Thursday, October 31, 2019
Political Campaigns and the Internet Essay Example | Topics and Well Written Essays - 750 words
Political Campaigns and the Internet - Essay Example ââ¬Å"Americans spend more time surfing the internet than anyone else in the world, with users clocking up an average of nearly 28 hours a month.â⬠(Paris, 2011). The access time spent on the internet by the American people has caught special attention of campaign planners for political parties and they are now focusing more carefully on website designing, blog generations, personalize emails and podcasts. Social networking sites are also getting more and more attention of these planners because social networking can target specific groups very easily for the fundraising, campaign and convincing. The Presidency election of 2008 had given birth to new domains in internet driven political campaigns and fundraising activities. The emergence of internet as a new medium of communication and campaign has changed the way political activities were supposed to be planned and carried out in the past. The ââ¬ËChangeââ¬â¢ slogan was undoubtedly applied forcefully to the use of intern et at the largest scale in the campaign of the President Obama in 2008. ââ¬Å"One of the many ways that the election of Barack Obama as president has echoed that of John F. Kennedy is his use of a new medium that will forever change politics. For Mr. Kennedy, it was television. For Mr. Obama, it is the Internet.â⬠(Cain, 2008). The use of internet is beneficial for both the political parties and the audiences and political campaigns are now moving towards the ââ¬Ëpaperless campaignââ¬â¢ arena where there will be not broachers, pamphlets. Sooner or later these and many other conventional mean of political campaigns will turn into obsolete techniques and fast pace of information communication will also take over the political campaigns as well. The use of internet is specially beneficial because it has reduced the campaign costs dramatically. Internet when compared to other advertising mediums and technique is not only affordable for low budgeted campaigns but also very ef fective and amazingly fast technology. ââ¬Å"The internet is a high-return, low-cost means of dispensing information. Campaigns can establish an internet presence for a very modest amount, compared to the costs of many other forms of advertising.â⬠(Trent, 2008). The audiences of political campaigns are now better off with the introduction of internet and electronic media in campaigns. The can directly read the written policy statements and agendas of political parties and their leaders. Additionally, audience can easily compare and contrast these policies with those of other candidates in the same constituency. The can get the latest new and updates in a fraction of second without time consuming political gatherings and meetings. Todayââ¬â¢s voter or prospect supporter is busier than ever before and the political campaigns consultants are aware of the limitations of their target audiences. They facilitate their voters with personalize emails for all political update, party stance, voting regulation changes, polling station details and many other information that may save their time and avoid any botheration. The fund-raising is far easier and rewarding through internet then conventional letters and television campaigns. Those expensive and time consuming fund raising campaigns are now replaced with the personalized emails sent to targeted political
Tuesday, October 29, 2019
Efforts to Reduce the Budget Deficit Essay Example | Topics and Well Written Essays - 750 words
Efforts to Reduce the Budget Deficit - Essay Example Indeed in line with the conventional analyses, the United States has been a clear example of how disruptive an increasing debt deficit is to the long-term economic growth. The national debt has not only suppressed the overall national savings, which, in effect, has reduced domestic investments, but has also increased the countryââ¬â¢s borrowing abroad, as evident in the current account balances. It is undeniable that sustained national debts over the years have played a lead role in increasing interest rates, making internal borrowing for investments expensive, hence the capital from abroad to finance the federal budget for almost every government that has ever been in place. As a result of the alarming successive decreases in the national income due to the huge returns from the domestic capital stock accruing mostly to the foreigners, a trend that has now erected caps on the national productivity via a mounting unemployment, several statutory budget controls have been enacted by the congress to reduce the budget deficit, with most notable efforts beginning in the year 1985. After years of disagreements between Congress and the President [Regan, to be precise] on either tax increases or spending cuts as a way forward in halting the trend of deficit growth, members of Congress from both sides of the divide finally passed the Balanced Budget and Emergency Deficit Control Act of 1985 [popularly known as the Gramm-Rudman-Hollings Act ("GRH")]. Passed and approved by the President as ââ¬Å"an important step towards rectifying decades of fiscal failureâ⬠GRH laid down procedures of eliminating the federal budget deficit that stood at $200 billion in 1986 by the year 1991 (Stith, 1988). GRH was essentially a binding enactment, enforced independent of the legislative budget process and the executive orders, which had failed in cutting down the total government spending and/or resisting political pressure for more government programs. The celebration particular ly for President Reagan who had grander ambitions of reducing the share of the national resources consumed by the federal government was, however, short-lived, as the provisions of GRH