Sunday, December 29, 2019

Children With Autism Spectrum Disorder - 1675 Words

Children with Autism Spectrum Disorder (ASD) experience different aspects of theory of mind (ToM) and in a different order when compared with typically developing children (Kimhi, 2014). ToM influences social functioning and understanding of others (Peterson et al., 2016) Studies have shown that individuals with ASD perform lower on ToM tasks than typically developing individuals (Kimhi, 2014). Children with ASD may have a disadvantage because research has shown that ToM is influenced by other factors such as age, IQ, and language abilities (Kimhi, 2014; Peterson et al., 2016). Children with ASD are developmentally behind in age-appropriate milestones, IQ can be low, and language abilities are limited. ToM is stunted due to the affected†¦show more content†¦Literature Review Autism DSM definition Dx (DSM-5, †¦.) (Leekam, 2016) The symptoms and core views of Autism Spectrum Disorder (ASD) have changed throughout time from affective bases to repetitive behaviors as a distinct symptom (Leekam, 2006). The Diagnostic S Manual 5 (DSM-5) defines ASD as†¦ Theory of mind has become a topic of interest and a possible factor that influences social deficits individuals with autism may face (Leekam, 2016). Theory of Mind Definition Theory of mind is the ability to infer mental and emotional states of others and behave accordingly and predict the others’ behavior or thoughts ( ). ToM was historically described as a single cognitive process but new research has shown that ToM is included in several brain regions and the ToM concepts exceed the original definition (Westby Robinson, 2014). Now, ToM has been found to be involved in thinking of emotions, thoughts, and intentions as well as, dissociable ToM which is thinking of others’ thoughts, emotions, and intentions (Westby Robinson, 2014). In addition, ToM can be thought of as affective-cognitive which is also known as cognitive empathy were a person can recognize and respond to their own feelings and others. Another component that research has revealed is affective empathy, which is when a

Saturday, December 21, 2019

Outline and Evaluate Issues Surrounding the Classification...

Outline and Evaluate Issues Surrounding the Classification and Diagnosis of Depression Scheff’s Labelling Theory is a process which involves labelling people with mental disorders when they produce behaviour that does not fit with socially constructed norms and labelling those who reflect stereotyped or stigmatized behaviour of the ‘mentally ill’. A disadvantage of labelling an individual with depression is that labelling can accentuate and prolong the issue. In addition by labelling someone with depression who in fact is not depressed may in fact become depressed as a result. Another problem is that labelling an individual with depression means that they can have problems with getting a job and leading a life in the future because†¦show more content†¦There are also issues relating to reliability which may affect the diagnosis. One type is Test-retest reliability, which occurs when a practitioner makes the same consistent diagnosis on separate occasions from the same information. In terms of depression this can be applied if the same Doct or or Psychiatrist gives a patient a diagnosis of depression on two separate occasions. The other is Inter-rater reliability occurs when several practitioners make identical, independent diagnoses of the same patient. This can be applied to depression by confirming that the diagnosis of depression is accurate in a given situation. Issues of validity also arise in the diagnosis of depression. For example, Predictive validity occurs if diagnosis leads to successful treatment, then the diagnosis can be seen as valid. Under the heading of depression, there are a series of depressive disorders such as Major Depressive Disorder, Pre-Menstrual Disorder etc. In terms of depression predictive validity will occur if the right diagnosis is made followed by a subsequent correct course of action. Research by Sanchez-Villegas et al (2008) supports the ‘predictive validity’ of depression diagnosis. They assessed the validity of the Structured Clinical Interview to diagnose depression, finding that 74.2% of those originally diagnosed as depressed had been accuratelyShow MoreRelatedAbnormal Psychology. Classification and Assessment of Abnormal Behavior20707 Words   |  83 Pages3 CHAPTER Classification and Assessment of Abnormal Behavior CHAPTER OUTLINE HOW ARE ABNORMAL BEHAVIOR PATTERNS METHODS OF ASSESSMENT 80–99 CLASSIFIED? 70–77 The Clinical Interview The DSM and Models of Abnormal Behavior Computerized Interviews Psychological Tests STANDARDS OF ASSESSMENT 77–80 Neuropsychological Assessment Reliability Behavioral Assessment Validity Cognitive Assessment Physiological Measurement SOCIOCULTURAL AND ETHNIC FACTORS IN ASSESSMENT 99–100 SUMMING UP 100–101 TRead MoreCommunity Health Nursing Final Exam Study Guide Essay15874 Words   |  64 Pagesa lot more co-morbidities that need to be treated. Being brought to the ED is extremely expensive. 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Friday, December 13, 2019

