Depression in Canadian Adolescent Females

Depression is the most well-known mental issue among adolescents

Background

Depression is the most well-known mental issue among adolescents with commonness rates going from 15-20% among adolescents between the age of 14-19 year, and it is accepted to be a significant helping variable in Adolescent suicide. In addition, depressive issues are fundamentally more regular in females than in males, with lifetime predominance of 14.1% for females and 8.6% for males. Some epidemiological, group and clinical studies have demonstrated that girls commonly have been found to show more elevated amounts of depressive side effects than young men. This has been ascribed to hereditary qualities, expanded predominance of nervousness issue in females, organic changes connected with pubescence, cognitive inclination and sociocultural variables. Few Canadian studies were directed to research the commonness and symptomatology of pre-adult gloom (). In a study including an example of essential and preparatory schools in the city of Alexandria 10.3% of students showed depressive scores, which were most astounding among the most established age amass (20.3%) (Kerr et al,. 2010). Girls had higher depressive scores when they were contrasted and young men. Adolescents who had a constructive history of suicide endeavors had essentially higher melancholy scores (93.7%) (Kiesner, Poulin & Dishion, 2010).

In the 1999 national study of Canadian adolescents, 59% of the example reported encountering sentiments of apprehension or tension. Forty for every penny of kids with tension issue had a comorbid depressive issue. In the National Comorbidity Survey, most cases reported intermittent depressive scenes and critical part debilitation, including endeavored suicide among 21.9% of those with MDD. Conceal gloom could be diagnosed in adolescents showing hyperactivity, forceful conduct, or misconduct on the off chance that they showed discouraged influence and indicated depressive or negative subjects on projective tests (Kiesner, Poulin & Dishion, 2010).

Dysphoria and/or fractiousness may take the spot of satisfaction and euthymia as the youngster’s prevailing inclination state. Expanding levels of misery, mournfulness, outrage responses, or candid wraths set off by insignificant or minor incitements may be taken note. Abnormal amounts of ecological push and also a couple of key distressing occasions were connected with suicide endeavors; a late sentimental separation or being attacked added to suicide endeavor hazard, past the impacts of psychopathology (Leatherdale & Ahmed, 2010). Once in a while do adolescents look for, all alone, contact with mental wellbeing experts for assessment of creating state of mind indications, in spite of the fact that they might all the more every now and again reach accessible experts or administrations spotted on location in school settings. Adolescents uncover their depressive sentiments all the more frequently through reports toward oneself than to their guardians

Aim of the study

Through this study, the creators pointed:

1- To gauge the predominance of depressive issue in Canadian adolescent females.

2- To gauge the trademark side effect profile of Canadian adolescent females (if there is a trademark profile).

Hypothesis

The speculation of this study was that depressive issue are profoundly predominant among Canadian female adolescents, and that there is a particular symptomatology describing the depressive issue in this age bunch. However accessible writing gives no direction in this matter. Methods

Design of the Study

This study is a descriptive, cross-sectional, school based study.

Site of the Study

This study was led in Ontario, Canada. A specimen of female Adolescent school understudies in Eastern Ontario was drawn. Six schools were chosen from two instructive regions, one locale speak to higher financial status (3 schools) and alternate less well-off status (3 schools). From each one school, 3 classes were chosen and all understudies in each one class were incorporated. Selection (Leatherdale & Ahmed, 2010). Essentially a strategy for examining was taken after permitting every significant variable to help in the constitution of the example an impart that was proportionate to its weight in the guardian populace. Determination of the span of this example was carried out after the interview of a statistician, examining was performed arbitrarily at five levels:

The city (Ontario) has 5 major geological territories from which one was chosen (Eastern Ontario).

2- Educational framework in Eastern Ontario was isolated into two real classifications (Private and Public) focused around financial profile.

From every classification three schools were picked.

Schools were looked over two instructive regions, one speaks to higher financial status (non-public schools) and alternate less well-off status (state funded schools), and those locale were (Heliopolis and El-Zaytoun).

From each one school, 3 classes (one class speaks to every auxiliary evaluation) were chosen and all understudies in each one class were incorporated. Choice of the classes was dictated by the school powers.

Ethical considerations

Amid the time of information gathering there was no moral panel (as of late settled in McGill University), be that as it may; the creators got the acknowledgement of power figures in McGill University and the Ministry of Education before beginning the study methods. Likewise, an educated assent was gotten from every member; they were educated about the surveys being utilized as a part of the study and acknowledged their offering in the study.

Procedures

The information were gathered by immediate talking with of the subjects in suitable settings inside their schools amid a period from the earliest starting point of November 2006 to the end of March 2007. At the time of the examination, an aggregate number of 602 pre-adult female understudies took part in the study, while the quantity of non-partaking female understudies was around 74 understudies. The clear explanation behind non-investment was their unlucky deficiency from school at the time of the study or being missed amid lessons or the time of the break.

The subjects of the study completed the following tools:

The General Health Questionnaire (GHQ), it is a screening instrument for psychiatric sickness so as to recognize potential cases which could then be checked and the way of which could be dictated by utilizing a second stage instrument as it shouldn’t be utilized as a sole standard for analysis, it is basically used to discover casernes. The form utilized as a part of this study is the Canadian rendition of a short 28-things scale with the example scorer technique which is (0-0-1-1). The cut-off purpose of GHQ was 7 as per comparative past national studies to minimize the related misrepresentations with the first low edge score.

The Children Depression Inventory (CDI), which is intended to be utilized as a screening instrument for melancholy in an ordinary adolescent specimen or as a measure of indication seriousness. It is helpful for furnishing the clinician with organized, age and sexual orientation standard referenced data about the tyke symptomatology. The scale is suitable for adolescents and adolescents from seven to eighteen years of age. It comprises of 27 gatherings of proclamations; each gathering comprises of three announcements speaking to the subject’s inclination at the most recent two weeks. The score is from 0-2 as per the manifestation seriousness and the aggregate score extends between 0-54. The cut-off point utilized for this study was 24 as comparative past national studies. It has been institutionalized and meant Canadian dialect. Adolescents who scored more than 24 on (CDI) were further assessed by the accompanying polls:

Structured Clinical Interview for DSM-IV Axis I Disorder (clinician rendition) (SCID-I), a semistructured demonstrative meeting focused around a productive yet careful clinical assessment. The study utilized the Canadian adaptation of the Structured Clinical Interview for DSM-IV hub I Disorders (SCID-I).

The Hamilton Rating Scale for misery (Ham-D) intended to measure the seriousness of depressive manifestations in patients with essential depressive indications, it is the most ordinarily utilized eyewitness evaluated depressive side effects rating scale. Its interior consistency (Cronbach’s alpha) was 0.76, and 0.92. It is an agenda of things that are positioned on a scale of 0-4 or 0-2. Scoring: extremely serious >23, extreme 19-22, direct 14-18, mellow 8-13 and typical < 7.

Statistical Analysis

All information were recorded and exchanged on Statistical Package for Social Sciences (SPSS) Version 17. The results were classified, assembled and factually examined utilizing the accompanying tests:

• Descriptive detail were accounted for as means and frequencies.

• Pearson Chi square test (X2): to distinguish whether there is a critical relationship between diverse downright variables.

• Student t-test: used to test for measurable centrality of fluctuation between two examples implies.

• P quality: used to demonstrate the level of importance: critical is P < 0.01.

Results

The mean age for the mulled over specimen was 15.7 + 0.9 years and 15.4 + 0.99 years for higher and lower social class schools individually. A rate of 15.3% of the mulled over specimen were assessed to meet criteria for sadness as indicated by the CDI cut-off point. While, by the utilization of SCID-I around 13.3% of the mulled over populace was found to have depressive issue, appropriated as 5% sub-edge depressive side effects, 5% MDD and 3.3% dysthymic issue. As per Ham-D, 10% of discouraged female adolescents included in the study were named having moderate depressive state, while 30% had gentle depressive state and 60% of them had subthreshold depressive state (Table 1)

Table 1. Circulation of seriousness of dejection among discouraged understudies, as measured by Ham-D.

In this study the exhaustion or absence of vitality (discovered by Ham-D) was by a long shot the most widely recognized side effect among discouraged female adolescents (81.3%) took after by negativity with respect to the future, feeling miserable, low self regard, psychomotor hindrance, absence of focus, blame, suicidality, sleep deprivation, anhedonia, hypersomnia, weight addition, and ultimately weight reduction and psychomotor unsettling (Table 2).

Table 2. Dispersion of depressive side effects among discouraged understudies, as measured by SCID-I.

This study uncovered that 75.5% of youthful females evaluated as having moderate depressive state had suicidal indications (recognized by Ham-D), 52% of Adolescent females appraised as mellow depressive state accomplished the same side effects, and 43% of understudies with subthreshold depressive state additionally had suicidal manifestations.

Suicidal ideations (answer 3 for the inquiry regarding suicide in Ham-D) were the most well-known of the suicidal indications in Adolescent females, 20% of the specimen of discouraged female adolescents, while the rate of genuine endeavors was 2.5% of the example.

