Prevalence of Inappropriate Behavior With Schizophrenia

Prevalence of Inappropriate Behavior With Schizophrenia Sexuality is basic human need. This need is present at every developmental stage and as age increases, it become more dominant. According to Freud if person fixated at one stage or its needs repressed then in later life it comes in his behavior (Townsend, 2006). According to Muslim Public Affairs Council (1996) sex and sexuality are consider taboo subjects in Pakistan. Our culture also doesn’t allow talking about these issues openly before marriage and consider legal to satisfy sexual desire only after marriage. Religion also doesn’t support to discuss these matters openly. It is important to discuss on this topic in mental health because if we don’t discuss on sexuality, the patient may start expressing his thoughts in unacceptable manner which is against our norms of society and it is called as â€Å"sexual disinhibition†. The study uncovered that 26.7% of persistent schizophrenic patients had huge obsessive enthusiastic indications, with a high prevalence in the age set underneath 35 years. Obsessive habitual side effects were more serious in patients with term of sickness more than 5 years. The obsessive impulsive indications were more common around paranoid schizophrenics (Hemrom et al, 2009). A 33 yr. old female admitted in Karwan-e-Hayat with complain of schizophrenia. On assessment I found her depressed and prepared to give teaching on coping mechanism. While giving teaching to her on coping strategies she suddenly started telling her sexual thoughts, desire and feelings to have a sexual intercourse. Even she was ready to have an intercourse with his divorced husband and wanted to get married. When she was telling this I was quiet, anxious, uncomfortable, and not confident to discuss. Once I thought that I was not able to assess her problem for which she needed help. In schizophrenia obsessive compulsive symptoms that of being contamination, sexual, and aggressive thoughts is the positive sign. In a research it has been found that 10% of schizophrenic patient had these obsession symptoms (Hemrom et al, 2009). Sexual obsession is common in schizophrenic patients and relates the DSM-IV criteria of schizophrenia and OC (Bancroft, 2008). Who encounter such a sort of unadulterated fixations (i.e., fixations that are regularly portrayed by the absence of unmistakable impulses) assess unpleasant considerations as unsafe and excessively significant and, hence, fight to control their beliefs (Dell’Osso et al, 2012). The patient was suffering from schizophrenia so having sexual obsession could be the part of her disease process as Turkcan et al. (2007) reported that 16% of patient had obsessive compulsive symptoms with schizophrenia. According to Freud (1961), psychoanalytic theory describes formation of personality through five stages of psychosexual development. Fixation of libido (sexual drive or instinct) at any stage of development certainly results in psychopathology (Townsend, 2006) and fixation at any stage will also influence the behavior of person in later life (McLeod, 2008). As in case of my patient, she was divorced due to which her sexual desires were repressed and unable to fulfill them. It results in fixation of sexual needs due to which her sexual needs are at extreme level that, she have intense feeling to have intercourse and have sexual thoughts, which may change into behavior at any time. On the other hand, literature shows that some antipsychotic drugs induce sexual disinhibition which includes risperidone and quntipien (Lam et al, 2007). Risperidone side effect is that it increases sex drive and also decreases sexual function in some cases. Some cases have been reported which shows the effect of risperidone in increasing the sexual obsession compulsive thoughts (Basil et al, 2002). So, my patient was also taking risperidone it may be one of the factor for having compulsive thought. Whereas, there is also literature support for medication that decreases sexual desires such as one of the late study evaluate that second generation antipsychotic i.e. risperidone, olanzapine, quntipien, and haloperidol is the biggest study to date to assess sexual dysfunction and reproductive side effects (Kelly Conley, 2004). Therefore, it is important to take alternative medications to treat these symptoms. Whereas various late medicine studies and narrative case reports have indicated an adjunctive particular serotonin reuptake inhibitor (SSRI) may be a convincing medications to treat OC in schizophrenia. Patients getting clozapine and other atypical antipsychotics as their support medicine ought to be thoroughly screened for new onset or compounding of prior OC indications (Hwang et al, 2006). Although my patient had intense thoughts and desires to have intercourse, so with the pharmacological management it is important to do cognitive therapy because patient only have thoughts, but her thoughts can be change into behavior. It is important to change her thoughts through cognitive therapy. There are different strategies through which inappropriate behavior of patient can be change and these are discussing below. Cognitive therapy helps dependent upon perception, and all the more particularly, the particular judgment evaluation by a single person of an occasion, and the feelings or practices that come about because of that examination. Cognitive techniques include identifying and modifying repeated thoughts (thinking errors) and schemas interior values (Townsend, 2006). The goal of cognitive therapy is to change irrelevant beliefs, faulty way of thinking, and negative self- statements that cause behavioral problems (Stuart, 2013). Cognitive therapy focuses on controlling and reducing obsessive compulsive behaviors by behavioral strategies for managing symptoms, thoughts, beliefs and feelings are perused and examine for relevance and validity. Behavior modification system is dependent upon the precise examination and requisition of fortification. Support is the procedure by which new reactions are obtained and existing ones are fortified (Jessor, 2013). Moreover, motivational interventions can be done to develop patient’s motivation to change. By asking open-ended question can help to identify patient agenda. Affirming, reinforcing positive statements, and hopeful can emphasize that change is possible and it will also increase the self esteem of patient which will help him and motivate to change (Stuart, 2013). Role modeling can be done to teach the behavior. Lifestyle change to help an individual identify high-risk situations, change cognitive distortions or faulty thinking, and cope with stressful or high-risk situations that may trigger relapse (Townsend, 2006) Furthermore, nurse role is important in recognizing these issues in mental health. As, in my patient scenario it was my lacking that I was unable to recognize patient needs correctly so as nurse it is important to asses patient needs rightly and to do interventions accordingly. For this nurse should be competent in communication skills, confident to talk on this sensitive topic. She should have complete knowledge about the topic, positive approach and effective communication style can greatly improve the interaction. An approach that rises strengthening and self-governance ought to be utilized and the suitable health-advancement messages through consultation for individual client (Gott et al, 2004). All in all, prevalence of inappropriate behavior with schizophrenia is high; therefore as nurse it is important to asses patient needs and play the role of counselor, advocator, and as a care giver in giving awareness to families about patient disease process. Family and health care support also helps patient to cope his situation. In mental health it is important to modify the behavior of client according to needs through required techniques.