Birmingham International Airport †Competitors Free Essays

Like any other airport, Birmingham International has enough competitors that want their own share of its market. The theory is the bigger the better, and better = more profit. This means that BIA will keep having to continually renew their prices so that they stay ahead of the market, and cause their opposition to loose out. We will write a custom essay sample on Birmingham International Airport – Competitors or any similar topic only for you Order Now I will now discover how BIA keeps ahead of their game, consistently from year to year. One way that BIA keeps ahead is making sure that the facilities that they offer are up to scratch at all times, and they constantly update them to meet demand, and maintain them if necessary (such as toilets etc). BIA have also displayed instances where they care for the customer, one by investing in the EuroHub tunnel, and the other by adding an ‘Air-Rail’ link to the airport, one of this have decreased the flight transfer times dramatically, and the other has made the travelling times lower than they were before. By creating and maintaining these type of facilities, they do not award their competitors the opportunity to beat them at their own game, and therefore will always stay on top, which has been proven in my other parts of work (how big they are). Referencing to the ‘Master Plan’ again, they are going to develop the airport fore dramatically which shows again they are always growing bigger, and reducing the opportunity for any other airports to get in edgeways. If you were to contrast this airport against their major rivals you will see that London’s Heathrow has become the biggest mainly because of the flights, facilities and the number of runways that are on offer. An airport that is hardly referenced to is ‘Heathrow’ whom is growing at a rate like BIA, as they too have released plans to increate their traffic to 30,000,000 passengers flying with them every year, which was names the ‘Development Strategy for the year 2005’. Airport are no longer about providing solely the best flights, but they are about providing the best overall facilities to their customers, and if they fail to do this, you may see that in the future, they could loose out on potential customers. Alike with any business, BIA would encourage all customers to use the facilities more, an implying to use their competitors less! Despite this, you cannot persuade someone to travel from Heathrow to Birmingham so they can fly internationally, as this would not make sense if they could fly from their local airport, unless there were exquisite travel links, which took a fraction of the time that they should have. As a result of this, they would only try to tap the market that are available to them, which may result as far out as London, but if their campaigns produced results, then this would be all worth while. For example, London’s Heathrow have an internal ‘train’ system that will connect you from terminal to terminal, which I have personally experiences. This is like no other, and the facilities that are provided by them are excellent (not that I have tried BIA’s personally), so I would find that hard to beat. On the other hand, if the facilities of BIA are anything like theirs, then they would stand a chance of matching the size of Heathrow, but this would not happen with the right staff motivation, capital and long term experience. One of the main factors within the competition is the flights, or even the lack off, and prices. For example, if someone in the vicinity of BIA is charged double that to fly to the destination they want that Heathrow is quoting, then it would obviously make sense for them to go to a different airport, which would mean BIA will loose customers quickly. The rule â€Å"it’s 8 times harder to win an old customer back as to gain a new one† takes a leading role here. Providing that BIA has the right accessibility to their airports, and the fact that they offer good prices would mean that they will be quite successful in the long term. As you can see from my research below (provided courtesy of Expedia.co.uk), there are major price variations with the same flights: Birmingham International Airport Global: Adults: 2 | Children: 0 As you can see from my research above, it is not completely obvious who is the cheapest in the market, because it depends solely upon where the flight’s destination is. For example: * At the specified time period, BIA was the cheapest to fly to Barcelona * In spite of this, they were the most expensive to fly to Copenhagen (When compared to Gatwick and Heathrow) I believe that the reason that BIA cannot be the cheapest for all of the available flights is because of the fact that if a fly is not popular, they would not fly that often, so tickets may be more expensive (for advanced bookings). As everyone has witnessed over the past year or so, each of the airports has had to dramatically increase the security due to terror attacks. They’ve had to reduce the number of liquids that you may carry on a flight, and they have diverted even entire flights because they thought there was a suspected attack, where 99% of the time, the were wrong. This shows that competition for security is not always good, as it may put of even the most frequent flyers because of all of the security checks that are involved. How to cite Birmingham International Airport – Competitors, Papers

