The World of Writing According to Email :: Internet Technology e-mail Essays

The World of Writing According to Email The world is an ever changing place, and with the advancement of cyber culture technology, many times we are faced with new ideas and ways of life that we never dreamed would be possible. With these changes, we are also faced with the making personal decisions of whether we believe these new ways have helped or harmed the world of writing. I remember the moment e-mail entered my life. It was a week after my family had dropped my older brother, the first born, off to his freshman year at Bowling Green State University. Within that first week of having to adjust to setting one less plate at the dinner table, we quickly realized how fast we would become financially broke due to high phone bills. We had heard about this thing called the internet, where people from all over the world could connect to and communicate via electronic mail, but not until we became aware that BGSU provided each student with her/his own personal e-mail address were we interested. That was the moment. My dad quickly looked into it and before we knew it we were connected. Every day, several times a day, we would disconnect the phone line, listen to the awful dial tones, and sit five inches from the computer monitor, anxiously reading about his college experiences. As Wendy Lesser, author of essay, The Conversion, writes, â€Å"And e-mail, b y bringing back personal correspondence, reintroduces us to the form of writing that best enables us to know and acknowledge friendship.† (Tribble/Trubek 232). It soon became our link to the outside world. Not only did it keep us in touch with our beloved hard working college student, but just as Lesser experienced, it created a doorway to other long lost friends and family members. In a way, this new e-mail thing made us feel as though the miles that separated us weren’t so far after all. In his essay, From Pencils to Pixels, Dennis Baron states that, â€Å"The computer, the latest development in writing technology, promises, or threatens, to change literacy practices for better or worse, depending on your point of view.† (36) Cyberculture technology will never cease to change and improve, but by being a part of this society, we have the unique opportunity to jump on board, accept the changes, and enjoy the advancements to our benefit, or sit back and watch the world pass us by.

Professional Roles and Values Essay

A. Promoting Interdisciplinary Care When nurses promote collaborative interdisciplinary care, they are ensuring the availability and accessibility of quality health care (ANA, 2010). As the nursing supervisor in this clinical setting, I would hold a staff meeting with the family nurse practitioner (FNP), nurse, licensed vocational nurse (LVN), nutritionist, and social worker. I would ask them to speak about their areas of expertise and explain how their knowledge will enhance this clinical team. The nutritionist’s expertise in diet, the social worker’s fluency in Spanish, the LVN’s training in education, and the nurse’s specialization in community health are all attributes that will promote the delivery of quality patient care. In this meeting, I give examples of how the specialized training and resources of these individuals will improve patient care and ease the workload of other staff members. I foster an open discussion and encourage thoughts, feelings, and questions. I also state that i f someone has a question or concern that they do not wish to discuss in front of everyone, they can speak to me in private. B. Delegation and Teamwork As the nurse supervisor, I would use a coaching approach to speak to Ms. W. Coaching provides a safe environment for trying different approaches to new or challenging situations (Robinson-Walker, Detmer, and Schultz, 2011). I would request to have lunch with Ms. W and at this lunch, I begin by praising her work and emphasizing her importance to this clinic. In a light-hearted and non-confrontational way, I say, â€Å"I know how hard you have been working with Ms. R and you must be so frustrated!† I encourage a response by asking, â€Å"Why do you think she is being non-compliant?† I listen to her responses without interrupting and work into the conversation these questions: â€Å"Do you think it’s possible she does not understand English? What do you think about having the social worker speak to her?† The LVN’s expertise in community health and her available resources would also be mentioned. I emphasize that delegating to members of the team will b e in the  best interest of the patient, as well as free up some of Ms. R’s valuable time. B1. Responsibility The Nursing Code of Ethics Provision 2 states that the nurse’s primary commitment is to the patient and it further implies that nurses should actively promote collaborative multi-disciplinary planning (American Nurses Association, 2012). If Ms. W does not have time to follow through with community services that could benefit Ms. R, then Ms. W has a responsibility to refer Ms. R to people who have the knowledge, resources, and time to help her. In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone who can. B2. Recommended Resource A resource that would benefit Ms. W in learning more about delegating is the continuing education course given by the ANA, â€Å"Developing Delegation Skills.