The Portman Hotel Case Study

The Portman Hotel Company was a relatively small hotel with only 348 rooms and 21 floors located in San Francisco’s booming hotel district. It was influenced with Asian philosophy of services, to provide high quality hospitality to its guest at affordable rates. On paper, the hotel sounded like a great success, one that would definitely flourish amongst the competition. However, even with this philosophy, there were numerous problems that plagued the Portman Hotel. A few examples of these problems are the common mistake of fundamental attribution error (FAE), expectancy theory, as well as operant conditional theory.This essay will explain how these three things can potentially bring down an entire company very quickly. First we will look at FAE and how it relates to the Portman Hotel. To find an example of FAE located in The Portman Hotel case, we must first define what FAE exactly is. Fundamental Attribution Error is the tendency to over-value dispositional or personality-bas ed explanations for the observed behaviors of others while under-valuing situational explanations for those behaviors. It is typically most visible when people explain the behavior to others.Essentially, what FAE suggests, is that we, as human beings, tend to be too judgmental of others without actually seeing that there might be external factors causing that individuals behavior. Now that we have defined exactly what FAE is, we can begin to identify an example of this contained within the case. One great example of this common error in action involves the personal valet’s (PVs) of the company and Spencer Scott. Scott criticizes the PVs for always taking on additional tasks and pursuing new needs and even states that they want to do everything, which causes them to suffer short attention spans.He is so focused on the PVs being a group of freethinkers that he has failed to remember his companies purpose, which is to cater to every desire the hotel guests might have. He has fai led to realize that the guests are to blame for ordering the PVs around getting them to tend to their every need. In this specific case, the guests are the external environmental forces that are causing the behavior. If Scott had realized that his employees were just doing their job, then his opinion of them would be a lot different and would begin to realize that he might need to change something about the companies’ day-to-day processes.Next we will discuss the Expectancy Theory (ET) and how it relates to this case. Again, first we must define what exactly ET is before we can know how it relates to this case. ET proposes that a person will decide to behave or act in a certain way because they are motivated to select a specific behavior over other behaviors due to what they expect the result of that selected behavior will be. Now that we have defined what ET is we can relate it to the case. Due to the social and environmental forces pushing down on certain PVs, they tend to engage in â€Å"shirking†.An example of this act is when a few PVs began to be lazy and not do their fair share of the work, other PVs had to begin picking up the slack of their colleagues. After a while of doing this, they began to wonder why they were working twice as hard and getting paid the exact same. The PVs that were picking up the slack for the others then became less motivated to perform which lead to all of the valets lost their sense of responsibility. So to go back to the original definition, the PVs that were originally working harder than the others began to work less hard because they knew that they weren’t going to be fired.Lastly, we will look at the Operant Conditional Theory to see why supervisors would choose to avoid using the Portman’s disciplinary procedures. Operant conditional theory is defined as, getting people to do things because they want to by applying positive and negative reinforcements to move them in a particular way. The supe rvisors of the Portman Hotel were adamant about avoiding formal disciplinary actions towards their employees. The supervisors believed that discipline was actually going against what the hotel’s philosophy was.Therefore, instead they used positive reinforcement under the operant conditioning theory as a means to motivate the poor performers. Spencer Scott tried to persuade the poor performers to believe that good performance had many rewards, such as good tips. He felt that with showing the valets the benefits of working hard for the guests, that those same guests would in return graciously reward them. Now that we have analyzed and pointed out the flaws of the Portman Hotel, we can begin to describe some simple solutions to these problems.First, with the FAE, the problem is with management. If Spencer Scott attempted to figure out why his PVs were running around everywhere he might figure out the source of the problem, instead of jumping to conclusions as he did. He might ex plore other options such as; hiring additional PVs so that the current ones aren’t always so busy, or attempt to figure out a different strategy in assisting the guests with their high demands. Secondly, we must analyze the problem with the PVs and their constant habit of â€Å"shirking† and