Concerning between depressive issue and other psychiatric issue (evaluated by SCID-I) summed up uneasiness issue was the most pervasive comorbid finding (32.5% of discouraged understudies), emulated by social fear (20%) then substance misuse (8.8%) then over the top impulsive issue (0.1%) (Table 3). Likewise screening by GHQ uncovered minor psychiatric bleakness in 46.4% of Adolescent females.

Table 3. Dissemination of comorbid psychiatric conclusions among discouraged youthful females as per SCID-I.

Discussion

I-Prevalence of depression

A rate of 15.3% of the mulled over specimen were assessed to meet criteria for sorrow as indicated by the CDI cut-off point. The study addressed the first piece of the fundamental theory of the study. It uncovered the point commonness of depressive issue among this specimen of Adolescent females as indicated by SCID-I to be around 13.3%. This commonness is moderately high when contrasted with comparable studies. Kessler and Walters inspected adolescents and youthful grown-ups and discovered the 30-day commonness was 5.8% (significant misery) and 2.1% (minor despondency) as indicated by DSM-IV (Morse et al,. 2008).

Higher predominance of depressive issue among pre-adult females in an Canadian group may be the consequence of a foundation of social, social and enthusiastic insecurity describing this particular age amass notwithstanding the oppression females predominating social orders in a large portion of the underdeveloped nations some of the time announced and more often than not denied, trying to wear cultivated behavior and practices.

II-Symptoms

The second piece of the primary speculation was a trial to outline a particular symptomatology describing misery among Adolescent females. The symptomatology portraying melancholy in pre-adult females was prevailed by weariness and absence of vitality (more than 80%), at times with psychomotor impediment (around 2/3 of the example). Likewise negativity, trouble and low self regard were communicated (around 3/4 of the example). A sleeping disorder was accounted for (45%) ordinary citizen than hypersomnia (33.8%). Weight put on and weight reduction were accounted for, both were accomplished practically ambiguously (around 1/3 of the example for each). Sociality was discovered to be generally high (around 1/2 of the specimen) (Morse et al,. 2008).

Somatic symptoms

In this study the exhaustion and absence of vitality were by a long shot the most widely recognized side effects among discouraged female adolescents (81.3%), notwithstanding psychomotor impediment (62.5%), and psychomotor fomentation (20%). This was as per aftereffects of more established Canadian studies. The clinical profile of psychiatric issue (DSM-III and III-R individually) in the Canadian group was formerly mulled over and they found that physical indications were the most well-known manifestation, among the discouraged Canadian populace. The results were about like that of McCormick, Mathews, Thomas & Waters (2010) who found that the most widely recognized depressive manifestations (measured by CBDI) were exhaustion and physical indications in an example of Canadian adolescents.

Notwithstanding; these results were not the same as those of different studies performed in western nations, the most widely recognized manifestations among discouraged adolescents were sentiments of pity, dismalness, discouraged temperament and slumber aggravations. The error in the middle of eastern and western groups as respects the way the youthful females experience and express their discouragement may be an intriguing zone for future investigates.

In Canadian society, individuals have a tendency to cover their influence with substantial protests, which involve the closer view and the emotional part of their ailment subsides to the foundation. This may be because of more noteworthy social acknowledgement of physical objections than of mental dissentions which are either not considered important or are accepted to be cured by rest or begging. Physical disease and substantial sign of mental misery are more satisfactory and prone to incite a minding reaction than the dubious objections of mental trouble which can be ignored or considered as a shortcoming or a level of craziness. A late study performed by Stein et al (2010) inspected ethnic/racial contrasts toward the start of treatment among members in the Treatment for Adolescents with Depression Study (TADS). African American and Latino youth were contrasted with Caucasian youth on indication presentation and cognitive variables connected with sadness. In opposition to speculation, there were no noteworthy contrasts in indication presentation as measured by the meeting based things of the Children’s Depression Rating Scale-Revised (CDRS-R) (Kendall et al,. 2010).

Emotional symptoms

Adolescent females in this study demonstrated a scope of passionate and cognitive side effects in the setting of depressive manifestations. Negativity (75%), pity (73.8%), and low self-regard (73.8%) were the commonest (Table 2). The self-impression of discouraged adolescents normally are checked by sentiments of insufficiency, mediocrity, disappointment, and uselessness. Assessment of this rule is testing on the grounds that numerous adolescents don’t straightforwardly recognize such negative self-observations. Numerous adolescents specifically report a discouraged disposition a great part of the time, in any case; sorrow in adolescents generally communicates as a bad tempered inclination, on the grounds that numerous adolescents fail to offer the passionate and cognitive advancement to effectively distinguish and compose their enthusiastic encounters

In agreement to the current study, Kendall et al,.(2010) showed a solid relationship between depressive manifestations and thought toward oneself. Contrasted and alternate gatherings, adolescents in a custom curriculum at danger for passionate and behavioral issue demonstrated a noteworthy diminishing in thought toward oneself after age 15. Also, high disguising conduct was connected with more depressive side effects and lower thought toward oneself. In spite of the fact that unequivocally denied by the Canadian group, sentimental connections and fizzled relationships may assume a real part in the etiology of depressive side effects among pre-adult females. These adolescents need to face their disappointments and fix their mix-ups either alone or looking for the assistance of the unpracticed companions and associates.

Vegetative symptoms

Adolescent females in this study had vegetative indications extending in the middle of run of the mill and atypical side effects of discouragement: (45%) experienced sleep deprivation, while (33.8%) accomplished hypersomnia. Audit of writing uncovered distinctive patterns: an inclination to portray atypical depressive indications in the pre-adult age bunches. This may be ascribed to the personality disarray and revolting state of mind towards customs and standards intimated by the family and the general public, prompting evident changes in the slumber example and beat. Rest aggravation is normal in discouraged adolescents, (interviewed by the Schedule for Affective Disorders and Schizophrenia for School-Age Children-and finished the inclination and emotions report toward oneself misery poll) a large number of whom depict their slumber as non-remedial and report trouble getting up in the morning. Rest aggravation shows as a sleeping disorder, hypersomnia or huge movements of slumber example over the diurnal cycle. These discoveries were not as per the current study. Definite dissection of the slumber example ought to be assessed in further research (Hankins et al,. 2010).

As respects weight changes, weight increase was an indication in (33.8%) of the discouraged females, and weight reduction was accomplished by (30%) of them (Table 2). The adolescents are demonstrating an over concern with their physical appearance which is generally the aftereffect of their adjustment to companion gathering impact. Different studies demonstrated distinctive comes about longing and weight changes: anorexia is more common in juvenile girls. While a few adolescents with depressive issue want and consume more particular sustenance (i.e. trash nourishment and carbs) and as needs be put on more weight than anticipated amid their youthful development spurt. Further assessment of longing and weight changes among discouraged Adolescent females is required.

Suicidality

In this study suicidal manifestations (counting last requests, suicidal ideation and suicidal endeavors) were pronounced by (48.8%) of discouraged adolescent females. The recurrence of suicidal side effects was 75.5% among subjects with moderate depressive express (8 subjects). While of the adolescent females enduring of mellow depressive express (23 subjects), 52% accomplished suicidal indications. Interestingly, of the subjects who accomplished sub-limit depressive express (49 subjects) 43% additionally accomplished suicidal indications. These discoveries are higher than the discoveries of different studies however as per them: One of these studies demonstrated that 35% of discouraged adolescents had suicidal indications, Another study demonstrated the rate of suicidal side effects to be 30% among discouraged understudies while a third study uncovered endeavored suicide among 21.9% of the adolescents with real misery. An alternate Canadian study uncovered that suicidal ideation and endeavors were regular among discouraged Canadian adolescents, 30% of the specimen reported that they had solid last requests (measured by CDI) or had a plan to damage themselves (Paus et al,. 2010).

The rate of suicidality in the current study was much higher than the rate recognized by Torros et al (2004) who found that suicidal indications (measured by CBDI) were sure in 6.9% of discouraged Canadian adolescent girls, this variety in results may be clarified by social and religious contrasts bringing about underreporting of suicidal side effects because of alarm of disgrace or blame. The current study uncovered that discouraged adolescent females may have suicidal side effects, notwithstanding the seriousness or number of depressive indications. This discovering shades light on the way that the sub threshold depressive indications in youthfulness -not simply clinical sorrow ought to be considered important. Subjects with sub threshold sorrow ought not to be delegated “non-cases” not one or the other to be dealt with just as they have a comparative anticipation to the individuals who are asymptomatic.

A study performed by Paus et al,. (2010) analyzed suicide endeavors among discouraged essential forethought youthful patients, youth named suicide attempters demonstrated hoisted levels of psychopathology, particularly depressive manifestations, externalizing behavioral issue, nervousness substance utilization, lunacy and PTSD indications. Further assessment of suicidality in this particular age gathering need to be carried out in future exploration.