Thursday, December 5, 2019

Review of Caterpillars Code of Ethics Essay Example For Students

Review of Caterpillars Code of Ethics Essay Review of Caterpillars’ Code of Ethics Caterpillar Incorporated (Caterpillar) is the world’s top in manufacturer of construction and mining equipment, diesel and natural gas engines and industrial gas turbines. In 2008, Caterpillar reported sales revenue of $51. 3 billion dollars from domestic and worldwide operations (Caterpillar, 2008). As reported in Caterpillar’s 2008 Annual Report, Caterpillar is a worldwide company with 67% of their sales from outside of the United States (Caterpillar, 2008). With a global reach and influence, Caterpillar has recognized the need to develop and implement a Code of Conduct to guide its management and employees in their daily practices to make Caterpillar the efficient and profitable global leader it is today. Author, Muel Kaptein (2004) analyzes the business code of several multinational firms to ascertain universal structure and meaning. In his study he states â€Å"A business code is a policy document that defines the responsibilities of the corporation towards its stakeholder and/or the conduct the corporation expects of employees† (Kaptein, 2004 p. 3). Caterpillar recognized in 1974 a need to develop a Code of Conduct to guide its company and employees to act in an ethical manner. According to Caterpillar, their Code of Conduct establishes â€Å"what we stand for and believe in, documenting the uncompromising high ethical standards our company has upheld since its founding in 1925† (Caterpillar, 2005 p. 1). Since 1974, Cat erpillar has updated their code of conduct several times to fit the changing world and their diverse workforce. We will write a custom essay on Review of Caterpillars Code of Ethics specifically for you for only $16.38 $13.9/page Order now Caterpillar’s 2005 version of their Code of Conduct, their most current, has four values that they highlight as the foundation of their code of conduct; Integrity, Excellence, Teamwork and Commitment (Caterpillar, 2005). Caterpillar’s first value referenced in its Code of Conduct is Integrity. Caterpillar emphasis their choice of the word of integrity â€Å"as the foundation of all we do† (Caterpillar, 2005 p. 5). They use integrity to communicate to their employees the ethics of honesty and how they should guide themselves in their dealings with customers, suppliers, and all those that they come in contact with. In the post Enron era, a company must have honesty before any customers, suppliers, investors or general public has faith in their credibility as a company. The next pillar of Caterpillars Code of Conduct is Excellence. The excellence credo is further highlighted in the 2005 Code of Conduct as â€Å"The Power of Quality† (Caterpillar, 2005 p. 11). Caterpillar is trying to impart to the stakeholders and their employees that they strive for excellence in everything they do. Caterpillar has built a line of products and has a long standing tradition of high quality products that are in demand around the world. To build the quality they do, they instill the concept of excellence in their employees, suppliers and dealers. An important part of any successful business is the ability to develop and nurture a culture of teamwork. The third principal Caterpillar notates in its Code of Conduct is teamwork, in which they stress that they â€Å"know by working together, we can produce better results than any of us can achieve alone† (Caterpillar, 2005 p. 7). Caterpillar also uses the principal of teamwork to emphasis that the global and cultural diversity of their company is a competitive strength. In an enlightening approach to teamwork, Avshalon Adam and Dalia Rachman-Moore (2004), discuss how companies implement their ethical codes. They have identified teamwork as â€Å"having the most influence on the behavior† and that â€Å"teamwork style disc ourages deviation and encourages co-operation with the organization† (Adam and Rachman-Moore, 2004 p. 232). Teamwork can be seen as the binding force that enables a company to successfully implement and communicate it values and ethics across the company. Caterpillar uses the fourth value of â€Å"Commitment: The Power of Responsibility† (Caterpillar, 2005 p. 23) to outline its commitment â€Å"with whom we work, live and serve† (Caterpillar, 2005 p. 23). An example of Caterpillars commitment to those they live with is exemplified in how they conducted themselves after locating facilities in the Brazilian town of Piracicaba. .ufbc722a17ae6eb8c161f83a02040f90f , .ufbc722a17ae6eb8c161f83a02040f90f .postImageUrl , .ufbc722a17ae6eb8c161f83a02040f90f .centered-text-area { min-height: 80px; position: relative; } .ufbc722a17ae6eb8c161f83a02040f90f , .ufbc722a17ae6eb8c161f83a02040f90f:hover , .ufbc722a17ae6eb8c161f83a02040f90f:visited , .ufbc722a17ae6eb8c161f83a02040f90f:active { border:0!important; } .ufbc722a17ae6eb8c161f83a02040f90f .clearfix:after { content: ""; display: table; clear: both; } .ufbc722a17ae6eb8c161f83a02040f90f { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ufbc722a17ae6eb8c161f83a02040f90f:active , .ufbc722a17ae6eb8c161f83a02040f90f:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ufbc722a17ae6eb8c161f83a02040f90f .centered-text-area { width: 100%; position: relative ; } .ufbc722a17ae6eb8c161f83a02040f90f .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ufbc722a17ae6eb8c161f83a02040f90f .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ufbc722a17ae6eb8c161f83a02040f90f .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ufbc722a17ae6eb8c161f83a02040f90f:hover .ctaButton { background-color: #34495E!important; } .ufbc722a17ae6eb8c161f83a02040f90f .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ufbc722a17ae6eb8c161f83a02040f90f .ufbc722a17ae6eb8c161f83a02040f90f-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ufbc722a17ae6eb8c161f83a02040f90f:after { content: ""; display: block; clear: both; } READ: Romeo and Juliet- the story of impulse EssayCaterpillar partnered with the local government to provide guidance and expertise to develop the city. It did have benefits to Caterpillar, but it also showed the integrity to partner with others for mutual benefit to society. Author, Margaret Griesse (2007) illustrated Caterpillar’s leadership and commitment to an underdeveloped community in which they headquarter the Brazilian operations and how they aided the community to the benefit of all stakeholders. The community-based effort led by Caterpillar to elaborate and carry out a sustainable development plan for the city is notable example how a firm can encourage civil p articipation and offer strategic planning know-how to civil-society organizations† (Greisse, 2007 p. 39). Caterpillar recognized early an importance of sharing and communicating its ethics across its global company. It has, over the years, adapted and updated their Code of Conduct as it recognizes the social and business changes throughout the world. The Code of Conduct that Caterpillar publishes truly is the foundation and spirit of how they conduct business and treat all their stakeholders. Caterpillar summarizes this notion best in their introduction to their Code of Conduct, â€Å"The Code of Conduct is the most important document we produce at Caterpillar. † (Caterpillar, 2005 p. 1) References Adam, A. , Rachman-Moore, D. (2004). The Methods used to implement an ethical code of conduct and employee attitudes. Journal of Business Ethics, 54, 225-244. Caterpillar. (2005). Our values in action: Caterpillar’s worldwide code of conduct. Retrieved January 2, 2009 from http://www. cat. com/cda/files/853384/7/2005_code_body_EnglishFull. pdf Caterpillar. (2008). Big challenge: 2008 annual report. Retrieved January 2, 2009 from http://www. cat. com/cda/files/1401923/7/Caterpillar%202008%20Annual%20Report%20-%20electronic%20only. pdf Griesse, M. (2007). Caterpillars interaction with piracicaba, brazil: a community-based analysis of csr. Journal of Business Ethics, 73, 39-51. Kaptein, M. (2004). Business codes of multinational firms: what do they say?. Journal of Business Ethics, 50, 13-31.