how we could fix it. Shirking† is a bad habit that happens in a lot of work places no matter what industry a person is in. The difficulty is finding a way to overcome these types of action and being effective at it. One way to overcome this dilemma is to begin to figure out which few are the individuals initially starting it and begin to discipline them accordingly. If discipline is not the answer, the managers could sit the entire PV staff down at once and explain that they are beginning to notice a downward trend in performance and that there will be a new set standard for what the expectations are.With this new standard, if anyone fails to meet the standards of work, then they will be disciplined and eventually let go if it continues. Finally, we have the obstacle of the supervisors choosing to avoid using the Portman’s elaborate disciplinary procedures. Unfortunately, implementing a formal system of disciplinary actions would be violating the ideals that Portman wanted to establish. The solution for this would be for the management team to be stricter on their expectations of the employees.I feel that the good employees are not being praised enough for their actions while the bad employees continually get worse. It is a common behavioral understanding that people want to reach and operate at the â€Å"normal† level of standards and not do anything more or less. In order for them to strive to be better employees, there must be a rewards system in place. Performance reviews should be put in place to analyze, which employees are the good employees and which are the bad employees.Once management establishes this, they will begin to underst and where the problems are and how to correct them/discipline them by giving them written warnings. All in all, there are numerous obstacles that each and every company has to overcome throughout the company’s lifetime. Some are easily remedied while others take much more time and thought to correct. Using the theories; FAE, ET, and Operant Conditioning, almost any company can begin to understand where the real problems consist, which will allow that company to begin taking action and fixing them.

60’s Fashion Research Paper

Michele Figueroa 04-07-11 Research In the 1960’s there were several types of fashion types like: the Mods, the rockers, the oh-so-famous hippies,-the futuristic space age-ers, the school girl baby dolls, the â€Å"Chanel† wearers , and of course the optical art dressers! So as you can see there are LOTS of fashion types that started in the 60’s. Even some looks we still use today, only slightly modified. To help you better understand the styles of the 160’s, I will break down each type of style for you. The Mods dressed in a minimalist themed type style. They seemed to believe in the motto â€Å"less is more†. On a regular basis their dress code consisted of: polo shirts, drainpipe trousers, turtleneck sweaters/shirts, and suede shoes. A very big designer for the Mods was Mary Quaint. Enough about the Mods though, let’s go into the Rockers! Rockers were considered the â€Å"cool kids. † They enjoyed wearing studded leather jackets, jeans and winklepickers. Winklepickers are pointy leather shoes with metal buckles on them. Now onto the next style, The Babydoll/school girl look. This is the look that we call the current â€Å"girly-girl† look. The Babydoll look is made up of long-waisted pinafore dresses with belts at hip level, pleated or flared skirts that stopped at the mid thigh, thigh high mini-dresses that were made out of sheer fabrics. The mini-dresses were usually paired with a maxi-coat and mid-calf boots. Many people tried to take credit for the Babydoll look but the true creator of this look was Andre Courreges. Another one of Andre Courreges’s famous styles was the space age fad! This look was created out of :glittery catsuits, astronaut helmets ,space-like colored dresses, coats, and suits. And no we go from astronaut helmets to pillbox hats. That’s right the famous Coco Chanel who started the gilt chained handbag that was and still is popular ! Coco Chanel is the designer who influenced several old stars fashion taste. For example former first lady, Jackie Kennedy! Coco’s most famous pieces were her knee-length skirts, square toed pumps, chunky pearl necklaces, collarless cardigans, pillbox hats , and her betron hats. Her outfits were mostly worn to events like office and cocktail parties . Now so far I have been mostly explaining the styles of the 1960’s women but fear not for I will now tell about them 1960’s men’s styles! In the 1960’s the absolute biggest men’s style icon were The Beatles. The â€Å"4 apostles† made a huge impact on men with their tight-fitting trouser sand famous signature jackets! The Beatles fashion trends led to style fads like paisley suits, Hip-hugging pants, and rainbow colored shirts. Now here is a style that went pretty much world famous that originated in the 1960’s†¦. The Hippy style! Hippies were big on what the did but we known just as well as for what they dressed in. The Hippies dressed in very loose fitting clothes. Hippy girls wore shawls, peasant blouses, long skirts (all of which had to be bright colorful patters)Hippy boys wore mostly bell bottoms, paisley and flower print clothes, and ethic clothing. Oddly enough sometimes hippies went shirtless and painted their bodies to adorn themselves with bright designs and flowers and to them the wilder the design the better! So now we have come to an end, you can go out and tell the world that you are officially an expert in 1960’s style! J

