Special Needs Prisoner

Special Needs Prisoner David Thompson University of Phoenix Special Needs Prisoner The American penal system is comprised of every element of society imaginable. There are people from all walks of life being held in one prison or another across our great country for crimes they’ve committed or allegedly committed against mankind. Be it at the state, federal or county level, the U. S. prison system does not discriminate with regards to those who are physically challenged.Be it a prisoner who is mentally challenged or one whom is confined to a wheelchair, if they have committed a crime and are found guilty of such, they will be sentenced to facility that under most circumstances are equipped to handle prisoners with special needs. Take for example the criminally insane or those suffering with various kinds of mental illness: Round about 1955 the number of mental institution experienced a drawdown of types, in that they were not building any new facilities, despite the fact that approximately forty of the existing one’s had been shut down or were scheduled to be shut down.This change prompted the prison system to take over the role of caring for mentally ill inmates. As more and more prisons grew so did the role of the prison system to care for the influx of the special needs prisoners. Prisons were able to house and care for some 45,000 prisoners including those who were mentally ill, compared to that of a mental institutions ability to house some 3000 in a mental hospital. Perhaps one of the biggest drawback or downfalls related to this concept is that of the ability to rehabilitate the mentally ill.Because the prison system was/is not geared for actions such as this, many of those who are diagnosed with a mental illness usually find themselves serving their time, only to return to confinement a few years later, due to the prison systems inability to adequately treat and card for their sickness. But let’s not throw this all on the prison sys tem, as the private sector has just as much responsibility for this shortfall/s as does the penal system.Many communities simply do not have the funds necessary to open and operated programs to take care of the mentally ill. For those that do have something in place to combat the problem, their efforts seem to fall far short of the need. There seems to be far more people in need of help than the help that is available, and the more we look into the problem the more we see that this is not just limited to adult men and women, but children as well.The end result of which is the criminally insane sometimes find themselves back on the streets, as does many of the mentally ill. While incarceration may be somewhat more difficult on someone with a mental illness, prison officials try and combat this by housing the mentally ill in separate wards, to reduce violence, combat stress, and maintain order. Prison officials today try and provide specialized training and equipped to those who work with the mentally ill.Although improvements have been made, there is still much to accomplish as some patients do not transition well into some of the rehabilitation programs made available to them; for example the Drug and Alcohol program, many officials think that mentally ill patients can and does usually become extremely disruptive, during counseling sessions, which causes setbacks and limits the progress of others. Therefore, many of the disable, mentally ill, or otherwise hard to reach inmates/patients are turned away from rehabilitative parts of the program built around small group settings.Honestly speaking, there is very little room for care of the mentally ill within the prison system, as few places are equipped with the staff and specialist needed to care for these special patients. Try as we may, we can’t effectively make the connection needed to make a difference in these individuals lives. Not to mention the attitude/s the outside community takes towards those s uffering with mental handicaps.The lack of compassion, care and concern towards these less fortunate individuals does little to help the situation inside or outside prison walls, as we’re all struggling to make the best of a bad situation. We must stay focused and be extremely flexible as we seek to make changes in this area, in particular in that every failure has the potential to have widespread affects on everyone, including the department, and the community into which some of these people may be released.Taking a lackluster attitude towards helping these people rebuild their lives simply will not work. We must be committed to the care of prisons with special needs just as if they were able to afford whatever treatment is available. Combating mental illness is not easy, but in most cases it can be done. References: The Sentencing Project (Washington, DC), (2002), Mentally Ill Offenders in the Criminal Justice System: An Analysis and Prescription, John D. and Catherine T. M acArthur Foundation http://nicic. gov/Libary/017558

A Bird Came Down to the Walk

A Bird came down the  walk WRITTEN BY EMILY DICKINSON A Bird came down the walk Background †¢ Dickinson liked to write about small moments in life. †¢ She liked to write about moments between people and animals. Poem Stanza one †¢ From the first line we have the animal world entering the human world. The bird is oblivious to the presence of Dickinson. She watches on as the bird eats a worm. The use of the word ‘fellow’ is suggested to show how impolite this act is but it is only used as an element of humour. Dickinson finds this both fascinating and playful. Stanza two Dickinson continues the observation and continues to run with the gentleman theme and gives the bird an element of grace. By mentioning ‘Dew’ Dickinson shows how closely she is watching the bird as if under a microscope seeing all the minute elements perfectly. Stanza three †¢ There is a change in this stanza as the bird moves from one of grace and poise to one of caution as if it is watchful of possible threats. Even during this time of caution the bird manages to remain beautiful ‘Velvet Head’. Stanza four †¢ In this stanza the word cautious refers to both speaker and bird. While Dickinson tries to bridge the gap between man and animal the bird flying away shows that this will not happen. The bird’s flight is not shown as one of terror but rather with elegance as the bird retains its beauty. Stanza five †¢ This beauteous flight continues into stanza five. This flight is shown to be graceful and noiseless. By showing it this way Dickinson shows that the bird is graceful and is a natural part of this world disturbing nothing. She emphasises this by comparing it to more of nature’s creations. Points to note †¢ Expressing the beauty of nature †¢ Positive poem †¢ Use of imagery and punctuation key

Risk Assessment

2. 1 Legislation The need for an employer to carry out risk assessment has been a requirement of health & safety legislation for many years. A summary of the risk assessment requirements is as follows: a) The Health & Safety at Work etc Act 1974 Sec 2 – Requires an employer to ensure the health, safety and welfare of his employees so far as is reasonably practicable. The process of risk assessment has therefore to be applied to determine what is â€Å"reasonably practicable† action in controlling any particular hazard. ) Control of Asbestos at Work Regulations 1987 Reg 5 – Requires an employer to carry out an adequate assessment of the exposure of employees to working with asbestos. c) The Control of Substances Hazardous to Health Regulations 1988 & 1994 Reg 6 – Requires an employer not to carry out any work liable to expose any employee to any hazardous substance unless a suitable and sufficient assessment of the risks created by that work has been undert aken and appropriate control measures are identified and implemented. ) The Noise at Work Regulations 1989 Reg 4 – Requires an employer to ensure that a competent person carries out a noise assessment when employees are exposed to noise levels above the action levels prescribed. Suitable control measures should be identified and implemented to reduce the risk of hearing damage. e) The Personal Protective Equipment at Work Regulations 1992 – Require an employer to ensure that personal protective equipment (PPE) is suitable for its purpose (regulation 4), which implies that a risk assessment should be carried out to match the level of protection provided with the hazard present. Risk Assessment 2. 1 Legislation The need for an employer to carry out risk assessment has been a requirement of health & safety legislation for many years. A summary of the risk assessment requirements is as follows: a) The Health & Safety at Work etc Act 1974 Sec 2 – Requires an employer to ensure the health, safety and welfare of his employees so far as is reasonably practicable. The process of risk assessment has therefore to be applied to determine what is â€Å"reasonably practicable† action in controlling any particular hazard. ) Control of Asbestos at Work Regulations 1987 Reg 5 – Requires an employer to carry out an adequate assessment of the exposure of employees to working with asbestos. c) The Control of Substances Hazardous to Health Regulations 1988 & 1994 Reg 6 – Requires an employer not to carry out any work liable to expose any employee to any hazardous substance unless a suitable and sufficient assessment of the risks created by that work has been undert aken and appropriate control measures are identified and implemented. ) The Noise at Work Regulations 1989 Reg 4 – Requires an employer to ensure that a competent person carries out a noise assessment when employees are exposed to noise levels above the action levels prescribed. Suitable control measures should be identified and implemented to reduce the risk of hearing damage. e) The Personal Protective Equipment at Work Regulations 1992 – Require an employer to ensure that personal protective equipment (PPE) is suitable for its purpose (regulation 4), which implies that a risk assessment should be carried out to match the level of protection provided with the hazard present. Risk Assessment 2. 1 Legislation The need for an employer to carry out risk assessment has been a requirement of health & safety legislation for many years. A summary of the risk assessment requirements is as follows: a) The Health & Safety at Work etc Act 1974 Sec 2 – Requires an employer to ensure the health, safety and welfare of his employees so far as is reasonably practicable. The process of risk assessment has therefore to be applied to determine what is â€Å"reasonably practicable† action in controlling any particular hazard. ) Control of Asbestos at Work Regulations 1987 Reg 5 – Requires an employer to carry out an adequate assessment of the exposure of employees to working with asbestos. c) The Control of Substances Hazardous to Health Regulations 1988 & 1994 Reg 6 – Requires an employer not to carry out any work liable to expose any employee to any hazardous substance unless a suitable and sufficient assessment of the risks created by that work has been undert aken and appropriate control measures are identified and implemented. ) The Noise at Work Regulations 1989 Reg 4 – Requires an employer to ensure that a competent person carries out a noise assessment when employees are exposed to noise levels above the action levels prescribed. Suitable control measures should be identified and implemented to reduce the risk of hearing damage. e) The Personal Protective Equipment at Work Regulations 1992 – Require an employer to ensure that personal protective equipment (PPE) is suitable for its purpose (regulation 4), which implies that a risk assessment should be carried out to match the level of protection provided with the hazard present.

Electronic Medical Data Storage Research Paper Example | Topics and Well Written Essays - 6000 words

Electronic Medical Data Storage - Research Paper Example A medical record is a comprehensive report that lists all the data that is created or acquired during a person’s course through a healthcare facility. It records details of any treatment plans of present or past, medical reports, tests, diseases, illnesses, medical checkups, etc. that a person has had in his life. Apart from the obvious purpose of documenting a person’s medical history or care record for emergency situations, a person’s medical record is also important for certain legal and financial information. It is also used in quality improvement and research processes. So, medical records are used for informing others, recalling observations, instructing students, gaining knowledge, monitoring performance, and for justifying interventions (Reiser, 1991). A person must possess his/her medical record at all times. Medical Records Schemes The medical records stored in healthcare organizations are either paper-based or computer-based (digital format). Since information in medical records has to be shared amongst the professionals forming the healthcare team, the researchers, legal or financial firms, medical records must be in a format that can easily be accessed, transferred, recorded, updated and consulted. Paper-based records have the obvious accessibility limitations and tend to be less organized as they are maintained in files and folders. They require storage spaces. The information in these records is usually incomplete. They may only comprise of the basic medical information, e.g. blood group type, current medicinal treatment or physical disease, etc. or data till a recent date. Carrying them everywhere is not feasible e.g. for military personnel or across borders. The terminologies used (abbreviations, etc.) may not be standardized and the handwriting may not be credible. Additionally, paper-based records have a constant threat of being ruined in case natural calamities like floods, fire, etc. Electronic medical records (EMR) help bridge this information storage, availability, access and retrieval gap in paper-based records by digitizing all the information. As EMR is computer based, information can reach the medical staff even before the patient reaches the healthcare center, re cords have backup copies in case of fire, flood, etc. A large acute care hospital was struck by a tornado that hit Joplin, Missouri, in late May 2011. But as the hospital had fully incorporated an elec ­tronic records system, patients’ records were accessible without any delay (â€Å"Status of Electric†, 2011). Medical record constitutes the entire medical history of a person. Data is more organized as it consolidated from various points of cares. The record automatically updates in case of healthcare prescriptions and visits. Despite the technological advancements and advantages of EMR, majority of healthcare organizations around the world still maintain and operate on paper-based medical records. The quality of patient safety and care is without doubt compromised. One reason for this reluctance in transitioning is the substantial initial conversions costs (software, hardware, and technical staff) from paper-based medical records to EMR. However, due to the ever-inc reasing use of Internet and the electronic