Thursday, November 28, 2019

Antidepressants Are over Prescribed Essay Example

Antidepressants Are over Prescribed Essay Example Antidepressants Are over Prescribed Essay Antidepressants Are over Prescribed Essay Antidepressants are overprescribed Mitrea (2007) defines antidepressants as an agent or a drug that is most commonly used to prevent or treat depression. However, in today’s society it could be said that antidepressants are being over prescribed and are being used to treat a vast range of other conditions, as well as clinical depression. When the first antidepressant was developed, manufacturers were reluctant to put it on the market due to the extremely low number of people suffering from depression. Now, antidepressant drugs have a very dominant place in the drug market, with studies showing that they are now one of the most widely prescribed categories of drugs (Mark 2010). There could be a number of reasons for this increase in antidepressant prescriptions; more people in today’s society could be suffering from depression, or the drugs could indeed be being over prescribed by doctors. This essay will aim to critically discuss whether antidepressants are being over prescribed or perhaps under prescribed, and if the diagnosis for depression needs to be reviewed in order to prescribe antidepressants more appropriately. Various studies have been carried out that aim to show that the proportion of antidepressants being prescribed without a psychiatric diagnosis is growing, concluding that antidepressant drugs are being overprescribed. Research by Mojtabai Olfson (2011) found that the increase over the years has come from prescriptions written by non-psychiatrist providers, for patients who do not have a psychiatric or mental health diagnosis. Antidepressants are not being prescribed solely for depression; they are also used to treat chronic pain, anxiety, panic disorder, obsessive compulsive disorder and even eating disorders (Parker 2005). The symptoms for depression are a depressed mood, taking less pleasure in life, lack of energy, changes in appetite, restless habits, feeling worthless and guilty, and suicidal thoughts (American Psychiatric Association [DSM-IV-TR], 2000), but even with these parameters, it can still be difficult to distinguish severe depression from natural periods of feeling â€Å"down. Mojtabai Olfson (2011) reviewed a national sample of office based physician visits over a one week period. They compared visits that involved the prescription of antidepressants with no psychiatric diagnosis with visits that involved the prescription of antidepressants with a psychiatric diagnosis. The findings showed that in the general medicine practice, the use of antidepressants was more dominant among people wi th mental health conditions that were considered less severe and that were poorly defined (John Hopkins University Blomberg School of Public Health 2011). To the extent that antidepressants are being prescribed for uses not supported by clinical evidence, it may be beneficial to improve provider’s prescribing practices, review drug formularies, or pursue interventions that will increase and encourage communication between primary carers and mental health specialists. The rising number of antidepressant prescriptions raises questions not only about over prescription but also about misdiagnoses. It could be fair to say that doctors are too quick to hand out prescriptions for any emotional problem. The rise in prescriptions could be down to patients being diagnosed with depression when they are in fact suffering from different health issues. Researchers have been investigating whether people who have been told they are suffering from depression actually have undiagnosed hypothyroidism (Garber 2006). Hypothyroidism is a disease in which the thyroid gland fails to produce enough thyroid hormone (Andrews 2010). The symptoms of this disease can mimic the symptoms of depression, and it could be possible that the growth in antidepressant prescribing is going to the community of undiagnosed thyroid patients. It is fair to ask why doctors tend to hand out a prescription for an antidepressant rather than run thyroid tests. The answer to this is most likely to do with time and money. It is much quicker for doctors to write a prescription for an antidepressant drug than to question patients about their health history (Shomon 2011). Macdonald et al. (2009) suggest that the current levels of antidepressant prescribing needs to be assessed. In this study, which gave an insight into General Practitioners (GPs) perspectives on the rise of antidepressant prescriptions, it was evident that many GPs believed that unhappiness, exacerbated by social deprivation and the breakdown of traditional social structures, was being ‘medicalised’ inappropriately (Macdonald et al. 2009). However, participation in this study was voluntary so it is very likely that GPs who were interested in mental health and comfortable with their own prescribing practice would be more likely to take part, thus raising the question; are antidepressants really overprescribed? Despite the increasing number of studies on the over prescription of antidepressants some support this rise in antidepressant use, arguing that it is better to diagnose depression too often and too little (Barber 2008). Research has also been conducted not on over prescription, but in fact under prescription of antidepressants. These researchers are challenging the wide-spread assumption that doctors are handing out antidepressants too often, and suggest that they are in fact being underused instead of overused. In contrast to the study by Macdonald et al. (2009), Cameron et al. (2009) challenged the hypothesis that GPs prescribe antidepressants to patients who are unlikely to require them. The findings suggest that the recent accounts of the overuse of antidepressants are unwarranted. The prescribing of antidepressants to those patients who were not symptomatic was accounted for by relapse prevention, and for the ongoing successful treatment of previously identified depression. Among the patients with probable depression, half did not have their symptomatic status identified and were not offered any treatment for depression, suggesting that GPs may under prescribe, rather than over prescribe antidepressants (Cameron et al. 2009) The increasingly common belief that antidepressants are being over prescribed is mainly down to the fact that the number of antidepressant prescriptions has significantly risen over the last few years. However, when researchers looked more closely at antidepressant prescribing activity, they found an altogether different situation, which showed that only a very small number of patients were being given such drugs without reason (Reid 2009). The main aim of the study was to investigate whether patients who did not meet the criteria laid out in the national guidelines were unnecessarily being prescribed antidepressants, which are