My intercultural communication at school Essay

My ESL classes at Heald College took six months and these were necessary requirements so that I could pursue major courses in Architecture. There were other students like me from other countries and it felt good to belong to a group that was being taught the American way of life and culture. It felt good because it gave me the feeling that I was not alone in my hardships. It did not feel so bad and odd being with a group struggling with nuances of the English language and pronunciation and the idiosyncrasies of American culture. While I considered myself an out-group when I was with natural-born Americans, I felt like a member of an in-group when I was with the foreign students. Probably, this feeling springs from the fact that one naturally feels out of place when all others behave and talk in a different way. There is some comfort gained from knowing that one is just like the others. My struggle to fit in was at times frustrating, as I could not be properly understood by the teacher on account of misplaced accents or outright mispronunciations. At first I really felt stupid when the teacher would rephrase my statement and ask if it was what I meant. When I would say it was not what I meant, another classmate would butt in with a genuine intention to help me out but I would end up all the more confused and misunderstood. Realizing the setbacks of my lack of facility with the language, I resolved more than ever to master the English language. My Intercultural Communication at Work Working as a busboy and later, as a waiter in a restaurant gave me the chance to encounter more people and gain more facility with the English language. Finding work was quite an exhilarating experience for me. I felt that I could already communicate my ideas clearly and so I gained more confidence. Of course, there were still some instances when some patrons would fail to understand how I pronounce my words but whenever such a thing happened, I would remember the word and practice saying it correctly when I got home. I had discarded my Dari-English dictionary and I could already carry on a conversation with a native speaker of American English without fumbling for the right word or halting. I once attempted to be friendly with other waiters hoping to generate deeper camaraderie while we were up and about with our tasks. To my horror, I found that Americans seem to be single-minded and so focused when they go about their work that banter is misconstrued as not being serious about work. From then on, I learned to be very business-like while doing my work, bearing in mind that I was not working in an Afghan setting Conclusion This profound reflection on my sojourn in America has made me realize a lot of things that I once took for granted. First, I realized that I possess the resilience and tenacity that is a hallmark of a true Afghan. I used to take for granted the lore and history that due to the Afghan experience of a succession of foreign invasions, Afghans are by nature strong in spirit and character. Indeed, it is no easy task for an 18-year-old boy to force himself to become an adult almost overnight due to peculiar personal circumstances. I realized too that exposure to another culture widens ones horizons and makes one more tolerant of other people. Assimilation into another culture truly begins and is facilitated by an earnest desire to learn the language to a level that one speaks it like one born into the language itself. Together with this is a keen sense of awareness of the seemingly insignificant cultural differences between one’s culture of origin and the host culture. Cultural sensitivity, if I may use the term, enables one to steer clear of problematic situations. Indeed, it is not always wise to act and behave according to one’s cultural orientation when one is in another cultural setting. My intercultural communication with the Peterson family was at first regulated by cues from the reactions of Mr. Peterson. I came to know what he disliked by observing how he reacted. Yet, the sincere sharing of cultural traditions was the factor that truly made our relationship rise up to a higher level. Mutual respect and understanding resulted from the open sharing and this could not have happened by merely observing each other’s reactions. Truly, if one wants to have a meaningful intercultural communication, it must begin with an honest sharing of culture and traditions. It makes it possible to view the other person from their own cultural perspective. The moment I stopped my automatic comparison of Afghan and American values whenever I encountered an unfamiliar cultural practice, I became more accepting of American culture. As Holliday, Hyde and Kullman advise, â€Å"Put aside simplistic notions about what is real and unreal in your perception of another culture, and appreciate that every society is as complex and culturally varied as your own†. (10) The moment I began to have this attitude in my attempt to fully integrate myself into American society, I may have taken the first step towards â€Å"intercultural competence†. Alred and Byram (2002) define intercultural competence as â€Å"the ability to behave appropriately in intercultural situations†¦. the ability to stabilize one’s self-identity while mediating between cultures† (340). I may have taken the first step but I still have a long way to go. All people regardless of culture have the innate need to feel a sense of belongingness. I am sure this is the reason why I felt at ease with my fellow Afghans as I did with other foreign students who were struggling to deal with language difficulties. Yet, once a genuine intercultural communication is initiated, it leads one to learn and marvel at the diversity and richness of all cultures around the world. Works Cited Alred, Geof and Mike Byram. â€Å"Becoming an Intercultural Mediator: A Longitudinal Study of Residence Abroad. † Journal of Multilingual and Multicultural Development 23. 5 (2002). Retrieved from http://www. multilingual-matters. net/jmmd/023/jmmd0230339.htm on April 25, 2007. Holliday, Adrian, Martin Hyde, and John Kullman. Intercultural Communication: An Advanced Resource Book. New York: Routledge, 2004. Questia. 25 Apr. 2007 . Robson, Barbara, Juliene Lipson with Farid Younos and Mariam Mehdi. â€Å"Afghans Their History and Culture, Cross-Cultural and Adjustment Challenges, published by the Center of Applied Linguistics, The Cultural Orientation Resource Center last updated 6/30/02. Retrieved from http://www. cal. org/co/afghan/acult. html on April 25, 2007.