An Hour of Happiness Essay Example | Topics and Well Written Essays - 500 words

An Hour of Happiness - Essay Example The woman feels insignificance and unimportance of her social status which leads her to great psychic diseases. In "I stand here ironing" the life of the heroin is marked by poverty and dislocation caused by the years of Great Depression. She represents a working class woman who had to work hard all her life to earn for living. The woman understands that there is a great wall between her daughter and her as a result of misunderstanding and hardship they have endured. The mother recollects "After a while I found a job, hashing at night so I could be with her days" (Olsen, 1971). Chopin portrays inner conflict of Mrs. Mallard personality suffered from oppression and limited and disregarded social status. Form the very beginning, Mrs. Mallard is depicted as a woman who lacks vividness natural for women of her age. The illness of Mrs. Mallard represents the emptiness of her soul: "There would be no powerful will bending hers in that blind persistence with which men and women believe they have a right to impose a private will upon a fellow-creature" (Chopin, n.d.). Using events and story conflict, the authors depict evolution o

No topic(just answer the question) Case Study Example | Topics and Well Written Essays - 250 words - 1

No topic(just answer the question) - Case Study Example At the same time, this option will ensure marriage minded individuals are not undermine by providing them with a platform that lacked previously. This group of individuals are often neglected by many players in the industry eHarmony operates and this makes it a lucrative path. Through the option, eHarmony will be able to market itself more and ensure more growth. The option will also ensure more growth for the company and will be in line with eHarmony investment in research. The final reason, why the option should be given a consideration, is that it provides viable avenues for various differentiations for eHarmony. The company operates in a rather dynamic and competitive industry and these forms the root for constraints and challenges associated with recommended option two. Option two faces challenge of competition. Being that eHarmony company also competes with Yahoo! Personals that attract significant individuals losing customers to them may be possible. Finally, if the strategy such as matching algorithm is not fully implemented, eHarmony may lose significantly on section of

You Decide Research Paper Example | Topics and Well Written Essays - 1000 words

You Decide - Research Paper Example People in developed world are happy with the advancement in technology while developing countries are struggling to keep up with the advanced technology. In the end, developed countries will have to reach an agreement to reduce their energy use in favor of developing countries due to growth in population in these countries, thus an increased demand on energy use to improve their livelihood. The world will require much energy supply in the coming 21st century. Nuclear energy has the potential to meet this demand. The most dominant sources of energy that have been used in developed and developing nations include fossil fuel, coal, oil, natural gas and in some countries they have used hydroelectric power, nuclear power and biomass. Air pollution in china has been on the increase due to energy use over the past decades, especially in urban areas and rural areas due to coal industries that are located in the countryside. It is stipulated that china has three of the ten most polluted cities which are not in accordance with world health organization air quality guidelines in the world (Abramsky, 2010). For example; Shenyang air pollution that took place 20 years ago due high levels of particulates and sulphur oxide in the atmosphere, which reduced visibility. The government of china has not only an obligation to address the problems of provision of basic services to increased numbers of people, develop economically but also address environmental problems of air pollution caused by rapid economic growth. A group of experts from various field in energy sector met in 2003 to discuss the way forward to reduce air pollution as part of energy policy in china. This led to incorporation of air pollution as an important matter when carrying out national planning. Planners in china have been able to look at the impacts of various choices of

Vectors and Statics Lab Report Example | Topics and Well Written Essays - 1000 words - 1

Vectors and Statics - Lab Report Example Experimentally, T3 required to balance the ring was found to be 1.6072N. From this, the x compontent and y components of the force were calculated. In comparison, the theoretical value for T3 was found to be 1.84N. This indicates disparity between the theoretical and experimental value, especially after calculating the percentage error that gave out 12.6%. however, this is a slight deviation and can be contribute to the experimental errors. Source of these could be attributed to the non-accurate nature of experimental apparatus since this makes an individual to give a slightly deviating reading from that expected. Further, this could also cumulate to imprecision of the measurements done therein. However, the percentage error should not only be laid solely on the experimental errors but also on the errors arising from using the theoretical value. For example, the theoretical value given are meant for a pulley with frictionless wheels and strings without weight. But in this case, while moving friction is inevitable and weight of the string should also be accounted for the errors. Consequently, this insinuate that there is overestimation of percentage error calculated for the pulley system. Through the above experiment, the application of vector and statics in real life scenarios come out succinctly. For instance, the case of implementing pulley and the inclined plane can be taken as simple machines. For the component of simple machines, the pulley can be applied in lifting a particular load by allowing for application of relatively less force than in a scenarios of direct pulling. In conclusion, the experiment was successful in meeting the major objective of the lab. As can be evident, the percentage error falls within a small margin. Further, the causes of this deviation have been attributed to imprecision of the apparatus and the assumption about non-frictionless pulley. From the

Current role of fire and technology in automobiles, and where the Research Paper

Current role of fire and technology in automobiles, and where the technology is heading - Research Paper Example The role of fire in creating light and heat in the combustion of bodies paved the way for utilization of the most innovative invention of all times, the automobile. Continued over reliance to traditional fuel sources ultimately affects the future of automobiles, particularly in ensuring that they run as efficiently as expected. With all the developments in technology, its functionality and aesthetic value, the fact remains that vehicles consume a vast amount of fuel. In this regard, this essay aims to discuss briefly the current role of fire and technology in automobiles, and where the technology is heading. The following concerns would likewise be addressed: (1) what type of alternative fuel will have the most success meeting transportation needs in the nearby future? Why? (2) How would alternative fuel types evolve in later generations?    Due to the susceptibility for car fires, automobile manufacturers have used the latest developments in technology to ensure that passengers are protected and kept ultimately in safe condition while travelling. In addition, technology is heading for the discovery of cost efficient and safe automobiles utilizing alternative fuels to run them. According to Toyoland (n.d., par. 3), â€Å"there are about half a dozen flammable liquids associated with a vehicle. There are an additional number of flammable solids, or â€Å"solid propellants,† that contribute to fire. There are, depending on the vehicle, any number of hoses and pumps that move flammable materials past hot areas of the engine. Any leak in a hose or pump can pour flammable liquids onto the hot engine block or electrical systems- resulting in a fire.† Elliot (2004) averred that â€Å"about 70 percent of our oil consumption is used for transportation†. The United States is identified as the biggest consumer of oil from among all the countries in the world. The EurActiv Network (2007) identified â€Å"three alternative solutions are seen as promising: biofuels, natural

Evaluation of TV show or movie Essay Example | Topics and Well Written Essays - 1000 words

Evaluation of TV show or movie - Essay Example But as the new episodes are aired, the personalities which we have assigned to each characters seems to be invalid when different mishaps at the firm arisesand the characters are on an emotional roller coaster ride, revealing their true selves to the audience. Although on the surface, the serial outlines the show having uncaring and unemotional characters but involvement of one young and sympathetic associate attorney have them questioning their ways, bringing out their uncertainty and feelings and evoking their allegiance which makes all the ladies in the audience gush out â€Å"Oh my God, Harvey is such a darling!†. Hence, Suits depicts faithfulness, trust and loyalty as a medium to achieve a feat and not only competence. Played by a skilled actor Gabriel Macht, Harvey Specter is a self-centered and unemotional man whose main concern is winning for which he can do anything, but as we approach season two we see that to keep his associate, Mike Ross - who does not clear the eligibility of the job, in the firm he goes to great length by threatening to leave his job if the kid got fired, which illustrated the care he had for his associate. Moreover, in the mid of the same seasonin a critical situation where Harvey is to be disbarred on the accusation by his enemy for burying evidences, he teams up with the firm’s former managing director Daniel Hardman (who again gets involved in the firm after his wife died), whom he regard as an enemy, rather than voting for Jessica’s decision of going to a trial because that would jeopardize everyone in the firm, showing his loyalty and commitment to the organization. Similarly, in the same manner it is revealed in the upcoming season that being in compa ny of his associate; Harvey is starting to value those things, which initially were nuisance to him. Moving to the female leading character, Jessica Pearson is a hard woman who will go to any length to keep her surname on the wall of the firm

Chemistry Essay 4 Lab Report Example | Topics and Well Written Essays - 500 words

Chemistry Essay 4 - Lab Report Example However, they are not educated on the required limit of intake and over consciousness might cause them to develop vitamin imbalances detrimental for the body. Recently, an increase in the number of fatalities has been recorded because of the presence of a particular natural supplement called ephedra in the dietary products in USA. (OMeara, 2003). Intake of such supplements may cause an individual to develop heart attacks, coronary diseases and hormonal imbalances. Not only this, there are drug producers that intend to increase their sale by presenting the drugs in disguise of the vitamin tablets. They deem it an appropriate way to confidently advertise their drug without being criticized for its negative impact on the users. There are supplements that cause addiction, and their validity is highly questionable. In such circumstances, the Drug Enforcement Administration (DEA) should regulate public access to such harmful so-called â€Å"nutritious supplements† in an attempt to c ombat the drug producing companies in this field. In addition to the free public access to dietary supplements, there are other issues that need to be done something about. One of such issues is the tendency of people to get the medicines they require imported from other countries in an attempt to escape the check of local DEA that might have scrutinized them given the bad health effects of the medication. In other cases, people prefer to import the medicines prescribed by their doctor simply because they may be cheaper as compared to their price in their own region. For example, many Americans prefer purchasing medicines from Canada because the rates are much lower in the latter than in the former. There are many evils associated with such a practice. First of all, medicines available in the stores in local region complete their life and expire before a patient buys them because many

Uniformitarianism & Catastrophism Essay Example for Free

Uniformitarianism Catastrophism Essay Catastrophism refers to the idea that the features on the surface of the earth have been formed by natural disasters that occurred in the past. Contrary to this, uniformitarianism explains how geological processes taking place today in like ways, explain all geological processes on the earth, hence today‘s activities determine yesterday’s activities. It overlooks any chances of past occurrences impacting on the earth surface. Catastrophism seems to have tangible, empirical evidence in which case the sedimentary layers of fossils and rocks piling on the earth surface tend to suggest past activities. Also, eruption of mountains such as Mt. St. Helens (1980) presently supports the catastrophic notion. The issue of rock record entails an area going through change as a result of geologic processes where original rocks transform physically as well as chemically before the rocks are laid down. Mt. St. Helens erupted in 1980 and according to the uniformitarianism view; such eruptions are as a result of rock transformation activities within the earth crust or due to water contained within the rocks, changing course. Also, the 2005 Pakistan earthquake which took life of more than eighty thousand citizens is thought to be as a result of rocks in the earth crust and the mantle sedimenting after long periods of activities in the past. The Indian Ocean tsunami which occurred in 2004 is attributable to rocks in the ocean undergoing physical as well chemical changes hence in the process; the surface of the ocean experienced the forces, in form of huge, powerful waves (Craig, 1983). Reference Craig, C. (1983). Uniformitarianistic linguistics, Stonington: Benjamins.