† This course covers delegation and the associated concepts of accountability, responsibility, and authority (Weydt, 2010). It discusses using nursing judgment and interpersonal relationships during the delegation process and at the courses end, the author speaks about how to develop delegation skills. Learning to properly delegate ultimately improves the quality of patient care. B3. Delegation Opportunities The nurse in this scenario has 4 colleagues in the clinic that she can delegate to: the LVN, nurse, nutritionist, and social worker. Ms. R had recurrent urinary tract infections; the nutritionist can review her food and fluid intake and the LVN can teach prenatal care based on the nutritionist’s evaluation and recommendations. The nurse in the clinic can explore community resources that may be available to assist Ms. R. The social worker, however, is the most important person in these collaborations because it is probable that Ms. R does not understand English and needs an interpreter. The social worker is fluent in Spanish and her presence will not only raise the comfort level of Ms. W, but will assure that she is receiving the required information that is pertinent to her pregnancy. References American Nurses Association. (2012). Code of Ethics for Nursing with Interpretive Statements. Nursing World. Retrieved from http://www.nursingworld.org/codeofethics National Council of State Boards of Nursing. (2012). NCSBN Model Rules. Retrieved from http://www.ncsbn.org/12_model_rules_090512.pdf Weydt, A. (2010). Developing Delegation Skills. The Online Journal of Issues in Nursing, 15(2). Retrieved from www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/vol152010/no2may2010/delegation-skills

A Marriage Agreement

Marriage, as they say, takes two to work. Gender roles should not exist in marriage because it would only bring conflicts to the relationship. Couples need to become partners while still maintaining their individuality. They need to learn how to make decisions with the other person in mind. If not, the marriage will most likely turn into a divorce with the couple thinking that this is the best solution.Alix Kates Shulman, in her essay entitled A Marriage Agreement, believes that everything can be worked out if couples only knew how to work around each other. She proves this by presenting the audience with their Marriage Agreement in which both she and her husband explicitly detail each other's chores and responsibility.The author admits that the agreement was a little formal; however, it worked for their marriage (p. 181), and this is what is important. The couple decided to make an agreement after realizing that they have grown too accustomed to their everyday chores wherein the wif e did everything from taking care of the children to cleaning the house while the husband spends time away from his family to make some money.This is what most couples have become, which makes their marriage fall apart. Shulman writes how verbal agreement to delegate tasks and share duties will not work and that a written agreement will make it easier for couples to adjust to the new divisions of their responsibilities.However as good as the author’s narration of how they delegated the tasks, for overall effectiveness of convincing readers of the effectivity of such delegation the author must present proof and comparison of the advantages of such agreements. The essay simply indicates in passing the effectiveness of such delegations without further proof or solidification and therefore, becomes weak in persuading its readers.The main article starts off with introducing the current situation of marriage life in America. It starts off by imprinting an image to the readers on ho w overworked and lopsided the delegation of domestic responsibilities is towards women. It was presented in a way that is very academic stating statistics and quoting researches.This acts as a clear introduction of the featured author’s feminist view of how household responsibilities must be shared among spouses. The article then goes on saying how better it is for families that do not follow the traditional delegation of household work than those who are not willing to share the duties and responsibilities of taking care of home and family (p.179). All these up to this point were presented in a very clear manner with the intent of the author to convince her audience of how sharing responsibilities is beneficial to marriage life introduced smoothly.However, from this academic level of argumentation, the article presents an essay that is a personal account of a marriage life. This essay is supposedly the main argument of the article but for some reason, it does not provide muc h strength to the stated arguments. Rather, it simply gives a glimpse of how to spread evenly responsibilities without much proof of its effectivity. This is the main flaw of the essay as it does not strengthen the main article.