III-Psychiatric comorbidity

In this study, summed up uneasiness issue was the most common co-horrible conclusion among discouraged adolescent females, notwithstanding social nervousness issue, and substance use (Table 3). This is consonant with different studies which demonstrated that uneasiness issue was the most well-known comorbid issue with despondency.

In the study led by Paus et al,. (2010) aggregate nervousness and stress and oversensitivity side effects were found to anticipate later depressive manifestations more unequivocally for girls than for young men. Physiological nervousness predicts later depressive side effects for both young men and girls. These discoveries which are consonant with the aftereffects of the current study, highlight the criticalness of uneasiness for the advancement of sorrow in youth, especially stress and oversensitivity among girls.

Strengths and limitations

As one of the few studies that have explored the commonness and the symptomology of juvenile gloom, the present study has utilized an extensive battery of psychiatric devices for screening, conclusion and appraisal of seriousness of sadness, the utilization of a semi-organized clinical meeting for finding, not depending on the reports toward oneself. The meetings utilized were straightforwardly tended to understudies not in vicinity of their families which is additionally easing to female adolescents, they want to discuss their emotions in their associate surroundings instead of before parents.

In spite of these qualities, there are a few confinements of this study that require cautious attention in the translation of the discoveries. In the first place, the extent of the example was generally little. Second, the psychiatric analyses were chiefly focused around clinical meetings of study subjects without questioning their guardians. Past studies have demonstrated low assention among kid, guardian, and instructor witnesses in reporting adolescents’ passionate and behavioral issues and the need to join educators’ reports into the distinguishing proof of depressive symptomology. Third, a more complete study would include an instrument for a definite identity evaluation, to prohibit the impact of some identity characteristics on the subjects’ conduct, e.g.suicidality. Fourth, the estimation of suicidality was focused around inquiries inside the Ham-D, this would better be surveyed by a particular scale for suicidality. At last, the setting for the study, as it is realized that administrating self-reports in non-clinical populace may bring about expanded scores. The absence of complete data in psychiatric conclusions for all study subjects has hindered the likelihood for detailed longitudinal examines of psychiatric indications.

Conclusions

The physical side effects were by a long shot the most well-known exhibiting indication for female adolescents experiencing depressive issue. Depressive phenomena including unexplained weariness, diminished vitality, psychomotor changes, absence of fixation, weight changes and self-destructive ideations may be the exhibiting objections rather than the exemplary miserable state of mind.

Further studies are required to check if early recognition of depressive issue in adolescents may influence the course of the depressive disease, and its entanglements i.e. Substance misuse, educational disintegration and suicidality. Further examination of danger variables, longitudinal course of depressive manifestations, level of working, examples of comorbidity, and the psychopathological foundation of juvenile populace at danger would be finishing the picture around there of exploration.

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Depression and Counselling Theory

Depression, Counselling Theory

Depression and Counselling Theory

Counselling Theory Paper

George is an elderly man, aged 68 years, who showed serious signs of depression and addiction to alcohol and narcotics. He also exhibited signs of being a mentally ill man, who knows his past mistakes in life and sees no reason to even try changing his current situation. He is a divorced man who has little contact with the social world and the only relationship that he currently has is with his dog Spike. I decided on using the Cognitive Behavioral Therapy (CBT), as the most appropriate counselling theory to help him.

Rationale for Selection of CBT

The rationale behind choosing this specific theory is due to the capabilities of the theory and the nature of the case at hand. According to David, 2006 CBT, it is based on the premise that people should learn to let go of their past and focus on improving the future. Central to this therapy is that it focuses on talking. This allows people to express what they feel without fear of judgement (Williams, et al, 2013). According to Blehar, 1997, CBT works also when used with people who have an addiction to something.

George can very well express himself and his life with detail and precision; this is why this therapy best suits him. For a person of his age, he has good memory and is able to remember issues that had happened earlier in his life even under the influence of alcohol. George has serious cognitive impairments; he was able to score 15 in the MMSE test and a 45 out 60 in the CES-D score which is a clear indication of cognitive impairment. George is also an alcoholic, he uses drugs like marijuana and even hard core drugs to help him ease his thoughts and to feel better. George is also willing to corporate with the therapy; this is mainly because he recognizes the fact that his life is not exactly how he wanted it to be at his age. As much as the therapy is not meant to cure the physical ailments and addictions of George, it is meant to create an empowering foundation and a more optimistic way of dealing with his problems. His fear to face the future is hindering him from achieving the best he can in relationships.

Initial Problem Selection

George is a man troubled by many issues but I chose to deal with two of his problems, depression and addiction to alcohol and narcotics. From the interview, it was clear that George’s divorce had taken a toll on him. This was because it made him lose all personal contact that he had maintained earlier on. He has also lost touch with his religion. As a Muslim he was a dedicated follower but all that was lost ten years ago when he started eliminating himself from the society and all types of relationships.

According to Knight, 2006, depression is usually revealed when the individual pulls himself away from the society. This is because they feel that they are better off being alone as nobody wants to be with them. At this point George feels like there is no way his problems can be solved by anybody. This explains the reason as to why he is afraid to patch things up with his ex-wife. At this point he is afraid of starting any form of relationship with anybody and that is why he has had no intimate or friendly relationship with anybody in a long time.

Roth, Pilling and Hill, 2009, state that depression is associated with low self esteem and self criticism. Counselling for depression is a model that targets emotions that mostly are underlying and are the root cause of the depression. It is also meant to bring out the emotions that make sense to the person but must initially come from them for them to be willing to try them out in their lives. Roth, Piling and Hill devised a framework on how to help people with depression called the humanistic framework. It is based on allowing all the negative emotions and issues to come out and then the positive ones will slowly come out. The results of the experiment done at the Pearson Centre proved that people do indeed have the ability of coming up with the best solution for themselves but first they must be given that chance to do it themselves and must be dedicated to it as well.

The framework will work for George because from the interview it was clear he is suffering from clinical melancholy, which is depression couple up together with some cognitive problems.

Discussion of the Model

I will show how the qualifications that make George to fit into this framework.

The framework focuses on a step to step follow up of the individual who experiences different events in his life that ultimately lead to depression while others are as a result of the depression (Scherer, 2009).

First the individual makes a few wrong decisions in their lives. George had always wanted to have the life that everybody wants, a nice job and a lovely family. But somewhere down the line he made some few mistakes that caused him to lose some of these things and he now sees his mistakes.

The next step is that the person is caught up in looking at his mistakes instead of finding clear solutions to them. Instead of focusing more on what he still had even after making his small and major mistakes, he focused on the mistakes. This is evident from the fact that after he divorced his wife he completely cut all contact and relationship with everybody else. After his divorce, he saw no need of going to mosque and with that he lost a relationship with his God. He also let his relationship with his mother be reduced to an occasional phone call. His relationship with his brother is no longer the same and the one with his daughters is even worse. This cannot even describe the relationship with his friends because i is no longer in existence, he believes that they avoid him since he has his problems.

The third step is that the persons self esteem is seriously affected and they criticize themselves very harshly. George’s self esteem was seriously affected; this is the reason why on looking at him during the interview he looked unkempt. His uniform was dirty and he was not shaven. Hours after his shift ended he is still in his uniform while most people cannot wait to leave work and take off their uniform. This is because he sees no need to do that, to him it is not worth the trouble. He also believes that nobody wants to be associated with him, according to him he is not the one who pulled away from his friends, they are the ones who avoid him because they believe that he is mentally unstable. He is even not sure about reconciling with his ex-wife and it is not because he does not love her and does not long to have some company but it is because he feels he has failed her too much in the past and he doesn’t deserve her taking him back. He feels like he is failure and does not deserve to have someone with him.

The last step is when the person takes up a destructive addiction or activity that helps him escape from the world and feel better for just a while. The other step was George turning to alcohol and drugs and becoming addicted to them. He consumes alcohol because he believes it is the only way he can relieve himself of the stressful issues that he has. To him, there is realistically no way of solving as it is too late. Time has passed too much and there is not much that can be done. Once he uses these drugs and consumes alcohol he goes to another world where he gets the chance to get away from all the worries.

At the heart of the model is the interaction of emotions that lead to some cognitive and behavioural attributes;

Lacks of paying attention to the small things in life, for instance most people do not brush their teeth nor shave their beard. This is the behavioural character that is very visible on George. People also forget the day of the week, George can hardly remember the date and avoids doing any calculation on the test and does not write much on the questionnaire. This is because he probably finds it difficult to do simple addition and subtraction. This means that he is not interested in the events and occurrences of the country for instance politics, economics and even security matters. To him they are of less concern and there is no need to get to know them.

Poor communication skills are exhibited; this is because the people feel like others cannot understand them when they speak calmly. They may feel the need to act it out when trying to explain a specific point. This is reason as to why George feels the need to throw his arms out while speaking. This is because in his mind, he thinks that what he is saying will not be understood unless he actually demonstrates it using hands.

Denial is also a major emotional and cognitive defence mechanism. This is exhibited by tendency not to admit to some situations (Scherer, 2009). During the interview, George also skips over things that he does not feel like talking about. This means that his problem is actually bigger than he is willing to agree. The fact that he believes that he only drinks because he is lonely at times and not because he is an addict is also another point of denial.

