Animal Cruelty Essay Example | Topics and Well Written Essays - 1750 words

Animal Cruelty - Essay Example This paper will examine the topic of animal cruelty in details by discussing various emerging issues and themes arising from the topic. Animal brutality investigations and trials have become regular dealings that interest extensive responsiveness. They cause massive emotion and attention, yet they can be difficult to follow. While certain people may see these cases as unimportant, actions against offenders of these crimes are being prosecuted like any other criminals. Animal cruelty is a crime as serious as any other cruelty crimes. Animal cruelty does not involve just beating up an animal. It also involves denying an animal food, water, basic medical care and shelter. Moreover, many animals are also protected by the law (Arluk 183). The neglect of animal can be classified into two sections. They are simple and gross neglect. Simple neglect involves depriving an animal of basic needs. It is normally not viewed as a crime and is usually resolved by intervention by animal control and care by educating the people on proper animal care. Gross neglect involves willful cruelty and malice towards an animal. Willful neglect is prosecutable by law as it is considered a serious crime. Avoidance of pointless animal abuse has been fundamental in laws in Western people for eras (Arluk 186). Governments and metropolises have reacted to the wellbeing of citizens by increasing the punishments for acts of brutality and providing better means for the investigation and trial of these offenses. The animal welfare states that animals can be used for food, clothing and research as long as this is done in a humane way. An example is the slaughter f cows or goats for domestic or commercial purposes. Animal should not be subjected to any kind of suffering. Animal rights activists disagree with this. They argue that many people may misinterpret the word humane and they rule pout the idea of animals being viewed as commodities.

Research Paper to included Data Analysis Plan Example | Topics and Well Written Essays - 1750 words

To included Data Analysis Plan - Research Paper Example The same document reveals that among the general public, men are more likely (60%) to come across traumatic experiences that may trigger PTSD than do females (50%). However, women are more likely to develop the condition despite their lower rate of exposure, with a likelihood of 10% compared to men’s 4% (Gradus, 2014). At the same time, research has established that veterans who took part in different operations have varying rates of PTSD prevalence. This could be the result of varying intensities of the wars, and differing levels of exposure to other traumatic experiences. The Operation Iraqi Freedom (OIF) veterans have a prevalence of between 11% and 20%; Gulf War (Desert Storm) veterans have a 12% prevalence; and 30% of Vietnam War veterans have endured PTSD in their lifetime. Taking a look at the gender dimension in prevalence of PTSD among military personnel reveals that a higher percentage of women (55%) are exposed to sexual harassment than men (38%) (U.S. Department of Veteran Affairs, 2014; Haskell et al, 2010). Needless to say, these experiences elevate female veterans’ risk of developing PTSD. With this fact in mind, it is accurate to adjudge that female veterans are more prone to PTSD than are male veterans. It is these assertions on higher prevalence of PTSD among veterans and among females in society (both in the general public and the veteran community) that this research seeks to investigate. None of the literature material consulted appears to point at the implications of longer or shorter exposure on the prevalence of PTSD among veterans. The researcher delves into this issue by seeking to establish whether those who have been in the battlefield for longer periods are equally likely to suffer PTSD as a result of accumulated traumatic experiences. As indicated, this research aims to investigate whether there

America’s Two Assemblies Essay Example for Free

America’s Two Assemblies Essay Introduction The U.S. government is composed of a bicameral Congress. The first one is the Senate, which is represented equally by the states. The second one is the House of Representatives, which is represented by population. This setup is proposed by the Connecticut Compromise, which combines the proposal of New Jersey and Virginia regarding the issues surrounding the creation of a new Congress. New Jersey, one of the smaller states, insisted that each state should have equal representation in the Congress. But the Virginia Plan argued that a legislature based on population is more fitting. So as a result, the two proposals were combined satisfactorily forming the two houses of the Congress (Lader 2002, 55). The U.S. Senate, or the upper house, is bestowed with different powers, one of which is the power to approve the laws and treaties created by the presidential or the executive branch of the government, as well as the ones coming from the lower house. It approves the laws and treaties by the virtue of two-thirds of votes of the whole Senate population. If that number is not reached, the law can be outwardly rejected, shelved, or is requested to be amended (Powers and Procedures 2006, 1). The lower house, or the House of Representatives, on the other hand, is bestowed the power to create bill which, in turn will turn into a law that the whole nation will follow, and eventually, benefit from. The House of Representatives meets to create bills and resolutions, discusses them, and passes them on to the Senate for further review and ratification (The Legislative Process 2006, 1). These are the basic functions of both the Houses. The functions of creating laws will be further discussed in this paper to show that these two assemblies are essential in any system of government to ensure checks and balances on government power. II. Making a Law A bill starts from an idea of a person. It won’t matter if he is a part of the Congress, a social group or organization, or just a regular citizen. The idea then is brought to the House of Representatives so that they can hear out the pros and cons about it. A group especially designed to cater to the needs and the interest of that idea hears it. For example, if the idea is about education, the House Committee on Education and the Workforce handles it. The law starts from a single thought that is processed and formed into a bill (Donovan 2004, 6-11). All American law starts out this way as a bill. A bill is a document that proposes an entirely new law or an amendment to an existing one. The bill can be passed by any member of the Congress, even though the idea of making a law comes from government departments or from political parties, as announced in the party platforms during election campaigns. A bill passed by a member of the House of Representative as projected by the government is called the â€Å"Government Bill.