Ethical dilemmas

Abstract This paper looks into the legal and physiological as well as a counselors best measures to take incase of an emergency relating to an abused woman who has a baby that could suffer if the woman is further exposed to the harm she has been undergoing. Introduction Ethical dilemmas are offset by conflict of ethical codes and a patient’s interest. According to Hill, Glaser and Harden, an ethical dilemma is a result of ‘no appropriate course of action, since each course of action conflicts with a set code of ethics all which expose the decision makers to uncertain risks (18-19). As such, the clinician or therapist has to assess the best course of action, help and recommendations to resolve a case without exposing both himself and the patient to risks. In this case, Jean is faced by an ethical dilemma in which she has to weigh her options without destroying her therapeutic relationship with Mary and her work. Jean has to assess her professional codes, the possible legal implications and the client’s needs before embarking on finding resolve. Though Mary is now absorbed in the counseling, it’s not clear how committed she is to the therapy, secondly, Mary is possibly too emotionally impaired that, she is confused about positive resolve. Mary’s from the onset doesn’t want her problem to be exposed, and also, she is afraid her decisions might result to further complexion of her life, endanger her little boy and subsequently expose her to risks. She has confided in Jean and Jean has, through professional ethics, to seek a proper methodology of arresting Mary’s problem. According to Hill, Glaser and Harden, ethical consideration which covers intuitive and cognitive levels of reasoning and con ­crete models for ethical decision making, and comments is seen to arise as Mary does not want to be known that she is attending counseling lessons most definitely by her husband. Issues of regarding the information and situation of the victim confidential is conflicting with a set of procedures which would help resolve Mary’s case. As such some ethical considerations on the side of Jean are necessary so as to find a solution and to more appropriately help Mary and the boy. Ethical considerations Jean has an obligation to safeguard respect for persons. This translates to respecting the autonomy and self-determination of the victim. The context of confidentiality arises as the foremost problem Jean is facing. Mary is seeking redress however; she is still rigid about eventualities which she has to face in the event of complete separation with her husband. Most accurately, she is fiscally unable hence would rather tolerate further abuse than starve in the streets. From this perspective, Jean is facing a profound ethical dilemma since she has to evaluate the need for assisting this woman while at the same time; she remains silent about her problem. This is a result of Mary’s anxiety about the destructive social, physical, psychological and legal consequences of dis ­closing her experience. Her situation is characterized by instability, insecurity, fear, dependence and loss of autonomy. Jean has a duty to protect those who lack autonomy, including providing security from harm or abuse. Any legal action aimed at Mary’s husband will certainly invoke an impasse which will further affect Mary. Mary has confided in Jean and Jean’s responsibility is to weigh and assess the options best suited to help Mary without further infringing her physiological well being. However, Jean has a more profound role in her capacity; she is now entrusted with the welfare of Mary and the child involved (Nama & Schwartz 2002). She has a role which includes minimizing risks and assuring that benefits which Mary will get outweigh risks and eventualities which would harm Mary and her child. The child is another issue which Jean has to ethically consider. The child has suffered and is still exposed to both physical and physiological dangers. Jean has a duty to ensure that, the child is protected and that she evenly distributes the benefits of child protection without infringing Mary’s physiological well being (Brasseur 2001).On this child issue, research has shown that both maternal depression and social adversity lead to compromised social, cognitive, and emotional outcomes for infants (Murray & Cooper, 1997), as such Jean has a huge responsibility to help the child as well. Read also Ethical Dilemma â€Å"Glengarry Glen Ross†Ã‚   by David Mamet However; Jean has to weigh the liability incurable if she helps the victim. Her decisions and involvement in implementing the most effective and concise decisions might result to drastic legal repercussions on her side (WHO 2007). According to Nama and Schwartz, as a social worker, Jean might find herself going beyond her employer code of ethics (6). Confidentiality The context of confidentiality comes up when