Implications for Treatment

The treatment will be done in three phases the early, middle and final stage. This will be done in roughly 15- 20 sessions with George. At the end of the treatment there will be certain expected results and changes.

According to Williams, et al, 2013, the move to another stage will only be possible after the successful completion of the previous stage. The early stage is made up of discussion with George on the strategy to be used, to collect the necessary data required and all relevant information. It is in this stage that George gets to reveal his expectations at the end of the sessions and after several months after the sessions as well.

After that we shall move on to the second stage, at this point there will be several experiments performed to see if the strategy and the framework completely fits his situation, several adjustments can be made to ensure that the strategy is efficient (Blehar, 1997). It is also at this stage that we deal with George’s emotions, as stated earlier he will let all the negative emotions come out and with little assistance he will come up with a suitable and realistic solution that can solve his depression, fears and help mend his relationships. In the final stage, there will be the termination of the sessions and also the implementation of a strategy that will avoid relapse into depression and alcoholism.

During the first stage, all information and data pertaining George will be revealed. This is because the information in this stage will be used in the next stage. George is expected to grasp the seriousness and conceptualize the CBT and all the expectations from him. All the pre existing issues from his decision to leave the basketball sponsorship will be addressed and will act as a foundation in his case.

In the second stage George will bring out all the negative emotions, what he actually and truly feels so that it can lead him to alcohol and to shut himself away from the rest of the world (Blehar, 1997). All the broken relationships will be discussed and the various ways in which they can be amended. It is obvious that George knows some of his mistakes but what he does not seem to know is how to solve them especially at this time when he has grown old. As a father, a son, a brother and a friend he has a role to play in these relationship. He has to come up with the solutions but a relationship at a time to avoid overwhelming him. Having closure is something important in any relationship, it may not mend it but it will help one not to carry emotional baggage.

In this stage George will explain how his life was like before all the changes and which aspects were there and he would like to have back. He will experiment by trying out some of the interests that he had prior to adopting the alcohol drinking habit. It is also at this point that all the negative side effects of his current life will be made to him; however he has to be the one to point out what exactly he feels he is ready to start changing. This will give him the chance to voluntarily give out information.

In the final stage, as the sessions are terminated there will be strategy that will be aimed at ensuring that George will have a social life that includes at least taking spike for a walk in the park full of people and trying out the outside world with his new friend and see if he can make new friends. George is expected to create a new habit that takes the place of drinking alcohol, for instance playing a sport or even reading a book. Then termination will occur with follow up to take place periodically.

Further Discussion

Although this paper is basically supposed to be dedicated to George and his psychological issue of depression, it is also going to dedicate on a few other issues that George is going through and how to best resolve them. These are issues that can be solved by CBT and others cannot be solved by it. It is limited to the psychological aspect of George.

At the age of 68 years George is still physically able to provide for himself but with time he will retire and will be dependent on other people. this is the high time that he solves the issues to do with his mother and daughters before it gets to the point that he completely has no other alternative.

George has cognitive impairment that requires to be treated. This is evident from his lack of coordination of the issues during the interview. This can be as a result of alcohol consumption over the years. This is because alcohol with time decreases proper mental and physical coordination. This may be the reason as to why his hygiene is questionable. Medical intervention is required as there be other physical negative effects that he has developed over the years and during the interview I was not able to detect. For a proper evaluation, a full body check up should be embarked on.

Due to years of withdrawing from the social world, he may be willing to go out there to make friends but may not know how to. He may require a few sessions to be conducted outside in the open where there is interaction with people. This being a person who is looking to stop alcohol intake and is looking for a new hobby, a visit to a golf court would be highly recommended. This however easily follows during the follow up sessions.

Conclusion

George has gone through many traumatic and tough times and he is only human to feel stressed. However he feels judged and this has made him to shrink further and further away from the society. At this point his ex wife is trying to reach out to him but he is way too deep and sees just a failure who will fail her again.

George dedication to the process and strategy will help him to be able to restore his life to the way it was if not better, but he still requires all the other to be willing to help in this process as well. This is because someone may dig themselves into a hole that gets too deep. But when at low place the only other place to go is up and this is his situation. He is willing to come up but he just needs the people around him to help dig his way out.

With a little help from his family and friends George will be able to solve all his psychological problems and become a well off productive citizen.

References

Cognitive-Behavioral Interventions With Older Adults: Integrating Clinical and Gerontological Research, Derek D. Satre, Bob G. Knight, and Steven David, 2006, Professional Psychology: Research and Practice, Vol. 37, No. 5, p 489-498

Psychotherapy for Depression in Older Adults, Edited by Sara H. Qualls and Bob G. Knight, 2006, Wiley Series in Clinical Geropsychology

Counselling for Depression; Critical look at Cognition, Roth, Pilling and Hill, (2009), Pearson Print Press

The Psychological Treatment of Depression, J. Mark, G. Williams, 2013, University of Oklahoma Print Press, p324-455

The cognitive Psychology of Depression at Old Age, Ian H. Gotlib, Howard S.Kurtzman, Mary C. Blehar, 1997, p 94- 150

Self stigma and Psychological Depression; Help Seeking for Depression, Joshua Scherer, 2009, p 7-56.

Deregulation And Globalization

Deregulation And Globalization

Deregulation And Globalization

International business refers to all forms of business operations linking different countries. This works over wide geographical regions. However, for there to be a smooth process in the operation of the same, countries involved always have to come up with decisions and agreements on how it has to be operated. Ball, Don, et al (2009) state that for there to be binding agreements between various players in business alliances, all parties have to be satisfied. If not the mergers will definitely fail. Normally, such accords act as impediments to the operation of the international business if certain parts curtail the rights of partners’ involved. An insight into the nature of international business gives experts an avenue to ameliorating the loopholes that constantly emerge. I choose to deal with matters regarding international business as they regulate all forms of business entities in the entire world. The process of regulating the nature of operations of international business provides a daunting task for business corporations to easily and profitably exist. In this line therefore, I seek to analyze the situations in the air transportation with relation to how it contributes to the operations of the international business.

Research documented by Dr. Zhi. H. Wang (2004) actually shows the existing differences in the process of liberalizing air transport in various demographic regions. This liberalization has had a direct market change for the players involved in air transportation. It is the actual reason for the creation of most strategic mergers between various airline companies. Such mergers and deregulation have had an impact in the globalization of air transportation and should thus be carried out hand in hand. They have resulted in the sustainable growth of the individual countries, economic situations as well as the well being of the individuals travelling. Obstacles that existed before in air transport sector such as issues to do with deregulation have thus been done away with. Wang holds the view that the multifaceted nature existing in international business setting today comes from a variety of reasons which occasion long term challenges. It is such challenges that continue to affect the procedures and basic advances towards globalization.

In this measure therefore, I seek to delve into this challenging environment that presumably is the major discerning issue in international air transport system. The experiences of September 11 cannot be easily forgotten. The abduction of aircrafts for use in terrorist attacks caused a major upset in the transport sector. Consequently, a remarkable decrease in passengers also occurred. Apart from this, other major troubles sprung up including new regulatory directives, inability for some companies to source additional funding, and an unprecedented rise in jet oil prices. These situations were further worsened by the halting of various airline operations and the rescheduling of certain deliveries by the aircrafts. According to Philling (2001) all efforts aimed at attracting back passengers has caused a continuing reduction in airfare sometimes creating losses.

One might therefore ask why many airline companies agreed on having alliances. The answer to this lies in the fact that as long as wars about prices are waged amid financial problems, economic recessions, terrorism, and even competition from each other, there will always be losses to contend with. I strongly support the idea that the best way to stop this is in the formation of mergers in order to sustainably profit from this venture. Airline mergers have been in effect since the 1990s. Alliances have also been as a result of countries seeking to tap into the basic incentives that come with membership. This is facilitated as a matter of fact by the signing of major airline accords by the various nations that enter into such agreements. A historical fact suggests that most international corporations have been wary of venturing into this airline business due to the regulations on alien equity ownership and entry by foreign players into domestic routes (Staniland, 1997).

In the face of these very difficult scenarios, most international operators find it appealing to enter into such partnerships so as to gain entry into fresh market and offer certain services (Oum, Park, & Zhang, 2000). In my view therefore, it is very imperative that a combination of deregulation and liberalization of the airline transport be sought since they effectively support each other. The issue of liberalization still continues to be of concern since it promotes globalization which may lead to a number of problems as much as it results in sustainable development and improvement in the living standards of the people.

There is documented evidence about the progress of the liberalization process from periods in between 1978 to 2003. In 1978, the United States decided to deregulate its transportation system so as to free up on the markets (IATCA, 1979). This act leveled the playing field for the other entrants into the market through the start of various policies that were friendlier. Later on a number of mutual agreements were undertaken that led to a number of operational airlines being formed. In March, 1992, there were agreements that saw the opening up of the skies. This was spearheaded by the United States. While it existed, the United States was better able to have its air carriers explore many other forms of liberalized market segments of the entire globe. One among the very first of such documented accords was between the Netherlands and the United States. It was carried out in September 1992. Basing from the above activities that occurred in the said years, I strongly hold the view that it is these mergers that were the precursors towards various forms of relationships such as IT, ground handling and sales of many products.

