Monday, September 30, 2019

Social Network Brings Harm Than Good.Discuss

Social network brings harm than good. Discuss. In this technological decade, social network has become an indispensable thing. No matter what we are doing, we will use it. A social networking site can be defined as an online service. Social networking sites include Facebook, Friendster, Twitter. It allow us to have an account to meet new friends, entertainment and moreover. Although there are a lot of advantages, but in my opinion, it brings more harm than good. Why am I saying that social network brings more harm than good?First and foremost, at social networking site, some people use fake information to meet new friends. They often use fake profile picture and personal information to cheat others so that they could become more and more friends in social network sites. Besides, we usually can notice there are many advertisement of online business in every site. Some of them are with fake information are used to scam the ignorance people to buy their items. You will realise that alre ady being cheated by them after you bought their items or you won’t even get your item after u make the payment.On the other hand, nowadays teenagers often like to post useless status on the social networking sites. They also comment on unmeaning status. It is such a waste of time to comment on these status rather than doing something meaningful. Besides, some of them like to post status or picture to earn â€Å"like† to show others how popular they are. Furthermore, some group will post picture or video with violence and pornography which are not suitable for the young.Some website will pop out some picture with violence or pornography which is not for the youth, but for the adults as well. Other than that, some people also like to insult other people by posting a status on these social networking sites. It often lead to unmeaning quarrel. There are some group with title like â€Å"I hate XXXXX† or â€Å"Fxxk you XXXXX†. These often begin with those unme aning quarrel. In addition, addicted to entertainment also one of the harm from social network. Nowadays teenagers usually addicted in online games.These is also a reason why the statistic of reading in our country is decreasing. They usually use out their free time to play online games rather than study. Besides, some of them even top up cash to the game which they playing. These will lead them to stealing. They will steal they parent money to top up in this game when they don’t have enough of money to top up. Another point which is worth to mention, chat on social network not only will bring us good, it also will bring us harm.There are many chat system on social network include Facebook chat, Skype, YY, RC and many more. Chat system not just bring us conveniences. Undoubtedly, it also will bring us the lacking of ability to communicate with others. That is because that when you using these chat system, you have enough time to think of what are we going to reply. In conclus ion, I agree that social network bring us a lot of conveniences, but it also bring us a lot of harm that we did not think of usually. So we should use it wisely so that we will not being controlled by social network.

Sunday, September 29, 2019

Case Study on Childrens Families Intervention

Introduction The social work process has changed dramatically within the intervention of child protection. The following paper will discuss the process over the last three decades. Also it discusses the important changes including some methods and skills which have developed. In addition a background of the crisis intervention is discussed. The legal discourse has also been very influential within changing the process especially the Children’s Act 1989. This is clearly discussed within this paper. A critical analysis of the process is included, with paying particular attention to ethics and values. The early childhood protection intervention has been transferred from a child-oriented approach, whereby intervention was mainly focused directly towards the child. This process is now one of a modest collection of pilot projects to one compromising of a multidimensional domain of theory. While in the 1970s childhood protection was changing to a new era, which consisted of significant social changes. Society began to introduce a new system of developing preventative work to support children and families. This created a much needed support for families, consisting of play groups and youth clubs. The early methods used within the childhood intervention was extremely weak whereby assessments were not always undertaken or completed with no emphasis on time limits to complete assessments. The analysis perspective was weak and little planning was provided. There was little emphasis on social workers reflectively making notes, with no clear reasons or expectations for the basis of intervention. These methods then highlighted certain issues which consisted of duplication and repetition of information. Furthermore information was not shared freely to incorporate a multiagency perspective. The intervening process has been changed to one of a huge economic, social and technological change to compromise a holistic approach. Currently intervention focuses on the service user being the centre of the work with a personalised process. One process frequently used within child protection is the crisis intervention. Its theoretical origins have risen from varied sources and comprised one of a psychoanalytic thinking perspective. Crisis intervention was highlighted by Lindemann (1944) study of grief with the reactions of survivors and relatives after a night club fire. He concluded that they all shared five similar reactions of guilt, hostility, pre occupation with the image of the deceased, somatic distress and loss of pattern of conduct. Lindemann also found that people needed encouragement to morn. Caplin (1964) goes on to explain that the problem in which an individual faces â€Å"stimuli which signals danger to a fundamental need satisfaction and the circumstances are such that habitual problem solving methods are unsuccessful within the time span of past expectations of success†(Caplin 1964). Rapoport (1967) conceptualised the intervention process particular within the initial stage, referred to now as assessment. In which clients should have immediate access to workers in a crisis situation. The crisis intervention has now moved on to influence coping capabilities within the immediate crisis and not focus on long term therapies such at C. B. T, which can be followed up later when the service user has emerged from the initial crisis. Roberts (1991) designed a seven stage model of crisis intervention, which is to be used as a guide for assessing. He also believed solution- focused therapy should be incorporated at the same time as the crisis intervention. Roberts also states that crisis intervention should culminate with a restoration of cognitive functioning, crisis resolution and cognitive mastery (Roberts 2000) However a critic perspective is that if such intervention is not handled correctly it may cause distort reality, maladaptive coping strategies, O’Hagan (1991) believes it is time limited, within a constructive period. Parker (1992) designed a crisis intervention flow diagram which is used to assess a referral to crisis intervention. The crisis theory is used to optimise social functioning therefore enabling choices and maximising respect, so the service user can empower themselves and live an independent life. Although the crisis intervention process has moved forward, it may fail in some aspects of diversity to take into account of different cultures, societies because it was generally developed in a western framework therefore it consists some western cultural assumptions . Middleton (1970) locates the process of assessment firmly in the context of social work values and states â€Å" respect for individual difference is central if the rocess is not going to dis empower the individual but enhance their strengths and coping abilities. The current assessment process is now seen as an art and science and in context is much more dedicated towards social workers involving wisdom, skills, to appreciate diversity and equality. With using a human diversity framework process. Clifford (1998) describes the inter connec ted elements in assessment. As â€Å"assessment has to partake of scientific, theoretical, artistic, ethical and practical elements† (Clifford 1998). Assessments are now seen as an ongoing fluid and dynamic process and social workers are using this framework. It helps to positively acknowledge that development and changes in people’s lives is a continuous process. (Hepworth, Rooney and Larsen 1997) suggested a second way to categorise assessment in social work is within a time specific formulation. The processes of assessments include the notion of Fooks (2002) joint construction of a narrative exchange model, by making the service user the expert. Coulshed and Orme (2006) describe how assessments may be understood by its core processes, its purpose of theoretical base. The theoretical base may also influence the process of assessment and could be related to that similar of personal values and beliefs. The assessment process has changed from one of service led process, which just focused on pathology and appeared to ignore service user’s strengths to change. To a personalised process whereby placing the focus on service user involvement at the centre of intervention. By using this in assessment it can positively build on service users strengths to help ensure anti oppressive practice, with an emphasis on self responsibility. Saleeby states â€Å" the strengths perspectives focuses on positives with the intention of increasing motivation, capacity and potential for making real and informed life choice† (Saleeby, D. 2006). With an emphasis on using the C. P. R model. Assessments undertaken now are to consider a wide variety of factors; for example the environment, living system, culture and diversity which can impact on the service user. Social workers are now adopting new approaches in assessment for example â€Å"to think out of the box† . Therefore insuring a multi disciplinary approach and holistic overview to take into consideration all aspects of the service user’s life. The principles of intervention and assessment are to insure it is child-centred; using informed child development theory’s within the framework to promote equality. With involving interagency services to build strengths, with the understanding that it will be a continuous process to adopt change and empower service users. The Department of Health (2000) published its own framework for assessment to ensure assessments secure the well being of children and provides a systematic way of analysing children within their family and wider community. This framework pays attention to the legislation of the Children’s Act 1989. The legal discourse is a contested domain it has influenced the process of child intervention in many ways. As defined by Ball (1996) â€Å"the body of rules whereby a civilized society maintains order and regulates its internal affairs as between one individual and another, and between individuals and the state† (Ball 1996). Legal discourse is divided into two areas, the statutory law which is the current legislation. The children’s Act (1989) was implemented to change the process of intervention to ensure all children are protected not just vulnerable children, which was the main focus of previous intervention. This changed the assessment process to include many children from different backgrounds and cultures, making this law highlighted the importance that a child from any background and culture is protected. Earlier intervention seemed to focus on the lower, working class or families in poverty. The act sets out guidelines to promote and ensure wellbeing and equality for all children. The act promotes that children should be best kept within the family home unless the case is in extreme circumstances of abuse or neglect. Bowlby highlights that children need secure attachment, therefore promoting the well being of all children within their family unit. Children were no longer removed as quickly from their family surrounds and placed into institutions and care for the fear of maternal depravation. Bowlby’s theory highlighted, if a child does not form a secure attachment it could significantly impair their future mental health. Another aspect of legal discourse is the case law which was established by previous case reasoning’s and case findings. It can be referred to, to help change legislation and to avoid unnecessary mistakes within the intervention process; the laming report (2003) was used in this way to help to ensure no further such cases as the tragic death of Victoria Climbie would occur again. The legal discourse is used to promote social work values and ethics, thus ensuring social justice to protect and ensure the wellbeing of all children. However a critic can be taken from (Dung 1984) he is concerned that despite a veneer of objectivity and neutrality. Statutory law can be used as a vehicle to improve Eurocentric and middle-class norms on working class and non- European families. Conclusion In conclusion to this paper it can be clearly seen that assessment and intervention has moved forward in the last three decades to place the service user at the centre of involvement, to empower and enhance their quality of life. It now promotes the wellbeing of all children not just the vulnerable. Bowlby’s attachment theory is very much used within social work and has influenced the legal discourse and practice of social work . As we can see the crisis intervention as positively moved forward by the influence of various theorists. Legal discourse is important to ensure we can learn by our practice by case laws and the statutory law insurers’ equality and protection. References Coulshed V & Orme, J. (2006) Social Work Practice: An introduction (4th Edition). Basingstoke: Palgrave MacMillan. Clifford, D (1998). Social Assessment Theory and Practice a Multi-disciplinary Framework. Aldershot: Ashgate. Howe, D (1992). An Introduction to Social Work Theory. Aldershot: Arena Fook, J (2002) Social Work Critical Theory and Practice: London. Sage Fowler J (2003) A Practitioners Tool for Child Protection and the Assessment of Parents. London: Jessica Kingsley. Healy, K. (2005). Social Work Theories in Context. Basingstoke. Palgrave Macmillan Hepworth, D. Rooney, R & Larsen, JA (1997). Direct Social Work Practice: Theory and Skills (5th Edition). London: Brooks Cole Publishing. Laming H (2003). Victoria Climbie Inquiry Report: C. M 5730: London: The Stationary Office Middleton, L (1997) The Art of Assessment: Birmingham Venture Press O’Hagan, K (1986) Crisis Intervention in Social Work: Basingstoke MacMillan Parker, J. (2007b). The Process of Social Work: Assessment, Planning, Intervention and review in M Lymbery & K. Postle (Eds) Social Work. A Companion for learning: London. Sage. Payne, M (2005) Modern Social Work Theory (3rd Edition), Basingstoke: Palgrave Macmillan Roberts A, (2000) Crisis Intervention Handbook. Oxford University Press Saleeby, D. (2006). The Strengths Perspective in Social Work Practice (4th Ed. ). New York: Pearson/Allyn and Bacon