also often used to treat pain. The findings showed that only 3 out of a total of 897 patients who took part in the study were being given an antidepressant drug unnecessarily. Many patients who met the criteria in the national guidelines and qualified for treatment with antidepressants were not being given them, which adds to the assumption that GPs are significantly under diagnosing the condition of depression. According to Reid (2011), the assumption that antidepressants are being over-prescribed is being fuelled by the way in which statistics are currently being used to analyze the situation. He says that the numbers are only based on the volume of prescriptions and do not provide any information on differences in the dose or the duration of therapy. Currently, the statistics measure the number of prescriptions being handed out for antidepressant drugs. Critically, they don’t give any indication of how many people are actually taking the drugs. If the doses of antidepressants increased, or the duration of the treatment was extended, there would be an increase of the prescription statistic without any change in the number of people being treated (Reid 2011). The arguments about the over and under prescribing of antidepressants raises an important question; Are antidepressants really effective at treating depression and should they even be prescribed at all? Studies suggest that the popular antidepressant drugs are no more effective that an placebo. Kirsch (1998) investigated this claim by comparing the improvement in patients taking antidepressants with the improvement in those taking placebo pills and found that the difference was minuscule. Patients on a placebo improved about 75% as much as those on actual antidepressants (Begley Kliff 2010). From these findings it is evident that three quarters of the benefit from antidepressants seems to be a placebo effect. It can be argued that these publications that claim that antidepressants don’t work any better than a placebo are a highly misleading interpretation of evidence that shows that antidepressants do work, even in less severely depressed patients, with the long term benefits of the drugs showing an even stronger effect (Melander et al. 008). Geddes et al. (2003) states that the ability of antidepressants to prevent further episodes of depression is one of the strongest findings in the whole of medicine. Placebo does have an impact on mood when used in clinical trials, but the effect is much less than that of antidepressants. Moreover, if the effects of antidepressants are compared with those of no treatment, as is sometimes done for psychotherapy trials, then the effects of drug treatments are as big as those of talking therapies (Nutt Sharpe 2008). Most GPs agree with the claim that antidepressant prescriptions are indeed being overprescribed without a proper diagnosis, and studies suggest that prescribing behaviour needs to change in order to reduce this rising level of prescribing (Macdonald et al. 2009). However, as far as overprescribing, it is not fair to say that it is occurring as a blanket statement. There is evidence to suggest that antidepressants are not prescribed nearly enough and that depression is significantly under diagnosed, meaning that patients who should be treated with antidepressants are not being offered them. There is no definitive answer to whether or not antidepressants are under or over prescribed, but it fair to suggest that the national guidelines for the treatment and diagnosis of depression needs to be reviewed, and doctors need to be educated in distinguishing severe depression from natural periods of sadness and perhaps start providing alternatives to prescribing antidepressants such as counselling to address the main problems of depression rather than masking the symptoms. As far as antidepressants being effective, it is clear that the drugs have been very beneficial to millions of people (Begley Kliff 2008). However, antidepressant drugs are perhaps not necessarily the best choice of treatment. Psychotherapy, for instance, works for moderate, sever, and even very severe depression. It would be beneficial for further research to be conducted to determine if antidepressants are being prescribed for a misdiagnosis of depression or if GPs are missing cases of depression and therefore not prescribing antidepressant drugs enough. References American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (Revised 4th edition) Washington DC: Author Andrews, L. W. (2010) Encyclopaedia of Depression (Volume 1) USA: ABC-CLIO, LLC Begley, S. Kliff, S. (2010) The depressing news about antidepressants Newsweek Vol. 155, No. 6, pp 34-41 Barber, C. (2008) Comfortably Numb: How psychiatry is medicating a nation New York: Vintage Books Cameron, I. M. , Lawton, K. , Reid, I. C. (2009) Appropriateness of antidepressant prescribing: An observational study in a primary-care setting. British journal of General Practice 59: 644-649 Garber, J. R. (2006) Clinical Update: Managing the challenges of hypothyroidism Journal of Family Practice Vol. 55, No. 66, pp 51-8 Geddes, J Carney, S, Davies, C Furukawa, T Kupfer, T, Frank, E. Goodwin G (2003) Relapse prevention with antidepressant drug treatment in depressive disorders: a systematic review. The Lancet 361(9358): 653? 661 John Hopkins University Blomberg School of Public Health (2011) Prescriptions for antidepressants increasing among individuals with no psychiatric diagnosis, US study finds. Science Daily Retrieved October 19th 2011 from sciencedaily. com/releases/2011/08/110805135808. htm Macdonald, S. , Morrison, J. , Maxwell, M. , Munoz-Arroyo, R. , Power, A. , Smith, M. , Sutton, M. , Wilson, P. (2009) ‘A coal face option’: GP’s perspectives on the rise in antidepressant prescribing British journal of General Practice Vol. 59, No. 566, pp. e299- e307 (9) Mark, T. L. (2010) For what diagnosis are psychotropic medications being prescribed? : A nationally representative survey of psysicians CNS Drugs 24(4): 319-326 Melander et al (2008) A regulatory apologia ? a review of placebo? controlled studies in regulatory submissions of new? generation antidepressants. European Neuropsychopharmacology 18: 623? 627 Mitrea, L. S. , (2007) Natural Medicone Mosiac, Volume 1. Canada: Natural Medicne Books Mojtabai, R. Olfson, M. (2011) Proportion of antidepressants prescribed without a psychiatric diagnosis is growing Health Affairs, 30(8) Nutt DJ and Sharpe M (2008) Uncritical positive regard? Issues in the safety and efficacy of psychotherapy. Journal of Psychopharmacology 22: 3? 6 Parker, G. (2005) Beyond major depression Psychol Med 35: 467-72 Reid, I. (2009) Antidepressants are under – not over – prescribed British Journal of General Practice Shomon, M. (2011) More antidepressants being prescribed without a psychiatric diagnosis: Are undiagnosed thyroid problems a key cause? Retrieved on October 20th from http://thyroid. about. com/b/2011/08/15/antidepressants-thyroid-depression-shames. htm