I strongly agree with the assertion that deregulation brought the sanity that was missing in international business. It opened up closed markets and led to a further improvement in the market effectiveness. When it was introduced it came in three segments. The first segment that started in January, 1988 permitted all the companies involved to increase their capacity in the routes that they practiced. They would also get entry into certain markets and also to dictate on the fares that were to be paid on the routes. The following package saw to it that all regulations that had been put upon airports removed. It also lessened the nature of the mutual contracts that existed then. The final package was put in place on June 1991. All this packages were the ones that were essential in the blockage of any form of discrimination against any particular airline based on forms of nationality or other discrimination (Shon, 2003). It was a plus in the direction towards the opening up of the international markets. This further boosted the economic situations of the countries that were involved.

It is only fair that I also look into the advantages that have been necessitated by the liberalization of the air passenger services. This is so because the number of air flights remarkably sky rocketed, the market dominance and shares, city pairs and an increase into the number of air carriers. This provided a right step into the right direction. The actual removal of the barriers of entry into this industry further created a conducive environment for other competitors in the industry. This therefore means that as we endeavor to free up the markets for international operations, the required conditions for the operations of the airlines is also effectively facilitated. This goes a long way in the development of not only the airliners but also the individual countries involved in these mergers. It also enables all the multi national companies to have a fair playing field with their competitors in the field.

To those concerned with the operations of the international market, liberalized markets and deregulation provide quite a good environment for businesses to prosper. Entrepreneurs and international managers can thus take advantage of the windows of opportunities existing to set up quite successful business enterprises. Currently, several individuals have taken advantage of this situation and have set up quite successful ventures in air transport. Such an entrepreneur is Sir Richard Branson whose virgin Atlantic airliners operate quite competitively with the other major players.

In conclusion therefore, a study into the air industry in the U.S suggests that small sizes of functions tend to prosper. However, I disagree with those that are of the view that international markets cannot pose a risk for the operation of the various airlines. This is because the opening up of these markets encourages other forms of activities such as terrorism and other economical wars between countries. However, the focus in the markets and the step by step development of the world markets could be the only remedy in dealing with the quite an unsteady and doubtful situations into the future. The opening up of free markets and the strategic mergers have participated in a major way in the growth of economies, protection and dynamism. However, although this view that globalization has various benefits, it is also very true that other challenges are created as a result.

References

IATCA. (1979). International air transport competition act of 1979. United States, PublicLaw.

Oum, T. H., Park, J. H. & Zhang, A. (2000). Globalization and strategic alliances: the case ofthe airline industry. Pergamon: Elsevier Science.

Philling, M. (2001). Crisis action, airline business. Cambridge: Cambridge University Press.

Staniland,M. (1997). Surviving the single market, corporate dilemmas and strategies ofEuropean airlines. London: St Lucie’s Press.

Shon, Z. (2003). The study of airline merger. New York: Jalic Inc.

Zhi, H. (2004). Deregulation and globalization: process, effects and future challenges to airtransport. Cambridge: Cambridge University Press.

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Deregulation for American Business

Deregulation for American Business

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Deregulation for American Business

The concept of business regulation gained much interest after the Global Financial Crisis. While some school of thought argues that the market should be self-regulation, those with opposing views call for objective market regulation to correct market failures. However, deregulation has some merits.

Deregulation was a positive step for American Business because it helps in reduction of formation of cartels that control regulatory agencies of the government for the benefit of the monopoly and individual interest. The process of deregulation led in reduction of Lobby groups and political forces in interfering with market prices through the industry interest. Deregulation encourages unusual roles of academic and publishing companies towards participation in business roles. Deregulation in the transportation industry encourages growth and diversification of the industry. Deregulation levels of transportation industry affect rail and truck. Deregulation of the transport industry leads in increased cooperation among the consumer organizations, environmental organizations, commercial buyers of transportation, and economists. Deregulation gives power the civil society towards formulation of influential Acts that will lead in an increase of profits of road and air transport. The presidents of deregulation civil groups make changes in the transport sector with the aim of promoting competition and devolution of duties with the sector.

Additional efforts in the transport sector involve deregulation of airlines and at the present three airlines are under deregulatory rules. Deregulation in the transport industry lessens barriers of entry in the transport sector and promotes independence of the active parties within transportation. Deregulation in American business results, in the development of competitive prices among the transport services and reduces the cost paid to the regulatory control agency. Entry, exit and pricing of the transport market are currently easy under the deregulation policy. Energy sector is also undergoing deregulation and has mixed rules of regulatory and deregulation from the Emergency Petroleum Allocation Act. Deregulation of energy result in the formulation of different natural gas choices and diversification of the forms of energy. Diversification of natural gas leads in springing of different bodies with the intention of getting a share in supply and distribution of natural gas in different States.

Unregulated supply of natural gas results in the creation of competition and development of fair prices on the consumers. Deregulation of electricity is present in some States and reduces the burden of wholesale competition of electricity supply. Deregulation of the electricity market leads in the supply of electricity according to consumers’ capacity. Deregulation of telecommunication in 1996 led in concentration of media stations and ownership. Telecommunication sector has greatly benefited from deregulation rules. Telecommunication is leading in a positive step for American Business through development of multi-channel transition era. American society enjoys the diversity present and specialization of the media careers. The major diverse sectors in media are studio and networks careers. Technology is improving due to the presence of deregulation rules and development of computer communication technology. Internet is gaining high access in the global market especially the American market.

Various communications in the American business hub operate through the new rule of deregulation of internet services. Wireless technology is increasing competition in the American market especially the supply of the technology. Deregulation kills the monopoly aspect of a single agency taking control of all the services within the communication sector. Competition and innovation are the overall advantages of deregulation of all the regulatory bodies in the American business. The consumers get quality products at affordable prices and very timely. Many potential bodies are getting entry into the market with ease after deregulation. Deregulation favours upcoming companies towards accessing the market niche. Deregulation of finance encourages potential bodies towards formulating financial institutions that meet the needs of the immediate market.

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Derive. My companion and I set off in a random direction and walked down the commercial street.

Derive. My companion and I set off in a random direction and walked down the commercial street.

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Derive

My companion and I set off in a random direction and walked down the commercial street. The street was busy and the air smelled stuffy. These activities reminded me of the times when I used to work in the mall. I felt quite uncomfortable especially when I saw a White lady shouting at a young Asian lady to stop staring at the passers by and concentrate on serving the clients. We entered the mall and the smells we encountered were of new clothes. These were being unpacked and put on the shelves. The respective smells reminded me of the days when I was young. My mother used to take me shopping and would buy me almost everything that I wanted. This feeling became better when we passed by a cosmetic shop and smelled my mother’s cologne. For a moment, I felt that I was in company of my mother and relaxed a bit.

We then proceeded to the central park where we met so many people resting on benches. Most of them looked tired because of the hot and humid weather. We spoke to a young African American lady who looked a little bit frustrated. She informed that her mother had just passed on she was feeling a little bit distressed. The park was well kept and had litter bins in almost all places. Landscaping was also well done and the place generally looked beautiful. This heightened our emotions a bit and we proceeded to the next commercial building. The building was filled with the smell of disinfectant. It was already five o’clock and since most of the occupants were leaving, it was being cleaned. This smell reminded me of a hospital environment. Only that in the later, the smell of disinfectant was mixed with that of medicine. The cleaner that we spoke to told us that he was not satisfied with this work because it always made him feel sick.

Reflection

At this point, it is certain that my previous personal experience greatly influenced my perception of space. Notably, when I entered the mal, I assumed that the place is crowded and very busy because previously, I worked in a mall under similar circumstances. This made me to feel very tired and considered the place to be unworthy of exploring further. Notably, the smell of disinfectant made me to remember the hospital because I had smelled the respective disinfectant in the hospital. This made me to make certain presumptions about the cleaner regarding his lack of satisfaction with his profession. This turned out to be true as the cleaner affirmed that his work made him to feel sick.

To a great extent, my racial and gender beliefs influenced the decisions that we made with regards to interviewing certain individuals. In the mall, I only saw an Asian lady being shouted at by her boss and not a White lady. In addition, I only say an African American woman in the park feeling distressed and decided to interview her. This does not imply that there were no White men in the park looking tired or frustrated. My racial and gender beliefs made me to consider the abovementioned individuals to be requiring more attention and to possibly be more troubled than the later. The relief that I felt after smelling my mother’s cologne can also be attributed to the relationship that I share with her. Whenever I think of her or come in contact with anything that reminds me of her, I feel comfortable and safe.