Alices Adventures in Wonder Land, James and the Giant Peach

Alices Adventures in Wonder Land, James and the Giant Peach Alices Adventures in Wonderland was written by Lewis Carroll in 1865. It was written for children and is a story of a twelve year old girl who falls down a rabbit hole. On her adventures, the protagonist, Alice, comes across many weird and wonderful scenes, sites and characters. She comes across many creatures and animals with anthropomorphic behaviour. The entire story is set in a strange world of continuous change. James and the Giant Peach, written by Roald Dahl in 1965, is also a book written for children. It is about a boy called James, who is also the protagonist and is also a similar age as Alice, and he comes across a huge peach. This peach contains†¦show more content†¦Happiness is exactly what James is searching for in his story as well. Seeking happiness being the main reason why he came aboard the giant peach in the first place, to escape his evil aunts. His main guidance and a large influence on the story is a wise old grasshopper, who, unlike Alices Cheshire cat, doesnt try to confuse or mislead James with word riddles as the cat does. Which way I ought to go from here? That depends a good deal on where you want to go, said the cat. I dont much care where-. Said Alice. Then it doesnt matter which way you go, said the cat. -so long as I get somewhere, Alice added as an explanation. Oh youre sure to do that, said the cat, if you only walk long enough. The cat as a character has great authority over Alices decisions and therefore over the stories development. However much Alice asks for his guidance and help, he cant help but try to confuse her or procrastinate in giving her the answer she wants. In James and the Giant Peach, Jamess stories and adventures are influenced by the insects he stays with on the peach. Unlike the cat in Alice, they are his friends and the advice, assistance and aid they provide him with is helpful, friendly and upfront. Would you like me to take you under my wing so that you wont fall over? asked the Ladybird. I dont know

The Benefits of Multilingualism in a Globalized Society Essay

With the Internet now ubiquitous, making it as easy to talk to someone on another continent as if they were your neighbor, coupled with the accessibility of global travel, it is now more beneficial than ever to know more than one language. However, United States citizens are mainly monolingual English speakers. In today’s globalized society, multilingualism is essential in keeping the pace on the world stage, and the United States should seriously consider taking action to encourage it. There are many benefits that a multilingual individual enjoys. According to Michael B. Paradowski, from the Institute of Applied Linguistics at the University of Warsaw, â€Å"Multilinguals can expand their personal horizons and—being simultaneously insiders†¦show more content†¦Instead, the American citizens should view immigrants as an asset rather than a problem (Brown). These other languages and the cultures that accompany them have helped shape America in the past and wil l do so again if the multiple viewpoints of multilinguals are respected. Immigrants who come to America are usually put into an ESL, or English as a Second Language, program, if their local school offers it. This means that they are mostly segregated from their peers until they have learned enough of the language to enter the inner circle of the English speaking world. Recently, though, other methods of teaching English to immigrants have become more popular, such as Two-Way or Dual Immersion programs. In this program, half of the students in the classroom are native English speakers and half are native speakers of a foreign language. This not only helps the non-native English speakers learn the language better and faster but gives the native English speaking students an understanding of the other language and culture (Brown). In the school districts of Hillsborough County, Florida, more than 150 foreign languages are represented, making this an extremely diverse community. This also makes it a reflection of national trend (Brown). In Hillsborough alone, â€Å"nearly 31,000 students spoke Spanish at home; six of the most commonlyShow MoreRelatedEffects Of Globalisation On English Lingua Franca Essay1743 Words   |  7 PagesIn a globalizing world, where language governs our society extensively the dominance of English has effects on linguistic and communicative inequality between native and non-native speakers (Tsuda, 1999). Research on globalisation argues strong evidence that English is the lingua franca or international language and communication of today. But to what extent has globalisation progressed through language? And how has this discourse been linked to provide social, economic, political and technologicalRead MoreThe Effects Of Globalization On Multilingualism And I Propose Doing Multiple Ca se Studies1524 Words   |  7 Pagesoftentimes perceived as intrinsic to human nature which while true to an extent, ignores the way human behaviour today has affected our communication with one another. Since the end of the twentieth century, globalization changed the way people in the globalized countries are understood through language in ways that have both strengths and weaknesses. Languages have switched from being simply indicators of cultural background to being a commodity in the economic sphere. This reworking of the purpose ofRead MoreThe Argument for Learning a Second Language at an Early Age2902 Words   |  12 Pagesmasteries. However, as a rational being, one cannot take an idea to be good for granted – it is one’s responsibility to investigate and evaluate its validity. 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Out of the entire United States, closeRead MoreImmigration, Illegal And Legal Immigration Essay2081 Words   |  9 Pagespopulation, economy and house. There are different opinions about the high number of immigrants on U.S. soil, immigration being considered beneficial for U.S economy by some and as a disadvantage by others. This paper tries to see how the American societ y, with a mentality characterized by initiative law free markets entrepreneurship, nondiscrimination and especially freedom of expression of each individual, is facing the waves of immigrants that arrived over time one the â€Å"Dream land.† This paper alsoRead MoreGlobalization Is The Process Of International Integration6873 Words   |  28 PagesWhile there are possible gains from trade with absolute advantage, comparative advantage – that is, the ability to offer goods and services at a lower marginal and opportunity cost – extends the range of possible mutually beneficial exchanges. 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Performance Analysis Fantasy in C Major, Op. 15 (D. 760)...