Lions Among Us

According to Mr. Edward Henderson, leaders are those people who can guide a work force into a path that leads to success and realization of goals by keeping the members of his work force committed, intact, and highly motivated. Moreover, managers of private clubs are those who extend their duties and responsibilities beyond the long-established and conventional roles of private club managers. They should be able to influence the members of their work force to create a reality out of their visions of success. Furthermore, Henderson has also presented what he calls â€Å"success factors.† These success factors are supposed to be instrumental in making private club managers successful in their field. This valuable piece of information was based on a survey conducted in 1994, which was administered to several managers. They were the ones who were responsible of narrowing down eight valuable factors that influence success. These success factors were also proven true by Henderson himself, as he has put great efforts to observe his colleagues who were private club managers themselves. In addition to the main success factors that will be discussed in the following statements, people who took the survey also included other factors that are important in success such as a reputable image, flexibility in working with diverse individuals or groups, communication and social skills, just pure luck, exerting effort and working hard, attitude and perspective in life, and continuous learning. Henderson has also noted that there is a strong connection between success factors and the successes of a leader. Although he himself, and all the managers who took the survey, could not argue with the fact that all success factors are significant in accomplishing success in their line of expertise. However still, everything depends on the work attitude and outlook of the manager. In addition, it is dependent on the nature and the background of the business that he is managing. The first success factor mentioned in the monograph is operational knowledge. Operational knowledge received the highest vote as one of the most important success factor. However, overall the most important success factor, it ranked second. It requires knowledge of the ins and outs of business, such as the technical aspect and expertise in handling the club. Expertise and knowledge of the business is achieved over time. Being in the business in such a long period of time is a learning experience for private club managers, especially with their experiences in success and failures in the past. The second success factor is integrity. It was the first most important success factor that was rated by the managers who took the survey. For those managers who took the survey, building a responsible and credible self as a private club manager makes one a true leader. Being aware of one’s strengths and weaknesses, distinguishing right from wrong, expressing appreciation and gratitude to one’s constituents, exuding good morals and virtues, and working for the purpose of serving, are just some of the aspects of integrity that makes it a factor in a leader’s way to success. The third success factor is being in the right club where a manager’s personality is suiting. In other words, private club managers must be able to be in position within a club that is fitting or appropriate for their personality and management styles. They attribute this idea with marriage. For them, being a private club manager is like building a relationship or marrying a person. There should be chemistry or the personality, style, beliefs, and attitudes of a manager must be in sync with the needs and nature of the club to succeed. Just as how two people should be in order to have a successful marriage. The fourth success factor is acquiring financial skills. According to the managers who took the survey, being adept with finance and accounting enabled them to gain respect and trust from their colleagues. Needless to say, the finances of an organization are the indicator of its success or its failure. The fifth success factor is intelligence. The challenges and the demands of the private club industry require broad knowledge and skills in order understand the comings and goings within the club and also to understand human behavior and predict outcomes. According to the managers who took the survey, intelligence coupled with the right experiences and skills acquired equals great leadership and success. The sixth success factor is the ability to persuade others. Persuasion or the skill of one person to influence the behavior of a person is very significant in accomplishing success at present. A great leader must be able to persuade or influence others, his subordinates, colleagues, and everyone who he comes to work with, to lean to the direction of success and accomplish the vision of the club. The seventh success factor is authority. Perhaps authority comes with the previous success factor, which is persuasion. The ability to persuade must be coupled with authority that is in order to persuade people, the leader must exude authority and firmness among them. Although there are several issues raised about authority and its limitations, people cannot argue with the fact that authority is very important in dealing with all aspects of the private club industry. However, with authority comes great responsibility and sound judgment. The eighth success factor is social grace. Although several managers regard as least important in achieving success, they could not also deny the fact that being skilled in communication and interacting with other people is important. After reading all the factors that influence success as a private club manager, I have come to understand the qualities and skills that one should possess in order to be a great leader for the club as a whole and his constituents. Although all the success factors and much more, are instrumental in the achievement of great personal and group success in the field of private club management, I feel that the most important of all is intelligence. First, intelligence gets you to the position of a private club manager. As we all know, being intelligent and knowledgeable about the business makes one a potential and a strong candidate for a private club manager position. It is instrumental in getting one started, and intelligence keeps one going in the business. Moreover, intelligence equips you with the capacity to acquire all the other skills that are important in the business such as financial and social skills, being knowledgeable of the operations and processes that go on within the business, and even in the ability to persuade others, intelligence plays a role. Intelligence is also a major factor that spells out authority. For instance, one becomes granted the opportunity to become a private club manager because of one’s knowledge of the business. Through this, one gains support, respect and trust from colleagues, subordinates, board members, and other people one comes in contact with because of one’s ability to be knowledgeable in all aspects of the business, even for example in finance and accounting. Essentially, it drives one to learn more about the developments and changes in the industry making one capable of dealing with future obstacles and challenges. Therefore, one is able to persuade other people into working together as members of the club in order to attain their goals and objectives. Generally speaking, intelligence does not only get you the job, but it also guides you and lets you experience success and gets you out of failure. It lies in all aspects of the eight success factors that are why it is important.