Mary confesses her traumatic life and the sensitive issue of the boy’s harassment. Jean has been privileged by Mary as a confidant regardless of her position as a social worker. Secondly, Mary has testified that the boy is in great risk if the father continues to be near him. The need for confiding is to edge nearer to the truth about both Mary’s and the baby’s condition and if the father had in any way molested or even sexually assaulted the baby. This is based on the fact that Mary wants the issue of the baby and the father kept secret. Jean has a duty to warn the patient of the impending dangers of going back to her husband and the subsequent eventualities on the baby (143). The husband might be more violent and as he is used to, beat her and abuse the child. Jean should, assess and document Mary’s problems and inform the liable authorities. This way, the principles of the practice of informed consent won’t put Jean at a risk of prosecutions since if ‘the clients' safety is jeopardized, Mary risked with her consent fully aware of the implications as advised by Jean (Bednar et al., 1991). According to Hill, Glaser and Harden, ‘the protection of Mary takes precedence over Mary agreeing to treatment in this emergency situation (143). Addressing the issues From the onset, Jean should document Mary’s case and inform the facilitator of the impeding problem. This way she will be able to present credible evidence about Mary’s case to any referral or during counseling. Documenting Mary’s case is the initial step to address the problem. This, she should do in a manner that wont risk the confidentiality of the victims. She should make available the basic care Mary and the child need. This she should do at the earliest convenience even before Mary tells away any further problems she is facing. Jean has already assessed the immediate consequences of foregoing treatment and since Mary’s behavioral reac ­tion to the current situation is potentially harmful to herself and the baby. If help is not offered immediately, she has to take whatever steps are necessary to ensure no harm comes to Mary and the baby (Bednar et al). As such, Jean has to protect the confidentiality to ensure the baby and the mothers are safe as well as herself (WHO, 2001). Jean should take into consideration that the victim’s physical safety is the most important step; as such she should not allow Mary to leave the facility whatsoever until a resolve is found. Also, she should make sure the confidentiality of the victim remains prioritized. Each resolve she uses should be aimed at reducing any possible caused to Mary. The baby should be given all necessary child protection amenities and kept safe. This should be prioritized to avert Mary’s irrationality from taking unprecedented emotional toll on the baby. These actions will safeguard both the mother and baby. Consultation There is an urgent need for Jean to consult with relevant authorities about the issue of the husband. This is based on an intuitive and the critical evaluative levels of moral reasoning as argued by Kitchener (1984). This will help Jean have a background and a foreword on what Mary needs in therapy and if, she Jean, is capable or cannot, based on a cognitive evaluation of the confidence aspect of the case, continue to counsel Mary. This will promptly lead to consulting with another counselor to help Mary. Jean has to account if the cognitive and rational respites are good for both the subjects and herself, and if, in her perspective, would they befit her (Hill, Glaser and Harden, 12). Through consultation Jean can be able to identify a better treatment. She and the colleague can re-examine the data Jean has collected about the patient and come up with a more decisive resolve. The new resolve might affect Mary and breach the ethics of confidentiality, but they are effective and would result to helping Mary once and for all. Not to honor the client's choice without compelling reasons would constitute a paternalistic response from the Jean (Hill, Glaser and Harden, 25). The considerations here should aim at making sure more benefits and less harm came to Mary conceptually regardless of her perception. Jean will continue to evaluate and consult about the case to find more appropriate resolves in principal. To consult with someone and document the consultation when in doubt is a mandatory practice which Jean should not ignore. Consultation is mandatory since the situation involves physical harm to both Mary and the baby and threats and circum ­stances in which abuse is susceptible (Hill, Glaser and Harden, 25). Responsibility Jean Is now bound in principal as the guardian to Mary. She has to follow up the case and make sure that Mary’s therapy continues so as to have her empowered to become independent and have the ability to have autonomy and an emotional balance so as to make rational decisions. Her commitment to Mary is to ensure Mary recovers and regains her autonomy Other considerations Jean should assess if the potential risk of Mary and the boy coming to harm and if all suggestions made to clients were meant to ensure clients' safety. She should make sure Interventions initiated to decrease the risk of the baby coming to harm. On the case of the mother, she should consult clinical opinions regarding clients' capacity so that she can assess if the mother’s ability to determine right from wrong. Consultation with other professionals and supervisors so as to have Mary watched and advised incase she is not within proximity of the facility. Works cited Brasseur. D (2001) Ethical considerations in clinical trials;(CPMP) Hill, M., Glaser, K., & Harden, J, () A feminist model for ethical decision making Murray, L., & Cooper, P. (Eds). (1997).   