Friday, September 27, 2019

BHS 499 (Senior Capstone Project) Module 3 CBT Essay

BHS 499 (Senior Capstone Project) Module 3 CBT - Essay Example Fraud as defined by the Merriam-Webster Dictionary of Law is "any act, expression, omission, or concealment calculated to deceive another to his or her disadvantage; specifically: a misrepresentation or concealment with reference to some fact material to a transaction that is made with knowledge of its falsity or in reckless disregard of its truth..." The HIPAA or Health Insurance Portability and Accountability Act of 1996 defines it as ''a criminal conspiracy or a violation" to specific provisions indicated in the U.S. Code which pertains to conspiracy relating to a health care benefit program'' 18 U.S.C. x 24(a). Furthermore, fraud is basically considered as an act of misrepresentation or deception designed to acquire something of value held by some other; and the most common forms of fraud among nurses documented by CNO include: falsifying a record; collecting pay under false pretenses; misappropriating property or money through deceptive means; and providing false information to ones employer (Quality Practice, 2003; p 1). Below outlines the managerial, legal, ethical and financial implications brought about by fraudulent and financial abuse in the health care industry. The unnecessary patient treatments that are being ordered, limits the patient's coverage which may be subsequently met prematurely; later, patients may not be able to expend co-payments for gratuitous visits. In addition, false diagnoses for the purpose of up-coding may affect the patient's ability to obtain maintain insurance coverage since the information is available primarily to other potential insurers (Busch, 2007).According the National Health Care Anti-Fraud Association, around $56.7 to $170 billion is the estimated loss annually (Department of Health and Human Services, 2005). Centers for Medicaid & Medicare (2006) expressed that the dollars lost to reimbursement of Medicare and Medicaid as well as intentional improper billing could have been used to fund the health insurance of low-income persons; if they were not acquired or end up in the pockets of the unscrupulous health care suppliers and providers. The Provision 3.5 under the Code of Ethics calls upon that all nurses needs to take appropriate action about any instances of unethical, incompetent, illegal or impaired practice by members of the health care team or any action on the side of others by the health care system which places the best interest of the patient (American Nurses Association, 2001). Fletcher, Sorrell, and Silva (1998) have point out that nurses are frequently called upon to make sacrifices, in their personal as well as professional, ones they adhere strictly to Nurses' Code of Ethics. This code 3 requires nurses' accountability as professionals however fails to acknowledge that the reality is that in the health care system, many nurses have limited power within. Job security for fraud investigators and auditors remains strong. Over the years, it continues to attract the nurses who are ethically challenged. Health care fraud is oftentimes buried within the functions in critical business. In 2006, initiatives were made to implement the development of health information technology infrastructure, in order to improve the

Windshield survey of Los Angeles California Assignment

Windshield survey of Los Angeles California - Assignment Example In reference to public health, the community is usually viewed as the client. It is imperative that proper planning is done in addressing the welfare of a community. One way of planning is through surveys. This paper is a Windshield Survey of Los Angeles, California. Housing and zoning The policy of land use is how land is used by communities within their boundaries. This policy establishes density for zonal development and development intensity for industrial and commercial uses. The overall plan is to manage all uses of land occurring in Los Angeles County by providing the scheme on how the to plan and address challenges of land use that may be faced. The element of land use uses short-term programs and strategies of providing comprehensive and flexible guidelines for the decisions on county land use and future development. This element also identifies the policies and goals that guide the extent of land housing, general location of housing, and other land uses in the county (Todd, 2007). Transport One of the major means of transport are, air transportation as evidenced by the presence of airports such as Lax (Los Angeles international Airport) and Ontario international airport. Other means of transport are train and bus services between cities, ferry services for water transport, bus services within the city and walking on foot. Race and ethnicity The downtown consists of Asians, African Americans, white non-Hispanic, Chinese, Filipino, Mexican, Korean, and Indian among others. These groups are said to outnumber whites. Open space The open space has Los Angeles union station which is the major transportation Hub that converge railways and bus services. It also has a collection of shops, a museum, and eateries police departments, with their buildings, shopping malls, city hall and commercial banks. Service centers There are various service centers which look into the welfare of the parties involved. These include; AIDS Service Center, Korean American Family S ervice Center, Ori's Automotive Service Center, Chinatown service center, L.A. Gay & Lesbian Center. Religion and politics The main religious bodies include; Catholics, Pentecostals, Baptists, Lutherans, Jewish, Islam, Eastern, Presbyterian, Methodist, Episcopalian, and other Christians. The county has different political parties. (Brint, 2009) American independent party pledges to stop wars which are claiming lives of more Americans, stop impulse spending on foreign aid, do away with federal income tax, slow down immigration, stop illegal alien entering the country, defend national moral values, stop abortion, raise the standards of education, among other pledges. Communist party pledges to defeat the Bush administration agenda, ensure people’s wellbeing, and replace large business with labor to ensure that rights, expanding needs of the people and economic security are put on the forefront. Republican Party has a mission of winning elections. Reform party promotes job openi ngs, budget balance, alternative energy sources, debt repayment, military families’ fairness, and reform in healthcare, government waste elimination, finance reform campaigns and many others. Other parties include; Constitution Party, Democratic Party, Democratic Socialists , Green Party, Libertarian Party, Natural Law Party, Socialist Party (Peterson, 1994). Official Boundaries of the County The county boundary starts from the southwesterly of California to northeasterly of rancho Simi then to southeast of the township line. Stores and street people The county contains the largest number of homeless people in the whole nation. This is approximated to be

Thursday, September 26, 2019

Study Skills Essay Example | Topics and Well Written Essays - 1000 words

Study Skills - Essay Example With such an attitude, you can never achieve anything since you will feel that you are studying just to please someone else. Freeman (2002, p.44) suggests that the first thing you should instill within yourself is a positive attitude towards studying by setting your study goals, and developing appropriate means on how to achieve them. When I joined this institution as a first year student, I can confess that I too had a negative attitude towards studies because, I hated the act of going to class, listening to a lecturer, and then exams (Jones, 2003, p.102). I thought that if we only came to school to spend our time with friends and sharing our life experiences, then all could have been well. Unfortunately, the thought of exams and assessment tests really upset me. I already had developed a negative attitude as I attended lectures to wait for the lecturer to do his part, without even caring about what I had gained from the lecture. I rarely carried out my own research unless when orde red by a lecturer to do so. Moreover, I only studied for exams through cramming after which everything was gone and forgotten (Armstrong & Lampe, 2000, p. 64). Little did I know that school was preparing us for the challenging life out there, and it is meant for our own good. The education and training I have been exposed to in this institution has really changed my attitude as well as my perception towards studying. First, here you are introduced to an environment of freedom where you are expected to be responsible for your own actions (Freeman, 2002, p.44). At first, I felt that it was the best feeling ever since I was now of age and my parents/teachers had no full control over my life. I thought that life had presented to me a perfect opportunity to do all the craziest stuff I have been longing for in my life. Fortunately, with the endless words of advice from my lecturers and parents, I have learnt that society expects us to be morally and socially responsible individuals. I hav e been taught how to communicate, interact and live with other people effectively without any form of conflict among us. Furthermore, I have widened my knowledge and skills through the technical skills I have gained, to ensure that I will cope well with working in the real field out there (Jones, 2003, p.142). Whichever way you may look at it, it all streams to one thing; when my effort is demanded rather than required, I will struggle through to see that I have provided it no matter how I feel (Armstrong & Lampe, 2000, p. 88). This can looked at as an effort of trying to get things done, and it might not be the best way of doing things. I have learnt that the key thing into getting things done without much effort and struggle is motivation. Through motivation, everything you engage in will be enjoyable as you are likely to gain some satisfaction upon accomplishing it. However, before you get motivated you have to find your purpose in life. As a student my ambition is to be a great person in the future who the young generation will strive to emulate. Freeman (2002, p.67) asserts that this calls for a proper setting of priorities right from this moment. I have to know that I study to acquire more knowledge and skills so as to know how to face challenging situations that come my way, but not just for exams. I can clearly admit that personal