was ruled a ââ¬Ëviolation of the principles of the separation of powersââ¬â¢ in 1986 by the Supreme Court in Bowsher v. Synar. To save efforts that went into making the GRH from complete collapse, the Congress went back to the drawing board, eliminating the constitutional defects identified by the Supreme Court eventually producing an amended version of GRH that moved automatic sequestration process from the hands of Comptroller General to the Office of Management and Budget (OMB) in the Office of the President (Stith, 1988). Accordingly, the deficits decreased in the subsequent years as a result of substantial cuts in spending accompanied by economic growth that ensured increased revenues. With the turbulent Bush administration in the 1990s, GRH proved insufficient in restricting the growth of the deficits. Congress, thus, reached an agreement with the regime allowing for a combination of ââ¬Å"tax increases and caps on government spendin
Sunday, October 27, 2019
Incorporating Theory And Practice To Achieve Competency Nursing Essay
Incorporating Theory And Practice To Achieve Competency Nursing Essay Dewey (1938) stated that all genuine education comes through experience. Certainly, in practice-based professions such as the health care professions, clinical experience should be the basis for learning. To extract learning from experience, we need to create meaning from our experiences as we interact with and react to, them. We cannot allow any experience to be taken for granted; once we do so, actions become routine and habitual, we stop noticing and enter into a rut (Stuart 2007). Critically discuss this quotation by focusing on the complexity of learning in practice, the complexity of supervisory process and the end goal of creating a competent practitioner. Table of Contents Introduction John Dewey, one of the paramount philosophers and educational theorists of this century, wrote the book Experience and Education, more than 70 years ago, toward the end of his career. The book is based on the principle that all genuine education comes about through experience. Are his ideas relevant to nursing education in this day and age? Can we develop a theory for learning in our workplace? Are all experiences educative? Should clinical experience be the basic of learning? The following assignment shall use these questions as the basis of critical discussion about the complexity of learning and supervising and the formation of competent practitioners. The Maltese Code of Ethics for Nurses and Midwives (1997) seeks to promote the highest level of care delivered by nurses and midwives to their patients. This goal can only be achieved in the nursing profession, by the confluence of the two segments of health care; science and art. It was Florence Nightingale who created the art and science model of professional nursing practice and entrusted it to future generations. Nursing as a science and a profession is characterized by a close relationship between theory and practice (Papastavrou, Lambrinau, Tsangari, Saarikoski, Lieno-Kilpi, 2010), which involves the technological and research aspect of patient care. Conversely, the art of nursing is a more holistic view and takes into account all the patients mental, physical and spiritual needs. Hence, competent professional practice requires educational theoretical knowledge, as well as knowledge gained through hands on experience. Clinical experience and learning in practice Dewey (1998) argued that all genuine education comes about through experience. If Deweys statement is accurate, then why is the number of students attending universities increasing year after year? Why youths do not find employment instead of going to universities if the essential education can be gained directly through work experience? Is it feasible to allocate students in a ward, without any background knowledge about nursing? It is a fact that the knowledge base of nursing can be found in books, journals, and media and in handbooks of practice. On the other hand, Handal and Lauvas (1983) argued that a different component of practical theories is the transmitted knowledge and understanding communicated by others. This is because we pick up others knowledge and understanding together with our own experiences. Bonwell James (1991) stated that research consistently has shown that traditional lecture methods, in which lecturers talk and students listen, dominate university classroom s. Rolfe (1998) added that although this kind of knowledge forms the foundation of the science in nursing, nurses also need to have knowledge about themselves, their own clinical practice and their individual patients, if ever nursing has to become holistic and patient centered rather than disease focused. YourDictionory.com (2010) defines experience as an activity that includes training, observation of practice, and personal participation. Therefore, experience offers opportunities to the student to live through alternative ways of approaching the practice setting. However, nursing procedures, which may initially be taught in university clinical skills laboratories, require more varied and complex skills than can be taught in classrooms. It is not sufficient for a student to learn, for example, aseptic techniques, by reading a book, attending a lecture, or performing a skill in the lab where the environment and role model are perfectly controlled. Although knowledge learnt in the lecture rooms is essential as basic information, performing the skill in real life is something different altogether. For instance, when considering aseptic technique, a student on the wards can actually observe the wound, any odour or exudates, and assess pain whilst answering patient questions. Moreover, Po lanyi (1967) argued that much of the knowledge which inheres in human skill is tacit, and