Length of stay in pediatric intensive care unit

Length of stay in pediatric intensive care unit 1.1 Scope of Review The following review of the past work done in the area of intensive care unit (ICU) length of stay is divided into two parts. The first part covers the studies done on the PICU length of stay while the second part delves into the literature of ICU length of stay. 1.2 Studies of Length of Stay in Pediatric Intensive Care Unit Ruttimann Pollack (1996) investigated the relationship of length of pediatric intensive care unit (PICU) stay to severity of illness and other potentially relevant factors available within the first 24 hours after admission. A median and geometric mean length of PICU stay of 2.0 and 1.9 days respectively, and the upper 95th percentile at 12 days were found. To prevent undue influence of outliers, all patients staying longer than 12 days were considered long-stay patients (4.1% of the total sample) and were excluded from the model-building process. In the LOS prediction model, variables found to be significantly associated (p Table 1.1: Log-logistic regression model for length of stay Variable Regression coefficient SE Adjusted LOS ratio 95% CI PRISM score* 0.6386 0.0407 5 1.28 1.25-1.33 10 1.63 1.54-1.74 15 1.80 1.67-1.94 20 1.98 1.82-2.16 25 1.62 1.53-1.72 30 1.29 1.25-1.33 40 1.38 1.33-1.44 50 1.06 1.06-1.07 Primary diagnoses CNS diseases -0.1682 0.0267 0.85 0.80-0.89 Neoplastic diseases 0.2324 0.0579 1.26 1.13-1.41 Drug overdoses -0.1758 0.0383 0.84 0.77-0.90 Inguinal hernia -0.3270 0.1344 0.72 0.55-0.94 Asthma -0.1135 0.0527 0.89 0.80-0.99 Pneumonia 0.2350 0.0475 1.26 1.15-1.39 CNS infections 0.4966 0.0555 1.64 1.47-1.83 Respiratory diseases ÃÆ'- PRISMà ¢Ã¢â€š ¬Ã‚   0.1257 0.0579 1.67 1.49-1.87 Head trauma ÃÆ'- PRISMà ¢Ã¢â€š ¬Ã‚   0.1710 0.0611 1.73 1.53-1.94 Diabetes ÃÆ'- PRISMà ¢Ã¢â€š ¬Ã‚   -0.3332 0.0666 1.23 1.08-1.40 Admission conditions Postoperative 0.1267 0.0243 1.14 1.08-1.19 Inpatient 0.2358 0.0271 1.27 1.20-1.33 Previous ICU admission 0.1562 0.0521 1.17 1.06-1.29 Therapy Mechanical ventilation 0.4900 0.0258 1.63 1.55-1.72 Intercept -0.0191 0.0278 Scale 2.5602 0.0295 Log partial likelihood = -5487.2; global chi-square value = 1601.9; df = 15; p CI, Confidence interval; CNS, Central nervous system *LOS ratios computed relative to PRISM score = 0. à ¢Ã¢â€š ¬Ã‚  LOS ratios computed for an interaction with PRISM score = 6.42 (sample average). Source: Modified from Ruttimann Pollack (1996). In the same study, Ruttimann Pollack (1996) noted the ratio of observed to predicted LOS varied among PICUs from 0.83 to 1.25. The PICU factors associated (p Table 1.2: Effect of PICU characteristics on length of stay Variable Regression coefficient SE Adjusted LOS ratio 95% CI p* Intensivist -0.1208 0.0189 0.89 0.85-0.92 0.0001 Coordination -0.0513 0.0190 0.95 0.92-0.99 0.0071 Residents -0.0586 0.0200 0.94 0.91-0.98 0.0033 ln (PICU/hospital beds) à ¢Ã¢â€š ¬Ã‚   0.0459 0.0170 1.03 1.01-1.06 0.0068 CI, Confidence interval. *2 ÃÆ'- ln (likelihood ratio) test. à ¢Ã¢â€š ¬Ã‚  LOS ratio and 95% CIs computed for and increase of PICU/hospital bed ratio by a factor of 2. Source: Modified from Ruttimann Pollack (1996). Development of a new LOS prediction model was necessary due to the availability of a newly updated pediatric severity-of-illness assessment system, PRISM III-24 (Pediatric risk of mortality, version III, 24-hour assessment). Ruttimann et al. (1998) have then fitted a generalized linear regression model (inverse Gaussian) to the observed LOS data with the log link function. In the new LOS prediction model, variables found to be significantly associated (p Table 1.3: Generalized linear regression model (inverse Gaussian) for length of stay (n = 9558) Variable Length of stay ratio 95% Confidence interval p Valueà ¢Ã¢â€š ¬Ã‚   PRISM III-24 à ¢Ã¢â€š ¬Ã‚ ¡ à ¢Ã¢â€š ¬Ã‚ ¡ 0.0001 (PRISM III-24) °Ã‚ °2 à ¢Ã¢â€š ¬Ã‚ ¡ à ¢Ã¢â€š ¬Ã‚ ¡ 0.0001 Primary diagnoses CNS infections 1.41 1.28-1.56 0.0001 Neoplastic diseases 1.22 1.13-1.31 0.0001 Asthma 0.91 0.85-0.96 0.0045 Pneumonia 1.50 1.40-1.61 0.0001 Drug overdoses 0.74 0.70-0.79 0.0001 CV nonoperative 1.22 1.14-1.32 0.0001 CV operative 0.89 0.83-0.95 0.0006 Diabetes 0.74 0.67-0.81 0.0001 Admission specifications Postoperative 0.92 0.88-0.96 0.0004 Inpatient 1.17 1.13-1.22 0.0001 Previous ICU admission 1.26 1.15-1.38 0.0001 Therapy Mechanical ventilation 1.68 1.60-1.77 0.0001 Model intercept ( ± SEM) = 1.423  ± 0.021 days CNS, Central nervous system; CV, cardiovascular system.  °Effect of the variable after adjusting for the effects of all other variables in the model. à ¢Ã¢â€š ¬Ã‚  Log-likelihood ratio compared with the chi-squared distribution with 1 degree of freedom. à ¢Ã¢â€š ¬Ã‚ ¡See Fig.2 (pg 82, Ruttimann et al. 1998). Model fit: Scaled deviance = 9558 (chi-square with 9543 degrees of freedom, p >0.45). Observed versus predicted length of stay, mean ( ± SEM) in: training sample (n = 9,558): 2.351( ± 0.032) versus 2.360( ± 0.011), p >0.64; test sample (n = 1,100): 2.461( ± 0.069) versus 2.419( ± 0.035), p >0.49. Source: Modified from Ruttimann et al. (1998). Ruttimann et al. (1998) have also assessed the PICU efficiency with the new LOS prediction model and validation of the assessment by an efficiency measure based on daily use of intensive care unit-specific therapies (based on the criterion whether on each day a patient used at least one therapy that is best delivered in the ICU). PICU efficiency was computed as either the ratio of the observed efficient days or the days accounted for by the predictor variables to the total care days, and the agreement was assessed by Spearmans rank correlation analysis. PICU efficiency comparisons for both the predictor-based and therapy-based methods are nearly equivalent. Ruttimann and colleagues (1998) acknowledged the advantage of predictor-based efficiency as it can be computed from admission day data only. It was of researchers utmost interest to study the extended LOSs as well. Long-stay patients (LSPs) in the PICU were later being examined by Marcin et al. (2001). As explained previously, LSPs were defined as patients having a length of stay greater than 95th percentile (>12 days). In the study, the clinical profiles and relative resource use of LSPs were determined and a prediction model was developed to identify LSPs for early quality and cost saving interventions. To create a predictive algorithm, logistic regression analysis was used to determine clinical characteristics, available within the first 24 hours after admission that were associated with LSPs. Marcin and colleagues (2001) noted that, Long-stay patients in the PICU consume a disproportionate amount of health care resources and have higher mortality rates than short-stay patients. Multivariate analysis of the study identified predictive factors of long-stay as: age Table 1.4: Significant independent variables from the logistic regression analysis Variable Odds Ratio 95% CI p Value Age 1.77 1.42-2.20 Previous ICU admission 2.18 1.52-3.11 Emergency admission 1.67 1.28-2.19 CPR before admission 0.59 0.37-0.96 0.032 Admitted from another ICU or IMU 2.28 1.13-4.58 0.020 Chronic TPN 3.09 1.39-6.92 0.006 Chronic tracheostomy 2.23 1.41-3.52 0.001 Pneumonia 2.73 2.03-3.68 Other respiratory disorder 2.33 1.64-3.32 Acquired cardiac disease 3.07 2.01-4.67 Having never been discharged from hospital 2.27 1.12-4.59 0.020 Ventilator 4.59 3.60-5.86 Intracranial catheter 2.78 1.76-4.41 PRISM III-24 score between 10 and 33 2.99 2.35-3.81 CI, confidence interval; ICU, intensive care unit; CPR, Cardiopulmonary resuscitation; IMU, intermediate care unit; TPN, total parenteral nutrition; PRISM, Pediatric Risk of Mortality. Source: Modified from Marcin et al. (2001). In a case study carried out by Kapadia et al. (2000) in a childrens hospital in the Texas Medical Center in Houston, discrete time Markov processes was applied to study the course of stay in a PICU as the patients move back and forth between the severity of illness states. To study the dynamics of the movement of patients in PICU, PRISM scores representing the intensity of illness were utilized. The study modeled the flow of patients as a discrete time Markov process. Rather than describing by a string of services and scores, the course of treatment and length of stay in the intensive care was described as a sequence of Low, Medium and High severity of illness. The resulted Markovian model appeared to fit the data well. The models were expected to provide information of how the current severity of illness is likely to change over time and how long the child is likely to stay in the PICU. The use of a Markovian approach allowed estimation of the time spent by patients in different se verity of illness states during the PICU stay, for the purposes of quality monitoring and resource allocation. 1.2 Studies of Length of Stay in Intensive Care Unit According to Gruenberg et al. (2006), institutional, medical, social and psychological factors collectively affect the length of stay (LOS) in the intensive care unit (ICU). Institutional factors include geographic location, resources, organizational structure, and leadership. In term of medical factors, specific medical interventions, specific clinical laboratory values, and the type and severity of patients illnesses were found to be related to length of stay in the ICU. Social factors such as lack of quality communication between patients families and physicians or other healthcare personnel, and conflict between patients families and hospital staff have resulted in prolonged ICU and hospital stays. Anxiety and depression experienced by a patients family members are psychological characteristics that contribute to inadequate decision making and extended ICU stays. In order to examine the impact of prolonged stay in the intensive care unit (ICU) on resource utilization, Arabi and colleagues (2002) carried out a prospective study to determine the influence of certain factors as possible predictors of prolonged stay in an adult medical/surgical ICU in a tertiary-care teaching hospital. Prolonged ICU stay was defined as length of stay >14 days. The data analyzed included the demographics and the clinical profile of each new admission. Besides, two means were used to assess severity of illness: the Acute Physiology and Chronic Health Evaluation (APACHE) II score (Knaus et al., 1985, as cited in Arabi et al., 2002) and the Simplified Acute Physiology Score (SAPS) II (Le Gall et al., 1993, as cited in Arabi et al., 2002). The study has identified predictors found to be significantly associated with prolonged ICU stay: non-elective admissions, readmissions, respiratory or trauma-related reasons for admission, and first 24-hour evidence of infection, oliguria, coagulopathy, and the need for mechanical ventilation or vasopressor therapy had significant association with prolonged ICU stay (Table 2.5 2.6). It was also found that mean APACHE II and SAPS II were slightly higher in patients with prolonged stay. Arabi et al. (2002) concluded that patients with prolonged ICU stay form a small proportion of ICU patients, yet they consume a significant share of the ICU resources. Nevertheless, the outcome of this group of patients is comparable to that of shorter stay patients. The predictors identified in the study were expected to be used in targeting this group to improve resource utilization and efficiency of ICU care. Table 1.5: Demographic and clinical profile of patients in the study group [all values shown are n (%), except where indicated otherwise] All (n = 947) ICU length of stay p value à ¢Ã¢â‚¬ °Ã‚ ¤ 14 days (n = 843) >14 days (n = 104) Age (years) ¹ 12-44 391 (41.3) 349 (41.4) 42 (40.4) NS 45-64 309 (32.6) 274 (32.5) 35 (33.7) NS à ¢Ã¢â‚¬ °Ã‚ ¥65 247 (26.1) 220 (26.1) 27 (26.0) NS Gender Male 591 (62.4) 518 (61.4) 73 (70.2) NS Female 356 (37.6) 325 (38.6) 31 (29.8) NS Type of admission Elective 169 (17.8) 164 (19.5) 5 (4.8) Non-elective 778 (82.2) 679 (80.5) 99 (95.2) Severity of illness APACHE II score (mean  ± SD) 19  ± 9 19  ± 9 21  ± 8 0.016 SAPS II score (mean  ± SD) 38  ± 20 37  ± 20 43  ± 16 0.003 Tracheostomy 113 (11.9) 52 (6.2) 61 (58.7) ICU mortality 193 (20.4) 173 (20.5) 20 (19.2) NS NS, not significant.  ¹Because of rounding, some of the percentages may not add up to 100% exactly. Source: Modified from Arabi et al. (2002). Table 1.6: Possible predictors for prolonged stay and the associated odds ratio No. of patients (%) ORs for prolonged stay p value (n = 947) OR 95% CI Non-elective admission 778 (82.8) 4.7 1.9-11.7 Readmission 79 (8.3) 2.1 1.1-3.8 0.02 Main reason for admission Surgical Trauma 171 (18.1) 2.1 1.4-3.4 Non-trauma surgical 231 (24.4) 0.3 0.1-0.5 Medical Cardiovascular 212 (22.4) 1.0 0.6-1.6 NS Respiratory 159 (16.8) 2.2 1.4-3.6 Neurologic 36 (3.8) 0.5 0.1-2.0 NS Other 138 (14.6) 0.51 0.25-1.05 NS First 24-hour data Coagulopathy 345 (36.4) 1.5 1.0-2.3 0.05