Sunday, November 24, 2019

Journal Entry Essays

Journal Entry Essays Journal Entry Essay Journal Entry Essay In the article â€Å"Urban and rural students swap places to learn about different lives†, which appeared on CNN.com on May 23, 2007, the issue of education and how students learn to overcome their differences through awareness. This particular news story deals with two groups of students from Alaska who are part of an exchange program to help bring awareness to students about the differences in the way each group lives. One group is from a tiny Eskimo village in Alaska, and the others from a suburb of Anchorage. Each group lives a completely different way of life despite the fact that they all live in the same state. The educators in this case felt that through the exchange program students could learn to appreciate the different ways of life that each lives and to learn more about the world around them and their neighbors. The rural teens were amazed at how many varieties of food there were in the supermarkets and how less expensive it was, and were amazed at the different s tores and even the indoor plumbing. The urban teens were shocked by the exact opposite in the rural village, yet they all learned to appreciate not only the way of life of the other teens, but to appreciate what is special about themselves and their life.I selected this article because it deals with education and how educators are trying to overcome some of the differences that exist in society and some of the social, political, and racial inequalities. Through the exchange program teens of different cultures get to learn about each other through their time with their host families and in the different area, and also get an education about people who are their neighbors, in a sense. The teachers responsible for this program are hoping to bring unity to Alaska and to connect it to classroom curriculum ranging from healthcare to economy. I was attracted to this story because it is a beautiful example of how education and understanding can lead to more acceptance amongst people of diff erent social groups, as in the case with the Eskimo children and the other Alaskan children. This is an important social issue because if more educators would adopt similar methods then we could foster more understanding amongst different groups within our own nation. This innovative approach shows a social solution that can help many other educators around the country if they were to implement this type of program to help children of different races, religions, income levels, and nationalities within our own country learn to appreciate and understand each other.Journal Entry # 2The article â€Å"Gold Star wives help a new generation of war widows† that appeared on CNN.com on May 26, 2007 is an interesting look at the way that our own suffering can be a basis for helping others in similar situations. The article deals with the social issue of war and how it affects not only the people in the midst of the war but the wives, husbands, and children that are left behind by the me n and women who die in the war in Iraq. I was attracted to it because of the closeness to Memorial Day and the fact that is encourages people to reach out to others going through problems.This article is about a woman named Marie Speer who lost her husband in WWII and how she founded this organization called Gold Star Wives, which was established to help war widows in many various ways, from friendship and compassion, to helping lobby for benefits for the wives and husbands of those lost in the war. The women of this organization have all lost husbands to war and know how it feels, but instead of doing nothing they reach out to others through the organization. This is an example of how we as Americans, no matter what our thoughts on politics and the war, can use our own compassion to help others, no matter our situation in life. It also shows how, no matter the generational difference, some things, like losing a spouse in the war, can link us to those who dealt with similar things b efore us. The war in Iraq is a major social issue right now, politically, but the social impact of this is felt greatly by the spouses of the men and women fighting in Iraq. This article gives us a look at how we can come up with solutions to some issues by reaching out to people who are in pain. While this organization is not a solution to the war, it is a help to people.Journal Entry # 3The article â€Å"The First Steps† by Alex Tresniowski, et al, appears in the May 7, 2007 issue of People Magazine and is a look at the healing process that is happening at the Virginia Tech campus in Blacksburg, Virginia following the massacre that killed 33 students in Norris Hall on April 16th. This article is unlike many of the others because instead of dealing with the dark, brooding gunman or all of the mistakes and issues that led up to the shooting, it deals with how the students affected will take steps to heal and help create a better environment for all students on campus. This ar ticle was interesting to me because it was not just another doom and gloom article about the tragedy but point out what was being done right by the Virginia Tech students, faculty, and campus administrators to help the college heal. Violence has become such a huge social problem in our society and this issue was made even more glaring by this particular school shooting. The article’s look at the counseling being offered, the changes in the college, and most especially the way that the community, parents, and students are all reaching out to each other as a means of healing is incredible. It also shows how they are hoping to eliminate loners and outcasts like the shooter by reaching out to their fellow classmates in need. Instead of dwelling on the bad, they are looking for something positive to come out of the tragedy.I was attracted to this article because of the hopefulness that it leaves the reader with, especially concerning something as troubling as the Virginia Tech Mas sacre. This is such an important social issue because it is so prevalent in our nation and what makes people commit violence is still not really understood. It is hard to remember that out of the pain of such an event there can come something wonderful and positive, like a new spirit