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Descartes believed that reason is a gift every human being poses and that knowledge cannot be only be attained by books

Descartes believed that reason is a gift every human being poses and that knowledge cannot be only be attained by books

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Philosophy

Question oneDescartes believed that reason is a gift every human being poses and that knowledge cannot be only be attained by books, but through the application of reasoning. His books presented complex scientific and philosophical ideas in a way that only the least sophisticated readers could understand. Due to his believe that every human being possessed the gift of reason, he believed that every human being would understand his arguments in his books. He at sometimes wrote his books in French and not in Latin so that people with formal education could easily understand him. In his evil demon conjecture, he stated that an evil demon is capable of tricking us to believe that the world we all perceive with all our senses is real. However, even in such instances, there is no one point when a human being is not thinking and due to these thinking, then human beings exist (Cogito ergo sum).Question twoSpinoza believed that there existed no dualism between God and the whole world. There is no need of people going beyond the present experience to seek for a being existing outside it. He said that God moves and often lived in nature. The entire universe is god. Nature or God can be interpreted as its own cause and is often self sufficient. Man in his egoistic ways has tried in all ways to imagine that God is like him and that GOD acts in the interest of man at all times. However, according to him, God does not love or hate. The nature of God is different from us and from our dreams and aspirations or interests. Therefore, human beings should stop equating themselves from God because He is infinite and self sufficient. There is no way man can equate themselves to God because God is above everything. He created everything in the universe himself.Question threeIn his theory to be is to be perceived, Berkeley concludes that all that individuals know about an object is only the perception of it. Individuals rarely think or know an object unless it is perceived by the mind. Since individuals are capable of perceiving other human beings in the way that they speak, he can only believe in their existence and in the whole world being identical to every individual. Thus, the assumption is that the world is analyzed with all the five senses and it often impossible to perceive the world without the five senses. We cannot make sense of an object or situation unless we perceive it. This theory was criticized by many due to the fact that he said we can only know an object by perceiving it. Question fourHe did not believe in innate ideas that an individual is born with. He said that our minds are often in a blank state. Experiences through senses and all our reflections filled this slate. He came up with distinction of simple and complex ideas. Simple ideas are those ideas originating from the senses which cannot be broken down. Complex ideas, on the other hand, are a combination of all simple ideas. From these two ideas, one could know the primary and all the secondary qualities of an object. All objects have specific attributes that may fall in either the primary or the secondary qualities. Primary qualities are found in the object and are objective because they are perceived by almost every individual. Secondary qualities are all attributes that the perceiver brings to the object. These are subjective because everyone brings different qualities to the objects. Thus, his theory of representative realism came from all these ideas. The world represents the entire external world but does not necessarily duplicate it. Instead of experiencing the world first hand, we first experience it indirectly via representations.Question fiveLeibniz explained that the world is made of infinity of many simple substances known as the monads which were characteristic of his rationalistic views. Aggregates are built from these simple things which according to him are elements of all true reality. Simple substances were incapable of being created or destroyed. Thus, Leibniz entails that monads are composites which are classified as a collection of simples. These simples cannot be broken down of their constituent parts due to their smaller magnitude thus they are true atoms of nature. This means that they are the main constituents of our universe due to them lacking parts. Due to this, they are the only true identities. These monads must possess certain qualities or they cease to exist. Due to their unique status, they must possess qualities different from other monads.Question sixHume asks us to consider what impression brings about our conception of the self. Human beings tend to perceive themselves as selves- independent and stable entities existing over time. However, no matter how hard we examine our own personal experiences, we do not observe anything that is beyond our feelings, sensations and also our impressions. It is impossible to observe ourselves in a unified way. There is no particular binding that brings our specific impressions together. We can never be aware of ourselves but only aware of our experiences at a certain time. Thus, the self is only a bundle of perceptions. This may be due to our attribution of our existence to a collection of associated parts. This belief is mainly natural with no known logical explanation.Question seven

Hume made an observation that many people acknowledge a conjunction between two events. However, there is no way to establish a connection. This makes him argue against the concept of cause and effect. People assume that one thing causes another, but there is also the possibility that one event does not cause another. He claims that causation is only a question of association which is unfounded and also a meaningless belief. When we experience two events following each other repeatedly, we tend to associate them with cause and effect and this is only logical. The instinctive belief of causality is rooted in our biological concepts such that it is very difficult to erase. By accepting out limitations, we can deal with this situation by functioning without abandoning all our beliefs about cause and effect.Question eightKant achieves the Copernican revolution by turning all his focus of philosophy from metaphysical speculation of the reality nature to critically examining the nature of the thinking and the perceiving mind. He acknowledges that reality is a joint that creates external reality and the human mind. We can only acquire knowledge by regarding the latter. To solve the problem presented by Hume, he rubbishes the idea that the mind is a blank state. The mind not only receives information but also shapes the acquired information. Knowledge is, therefore, not something that is created externally and then introduced into the mind. Rather, it is created by the mind by filtering various sensations using the faculties of our mind. Thus, individuals only grasp knowledge in its general form informing our experiences.Question nineIf Hume’s arguments are true, then science and knowledge have implications in general. This is because science tends to make us believe that events occur in conjunction. Science makes us tend to believe in causation and effect. This can be detrimental to human beings because even in the events where causation and effect relationship does not exist, people will only believe in their existence because science suggests so. On the other hand, knowledge may inhibit an individual from believing in their perception. An individual with a considerable level of knowledge will tend to believe that they are independent entities. This is not right according to Hume because our personal experiences originate from our senses.Question tenTo exist independently means that one is stable alone without the help of others. Individuals do not have necessarily to depend on any other person’s ideas or perceptions. What other people tend to perceive us or say about us does not bother us. Individuals tend to think of themselves in a certain way and that is how they live for the rest of their lives. What other scholars have written or what other individuals close to us say is not put into much consideration. Every individual can operate on their own with what they perceive as right according to their own ethical beliefs.

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Descartes Philosophy on the Significance of the Body to the Mind

Descartes Philosophy on the Significance of the Body to the Mind

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Descartes’ Philosophy on the Significance of the Body to the Mind

Mind-body problem is the nature of association between the soul and the consciousness. It is mainly addressed by Rene Descartes who was a great French philosopher and mathematician in the 17th century. In philosophy, mind-body problem studies the relationship between matter and the mind. His views about mind and body results in Cartesian dualism, a believe that sensory organs are the ones which pass inputs to the epiphysis in the brain and then to the immaterial spirit. He also believed that the body is controlled by the mind through the pineal gland which is the principal organ where all thoughts are formed. Due to Cartesian dualism, different styles have emerged most being dualist and monist. Dualism ensures a rigid differentiation exist between the two organs (body-mind). Monism on the other hand measures the uniformity body and mind. Monism exists in three forms that is physicalism, idealism and neutral monism. Physicalism states that the mind is made up of matter arranged organized in a structured format while idealism holds that the existence of matter is an illusion that only exists in our thoughts. In neutral monism, matter and the soul are only unique essence that is identical to none of these two organs.

Descartes further asserts that the spirit and matter are distinct kinds of substance. He categorizes minds as unintended, thinking and feeling substances while bodies as extended substances incapable of feeling or thought. Substance dualism for example holds that mind/soul is made from uncommon type of substance which is not governed by either law of physics. On the other hand, property dualism entails that thou laws of physics are valid universally, therefore not fit in explaining the mind. However, it is difficult to identify how they could causally interact if they are radically different kinds of substance as argued in Princess Elizabeth’s letter.

Mind-body interaction plays a critical role in pretheoretic conception of agency since human soul can be able to determine the movement of animal spirits in the body in order to do voluntary acts being a conscious substance. Mental causation also aids in the formulations of the dualism relationship between matter and spirit/mind. Psychological explanation further defines the intelligibility of mental causation whereby if ones beliefs and desires are causally isolated from his or her bodily behavior, then what goes on his or her mind could not explain what he or she does. As a result, moral responsibility will be noticed if psychological explanation goes through hence leading to a satisfactory solution to the problem of mental causation.

On the other hand, Leibniz being a rationalist philosopher was also committed in his two theses about mind body perception.

Firstly, he argued that the spirit/soul has specific innate ideas. Secondly, he believed as well in the sufficient reason theory whereby everything has a reason for its cons and pro. Due to his principle having huge metaphysical consequences, it led him to state that the existence of the world is explained by the theological principles of God. Leibniz claims of reason therefore had some consequences about the metaphysics and nature that deals with fundamental questions on the existence of casual existence relationship between our thoughts and physical nature. He advanced the theory of pre-established harmony in order to respond to the body-mind nature of association. The theory stated no interaction between substances whereby the mind proceeded and unfolded respective to its own laws. Moreover, the body moved irrespective of the governing principles with such movement being in a perfect harmony state. He believed that there are simple substances called monads which are mind-like beings with forces that man all phenomena. As a result, space and time aid in cradle of the bodily phenomena since simple substances man matter and motion philosophy.