About Hemja Villege Resort

Hemja Village Resort is newly organized service oriented business venture in the tourist sector (Pokhara). The proposed resort is located at Hemja, Pokhara. The resort is situated at the middle part of Hemja, near of Tibetian Camp near of the Pokhara city. It is spread over 2 biga with full of the facility HVR is a partnership organization, comprising of two business partners. The total investment would be around 5 million. Each business partners would invest 2. 5 million each.The Hemja Village Resort was envisioned to be Nepal’s most luxurious and exclusive property, offering amenities that a modern world-weary traveler can desire. The proposed schemes are very good, reliable, and qualitative service with reasonable price. The main objective of the resort is to establish a small-scale resort to provide the good lodging and food services to internal and external customer with full availability of recreational activities and ultimately achieve the large pie of the marketplace.T hat â€Å"Quality Service for all† would be our slogan. The management committee vision three types of customers Nepali, Indian, and foreign (from different countries like Japan, German, America, Australia, Korea, china). The resort is estimating near about 3,000 customers in the first year with the incremental of 20% each year. This resort is thinking to attain an average growth in service revenue of about 10% per year and to increase market share by 10% annually. HVR reaches breakeven point in the second year of operation and earn profit thereafter.The special promotional tools would be used such as FM, Newspaper, TV channels, banners, and news journal, e. t. c. customers can gain information and book their services from our website: www. hemjavillegeresort. com. np. During the first few years, HVR uses the low cost advantage strategy and differentiation strategy to attract the more customers and then after few years of operation it uses the growth strategy for the developm ent of resort as the marketing strategy.In its marketing mix 7 Ps are analyzed. These are product, price, place, promotion, people, process, physical environment. HVR will use a set of action programme to achieve its marketing objectives. The financial projection is based on the implementation of the action programme, which gives the detail information about the income and expenses of the resort. To evaluate overalls performance of the resort it implements the monthly, quarterly or annual evaluation and control syste

Cognitive Approaches in Psychology

In this essay I will outline two approaches in psychology, compare and contrast them as well discussing the nature and nurture debate regarding both approaches. I will be examining a theorist from each approach outlining and evaluating his theory including the positive alltributes along with the negative. Finally I will include a therapy from each theorist and approach. The Behaviourist approach focuses on the concept of explaining behaviour by observation, and the belief that our environment is what causes us to behave differently and suffer illnesses.The Behaviourist approach believes that behaviour is influenced by each and every individuals experiences. This could include their background, social and home living circumstances. Behaviourist psychologists argue that when we are born our mind is ‘tabula rasa’ meaning a blank state and that events taking place in our life time can affect and change the way we behave. Behaviour is the the result of stimulus response, i. e all behaviour no matter how complex can be reduced to a simple stimulus response. All behaviour is learnt from the environment.We learn new behaviour through classical and operant conditioning. Classical conditioning is stimulus- response. If a stimulus that results in a emotional response is repeated along with another stimulus which does not cause an emotional response, then eventually the second stimulus will result in the same emotional response. Classical conditioning is therefore learning by association. Some assumptions are made on the behaviourism approach, for example one assumption made is that there is no mind or body dualism and that everything we do is because of behaviour and not because of the mind.A second assumption would be that discovering a stimuli that causes behaviour associations between stimlulus and response will allow us to predict and control behaviour. They also viewed learning as a change of behaviour due to experience. However some critics object again st the behaviourist view that behaviour is determined by our enviromnets as psychologist Garrett (1996) suggested that ‘†¦ behaviour is now shaped by what goes on inside their heads†¦ and not simply by what goes on in the external environment’ (p. 19) Operant conditioning is a method of learning that occurs through rewards and punishments for behaviour.Through operant conditioning, an association can be made between a certain behaviour and a consequence for that behaviour. For example if a good thing is presented and a certain behaviour is encouraged then the behaviour will increase, this is called positive reinforement. However if the good thing is taken away then the behaviour will decrease. For example is a dog is told to fetch the ball and every time it fetches the ball it gets rewarded with a treat. This would influence the dogs behaviour to always fetch the ball as it will be rewarded.Another key feature of the behaviourist approach is the social learnin g theory. The social learning theory focuses on the learning that occurs within a social context. It considers that people