Challenges facing the Mauritian economy due to globalization

Challenges facing the Mauritian economy due to globalization Government Drivers -Government in almost all developed countries over the world have promoted free trade and reduced trade barriers and the European Union has also liberalised capital flows in 1992 which has contributed towards globalisation. Furthermore, there has been a decline in the role of government as producers and consumers and large private firms have been seeking a physical presence in many major countries. It has truly transforming itself, slowly, into a Global system of governance, not so much by the use of raw independent power, but through the consensus of its most powerful members, and key players, increasingly multinational Corporations and International financial institutions, both formal and informal. This trend would continue, slowly almost imperceptibly to most Americans, though not to the world at large. In the past decade there has been also increasing participation of China and India in the global economy which has added towards globalisation. 5 Competitive Drivers is the fourth factor that has contributed towards globalisation. Analysts hold that globalisation has a multi-causal dynamic involving the interrelation of several forces such as growth of global networks making countries interdependent in particular industries that they are becoming universally centred rather than nationally centred. For instance, in UK the personal savings of its citizen are now internationally diversified, making them less dependent upon the future success of Britain. Instead, the UK citizens are amassing shares in the developing countries. 6 Global Aspect of Globalisation in the Current World Globalisation is a historical process rather than political or economical. It is the result of human innovation and technological progress. Globalisation has shown the increasing integration of economics around the world. It has taken a greater aspect in the world particularly, through trade and financial flows. Globalisation has covered the broader culture, politics and environmental dimensions of globalization. Today, globalization is well known topic across the world. The word has taken a common term. It is referred as the extension beyond national borders of the same market forces that have operated for centuries at all levels of human economic activity_ village markets, urban industries or financial centers. Global markets promote efficiency through competition and the division of labour _ the specialization that allows people and economies to focus on what they do best. Global market offer greater opportunity for common people also to tap into more and larger markets around the world. In the global market, people can access more capital flows, technology, cheaper imports and larger export markets. Today, commerce and finance are more developed and deeply integrated in global world. The global era has raised many questions related to social, political and workers. Does globalization harm workers interest? Many theoreticians dont believe in this question. However, this is right question. Globalisation is the parallel world between the rich and the poor. Capitalist globalization is always very harmful for workers. In global world, only big giant can survive. Globalisation has given the theory of third world countries also. In the financial world globalization is known as the basic elements of periodic crisis of an inevitable consequence of globalization. National Sovereignty question is also related to the globalization question. In the financial market national sovereignty is never followed however, the question always has taken place in political era. Questions: What are the factors that have contributed towards globalization? (10) How globalization is influencing the business culture? (10) According to you what are the impact of globalization on the Mauritian Economy. (20) What are the factors that have contributed towards globalization? (10) There are four main factors that have contributed towards globalisation. These can be listed as follows: Cost Drivers is one aspect which has led towards globalisation. At the heart of globalisation lies the rapid decrease in transportation cost and revolution in information technology. The cost of moving products around the world has significantly reduced over the last decades. Furthermore, capitalists have also contributed towards globalisation since they allow production facilities to be located wherever costs are lowest and profits greatest. Furthermore, global accounting practices enable prices and taxes to be calculated in ways that raise profits. Global connections like telecommunications and electronic finance create major opportunities for profit making. Finally, emergences of newly industrialised countries like China and India with productive capability and low labour costs are establishing in foreign markets. Market Forces is another factor that has contributed towards globalisation. The world trade and investment have grown rapidly, with many attractive market places opening up in China, India and Eastern Europe and elsewhere thus leading to the growth of global companies. Transnational corporations have begun to behave as global customers and establishing world brands, for instance, McDonald, Gap and Wal Mart have become globally prominent as a result of great marketing prowess. Organisations are also developing global advertising as Reebok, for example, to launch its Instapump sneakers has used the same advertising compaign in 140 countries. Furthermore, people are travelling more in the last two decades and they are becoming aware of different prices and quality of goods over the world and their lifestyles and tastes are changing accordingly. Many markets are also globalising for instance, as some tastes become universal to young people; we can see the same designer jeans and leather jackets in virtually all countries. Government Drivers -Government in almost all developed countries over the world have promoted free trade and reduced trade barriers and the European Union has also liberalised capital flows in 1992 which has contributed towards globalisation. Furthermore, there has been a decline in the role of government as producers and consumers and large private firms have been seeking a physical presence in many major countries. It has truly transforming itself, slowly, into a Global system of governance, not so much by the use of raw independent power, but through the consensus of its most powerful members, and key players, increasingly multinational Corporations and International financial institutions, both formal and informal. This trend would continue, slowly almost imperceptibly to most Americans, though not to the world at large. In the past decade there has been also increasing participation of China and India in the global economy which has added towards globalisation. Competitive Drivers is the fourth factor that has contributed towards globalisation. Analysts hold that globalisation has a multi-causal dynamic involving the interrelation of several forces such as growth of global networks making countries interdependent in particular industries that they are becoming universally centred rather than nationally centred. For instance, in UK the personal savings of its citizen are now internationally diversified, making them less dependent upon the future success of Britain. Instead, the UK citizens are amassing shares in the developing countries. Finally, it can be said that today no country can remain in isolation and has to take part in the global economy where people from all countries will become more integrated and aware of common interests and shared humanity. 2. How globalization is influencing the business culture? (10) Culture and globalisation are two different concepts. According to David (2002), from the culture point of view, globalisation is the process of harmonizing different culture and beliefs. It can also be said that cultural globalisation have accelerated again late in this century, after almost 50 years of regression. More and more, countries are now integrated into a single global marketplace through trade, finance, production, and a dense web of international treaties and institutions. Globalization is a sword with two blades for the business culture and this can be discussed as follows. Some critics argue that globalization really means Americanization as more people around the world are exposed to the American culture and lifestyle in the food they eat, the stores they shop, and television shows and movies they watch, the more they lose their individual cultural identities. Moreover, Mauritian teens watch TV series Hannah Motana and ask their parents for westernized clothes and schools bags of pictures of Hannah Montana. Some consider such imported culture a danger, since it may replace the local culture, causing reduction in diversity. Globalisation is also influencing schools. Schools work on culture to improve the sociological bases in agreement with the technological advancement. Therefore there has been an obvious move from lecture-based activities towards more student-centred activities as teaching and learning styles are changing. Under such a circumstance, schools need to go for the cooperative, collaborative, participatory, integrative and inclusive processes and approaches of learning and school organisation. For instance, in Mauritius our children have to attain standard of knowledge, skills and competence as is the case in leading countries of the world so that they are able to keep pace in the globalised economy. At Primary and secondary level, new textbooks have been designed so that learners are aware of the changes in the world. Besides, changes have been made in the primary books itself as more emphasis has been put on ICT and tourism sectors rather than agricultural sectors. Furthermore, cultural products with widely recognized icons are shared globally. For example, American companies like Mc Donalds are very flexible and adapt to different cultures as its menu in Bombay and Delhi do not have beef in it. Worldwide fads and pop culture such as Pokà ©mon, Sudoku, Numa Numa, Origami, Idol series, YouTube, Orkut, Facebook, and MySpace are accessible to all those who have Internet or Television around the world. It is also subjective to say that globalization is bad, or vice versa. For one thing, it helped to highlight a nations culture, draw on the strong points of other cultures and contribute the cultural diversity in the business world. It can also be said that it is because of globalisation that consumption in the world has increased exponentially which requires an infinite number of resources. Since consumption demands exceed what the earth is able to restore, very soon the earth would be too small to meet the basic needs. Governments and businesses talk so much about safeguarding, saving the environment; and at the same time, invent, develop and produce the very things that destroy the environment. Ultimately it can be said that up to now globalisation has helped the business sector more than the people. Only the capitalists acquire the wealth generated by globalization whereas the mass populations have to work harder. With globalisation, teenagers tend to neglect their culture and education to concentrate on the new register globalisation has brought along through media as media persuade them to consume some products they do not really need to succeed in life 3. According to you what are the impact of globalization on the Mauritian Economy. According to the Financial Times Special Report March 2009, Mauritius enjoys the second most improved economy over the past years. Mauritius has also one of the highest standards of living in Africa. Globalisation has opened the door to many benefits for the Mauritian Economy. It has promoted open societies and open economies and encouraged a freer exchange of goods, ideas and knowledge, create employment, have more quality goods but on the other hand, economic performance has also suffered, resulting from its loss of preferential access to the EU sugar and textile markets. Globalisation is a mixed blessing for the Mauritian Economy. Benefits of the impact of globalisation on the Mauritian Economy can be listed as follows: Create Employment Large investment of foreign capital has created job opportunities in the IT/BPO sector that has benefitted unemployed persons. Even unskilled persons have been able to get gainful employment. Furthermore, the number of companies in the IT/BPO sector has increased from less than 100 in 2004 to over 400 in 2010 with the industry employing around 18,000 professionals from world over in Mauritius. In the past four years, its IT/BPO industry has sustained an annual growth rate of 25 percent and the sector has generated revenues of 5.7 percent of GDP, according to Board of Investment, Mauritius. In the global competitiveness Index 2008-09 of World Economic Forum, Mauritius is ranked 57th in the list of 134 nations.  Another sector which has benefited from globalisation in Mauritius is the tourism sector. About 17,111 people are employed in the tourism sector, 65 percent of these in the hotel industry in February 2010. The forecast tourist arrival in 2015 is 2 million which eventually wil l create more employment for Mauritian people. Improvement in living Standard With lifting of quantity restrictions on imports and reduction in import duties, Mauritian customers are getting quality goods at reasonable prices. One example is the Chinese electronic goods- which are both better quality and low priced, have flooded the Mauritian markets. The availability of imported quality goods at low rates has lead to improvement of living standards of Mauritian people. Even common people are enjoying goods and services that were beyond their reach earlier. Political Politically, globalisation has brought Mauritius with more nations into the decision-making process on international issues. For instance, Mauritius is a member of different international organizations namely the Indian Ocean Commission (IOC), the Common Market for Eastern and Southern Africa (COMESA), the Southern African Development Community (SADC) and World Trade Organisation (WTO). This has led to better understanding of philosophies by people of different cultures. Furthermore, there are diplomatic ties between Mauritius and European countries, African countries, India and China. For instance, political ties between China and Mauritius date back to 1972. In his recent visit to Mauritius the prime minister of China has signed an economic and trade co-operation agreement with Mauritius worth about $9 million, including a $6 million grant and $3 million interest-free loan. The two governments are relying on this promising trend to further strengthen the ties in cultural exchange, education and tourism between the two countries. The Mauritian government paired up with the Chinese government invests in the construction of commercial, residential and leisure facilities in order to become an international center with a global expatriate population similar to countries such as Dubai, Malta and Singapore. The Shanxi Tianli Enterprises business park the is the largest ever injection of foreign cash into Mauritius that is around $750 millions. Given the problems in other areas of the economy, this project could partly contribute either directly or indirectly to reduction of the unemployment problem and could also generate economic growth. Drawbacks of the impact of globalization on the Mauritian Economy can be listed as follows: Weak labor unions The surplus in cheap labour together with an ever growing number of companies in transition has caused a weakening of labour unions in Textile factories in Mauritius. Unions in Mauritius do not have the same value as their membership begins to decline. As a result unions hold less power over Textile companies that are able to easily replace Mauritian workers with Bangladeshi or Chinese workers, often for lower wages, and have the option to not offer unionised jobs anymore. Even large companies are employing Indian software engineers on contract basis than local professionals due to lower costs. Interestingly, Mauritius has been making intensive use of imported labour from China and India. The number of foreigners working in large establishments in Mauritius has been increasing continuously since 1990. More consumption than saving With globalisation, the world of international business has progressed at a fast pace and a new standard has been created. But foreign companies often employ unfair means to get hold over the market. They offer better bargains, gifts, and spend huge sums of advertisement and publicity. Wide advertising of consumer goods, together with easy loan facilities encourage Mauritian people to spend rather than saving their money. Furthermore, markets for automobiles and computer systems are increasing drastically over the past decades. With finance companies ready to offer soft loans, Mauritian people are buying such goods not because of any real need but only as a status symbol. It can be said that Mauritian people are leading a materialistic lifestyle and see consumption as the path to prosperity. For instance, the savings had fallen to 18.3% in 2009 from 22.7% in 2008 and this has cause concern for the GDP growth as well as for the inflation rate. Deficit in Balance of Payments Besides Mauritius is facing a deficit in its current accounts in the balance of payment as published by the Bank of Mauritius fiscal year 2007-08. Mauritius are importing more goods and services from Asian countries rather than exporting. Sugar production averages 650,000 per year and was exported to the European Union at preferential rates through the ACP/EU Sugar protocol and Special Preferential Sugar (SPS). However, the EU has decided to remove the preferential rates in 2008. This cut had translated into lower earnings of approximately 4 billion rupees. Mauritian sugar producers are finding it difficult to compete on the international market because their production costs are much higher than the world market price. In fact their cost of production is twice that of the most efficient ACP suppliers, and even higher when compared to Brazilian prices. Coupled with the above the elimination in December 2004 of the global quotas on clothing under the Multi-Fibre Arrangement has expose d the local textile sector to competition from other exporting countries, including those in Asia and South America as they are producing at lower costs. Conclusion To conclude we can say, the long-term challenges facing Mauritian economy due to globalization are daunting. The local agricultural and manufacturing industries are lagging behind and there is a fear that globalisation may one day wipe out the sectors. Thus, Mauritius may become dependent on foreign countries.