Postpartum depression and child development. New York: The Guilford Press. Nama.N., & Swartz.L., (2002): Ethical and Social Dilemmas in Community-based Controlled Trials in Situations of Poverty: A View from a South African Project : Journal of Community & Applied Social Psychology 12: 286–297

Psychological approaches to health practice Essay

Explain different psychological approaches to social care practice In this assignment I am going to look at four different psychological approaches and how they can be linked to health and social care situations, two of the approaches will be linked to health care situations and the other two to social care situations. The first approach that I am going to link to a social care situation is the behaviourist perspective, where psychologists explain all human behaviour as resulting from experience. Two of the major psychologists linked with this approach are Pavlov and Skinner and although these two believed that different processes were involved they agreed that behaviour was the result of learning. I am going to concentrate on the work of Skinner. Burrhus Frederic Skinner was an American psychologist that worked mainly with pigeons and rats to investigate the important principles of learning new behaviours. He was responsible for a very famous piece of equipment, the Skinner box, whi ch was a box that contained a lever that when pressed released a food pellet. This box reinforced lever pressing behaviour. Once the rat was put inside Skinners box it would sniff and move around and at some point push the lever and release the food pellet. When the rat has pushed the lever many times it will learn that this behaviour, pushing the lever, is followed by the release of the food pellet, the consequence. As the rat would like to have more food the pellet is experienced as reinforcing and this increases the chance of the behaviour being repeated. Skinner also investigated negative reinforcement by running a very small electric current on the floor of the box containing the rat and if the rat pushed the lever then the current would be turned off. This action was negative reinforcement. An example of this is taking a painkiller to relieve the symptoms of a headache which results in the headache going away then you have been negatively reinforced for taking a painkiller. Skinner also investigated that punishment happens when behaviour is followed by a consequence which is an unpleasant experience . He did this by having a box where the rat received a small electric shock when it pushed the lever. The consequence of pushing the lever was unpleasant, an electric shock, so the rat learned not to push the lever. The principles of operant conditioning can be used to create more helpful behaviours and remove the  unhelpful ones. The principles of reinforcement and punishment are a very powerful way to alter a person’s behaviour. This process is sometimes known as behaviour modification. My father uses this approach daily at work as he is a senior prison officer at HMP Wayland to maintain order within the regime and my mother uses the same ideas, for classroom management at Wayland Academy, on a daily basis. In both situations, good behaviour is rewarded and poor behaviour is punished but in very different ways. At Wayland Academy, where I have completed my first work placement, there is a behaviour policy called the Red Card Procedure and it is used in every classroom throughout the school. The policy is a four stage policy designed to promote good classroom behaviour and pupils receive consequences for behaviour that disrupts the learning of other students. The procedure is: Step 1 – Consequence 1 (C1) – The student receives a 10 minute detention for a first occurrence of any behaviour that disrupts others learning. This behaviour can include calling out, unnecessarily demanding the teacher’s time and using foul language. Step 2 – Consequence 2 (C2) – The student receives a 10 minute detention for a second occurrence of any behaviour that disrupts others learning. This means that the student now has a total of 20 minutes detention with the class teacher. Step 3 – Consequence 3 (Time out) – After the third occurrence of disruptive behaviour the student is sent outside the classroom and the teacher goes out and speaks to them privately explaining that they have reached their final chance of remaining in the lesson. If their behaviour is not improved after this they will be removed from the remainder of the lesson and have a 60 minute after school detention the following week. Step 4 – Consequence 4 (R ed Card) – If another example of disruptive behaviour now happens the student is removed from the remainder of the lesson