can only be learnt by observation. Thus clinical practice is a combination of practice of skills, the use of tacit knowledge, the use of knowledge about the skill and the use of knowledge of the field of practice (Jarvis, 1992). Besides, Nightingale (1893) as cited by Alliggod and Marrier-Tommey (2006) believed that nursing education should be a combination of both clinical and classroom experience. She states that Neither can it (nursing) be taught in lectures or by books (alone) although these are valuable accessories, if used as such: otherwise what is in the book stays in the book (p.24). In addition, Dewey (1998) further argued that experience alone, even educative is not enough. To a certain extent, it is the meaning that one perceives in and then constructs from an experience that gives the experience value. Consequently, this leads to the role of reflection, where its function is to make meaning out of our experiences. Loughran (2002) acknowledged that reflection is continually emerging as a suggested way of helping practitioners better understand what they know and do, as they develop their knowledge of practice through reassessing what they learn in practice. Moreover, Schon (1983) emphasis that reflection is a way in which professionals can bridge the theory practice gap, based on the potential of reflection to encourage knowledge in and on action. Since reflection facilitates discussion, it promotes the concept of shared learning. Furthermore, Schon (1987) acknowledged that when clinicians are trained to make their knowing in action clear, they can inevitably use this awareness to enliven and change their practice. However, one can argue that reflection is not a natural state or known without someone introducing it, but as Schon stated these systematic processes need to be guided experiences so that practitioners can derive the best possible outcomes from them. On the other hand, Crathern (2001) asserts that once reflective skill is mastered it will not leave the person. Thus clinical supervisors should help and guide students to develop and engage in the process of reflection as a means of deriving knowledge from their clinical experience. The complexity of learning in practice Antonacopoulou (2006) declared that learning is a process as well as a product, a cause, a consequence and context in which life and work patterns are achieved, and in turn organise learning. People have been trying to understand learning for over 2000 years. However, everyone has a different suggestion how to approach learning. Some might argue that learning is an increase in knowledge, that it is memorizing, or that it is acquiring facts or procedures that are to be used. Others may say that learning is making sense or understanding the reality. On the other hand, learning theorists have provided us with a set of ideas about how people learn, to facilitate practical implications for teaching (Darling-Hammond, Rosso, Austin, Orcutt, Martin, 2001). Yet, one must keep in mind that students practice experience is one of the most important aspects of their preparation for registration. Bransford (2000) affirmed that research has found that the brain plays a role in learning. Thus we cannot assume that all students learn in the same way. One must keep in mind that different students have different needs, and the concept that one size fits all is inaccurate. Additionally, if teaching methods do not match a students strength or learning style this may affect learning and behaviour. Mentors should primarily assist students to integrate into the practice setting while continuously providing ongoing support. Through observation, interaction and discovering a students interests, mentors can determine which learning styles would best facilitate the learning process. Novice students require an approach that is supportive, facilitative and structured, where careful monitoring, observation, demonstration and teaching are essential (Benner 1987). Alternatively, more advanced students need to be empowered to provide reflective holistic care. However, communication and an effect ive working relationship is the key to success (Chan, 2002; Papp, Markkanen, von Bonsdroff, 2003; Saarikoski Leino-Kilpi, 2002; Berggren, Barbosa da Silva, Severinsson, 2005). Learning is also based on the associations or connections we make. According to the learning theorist Jean Piaget accessing prior knowledge is how we make sense of the world. We attempt to take new information and fit it into existing knowledge in order to create a schema, or mental map that fits into a specific category. This makes the information more accessible because it is more memorable. On the other hand, workplace learning is of central importance and a crucially important site for learning. Nevertheless, students need to have theoretical background knowledge before working in a ward in order to be more motivated. Additionally, Burns and Peterson (2005) acknowledged that having a good role model is beneficial for the students. However, researchers found that sometimes mentors act as poor role models, where students alleged that they have observed malpractice practice in the clinical area (Rungapadichy, Mandill, Gough, 2004). Consequently, the key to successful practice learn ing lies in the level of support and guidance that students receive from mentors (Block, Claffey, Korow, McCaffrey, 2005 Jones, Walters, Akehurst, 2001) and other healthcare professionals. Gone are the days where students only require friendly or emotional support in practice settings. Besides, they also demand and deserve good quality, appropriately delivered practice learning that challenges the professionals delivering it and develops practice based on theoretical principles (Andrews, 2007). One of Jarvis points is that professionals also learn in