Wednesday, September 25, 2019

Reaserch Critique Essay Example | Topics and Well Written Essays - 1250 words

Reaserch Critique - Essay Example However the research fails to mention the causative agent of pressure ulcer and only dwells on the prevention measures. The purpose of the research is clearly stated as to assess the quality of disease prediction in home health care. This is done by looking into process and procedure used to assess pressure ulcer risk upon admission to home care, frequency with proper timing f risk reassessment and the various interventions used by home health care agencies to prevent pressure ulcer development. By developing a three –part twenty nine item questionnaire, the research question was well applied. Questions were classified in three parts a move aimed at exhausting any important research material. With part one carrying questions with items related to agency size and respondent, part two covering questions on admission on risk appraisal processes and procedures and lastly, part three covering questions on prevention policies and prevention interventions it comes out clearly that the research question heading was well applied. Both provision of fixed responses and open-ended response options were well applied a thing that produced better results. The researcher had a well laid outline where the Agency of Healthcare Research and Quality (AHRQ) published clinical practice guidelines on pressure ulcer prediction and prevention. The contents of the guidelines were specified with practice recommendations for identifying those people at risk, maintaining and improving tissue tolerance to pressure, protecting against pressure friction and also the use of education to reduce pressure ulcer occurrence. The appraisal was well formulated where health care is evaluated through process of care and outcome indicators. It takes a wider review on the whole efforts undertaken in the prevention of pressure ulcers. (Bergquist, 2004) The two processes above have been developed through literature review, review of clinical guidelines,

Tuesday, September 24, 2019

Assignment Essay Example | Topics and Well Written Essays - 750 words - 41

Assignment - Essay Example The context that the research is done is usually in school or other meetings where teachers from different schools meet and discuss their research and how they usually deal with various problems affecting their subjects. Students at the end of the day benefit since the research aims to conduct various methodologies on how one has been teaching and if he can improve and what ways can he use. School wide action research involves most members of the faculty and its goal of including parents and students in future is a welcome advancement. The inclusion of students in search a process is crucial since they get to comment on what they do not understand. The information from the students and parents who monitor their students activities especially academics will provide invaluable information for further research and the consequent solutions. The research will follow up on the parents’ involvement in their children’s studies, which will in turn help in dealing with the problems the students face and help in finding solutions to such problems. Some of the teachers are reluctant to engage in school wide action research because most of them considered the classroom as a private affair. They do not need to include outsiders as such. Such a methodology is for improvement purposes and not for judgmental purposes. Joining the league provided schools with methods of evaluating their performance and that of their students. Schools that joined the league would get valuable information on how to deal with various problems that other school had overcome. School wide research is thus an important area in which teachers discover their weaknesses and strengths and find out ways to overcome them. The interaction with various teachers is important since there are successful teachers who can share their strengths which in turn those who are struggling with their students. The students at the end of the day get to benefit from the varied teaching styles

Monday, September 23, 2019

Globalization, as the world has experienced it since the 1970s, has Assignment

Globalization, as the world has experienced it since the 1970s, has been rooted in neoliberal policy. Discuss alternative frame - Assignment Example As Jessop notes, neoliberal doctrine emerged as a dominant ideological force due to the convergence of progressive trends of economic internationalization, the apparent failure of Keynesian welfare state, East Asian developmentalism and Soviet model of central planning; and the emergence of new social forces brought about by the former developments (Jessop 105). The neoliberal theorists seem to proceed from the same assumptions that social liberals take for granted; they proclaim their commitment to a basic right of individual autonomy and assert that the basis of modern society should consist of wide variety of voluntary associations independent from the state control. Nevertheless, neoliberals take the common idea of all liberal thinkers about the necessity of expansion of market economy (Jessop 106) to its extreme limits, arguing that all social relations should be evaluated from the point of their compatibility with the freedom of market transactions. This includes an emphasis on deregulation of the financial markets both in domestic and international spheres; the ideological commitment to the curtailment of state intervention in the capitalist market economy; the introduction of the principle of market efficiency into the sphere of public welfare; and the commitment for the privatization of public enterprises and services (Jessop 107). The cities and city regions are especially affected by the neoliberal project of globalization. The dramatic restructuring of urban communities that began in the 1970s to 1980s led to the increasing marginalization of the relatively numerous swathes of the urban population caused by the drastic rise in unemployment (Swyngedouw, Moulaert, and Rodriguez

Sunday, September 22, 2019

Use of Psychoanalysis to Treat Psychological Disorders Essay Example for Free

Use of Psychoanalysis to Treat Psychological Disorders Essay Discuss the use of psychoanalysis to treat psychological disorders The aim of psychoanalytic therapy is to uncover the repressed material to help the client come to an understanding of the origins of their problems. There are several techniques available to the therapist: free association, Dream analysis and projective tests. Free Association Within free association the client is encouraged to express anything that comes into their mind. Each incident may then, through free association of ideas, lead to other thoughts and memories that perhaps extend into childhood. The role of the therapist is to intervene occasionally perhaps to encourage reflection into a particular experience. During free association the therapist will be identifying key ideas and themes that can be analysed. Freud introduced free association to try and get round the defence put up by the ego and so brings material from the unconscious. Dream Analysis Freud referred to dreams as the royal road to the unconscious. He felt that during dreams the normal barriers to the unconscious material were lifted and the symbolic imagery of dreams was a reflection of this unconscious material. Therefore by analysing the content of the dreams the therapist might be able to identify significant conflicts repressed into the unconscious. The therapist’s role is to use their understanding of how the dream work operates to interpret the symbolism of the dream. Putting together the themes that emerge through the process are put together. The client can then work through these problems with the therapist identifying and resolving their issues. Projective tests Although this is not part of Freud’s original therapeutic techniques projective tests are used in a variety of psychodynamic approaches. In these tests the client is required to project or impose their own thoughts and associations on a particular stimulus material. Evaluation * These therapies accept that adult disorders may have their roots in childhood and in repressed material * Psychodynamic therapy can be very long lasting and therefore expensive * The therapies depend upon the clients developing insights into their condition therefore it might not be suitable for those who are not willing to analyse their lives in this way * Psychodynamic therapies are not suitable for all disorders * There are ethical issues in confronting clients with distressing material during the course of the analysis. It is important that such issues are worked through with the client to a satisfactory conclusion.

Saturday, September 21, 2019

People are not free to make moral decisions Essay Example for Free

People are not free to make moral decisions Essay Is it right to say that our actions are determined, or are they free? Hard determinists argue that when we make a moral decision, we have no free will. This is significant because if we do not choose our actions we cannot be held morally responsible. Given our experience of decision making this determinist position is hard to accept and perhaps the compatabilist approach of soft determinism is more valid. Soft Determinists recognise that we can make a decision freely that is coerced but the choices in themselves may be determined themselves. This contrasts with libertarianism, which states that we freely choose our actions and rejects determinism. To fully examine whether we are in fact free or not to make moral decisions, we must first analyse what particular factors affect our decision making. When we debate over a decision we consider/ weigh up our options, we know that we have a choice and only we can make that choice, this is known as a libertarian view. Libertarians believe that we have full responsibility of our actions and nothing else affects our decision, however genes, environment, lifestyle and our upbringing affect or sometimes might determine our choices. Determinism objects libertarianism and believes that our choices are influenced by factors other than the will of the individual, events and actions are predetermined by other events therefore freedom of choice is an illusion. Free will is the term made up of ‘autos’ meaning self and ‘nomos’ meaning rule. Many philosophers such as Kant say that you can only be responsible for actions that you undertake of your own will, this is opposed to Determinism. Libertarianism is the belief that humans are free to make moral choices and therefore morally responsible. â€Å"By liberty we can only mean a power of acting of not acting according to the determinations of the will†. David Hume. In the definition of libertarianism a distinction between the persons character or personality and his/or her moral self. It is this moral self or will that is free. â€Å"Your destiny is allotted to you, but you shall choose it for yourselves†. Plato. There are many arguments that support libertarianism, the most predominant of these being the argument from experience, this states that we all experience making choices, such as the very fact that I am sat here writing this essay is the result of a choice, I did have another option so I could’ve chose otherwise. We are also aware of going through a decision making process, we can weigh up our options and act upon this. Libertarians also believe in the necessary cause stating that for Y to happen X must have caused it, without X Y will not happen. This is a determinist understanding, However Libertarians recognise that causes are contingent and not necessary, they may or may not cause Y, this is a libertarian view. However opposed to this Determinists would argue that if free will exists then what actually causes our actions, surely our actions are caused by something, for example what about our past experiences and emotions? Also a determinist would argue is it part of human nature to assume that we are free and what exactly is moral responsibility, and how is this separate from our personality. If it comes from the soul then what causes the soul. Hard determinism states that people do not have free will to act in moral situations. It also states that everything has a prior cause which precedes it; everything is a product of the cause which is unchangeable and fixed. Therefore we cannot be held morally responsible or blameworthy for their actions because their actions are determined. When we think that we are making a moral decision, hard determinists believe that this is an illusion that we are free but in fact we are not and the decision that we made was already determined. John Locke’s example of the man in the locked room shows that we believe that we are free but we are actually not. However libertarians would argue that we had the choice whether or not to go into the locked room. Psychological determinism is another form of Hard Determinism. This suggests that our characters are determined by our upbringing and experiences. There are many influencing factors on human behaviour such as hereditary, society, culture and environment. Freud taught that our early years have impact on our actions in the future, there is also much evidence to support this view such as Pavlov’s dogs which operant conditioning demonstrates that we can mould our behaviour through rewards and sanctions, it also demonstrates how our behaviour is determined. However a libertarian would argue that just because you can condition one element of decision making doesn’t mean that all behaviour is determined, we always have a choice. Theological determinism is also another form of hard determinism. This is the view that the causal chain can be traced back to an uncaused causer, as shown in Aquinas’ Cosmological argument, and this uncaused causer is God. If God is, as suggested by Calvin through his predestination view which suggests that God has already determined a plan for us so we are either damned (going to hell) or elect (going to heaven) , an omnipotent and omniscient God then we cannot have free will as our actions must be predetermined because of this. There are many criticisms for this view that Libertarians would address as it conflicts with biblical teachings as in Genesis it states that God gave us free will and also for theological determinism to be accepted, libertarians would also argue that there is no proof of this God, so in their view we still have a choice. A form of Hard Determinism that contrasts and argues this view is scientific determinism; this approach states that science tells us that for every physical event there is a physical cause. If we consider the mind to be material activity in the brain, so then our thoughts are also pre determined. Another form of hard determinism is Biological determinism which states that our characters are determined by our genes, this is partly true as genes do give us our characteristics such as what we look like, even our IQ, all this can determine our behaviour for example the violent gene as evidence can be traced back to the genome (e. g. a violent gene recognised by the Italian supreme court). However libertarians would argue that because there is only 0. 2% variation in our DNA, so this doesn’t seem efficient enough to explain all the variations in human behaviour, it’s not just our genetic makeup that influences our behaviour, and they would argue that we always have a choice. Soft determinism states that we are morally responsible for our actions; this approach allows libertarianism and hard determinism to be compatible. It states that as long as no one forces you to make a decision then you are free, this can be described as internal freedom. However soft determinists make a distinction between internal and external causes, these explain why freedom and Jeremy moral responsibility are not only compatible with determinism but actually require it. Soft Determinism, unlike hard determinism, allows for moral responsibility, for example if person A does not save a drowning child because person A cannot swim, he is not morally responsible. However, if he chooses not to because of his personality, a combination of his conditioning, an upbringing and so forth, then he is to be held responsible. Soft determinists believe that all human actions are caused and when we say that a person acted freely we are not saying that there was no cause but rather they were not forced to do it, here they act as free agents even though their actions are still caused. A main philosopher associated with soft determinism is Hume whom was a soft-determinist. He stated that all things are necessary and believed that some things are uncaused or happen as the result of chance. Hume also believed that we are free, he goes on to say that we dont blame people for things they do ignorantly, and blame them less for things that are not premeditated, and any sense of moral blame can only come if something we do is the result of our character. Hume believed that free will, and moral responsibility, require determinism. Soft determinists are criticised by hard determinists for failing to realise the extent to which human freedom is limited and also by libertarians for failing to recognise the true extent of freedom. Whilst Soft determinism offers a ‘middle ground’ between hard determinism and libertinism an agreeable account of moral freedom, a line still has to be drawn between that which is determined and that which is open to choice. The major fault with soft determinism is that they have to try and agree on what is a determining factor and what is not and the complexities of genetics, psychology makes such a line difficult for them to draw. So In conclusion, through the arguments expressed in this essay, I believe that perhaps a Soft Determinist approach is more susceptible towards moral decision making, as although it allows us to make our own decisions, they are to an extent determined due to numerous factors such as our upbringing, environment and culture, however it also allows us to accept responsibility for our actions whatever they may be.