Szasz focuses on in the body-mind differential principles. He views the body and mind as separate concepts representing different types of phenomena. In his argument, both the soul and the mortal body cannot take the same direction, for instance sickness, as the mind is just but a metaphoric creature. Mind and body are therefore not only separated but two distinct object that function independently and responding differently to environmental variables. He further points out that from the ego’s point of view; the mind is part of the body. Mind and body are inseparable and distinguishable by double aspectism. There is a sort of separate mind and body since experimental and cognitive aspects can be differentiated from physical aspects. Physical brain constitutes the mind. The brain forms a critical body part which is a physical attribute of epiphenomenalism. The physical body affects the mind but the mind has no influence on matter/body. For instance, had the body been a TV, the mind would picture when the TV is switched on/off. Hence, this only affects the mind in picturing being a TV and the body. Therefore, any mental event has no influence on the activity of the brain.

Consequently, the body-mind relationship can be seen through physicalism, substance dualism and dual aspect theory. Materialism is the perception that the spirit and the soul have a link with matter and can be reduced to matter. Substance dualism explains mind and body as distinct substances which are unique whereby mind is un-extended and body extended. Using Nagel’s perception, mental properties cannot be reduced to physical properties pertaining dual aspect theory but they are two different ways of looking at the same thing. Dualism and mutualism of the mind has been in existence since the times of Plato and Aristotle. Dualism has been the driving force for the existence of the mind and body problem. Perception of the soul has influence over the body is beneficial since the body can heal whereas the mind expedites recovery. In our everyday activities, the mind frequently displays wonders of thought, memory, logic and creativity. It therefore has power to do great things.

Mind and body affect the human interaction as well. During interaction, both the body and mind have influence over each other because they are both involved in the interaction. According to Descartes, it is the space extension that makes us physical creatures and our ability to think is what constitutes our mental being. His words Cogito Ergo Sum implied to mean “I think, therefore I am” creates a problem since the mind exists a separately from the body with no physical association. Occasionalism explains the relation of mind and body. In many occasions, it seems that God keeps watching over us daily and makes things happen with the mind instructing the body. It solves the problem of how the mind and the body affect one another. Its weakness is the assumption that God watches over us daily.

Explanation of body-mind with reference to circular causation sounds more appropriate and relevant than linear causation. Different correlations have been studied in neuroscience between brain activity and conscious experiences. Consciousness which is a biological process of molecular signaling and interaction of the nerve cells therefore remains a challenge since relating it directly to brain activities is difficult and yet to be proven as a process. However, daily science increasingly gets interested in human perception, action and thinking. It dwells on how the human body interacts with its surroundings and the way in which those particular interactions shape the mind of a human body. This is evident in the Cartesian divide between the immaterial mind and the material existence of human beings (Damasio, 1994). A study of bodily actions provides a bridge across the mind-body relation. This is because they neither react to external stimuli nor indications of mental states which only contain relationships to the features of the action. On the other hand, parallelism shows the non-existence of a relationship between matter and the immortal mind. When one’s mind decides dictate the body rhyme, it becomes a coincidence that the body walks over there. They only appear to. This therefore brings in mind the body-mind correlation concept as described by God in the case of Leibniz in Pre-established Harmony.

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Describe a significant social or technological event of the 20th century

Describe a significant social or technological event of the 20th century

Effects of Landing on the Moon

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Effects of Landing on the Moon

For centuries, man was fascinated with the idea of walking on the moon. In 1969, Neil Armstrong, an American Astronaut, changed this fantasy to reality by setting the first human footprint on the moon. This pioneering technological feat by the Apollo 11 crew inspired further cosmic explorations and placed America in the annals of history and at the leading position in terms of technological innovations (Moroz, Huntress, & Shevalev, 2003). Landing on the moon propelled the industry response that was hitherto uneven, perhaps justifiably due to the lessons learned from the disappointments of previous missions. Space enthusiasm continues to grow across the globe as nations develop new planetary exploration techniques for economic, national security, and research purposes. Landing on the moon triggered a spirit of confidence in the human capital, opened up new opportunities for future explorations, and enhanced competition in modern society.

Landing on the moon takes credit for inspiring confidence in the human capacity to withstand even the perceived insurmountable challenges. Not only does the missions to the moon and other planets inspire confidence in people but also brings a sense of pride and positive perspective on the capacity to succeed in any mission. Notably, the emotional significance of landing on the moon emerges from the fighting spirit in people and their desire to explore new opportunities in other planets regardless of the challenges involved. On a wider context, modern planetary expeditions seek to find solutions to social, medical, and economic problems, and explain religious myths about the moon and other night sky objects (Steyaerta & Katzb, 2004). The new research findings from space explorations serve as unifying forces and boost the belief in people’s individual and collective strength.

Today, space explorations benefit society by providing new research and financial opportunities. Space entrepreneurs and explorers make profits by facilitating space travel and providing new information for planetary research. Several major airline companies like Virgin Galactic and Rocket Ship Tours create sophisticated crafts that facilitate space travel (Steyaerta & Katzb, 2004). These companies continue to grow in profit and popularity owing to the increase in the number of space enthusiasts. People wish to learn more about the abundant space and mineral resources available in the solar system that offer solutions to Earth problems. The potential for Mars to support human life and its iron rich soil are example of benefits that can be channeled towards helping the population and mineral limitations on earth.

Many nations engage in military, political, medical, and technological competition that stem from the Space Race. This popular rivalry, which resembles the Cold War, pitted the Soviet Union against America in the quest to achieve dominance over space explorations (Moroz, Huntress, & Shevalev, 2003). President Kennedy made a passionate appeal Americans to counter the Soviet’s dominance of space explorations by giving an inspiring speech to the nation to support its astronauts both morally and financially. This historic speech was not in futility because Armstrong set the first human footprint on the moon a decade later. Other nations perceived this as a challenge and trigger to modernize their space activities to surpass the American achievement. Today, nations rival one another on political, economic, social, medical, research and other issues as a result of the previous competition for space explorations dominance.

Landing on the moon opened up new frontiers for future exploration, inspired a belief in the unlimited human capital, and fueled rivalry among societies. People recount the successful mission to the moon and get a feeling of pride and inspiration to prevail over any hurdles in their endeavors. Modern space explorations open up numerous opportunities for further research to find solutions to problems on Earth and facilitate entrepreneurship for private gain. The enduring modern social, political, economic, and technological rivalries among nations are akin to the Space Race and the Cold War that pitted the Soviet Union against America.

References

Moroz, V., Huntress, T., & Shevalev, L. (2003). Planetary Missions of the 20th Century. Cosmic Research. Volume 40, Issue 5, pages 419-445.

Steyaerta, C. & Katzb, J. (2004). Reclaiming the space of entrepreneurship in society: geographical, discursive and social dimensions. Entrepreneurship & Regional Development: An International Journal, Volume 16, Issue 3, 2004, pages 179-196.

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Describe a variety of assessment tools including interest, abilityintellectual level, achievement level

Describe a variety of assessment tools including interest, abilityintellectual level, achievement level

Assessment Tools

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Describe a variety of assessment tools including interest, ability/intellectual level, achievement level, and personality type assessments. At least 4 assessment tools must be chosen for each category in the previous sentence. Include a short description of each tool.

Personality type assessments- are tools used to determine the characteristics of a person, one of the tools is the aptitude test that measures how efficiently one can perform in their particular area (Hensen, 2004).

The Myers-Briggs Type Indicator (MMTIC) assessment can assist children to comprehend themselves better, and give parents and teachers better ways and methods to reach children with different learning styles.

Insight Inventory is another tool that can evaluate personality; it provides a common sense format of balanced view of behavior. Self-scored within minutes, Participants adopt important behavior skills, including how to adjust their style to manage conflict, and improve on team work (Hensen, 2004).

Human metrics Jung Typology Test- uses methods, questionnaires, scores and software appropriate to Human metrics. This is based on Carl Jung’s and Isabel Briggs Myers’ typological research on personality coupled with strengths of preferences and the description of one’s personality.

The Personality Questionnaire for Kids- helps to evaluate how a child views the world. This can be used to determine how they will respond to external stimuli and change in environment for instance change in school (Aiken, 2002).

Interest can be assessed by

The 16PF interest test- measures the interest of an individual based on self reporting, it is usually conducted without the knowledge of the person so as to be able to tell their exact interest without pretext

Smart interest test- this measures how far one is will to allow changes and how well they can adapt to these changes simply because they fall within their interest brackets.

CAT tests are administered to determine the maximum performance and interest of an individual and assess whether they are currently living them in their lives.

Vocational interest measures the development of interest, how long it takes for an individual to develop interest in something that is meant to be for their benefit.

Tools for assessing intellectual level are;

The Reynolds Intellectual Assessment Scales- is administered individually and is based on the measure of intelligence based on the memory. It is suitable for individuals between ages of 3-90 years and includes both verbal and non verbal interpretations of answers. Different have different questions (Aiken, 2002).

Formative assessments- It is also referred to as diagnostics testing. It is mostly used in the education system by teachers to evaluate the improvement on students. It is based on qualitative feedback and is often conducted periodically in an effort to make proper comparisons (Hensen, 2004).