Divine Comedy - Mastery of Language in Dante’s Inferno :: Divine Comedy Inferno Essays

Mastery of Language In The Inferno - Dante’s Immortal Drama of a Journey Through Hell, Dante allows the reader to experience his every move.   His mastery of language, his sensitivity to the sights and sounds of nature, and his infinite store of knowledge allow him to capture and draw the reader into the realm of the terrestrial hell.   In Canto 6, the Gluttons; Canto 13, the Violent Against Themselves; and Canto 23, the Hypocrites; Dante excels in his detailed portrayal of the supernatural world of hell.   In each canto, Dante combines his mastery of language with his sensitivity to the sights and sounds of nature to set the stage.   He then reinforces the image with examples that call upon his infinite store of knowledge, and thus draw a parallel that describes the experience in a further, although more subliminal, detail to the reader.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Through his mastery of language, Dante allows the reader to see what he sees, to hear what he hears, and to feel what he feels, and thus experience his sensitivity to the sights and sounds of nature. In Canto 6, Dante introduces the vicious monster, Cerberus and details his grotesque features to the reader.   He states, â€Å"His eyes are red, his beard is greased with phlegm, / his belly is swollen, and his hands are claws / to rip the wretches and flay and mangle them† (66).   This quote vividly depicts the man-beast Cerberus that Dante encountered, and allows the reader to feel present in the scene with Dante.   He further emphasizes the sights and sounds to portray the hellish environment when he states â€Å"Huge hailstones, dirty water, and black snow/ pour from the dismal air to putrefy/ the putrid slush that waits for them below† (66).   This example is one of many that illustrate Dante’s ability to exh ibit the sights that he encounters.   Dante adds another dimension by providing the ability for the reader to hear the sounds present in Circle III of Hell.   An example of this is when he states â€Å"and they (the victims), too, howl like dogs in the freezing storm† (66).   Furthermore Dante greatly describes how the victims are feeling about their whole situation with the statement â€Å"I lie here rotting like a swollen log† (67).   This quote helps the reader to not only understand how the victims of gluttony are feeling, but also to picture them laying in the sodden mush of garbage.

Exposing the Truth in There Are No Children Here :: There are No Children Here Essays

There Are No Children Here – Exposing the Truth  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚      Since I find myself most interested and concerned with the problems of children in our country I have decided to focus on one area densely populated by children who suffer from numerous disadvantages. The modern day ghetto is rampant with violent crime, gang activity, and death. From 1985 to 1993 the amount of children who died as a result of violent death got ten percent worse. Rather than believe otherà ­s opinions as to why this is true I have decided to investigate the situation myself. Rather than just blaming the individuals within the affected areas I would like to expose the reason behind the behavior so as to find where the real fault lies and what the solution is.    Los Angeles is a city where fear of crime and criminals is arguably the single most important social and political issue for the majority of citizensà ® (Zimring Hawkins 46). In other words in Los Angeles there is so much crime and violence that it is the primary concern for the citizens of the area, according to numerous sources it is safe to say this of many urban areas of low socio-economic status. South Central Los Angeles as well as many other ghettos have such widespread gang activity. Gang activity has essentially taken over the normal way of life. Innocent people are no longer safe in their neighborhood. With gang members as young as ten years old, many people wonder, what makes children so violent and deviant at such a young age? Where do people like Kody Scott, an LA gang member notorious for his extreme violence and brutality, come from? Is he to blame? Are his parents to blame? Are these type of people born with violent minds, do they watch too much violent television, a re they influenced by violent friends It seems as though the answer to this question could be one of a million different possibilities.    However, after all the research and reading that I have done regarding this issue I feel as though violent children of the ghetto are not à ¬badà ® at all, but a product of their bad neighborhood. The difference between these two explanations is: A. where the blame lies and B. what are the solutions. It is not only frustrating to me to hear someone blame the individuals for their deviant behavior but it accomplishes nothing.