Friday, September 20, 2019

Prevention Control of Occupational Lung Diseases

Prevention Control of Occupational Lung Diseases Prevention Control of Occupational Lung Diseases What is Occupational Lung Disease? Lung disorder related to matter inhaled from the occupational environment. Occupational lung diseases are a broad group of diagnoses caused by the inhalation of dusts, chemicals, or proteins. Even persons who do not work in the industry can develop occupational disease through indirect exposure. The effects of an inhaled agent depend on many factors: (1) Such as, Physical properties ( particle , mist or gas : solubility , shape , density , penetrability , concentration , radioactivity , size ) Chemical properties (Acidity, alkalinity, fibrogenicity, antigenicity) Susceptibility of the exposed person (Integrity of body’s defences, immunologic status) Dose What substances in the workstation can reason for lung disease? (1) Dustfrom such things as wood, cotton, coal, asbestos, silica and talc. Dust from cereal grains, coffee, insecticides, drug or enzyme dusts, metals and fiberglass be capable to also injure your lungs. Fumesfrom metals that are heated and cooled rapidly. This procedure results in fine, solid particles being carried in the air. Examples of occupations that involve exposure to fumes from metals and other substances that are heated and cooled quickly include welding, melting, furnace work, ceramic making, plastics manufacture and rubber processes. Smokefrom fiery organic materials. Smoke can contain a variety of particles, gases and vapours, liable on what substance is being burned. Fire-fighters are at an increased risk. Gasessuch as formaldehyde, ammonia, chlorine, sulphur dioxide, ozone and nitrogen oxides. These are linked with jobs where chemical reactions occur and in jobs with high heat actions, such as welding, brazing, smelting, oven drying and furnace work. Vapours, which are a form of gas given off by all liquids. Vapours, such as those given off by solvents, usually annoy the nose and throat first, before they affect the lungs. Mistsor sprays from paints, lacquers (such as varnish), hair spray, pesticides, cleaning goods, acids, oils and thinners (such as turpentine). Common Occupational Lung Diseases Obstructive Occupational airway Diseases. Occupational asthma Occupational asthma is the most common form occupational lung disease. Occupational asthma (also known as work-related asthma) is asthma that is caused or made worse by exposures in the workplace. Estimates suggest that 15 to 23 percent of new asthma cases in adults are work related (2). Occupational asthma refers to the development of asthma following exposure to a known occupational sensitizer (often with evidence of an elevated specific immunoglobulin E [IgE] to the relevant occupational allergen) Adhesives, Metals (chemical coolants), Resins, Isocyanides, Flour and grain dust, Latex, Animals (shellfish in particular), Aldehydes, Wood dust may act as agents causing occupational asthma (3). Reactive airways dysfunction syndrome (3) The term reactive airways dysfunction syndrome (RADS) refers to the development of a persistent asthma-like syndrome for at least three months following inhalation of an airway irritant. The onset of symptoms occurs after a single specific exposure to a gas, smoke, fume, or vapour in very high concentrations. It is sometimes referred to as irritant-induced asthma. The most commonly reported agent causing RADS is Chlorine. Other commonly reported agents include toluene diisocyanate, oxides of nitrogen, acetic acid, Sulphur dioxide, and certain paints. Occupational chronic obstructive pulmonary Disease (3) Chronic obstructive pulmonary disease (COPD) is an umbrella term that encompasses several different pathologies, most notably chronic bronchitis, small airways disease and emphysema, and is defined by airflow limitation that is usually progressive. Inhalation of noxious particles or gases encountered in an occupational setting make an important contribution to COPD. Most notably, these include coal dust, cotton textiles, welding vapours, cadmium and silica. Pneumoconiosis (4) The disease is caused by dust particles approximately 2–5ÃŽ ¼m in diameter that are retained in the small airways and alveoli of the lung. The incidence of the disease is related to total dust exposure, which is highest at the coal face, particularly if ventilation and dust suppression are poor. Coal-worker’s pneumoconiosis (3), (4) Coal worker’s pneumoconiosis (CWP) results from the inhalation of particles of coal mine dust, which are engulfed by macrophages which then accumulate to form the coal macule, characteristically located in the centrilobular region. Pneumoconiosis appears on the chest X-ray as small rounded opacities, typically appearing in upper and middle zones. Simple coal worker’s pneumoconiosis is not associated with abnormal clinical signs or significant impairment of lung function. If breathlessness and lung function impairment are present they are likely to be due to associated lung or heart disease. Progressive massive fibrosis (PMF) refers to the coalescence of macules to form irregular masses of fibrous tissue. Asbestosis Asbestosis is a progressive disease that results from breathing in microscopic fibres of asbestos. These small fibres build up over time and can cause scarring, or fibrosis, in the lungs. This scarring causes the lungs to stiffen and makes it hard to breathe or get enough oxygen into the blood.(5)Asbestosis may not show up until 10 to 40 years after exposure to asbestos fibres.(6) Silicosis Silicosis is a disabling, dust-related disease and is one of the oldest occupational lung diseases in the world. Silicosis is caused by exposure to and inhalation of airborne crystalline silica. Silica (SiO2) is the name of a group of minerals that are found in mines, foundries, blasting operations, stone, clay, and glass manufacturing. Dust particles from silica can penetrate the respiratory system and land on alveoli (air sacs). This causes scar tissue to develop in the lungs and impair the exchange of oxygen and carbon dioxide in the blood.(7) Though symptoms of silicosis rarely develop in less than five years. Silicosis also makes a person more susceptible to infectious diseases of the lungs, such as tuberculosis.(7) Byssinosis The symptoms start on the first day back at work after a break (Monday sickness) with improvement as the week progresses. Tightness in the chest, cough and breathlessness occur within the first hour in dusty areas of the mill, particularly in the blowing and carding rooms where raw cotton is cleaned and the fibres are straightened. The most likely aetiology is endotoxins from bacteria present in the raw cotton causing constriction of the airways of the lung. Berylliosis Beryllium–copper alloy has a high tensile strengthand is resistant to metalfatigue, high temperature and corrosion. It is used in the aerospace industry, in atomic reactors and in many electrical devices. When beryllium is inhaled, it can cause a systemic illness with a clinical picture similar to sarcoidosis. The major chronic problem is that of progressive dyspnoea with pulmonary fibrosis. Hypersensitivity pneumonitis Hypersensitivity pneumonitis (previously called extrinsic allergic alveolitis) refers to an allergic inflammatory pneumonitis following the repeated inhalation of organic material. Workers at risk include those with exposure to mould or fungal spore in agriculture, horticulture, forestry, cultivation of edible fungi or malt working, those handling mould vegetables and those caring for or handling birds. The disease has two patterns: the acute form and chronic form. Occupational respiratory cancers Mesothelioma The most notorious occupational cancer in respiratory practice is pleural mesothelioma. Its occurrence almost invariably suggests past asbestos exposure which may have been low level, and even bystander, exposure. The long latency between exposure and presentation suggests that the incidence of mesothelioma will continue to increase. Occupations associated with significantly higher mesothelioma deaths include plumbers, pipefitters, and steamfitters; mechanical engineers; electricians. Pleural disease Asbestos-related pleural disease Pleural plaques are the most common manifestation of past asbestos exposure. They are discrete circumscribed areas of hyaline fibrosis found on mainly parietal pleura. Prevention of occupational lung diseases Agent-Oriented Strategies a. Environmental hazard surveillance Efforts should be continued to be identify occupations in which workers are likely to have high incidence of occupational lung diseases. Special attention should be given to environmental surveillance and exposure control. Environmental surveillance is the most effective means of identifying problem areas, directing control efforts, and subsequently measuring the impact of prevention strategies. i. Asbestos Occupations where workers are more likely to be at high risk of exposure to asbestos needed to be identified. Special attention should be given to environment surveillance and control of such occupations. ii. Cotton Dusts Industries using cotton that contain high levels of endotoxins should be identified and evaluated for possible additional intervention strategies or enactment or enforcement of more stringent dust standard. iii. Silica Occupations where workers are more likely to be at high risk of exposure to silica needed to be identified. Any work sites (such as coal mines) where silica levels exceed the standard must be enforced by mine safety and health administration. b. Medical Hazard Observation Disease surveillance is needed to estimate the prevalence of occupational lung disease. However, because of latency, the lack of treatments, and the progression of some occupational lung diseases after exposure is of limited practical value, and emphasis should be placed on environment surveillance. Hospitals are potential source of data and should be requested to record work histories and to report occupationally related diseases in their discharge reports. Government reporting systems using local physicians and district health officers are potentially the most effective means of disease surveillance. The primary advantage using local physicians and district health is their familiarity with local industry and the medical community. Involvement of local county health departments would also facilitate follow-up of reported cases. However this surveillance method has several difficulties, the most significant being the unwillingness of physicians and workers to report disease because of the potential for litigation and comebacks. c. Hazard Removal For many hazardous substances, control measures are difficult or unavailable. However substitute materials are often available for hazardous substances and should be used. i. Asbestos A rule-making change should be under taken by health authorities to require that a dust control and monitoring plan for all operations with likely asbestos exposure be filed for approval before any work is done in site, Implicit in this requirement would be sound justification for the use of asbestos as opposed to alternative materials. Nonessential uses would not be approved. ii. Cotton Dusts Recommended cotton dust level for work places is 0.2mg/m3. Industries in which workers show acute reactions at dust level below 0.2mg/m3 should consider the use of cotton substitutes or lower dust levels. iii. Silica Because effective controls for silica in abrasive blasting operations have not be demonstrated, silica should be banned as abrasive blasting material. Available silica substitutes that have been shown to be nontoxic should be used. Exposure-Oriented Strategies a. Control Technology Many exposure control measures are available, such as engineering design and automation, ventilation, substitution, isolation, and changes in work practices. Technology transfer and implementation goals should be established, so that both workers and management are familiar with control technology and its application. b. Regulatory Enforcement Regulatory enforcement is the most effective element in the strategy to prevent occupational lung disease. Many acts (such as Mine Safety and Health Act and Occupational Safety and Health Act) place the responsibility for providing a safe and healthful work place directly on the shoulders of employer. Other measures of enforcement include sampling requirements for operators, an inspector audit programme, pre-operational filling hazard control plans and the right for inspectors to unsafe operations onsite. i. Asbestos Evidence indicates that the current asbestos standard provides only partial protection from asbestos-related diseases. Particularly cancer. The present permissible exposure limit (PEL) should be reduced to recommended concentration of 100,000 fibres/m3 since that is the lowest level of exposure that can be accurately measured using currently available analytical techniques. ii.Silica Once silica exposure is recognized, control could be accomplished in particularly every instance. The most effective measure for silicosis is preventing hazardous exposure, through strict enforcement of an appropriate exposure standard. Present federal standard based on percent silica range from allowable exposure of 33ÃŽ ¼g/m3 to 98 ÃŽ ¼g/m3 free silica. These levels should be unified to a single standard that provide protecting against silicosis over working lifetime. iii. Coal Dust Most effective prevention strategy for Coal-worker’s pneumoconiosis is declining coal dust level to 2mg/m3. In addition efforts should be made to increase the awareness of dust control techniques among small-scale operations. c. Education and Training An education program must be targeted to future engineers and managers to increase the appropriate use of control techniques. Involvement should be directed toward schools of engineering, public health, business, and vocational education. The occupational health professional must also trained and actively involved as a ‘change agent’ in trying to improve working environments and developing informed worker and management groups. The educational program of occupational health professionals should include special emphasis on epidemiology, biostatistics, industrial sanitation and safety, toxicology, and occupational health. Professionals need to learn what the work environment is, how to assess the work exposure, and how to control them. Proper use of engineering controls and professional protective devices is necessary component of such education. Government and local health departments can offer a ready source of expertise such as physicians, nurses, sanitarians, epidemiologists. These departments and primary care physicians should be used to identify small and local plant problems. Primary care physicians should be taught to recognize work related diseases as part as of their medical training. d. Incentive Systems Although workers’ compensation lows do provide some financial relief for disabled workers, they are essentially applied only after existing prevention system have failed and when physical therapies are non-existent. For this reason, and because the individual state compensation lows are diverse, significant modifications to present system will not be achievable as part of prevention strategy. Economic incentives, such as lower insurance premiums, should be explored as a means for industry to implement new controls. e. Respirators Respirators and other personal protective devices should not be considered a primary control mechanism because they depend on human intervention. Worker-Oriented Strategies a. Health Promotion and Smoking Smoking is strongly associated with many lung diseases, including chronic bronchitis, emphysema, and lung cancer. Moreover, smoking has an additive effect on risk for chronic bronchitis in workers exposed to coal mine and other dusts, and it acts synergistically with asbestos to increase the risk of lung cancer. So that management and workers should work together to develop appropriate non-smoking policies such as; prohibit smoking at work places with sufficient disincentives for those who do not comply, Distribute information on health promotion and the harmful effects of smoking and etc. b. Worker Knowledge of Exposure and Control Measures Workers should be specifically informed of the hazards to which they are exposed and the control measures available. This should be accomplished by employers distribution information to employees and by public education at school level. Workers right to know lows should be enacted to ensure that workers exposed to hazardous substances, such as silica and asbestos, are informed and aware of the importance of control measures. c. Disease Surveillance Disease surveillance oriented toward the worker is design to discover those workers who may be at increased risk if exposure continues. This increased risk may result from pre-existing condition, early development of disease, or hyper susceptibility to a particular agent. When these workers are identified some form of intervention is warranted, usually involving a reduction of further exposure. Control Occupational Lung Diseases For some diseases there is no treatment other than improving the patient’s current health and preventing further exposure. Early detection of occupational lung disease is often difficult, in part because in many cases, the latent period is long (eg, 15years for chronic silicosis and over 30 years for some asbestos related cancers). In addition, symptoms are often nonspecific and may not appear till disease well advanced. 01. Management of occupational asthma Approximately two-thirds of patients don’t achieve full symptomatic healing and approximately three-quarters have persistent non-specific bronchial hyper responsiveness. After the diagnosis nearly one third of the patients with OA are unemployed up to few years. 02. Management of Mesothelioma The therapy is focused towards relieving of symptoms. Highly selected patients can be prepared for radical surgery. Also the chemotherapy gives a small survival benefit of nearly three months. Pleural effusions can be managed with drain age and pleurodesis. 03. Management of Silicosis All the patients who suffer from silicosis should be screened for active or latent tuberculosis infection. They are also evaluated for other tuberculosis risk factors. (Eg: HIV infection). There was no drug has been found to stop the progression of disease. 04. Management of hypersensitivity pneumonitis Treatments include be away from source of the exposure and eradication of any residual antigens to prevent re-exposure. Self-limited exposure or if the exposure is short term complete recovery can be expected from most of the patents. But the patients with long –term exposure will suffer from permanent damage to the lungs.