and receives a 60 minute after school detention. The Red Card Procedure works on the same basis as Skinners theory that punishment occurs when behaviour is followed by a consequence that is unpleasant. If the student demonstrates disruptive behaviour then they are punished by the removal of their free time, in the form of detention, and it is hoped that this punishment will teach the student to stop the disruptive behaviour. Aldworth, C. Billingham, M. Lawrence, P. Moonie, N. and Whitehouse, M (2010) Health and Social Care Level 3 Book 1 BTEC National  Harlow: Pearson Education Limited – Pages 339-340 The second approach that I am going to link to a social care situation is the cognitive perspective where psychologists believe the brain was like a computer system and much work has gone in to understanding the cognitive processes of attention, memory, perception, information processing, thought, problem solving and language. One of the two main psychologists within this approach, that I am going to talk about, is George Kel ly. He developed a very unique psychological theory known as the Psychology of Personal Construct where he saw the individual as a experimenter, making their predictions about the future, testing them and if they need to they revise them according to new evidence. For example if an individual becomes deaf in their middle age then it might be likely that they withdraw from society and become isolated. On the other hand if they interpret it as a challenge then they may try and find new and exciting ways to work around the deafness and continue with a fulfilling life. Individuals with learning difficulties may experience frustration within their daily lives as they seek to make sense of confusing experiences. The cognitive approach can help individuals with learning difficulties in misunderstood situations, by identifying irrational thoughts, an individual can be a guide to change them, with consequent benefits on their emotions and behaviour. This work can improve an individual’s self-esteem and reduce outbursts which may be caused by a lack of understanding of the requirements that are needed for a situation. While I was on placement at Wayland Academy, I worked with the Year 7 Gold Group, which is a nurture group. The individuals in thi s nurture group all have certain learning difficulties . The group is limited to a maximum of 15 students so the staff have enough time within a lesson to go around and help everyone understand the lesson objectives and stop them from becoming frustrated. For example, one of the students within the classroom has Aspergers Syndrome which is a form of autism but it differs from other conditions on the autism spectrum by its relative preservation of linguistic and cognitive development. The teacher and classroom assistant have certain strategies to allow this student to access learning. While they are sitting and working with him they are continually refocusing his attention on to the required task, and this may involve moving the work into his eyeline if he has become distracted. Another strategy is to repeat and reword the given  task until the student has understood fully. The teacher and the classroom assistant knows when the student has understood because when he has understood he responds to them in full sentences and when he is still struggling he only gives one word answers. Aldworth, C. Billingham, M. Lawrence, P. Moonie, N. and Whitehouse, M (2010) Health and Social Care Level 3 Book 1 BTEC National Harlow: Pearson Education Limited – Pages 350-351 and 359-361 http://www.patient.co.uk/doctor/Asperger’s-Syndrome.htm Now I am going to move on and look at health care situations and the first psychological approach I am going to look at is the humanistic perspective. Humanistic psychology looks at the human experience from an individual’s viewpoint and uses the idea of free will and that everyone is free to make choices. One of the two psychologists I am going to talk about is Carl Rodgers and was very interested in the whole idea concept of self. Self-concept looks at the way each individual views themselves, this includes biological and physical attributes. Self-concept is noticed at a young age, when children internalise other individual’s judgements about them and think it is true. For example if a child gets called naughty or silly throughout their childhood then their self-concept will contain these aspects and possibly shape their future in a negative way. On the other hand if a child is praised and encouraged to succeed then they will have a positive self-concept and will try better at what they do because they start to see themselves as worthwhile. Carl Rodgers is famous for forming a particular type of counselling which is based on unconditional positive regard from the counsellor, to try and help the patient gain a more positive sense of self. Unconditional positive regard refers to the idea that the counsellor supports and validates the individual’s experiences, feelings, beliefs and emotions unconditionally, whether good or bad. Over time this helps the patient accept themselves and think more positively about who they are. One of the features of this approach to helping others is to