situations with routine actions, because they are able to ask questions both about their actions and the attitudes behind them. Along these lines, they are able to regenerate disjuncture (Jarvis, 1999). Yet, can ritualism deteriorate into alienation, where skills will be performed without meaning? Thus it is important to discuss with the students what they want to learn and express their decisions in the form of learning objectives. The sequence of learning tasks should be moved from simple to complex and adequate guidelines and feedback (Darling 1985, Elliott Higgs, 2005) should be incorporated, so that the key points of learning are reinforced. Hammnond, Austin, Orcutt, Rosso, (2001) observed that the different ways people think and feel about their own learning affects their development as learners. Glasersfeld, (1989) argued that responsibility of learning should reside increasingly with the learner. Thus social constructivism is important so that students will be actively involved in the learning process, unlike previous educational viewpoints where the responsibility rested with the lecturer to teach and where students played only a passive role. Therefore, students should be encouraged to develop critical thinking skills and not just emulate the practices they observe. Motivation is another crucial assumption where some might give all the responsibility to learn to the students confidence in their potential for learning. However, one must keep in mind that other underlying problems might be the cause, such as personal problems or stress during clinical placement. Building a good relationship with the mentee can solve such problems, because when students confide their problems, mentors can address them appropriately. This would be supported by Darlings (1984) work, where in her study, after she interviewed 50 nurses, 20 physicians and a number of healthcare executives about their experiences with mentors, she identified that there were three vital ingredients for a mentoring relationship: attraction (admiration for the other person), action (invests time and energy to the relationship) and affect (positive feelings toward the other person). In addition, Prawat and Floden (1994) believed that feelings of competence and beliefs to solve new problems are derived from firsthand experience of mastery problems in the past and are much more powerful than any external acknowledgment and motivation. Consequently, the importance of being good role models is once more being stressed where with appropriate behaviour and attitudes, and with interaction together, the mentee will be helped to achieve the state of a competent practitioner. Strengths, problems, and challenges of learning in practice The clinical environment is a strong provider of learning (Cope, Cuthbertson, Stoddart, 2000). In fact, it is the only setting in which the skills of history taking, skills practicing, clinical reasoning, decision making, empathy, and professionalism can be taught and learnt as an integrated whole. However, common problems with clinical teaching exist such as lack of clear objectives and expectations, focusing on factual recall rather than on development of problem solving skills and attitudes, passive observation instead of active participation from the student, lack of reflection, discussion, and feedback and at times teaching by humiliation. These problems may arise due to time pressure, competing demands (especially when needs of patients and students conflict) and last but not least due to the increasing number of students and lack of mentors. Complexity of supervisory process Ever since research reports appeared to suggest that a theory-practice gap existed in nursing (Alexander 1983), a search has been in progress for new roles for nurses in clinical practice and in nurse education. These roles might ensure that what is taught in the theoretical component of nurse education corresponds, at least to some degree, with what happens in clinical practice. Evidently, the key to progressing from novice to an expert is the key to excellent mentor support (Watson, 2000), otherwise the nursing student may make defective assumptions based on inadequate personal reflections. It is useless having a state of the art hospital learning environment, without having enough supportive mentors who are really interested in mentoring. Such learning environment gives students the opportunity to get the most out of their learning processes and to achieve the objectives of clinical placements. On the other hand, failure to meet students expectations can cause disappointment to students during their clinical placement, where they can proclaim that their experience was unfruitful since for learning to take place, there is the need to create meaning from the experience (1998). Thus, one can question if all mentors are enthusiastic and committed to mentoring. Alternatively, mentorship may be supported, by developing workshops (Howatson-Jones, 2003) and other tools to teach, in order to remind mentors how to optimize their skills and to promote mentors and mentorship. Some authors argue, that the choice of the mentor is crucial to a meaningful supervisory relationship, and that this relationship is integral to the whole supervision process in relation to uptake and effectiveness (Jones A., 2001a; Spence, Cantrell, Christie, Sammet, 2002). However, mentorship in Malta is still in its infancy, and there are not enough mentors to accommodate all the students in the faculty, let alone choosing their mentors. Consequently, the need for more responsible mentors arises. Llyod-Jones, Walters, Akehurst, (2001) in their study of 81 pre-registered students found that those students who did not work with a mentor, were usually not supported by any other trained staff, leading to auxiliary nurse work