Thursday, September 19, 2019

The Celebration of the Lizard Essay -- Analysis, Jim Morris

It was 1968's album Waiting for the Sun that marked the appearance of a new aspect of Morrison's image, the Lizard King. A poem entitled â€Å"The Celebration of the Lizard,† in which he pronounced â€Å"I am the Lizard King,† was printed on the album jacket. Morrison later claimed that this poem was meant to be partly in jest, but it took on a life of its own and would play an important role in Morrison mythology. In a 1970 interview, Morrison respond to a question about being called a Lizard King: Stevenson: How do you feel about some of the magazine articles that used to come out calling you the Lizard King and things like that? Morrison: Oh, I liked it! I enjoyed it! I thought it was, you know, I always liked reptiles, I always had a fondness for them . . . We did evolve from reptiles . . . I used to see the universe as a mammoth peristaltic snake and I used to see all the people, objects and landscapes as pictures on the facets of their skin, their scales. I think the peristaltic motion is the basic life movement: swallowing, digestion, the rhythms of sexual intercourse. Even your basic unicellular structures have this same . . . Stevenson: Fluidity and motion? Morrison: Yeah!14 Morrison used the attribution of Lizard King to expand on his image, as seen in this interview, by molding it to his ideals of proximity to the earth, suggesting that the motion of a reptile mimics the basic motion of all life. He further used the Lizard King image in the theatricality of his on-stage performances and, whether consciously or sub-consciously, to contribute to his own, as well as the band's, image. At best, it is possible to distinguish between Morrison as shaman and Morrison as the Lizard King,... ... difficult to confirm the cause of his death. Was it suicide? Murder? This uncertainty may have contributed to a Morrison-like image and myth. Now, that his physician has been convicted of negligence, the uncertainty is reduced. We will have to wait and see what develops. It is the public discourse, after the death of a celebrity, which results in the emergence of an icon. In books, films, and other media content about the celebrity, various narratives and central values become associated with the celebrity. After several years of continued public interest in the dead celebrity, the image and values associated with the celebrity become more significant than, and transcend, the factual details about the historical existence of the individual. The following section will outline elements contributing to the construction of the image of a celebrity, after their death.