learn from one another including such concepts as observational learning, imitation, and modeling. It says that people can learn by observing the behaviour of others and the outcomes of their behaviour. The cognitive approach deals with metal processes or cognitions. These mental processes include memory, thinking and perceptions. Cognition means â€Å"knowing†.Therefore cognition is the mental act or process by which knowledge is acquired. Cognitive psychology has been influenced by the developments in computer science and comparisons have often been made between how a cumputer works and we process information. The main focus of the cognitive approach is how information received from our senses is processed by the brain and how this processing affect how we behave. Cognitive processes show examples of hypothetical constructs. This means that we can not d irectly analyse processes such as thinking but we can dissect what a person is thinking based on how they act.Cognitive psychologists use laboratory experiments to study behaviour. This is because the cognitive approach is a scientific one. These experiments would involve participants taking part in memory tests in strictly controlled conditions. An assumption made about the cognitive approach is that there exists a circular relationship between learning, meaning and memory. The basis for cognitive theories follows this patern in which what is learned is affected by its meaningfulness, the meaning is determined by what is remebered and the memory is affected by what we learn.The cognitive approach places itself in direct opposition to the behaviourist approach which mostly ignores mental processes. The cognitive approach is internal whereas the behaviourist is external as it focuses on the human environment. The cognitive approach examines behaviour which is directed through the min d rather then the body. It studys the thought processes, memory, language, perception and decision making. Whereas the Behaviourist approach examines our behaviour by our responses to our surroundings and the events taking place around us which may influence us to act in a certain way through imitation.It assumes that we learn things by associating certain events with certain consequences and that we will behave in the way that achieves the most desirable consequences. There are many methods in which the cognitive approach examine. Such as the holistic method which is a view that all aspects of people’s needs such as the psychological, physical and social should be taken into account and seen as a whole. The nature and nurture debate is one of the longest running debates in the area of psychology in which theorists have various different views and opinions.Nurture is the view that everything we learn is through interaction with our surrounding environment, this could include with people, family and mass media. Some assumptions of this approach would be that the nurture theory did not discount that genetics exist but argues that they simply made no difference to how we behave and act. Studies on children temperament showed the most crucial evidence for the nurture theory. Another would be that the nurture argument is most represented by the behaviourist approach as behaviourists believe that all behaviour is the outcome of learning through conditioning.The nature theory focuses on the heredity and specific genes which can determine passing on of traits such as eye colour and skin colour. The nature theory would suggest that even personality, intelligence and aggression is also encoded in our DNA. Some assumptions of this approach would be that behaviour is innate, conditions such a schizophrenia show genetic links and a large amount of research shows that there is a link between hormones and aggression. Behaviourism follows the nurture approach as it stu dies that we learn from our environment, hence making this approach nurturist.It believes that our behaviour is influenced by our surroundings. Watson- the father of behaviourism quoted: ‘Give me a dozen healthy infants and my own specified world to bring them up in and I will garantee to take anyone at random and train him to become any kind of specialist I might select: doctor, lawyer, artist, merchant chef and yes beggar and thief, regardless of his talents, penchants, tenancies, abilities, vocations and race of his ancestors. ’ Watson is clearly stating that he could change any person from any different social background and race if he could bring them up in his own way.His statement strongly argues the nurture side of the debate. He argued that human behaviour could be conditioned depending on their surroundings. On the other hand the Cognitive approach is an interaction between the two nature and nurture. As much as it focuses on reactions of the senses to the bra in and the mind which make it nature it also has many nurture altributes also. The cognitive psychologist would recognise that experience and the environment also contribute and shape these innate abilities. Piaget’s therory backed this up as he believed that humans use their experiences to construct new understandings.He agreed that both nature and nurture are important, humans move through universal stages due to maturation however the rate they mature in depends on experience. He said that people are, by nature active contributors to their own development. Piaget’s argued that both nature and nurture interact to produce cognitive development. He said that the nature side helps the maturation of the brain and the body, along with the ability to percieve and learn. Whereas the nurture helps with the