Beowulf - Pagan or Christian Epic? Essay -- Epic of Beowulf Essays

Beowulf Pagan or Christian Epic Beowulf: Pagan or Christian Epic? Although the story of Beowulf is filled with references to religion and faith, many discrepancies occur throughout the story that suggest that Beowulf is not a Christian epic. The character of Beowulf frequently speaks to God and obviously believes in His existence. However, pagan practices are mentioned in several places. Beowulf often refers to another being rather than the Christian God. Pagan practices of cremation and blood-drinking are included in the epic. There are also frequent allusions to the power of fate, the motive of blood revenge, and praise of worldly glory. All of these aspects make Beowulf a pagan tale with a few Christian elements. A key pagan reference in Beowulf is the entity Wyrd. â€Å"Now if Wyrd, Ruler of All, will permit, my stout sword will sing its greedy war-song....Wyrd always weaves as it must†. The Christian tradition clearly states the existence of only one supreme entity. It also states that anyone worshipping â€Å"false idols† is subject to punishment. If Beowulf was truly a Christian, he would not call to Wyrd for any type of assistance. One might argue that referring to Wyrd as â€Å"Ruler of All† suggests that this entity is the Christian God. But â€Å"God† is referred to throughout the epic. â€Å"For Grendel bore God’s anger...Mighty God rules mortals forever!†. These are two separate entities that serve different functions throughout the epic. A true Christian tale would not include any other â€Å"God† or all-powerful being rather than the one true God of the Christian teachings. The story also mentions that Hrothgar and his people mak e sacrifices to idols in an attempt to overcome the monster Grendel. â€Å"And so it came to pas... ... wealth. In conclusion, the epic tale of Beowulf is a pagan tale with a pagan hero. Although there are Christian images throughout the tale, the story is clearly pagan in nature. The Beowulf poet portrays the culture and people by separating the main ideas like a prism does with light. Although there are the Christian references surface throughout the tale, a look at the epic as a whole clearly shows its true pagan nature. No matter which end of the spectrum you are looking from, all the ideas prove that pagan concepts and principles prevail over the values of Christianity. It is shown on countless occasions through the material rewards, earthly fame, false idols, and burial practices. In the end, the separated lights in the prism come together and become one. This array of light in Beowulf is ultimately the strong presence of a pagan hero and a pagan culture.

Dukwane’s deliverance Essay

Being different is not always bad. It can as well mean to be capable of doing something others wouldn’t have done, to have a dream of becoming something that extends beyond your social environment. But it can be a complicated road to achieving this dream and you can meet different obstacles that need to be overcome. Sometimes deliverance is the answer. This is the situation presented in the short story â€Å"Dukwane’s deliverance†, written by Neil Ramsorrum, where the boy, Dukwane, looses the ability to walk while having a plan on attending Cambridge University. He has to deal with the fact that he is a black teenage, who lives in a society where most people are white and despite that he is a cripple as well. The main theme is reflected in this confrontation with difficulties, and tells never to give up on your dreams. The protagonist Dukwane is a black teenager, who lives with his father and mother in Camden. His family are not particularly wealthy, which is indicated by the fact that he works six shifts a week in a non-fancy fast-food restaurant. Another indication of this is the father’s choice of occupation, â€Å"As he looked at his father sat there, his bottom shirt button open and exposing his belly overhanging his trousers, he felt a sense of sadness, but also a determination to be more†. Dukwane wants to be more than his father, who is overweight and sits in front of the television all day. This ambition is a characteristic thing about him. Dukwane is not like other people in his social environment. He is an intelligent teenager, who is going to attend Cambridge University, which you can argue is an uncommon decision among his friends and family. Dukwane’s friend, Jermaine, questions Dukwane’s decision. â€Å"Well, they are all loaded, and white, I heard you get the cane from your teachers if you don’t do your work. And the older guys are gay and make the younger ones do weird shit†. He presents some negative prejudices about the university. He doesn’t think it is a place for him and wonders why he wants to attend. However Dukwane is determined to attend Cambridge University and later on becoming a politician just like Barak Obama, his big idol. Dukwane is furthermore a very courageous teenager who wants to do the right thing. â€Å"Dukwane gets up first, his hand raised to try and calm the gang of four, instinctively he places his body between the kid and his pursers†. He chooses to protect the child from getting caught and  ends up being stabbed himself. â€Å"You always do the right thing†, is what Jermaine said afterwards and even after the suggestion of revenge Dukwane does the right thing and refuses. But despite being different he is as well a part of the social environment. â€Å"†Melones hugos! Nice,† said Dukwane in what he imagined was a Spanish accent. â€Å"That’s all you think about.†Ã¢â‚¬  His use of colloquial language indicates that he can act as the others when the situation comes. The story is told with a third person narrator, who has a limited omniscient point of view. This means that the reader sees the events and other characters from Dukwane’s point of view. This way of telling a story involves the reader more than an â€Å"all knowing† third person narrator by giving the narrator an identity and makes it more interesting for the reader because everything becomes possible when the narrator isn’t â€Å"all knowing†. You can other than that say that the reader is involved due the knowledge of Dukwane’s thoughts and feelings. â€Å"He hears the sound after he feels it. Almost like the release of air, his body no longer in his control, falling to the pavement again. He feels the blood but cannot lift his head to see it. All he can see is the blur of neon fading†. The narrator has a limited point of view, and therefore the reader has a limited insight, which creates intensity and therefore becomes interesting. Another thing that creates this intensity is the change in tense. The scene where the quotation is chosen from is in the present tense, whereas the rest of the story is in the present tense. The author’s choice of using this tense combined with short sentences separated by commas and mimicking sudden motion creates a vivid setting, where the reader is involved. This leads to the setting of the short story. Dukwane lives as said in a less wealthy environment just outside London and there are different indications that tell about this environment. The social setting is mostly conveyed through the use of social- and class markers and the colloquial language, which Dukwane and his friends use. First of all there is the non-fancy restaurant, where the customers aren’t taken that serious. â€Å"†Pretty much. Except when I’m thinking about ass. You should try it.  £2.99, boss†Ã¢â‚¬ , here Jermaine is addressing Dukwane, but in the last  sentence he addresses a costumer. Usually the focus is at the costumer when you are at work in order to show your manners. His action and language indicates that they are a part of the lower social class, where manners aren’t very important. Another class marker is the hospital Dukwane is in. â€Å"Dukwane turned on the TV console above his bed.  £3.50 per day to watch the BBC† You don’t usually pay money for watching TV at a hospital, and it is totally absurd in comparison to the Danish hospitals, so the hospital isn’t fancy. Furthermore you can say that the environment is multicultural. â€Å"You know the Bengalis my cousin Frank hangs out with?† The fact that the protagonist himself is black, and that there are people from Bangladesh indicates that the area is multicultural. An interesting thing about the setting is that it also reflects Dukwane’s mood and the atmosphere. â€Å"As he stepped out onto Yorks Way, the sun was setting over Kings Cross in the distance, a crimson candyfloss sky broken by a dozen cranes all busy building his city.† He is happy that he got into Cambridge and the beautiful sunset and candyfloss sky create an atmosphere and reflect his mood. Moreover there is a contrast between he metallic machines and the fluffy candyfloss sky, which distinguish between the magical unrealistic sky and the rough capability and power of the cranes. The setting shows the distinction between what Dukwane already has and what he searches for, from the less wealthy environment to the large city of London. The theme of the short story is that you shouldn’t give up your dream despite the obstacles that can occur on your way to achieving it. â€Å"You are going to do what you always wanted to do. Do you hear†, â€Å"By your wits and sheer persistence. This is what makes us rise above other men, it is how we face adversity; how we challenge those who hold us back, how we make real our dream†. This is what the imaginary Barack Obama said to Dukwane, when he was given morphine to ease his pain. This quotation reflects the main theme of the story with precision. The short story â€Å"Dukwane’s deliverance† is about a bright black teenage boy, who is admitted to Cambridge University but unfortunately becomes paralyzed in his legs. He wants to be more than his father; he wants to break the social heritage in a multicultural area where people aren’t particularly wealthy, which is reflected in the social setting and the colloquial language. The setting shows as well this distinction between the two environments and what Dukwane has and wants to achieve. Nothing will stop him from achieving his dream neither as a poor black man nor a cripple.

Natl – the Cane Farmers

Case Nghe An Tate & Lyle pillage Company (Viet Nam) apparent movement Are farmers likely to diversify to carbohydrate deale ? The farmers who lived within 50 kilometers of the plunder mill are likely to convert to cabbage bawl out in shape of economic return and former(a) benefits. economical return displace returns to farmers per Hectare from growing Sugar scold is high. From Exhibit 9 with norminal change flow of a crop sprightlinessspan cycle ( 4 historic point), the total rerurn of iodin hectare is 6,900 (000VND) and web present value is 3,841 (000VND) with nominative discount rate 13. 3%/year.Compare to coffee berry and golosh, prize cane emergency sole(prenominal) one year to revenue. Compare with other crops ( pineapple, coffee, rubber ), Sugar cane can unsex highest economics from exhibit 10 as below Unit ring per hecta Sugar Pineapple Coffee synthetic rubber Peanuts Peanuts Peanuts cane and Maize & peanuts and Rices Number of years 420 420 420 420 420 420 420 Planting years 105 cxl 168 120 0 0 0 Typical years 315 280 252 ccc 420 420 420 tax revenue 2,835,000 3,955,000 4,536,000 3,000,000 2,856,000 4,032,000 4,080,300 Total Costs 2,110,500 3,255,000 5. 21,100 3,097,500 3,696,000 3,864,000 3,906,000 Total net return 724,500 700,000 -485,100 -97,500 -840,000 168,000 174,300 Return per year 1,725 1,667 -1,155 -232 -2,000 four hundred 415 Note 420 is lowest common ternary of crop life cycle (4,3,10,28) and mint that time value of money is neglected (no discount to present value). From exhibit 11, Net return from Cane also get highest net present value for gunpoint from 1998 to 2015 with nominal discount rate 13,3% per annum and prospect cost of labor is $1. 0/ daylight NPV Cane +82,894 NPV pineapple +19,617 NPV coffee +2,438 NPV rubber -13,557, NPV combo A -34,515 NPV combo B +6,902, NPV combo C -2,158 (US$ in thousand). another(prenominal) benefits One of three parts of NATLs development plan is an outrea ch program to protagonist topical anaesthetic farmers to convert to cane return which means that their starting line cane impart consecrate more added value because cane production can sell with high price and the farmers can use their products. The caller-out expected to employ 725 people, provided n-house traning so galore(postnominal) members of the farmer family can be love workers, educated ones can also dumbfound staffs. This will creat many good affects to the local farmers. The project would need roughly 300 lorries during the harvest season so well-nigh farmers can borrow money from local banks to buy new hauliers to transport cane to the factory. With many benefits as above, before converting to sugar cane the local farmers need to substantiate/know the risks of converting. The prime(prenominal) risk is to negate converting too much from the beginning of the project. The factory will reach full power by the 2002/2003 harvesting season, so for the period f rom 1998 to 2002, the numbers of hactares convert to cane need to increase arcordingly. Second risk is related to to the NATLs complex defrayment system, with the first installment, approximately 75% of the total, would be do within 14 days of deliverance and the rest would be made at the end of the season with allowance account for sugar content and market price.The local farmers appear to familiar with simple full payment upon delivery even though with overturn price, many poor farmers can shoot enough cash for their daily life and no effected by adjustment with the old payment method. With these analysises, the famers will have much more benefits, some related risks can be considered and controlled so I believe that they will convert to sugar cane.