being delegated to the student. Nevertheless, the system in Malta overcame this problem by giving the opportunity to every student to be mentored by different mentors according to the clinical placement, in most of their clinical placements. The environment itself is a valued characteristic for students to learn, mostly characterised by co-operation among staff, and an atmosphere in which they are treated as colleagues not as an extra pair of hands. The impact of a good ward cannot be overstated, where the philosophy of nursing team affects the ward atmosphere. Pearsy and Elliot (2004) declared that if students observe mentors acting as poor role models it affects the students learning negatively. Thus the supervisor role is to assist the supervisee to apply theoretical knowledge, appropriate attitudes and therapeutic communication into practice. This can only be done through the medium of supervisory relationship, since it is through others that we develop into ourselves (Vygotsky 1981). Mentoring is founded upon relationships between people and, like all relationships, is affected by what each participant brings to the relationship. Openness, self-awareness, and a belief in the value of mentoring are important qualitie s for both mentors and mentees to possess. Competency to mentor is built on a balance of individual cognitive, emotional and relationship abilities; personal virtues or characteristics, such as integrity and empathy, and competencies both within ones field of practice and related to mentorship itself (Epstin Hundert, 2002). The success of clinical supervision depends mainly on the supervisee (Dewar Walker, 1999), and it can be useful if they look at their responsibilities in the role. It is important that students are treated with respect as an equal partner. The primary responsibility of the mentors is for their own development and willingness to learn and change, irrelevant to the extent of experience. Yet mentors serve a variety of roles, including being a professional parent, teacher, guide, counsellor, motivator, sponsor, coach, advisor, role model, referral agent, and door opener. Hence a successful mentor must be capable of blending these roles with other important characteristics such as being patient, available, approachable, respected, people oriented, knowledgeable, and secure in their position, in order to help students in the process of competency. Creating competent practitioners Ensuring competence to effectively and safely practice should be the aim of mentoring, and a critical task for the educators. Kane (1992) defines competence as the degree to which the individual can use the knowledge, skills and judgment associated with the profession, to perform effectively, in the domain of possible encounters, defining the scope of professional practice. On the other hand, domains of competence can be assessed to some degree via direct observation because it provides the opportunity to make multiple assessments over time and across different clinical circumstances. Yet, this is not always possible due to time constrains with the student. Thus the faculty must find another approach how to combine lectures and clinical practice in order to give ample time for the student to work with the mentor. Moreover, another question might arise regarding the system sufficiency in providing competent and safe practitioners. The introduction of mentorship was the first step aiming to provide better competent practitioners. However, there are strategies that both mentors and mentees can employ to ensure that they get the most out of a mentoring relationship. Yet, are there policies in place that support the selection of competent, appropriate mentors? Equally important, is the method of students assessment acceptable? Burns Peterson (2005) declared that the assessment must be on going, where the mentor provides formative assessment in line with outcomes and competencies they are expected to achieve. Thus, locally, the final four hour role play, (where students can be motivated purely by the process of assessment to adapt to what they perceive as the requirements of the assessor rather than moving towards achievement of goals such as independent thinking, problem solving and originality) should not contain too much weight in determining students competence. Hence supervision methods will be more effective if used within the context of a healthy supervisory relationship. Asadoorian Batt ( 2005) acknowledged that self assessment should be the first step in self directed learning. However, self-assessment should only complement and not replace another means of assessment. Portfolios, on the other hand, can address a wide range of competencies because it provides a reflective insight into mentees abilities to self assess and learn from experiences. Conclusion Although experience is extremely important as a means of education, theoretical knowledge must be the basic to prepare students for the clinical practice. On the other hand, the need for nurses to be able to integrate theory and practice effectively has long been recognised. Thus, competent mentors are required to help students in minimizing the theory practice gap. The gap can be bridged through reflection and critical thinking so that experience can be transformed into learning. A good relationship between mentor and mentee is important for learning. Mentees appreciate a learning environment where they have the opportunity to learn, to act professionally and to learn about the values and norms on the ward. Moreover, since nursing is a practical profession, there is a need to ensure that practical assessment systems are able to discern the true knowledge base of students. Alternatively, the key to success is to monitor both student and mentor feedback on the learning practice enviro nment.