amongst people or a greater awareness of the signs of mental illness. Also, just simply being out to reach out to others. It’s relation to the social issue of violence also attracted me because that is such a large problem in our society, and the solutions given are interesting and uplifting.Journal Entry #4The article â€Å"Global Fund Saves 1.8 Million Lives† appeared on the ONE.org website on May 24, 2007. The ONE is a new poverty campaign that aims at helping â€Å"to make poverty history†. Some new bills have been passed recently, including education-related issues, and it has become well-known in the press because of publicity gained from its appearance on American Idol and at the National Prayer Breakfast in Washington, D.C. in 2006. This particular article deals with the response from the American Congress and how much money they have given to the Global Fund in support of the various programs that are helping to end world hunger, poverty, and disease.In summary, this article is about the money grants given to ONE.org and the Global Fund, both of which are dedicated to ending poverty, hunger, and disease in third-world nations around the world. Because of the insistance of ONE.org and other organizations the United States has pledged hundreds of millions of dollars towards helping their cause and there has been some great progress, including many lives saved because of insecticides, medicine, food, and nets that help to protect people from the things that harm them in other countries.This story attracted me because I really feel strongly about ending world poverty and giving everyone in the world a chance at a good quality of life. I feel that we in th e United States are especially responsible for helping others who are less fortunate. The issue of poverty is an important social issue that is dealt with not only around the world, but in our own country as well; however, this article is especially interesting because it gives ideas on how we can help. The article talked about how just donating insecticide-treated nets to families with children can help to stop disease and that 3,000 people every day are saved just by this one program. One person can be saved simply by donating one net. It’s important to understand how we can get involved, even if we have limited means ourselves.Journal Entry # 5The article â€Å"U.N. Presses for Peace in Darfur† appeared on the Los Angeles Times website on May 27, 2007 and deals with the conflict in Sudan and how the U.N. is trying to create a change for the better in that country by encouraging peace within its borders. The article talks about the ongoing conflict in Sudan and the t ypes of terrible violence going on there, particularly amongst the militia and rebel groups. The article is about the U.N.’s push for Sudan to call a cease-fire and to start peace talks so that the violence can end. It also talks about the many peacekeepers who are proposed to go in and help create a more stable nation for the people who live there under violent conditions.The social issue that is happening right now in Darfur is critical. There has been genocide happening there fore years and many people live in refugee camps because their homes, land, and country have been filled with so much violence and war for so long. This article deals with the social issue of war, as well as poverty, and global inequality. The war going on there has created a global inequality unlike any other nation, and has caused so many people to descend into poverty and hunger. People are dying everyday because of the conflict and while the U.N. is taking notice they are not able to convince Darf ur to stop the violence and create a better nation for the men and women who live there.I was attracted to this article because it is about an issue that is really at the forefront of the minds of many right now because of the publicity it has gotten from celebrities and the media. This article also has some solutions in it that are interesting, pointing out what is being done by the U.N. to help bring peace to Darfur, including the unification conference between the African Union and the U.N. that has happened recently. While Darfur is still a social problem, the involvement of the U.N. in the peace process is encouraging.Journal Entry # 6The article â€Å"Trial set to begin in Mississippi civil rights-era case† by Jerry Mitchell appeared the USA Today on May 24, 2007 and deals with the case of a man who is facing charges for killing two African-American teenagers in 1964. In the past few years there has been a push in Mississippi to bring to justice former klansmen and othe r racists who killed civil rights workers and African-Americans during a time and in a place where discrimination was so abundant that no one would convict them. This case is one of these, and is an interesting look at how the justice system can be corrupt and yet, today, we can try to make things right.James Seale is 71 years old now, but in 1964 he was arrested and admitted to beating Henry Dee and Charles Moore, two black teenagers who were hitchhiking and picked up by a vehicle of klansmen, including Seale. They were beaten to death and then weighted down and thrown into the Mississippi River. Seale was arrested and interrogated and admitted to beating them and even admitted that God knew he killed them to an FBI agent, but told authorities they would have to prove it. In the deep south in 1964, he was never prosecuted and charges were dropped. Today, however, authorities in the South are looking to make right on the racial injustice that took place there by prosecuting the kill ers now in hopes of showing the world that the new South doesn’t let people go for killing another person just because of the color of their skin.This article attracted me because racial inequality has always been such a problem in the U.S. and the fact that so many people got away with murder in the South just because they killed black people has always haunted the nation. Now, as a social solution, prosecutors are setting out to change that by punishing these people now for the sins of the past in the hopes that the deaths of so many during the civil rights-era can be vindicated. The criminal justice system is looking past race in Mississippi and doing what is legally and morally right.