develop empathy. Empathy is the opposite of sympathy where you would feel sorry for an individual empathy us to really listen to the individual and be in tune with their emotions, and respect them for who they are This is not always easy to do because as we may not understand why the individual feels so bad about themselves about an issue we may be able to easily discharge. Nevertheless, if we try to respect the individual we maybe working with then we might start to understand the importance to them and we can become closer to displaying empathy. True empathy requires us to move aside all judgements we may have and as the saying goes ‘Put ourselves in their shoes’. Like empathy, understanding is of critical importance when applying this perspective to health care practices. Rodgers frequently referred to more then just understanding at an intellectual level: he talks about empathetic understanding which means using your own emotions and sensitivity to become a more effective person to help any individual. A lot of the time many people allow their own personal experiences and personal judgements get in the way of helping the individual by saying â€Å"Well, that’s not a problem – they should just pull themselves together! I have dealt with worse myself.† This can turn into a major barrier between patient and counsellor, instead of creating a barrier counsellors use useful questions like; How does that make you feel? Can you identify what you are afraid of? Could you tell me a little bit more about that? That seemed to upset you? All of these questions enable the individual to break down the problem without realising it so it helps the counsellor what to say and what to suggest for the next step. It has been shown , by a recent study in the Journal of Consulting and Clinical, that cognitive behaviour therapy for adherence and depression can be effective for decreasing depression and increasing adherence to medication in HIV-infected drug users. The intervention group received 9 treatment sessions over a period of 3 months, involving informational, problem-solving, and cognitive behavioral steps. At each step, the participants and the therapist collaboratively defined the problem, generated alternative solutions, made decisions about the solutions, and developed a plan for implementing them. At post-treatment, the intervention group showed significant improvements and showed a significant reduction in symptoms of depression. Depression and substance abuse are the most comorbid disorders associated with HIV-inf ection, and it is suggested that even a small change in adherence can result in improved outcomes for HIV patients. The results of this study suggest that the  integration of cognitive behavior therapy into substance abuse counseling may be useful for decreasing depression and improving adherence to medication (with continued sessions) in HIV-infected patients with a history of injection drug use. Aldworth, C. Billingham, M. Lawrence, P. Moonie, N. and Whitehouse, M (2010) Health and Social Care Level 3 Book 1 BTEC National Harlow: Pearson Education Limited – Pages 348, 349 and 357 http://www.beckinstituteblog.org/2013/03/cbt-is-effective-for-adherence-and-depression-in-hiv-infected-injection-drug-users/ The second approach I am going to discuss in relation to a health care situation is the social learning perspective. The social learning perspective is where influences happen on our behaviour from the environment around us, for example; from peers, siblings, parents, sports personalities, television and other celebrities. According to this theory role models have a huge impact on an individual’s life. While we may learn our behaviour from observing another person behave and imitating what they do, behaviour is strongly influenced by the way we perceive the role model performing the behaviour. Albert Bandura was one of the theorists within the social learning approach and he developed observational learning, which is learning behaviour from watching and observing others such as television personalities. The individual we learn from, known as the role model, and the process of imitating their behaviour is called modelling. However we do not imitate all behaviour we have observed, because it is in our interests to imitate particular behaviour influenced by the actions of the role model. If we see our role model being punished and we do not like the way they have been punished then we as individuals are less likely to repeat that behaviour, on the other hand if they have been positively reinforced and the individual sees that then they are more likely to repeat that behaviour. As above role models play a huge part in influencing behaviour of those who observe them. For example Jamie Oliver the celebrity chef has had a huge impact on primary schools around the UK, with his School Dinners Project he has managed to get local authorities to re-introduce freshly cooked meals rather than pre-cooked because they are far healthier for the human body providing the correct nutrients for a child’s needs. He has also, through his Food Foundation created the Kitchen Garden Project which educates primary school children about the joys of growing and cooking from scratch.