adaptation of children and how they respond to their enviroment. Bandura was a behaviourist theorist.He believed that there are three sources of models which influenced hu mans behaviour, these included the family, the mass media and the sub-culture. He conducted a number of experiments in which he carried out on children. One of his experiments involved an inflatable Bobo doll, his aim was to investigate the effects of observing aggression in an adult model. The procedure of this experiment was for it to take place in a playroom containing a range of toys. Young children watched an adult attacking a large inflatable Bobo doll by hitting it with a hammer and saying ‘pow’!Once the adult left the playroom, the behaviour of the children was then observed. A control group of children who did not see the adult attack the doll were also observed in the playroom. The results showed that the children who had seen the adult attack the doll also attacked the doll in similar ways. However the children who had not seen the adult attack the doll did not. The conclusion to this was that children learned particular behaviours towards the Bobo doll throu gh observational learning and then copied the behaviour when given a chance.Two years later he conducted a similar experiment however this time it was to observe the effects on modelling by children of seeing a model reinforced or punished for a behaviour. This experiment, like the previous involved a bunch of children watching and adult kick and attack a Bobo doll but this time get rewarded for it. Another set of children watched the same thing however saw the adult get punished for it. The children in the group that saw the model being punished were later offered a reward if they could reproduce the behaviour they had observed.The results showed that the children in the group that saw the model get punished for the attack were less likely to imitate that behaviour. This experiment concluded that observation is enough for behaviour to be learned, however reinforcement is necessary for the behaviour to be modelled. The values of Bandura’s social learning theory were that it e xtended the operant conditioning theory. It focused on the idea of the influence of the social environment in behaviour therefore providing an explanation for cultural and individual differences.It could account for individual differences and allowed for more complex human behaviour. Bandura’s theory had a role to play in personality theory and introduces the idea of vicarious learning. Although the criticisms are that his theories are reductionist, environmental and determinism. Reductionist ways of explaining behaviour often examine one single cause ignoring other explanations. Reductionism attempts to understand and describe the human behaviour in terms of simple components or units. Any explanation of behaviour at its simplest can be described as reductionist.This approach reduces a complex behaviour to a simple set of variables which offer the possibilities of identifying a cause and effect. The reductionist approach is therefor a from of determinism. Determinists believ e that it is possible to predict behaviour by identifying the cause of behaviour. His theories were also criticised as being environmental, meaning that the environment that he uses in his experiments can affect the human behaviour. The use of violence towards a doll in his experiments were not ethical as he only used children.It was also sociably incorrect as it was influencing violence to receive a reward. The biological influences are ignored, lack cohesiveness and still excludes influences such as emotions. Jean piaget was a psychologist who studied the development of children’s understanding and how their minds work. His theory on how the children’s mind works and develops has been hugely influential, specially in educational theory. Piaget was particularly interested in the way in which a child’s mind matures in the different developmental stages and how their maturing increases their capacity to understand their world.His theory was that all infants have the same structures and they all have innate reflexes and schemas. He believed that children cannot undertake certain tasks until they are psychologically mature enough to do so. He thought that childrens thinking develop at different stages, and that at certain points the mind would mature into different capabilities such as the first transition taking place at 18 months, then at the age of 7 and 11 or 12. He meant that before these ages children could not have a capable understanding of certain things in certain ways.The stages which took place according to this theory were firstly the sensorimotor stage which takes place between birth and two years. At this stage the child can identify itself and acts as an agent of action purposely banging on pots and pans to make noises to hear the reaction. The child can differentiate self from objects and learns object permanence realising that objects still do exist even if they are not in sight. The second stage is the pre-operational stage . This is the stage in which the child learns to use language and images to identify objects.However their thinking is still egocentric indicating that they cannot see things from another persons point of view. This stage usually takes place from the age of two till seven. The third stage is called the concrete operational stage, this takes place between the ages of seven and eleven. The final stage is called the formal operational stage, at this stage children start to think about the future and ideological problems. The child’s