The Stanford-Binet-5- it is used to measure intelligence. It focuses on the areas of verbal reasoning, quantitative reasoning, abstract/visual reasoning, and short term memory. It is used to determine how well and clear memory can be and is most appropriate for people aged between 6-70 years.

Wechsler tests- it is an adult and children intelligent scale that focuses on individual ability to adopt to changes in the environment and at the same time to look for solutions to problems.

Achievement can be assessed by

Broad- spectrum tests can be used to measure achievement and include Woodcock-Johnson Achievement Tests; – It measures fundamental skills, ease in a subject and capability to use skills. For instance reading, tests will measure ability to decode words, knowledge of phonics, ease in reading fast and accuracy in understanding.

Wide Range Achievement- it measure how well an individual is able to read statements, understand phrases and calculate mathematics with ease. It allows for testing within a short period of time and has no effects on the individual being tested. It is appropriate for individuals between the ages of 5-94 years.

Product -Gray reading tests- it is based on oral reading and shows the development and improvements that take place in children as they become more and more efficient in their reading. Achievement testing shows a child’s levels of academic performance compared to a standard peer group (Aiken, 2002). Children can be compared to age or grade peers or to children of lower or higher ages

Test of Reading Comprehension and Test of Written Language. It depends on the subject depth to be evaluated but mostly focuses on the ability to understand the written language and to translate it into the written words without assistance from any one. It is mostly conducted on children in order to determine the strides ad improvements that they are making (Hensen, 2004).

Criterion-referenced tests (CRT) – measures what the person is able to do and indicate what skills have been mastered. This is appropriate to work stations as it can be able to help to pick out the best individual suited for a promotion due to increase in competency.

Cognition Assessment

Cognitive assessment can be vital especially in detecting dementia in older adults and ADD in younger children

Mini Mental state Examination (MMSE), – this mostly evaluates the memory of a person and how well and clear it is. Especially in older adults when the memory is not good and they easily forget things it is usually a sign of clinical schizophrenia.

Attention analysis test – this analyzes how easy it is to capture and loose the attention of an individual. This is especially so in younger children whose attention is expected to be easily captured by new things and experiences. If these things do not capture the attention of a child they may be suffering from acute to severe case of retard.

The MGF planning test – this is a test that is used to determine if an individual can be able to plan something and execute the very way it was planned. In children it is determined by use of toys that are stacked up and crumbled and the child is asked to make it to appear the way it was before.

PEPP assessment – this deals with comprehension of language and how it is translated and put down on paper (Hensen, 2004). It measures the ability and capability of a person to understand his environment and come up with a structured way in which it operates and how it should operate.

References

Hensen Michel, (2004), Comprehensive Handbook of Psychological Assessment, Springer Publishers, Washington D.C

Aiken R. Lewis, (2002), personality Assessment: Methods and Practices, Prentice Hall Press, New Jersey.

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Describe and Assess the Economic Arguments for Government Intervention in the Health Care Sector, with Particular Reference t

Describe and Assess the Economic Arguments for Government Intervention in the Health Care Sector, with Particular Reference t

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Describe and Assess the Economic Arguments for Government Intervention in the Health Care Sector, with Particular Reference to Public Health

Introduction

In the recent past, there have been contentious debates with regard to public health and the implications of the government policies in safeguarding the same. The specific areas of concern in this regard revolve around smoking bans, food labeling, advertising of junk foods, alcohol taxation and prescription of ideal public behavior. While some segments of the populations contend that governments need to play a critical role in safeguarding the holistic wellbeing of the population, some point out that such measures are a mere intrusion in the privacy of the populations. Yet some maintain that the relative economic implications of such measures have beneficial effects on not only present but also future populations. It is in this consideration that this paper provides a critical review of the economic arguments for government interventions in public health.

From an economic point of view, Henderson (2007) asserts that public health can be considered to be a capital as well as consumption product. With respect to the former, persons in good health tend to be more valuable than their counterparts in poor health. This is because they are more economically productive than those in poor health. This is because they have the physical, mental and educational skills and capacities upon which economic productivity is anchored. As a consumption good, public health is an invaluable economic good because it contributes significantly to an individual’s physical and economic wellbeing and satisfaction.

In their review, McPake and Normand (2008) indicate that providing healthy living conditions is of paramount importance to the overall health of the populations. The government’s intervention is a sustainable measure and morally acceptable as primarily, it is responsible for safeguarding the health of its population. Comparative studies show that developing economies tend to lag behind because of the failure of the governments to provide healthy living conditions for their populations. Furthermore, the inherent differential growth between the countries that are rich and their poor counterparts is attributed to the incidences of ill health and short life expectancy in the latter (Gold, Siegel, Russell & Weinstein, 1996). Thus taking measures to increase the life expectancy of such population is posited to be the fundamental measure that could help counter the situation.

Drummond and McGuire (2001) cite that improving the environmental health in developed countries is likely to increase economic production by a significant 37% per year. This is because improving health would possibly culminate in higher productivity of the population that would then enhance the overall output. A similar effect would be contributed to by a perceived increase in the supply of labor. Most importantly, the relative increase in training would result in diversification and increase in the skills of the population and hence lead to an increase in savings. These in turn would be instrumental in enhancing production as they would be invested in intellectual as well as physical capital (Australian Government, 2009).

The costs of ill health that stem from poor public health have far reaching implications on the welfare of the populations. Briggs, Sculpher and Claxton (2007) categorize these in three main classes. The direct costs are associated with the costly procedures of treating the illnesses that the populations suffer from; indirect costs are those related to loss of the loss of productivity as a result of high morbidity rates, low life expectancy as well as premature deaths and finally intangible costs that constitute the psychological implications of the illnesses and diseases.

In this respect, Morris, Delvin and Parkin (2008) ascertain that unlike the first two, intangible cost can not be measured. The Australian Institute of Health and Welfare (2008) laments that the costs associated with illnesses that culminate from poor public health take up a significant 6.7 percent of the Gross Domestic Product of the country. In particular, a recent study that was undertaken by the Australian Government in 2009 found out that heart related complications that are associated with environmental pollution account for 1-3% of the country’s Gross Domestic product. This if transferred to other economic sectors can contribute to the growth of the country significantly. At this juncture, it can be argued that the government is justified in making timely interventions in order to reduce these costs that undermine the holistic economic growth of the country.

In addition, it is worth acknowledging that since the economic costs that are related to poor public health are born by the population, government interference in this regard is instrumental in curbing these. This contributes to the improvement of the quality of life of the population and further enhances their productivity. Conversely, Muennig (2007) argues that in a society that is experiencing significant living costs; premature deaths are beneficial as they significantly reduce the costs of the government in this respect. However, it should be acknowledged that the productivity of healthy populations can also reduce the costs of the government and boost production at the same time. The ultimate economic benefits are more than these that would be realized in premature deaths. Besides, human life has intrinsic goodness that should be safeguarded. Since the economic value of the activities that they are likely to engage in increase with time, Haddix et al (2002) maintains that it is better to prevent the costs through enhancement of public health than allow premature deaths.

Conclusion

Public health issues have raised various controversies in the recent past. Government interventions are mainly geared towards eliminating the economic costs that undermine the welfare of the populations. As it has come out from the study, healthy populations are more productive than their unhealthy counterparts. Premature deaths and costs that are related to illnesses have far reaching implications on the holistic wellbeing of the population as they are entirely borne by the same. The resultant direct, indirect and intangible costs inhibit economic growth of a country as they take up a significant percent of its gross domestic product.

In this consideration therefore, it can be contended that the government interventions to enhance public is a cost effective measure because it reduces the costs that the population would incur to cover for the consequences of the negative implications of public health. Further, it is note worthy that addressing such costs in a timely manner contributes directly to economic development of the country in the long run. Generally, enhancing the health of the population through preventive measures yields more benefits than allowing premature deaths. This deprives the country of human labor that is critical in enhancing economic productivity of the same.

List of References

Australian Government, 2009, Healthier Future for all Australians, National Health and Hospital reform Commission, Australia.

Australian Institute of Health and Welfare, 2008, Australia’s Health, AIHW, Australia.

Briggs A, Sculpher M, & Claxton K 2007, Decision Making in Health Economics. Oxford University Press, USA.

Drummond M & McGuire A (eds.) 2001, Economic Evaluation in Health Care, Oxford University Press, USA.

Gold R, Siegel E, Russell B & Weinstein C, (eds.), 1996, Cost-effectiveness in Health, Oxford University Press USA.

Haddix C, Teutsch M & Corso S (eds.), 2002, Prevention Effectiveness: A Guide to Economic Evaluation, Oxford University Press, USA.

Henderson, W 2009, Health Economics, South-Western Cengage Learning, UK.

McPake B & Normand, C 2008, Health economics: An international Perspective, Rutledge, USA.

Morris S, Devlin N & Parkin D, 2007, Economic Analysis in Health Care, John Wiley & Sons, UK.

Muennig P 2007, Cost-Effectiveness Analysis in Health, Jossey-Bass, USA..

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