Performance Analysis: Fantasy in C Major, Op. 15 (D. 760) (â€Å"Wanderer† Fantasy) Schubert composed the Fantasy in C Major (â€Å"Wanderer† Fantasy) in 1822. This fantasy became a milestone in music history because it was the first time when a composer â€Å"integrated a four-movement sonata into a single movement.† Schubert did so by matching the sequence of a traditional four-movement sonata (Allegro, Adagio, Scherzo, Finale) to one big sonata form (exposition, development, recapitulation, coda). This exploration opened a new era of composing romantic music because it created an expanded form with more freedom in theme. Composers in this way were granted more freedom to compose based on their personal imagination and to compose with more virtuosity.†¦show more content†¦But still, Brendel’s performance shares modern â€Å"strait† characteristics with Pollini’s recording because of its accuracy from the text. It was more difficult to find recordings earlier than the 1950s, but recordings from Walter Rehberg, Edwin Fisch er, Vladimir Sofronitzky and Elly Ney proved that earlier approaches to the Wanderer Fantasy were somewhat different. Their practices of this piece were marked by agogic accent, rhythmic nuance, in a way with more freedom from the romantic approach and less accuracy from the â€Å"straight† playing. The recording Walter Rehberg made in 1927 started with a quarter note equals 158 and slowed down to an eighth note equals to 55 in Adagio. Not only the range for tempo rubato was wider, but there were also agogic accent and rhythmic nuance in his playing. An example would be at bar 32 in Allegro, where Rehberg created an agogic accent by letting the chord on right hand appear slightly later (Example 3). In Adagio, Rehberg spread out some chords from bar 9 to bar 17 to emphasis the melody (Example 4). The arpeggiated chord was a trait of romantic practice and was shared by Edwin Fischer in his recording in 1934. Fischer spread out every chord as an accent on sforzando from bar 165 to 176 in Allegro (Example 5). Fischer also did not follow every dynamic mark on the score. Instead of starting with fortissimo in Presto, Fischer played a piano. This occurred at bar 277

Recommendations Of The Bromley Serious Case Review Free Essays

string(125) " this means that a preponderance of evidence indicate that the allegations of child abuse did actually occur \(Ifapa 2010\)\." Abstract Assessment of parenting capacity is vital for protection of children from maltreatment. Assessing the parent’s capacity to provide for the needs of the child, enhance their developmental experiences and to protect them from risk is a core task of child care agencies. However, agencies have not always acted in the best interests of the child as seen in the Serious Case Review in Bromley which revealed a significant neglect of two boys despite involvement of various agencies. We will write a custom essay sample on Recommendations Of The Bromley Serious Case Review or any similar topic only for you Order Now This prompted the need to conduct Serious Case Review. Based on the assessment, the review panel recommended that processes of assessment and reviews be always informed by attempts to understand the situation from the viewpoint of the child. Whilst recognizing that the welfare of the child should be given paramount consideration, I argue for interventions that seek to address the needs of both the children and their families. Making reference to relevant legislation, policy and practice guidance I consider how, as a social worker in the Bromley case, I would have had due regard for the needs of all family members and how I would have conducted the relevant and required assessments. Assessment relating to children in the family Understanding what happens to children remains a core professional activity for social work agencies (DH 2000). Concerns about a child’s health and development and when such development is being impaired remains a core activity of the agencies. Child care agencies have the ultimate statutory responsibility of safeguarding and promoting the welfare of children (DH 2008). However, they have not always acted in the best interest of the child. This can be seen in the Serious Case Review in Bromley which revealed a significant neglect of two boys despite the involvement of multiple agencies. The two boys had been maltreated including being physically harmed. Despite strong evidence of the level of neglect, the agencies involved allowed themselves to be misled by the parents and continued to underestimate the level of neglect. In February 2010, one of the boys was found with a severe cut on his face which had been inflicted by his father. At this point, it was found necessary to conduct a Serious Case Review and the boys were placed into the care of the London Borough of Bromley (BSAB 2011) The Serious Case Review found that, in light of other parenting concerns, some of the physical injuries sustained by the child had not been fully investigated (BSAB 2011). The review found that agencies had overlooked the possibility that the boys might suffer physical harm. Whilst a stereotypical view that the family was neglectful had already been established, the agencies overlooked the evidence that such neglect could be accompanied by physical abuse (BSAB 2011). Based on the review, the panel recommended that processes of assessment and reviews be always informed by attempts to understand the situation from the viewpoint of the child (BSAB 2011). As a social worker in the Bromley case, I would have conducted the assessment with due regards for the needs of all family members. In other words, I would have conducted assessments relating to the children in the family and assessments relating to the adults in the family as well. In conducting these assessments, I would have taken an evidence based approach which involves systematically collecting the relevant information, distinguishing between the various sources and using the evidence gathered to evaluate the given approaches to intervention. Evidence based approach Often, we tend to think of evidence only as part of judicial process. Evidence can as well be used to inform the assessment process. Evidence must be at the heart of every decision from collection of information to implementation of intervention methods. For social workers to create a support system that addresses the challenges of the 21st century, they must not rely solely on practice wisdom but rather must make use of evidence based knowledge in informing decision making (DH 2008) In this regard, as a social worker in the Bromley case, I would have conducted an evidence-based assessment by identifying, gathering and using the evidence to support and evaluate the given approaches to assessment. This would include systematically recording the information and