† If an individual member of the Congress passes a bill, it is called a â€Å"Private Member’s Bill† (Brody 2001, 1-3). A bill is not a law yet; it has to be approved first by both the Houses of the Congress, and should be affirmed by the incumbent President. The two Houses of Congress will be assessing the bill and has the power to add proposals to make the necessary changes in it. These proposals are usually debated on; speeches are crafted to pronounce a member’s stand towards the bill. The Congress will be voting towards the approval or the shelving of the bill. Usually, the bill has to be read thrice and has to go through all the necessary changes before it is successfully passed on each House of Congress (Holder 1997, 1-4). Here, we see the interaction of the two Houses of the Congress. A law can impact the nation’s economy, and so that the lawmakers themselves, either from the upper or lower house won’t make a law that would benefit them individually or wholly. Intense deliberation and scrutiny is performed on the every bill that was conceptualized and is passed in the hope that it will be implemented only to benefit the many (Brady McCubbins 2002, 17). III. The Showcase of Balance The innate need of one House of the Congress for the other shows that there is balance in the legislative branch of the government itself. One cannot exist without the other. A bill will not become a law in the absence of either the houses. There would be no law implemented and conceptualized by just one House alone. A single law has to go through the process as required by both the Houses of the Congress (Sajo 1999, 69). These laws, on the other hand, will not become valid without being finalized and approved by the executive branch of government, which is composed of the President and his Cabinet. The final say still belongs to the Head of State. But he cannot influence the Congress as to what laws they should make or ratify. The executive branch can propose and lobby for a bill, but it cannot fully instruct the Congress to just pass it in its favor. Even if the bill is proposed from the above, it still has to go through the same processes. No special treatment is given (Sajo 1999, 89). At this point, the balance between the two branches of the government, namely executive and legislative becomes evident. The President of the United States in his supreme power and capacity, cannot, in any way, influence the Congress to absolutely work for him. He cannot mandate what laws he wanted to be created and passed over to him for finalization. In essence, his office is equal to the legislative office. They work in parallel of each other, so that one cannot take advantage of one another (Sajo 1999, 99). Without the Congress doing its job, the President will have the freedom of making laws himself for whatever reasons he finds urgent. And laws have a big impact to a nation. One wrong law could mean economic distress. One selfish law could suppress freedom. One inappropriate law could wreak havoc. Without the Congress, the President will have his absolute power. The U.S. democratic form of government is gone and a totalitarian form of government will take its place. When that happens, the power shifts heavily to the executive branch of the government (Borrelli 2002, 18). Another branch of the government is the judicial branch. Although the branch does not actively participate in the law-making process, it is directly involved in the implementation of such laws. Even if the legislative body makes the laws and the executive finalizes it, they do not participate in the process of making sure that the laws are fully observed and strictly followed by all members of the society. This is the job of the judiciary. The law applies to all, and that includes the lawmakers who created them and the President of the United States himself. Without the judicial branch of government doing its assigned task of maintaining harmony and peace within the nation’s constituents, the laws would become worthless (Berger et al 2001, 606). IV. The Law and the Society A harmonious society simply cannot exist unless the people who belong in it respect all the governing law implemented to a considerable degree. Laws have the power to settle certain issues in the society and the government. If all people respect the law enough, they would choose to reconcile their individual differences to the context of what is right and valid, as provided by the law’s provisions. All laws should be respectable and sound enough to be appreciated by everyone. Law and morality should also come hand in hand; otherwise, the people will have to choose either to lose their morality or their respect of the law. Laws are created so as to maintain justice in the society; therefore law and justice should be one and the same in the minds of the people (Bastiat 2004, 22). Lawmakers should take it upon themselves to make and amend laws according to the interests of the general public and not for their own personal gains. Laws should help accelerate the resolution of current social conflicts and national dilemma. Every law in the land should represent their citizens accordingly. The law is so powerful it can make a society; and that power is also enormous enough to destroy it in a rather big and convincing way (Lempert Sanders 1986, 15-20). And this is the main responsibility bestowed upon the shoulders of the legislative branch of government. A balanced government cannot exist in the absence of the Congress. The power will swing indefinitely to either the judicial or the executive branch. And the result of that can prove to be perilous to the society (Lempert Sanders 1986, 26-27). V. Conclusion The American law is intensely compiled, created, and enacted to serve a greater purpose in the society. The burden of enhancing the laws does not depend solely on the solons and lawmakers. We, as individual members of the society, have an immense duty to promote and participate in the creation of these laws as well. We have to be active members of the society and have to make a mark for our own good. We should all help the legislative branch to preserve the balance of power in the government and the society. Works Cited Bastiat, Frederick. (2004). The Law. Montana: Kessinger Publishing. Berger, Marsall J., Schatz Gerald S., Laufer Deborah S. (2001). Federal Administrative Dispute Resolution Deskbook. Illinois: American Bar Association. Borrelli, Maryanne. (2002). The Presidents Cabinet: Gender, Power, and Representation. Colorado: Lynne Rienner Publishers. Brady, David W McCubbins, Matthew D. (2002). Party, Process, and Political Change in Congress: New Perspectives on the History of Congress. California: Stanford University Press. Brody, David C. (2001). Criminal Law. Maryland: Jones and Bartlett Publishers. Donovan, Sandy. (2004). Making Laws: A Look at How a Bill Becomes a Law. Minnesota: Lerner Publications. Holder, Angela R. (1997). The Meaning of the Constitution. New York: Barrons Educational Series. Lader, Curt. (2002). Barrons How to Prepare for the Ap U.S. Government and Politics. New York: Barrons Educational Series. Lempert, Richard Sanders Joseph. (1986). An Invitation to Law and Social Science: Deserts, Disputes and Distribution. Philadelphia: University of Pennsylvania Press. Powers Procedures. (2006). United States Senate. [Online] Available at http://www.senate.gov/pagelayout/history/one_item_and_teasers/powers.htm. Sajo, Andras. (1999). Limiting Government: An Introduction to Constitutionalism. New York: Central European University Press. The Legislative Process. (2006). United State House of Represenatives. [Online] Available at http://www.house.gov/house/Tying_it_all.shtml.