Wednesday, September 18, 2019

The History of the American Bottom :: American History

Two of the nations largest rivers meet in the American Bottom. The Mississippi and Missouri Rivers served as channels of change to the area, bringing outside influences of many different peoples to an Indian-inhabited land. Like the constant flow of the rivers, there was a constant change in the American Bottom. The progress eventually developed the area into a center of economic activity and gateway to the west, but also excluded native and long-time residents. The Illinois Indians long dominated the American Bottom. They were a unique and special tribe, who were complex politically, religiously, and socially. They were also an independent people until French colonizers came to settle in the area. The French Creoles became the dominant population in the region, effecting trade and implementing French Creole culture in the region. The French would not be the last group trying to develop and profit from the American Bottom. When the United States gained control of the territory, it ch anged even further and eventually Americanized into an U.S. State. The importance of the region increased as the U.S. continued to grow westward. The American Bottoms location between the two great rivers made it the ideal location for a center of economic growth. Prior to the contact period, or the time when the Illinois first came into contact with Europeans, the Illinois were a great and influential tribe. They were a very interesting tribe who had a culture all their own. They were also a very autonomous bunch never having to rely on anyone but themselves for survival. This was all to change with the introduction of European missionaries and traders. The Illinois were dwelling in territory that was in heavy demand by those who wished to exploit these Indians and their land in order to turn over a dollar. The frontier was moving farther west and the Illinois eventually fell into the chaos that followed. War, disease, alcohol, and new ways of life eventually exterminated the Illinois. Although the Illinois were not to make it through the development of the American Bottom, they played a crucial and fascinating role in its history. The land the Illinois lived was not only beautiful but also abundant with resources. The resources in the area amazed the French missionaries and explorers. Father Claude Allois, a Jesuit missionary, describes an interesting spectacle on a journey south. â€Å"The next day, we saw a rock seven or eight feet out of the water and two or three brasses in circumference, named ‘the pitch rock.

Tuesday, September 17, 2019

Identify Two Reports on Serious Failures to Protect Individuals from Abuse Essay

Abuse can happen anywhere anytime, but especially to vulnerable people, ie Children, elderly people, people with disabilities, people with learning difficulties. It can even happen in places people should be safe, ie hospitals, residential/ nursing homes, schools, daycare/ nurseries, centres etc. I researched two cases reported for abuse. The Winterbourne case which was nationally reported, and a local abuse case of Orme house in Lowestoft. The Winterbourne case was more physical and emotional abuse and the Orme house case was more neglect and poor living conditions. The Winterbourne case was reported nationally because it was such a disgusting mistreatment of vulnerable people, 11 members of staff were caught on cctv after visitors and patients complained about mistreatments. The evidence that was captured showed physical abuse such as, slapping, poking eyes, pulling hair, even as unbelievable as trapping them under chairs, and soaking residents in freezing cold water. It also showed emotional and verbal abuse in the form of name calling. This was an inhumane and diabolic mistreatment of vulnerable individuals unable to defend themselves. Winterbourne appears to have made dicisions based on profits and returns, over and above dicisions about the effective and humane delivery of assessments and treatments. Where were the staff who should have been reporting these crimes to management , if management was not listening then they should have been reported to the authorities and organisations, such as social services and cqc that is what they are there for. The staff who didn`t abuse patients but didn`t report the incidents are just as abusive and responsible , as they were employed to help with patients welfcare, in turning a blind eye they failed to put the best interest of the patient first. The Orme house case was locally reported due to neglect, residents were sleeping on dirty, infested mattresses and eating take aways provided due to lack of food on the premises. Poor health and safety, and health and hygiene conditions were due to untrained/poorly trained staff and working under staffed. Residents were taken to other residential homes in the area and Orme house was closed down. In both cases there does not appear to have been a governing staff body taking a stand and putting a stop to these behaviours, and no-one reported anything to the governing body CQC (care quality commision) or social services until sygnificant harm had already come to the residents of both these care homes. If these homes had a governing member of staff to ensure all care standards are met, where was their accountability. CQC are the governing body for all health and social care settings, they set out care standards and legislations and requirements that are to be met in each setting. These requirements and standards are normally brought into place by using company policies and procedures, to protect all parties they may vary slightly, but all have to comply with the standards set out in legislations. There are a number of agencies that work together to ensure staff are vetted. The government commisioned the bichard inquiry (2002) and it looked at the way recruitment was carried out, the inquiry led to the safegaurding vulnerable groups act 2006 and the vetting and barring schemes. Which are run by the independant safegaurding authority (ISA) they work with the criminal records bureau(CRB) and protection of vulnerable adults/children (POVA/POCA) lists 99 to access anyone who wants to work with vulnerable groups. There is also the health and safety act 1974 and a number of health and environmental laws that should of been adhered to under the health and social care act 2008, every employer and employee has a duty of care to ensure a safe working and living environment for all staff and residents to which in these cases staff at both care homes failed.