distinguish between the various sources such as interviews with family members, observations and records from other agencies (Milner Bryne 2010). Some of the questions that I would consider include: What is the nature of information gathered How has this information been produced How can practitioners access the evidence How can this evidence be used to inform practice(Milner Bryne 2010) How I would conduct assessments relating to children in the family In conducting this assessment, the child’s point of view becomes a priority and interview with participants (child and abusive parent) is tailored to the child’s developmental ability (Holland 2004). Before making contact with the family, I would first contact the law enforcement agency to seek their consent. It should be noted that contacting the family without the consent of law enforcement might compromise the criminal investigation (NDHHS 2005). Where criminal activity is alleged, it would be necessary to request to be assigned a law enforcement officer and for the child to be placed in protective custody. Gathering of information I would then contact the reporting party and any other person that might have relevant information about the allegations for further clarification of the information at hand. This will include reviewing previous information. Previous allegations which were not effectively addressed may warrant attention as part of the current intervention (NDHHS 2005). Factors that would determine whether previous allegations may warrant attention as part of the current intervention include: Severity of both the past and present allegations. Length of time that has lapsed and The Degree of similarity between the past and present allegations (NDHHS 2005). Determination The information gathered from interview with the child and the parent, and information from the reporting party will be useful in coming to a determination. There are two possible outcomes: ‘Founded’ – this means that a preponderance of evidence indicate that the allegations of child abuse did actually occur (Ifapa 2010). You read "Recommendations Of The Bromley Serious Case Review" in category "Essay examples" ‘Unfounded’ – this means that the preponderance of evidence indicate that the allegations might not be true (Ifapa 2010). Analyzing the information collected for decision making I would cross-reference all the agencies’ reports and evidence obtained from interviews with the child and parent as well as any other useful sources of information. If the allegations turn out to be true based upon credible information such interview with the child, information from physician, and law enforcement report; a number of questions would arise such as: How significant was the maltreatment What effect did the maltreatment had on the child’s developmental and behavioural outcomes Why did the agencies involved ignore the level of neglect Why, in light of other parenting concerns, was the physical abuse not fully investigated At what stage should the agencies have invoked child protection procedures With the preponderance of evidence indicating that the allegations of child maltreatment did occur, I would then conduct a risk assessment to assess the current safety of the child and determine whether the child can be left in the parent’s care or placed in protection. Assessing the risk of maltreatment . In order to determine the risk rating, I would evaluate the following: How extensive are the risks (severity of maltreatment) and how long they have existed Whether the parents recognize and acknowledge the risk that they pose to the child And whether they are willing to seek help and support from care agencies. If the child is found to be in imminent danger, I would contact the county attorney or law enforcement officer to help initiate emergency removal of the child from the parent’s care. I would also assess whether other children in the household are at risk of maltreatment as well. In determining the imminent threat that the child faces, I would first assess the behaviours or conditions causing the threat and then identify the most effective intervention. Risk Evaluation and Safety Plan will help with the assessment process. Unsafe conditions do not necessarily imply that the child should be placed under placement. I would consider other services for controlling dangerous conditions. In Bromley’s case, had the father been found guilty of abuse and arrested for a specific period of time, the safety concerns of the child would have been controlled as the perpetrator will be out of home. A major provision of the Adoption and Safe Families Act of 1997 is to make â€Å"reasonable efforts† to ensure that the child remains safely at home before being placed in foster care (Millner Bryne 2010). As such, various services would be considered including day care, family crisis counseling, and respite care among many others. But should the parents refuse to cooperate in using such services, I would consider contacting law enforcement officer for emergency removal of the child from the parent’s care. In conducting the assessment, I would also ensure that the principles and provisions embodied in the Children Act 1989 are adhered to. In particular, I would apply the ‘paramountcy principle’ which requires that the child’s welfare be made paramount when making decisions about child upbringing (NSPCC 2012). This principle is also set out in the Family Law Reform Act 1995. The Family Law Act 1975 was amended to include the legal principle that the child’s best interest be regarded as paramount in any litigation concerning child upbringing (Family Law Council 2004). This principle would be at the heart of the assessment process. That is, the welfare of the child would be given paramount consideration and a checklist of factors would be considered before reaching a decision on whether or not to place the child under protection programs. Fig.1 Genogram illustrating the strength of family relationships (DH 2008) A genogram can be used to illustrate the strength of the family relationships. That is, how close or far apart the family members are, how flexible they are and how well they respond to each other’s needs. Fig.3 Ecomap showing the relationship between the child with immediate family, wider kin and the community An ecomap can also be drawn to illustrate the relationship of the child with immediate family, the wider kin and the community at large. The centre of focus will be the child as shown in fig.2 To indicate the strength of the relationship, I would used different types of lines as shown below: Assessments relating to Adults in the family But conducting assessments from the viewpoint of the child is important for safeguarding and ensuring developmental needs of the child, it would only be fair and ethical for assessments to be conducted with due