cognitive structure is more like that of an adults and includes conceptual reasoning. His theory was successful in the fact that they used his theory as a basis for scheduling in the school curriculum.His theory has a huge influence on the understanding of cognitive development and it was the first comprehensive theory of children’s cognitive development. His theory also challenged the traditional idea of the child being passive in development , also as his theory was scientifically based this made it come across as more accurate. However his theory has received some criticism, some critics challenged some of his developmental stages such as the sensorimotor stage and the pre-operational stage. Gelman questioned what Piaget viewed about children as young as four not being able to take on another persons point of view.Gelman believed that it was possible for children to do so. Behaviour therapy refers to techniques based on classical conditioning. This therapy consists of using learning principles to change maladaptive behaviour. There are a number of various behaviour therapies including systematic desensitisation. This therapy is a form of counter conditioning using a hierarchy of fear. One example could be to remove a phobia of animals. The patient is taught how to relax so that relaxation and fear cancel each other out, to do this hypnosis or tranquillisers may be used.It is believed that it is impossible for a person to experience two opposite emotions at the same time. The systematic part of the therapy involves a recorded series of contacts with the object of the phobia. Whilst relaxing a least frightening image of the object is introduced to the patient until this can be done without the patient having any feelings of anxiety. Some of the therapies based on classical conditioning are effective, such as the systematic desensitisation therapy. However it is mostly effective only for anxiety disorders and addictions. They are more effective in phobias than in psychotic disorders.An advantage is that the therapies are relatively quick and only take a few months to work as oppose to psychodynamic treatment which can take years. There is also a high success rate, McGrath found that systematic desensistisation to be effective for around 75% of people with phobias. In the case of single sessions success, if conducted in one session it is proved that 90% of patients with phobias made vast improvements and some were even fully recovered. Systematic desennsitisation helped treat one of the most difficult phobias to treat called agoraphobia, this therapy however helped between 60-80% of cases.Critics of these therapies would suggest that many patients with phobias may have no recollection of bad experiences with the object and simply just have a phobia, therefore the therapies would not be effective and solve the problem. Psychodynamic theorists would say this is due to the symptom being a sign that something unconscious is wrong with the patient. Another disadvantage is the unpredictable effects that the therapy can have on the patient such as heart attacks and hyperventilating. The cognitive approach has many therapies to explain and modify behaviour.Cognitive forms of therapy include the Ellis rational therapy, which is now more commonly known as rational emotive behaviour therapy. Ellis came to conclusions about patients negative thoughts and their tendencies to catastrophise s ituations making things seem so much worse then they actually are. This therapy focuses on when irrational thoughts are seen as the main cause of all types of emotional distress and behaviour orders. The aim of this therapy is to exchange the irrational unreasonable with the more positive and realistic beliefs and ways of thinking. Patients are encouraged to ‘look on the bright side’.Ellis identified patients irrational beliefs and ideas which are emotionally self defeating and are mostly associated with psychological problems such as negative thoughts and feelings about ones self. Patients are told to practice certain positive statements like â€Å" I can do† rather then â€Å" I can’t do† to help them create a more positive state of mind. The benefits of using such therapies are that it is a structured therapy with outcomes which are achievable, these methods are becoming more commonly used as they are short term and are cost effective aswell as e conomically effective.This therapy is appealing towards patients who find insight therapies which look deep into their inner emotions and problems seem less threatening and intimidating. Although there are disadvantages of this therapy. It may not uncover the problem completely, however it does almost try to empower patients to help themselves with their issues and feel better. It also may not work well for adults who are not willing to take part and collaborate with the therapist to achieve a new way of thinking. It may also not be successful for those who feel that they can’t achieve self happiness without something or someone else contributing towards it.This therapy is mostly successful for clients suffering from anxiety disorders, stress management and sexual problems. Studies have shown that this therapy is more effective in depression than drugs are and the relapse rate is proved to be lower with cognitive behavioural therapy. This from of therapy has been proved to be more effective then anti depressants. In conclusion, I have included all the points mentioned in the introduction that I said I would include in my essay, I have outlined and evaluated two approaches and discussed two theorists and therapies for each approach.