Effective methods of understanding and treating PTSD

Effective methods of understanding and treating PTSD The treatment related publications of the last twenty years places a large amount of attention on determining the most useful psychological therapy for clients with a diagnosis of posttraumatic stress disorder, PTSD. The overall aim of this paper is to critically evaluate current cognitive models of PTSD and literature on the effectiveness of cognitive behavioural therapies to treat this disorder based on these models. Definitions of PTSD The 4th edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-IV (APA, 1994) defines trauma as: (a) The individual experienced, witnessed or was confronted with an event that involved actual or perceived threat to life or physical integrity; and (b) the individuals emotional response to this event included horror, helplessness or intense fear, Foa and Meadows (1997, p. 450). The psychological symptoms connected with PTSD are categorised into three groups of symptoms in DSM-IV: The main characteristics include re-experiencing (in the form of flashbacks, intrusive thoughts, and distressing dreams), avoidance/numbing and heightened arousal, after the person is subjected to a traumatic incident. (Foa Rothbaurn, 1992). The next group includes avoidance of stimuli trauma-reminding stimuli and symptoms of emotional numbing (Foa, Hearst-Ikeda, Perry, 1995; Litz, 1993). The final symptom group includes heightened arousal e.g. hypervigilance, exaggerated startle response, difficulty sleeping and irritability (APA, 1994). Current Government Guidelines on the treatment of PTSD Determining effective and efficient treatments for PTSD has come to be seen as important due to the conditions prevalence and the many techniques and interventions available. The National Institute for Clinical Excellence, NICE, reviewed the most robust outcome research and produced guidelines, to provide information and direction for the psychological management of PTSD in adult sufferers (NICE, 2005). The guidelines were developed from an independent, methodical, rigorous and multistage procedure of selecting, examining and assessing evidence for the successful treatment of PTSD. These guidelines conclude that individuals with PTSD should receive either trauma focused Cognitive Behavioural Therapy (TFCBT) or Eye Movement Desensitisation and Reprocessing (EMDR). However, a distinction is made between single incident trauma and more complex presentations, and the guidelines suggest increasing the total number of sessions accordingly. Although the guidelines appear helpful for the tre atment of single incident PTSD, they are arguably not as informative for treatment approaches for a large group of individuals with complex PTSD. This presents difficulties for the clinician and patient in deciding the most effective therapeutic options. Cognitive Behavioural Therapy (CBT) is the most extensively studied therapy for individuals with PTSD (Foa Meadows, 1997) and many studies support its efficacy in reducing symptom severity (e.g. Resick Schnicke, 1992; Foa, Rothbaurn, 1992; Foa et al., 1995; Foa Jaycox, 1996; Riggs, Murdock, 1991; Richards, Lovell, Marks, 1994; Thompson, Charlton, Kerry, Lee, Turner, 1995). However, CBT for PTSD encompasses diverse techniques. These include exposure procedures, cognitive restructuring procedures, and combinations of both these techniques. Exposure Therapy Exposure therapy is derived from the idea that imaginal exposure (IE) to the trauma or feared situation, leads to a decrease in symptoms. The theory argues enduring activation of traumatic memories result in processing of the emotional information, lessening of anxiety and assimilation of accurate memories (Foa et al., 1995). Much research has shown that treatment involving exposure therapy is effective in decreasing PTSD symptoms (e.g. Foa et al., 1999; Frueh, Turner, Beidel, Mirabella, Jones, 1996; Keane, Fairbank, Cadell, Zimmering, 1989). Foa, Rothbaum, Riggs, and Murdoch (1991) investigated exposure therapy, stress inoculation (a type of Anxity Management Treatment, AMT), supportive counselling, and a non-treatment group in the management of rape-related PTSD. Clinical measures of symptoms and standardized psychometric tests were examined before and after treatment as well as at a three month follow-up. The stress inoculation intervention showed superior results to the counselling and non-treatment conditions at post-test. However, at the follow-up, the individuals participating in exposure therapy showed more improvements of PTSD symptoms than individuals in the other groups. Research has investigated the efficiency of exposure therapy compared to different methods of treatment. For instance, exposure therapy and cognitive therapy were investigated by Tarrier et al. (1999) for the management of individuals with PTSD arising from various traumatic incidents. Although both approaches demonstrated a noteworthy decrease in PTSD symptoms that was still present at 6-months follow up there was no non-treatment control against which these two treatments could be evaluated. Similarly, Foa et al. (1999) compared exposure therapy to AMT and then combined the two treatments. These three groups were compared to a non-treatment control group. All three of these treatments successfully decreased symptoms of rape-related PTSD and improved more than the non-treatment control group. However there was no significant variation among the treatment groups on outcome measures. In a study that once again compared exposure therapy to cognitive therapy, Marks, Lovell, Noshirvani, Livanou, and Thrasher (1998) examined these two treatments alone and in combination in outpatients with PTSD secondary to a wide range of traumatic events. A relaxation therapy condition was employed as the comparison group. The three active treatment groups demonstrated significant reduction in symptoms compared to the relaxation sample. These intervention groups were not markedly different from on another on the main treatment outcome measures. Several investigations have advanced the field of PTSD treatment, even though the methodology utilized in the outcome study limited the conclusions that could be drawn. Frank and Stewart (1983) reported the effects of systematic desensitization on women who had been raped and who developed significant psychological symptomatology. Compared to an untreated comparison group, those women treated with graduated exposure improved most on a range of anxiety and depression symptom measures. Imaginal and in-vivo exposure was compared in a randomized study of survivors of varying traumatic events (Richards, Lovell, and Marks,1994). At the 12-month follow-up, patients reported consistent reductions in PTSD symptoms and improved social adjustment. This data further substantiates the efficiency of exposure treatment for some individuals, and also suggest that improvements in symptoms are also reflected in critical domains of life functioning. In conclusion, the existing data advocates the use of exposure therapy in the treatment of PTSD. In a previous review of this literature, Solomon, Gerrity, and Muff, (1992), (Sited in Shapiro, 1995) derived the same conclusion from data available at that time. Similar conclusions were drawn by Otto, Penava, Pollack, and Smoller (1996) in a more recent review of the literature. In what may prove to be an important lesson for the treatment of