regard for the needs of all family members. Assessments relating to the adults in the family should have been done as well in Bromley Special Case Review. It should be noted that neglectful families do not just exist in a vacuum. A number of factors can contribute to parent’s maltreatment of their children including factors such as lack of community support, society characteristics, deprived neighbourhoods, family stress, domestic violence, parent’s childhood and developmental history and many other factors (DePanfilis 2006). Parent’s views with regard to issues of child protection concerns have been well documented. In their study of short-term accommodation, Aldgate Bradley (1999) found that parents were reluctant to seek for support from social services due to fears of: Losing their children to child protection enquiries Being perceived failed parents (DOH 2000) Whilst parents may be in need of help and support from social services, the fear of losing their children to child protection agencies and being seen as failed parents deter them from seeking the much needed support. They want help but not at the cost of forfeiting their parental responsibilities (DOH 2000) It is also important to understand the role played by the wider family in providing support. Sometimes, extended families may not provide the much needed support or may be caught up in their own problems (Trevithick 2000). Additionally, parents may not wish to acknowledge to their wider kin about the problems facing them. It is difficult for people seeking help to state their needs especially when these needs are tangled amid feelings of confusion, humiliation, fear and despair (Trevithick 2000). Similarly, it would be necessary to assess the role played by the community in providing practical and emotional support to the family. Social workers must chart both the relationship of parents with the wider kin and their current wider connections to their communities. The absence of physical and emotional support limits the adult’s sense of wellbeing and control (DH 2008). There is also need to consider the impact that environment may have on parental capacity. This is a factor which has been given little consideration in social work. The concerns over the omission of environmental considerations in sociological research have been noted by Jack (1997) and Stevenson (1998). However, research studies have shown that children living in economically deprived neighbourhoods are the most affected, often with deterioration in their health and poor educational development (DH 2008). Environmental considerations have an impact on both the children and the young adults’ ability to succeed as effective parents. Social isolation from the community combined with lack of support from extended families and deprived neighbourhoods can adversely impact on parents’ mental and physical health. As a social worker in Bromley case, I would have also conducted an assessment relating to the adults in the family. The assessment would focus on the needs of the family and how these needs impact on their parenting behaviour. A key distinguishing factor between this assessment with that of the child is that it looks at the relationships between the adults in the family, the extended family and wider community, and examines how this impacts on their parenting capacity (Parker Bradley 2000). Also, the focus of assessment is mainly on the adult. The assessment examines the needs of the adult and whether these needs have been met. The legal basis that guides this assessment comprise of a range of legislations such as The Community Care (Direct Payments) Act 1996, NHS, Chronically Sick and Disabled Persons Act 1970 and subsequent statutory guidance (Parker Bradley 2000). On the other hand, the legal basis guiding the assessment relating to children is The Children Act 1989 and Subsequent Statutory guidance. How I would conduct assessments with due regards to needs of all family members To ensure that all the family members are involved, it would be necessary to use a structured interview protocol. This would ensure thorough gathering of information, accuracy of information gathered, and an increase in staff control over the assessment process. Most importantly, the involvement of all family members would ensure that the assessment is done with due regards for the needs of all the family members. As such, face to face interviews would be conducted in the following order: First, with the child Second, with siblings interviews with adult caretakers Interviews with the parent who is alleged to have maltreated the child And finally, with the family as a whole Interviewing the identified child The interview with the child will seek to gather information about the child maltreatment and assess the child’s immediate safety needs. Information collected at this point include: the child’s explanation, the child’s current conditions, severity of the maltreatment, effects such as fear and extreme withdrawal, the child’s characteristics, and the child’s perception of their relationship with parents and others in the household (NDHHS 2005). Interview with siblings After interviewing the child, I would then conduct an interview with the siblings and other children in the household. The purpose is to determine whether these children have also experienced maltreatment and to assess their level of vulnerability. Interviewing the caretakers This will be followed by an interview with the custodians or rather the caretakers. At this stage, I would seek the caretaker’s personal opinion about the child’s vulnerability to maltreatment and determine the parent’s capacity to protect the child. Information gathered from the interview include: the approach to and view of parenting, relationship with the children, methods used to discipline the children, relationships with extended family, view of supports from the wider community and the climate of the neighbourhood (Holland 2004). Interview with the alleged maltreating parent This is yet another crucial point of the assessment process. The abusive parent will be interviewed to check and get a confirmation from them whether allegations of maltreatment did actually occur. Information gathered from the interview with the parent would include: the parent’s view of the child, his/her explanations about the alleged maltreatment, the parent’s response to the incident, the approach to parenting, relationship with the children, and relationship with the wider kin and the community (NDHHS 2005). Close interviews with family Having completed the interviews, I would convene the family and share with them a summary of my findings, seek their individual responses, show appreciation of their participation, and discuss key concerns raised about the child maltreatment. With the interviews with the participants completed, I