Friday, October 25, 2019
Eleanor Marx :: Economist Writers Literature Essays
Eleanor Marx Eleanor Marx has not been remembered as an economist. Her life, though more so her death, has captured the imaginations and curiosities of novelists and biographers and her existence has been cast into the role of the ââ¬Å"tragic socialist.â⬠Yet, as the daughter of Karl Marx, she was a prominent writer and activist for socialist reform. She edited Marxââ¬â¢s unpublished texts after his death and contributed several articles of her own on economic topics. Similarly, in her daily interactions, she worked for social reform that was fundamentally economic in nature and associated with a wide range of feminist and socialist activists. Many of these people themselves have been classified, or perhaps reclassified in recent years, as economists themselves. Yet Eleanor has by and large been overlooked by historians and economists. She has been relegated to the role of tragic heroine at best and a curiosity at worst. This paper will argue that both in her written legacy and in the way she conducted her personal life, Eleanor Marx was first and foremost an economist. An Economist in Writing Eleanor Marxââ¬â¢s essay, ââ¬Å"The Woman Question,â⬠clearly delineates her role as an economist and her dedication to feminism at the same time. The text was written and published with her common law husband, Edward Aveling. As Kapp points out in her extensive biography, this text was the first of Eleanorââ¬â¢s writings ââ¬Å"to bear the imprint of a commercial publisherâ⬠(Kapp II, 1972, 83). While Aveling certainly was involved in producing the final document, in Kappââ¬â¢s analysis at least, the majority of the underlying argument was Eleanorââ¬â¢s (83). Thus, we can reasonably say that this document, framed as a review of Bebelââ¬â¢s Woman-Past, Present, and Future, is indicative of Eleanorââ¬â¢s intellectual processes. The text of ââ¬Å"The Woman Questionâ⬠is ardent in its defense of economics and women. For Eleanor, the only way to improve the status of women was to tie it to the class movement. ââ¬Å"The question is one of economics. The position of women rests, as everything in our complex modern society rests, on an economic basisâ⬠(Marx 1886). With the phrase, ââ¬Å"everything in our complex modern society,â⬠Eleanor not only casts herself as an economist, but establishes that any venture, be it social or academic, is fundamentally economic in nature. Thus, once she establishes that feminism is inherently an economic issue, the connection between her fatherââ¬â¢s socialist theories and her own feminism becomes clear.
Thursday, October 24, 2019
Illegal and Prescription Drug Abuse; How Do We Prevent It? Essay
Drug abuse is a psychological or physical dependency with a mind altering substance1. There is continued drug use even though a person knows that the drug causes harm. Physical dependency is the result of the body building up a tolerance to the drug and needing to increase its dosage to have the effect desired and to prevent symptoms of withdrawal. Psychological dependence has something to do with the mental and emotional make up of the person; some people may also have a genetically linked tendency to addiction. Early signs and symptoms of drug addiction involve building up of tolerance to the present dosage. Late signs of drug overuse may show mood swings and irritability, and physical symptoms like craving. Having the right knowledge about drug abuse can help people prevent addiction. The three types of widely abused prescription drugs are CNS depressants, CNS stimulants, and narcotic analgesics. CNS depressants like barbiturates, methaqualone and benzodiazepines can slow down the normal functioning of the brain and can cause uncoordination. CNS stimulants like nicotine, amphetamine, cocaine and caffeine on the other hand enhance the brainââ¬â¢s activity to increase energy and alertness. This may cause an increased heart rate and blood pressure. Narcotic analgesics like opiates (eg. Morphin and Demerol) are used for pain. On the year 2006, the abuse of painkillers ranked 2nd, while marijuana is the first, as the communityââ¬â¢s most common illicit drug problem2. Most drugs being prescribed by doctors are opiate based and therefore can be very addictive. One drug called Oxycontin is a pain reliever that has a strong opiate base and causes people to be addicted to it. Other specific drugs that are widely abused are Heroin, Crack Cocaine and Marijuana. Normal college students have been noted to use drugs that are for patients with disorders. Many students take Adderall, a drug for individuals with Attention Deficit Hyperactivity Disorder (ADHD), which helps heighten their concentration for studying for an examination3. This imposes danger to many students using this and has caused death in about 5 people per 1 million individuals taking it. Even though some drugs can be addictive, there are drugs that can substitute for them 4. Dexamphetamine is shown to help with CNS stimulant addiction 5 and clomethiazole can help in managing alcohol addiction 6. For cocaine addiction, desipramine and bromocriptine is effective 7. A psychoactive drug that can interrupt addictive rersponses for nicotine, cocaine, SSRI, and heroin addicts thatââ¬â¢s being studied is Ibogaine 8. There are many studied physiologic mechanisms involved in drug addiction. Acute use of a certain drug can release and prolong serotonin and dopamineââ¬â¢s action in the reward circuit. Almost all addictive drugs increase the reward circuit or mesolimbic pathwayââ¬â¢s dopamine release which in turn activates the feeling of pleasure 9. The more one engages in a pleasurable act, the more one wants to repeat it. To add to the reward circuit, it is also studied that stress mechanisms may have a function in promoting