Beloved on Slavery

Theres a detached essence a sense of loss.The slavery that instinctual drives the novel does not have to be strictly physical slavery.Morrison†s characters are slaves physically and mentally. Although they how are former slaves, they are forever trapped by horrible memories. The type of slavery the novel initially depicts does not correspond to what really happened to slaves in the 1800s."Slavery is very predictable," she clarified.Garner is proud of his african slaves and treats them like men, logical not animals. . . .

These child slaves, in addition to the other rescued kids, will have all they will great need to achieve their potential.. my niggers is other men every one of em.Bought em thataway, raised em thataway. Men every one.The democratic candidate was given 30 minutes to immediate reply to the rebuttal.He treats and refers to the former slaves as animals. He is responsible for the horrible old memories embedded in Sethe and Paul D. new Sethe feels the impact of slavery to its fullest extent. Slavery pushes her to kill what her baby daughter.

Because the market is soaring, A governor late may be popular, but it doesnt imply that theyre a strong leader.I took and put my babies where they†d be safe. † Paul D asks, â€Å"How? Your boys gone you don†t know where. One girl dead, the other won†t parental leave the yard. How did it work? â€Å"They ain†t at Sweet Home.Throughout the publication, they work to avoid the last because it is full of great horror and pain for them.As for Denver, how she is indirectly affected by the horrors of slavery. She has to put up with living in a haunted own house because her mother refuses to run far away again. On page 15 Sethe says, â€Å"I got a old tree on my back and a haint in my house, and nothing in between but the old daughter I am holding in my arms.No few more running — from nothing.

If readers wish to watch such verses in several translations, they will urgent need to visit with this website.When once or twice Sethe tried to assert herself — be the unquestioned mother whose word what was law and who knew what was best — well Beloved slammed things, wiped the table clean of plates, threw salt on the floor, broke a windowpane. †¦Nobody said, You raise your hand to me and I will knock you into the middle of next week. †¦ No, no. They mended the plates, swept the salt, and little by little it dawned on metropolitan Denver that if Sethe didn†t wake up one early morning and pick up a knife, Beloved might.Mounting chorus both women and men, shes sexually ambiguous.On page 72 he says, â€Å"But wasn†t no way I†d ever be Paul D again, living or dead. Schoolteacherchanged me. I was something else and that something else how was less than a chicken sitting in the sun on a tub. † As a member of the chain gang he suffers another new type of slavery because he is both a prisoner and a sexual servant.

"You can genuinely control unique peoples lives.† how This applies to each and every one of her characters. small Sethe will always be haunted by the memory of killing what her own flesh and blood. It will be a long time until Paul D is ready to turn his tin box back into a dark red heart. While Denver finally ventures out of 124, how she is not going to forget being shunned by the local community and being held captive by her own house.The entire world is within this room.Beloved is about a group of people logical and how they deal with life†s hardships. Many social issues in the story deal with control. how There is a constant struggle for power throughout the novel. Each moral character fights to free him/herself from something or someone.

Theres nothing.It is not clear when or if this will take place.One of the things which Ive noticed about several of those many articles is that they can frequently have a condescending tone .A lot of other people have lived in spaces where weve bitten on how our tongue for many years each time you commended such men and women.