would then analyze the information collected for purposes of making informed decisions. Analysis of information gathered relating to the adults I would examine whether the family has been benefiting from ‘direct payments’ as provided for under The Community Care (Direct Payments) Act 1996. This act bestows power to the local authority to make direct cash payments to individuals who are in need of care as opposed to providing those persons community care services (Glasby Littlechild 2009). It is expected that these individuals use the money to secure themselves the services that they need. The service is provided by the government as a means of ‘self-directed support’ to increase autonomy and independence of people (Duffy 2007). Specific issues that I would considered in the review Has the family been receiving direct payments from the government as provided for under The Community Care (Direct Payments) Act 1996 Is there a clear evidence of significant harm to the child Given that the father suffered from epilepsy, did the medical condition hinder his parenting ability and did he receive support from the extended family Did the agencies involved identify the needs of the family and did they seek to address these needs by providing them with the much needed support What is the relationship between the parents and the community And how has isolation and lack of community support adversely affected their parenting capacity How has the neighbourhood impacted on the parent’s mental and physical health Were the wishes and feelings of the adults in the family considered and adequately addressed Were appropriate care plans to support parenting capacity put in place by the agencies involved What could have been the outcome if these parents had received support from the extended families and community at large Do assessments appear to have been reached in an informed and professional way having had due regards for the needs of all family members A focus of the assessment on the adults in the family does not imply that the problem of child maltreatment has been forgotten. This family focused approach is to ensure the best outcome for both the child and adults in the family. The principles of family focused practice affirm the primary importance of ensuring the child’s well-being and recognizing the mutual significance of the child and the family (Kendall et al. 2010). I would then think of interventions that will serve the interests of both the children and adults in the family. A range factors can be used to select the appropriate intervention. Among these factors is the appropriate application of social work methods developed from psychosocial theories (DH 2008). These methods include family therapy, cognitive behavioural work, crisis intervention, psychosocial casework, task-centred casework and counseling among many others (DH 2008). The choice of the method would be influenced by the knowledge of what works under particular circumstances. Fig.1 developmental and ecological perspective of child maltreatment (DH 2008) Another important dimension that I would consider in the assessment is the decision whether to place the child in protection program or to have the child looked after at home. Should the decision be made for the child to be placed in protective custody, I would consider factors surrounding placement including plans for adoption or reunification (DOH 2000). Conclusion Whilst concerns about a child’s health and development remains a core professional activity of social care agencies, these agencies have not always acted in the best interest of the child. A prime example of this can be seen with the Serious Case Review in Bromley which revealed a significant neglect of two boys despite the involvement of various agencies. The review found that agencies had overlooked the possibility that the boys might suffer physical harm. Based on the assessment, it was recommended that processes of assessment and reviews be always informed by attempts to understand the situation from the viewpoint of the child. But as we have seen, assessments should be conducted with due regard to the needs of all family members. Assessments should be conducted in relation to the children in the family and adults as well. An evidence based approach that involves identifying, gathering and using the evidence to support and evaluate the given approaches to assessment should be taken. Interventions that serve the interests of both the parents and the children should be implemented. Interventions can take the form of therapy, cognitive behavioural work, crisis intervention, psychosocial casework, task-centred casework and counseling among many others. The choice of intervention is influenced by the knowledge of what works under particular circumstances. Reference Aldgate, J. and Bradley, M., 1999. Supporting Families through Short Term Fostering. The Stationery Office, London. Bromley Safeguarding Adults Board (BSAB), 2011. Bromley Serious Case Review Protocol. Bromley Safeguarding Adults Board. BSAB, 2011. Child D and Child B: A Serious Case Review. Bromley Safeguarding Adults Board Department of Health (DH), 2000. Assessing Children in Need and their Families: Practice Guidance. TSO Department of Health (DH), 2007, Putting People First. TSO Department of Health (DH), 2008. Carers at the heart of 21st century families and communities: a caring system on your side, a life of your own. Department of Health. DePanfilis, D., 2006. Child neglect: a guide for prevention, assessment and intervention. U.S. Department of Health and Human Services Duffy, S., 2007. ‘Care Management and Self Directed Support’. Journal of Integrated Care Volume 15 (5) Family Law Council, 2004. The ‘Child Paramountcy Principle’ in the Family Law Act. Discussion paper Glasby, J. and Littlechild, R., 2009. Direct Payments and Personal Budgets: Putting Personalisation Into Practice. Bristol: Policy Press Holland, S., 2004. Children and Family Assessment in Social Work Practice. Sage publications Iowa Foster and Adoptive Parents Association (Ifapa), 2010. The child abuse assessment: a guide for foster parents. Iowa Foster and Adoptive Parents Association. Jack, G., 1997. ‘An Ecological Approach to Social Work with Children and Families’. Child and Family Social Work. 2: 109–120. Kendall, S., Rodger, J. and Palmer, H., 2010. The use of whole family assessment to identify the needs of families with multiple problems. Department for Education Laming, H., 2003. The Victoria Climbie Inquiry Report.. London. TSO Millner,J. and Byrne, 2010. Assessment in Social Work. 3rd edition. Palgrave Nebraska Department of Health and Human services (NDHHS), 2005. Initial assessment guide book, Nebraska Department of Health and Human services NSPCC, 2012. An introduction to child protection legislation in the UK. NSPCC Parker,J. and Bradley, G., 2000. Social Work Practice- Assessment, Planning, Intervention and Review. Learning Matters Sharkey, P., 2006. The essentials of community care: a guide for practitioners. London: Palgrave Smale, G. and Tuson, G., 1993. Assessment, Care Management the Skilled Worker. Macmillan Stevenson, O., 1998. Neglected Children: Issues and Dilemmas. Blackwell Science, Oxford. Trevithick, P., 2000. Social Work Skills: A Practice Handbook. OPU White, A., 2005. Assessment of parenting capacity. Centre for Parenting Research How to cite Recommendations Of The Bromley Serious Case Review, Essay examples