individuals exposed to traumatic events, Foa, Hearst-Ikeda, and Perry (1995) investigated the effectiveness of a short-term intervention to prevent the development of chronic PTSD in females who had been recently raped. The program was based upon that which worked well in earlier trials with chronic PTSD. Exposure therapy figured prominently in the package of treatment and also included elements of education, breathing retraining, and cognitive restructuring. When individuals receiving the package were compared to a control group, this study found that at 2 months post-treatment only ten percent of the treatment sample met the diagnosis for PTSD, while seventy percent of the untreated comparison group did. As information continues to grow on exposure therapy, there is a clear requirement for research to investigate combinations of psychological treatment, to utilize screening measures that consider occupational and social performance, and to access the outcome of interventions on co-morbid psychological difficulties. Unmistakably, the existing empirical research reveals the importance of extending the application of exposure approaches to PTSD patients. However future studies assessing the generalization of exposure therapy from laboratory trials to clinical settings would be particularly useful. When exposure therapy has been compared to other forms of cognitive therapy, such as cognitive restructuring (see below), it has proved to be more successful in reducing PTSD. Tarrier et al., (1999) assigned 72 people with chronic PTSD to either a Cognitive Therapy (CT) group or an imaginal exposure (IE) therapy group, and concluded that there was no noteworthy differentiation between the two treatment conditions initially or at 12 months post treatment. Participants recruited were obtained from a sample of referrals to primary and secondary mental health services and voluntary services, indicating that they were representative of a genuine clinical sample. However, 50% of the sample remained above clinical significance for PTSD symptoms after treatment was completed, although this dropped to 25% at six-month follow-up. This lack of improvement may have been influenced by participants failure to attend sessions regularly. Furthermore, those who did not show improvement rated the trea tment as less convincing and were rated as not as motivated by the clinician. Therefore, it is argued that motivation for therapy and regular attendance plays an important role in outcome of therapy regardless of treatment model. A further limitation of this study was that no control group was used and non-specific treatment factors and spontaneous remission could also account for the improvements in reported symptoms. Cognitive Restructuring Cognitive restructuring is derived from the theory that discovering and altering catastrophic and inaccurate interpretation of the trauma leads to a decrease in symptoms. Some of the latest models have emphasised the significance of altering thinking distortions in the rehabilitation of individuals who have experienced trauma (Ehlers Clarke, 2000). Ehlers, Clark, Hackmann, McManus, and Fennell (2005) utilized cognitive therapy based on the cognitive model of PTSD (see figure 1. Ehlers Clarke, 2000). From this model, the aim of therapy is to alter overly negative interpretations, amend the disturbance in autobiographical recollection and to eliminate the unhelpful behavioural and cognitive strategies (see figure 2, Ehlers et al., 2005). In a randomised controlled trial of twenty-eight participants diagnosed with PTSD. Fourteen participants were assigned at random to cognitive therapy treatment or a 13-week waiting-list condition. Those receiving cognitive therapy had 12 weekly treatment sessions, based on the Ehlers and Clarke (2000) model of trauma focused CBT. Participants completed self-report screenings of anxiety, mood and PTSD symptoms, and the Sheehan Disability Scale (APA, 2000). Measures were administered before and after treatment and at 6-months follow up. Findings revealed that cognitive therapy for PTSD was signifi cantly better than a three month waiting-list group on symptoms of PTSD, disability and symptoms of anxiety and affect. This study had no dropouts, which is a significant improvement on other studies, which yielded high dropout rates, (e.g. Tarrier et al., 1999). Participants displayed a positive change in cognitive appraisals. The Ehlers and Clarke (2000) model suggest that two additional paths of change; alteration in the autobiographical recollection of the trauma, and the discontinuation of maintenance behaviours and cognitive strategies are integral in reducing symptoms of PTSD. While the treatment incorporated these other aspects, these have not been measured systematically, so it is difficult to conclude whether clients experienced a change in these two areas. Further analysis indicated that demographic, trauma and diagnostic variable did not predict intervention results, signifying that the approach is pertinent to a broad scope of individual who have experienced trauma. Conversely, the extent of discrepancy of trauma and small sample numbers suggests that this finding would not be present in a larger sample. Co-morbid depression and previous trauma history, which was present in over half the sample, did not negatively affect outcome. Combinations of therapy Resick and Schnicke (1992) have proffered a multidimensional behavioural treatment for females who have PTSD associated with sexual assault. This treatment, known as cognitive processing therapy (CPT), includes components of exposure therapy, AMT, and cognitive restructuring. The cognitive therapy element of CPT involves tackling central thinking distortions found among females who have been assaulted. These authors have developed interventions which particularly deal with concerns of trust, self-confidence, safety and intimacy in the lives of trauma victims. In a preliminary evaluation of CPT, the authors compared outcomes at pre-treatment, post-treatment, 3 months follow-up, and 6 months follow-up for an intervention group and a non-treatment group (no random assignment was used). On clinician ratings and psychometric inventories of PTSD, the individuals receiving CPT improved significantly. Impressively at the post-treatment assessment, none of the treated patients met criteria fo r PTSD. In another study, Resick, Nishith, and Astin (2000) evaluated CPT and exposure therapy in the management of sexual assault-related PTSD. Both approaches proved successful in general and were more successful than a non-treatment control group. CPT did also seem to reduce comorbid symptoms of depression, as well as those of PTSD. Combination therapy that incorporates a number of cognitive-behavioural techniques have the advantage of addressing various difficulties that individuals with PTSD may experience, in addition to integrating methods that have a considerable scientific evidence base in the clinical literature. An intervention incorporating exposure therapy, AMT, and cognitive restructuring as the main elements for treating PTSD was proposed by Keane, Fisher, Krinsley, and Niles (1994). This treatment utilizes six stages as a means of treating severe and chronic PTSD, it incorporates the following: (1) behavioural stabilization; (2) trauma psycho-education; (3) AMT; (4) trauma focus work; (5) relapse prevention skills; and (6) aftercare procedures. Although this approach