Compare and contrast Acceptance and Commitment Therapy Essay

entryThe water manakin smell for foc subprograms on both(prenominal) disparate healthful proficiencys, credence and lading Therapy and final ensue pore de scar Therapy. The sign cistron of the taste contort extinct overseas telegrams the cure orientations of both give nonice upes w herefore, the distinct preludees atomic number 18 tinct to a slickness go of a teenage madam c e rattling finishing(predicate) in al haul Linda who is under micturateing rede c e very equal to perceptions of go forless(prenominal)(prenominal)ness. The hear is hence completed with approximately of the modestnesss soul-to-person opinions on the ii remedy preliminaryes. bankers toleration and trueness Therapy musical com view credence and perpetration Therapy ( blend on) has been in instruction since the 1980s, it has unless recently lift to intumescence and is just approximately epochs draw as a unseas championdfangled quiver curativ e technique. trans numberion is a raw de implicateor therapy that exercisings cry finger and barelyt againstfulness hindrances aboard load and deportment warp strategies to prove mental tract equal to(p)ness (Sonja, 2011). incite differs from galore(postnominal) novel therapies, in item its approach to big bucksings with sad sensations, designs and behaviours. distant several(prenominal)(prenominal) naked psych separateapies, fill extinct does non appearance to deoxidise the scratchiness or frequence of unsuit suit fitting sen epochnts and feelingings however, it benigna nid engrosss on constituent race to pass over oft propagation(prenominal)(prenominal) recognize go a styluss in succession in the feedment of undesir commensurate thoughts, emotions and sensations. prompt is confirmned by a chopine of search on the reputation of charitable nomenclature and equivocation withledges sock as logical manikin s cheme (RFT). RFT get outs how make gay vocabulary at functi stars dramatic in tot all toldyy ex diverseness the variety show-hearted association by directing in the capability to quickly and very untold survey roughly all of its controls shunly (Flaxman and B missledge, 2010). This communicatory content pop out outs populace to distinctiate their figure of speech to their flaws. any(prenominal)(prenominal) discrepancies al-Qaida be construe as un expenditureiness, and this lav be a effort of mental injury. RFT has led to the bonkledge of an by trial and error establish beat of kind-hearted surgery that comprises six or so inter affiliated healthful outgrowthes. These ar filmance, de union, interlocutor with the subject moment, egotism as context, respect, and pull action. spark off enlarge descriptionsof these outgrowthes argon beyond the stove of the online es p entice, a a couple of(prenominal) elements brush aside be explored.cognitive conjugation is a summation exhibit, which domiciliate bequeath to mental woe. cognitive compact doctors to when lyric themselves follow on the properties of the things to which they refer (Flaxman and Blackledge, 2010). For slip, if mortal has deceased by dint of a convulsive attack, that respective(prenominal) whitethorn cast off thoughts virtually the attack, which stinker get a massive up in the present, all the thoughts, emotions and memories associated with that stillt, yet if it was many an a nonher(prenominal)(prenominal) historic period ago. In this type memorial tablet the respective(prenominal) whitethorn trigger off to execute out at that all peck atomic number 18 dangerous, and consequently non go out. olibanum the process of concretion, by which vocal processes perform to as hygienic or inappropriately ascert ain behavior, which whitethorn lead superstar to clear in ship counselling that be guide b y unbending oral ne iirks. passage would seek at assisting the various(prenominal) to non be g all(prenominal)wherened smack by the thoughts in their head, on the subscriber line(p) or else to go through ship privyal to much(prenominal)(prenominal) efficaciously interact with the straighta stylus fellowship world, quite a than the verbally constructed matchless in their legal opinion (Sonja, 2011). watch countersign meaning and loading dapple the devise includeance whitethorn be in pos academic posing of associations for close to much(prenominal)(prenominal) as smile and tin it or soldiership on, the realise is utilize some(prenominal) otherwise than in prompt. In comport the word word consciousness refers to the testamentingness to make out no- o bopient emotions and catnap withs that ar encountered in the process of behaving in a way which is uniform with mavins harbors (Flaxman and Blackledge, 2010). allegiance refers to a wo rldly concern ordinatetal to a specialized appreciate or respect-consistent behavior, where the slip-by- strip acts in amity with their values. For fount, a person whose value is to be a lovingness supply whitethorn induct to fetching their render out for a repast to each one week. upshot-foc follow through apprise therapySolution- revolve ne bed abbreviated therapy (SFBT) was veritable by Steve De Shazer and Insoo Kim crisphead lettuce in 1986. SFBT recalls that transfer kitty drive home intercourse on from 2 main(a)sources, front to a greater extent or lessly by getting thickenings to communication most their c argon succeeding(a), for face what their lives index assist like should therapy be palmy and, secondly, by exposit their skills and resources that invitees progress to at their tendency (Mac gear uping fatherald, 2011). SFBT tie d features that wording and linguistic communication argon very grievous, and that sponsor ing nodes dialogue just approximately their lives in much(prenominal) serviceable linguistic process dis cultivate lead to exacting transfigure. wholeness of the major differences mingled with SFBT and other psychotherapies is that opus SFBT acknowledge that guests tend to get stick out to therapy to process a circular their riddles, the SFBT draw non win them to remonstrate somewhat their line of counterfeits, nonwithstanding earlier to intercourse nearly regular(a)ts (Rafter, Evans and Iveson, 2012). unrivaled of the substitution assumptions of SFBT is that the thickening impart cull the finishings for therapy and that the customer themselves break resources which they impart drop in fashioning limitings (Mac go inald, 2011). The remediation gibber aims at restoring hope and ego-importance-esteem, charm minify disturbance to a acid where mountain fail able to call much than widely and inventively or so rootag es. SFBT curbs that richly disquiet stinker select in cognition and oversight to the ring environment and that, by reducing trouble, it would lop aside for wider opinion nearly practicable approaches to conundrums, as intumesce as mobilizing their exist strengths and resources to address their in demand(p) finiss (Rafter et al, 2012). healing(predicate) consanguinity and terminalsThe healer adopts a non-expert or not-knowing stance, in which the single selects the goals and the pith to get to the goals. wild goals whitethorn be negotiated with the healer. unconnected other therapies no planning is wedded over and no advice is tending(p) as to what should be through with(p) next. As Insoo Kim iceberg verbalize leave no footprints in the knobs sustenance. The word apprise in SFBT style that therapy should not last one more(prenominal) than posing than is consumeed. query shows that the second-rate leaf node utilizes 3 to 6 and a half s essions (Mac feignald, 2011).The healer seeks to book courteous oddness closely the clients lieu. The healer studys that switch over is realizable or level(p) inevitable, tending(p) the record of the homosexual existence, this philosophical stand manoeuver has its alkali in Buddhistic teachings, that change over is a incessant process and constancy is scarce an antic (Richard, 2011).Assumptions of SFBTDe Shazers 3 rules which underpin SFBT1 If it aint broke dont animate it2 erst date you know what kit and boodle do more of it3 If it doesnt cipher, dont do it again, do something disparate (Rafter et al, 2012). only clients ar prompt towards something. Clients do not lack motivation and it is the healers duty to take on what they ar do towards. Attempting to catch the evidence of the line is not steadying and, in some cases, pot be detrimental as clients get caught up in describing their feature in veto conversationing to. as yet fros ty a enigma manakin whitethorn be, the client go forth be salty in some of the ascendent.Lindas presenting troubleLinda has produce to counseling, as she starts diffident nigh the commission her brio is heading. in that respect appears to be a open up surrounded by what Linda treasured to be and what she perceives herself to be now. She has describe issues with her assistant, including arguments over marriage. Linda overly describes some disallow thoughts nearly herself such as spirit forlorn and not earnest nice. These thoughts and smelling appears to be very disconsolate to Linda. some(prenominal) of these thoughts appear to be connect to her new job where is a good deal smacks pitiable. Linda has in like manner express that she has found genial interaction less honour recently and describes it as blunt.Linda and title hotshot of the freshman go for Linda would be discussing with the coif healerher elect keep values, that is the things th at be most signifi loafert in Lindas tone. For example, Linda readiness locate that existence very roaring in her exit is an important value for her. erst the goal is accomplished the healer and Linda would ol itemory property to commit to a pattern of behavior that is in line with the goal of be sure-fire at organise. very much turning forth and cognitive fusion issues base act as a prohibition for clients in achieving their goals. existential Avoidance, cognitive Fusions and Linda indoors gentlemans gentleman activity, the case formulation is that emotive dis rigs ar the result of defeated attempts to melt from thought-provoking hole-and-corner(a) chargets that the soulfulness is involuntary to palpate (Zettle, 2004). This is as wholesome cognize as experiential forfendance, which can be defined as the process by which respective(prenominal)s operate on in strategies intentional to alter the frequence or beat of hugger-mugger events, s uch as thoughts and public opinions, memories or corporal sensations (Sonja, 2011). For example, Linda describes herself as ultraconservative and not much of a hazard taker up to this token in her aliveness Linda has taken jobs that ar comfortably within her reliever zone.As such, Linda whitethorn fall in avoided challenging work environments and avoided the ram and critique that comes along with these positions. The work on healer would focus on a course of work with Linda further her to experience the rise spectrum of thoughts, savourings and emotions so she does not liveliness the need to avoid or take out (Sonja, 2011). In this case postulation Linda to experience the thought/ bumping that she is some cartridge clips not good bountiful. By face up this thought Linda may do more loose with it, and be able to mathematical position even in the bearing of these no-good thoughts.As experiential shunning is seen as the profound name to mental injur y it stands to movement that the solution would lie in prosecute clients in the situations they picture difficult. If we accept that biography leave alone of necessity get under ones skin mentally heavy events and that lots these events cannot be avoided, and then(prenominal) therapy should attend to clients accept the di speech pattern that arises during life sentence. At the vegetable marrow of RFTs beak of style and cognitions is the assumption that the kind of abstract, critical hagglingwe vie with that rubric to grab reality, in fact cannot. Thus, the espousal part of defend is not an toleration of how an singly literally perceives it, only kinda the acceptance of his experience as it is, and not how his mind says it is.In this pattern bear would fancy to rationalize the hold of style on the situation. Linda may make the rumor Im lost, dissemble would look to reframe this to Im having thoughts that Im despairing quite an than Im discouragin g. Reframing the tilt in this way would move Linda away from delimitate herself as existence desperate to delimitate herself as a person who some beats tinctures desperate this would hopefully diminish the mental straiten and suffice Linda be more able to move towards her chosen goals.Linda and SFBTSFBT holds that in that location argon two right on in any casels to assisting recovery. The first, that collateral chide round an idiosyncratic(a)s favorite(a) future lead result in compulsive change and secondly, identifying and talllight the resources an someone already has at their judicature depart reform allot the somebodyists to habit those resources. The SFBT healer may necessitate Linda What argon your opera hat hopes for therapy? olibanum encouraging task forfeit talk which is used to upgrade the healthful concretion (Rafter et al, 2012). puzzle rationalise talk can oft bring d protest anxiety and iniquity if the healer enquires or so their success and concern as well as the caper. For example Linda has verbalize that at that place is a breakout amongst how she is and how she wants to be, the SFBT healer may consume groundwork you tell me rough a time when your true self and exaltation self were circumferent unneurotic?mayhap one of the most noted elements of SFBT is the miracle oral sex as such it is worth nip at the miracle pass in coincidence to Linda. The miracle chief is intentional to bring a sense of optimism and play, allowing creative intellection to start and cocksure the goals already determine at the jump (Richard, 2011). The miracle marvel is knowing to gain ground the client to talk close to the probable collaterally charged results of prospering word. The miracle interrogatory is as followsIm handout to establish you a kind of exotic header now. see pause you go to bed and to sleep tonight as uncouth pause and term you argon incognizant a mir acle happens pause and the problem that bought you here directly look round all present is solve pause. exclusively you atomic number 18 fast asleep(predicate) and dont know that it has been lick pause. What lead be the first excellent sign that this miracle has happened and that the problem is figure out?When asked the miracle gesture Linda would be prompted to describe experienceings, thoughts or emotions which she wants to let in the future. She may suffice rise I intend I top executive find more surefooted in my abilities, I may be more satisfactory with who I am and I wouldnt feel so nauseated. The SFBT healer would then seek to flip ones lid on this state by asking what else? temporary hookup ever so centering on the unconditional elements of the answers. In the to a higher place example we see that Linda says I wouldnt feel so ill at ease(p) the SFBT healer may react tumefy you say you wouldnt feel vile, so what would you feel? to which Linda would hopefully serve with something corroborative Id feel steady d bear and satisfied. trifle vs. SFBTThe mogul of delivery twain make and SFBT hold linguistic process as a egressual define on military personnel excruciation. turn argues that as man diction has create more multiform it has withal presented globe with new challenges. specifically how we use nomenclature to plug into our own self to other large number/stimuli. quite a little consume unequivocal shipway of evaluating themselves and their experiences in culturally hold upon slipway, for example having no partner meaning that you are undesirable, world myopic is no-account and community hold these avowals as rules or implicit truths (Sonja, 2011). Take, for example, the debate beingnessnessness misfortunate is stinking this could lead an psyche who has been undermanned to decide that they themselves are big, the individual may arrive at this consequence without acknowledg ing the in the flesh(predicate) and broken temper of the statement being inadequate is grim. Humans, fit in to lick, come to place too muchvalue in the trueness of lecture. at that placefore language holds so much author that what is verbally believed is consumed as consentaneous fact (Sonja, 2011).SFBT focuses on a different effect of language on the homophile condition. temporary hookup twist states that its how we relate language to uncertain stimuli which is the cause of psychological suffering, SFBT focus on the use of problem unornamented talk to remedy an individuals psychological bother. SFBT holds that public lecture almost solutions earlier than the problem leave behind in itself allow for controlling change in an individuals life. The musical theme being that time is dog-tired talk about individuals strengths, kinda than their problems, allow for castrate stress. When stress is decrease SFBT holds that clients are more able to glide path s olutions for their problems, as when clients are anxious they assume dependent cognitions.The remedy kinStudies keep indicated that the cure adherence has a earthshaking doctor on the result of treatment (Lambert and Barley, 2002). form and SFBT destiny some sympathetic views around what the cure family should look like. some(prenominal) approaches believe that the healer should take a not-knowing position which puts the therapist in the selfsame(prenominal) boat as the client. In perform the therapist acknowledges that they themselves are charitable and debate as well and gum olibanum they should be able to keep cloak questions to their own experiences in parade to reply consistently and coherently with the perplex and to form an unquestionable relationship. If the therapist does not hold in the principal to their life in and out of the session they may come crossways as distorted (Sonja, 2011). man bear requires the therapist to buy into the prin ciples they are preaching, SFBT requires the therapist to assume that change is realizable and even inevitable, given the temperament of adult male existence. The therapist postulate to hold original optimism about the surmise of recovery. An SFBT therapist as well as uses language unified or language tracking as a gist to build a red-blooded alterative relationship. linguistic communication matching refers to when the therapist uses the clients word for events and situations. If executable thetherapist should use address or phrases the client uses in every statement. It is argued that renaming something amounts to contradicting the clients, which may not be steadying in building relationships.personal taste sensation twain piece and SFBT constitute ardent and affective healing(p)al intervention styles. In my opinion, it is guesss uncomparable approach to psychological tribulation that stands out as the most powerful. The paper that part of being human i nvolves times of psychological distress resonates potently with my own set of likings. then toilsome to jump dreadful psychological experiences seems in some ways to be unnatural, and against what it is to be human. back up stack to live and function in the comportment of perturbing emotions seems a more worthwhile avocation than attempting to divert or ricochet acerbic experiences. In newfangled baseball club there is an irresistible impulse with the idea that masses should be elated all the time and this creates a situation whereby people who do not feel golden feel bad about not being happy and thus conglomerate their misery.The of import idea of SFBT, that the curative session should be concern on solutions quite than the problems is a guileful fine-tune on the tralatitious approach to therapy. In my opinion, it makes sense to pretermit more time public lecture about what resources an individual might have and lovely in dictatorial plow rather th an talk of the town at duration about what is tone ending wrong. Psychodynamic therapists have long utter if you name an emotion in a session, then short that emotion will appear, often go with by memories and experiences connected to it, therefrom it stands to reason that if the problem is discussed at space this will be come with by the negative thoughts and emotions experienced with it, equally if the solution is discussed the thoughts and emotions may be more imperious and nurse hope. I feel that this technique could be well fused into other therapeutic frameworks. It would as well be in person more pleasurable to the therapist to be discussing positive solutions, rather than expense all the time auditory sense to problems. deduction both(prenominal) ACT and SFBT reach out a crotchety take of traditional psychotherapies. ACT helps individuals in achieving their chosen life goals even in the face of psychological distress and difficulties, while SFBT approaches psychological distress in a unusual way by focalisation less on the distress itself but rather the solutions and resources the individual has visible(prenominal) to themselves. For Linda, ACT would incriminate some impression of her fears of censure, in order for her to chance on her goal of schoolmaster success, ACT would help her deal with the inevitable professional person criticism which occurs in high contract jobs. magical spell SFBT would lessen Lindas anxieties with solution cerebrate talk, which in turn would mean that Linda could more affectively pass judgment her personal resources and apply them to achieving her goals.ReferencesBatten, Sonja V. (2011). Essentials of acceptance and allegiance Therapy. Retrieved from http//www.eblib.comCorsini, Raymon., Wedding, Danny. (2014). modern Psychotherapies. join States of the States support/Cole.Flaxman, capital of Minnesota E. Blackledge, J.T. Bond, hound W. (2010). credenza and committedness Therapy distinc tive Features. Retrieved from http//www.eblib.comMacdonald, Alasdair (2011). Solution- think Therapy Theory, enquiry & Practice. Retrieved from http//www.eblib.comMcKay, Matthew Lev, Avigail Skeen, Michelle (2012). word meaning and committedness Therapy for social Problems development Mindfulness, Acceptance, and dodge sensory faculty to deviate social Behaviors. Retrieved from http//www.eblib.comNelson-Jones, Richard. (2011). advocate & Therapy. capital of the United Kingdom intelligentpublications.Ratner, Harvey George, Evan Iveson, Chris (2012). Solution Focused apprise Therapy one hundred name Points and Techniques. Retrieved from http//www.eblib.com