Thursday, November 21, 2019

Is the pessimistic views of nick sons justified Essay

Is the pessimistic views of nick sons justified - Essay Example The root of this issue centres from, among others, widespread problems inherent in the recruitment of workers in the industries. Existing HRM gaps within the industry have caused a myriad of human resource problems that have ultimately resulted in negative outcomes in labour turnover. Widespread labour problems in the industries is hugely attributable to issues such as poor working and pay conditions, which have long been considered as reasonable, but are now emerging as poor and impractical. The industries typically serve customers who take time out for recreation, which is often spent in travel, lodging, cruises, and amusement parks. In order to serve their customers’ needs effectively, these industries need to maintain a high level of variety of employees, from maintenance staff to customer service representatives. In addition, both industries require massive numbers of employees (Nickson 2013, p. 81). However, the reality of the industries reveals that the industriesâ€⠄¢ labour relations are not up to standard. Compared to other industries, a dwindling number of employees in the tourism and hospitality industries express the desire to continue working for their present employers. The causes of extensive labour turnover in the industries range from insufficient employee supervision and employees having inadequate responsibilities to the repetitiveness of most jobs. This speaks to extensive inefficiencies in the industries’ HRM, which have not only resulted in poor employee engagement, but widespread gaps in labour-related issues within the two industries (Nickson 2013, p. 6). For instance, in an endeavour to streamline their processes, most tourism and hospitality businesses hire additional employees, including seasonal staff, to ensure that each employee concentrates extensively on a single, minute task and executes it within minimal mistakes. Although this HRM strategy may prove effective in enhancing diverse aspects of the services provi ded by the industries’ employees it also enhances employee disengagement in their work. Employees typically require the opportunity to start at the bottom and climb the corporate ladder while also gaining experience. Therefore, repetitiveness is a major demoraliser. A lot is required from businesses in the tourism and hospitality industries to retain their employees. However, their HRM strategies are inefficient, and this contributes significantly to the industries’ unique issue with turnover. However, to be fair, the high labour turnover is not necessarily indicative of a problem with organisational strategies if this is the typical system in which the business operates. Nonetheless, labour turnover becomes a major problem when HR managers are constantly obligated to, without prior notice, rehire and train new employees for positions that the business deemed would be held for the long-term (Nickson 2013, p. 67). This is the problem that typifies the vast majority of t ourism and hospitality businesses. High labour turnover is particularly problematic in developed economies such as the UK where employees are able to acquire alternative employment when dissatisfied by the HR strategies of their present employers. Low pay The tourism and hospitality industries are some of the most successful and highly profitable industries in the economy. This would typically imply that the industries’ employees are highly paid in light of the high profit margins