has clinical appeal, it wasnt until psychologists Fecteau and Nicki (1999) examined such a package in a randomized clinical trial for PTSD resulting from automobile accidents that the impact of a combination package such as that proposed by Keane et al. (1994) was assessed. Their intervention consisted of psycho-education, relaxation, exposure, cognitive restructuring, and guided behavioural exercises. Patients were randomly assigned to the treatment group or non-treatment comparison group and received some 8-10 sessions of individualized treatment. The outcome of the treatment was effective as assessed by clinical ratings, self-report questionnaires, and lab-based psycho-physiological evaluation methods. Described by the authors as clinically and statistically significant, these treatment outcomes were sustained at the 6-month post treatment evaluation. Bryant, Moulds, Guthrie, Dang, and Nixon (2003) studied the effects of IE alone or IE with CR in the treatment of PTSD. They hypothesised a CR and IE treatment combination would lead to significantly better decrease in PTSD symptoms than exposure on its own, which would be more beneficial than a supportive counselling condition. Fifty-eight civilian trauma victims, diagnosed with PTSD as measured by the Clinician Administered PTSD Scale, version II, CAPS-2, (Blake et al., 1995) were randomly allocated to one of the 3 conditions. Each participant received eight weekly 90-minute sessions of either IE, CR and IE or supportive counselling. Participants completed assessments at pre and post intervention and six months following. These measured PTSD symptoms and psychopathology. Forty-five participants completed treatment and analysis indicated that dropouts had higher scores for depression, avoidance and higher catastrophic cognitions than those who completed. Results indicated that parti cipants receiving both IE and IE/CR had a siginifcantly better decrease in PTSD symptoms and anxiety than supportive counselling (SC). The main revelation of this investigation was that treatment comprising of IE and CR leads to significantly better reductions in CAPS-II scores compared to treatment involving IE alone. Furthermore, those receiving IE/CR, but not IE on its own, gave accounts of less avoidance, depression and catastrophic thoughts than individuals in receipt SC. The findings from this research indicated that the combination of IE and CR are successful in decreasing symptoms of PTSD. It can be argued that the reasons why IE/CR may have been more effective than augmented treatments in the past (e.g. Foa et al., 1999) was that the research prudently controlled for the duration of time spent on every section of treatment. Furthermore, participants were instructed on CR before commencing IE so they understood the rationale behind the techniques prior to addressing the strong emotional components of IE. This may have increased their understanding and belief that it was a credible treatment approach. The outcome that CR improved the benefits of IE treatment could have been a result of a number of likely mechanisms. IE and CR may consist of similar aspects, such as processing of emotional memories, amalgamation of corrective information and acomplishment of self-mastery (Marks, 2000). Combining the two approaches may give the patient more chances to achieve treatment gains. CR may have lead to greater decrease in symptoms as it explicitly attended to identifying and changing unhelpful thoughts that may add to the maintenance of PTSD and related difficulties (Ehlers Clarke, 2000). Paunovic and Ost (2001), compared treatment outcome data for CBT and exposure therapy for sixteen refugees with PTSD. The authors excluded those who became too distressed in the initial interview, expressed a lack of confidence in the therapist or were misusing alcohol or drugs. Results indicated there was no significant difference between participants completing CBT or exposure therapy, being similar to Tarrier et als (1999) findings. Criticisms of Paunovic and Ost (2001)s study are that participants did not use a self-report trauma measure, so although results are positive, there is no clear analysis of whether participants felt their trauma symptoms decreased as a result of the treatment. Further, it is not possible to generalise these findings to traumatised refugees in general, as this work is unique. Working with the use of an interpreter raises several ethical and sensitive issues, as the participant must be able to develop a therapeutic alliance with the therapist and trust the interpreter (Tribe, 2007). It could be argued that participants may have been experiencing a greater degree of trauma, not least because they had not yet learned the native language. Discussion The most successful CBT treatments seem to be those that involve repeated exposure to the traumatic memory (Foa et al., 1991; Foa et al., 1999; Foa Rothbaum, 1992) on cognitive restructuring of the interpretation of the traumatic event, (Ehlers Clarke, 2000) or a combination of these approaches, (Resick Schnicke, 1992). Importantly, studies have concluded that trauma focused CBT is more successful than supportive counselling (Blanchard et al., 2003; Bryant et al., 2003). Whilst the studies reviewed have helpfully added to our understanding of PTSD there are numerous limitations of the applications of the findings. One in particular is an over-reliance on non-clinical samples of participants such that many claims of clinically effective therapy have been made from research with participants who were not within mental health systems, and despite having PTSD symptoms had not actively sought treatment. In addition, dropout rates in studies are high, particularly for those studies that did not use a clinical sample. This might have skewed the evidence particularly with approaches that used exposure-based therapy. Furthermore, most of the studies reviewed screened out those individuals experiencing the greatest amount of distress, avoidance and co-morbidity. Therefore results are biased towards those clients who were able to tolerate treatment and whose symptoms were not as chronic. Indeed, inclusion and exclusion criteria appear to have a great impact on outcome of treatment. For example, studies with a strict inclusion criteria (e.g. no co-morbidity, substance misuse, self harm) appear to have significant improvements, whilst other studies i.e. Kubany et al., (2003), allowed participants to continue with other therapy while embarking on their therapy. This makes it methodologically difficult to ascertain exactly what has been effective in reducing PTSD symptoms. As inclusion and exclusion criteria are idiosyncratic across studies, it makes it difficult to draw general conclusions regarding treatment effectiveness with a clinical population across studies. Studies often chose to focus therapy on identified groups, e.g. police officers. However, clients who experience PTSD do not form a homogeneous group and further, the symptoms experienced may be diverse even within a sample of individuals who have experienced the same trauma. Treatment studies often do not control for other factors that may be important contributing factors in outcome such as the role of education, quality of the therapeutic relationship, therapeutic alliance and other nonspecific factors. The literature was generally from American, British or European sources although clearly trauma is intercultural. This