Monday, September 16, 2019

Economic Development and Social Change Essay

Section 1 1) What is the primary goal of modernization theory in contrast to theories of capital formation? Compare and contrast Hoselitz’ formulation of modernization theory with Lewis’ theory of capital formation In the 18th century, during the Age of Enlightenment, an idea named the Idea of Progress emerged whereby its believers were thought of being capable of developing and changing their societies. This philosophy initially appeared through Marquis de Condorcet, who was involved in the origins of the theoretical approach whereby he claimed that technological advancements and economical changes can enable changes in moral and cultural values. He encouraged technological processes to help give people further control over their environments, arguing that technological progress would eventually spur social progress. In addition, Émile Durkheim developed the concept of functionalism in the sociological field, which emphasizes on the importance of interdependence between the different institutions of a society and their interaction in maintaining cultural and social unity. His most well known work, The Division of Labour in Society, which outlines how order in society could be controlled an d managed and how primitive societies could make the transition to more economically advanced industrial societies. Another reason for the emergence of the modernization theory derived from Adam Smith’s Wealth of Nations, which represented the widespread practical interest on economic development during a time when there was a constant relation between economic theory and economic policy that was considered necessary and obvious. It was by analysing, critiquing, and hence moving away from these assumptions and theories that the modernization theory began to establish itself. At the time the United States entered its era of globalism and a ‘can do’ attitude characterized its approach, as in the functionalist modernization advanced by B. Hoselitz: â€Å"You subtract the ideal typical features or indices of underdevelopment from those of development, and the remainder is your development program†. As he also presents in Social Structure and Economic Growth , this body of economic theory â€Å"abstracted from the immediate policy implications to which it was subject†Ã ‚  and also â€Å"assumed human motivations and the social and cultural environment of economic activity as relatively rigid and unchanging givens†(23-24). He claims that the difference lies in the extra examination of what is beyond simply economics terms and adjustments, by â€Å"restructuring a social relations in general, or at least those social relations which are relevant to the performance of the productive and distributive tasks of the society†(26). Most forms of evolutionism conceived of development as being natural and endogenous, whereas modernization theory makes room for exogenous influences. Its main aim is to attain some understanding of the functional interrelationship of economic and general social variables describing the transition from an economically â€Å"underdeveloped† to an â€Å"advanced† society. Modernization theory is usually referred to as a paradigm, but upon closer consideration turns out to be host to a wide variety of projects, some presumably along the lines of ‘endogenous change’ namely social differentiation, rationalization, the spread of universalism, achievement and specificity; while it has also been associated with projects of ‘exogenous change’: the spread of capitalism, industrialization through technological diffusion, westernization, nation building, state formation (as in postcolonial inheritor states). If occasionally this diversity within modernization is recognized, still the importance of exogenous influences is considered minor and secondary. I do not view ‘modernization’ as a sing le, unified, integrated theory in any strict sense of ‘theory’. It was an overarching perspective concerned with comparative issues of national development, which treated development as multidimensional and multicausal along various axes (economic, political, cultural), and which gave primacy to endogenous rather than exogenous factors. (Tiryakian, 1992: 78) In the context of Cold War modernization theory operated as a highly interventionalist tool enabling the ‘free world’ to impose its rules and engage in ‘structural imperialism’. Typically this occurred in the name of the forces of endogenous change such as national building, the entrepreneurial spirit and achievement orientation. In effect modernization theory was a form of globalization that was presented as endogenous change. Modernization theory, therefore, emerged from these ideas in order to explain the process of modernization within societies. The theory examines  not only the internal factors of a country but also how with the aid of technology and the reformation of certain cultural structures, â€Å"traditional† countries can develop in the same manner that more developed countries have. In this way, the theory attempts to identify the social variables, which contribute to social progress and the development of societies, and seeks to expl ain the process of social evolution. The question of the functional relations between all or most culture traits is left open, and special attention is â€Å"given only to those aspects of social behaviour that have significance for economic action, particularly as this action relates to conditions affecting changes in the output of goods and services achieved by a society†(30). They conceptualize the process of development in a similar linear, evolutionary form as older evolutionary theories of progress, but seek to identify the critical factors that initiate and sustain the development process. These factors, they argue, are both intrinsic and extrinsic: the former involves the diffusion of modern technologies and ideas to the developing world, while the latter requires the creation of local conditions, such as the mobilization of capital, which will foster progress. Modernization theorists believe that primitive production, an anachronistic culture, and apathetic personal dispositions combine to maintain an ar chaic socioeconomic system that perpetuates low levels of living. Modernization theorists hold that policies designed to deal with these traditional impediments to progress primarily through economic intervention, provide the key to prosperity. Overall, Hoselitz’s modernization theory is a sociological theory of economic growth that determines the mechanisms by which thesocial structure of an underdeveloped economy was modernized – that is, altered to take on the features of an economically advanced country. Hoselitz’s answer was based on the â€Å"theory of social deviance† – that is, that new things were started by people who were different from the norm. Unlike Lewis’ theories that we will revise later, Hoselitz thought that small-scale private economic development was the best way of achieving development in Third World economies. This particularly involved revaluing what he called â€Å"entrepreneurial performance†, something that Lewis also agrees with, but in a way that provided not only wealth but also social status and political  influence. In Chapter 8 of Sociological Aspects of Economic Growth, Hoselitz focuses on the creation of â€Å"generative cities† ( that is, cities producing innovations) rather than traditional rural areas were the focal points for the introduction of new ideas and social and economic practices. Many of the early colonial settlements in the New World and South Africa, Hoselitz claimed, were parasitic, enjoying a certain degree of economic growth â€Å" within the city itself and its surrounding environs† only at the expense of the rest of the region, which was ruthlessly exploited for its natural and agricultural resources (p.280). Although prescriptions for inducing social change and removing cultural obstacles to economic modernization in developing countries may be described as social policies, they do not seek to deal directly with mass poverty and its attendant problems of malnutrition, ill-health, inadequate housing, illiteracy, and destitution. These critical welfare concerns are seldom referred to by modernization theorists, namely by Hoselitz. Instead, the implicit assumption in his writings is that the process of economic development and social change will raise levels of living and remedy these problems automatically. Since economic growth, engendered by capital investments in modern industry, will expand employment, the proportion of the population in subsistent poverty will steadily decline. The increasing numbers of workers in the modern economy will experience a steady rise in real income that will be sufficient not only to satisfy their basic needs for food, clothing, and shelter but permit them to purchase consumer commodities as well as social goods such as medical care, education, and social security. Arthur Lewis was one of the first economists to create a theory about how industrialized and economically stable countries are capable of helping undeveloped countries progress. He presented this theory in his work Economic Development with the Unlimited Supplies of Labor† where he brings about the concept of capital formation. He defines it as the transfer of savings from households and governments to business sectors, resulting in increased output and economic expansion. He claims that his â€Å"model says, in effect, that if unlimited supplies of labor are available at a constant real  wage, and if any part of profits is reinvested in productive capacity, profits will grow continuously relatively to the national income, and capital formation will also grow relatively to the national income†(158). From here bridged off his development of the two-sector model of the economy and the theory of dualism. Both posit the existence of a substantial pool of underutilized labo r in a backward, subsistent agricultural sector of an economy that perpetuates low levels of production and mass poverty. This model comprises two distinct sectors, the capitalist and the subsistence sectors. The former, which may be private or state-owned, includes principally manufacturing industry and estate agriculture; the latter, mainly small-scale family agriculture and various other types of unorganized economic activity. Here the capital, income and wages per head, the proportion of income saved, and the rate of technological progress are all much higher in the capitalist sector. The subsistence sector is both at a very low level, and also stagnant, with negligible investment and technical progress and no new wants emerging. Institutional arrangements are the ones maintaining this chronic disequilibrium between the sectors, implicit in these differences in real income and productivity. In the extended family the members receive approximately the average product of the group even if the marginal product is much less. The process of development, initiated by an increase in the share of capitalist s in the national income, I essentially the growth of the capitalist sector at the expense of the subsistence sector, with the goal of the ultimate absorption of the latter by the former. To some extent, this is similar to Hoselitz’s development of the modernization theory, whereby the claims that the formation of his generative cities (a) creates a new demand for industrial raw materials from the surrounding region, and (b) attracts new population to the cities, thereby increasing the demand for food from the countryside. The net effect of these forces is a â€Å"widening of economic development over an increasing area affecting a growing proportion of the population outside the city†(Hoselitz, 282). However, Lewis’ theory has several limitations and conditions, most importantly that his theory can be applied only in countries with unlimited supplies of labor. Unlimited supplies of labor arise from the employment of  more workers than is productively effective. Lewis went through all of the areas of Caribbean society where he thought there were pools of labour in which the marginal productivity was negative, negligible or zero. His plan now was to make this a potential, industrial labour force. He could take all of the labour away from agriculture, away from casual labour, without lowering the profit margins of the places where they are currently employed. This was not a radical, disruptive assault on the existing economic order, which resulted in one of the main reasons that his theory was so successful. Ineffective production, occurring when an additional worker prevented the previous one from producing another product (hence equaling a negative marginal productivity) was common in the Caribbean, Southeast Asia and other undeveloped regions of the world. Several sectors of the economy employ too many people with negligible, zero or negative marginal productivity. According to Lewis these productively unnecessary individuals are employed in agriculture, or are casual workers, petty traders, or women of the household. He claims that the transfer of these people’s work from these areas towards commercial employment is one of the most notable features of economic development. The second source of labor for expanding industries is the increase in the population resulting from the excess of births over deaths. After his analysis of the effect of development on death rate, whereby he concludes that â€Å"[death rates] come down with development from around 40 to around 12 per thousand†(144), he claims therefore that â€Å"in any society where the death rate is around 40 per thousand, the effect of economic development will be to generate an increase in the supply of labor†(144). From this point of view, he states, †Å"there can be in an over-populated economy an enormous expansion of new industries or new employment opportunities without any shortage of unskilled labor†(145), though too many people could again cause ineffective production. He clarifies this by saying, â€Å"Only so much labor should be used with capital as will reduce the marginal productivity of labor to zero†(145). This can be achieved by offering and maintaining decently high wages. The wages offered should be only slightly higher than the wages available in the subsistence sector, since wages that are too high may attract more workers than needed. But firstly, and perhaps most importantly, entrepreneurial-minded capitalists are required in order to invest in the nation. Tax holidays attract the foreign capitalists. It is not a very difficult task, because they have very good incentives to come. The planter class in the Caribbean seemed just like the planter class in the American South – it had no desire to go industrial and no desire to go competitive. It was still trapped in a situation between an old monopoly system and a market situation since they were able to negotiate for a protected market for sugar, not a competitive market. Lewis then looked around realized the only way he could keep this program of industrialization launched would be by visiting England and America where capitalists and entrepreneurs were flourishing and foster their entrance into the Caribbean. Again, he employed the concept of a dual economy where a subsistence sector existed, but also from where he created from scratch this modern industria l sector to establish on modern capitalism. Capitalists in North America and Europe found these labouring conditions and costs in the Caribbean quite attractive. Getting this labour to the imported capitalists would not be resisted locally because he was taking those labourers with marginal productivity of zero. Once they began working, he would then re-invest more capital into the factory, so that it could expand, employ more workers, export more products, and increase profits, hence developing a self-feeding system that would eventually lead the national income to grow. Although Hoselitz also is of the belief that the formation of a dual economy is beneficial, rather than necessarily attract foreign capitalists through such incentives, Hoselitz believes that the creation of westernized cities led the way forward. He claims that cities modelled after the Western cities exhibited a spirit difference from the traditionalism of the countryside. In this way, he differs slightly from Le wis in that he favored a shift in political power away from traditional leaders and toward total control by economic and urban modernizers in underdeveloped countries, not necessarily foreign entrepreneurial capitalist as Lewis asserts. Lewis knew that some products would work better than others, so he developed an Industrial Programming Market – a number of basic calculations about those particular commodities, if produced in the Caribbean, would be  particularly competitive internationally. And so as a result of this study Lewis found that the production of airbrushes, gloves, furniture, needles, shirts, and leather goods would be particularly good to produce, given the skills of the labour force available at the time. For the self-feeding system to be a continuous process, costs of labour had to remain fairly constant. If the cost of labour rose too rapidly, they would not be sustained since the goods would no longer be internationally competitive. The key to this model is indeed international competitiveness. Capitalists can create more capital when the supply of money is higher, and hence if governments create credit, inflation arises yet does not have the same effect as the inflation that arises durin g depression periods. This inflation only has an effect on the prices in the short-run so that in the long run the final effect equal to what it would be if capital was formed by the reinvestment of profit. Lewis discusses at some length the methods by which governments of underdeveloped countries can raise revenue, especially the substantial funds required for government capital