Alchemist Reflection Essay Example | Topics and Well Written Essays - 500 words

Alchemist Reflection - Essay Example his paper seeks to highlight an important lesson learnt in the novel and provide a personal reflection with regard to the triumphs and tribulations encountered in a quest to achieve one’s goals in life. The novel has a lot of life’s lessons that are presented by various characters and their attitudes and beliefs with regard to what is important in life. The most significant lesson garnered from the novel is the importance of faith and belief in self. This is because having a strong and unshakable faith or belief in self leads to the unlocking of one’s potential which is negated by self-doubt. Belief and faith in self is manifested as attitude which influences and determines an individual’s perception and opinions about life and their role in shaping their fortunes. This belief in self and a strong positive attitude is exemplified by Santiago in his quest to fulfil his dreams(Coelho 116). Santiago had strong faith in his destiny which translated to having a positive attitude towards his endeavour to fulfil his dreams. Attitude is a fundamental component of human nature, and its manifestation plays a huge and significant role in people’s lives. In essence this means that the positivity or negativity of an individual’s attitude plays a significant role in the outcome of one’s endeavours. The novel provides exemplary instances where the roles of belief, faith and attitude in a person’s life are brought out indicating their significance. This is in line with quote ‘when you want something, the entire universe conspires in helping you to achieve it’(Coelho 22).Santiago’s strong belief and positive attitude can be applied in the context of the above quote; in the sense that his actions and experiences exhibit the tenets and implications of the quote above. In line with the quote, the universe conspires to enable Santiago fulfil his dreams in the sense that he meets people on his journey that help him gain useful insights towards realizing and

Film response Movie Review Example | Topics and Well Written Essays - 500 words - 1

Film response - Movie Review Example The monster eventually disappears with a young girl who parents finally start following. The US government issues a warning regarding the dangerous virus from the monster that forces the Korean government to isolate its citizens and shut the area down to prevent the spread of the virus. The movie â€Å"The Host† presents a political, societal, economic, and environmental aspect. As compared to other Korean blockbusters, the film does not tend to draw overtly on nationalism or the notion of the Korean nation. The film provides evidence of a noticeable disconnection between the pro-self-rule philosophy that is suitable for the domestic film industry and its trade and industry interests. While featuring overtly nationalist sentiments and avoiding direct tackling of any specific national issues, the film provides multilayered entry points for viewers of different nationalities and social backgrounds, stretching from Korean multiplex audiences to international art-house audiences (Nikki 47). Eminent for its â€Å"messy† features, the film invites multiple readers. While drawing on specific historical memories of South Korean society, the film as well touches on contemporary global political happenings. Therefore, most readers and viewers perceive the film as a political satire of the American government’s latest military campaigns – War on Terror – and its relationship with South Korean government. Since the movie’s monster is unnamed and does not have overt symbolic connotations – the movie does not serve an allegorical, nationalist function – the meaning viewers take away from the film are polygonal, not one-dimensionally nationalistic. The movie conveys high-octane ecstasies while artfully exploiting modern political fears, with few inspired visual humor intensifying its overriding mood of popcorn-movie excitement. The movie may be born outside sociopolitical tensions such as the scares about avian flu, but it is also a

Mikes Most Memorable Accident Essay Example | Topics and Well Written Essays - 1000 words - 3

Mikes Most Memorable Accident - Essay Example When Mike is out with his friends, they enjoy racing their cars on Jumaira Road and flirt with hot chicks. On this particular day, Mike’s parents ask him to renew his license because they want to surprise him for his birthday by purchasing him a new Chevrolet Silverado 2012. Mike goes to the mall for an eye test. The attendant informs him that even though the renewal of the license is possible, it will take a few days to process. In addition, a fee will be required. Mike makes the payment and receives a note saying that his license is renewed, but he has to wait for three or four days to receive it. Mike then leaves for home. On his way home, Mike’s mother calls for the renewal of his license. Mike refuses to answer his phone partly because of his resentment towards his parents but also because he was feeling drowsy. The continual hampering for him to renew his license took a great toll on him. Mike is struggling to keep his eyes open and on the road, but he makes a right turn and keeps moving along in the left lane. Mike then notices a speed bump and a U-turn, but he sees an old man riding a bicycle along the end of the right lane at the same time. Because there is a gap between the two lanes, and the old man does not seem to show any intention of moving over when Mike is approaching the u-turn, Mike increases his speed from 50 KHM to 70 KMH. As Mike gets close to the turn, the old man suddenly decides to cross the road. Mike does not have sufficient time either to hit the brakes or to avoid the old man. There is no time even for Mike to think about it. It all happened so fast that Mike drove on w ithout even noticing. He only realizes what has happened when he spots shreds of glass on the passenger’s seat.