raises issues about how different cultures interpret PTSD, an essentially Western concept, and also whether the treatments advocated would be effective cross-culturally. Previous research has strongly indicated that PTSD is not an appropriate term to use in non-western situations (Summerfield, 1997), hence therapeutic approaches need to account for this. It is not clear in the majority of studies when the participant experienced the trauma, and at what point therapy started. Frequently these characteristics are omitted from studies, therefore making it difficult to compare effectiveness of studies. It is essential to think about the types of individuals that have been represented in the research and to look at whether it is representative of those who seek treatment. Finally, very little has been reported on the impact of other difficulties an individual is experiencing as PTSD can have a broad ranging effect on an individuals quality of life and functioning and most often clients have more complex presentations. Only very few studies reviewed controlled for this variable (see Ehlers et al., 2005). This is an inherent difficulty when completing resea rch with a trauma population as within research it is important to obtain a sample that have a similar degree of difficulties in order to assess treatment efficacy. Several papers have evaluated different types of therapy according to particular groups. However, it appears that one size does not fit all in relation to PTSID. In particular the issues of culture and gender are of importance (see Liebling Ojiambo-Ochieng, 2000; Sheppard, 2000). Individual formulations of presenting problems and contexts, which informs therapy that is adapted to suit individual clients needs, may in fact be more helpful. It remains important to consider individual differences and client choice when offering trauma therapy. Trauma therapy outcome studies are limited by the fact that sufferers usually have other mental health problems alongside PTSD such as depression or social anxiety. Evaluation of effective treatment of trauma survivors therefore might need to go beyond medical diagnostic categories as most of the research excludes clients with co-morbid problems. A multifaceted intervention, based on clients own views, which addressed these other difficulties, could assist in decreasing relapse and greaten the long-lasting effectiveness of any PTSD intervention. As outlined in the methodological limitations section, much of the research reviewed has not used a genuine clinical sample, there are high dropout rates, widely variable inclusion and exclusion criteria, and the heterogeneity of PTSD has perhaps not yet been accounted for. It is therefore difficult to ascertain what is specifically helpful or effective within the treatment components. This seems to be the next area for consideration in resea rch. Further research into the optimal length of treatment and timing of therapy, the effect of co-morbidity and the differing effects of individual and group therapy approaches for traumatised clients are required. Further controlled research is needed to ascertain if the types of therapies reviewed can provide long term lasting effects in reducing PTSD symptomatology. At present the scientific evidence is mainly restricted to the evaluation of short term, focused treatment approaches, and it would be helpful to have controlled studies on longer-term interventions for more complex cases of trauma. Further research would benefit from considering the clients views and experiences of therapy, this perspective was lacking in the literature reviewed. Service user and carer perspectives are beyond the scope of this review, however they have been highlighted as an important consideration within the NICE guidelines and therefore require further consideration in future research. Conclusion There appear to be at least three approaches with exceptional empirical evidence for treating PTSD; exposure therapy, cognitive therapy or a combination of these methods. These three interventions have empirical validation in well-controlled clinical trials, demonstrate strong treatment effect sizes, and seem to work well across varied populations of trauma sufferers. However future research to examine the efficacy of these methods in clinical environments is necessary. There is much to be learned about the treatment of PTSD. It is certain there will be no simple answers for treating people who have experienced the most horrific events life offers. Undoubtedly, combinations of treatments as proposed by Keane et al. (1994) and Resick and Schnicke (1992) may prove to be the most powerful interventions. PTSD research in this area is only in the earliest stages of its development. Finally, an assumption about the uniformity of traumatic events has been made in the literature in general. Although it is reasonable to speculate that fundamental similarities exist among patients who have experienced diverse traumatic events and then develop PTSD, whether these patients will respond to clinical interventions in the same way is an empirical question that has yet to be addressed. Studies posing a question such as this would be a welcome addition to the clinical literature: Will people with PTSD resulting from combat, torture, genocide, and natural disasters all improve as well as those treated successfully following rape, motor vehicle accidents, and assaults? This is a crucial issue that requires additional scientific study in order to provide clinicians with the requisite evidence supporting the use of available techniques. Research on the prevalence of exposure to traumatic events and the prevalence of PTSD has mainly been carried out in the United States. Yet there are fundamental errors in assuming that these prevalence rates apply even to other Western, developed countries. Studies that examine the prevalence of PTSD and other disorders internationally are clearly warranted. Implicit in this recommendation is the need to examine the extent to which current assessment instrumentation is culturally sensitive to the ways in which traumatic reactions are expressed internationally. Much work on this topic will be required before definitive conclusions regarding prevalence rates of PTSD internationally can be drawn. Studies of the effectiveness of the psychological treatments across cultures and ethnic groups are also needed. What may be effective for Western populations may be inadequate or possibly even unacceptable treatment for people who reside in other areas of the world and who have different world views, beliefs, and perspectives. This issue will need to be more closely examined before we can draw definitive conclusions. It is suggested that despite the type of treatment provided to individuals with trauma there is ultimately a necessity for a flexible, integrative approach to treatment in order to address the multifaceted and changing requirements of individual trauma survivors. A range of outcomes has been revealed with the types of treatments outlined in this review, it is uncertain which individuals will respond greatest to various treatment approaches. Nevertheless, what is important in determining the effectiveness of any psychological treatment of PTSD is that it is reliant upon forming and upholding a therapeutic alliance that is strong enough for the client to experience as safe and trusting for positive emotional modifications to take place.