the sequence of acquiring addiction. à µ-opioid receptor system, is acted on by enkephalin and influences the reward system 10. A behavioral operant conditioning is also showed in addicts, being able to link a behavior or an action to seek the reward, which is the drugââ¬â¢s effect 11. One enters into a fresh allostatic state as he progresses into being an addict. A person taking a drug for a long period of time may also develop sensitization and a psychological tolerance to the drug. Taking the same dose doesnââ¬â¢t seem to have any effect and leaves one feeling dissatisfied and depressed, therefore he turns to the drug for the pleasure with an increased or more than maximum dosage 7. One must know how to recognize a drug addiction to prevent it. This happens when an individual seems to have an inability to withdraw from the drug. The first step is to know the signs and symptoms experienced by an addict. The second step is evaluating the risk of being addicted as various kinds of drugs are further expected to be abused than others. In addition, having a family member with a history of drug addiction may put an individual at a higher risk of abusing medications. Consulting with a medical professional with this issue may lower the chances of becoming addicted. The third step involves religiously sticking to oneââ¬â¢s prescription, taking only the prescribed amount at the recommended times. A person must contact his/her doctor if the drug doesnââ¬â¢t seem to have any effect. The fourth step is considering the drug type one is taking and the length of time he/she has been using the drug because using a drug for long terms may add to the possibility of being dependent on it. Step five is making a plan that will help one in gradually getting out of his/her prescription. Being prescribed with an addictive drug requires one to slowly reduce itââ¬â¢s dosage before eliminating it. The sixth step requires one to consult a medical professional once he feels that he may already be drug dependent. This is possible when one is experiencing the early signs and symptoms of addiction. The seventh step is disposing of drugs that arenââ¬â¢t needed. This can remove the tempting effects of taking the drug. Eighth is contacting a drug abuse treatment center or a doctor for specialized and professional advice and prevention. And lastly, take note of having the late signs of drug abuse. To break the series of constant drug use, individuals that are drug-dependent must build vital changes in their attitudes and life styles. Psychosocial and behavioral treatments are the foundation of services accessible to assist drug abusers to attain and carry on important periods of abstinence. The other illegal use of drugs, especially cocaine, is frequently a main target of behavioral managements. There are current studies for the treatment for cocaine and opiate, including tobacco smoke abusers. For the treatment of ones who abuse opiates, new studies have exposed that counseling for drug abuse with procedures of abstinence incentive and psychosocial services access is an active element in its treatment. 90 ââ¬â 100% amongst patients in the VA methadone maintenance sample who received incentive procedures and psychosocial services were abstinent from cocaine and heroin for as long as eight weeks; merely 30% of individuals who received methadone with no other services were abstinent 12. Management is most important for cocaine abusers. It relies completely on psychosocial and behavioral therapies since there have been no successful medications revealed to date. Relapse prevention therapy however, which teaches abusers to distinguish high-risk situations for the use of drugs and to apply coping techniques, has also revealed assurance for management of cocaine abusers 12. For the treatment of tobacco smokers, studies show that nicotine replacement with gum or patch and behavioral therapy is the most effective. Moreover, smokers who have a history of depression experience a hard time with quitting 12. On the other hand, research efforts in this significant region have remained quite inactive in relation to the speed of studies on molecular and biological bases of medications development and drug dependence. Bibliography 1. Brittanica Concise Encyclopedia. 2. Pat Moore Foundation. Prescription Drug Abuse ââ¬â As Addictive and Dangerous as Illegal Street Drugs. Get the Facts. Orange County, California. 3. Izzo, T. Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes Journal of Clinical Child & Adolescent Psychology. 2000;29: 30 ââ¬â 42. 4. Johnson RE, Chutuape MA, Strain EC, Walsh SL, Stitzer ML, Bigelow GE. A comparison of levomethadyl acetate, buprenorphine, and methadone for opioid dependence. N. Engl. J. Med. 2000; 343: 1290ââ¬â7. 5. White R. Dexamphetamine substitution in the treatment of amphetamine abuse: an initial investigation. Addiction. 2000; 95: 229ââ¬â38. 6. Majumdar SK. Chlormethiazole: current status in the treatment of the acute ethanol withdrawal syndrome. Drug Alcohol Depend. 1991; 27: 201ââ¬â7. 7. Giannini,AJ. and Billet, TA. Bromocriptine-desipramine protocol in cocaine detoxification. Journal of Clinical Pharmacology. 1987; 27:549-554. 8. Alper KR, Lotsof HS, Kaplan CD. The ibogaine medical subculture. J Ethnopharmacol. 2008;115 : 9ââ¬â24. 9. Nutt D, King LA, Saulsbury W, Blakemore C. Development of a rational scale to assess the harm of drugs of potential misuse. Lance . 2007; 369 (9566): 1047ââ¬â53. 10. Koob G, Kreek MJ. Stress, dysregulation of drug reward pathways, and the transition to drug dependence. Am J Psychiatry. 2007; 164 (8): 1149ââ¬â59 11. Jones S, Bonci A. Synaptic plasticity and drug addiction. Curr Opin Pharmacol 2005; 5 (1): 20ââ¬â5. 12. The College on Problems of Drug Abuse. ââ¬Å"Behavioral & Psychosocial Treatments for Drug Abuse. 2007.