formation. For familiar political and administrative reasons much of this revenue has to be raised from indirect taxes, notably import and excise duties and export taxes. He argues that indirect taxation is more likely to increase than to decrease the supply of effort: The taxpayer usually does not know how much tax is included in the prices of the articles he buys, so in so far as the disincentive effect of taxation is psychological it can be avoided by using indirect rather than direct taxes†¦ If it is an increase in indirect taxation, the effect is probably to increase effort rather than to reduce it (414). Because of the multiple restrictions in this model, it is designed for countries with unlimited supplies of labor and hence this growth has a limit: â€Å"The process must stop when capital accumulation has caught up with population, so there is no longer surplus labor†(172). Furthermore, if wages are too high, they may consume the entirety of the profit leading to no re-investment. Several other reasons for the end of capital formation vary; the occurrence of natural disasters, war or a change of political system can also prevent further economic expansion in a closed economy. Lewis’ model is powerful but also highly restricted and specific to only a handful of nations. Some critics also claim that the distinction between the two sectors is too sharp; that small-scale agriculture is often far from stagnant and the emergence of the production of cash crops by individual producers has in fact been a key instrument in economic development since capital formation is actually created in this type of agriculture. Also, this model requires low wages for the labor force, yet very low wages result in a wide gap between the lower and upper class in a society, an issue that many have questioned thoroughly. Lewis says openly that exploitation can easily occur in this model, but that it is part of capital accumulation. He believes that one has to sacrifice a generation to grow the economy, because he assumed that if all goes well and more consumers are attracted to Caribbean, they will generate more business, and the economy will grow to the point where the weal th can be redistributed to the people. He reckoned that it would take, given the rate of growth that he observed in the Caribbean, one generation, thus a period between 40 and 50 years, to grow the economy and claim that poverty could be eradicated in this region. And yet the cost of this would be exploiting this generation, so that their children could benefit from it later. Hoselitz, as stated earlier, applied the ideas of Parsons and other sociologists to an analysis of the development process under the assumption, drawn from Adam Smith, that increasing productivity was associated with more detailed social divisions of labor: A society on a low level of economic development is, therefore, one in which productivity is low because division of labor is little developed, in which the objectives of economic activity are more commonly the maintenance or strengthening of status relations, which social and geographical mobility is low, and in which the hard cake of custom determines the manner, and often the effects, of economic performance. An economically highly developed society, in contrast, is characterized by a complex division of social labor, a relatively open social structure from which caste barriers are absent and class barriers are surmountable, in which social roles and gains from economic activity are distributed essentially on the basis of achie vement, and in which, therefore, innovation, the search for and exploitation of profitable market situations,  and the ruthless pursuit of self-interest without regard to the welfare of others is fully sanctioned. (Hoselitz, 1960: 60). These preceding theories both provide us with some preliminary indications and developments of views of modern social orders broader than that envisaged in the initial models provided. They stress the historical dimensions of the process of development, emphasizing that this process is not universal, something in the very nature of humanity or in the natural development of human societies. Instead, the modernization process is fully bound to a certain period in human history, even though in itself it is continuously developing and changing throughout this period. Development and the challenges it brings forward constitute a basic given for most contemporary societies. Though it certainly is pervasive in the contemporary setting, it is not necessarily irreversible in the future, and it would be wrong to assume that once these forces have impinged on any â€Å"society†, they naturally push toward a given, relatively fixed â€Å"end-plateau.† Rather, as we have seen, they evoke within different societies, in different situations, a variety of responses which depend on the broad sets of internal conditions of these societies, on the structure of the situation of change in which they are caught, and the very nature of the international system and relations, whether those of â€Å"dependency† or of international competition. Section 2 5) Briefly outline David Ricardo’s theory of comparative advantage; then outline in greater detail Samir Amin’s theory of periphery capitalism and why he thinks that trade between the central and peripheral capitalist economies does not meet the conditions of Ricardo’s theory In 1817, David Ricardo, an English political economist, contributed theory of comparative advantage in his book ‘Principles of Political Economy and Taxation’. This theory of comparative advantage, also called comparative cost theory, is regarded as the classical theory of international trade. According to the classical theory of international trade, every country will produce their commodities for the production of which it is most suited in terms of its natural endowments climate quality of soil, means of transport, capital, etc. It will produce these commodities in excess of its own requirement and will exchange the surplus with the imports of goods from other countries for the production of which it is not well suited or which it cannot produce at all. Thus all countries produce and export these commodities in which they have cost advantages and import those commodities in which they have cost disadvantages. Ricardo states that even if a nation had an absolute disadvantage in the production of both commodities with respect to the other nation, mutually advantageous trade could still take place. The less efficient nation should specialize in the production and export of the commodity in which its absolute disadvantage is less. This is the commodity in which the nation has a comparative advantage. Ricardo takes into account the following assumptions: there are two countries and two commodities; there is a perfect competition both in commodity and factor market; cost of production is expressed in terms of labor; labor is the only factor of production other than natural resources; labor is homogeneous i.e. identical in efficiency, in a particular country; labor is perfectly mobile within a country but perfectly immobile between countries; there is free trade; production is subject to constant returns to scale; there is no technological change; trade between two countries takes place on barter system; full employment exists in both countries; there are no transport costs. In 1973, Samir Amin, an Egyptian political economist, begins his dialogue in Unequal Development by referring to Marx’s writing on non-European societies, namely India and China, and creates a work in which he reevaluates Peter Evans’ theory of Dependent Development and simultaneously presents his theory of peripheral capitalism in developing societies. He shows how these early ideas established the notion of the centre and the periphery, and how â€Å"the development of capitalism in the periphery was to remain extraverted, based on the external market, and could therefore not lead to a full flowering of the capitalist mode of production in the periphery†(199). He then begins to develop his own theory of the transition to peripheral capitalist economy by questioning David Ricardo’s assumptions in his theory of comparative advantage, and later outlines nine theses to support his views. Peripheral capitalism is based on, but not identical to, the imperialistic relationships developed between colonizing nations and their colonies. In this economic relationship, the players are the same – the colonizing nation becomes the â€Å"center†, while the colony becomes the â€Å"periphery† – but the role that each society plays is different from the classic imperialist relationship. The peripheral economy is marked by extreme dependence on external demand, or extroversion, as well as stunted and unequal rates of development within the society. Amin maintains that in order for these societies to break free of extroversion and develop, they must be actively removed from the peripheral capitalist relationship. He proposes nationalization and socialization as an alternative, a system which-when contrasted with peripheral capitalism-could not be a more different approach to economic development. Unfortunately for the developing nation s, socialism was largely unsuccessful as an economic experiment, consistently causing stagnation and underdevelopment in societies that attempted it. Peripheral capitalism evolves from colonial imperialism, an economic system in which the colonizing nation penetrates deep into the heart of the colonial economy in an effort to manipulate it towards the benefit of the mother country. Every aspect of the colonial economy is geared not towards the expansion of the colonial economy itself, but rather towards the production of something that the colonizing nation cannot produce itself. As a result, the success and the existence of a particular sector of the colonial economy is dependent upon whether or not the mother country has a need for that sector; colonial economies are rooted heavily in external demand. This extroversion leaves the colonial economy without an indigenous set of linkages, as economic sectors that will benefit from colonial activity function mostly within the economy of the colonizing nation. When autocentric, or internally-driven, economic growth is blocked in such a way that a peripheral economy emerges with the sa me sort of external dependence on the central economy that was suffered by the colonial economy. The peripheral economy is typically plagued by an unequal division of labor, or specialization, between itself and the central economy. While the latter enjoys the benefits and progress associated with industrialization, the periphery tends to remain predominantly agricultural. What little industry may exist in the peripheral economy is most often â€Å"light† industrial production of small, simple goods, as opposed to the â€Å"heavy† industrial production of machinery and complex products that characterizes the central economy. Additionally, Amin argues that there is often a â€Å"hypertrophy of the tertiary sector†(200) of the peripheral economy; too much of the economy is devoted to providing services, â€Å"expressed especially in the excessive growth of administrative expenditure†(201) effectively anchoring the society’s development due to a lack of productive advancement. Yet another malady of the peripheral economy is the reduced value of the local ‘multiplier effect’, another result of the remnants of economic infrastructure modification from the colonial period. If an economy is replete with linkage sectors, then any money put into the leading sector will generate a multiplied effect in all of the forward and backward linkages of that industry. Peripheral economies, however, are effectively stripped of linkages during their colonial phase of development hence spending in the peripheral economy ultimately benefits the central economy, where most of the peripheral industries’ linkages are realized. Not only is the local multiplier effect reduced in the peripheral economy, but Amin claims that it also leads to â€Å"the marked propensity to import†(201), and thus is in effect transferred to the central economy, where revenue is collected every time money is spent in the periphery. Because peripheral input ultimately goes abr oad, local businesses are not stimulated, as they would be if linkages were realized within the periphery, worsening the already-detrimental conditions of the peripheral economy. Adding to the lack of stimulation of local business is the fact that peripheral industries tend to be dominated by monopolies established from foreign capital. After the majority of revenue goes to the central economy through linkage industries, what little money remains in the local economy is often put into businesses controlled by central capitalists. In other words, almost every dollar put into the periphery ultimately finds its way to the central economy. In Unequal Development, Amin maintains that no economy can be expected to develop without successfully making the transition from extrovert to introvert so that it can â€Å"assert the dominance of the exporting sector over the economic structure as a whole†(203), and that no peripheral capitalist economy can independently heal the economic wounds inflicted by colonialism. Therefore, the only way to promote development in peripheral capitalist economies is to actively remove them from their disadvantageous relationship with the central economy, which, according to Amin, should be replaced by internal nationalization and socialization of the once-peripheral economy. The establishment of a nationalist socialist state would serve both to eliminate external dependence, as well as to reconcile the disarticulated nature of the local economy. The first critique of Ricardo’s theory made by Amin is its lack of specificity – claiming that his examples of trade between Portugal and England were very exclusive to intra-European trade and could not exactly be applied to relations between several different country relations around the World. If there is a large difference in GDP between two countries, then what statistics demonstrate is that the country with the smaller GDP would benefit more from this transaction, and this was â€Å"the source of special problems that dictate[d] development policies in the periphery that [were] different from those on which development of the West was based†(201); a factor that Ricardo hadn’t considered it in his theory. Another vital yet neglected consideration was the importance of the commodity in terms of a nations’ GDP: wine was a big section of the Portuguese GDP, greater than it was for England, so the trade benefited the Portuguese to a greater extent than it did to the British. He elaborates upon this idea by explaining how the relation between central and periphery assumes the mobility of capital, since the centre is investing greatly in the periphery. What the periphery chooses to specialize in is to a large extent determined by the centre, since very often the selection comes after it has been forced to serve the imperial country. As he clearly states, this type of trade â€Å"compels the periphery to confine itself to the role of complementary supplier of products for the production of which it possesses a natural advantage: exotic agricultural produce and  minerals†(200). The result is a decrease in the level of wages in the periphery for the same level of productivity than at the centre, hence limiting the development of industries focused on the home market of the periphery. The disarticulation due to the adjustment of the orientation of production in the periphery to the needs of the centre prevents the transmission of the benefits of econo mic progress from the poles of development to the economy as a whole. Overall, this is what Amin defines by ‘unequal specialization’, which in turn violates the conditions of Ricardo’s theory. Another argument that Amin makes involved the Keynesian multiplier effect. He claims that this effect does not take place to the situation at the centre because of its advantaged stage of monopoly, characterized by difficulties in producing surplus. Due to this unequal specialization as well as the significant propensity to import that follows, the effect is a transferring of multiplier effect mechanisms and the accelerator theorem from the periphery to the centre. Furthermore, Amin includes the social aspect of this process, which is a result of the individual history of each nation and the power imbalance created. Amin finds that the nature of the pre-capitalist formations that took place previously and the epoch in which they became integrated in the capitalist system are both very important factors in determining the presence or lack of development to come. He also draws a line between two different terms, ‘peripheral formations’ and ‘young central formations’, whereby the latter, based on the predominance of a simple commodity mode of production, are capable of independently evolving towards a fully developed capitalist mode of production. Amin terminates by asserting â€Å"the domination by central capital over the system as a whole, and the vital mechanisms of primitive accumulation for its benefit which express this domination, subject the development of peripheral national capitalism to strict limitationsâ₠¬ (202). These countries would hence not gain equal benefits under this trade, only if the patterns of specialization were undertaken in more ideal conditions, conditions that approximated Ricardo’s theory more closely. Rather than being a positive force for development, this type of trade becomes a force created under development. It will contribute to development in the centre, and underdevelopment in the periphery. He concludes that this inevitably hinders the development of peripheral nations: â€Å"the impossibility, whatever the level of production per head that may be obtained, of going over to auto centric and auto dynamic growth†(202).