A Critique of Thank You for Smoking? :: Critical Essays

A Critique of â€Å"Thank You for Smoking†¦?† Intro: The essay â€Å"Thank You for Smoking,† written by Peter Brimelow, is far from an influential essay on why people should smoke. Through this essay, Brimelow makes an effort to convince the audience smoking is actually beneficial to your health. I find it hard for people to write about what they think are the benefits of smoking when there are so many obvious reasons why you should not smoke. The main audience being targeted in this article is those who already smoke and those who are thinking about smoking. One thing mentioned in the article is the fact that smokers are usually lighter in weight. In my personal opinion, I would rather eat a balanced diet and walk daily rather than walk around with a cigarette in my mouth and risk lung cancer. Inductive or Deductive: When trying to find if an essay is logically stated, you first must find if it is inductive or deductive. This is an example of an inductive essay. What inductive means is that the author goes from using specific samples to generalizations that are drawn from those examples (McFadden). Major Claim: The major claim is usually the topic sentence or main idea in the article (McFadden). Through the major claim, Peter points out that smoking has beneficial factors. He states those who smoke are less likely to get many diseases such as Parkinson’s disease, Alzheimer’s, endometrial cancer, prostate cancer, osteoarthritis, and colon cancer (Brimelow 142). Another example used in this essay is the author’s comparison of driving automobiles to smoking cigarettes. Brimelow states, â€Å"But so is driving automobiles dangerous to your health (over 40,000 deaths a year)† (141). This to me just seems like a completely ridiculous comparison to include in this article, especially when in the prior paragraph he states that there are approximately 400,000 deaths annually, which are smoking-related (Brimelow). Minor Claim: One minor claim pointed out through this essay is how smoking helps to relax people, which is one form of a stress reliever (Brimelow). In addition, smoking is said to stimulate alertness, dexterity, and cognitive capacity (Brimelow). It is true these are all things in which people can benefit from; however, these are far from being favorable enough for people to decide to go light up. Grounds: Grounds include all evidence, facts, and logic used in supporting claims (McFadden).

Eliminating Trade Distortion Policies in the United States :: Economy

Eliminating Trade Distortion Policies in the United States The corn bounty, it is to be observed, as well as every other bounty upon exportation, imposes two different taxes upon the people; first, the tax which they are obliged to contribute, in order to pay the bounty; and secondly, the tax which arises from the advanced price of the commodity in the home-market, and which, as the whole body of the people are purchasers of corn, must, in this particular commodity, be paid by the whole body of the people. Introduction The export subsidy, or bounty as it is referred by Adam Smith, has existed for many centuries. Created to augment an industry in need of assistance to the market, the export subsidy has become an outdated trade entity in the developed world. As stated above, export subsidies impose a greater hindrance to the exporting nation that must be compensated by their consumer population. As the United States prepares to host the next global round of negotiations for the World Trade Organization (WTO) in Seattle, Washington, it establishes the perfect opportunity to initiate the abolition of all export subsidies from domestic policy books worldwide by eliminating our own trade distorting programs. Export subsidies are tools used to supplement the producer’s profits from selling a commodity. They are efficient and positive when used to initiate commerce in a developing society. Adam Smith realized their intentions by mentioning that, "bounties were given for the encouragement either of some beginning manufactures, or of such sorts of industry of other kinds as were supposed to deserve particular favor" (Smith, 1776: 450). However, their purpose of origin did not legitimize their existence to Smith. The problem begins when the society grows dependent upon these additional payments because the market has been so thoroughly distorted that prices are inflated beyond normally affordable means. Producers in other nations can no longer compete with the sale price of the commodity from the subsidized nations. The competition is thereby artificially defeated. Export subsidies have reached their expiration. It is time for world markets to convince their users of their inherent inefficiency and to proceed into the next millennium with an agenda calling for freer global trading practices. This process of opening markets and eliminating barriers to trade has already caused quite a stir throughout the WTO’s member nations. In particular, the United States and the European Union (EU) will be at the forefront of the chopping block when it comes the time for discussions regarding agricultural trade. Eliminating Trade Distortion Policies in the United States :: Economy Eliminating Trade Distortion Policies in the United States The corn bounty, it is to be observed, as well as every other bounty upon exportation, imposes two different taxes upon the people; first, the tax which they are obliged to contribute, in order to pay the bounty; and secondly, the tax which arises from the advanced price of the commodity in the home-market, and which, as the whole body of the people are purchasers of corn, must, in this particular commodity, be paid by the whole body of the people. Introduction The export subsidy, or bounty as it is referred by Adam Smith, has existed for many centuries. Created to augment an industry in need of assistance to the market, the export subsidy has become an outdated trade entity in the developed world. As stated above, export subsidies impose a greater hindrance to the exporting nation that must be compensated by their consumer population. As the United States prepares to host the next global round of negotiations for the World Trade Organization (WTO) in Seattle, Washington, it establishes the perfect opportunity to initiate the abolition of all export subsidies from domestic policy