A seizure is caused by an electro chemical disorder in the brain. Chemical reactions are used by the brain cells to produce the electric discharges. When there is an imbalance of excitation and inhibition in a particular area of the brain a seizure can occur. In a seizure attack, the normal regulated function of the nerve cells in the cerebral hemisphere gets disrupted (Appleton & Marson, 2). Many people also some patients suffering from seizures have th e notion that the actual seizures are ones that have strong, uncontrolled movements. They believe that having an uneasy pain or feeling in the stomach, going blank for a few moments, or jerking of the arm few times is not to be assumed to be a seizure. It can be at most considered to be a minor spell. But the fact is any change in the sensation or behavior that arises from an uncontrolled activity of electric neurons in the brain is a form of seizure. In the human brain, the undersurface area of the temporal lobe is very prone to have seizures. The temporal lobe consists of the regions of the brain that are mostly involved in causing adult epilepsy. These temporal structures are coined by Greek names, such as the amygdale which means an almond and hippocampus which means a sea-horse. The amygdala and the hippocampus are the target areas for surgical removal during surgery for curing epilepsy. The amygdala and the hippocampus are also involved in controlling the expression of emotion s and in the ability of the brain to form memory. Seizures can also be caused by brain poisoning caused by lead and carbon monoxide (Seizure and Epilepsy, 2). Types of seizures Seizure is divided into two categories. These are known as a partial or focal seizure and a generalized seizure. Partial seizures are one that start at one side of the hemisphere of the brain where as the seizures that begin in both the sides of the hemisphere of the brain at the same time are known as generalized seizures (Pitkanen, et al, 6). Partial seizures are further classified into simple partial seizures that have no alteration in consciousness or memory and secondly complex partial seizures that have alteration in consciousness or memory (Fisher & Saul, 6). Simple partial seizures are characterized by motor seizures that include twitching, unusual sensations, unusual visions, sounds and smells as well as distortions of perception. Seizure activity can reach up to the autonomic nervous system that can result in flushing, tingling sensations or nausea. These symptoms of simple partial seizures remain in the clear consciousness and are in full recalling ability for the patient. Complex partial seizures that were previously known as psychomotor seizures or the temporal lobe seizures or the limbic seizure is another type of partial seizure. Complex partial seizures can have an aura, which is a symptom or a warning of the seizure (Fisher
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