Wednesday, October 23, 2019
Outline and Evaluate Factors Influencing Eye Witness Testimony Essay
The term ââ¬Ëeye witness testimonyââ¬â¢ refers to an area of research into the accuracy of memory concerning significant events, it is legally considered to be a reliable account of events. However, research into eye witness testimony has found that it can be affected by many psychological factors such as, anxiety and stress, reconstructive memory, selective attention and leading questions. Anxiety and stress can be associated with many factors such as, violence and crime. Clifford and Scott (1978) found that participants who saw a film of a violent event remembered less of the information than a control group who saw a less stressful version. However, Yuile and Cutshall (1986) found that witnesses of a real event had accurate memories of what happened. The police interviewed witnesses and thirteen of them were interviewed five months later. Recall was found to be accurate, even after a long period of time. One weakness of this study was that the witnesses who experienced the highest levels of stress where actually present at the event, instead of watching second hand from a film, and this may have helped with the accuracy of their memory recall. Selective attention is when the witness is able to describe one detail, giving them less time to pay attention to other details. It can also be because the witness is more likely to focus on a detail with more emotional significance, such as a weapon. Loftus et al. (1987) showed participants a series of slides of a customer at a restaurant. In on version the customer was holding a gun, in the other the customer held a chequebook. Participants who had been shown the version with the gun present tended to focus on the gun itself and not much else. As a result they were less likely to identify the customer as appose to those who had seen the chequebook version. Bartlett (1932) showed that memory is not just a factual recording of what has occurred, but that we make ââ¬Å"effort after meaningâ⬠. By this, Bartlett meant that we try to fit what we remember with what we really know and understand. As a result, we quite often change our memories so they become more sensible to us. He had participants play ââ¬ËChinese Whispersââ¬â¢ and when asked to recall the detail of the story, each person seemed to tell it in their own individual way. With repeating telling, the passages became shorter, puzzling ideas were rationalised or forgotten altogether and details changed to become more familiar or conventional. For this research Bartlett concluded, ââ¬Å"memory is not exact and is distorted by existing preconceptions. It seems, therefore, that each of us ââ¬Ëreconstructsââ¬â¢ our memories to conform to our personal beliefs about the world. â⬠This clearly indicates that our memories are anything but reliable records of events. They are individual recollections, which have been shaped and constructed according to our stereotypes, beliefs, expectations etc. Loftus and Palmer (1974) tested their hypothesis that the language used in eye witness testimony can alter and change memory. They aimed to show that leading questions could distort eye witness testimony accounts, as the account would become distorted by reminders provided in the question. To test this, they asked people to estimate the speed of motor vehicles using different forms of questions. Participants were shown slides of a car accident involving a number of cars and asked to describe what had happened as if they were eye witnesses. They were then asked specific questions, including the question ââ¬Å"About how fast were the cars going when they (hit/smashed/collided/ bumped/contacted) each other? The estimated speed was affected by the verb used. The verb implied information about the speed, which affected the participantsââ¬â¢ memory of the accident. Participants who were asked the ââ¬Å"smashedâ⬠question thought the cars were going faster than those who were asked the ââ¬Å"hitâ⬠question. When people were asked a week after viewing the film whether they saw any broken glass at the scene (there was none), people in the smashed group were more likely to say yes. Therefore, a leading question that encouraged them to remember the vehicles going faster also encouraged them to remember that they saw non-existent broken glass. This suggests that memory is easily distorted by questioning technique and information acquired after the event can merge with original memory causing inaccurate memory. The addition of false details to a memory of an event is referred to as confabulation. This has important implications for the questions used in police interviews of eye witnesses. In conclusion, eye witness testimony can be influenced by a number of factors, including, anxiety and stress, selective attention, reconstructive memory and leading questions. They all have a large effect on eye witness testimony and affected the results in many different ways.
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