books worldwide by eliminating our own trade distorting programs. Export subsidies are tools used to supplement the producer’s profits from selling a commodity. They are efficient and positive when used to initiate commerce in a developing society. Adam Smith realized their intentions by mentioning that, "bounties were given for the encouragement either of some beginning manufactures, or of such sorts of industry of other kinds as were supposed to deserve particular favor" (Smith, 1776: 450). However, their purpose of origin did not legitimize their existence to Smith. The problem begins when the society grows dependent upon these additional payments because the market has been so thoroughly distorted that prices are inflated beyond normally affordable means. Producers in other nations can no longer compete with the sale price of the commodity from the subsidized nations. The competition is thereby artificially defeated. Export subsidies have reached their expiration. It is time for world markets to convince their users of their inherent inefficiency and to proceed into the next millennium with an agenda calling for freer global trading practices. This process of opening markets and eliminating barriers to trade has already caused quite a stir throughout the WTO’s member nations. In particular, the United States and the European Union (EU) will be at the forefront of the chopping block when it comes the time for discussions regarding agricultural trade.

Narrative Reflection: A Long Way Gone by Ishmael Beah Essay

Society can be represented by an onion. There are many layers to both. In society, the center is an individual. It then moves on to family, community, nation, and finally, humankind. Each layer cannot exist without the layers underneath it, just like how an onion cannot be an onion without its many supporting layers. A Long Way Gone by Ishmael Beah shows the layers of society through memories. Beah has experienced these layers through war, and explains each one in his memoir. The first, being himself. When an individual is torn away from his/her parents, moral corruption may be imminent. Once Ishmael and his friends are separated from their families, they are looked down upon by others. They are seen as filthy, useless beings, and that arises many internal conflicts. The separation also leaves a lot of responsibility on the individual. They have to provide for themselves. â€Å"Apart from eating and drinking water and once every other day taking a bath, I spent most of my time fighting myself mentally in order to avoid thinking about†¦ where my family and friends were.†(Beah 52). This quote from the memoir shows how he was experiencing self conflict because of the loss of his family. It shows that separation from one’s family impacts his/her life. Families sacrifice whatever it takes to reunite after being separated. Ishmael traveled across Africa to attempt to reunite with his family. He sacrificed many days and went through a lot of pain to find them. Even his family, while in the village where all the Mattru Jong refugees were staying, kept looking for Ishmael, even if the searches were in vain. â€Å"One man was carrying his dead son. †¦ The father was covered with his son’s blood, and as he ran he kept saying, ‘I will get you to the hospital, my boy, and everything will be fine.’ Perhaps it was necessary that he cling to false hopes†¦Ã¢â‚¬  (Beah 13) This quote shows that even though the son is dead, the father does all he can to attempt to keep them together. â€Å"I wanted to see my family, even if it meant dying with them† is another example of family sacrifice. Ishmael would rather see his family one last time, and be together one last time, even if it meant that he would give up his life. A community is many families working together to help each other. â€Å"‘In that village there are lots of people from Mattru Jong and the Sierra Rutile mining area. All of you might be able to find your families or news about them’† (Beah 83). When Ishmael Beah and his friends go to a village, the people there help direct them to their families who were staying in the next town over. Communities also help provide food and shelter for their members when it is needed. Nations are multiple communities joined together to help each other or fight together. â€Å"The following morning our nameless host came again with food and a smile on his face that said he was glad that we were doing fine.† (Beah 62) A man from one community helped the boys from a different community. This shows how a nation works. Communities work together to help each other. Even so, not all parts of a nation get along. â€Å"One day, as soon as we had left the forested area of a village we had bypassed, a group of huge, muscular men sprang from the bushes onto the path in front of us. Raising their machetes and hunting rifles, they ordered us to stop. The men were the voluntary guards of their village and had been asked by their chief to bring us back.† (Beah 38). The village that sent the guards to capture the boys weren’t being a helpful community to others; however, each nation has different types communities. Some of them willing to help, while others at tempt to protect only themselves. The final layer of society is humankind. It is exactly like the skin of an onion. It ends the layers in a neat finish and protects them. When turmoil occurs in one nation, other nations provide aid. â€Å"‘You have been great soldiers and you all know that you are part of this brotherhood. I am very proud to have served my country with you boys. But your work here is done, and I must send you off. These men will put you in school and find you another life.’† (Beah 129). The program the boys are sent to is UNICEF, which was established to help rehabilitate child soldiers and try to bring them back to reality. Later in the memoir, Ishmael is also sent to the United States to represent Sierra Leone. He shared with the rest of the United States the horror going on in Africa. Americans helped Ishmael’s nation when it was in need. Ishmael uses these layers of society throughout the entire novel. He starts with an individual, the center of an onion, and moves through all the layers, reaching humankind, or the skin of an onion. These layers build his experiences to the maximum level of emotional appeal, and bring many people together to help others like him.