Psoriasis Research Paper Example | Topics and Well Written Essays - 4750 words

Psoriasis - Research Paper Example Thus, acceptance of the situation is an indispensable ingredient to maximize the clients’ adherence to any therapy. In this paper, the efficacy of the available treatment options for psoriasis will be comprehensively examined including the social issues affixed and outlook of the situation. In doing this, an overview of the disorder comprising the causes, risks, and pathophysiology will be briefly discussed. The cure for psoriasis has been a lifetime dream for dermatologists and affected clients. The quality of life of clients afflicted with psoriasis suffers greatly within 5 to 10 years after onset. Although it is not transmissible to other people, the appearance of the lesions affects the clients' social functioning (Winterfield et al, 2005). Traditional therapeutic regimens are continuously challenged by more recent discoveries in biochemistry and immunologic medicine. Some forms of treatment, like phototherapy and topical therapy, are used as a combination therapy rather t han used alone. In any case, minor and major adverse effects manifest themselves that limit the clients’ adherence to the prescribed therapy. Presently, medical practitioners continue to discover potential treatment options that would precipitate fewer side- effects. As the genetic correlation and immunologic alteration of the disorder are being studied, the use of biologic agents and gene therapy may become one of the treatment options in the future. Several scientists are becoming more and more aggressive in the treatment by using monoclonal antibodies purposely altered to suppress cell division of target cells (Winterfield et al, 2005). Pathophysiology The exact triggering mechanism involved in psoriasis consists of the dynamic interplay of individual factors and environment (Kumar et al, 2010). Although genetic predisposition to the condition has been recognized in some cases, the incidence of psoriasis remains relatively similar even in clients without a traceable family history. Moreover, the role of the environment as a risk factor can be seen in some clients when psoriatic lesions occur at areas with a history of skin injury, sunburn, and excoriation. Warm climates also appear to improve the condition (Ignatavicius and Workman, 2010). In addition, the immunologic causation of the condition can be observed in some clients who also developed debilitating arthritis. Because of this, psoriasis can be viewed as a systemic connective tissue disorder rather than a simple skin condition (McPhee et al, 2006). While it has been generally established that the onset of the condition occurs by 20 years of age, the condition may also manifest in older people at 57 to 60 years of age. Psoriasis is very common and affects nearly 1% to 2% of the population (Huether and McCance, 2006). The pathophysiologic basis of psoriasis highlights the involvement of an abnormality in the immune reaction in the skin which results from the overstimulation of the immune system (Kumar et al, 2010). Langerhans cells in the skin react with an unknown antigen, leading to T- lymphocyte activation which then attacks the keratinocytes. The resulting dermal inflammation causes scaling (McPhee et al, 2006). Normally, the cells in the basement membrane of the epidermis reach the outermost layer for about 27 days, while it only takes 4 to 5 days in the case of psoriasis. Cell maturation and keratinization are bypassed, thus the epidermis thickens and plaques form. Loosely cohesive keratin