Euthanasia Is Religious, Medically, And Legally Wr Essay Example For Students

Euthanasia Is Religious, Medically, And Legally Wr Essay ongEuthanasia Is Religious, Medically, and Legally Wrong Euthanasia is defined as a painless killing,espacially to end apainful and incurable disease;mercy killing. The righteousness of this act isbeing debated in several countries throughout the world,and Canada is noexception.Euthanasisa must not be accepted for religious,legal and medicalreasons,as alternatives to such a dramatic end. To begin,the law,both civil and religious,forbid killing. Individualsare prosecuted in courts of law for committing murder. An example of this isthe case of Robert Latimer. Although he claimed to have mercifully ended thelife of his daughter who suffered from an extreme case of cerebral palsy,hewas convicted of murder in the second digree. The courts were obliged to findhim guilty as he broke the law by taking the life of another human being. Robert Latimer took it upon himself to decide that his daughter would neverlead a full life. Tracy Latimer was never given an opportunity for success, asher life was taken. A not guilty verdict would have told people that parentsof disabled children can perform both voluntary euthanasia on their children. In the United States, euthanasia was voted on for the first time in the stateof Washington. Although polls before the vote revealed strong support forit,the ballot was defeated by fifty-four to forty-six percent,and euthanasiaremains illegal in Noth America. In addition to violating civil law,euthanasiaalso contradicts the laws of many religions of the world. It is God whocontrolls life and death. Man will take this responsibility if euthanasia ispermitted. It is stated in the ten commandments,Do not commit murder. Murdercan take many forms,one of which is suicide,the taking of ones own life. Thisis forbidden by the Christian religion. There is a picture on my grand-motherswall which stated thathuman life is not merely the possession of the one whobears it. It is an inherited gift,as such,has meaning not only for oneself butfor those who bestowed it,those who have shared it and those who will follow. This is an unselfish Christian attitude which states that life not only belongto the one who leads it,but also to the friends and family of the person, bothpast,present and future. Therefor, euthanasia does not serve a purpose within asociety where murder is wrong ,both legally and religiously. In addition,active euthanasia,if legalized will say OK to practicinginvoluntary euthanasia. Presently,there is much research being done concerningthe need for euthanasia and its effects. Over time, the care and cautionexercised in making dicisions exercised in making decisions as to who shouldreceive euthanasia may become sloppy. According to Daniel Callaham, director ofHastings House,a medicial ethics center in New York:The slippery alopeargument against euthanasia has always been that once you start voluntaryeuthanasia, you are likely to gravitate towards involuntary euthanasia. startsin the hands of a few very cautious,responsible people, but when it becomes amass phenomenon,dont count on the same high standards. In theNethalands,where active euthanasia is allowed,this situation is beginning toarise. One third of the five thousand patients who receive lethal amounts ofdrugs from their doctors do not give their concent,five percent only do so outof unbearable pain and one third bec ause of a fear of because dependant onothers. Patient will begins to look at thier illness and its effects on theirfamilies in assited dying,with it being offered most readily to those leastable to pay for medical care. This must not take place as it will reduce thelifespans of an increasingly large group of people in society:the elderly. Itwill also fill thier remaining days with worry over the termination of thierown lives,for reasons other than lost hope and unbeleivable pain. .ub790f9733e3b8d609d9a05433d60cd66 , .ub790f9733e3b8d609d9a05433d60cd66 .postImageUrl , .ub790f9733e3b8d609d9a05433d60cd66 .centered-text-area { min-height: 80px; position: relative; } .ub790f9733e3b8d609d9a05433d60cd66 , .ub790f9733e3b8d609d9a05433d60cd66:hover , .ub790f9733e3b8d609d9a05433d60cd66:visited , .ub790f9733e3b8d609d9a05433d60cd66:active { border:0!important; } .ub790f9733e3b8d609d9a05433d60cd66 .clearfix:after { content: ""; display: table; clear: both; } .ub790f9733e3b8d609d9a05433d60cd66 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ub790f9733e3b8d609d9a05433d60cd66:active , .ub790f9733e3b8d609d9a05433d60cd66:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ub790f9733e3b8d609d9a05433d60cd66 .centered-text-area { width: 100%; position: relative ; } .ub790f9733e3b8d609d9a05433d60cd66 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ub790f9733e3b8d609d9a05433d60cd66 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ub790f9733e3b8d609d9a05433d60cd66 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ub790f9733e3b8d609d9a05433d60cd66:hover .ctaButton { background-color: #34495E!important; } .ub790f9733e3b8d609d9a05433d60cd66 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ub790f9733e3b8d609d9a05433d60cd66 .ub790f9733e3b8d609d9a05433d60cd66-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ub790f9733e3b8d609d9a05433d60cd66:after { content: ""; display: block; clear: both; } READ: Professional Development And Career Development EssayTherefor,euthanasia will lead to the unnecessary termination of many lives. Also,euthanasia cotradicts the point of medicine. Doctors cannot beexpected to heal as well as kill. The purpose of medicine is to get rid ofsuffering and death. Euthanasia is in contrast to this purpose. Overtime,euthanasia would eventally corrupt the medical system. It could be used asa excuse for malpractice. A false diagnosis or surgical procedure on a patientwho had been suffering or near death for quite some time,could be covered upby claims that the patient wished to die in thefirst place. This would avoidan investigation or a rise in malpractice insurance for the doctor. Also,thefield of disease cure research would suffer. In some cases,the finding curesand new treatments because its victims will be killed