Understanding The Theory Acts Of Social Work Social Work Essay

Understanding The Theory Acts Of Social Work Social Work Essay Children and young people vary enormously in their responses to the same experiences and those who suffer adversity either develop coping strategies to get through it and emerge relatively unscathed whilst others do not, in other words they sink or swim. This essay puts forward bodies of research and theories of resilience that influence thinking in social work and look at the way in which those theories inform contemporary social work to promote resilience in children and young people. It will also examine some of the ways in which issues arise which could hinder these approaches. Frost and Hoggett (2008) say the psychological and the social elements of the childs world cannot be understood as two parallel paradigms that influence and impact development. Holloway and Jefferson elaborate cited in Frost and Hoggett (2008), Subjects whose inner worlds cannot be understood without knowledge of their experiences in the world, and whose experiences of the world cannot be understood without knowledge of the way in which their inner worlds allow them to experience the outer world. It is evident that it is through a childs psycho-social experience that they learn to make sense of the world and their place within it. Rutter (1999) informs us that for a child to be determined resilient they must have encountered an experience with the risk of psychopathology for example those who have been living with domestic violence. There is no one universally accepted definition of resilience however Masten et al (1990) define resilience in generalised terms, as the process of, capacity for, or outcome of successful adaptation despite challenging or threatening circumstances. However an International Resilience Project, set up to study how different cultures and countries promoted resilience, adopted the following definition of resilience: Resilience is a universal capacity which allows a person, group or community to prevent, minimize or overcome the damaging effects of adversity (Grotberg 1997, p 19). Masten and Coatsworth (1998) identified the characteristics of resilient children as good intellectual functioning, appealing, sociable, easygoing disposition, self efficacy, self- confidence, high self-esteem, talent and faith; with a close relationship to a caring parent figure and extended family network support and socio-economically advantaged. These definitions provide useful starting points for the purposes of this essay. Contemporary society has been described by Beck(1992) as a risk society and early research concentrated on how children and young people responded to risk and became casualties of adversity. Ferguson (1997) points out that following the work of Foucault and the concept of governmentality post modernist critics argue that the traditional role of social work has suffered from family case workers seeking out and working with dangerous families and children at high risk. A study of children at risk was undertaken by Garmezy and Rutter (1983). The study of 200 children from USA appears to conclude that despite the high risk environments in which they grew up some children appear to have self righting tendencies which allow them to develop into well adjusted young adults. It would seem that everyone has the capacity to be resilient at some times and in some circumstances depending on their mental state and level and duration of the stress in the given event. In order to recognise resilience it is important to understand the factors that lead children and young people to succumb to adversity and to realise that resilience and vulnerability are at opposite ends of a continuum reflecting susceptibility to adverse consequences (Anthony 1987). The response to adversity and stress can be affected by one or more variables from psychological and/or social aspects. Freud (1910) developed a psychoanalytical theory in which the unconscious is seen as a central concept on which all other aspects of mental functioning are based. The focus of his research was mainly on the individuals personality. Social workers have to be aware that unconscious processes may conceal or distort memories or even produce responses disproportionate to the situation, giving hints of underlying issues. Erikson (1959) differs from Freud in that he described eight stages of psychosocial development. In these stages he suggests that we encounter expectable crises which create conflict within ourselves and with significant others in everyday life. Personality and behaviour are influenced by the way in which these crises are dealt with. The people who manage to move through Freud and Eriksons stages of development are more likely to become resilient people. John Bowlby(1969) was a psychologist, doctor and psychoanalyst ,who specialised in working with children. He believed that attachment behaviour is a biologically originated response to anxiety and stress stimulated by physical needs such as pain or hunger, separation from or rejection by the primary caregiver or external threats such as a loud noise. He believed this response arises from the infants desire to seek security and protection through proximity to a caregiver. Aldgate(2007) surmises that an attachment relationship is part of a wider affectional relationship: that one person sees the other as stronger and wiser and someone to turn to when he or she is afraid. Through combined nature and nurture individuals begin to establish relationships and understand and begin to manage emotions. By making sense of the caregivers both psychologically and socially, (if they respond in times of need) the infant begins to see them as a dependable and reliable. Such mental models help indivi duals organise their expectations about other peoples availability and responsiveness (Howe 1996). When the caregiver does not respond in the way the infant expects they experience anxiety and this can lead to insecure attachments. Bowlbys work was later built on by Ainsworth et al (1978) who through the Strange Situation study revealed profound effects of attachment on behaviour and went on to describe patterns of attachment (secure, avoidant, ambivalent, and disorganised added later on). Trevithick (2009) confirms that over the years the work of Bowlby and others has been important within social work making links between childrens behaviour and the quality of their relationships with their parent(s) and other attachment figures. Furthermore Howe (2009) confirms that attachment theory is also playing a major role in the resurgence of relationship based social work. It is therefore of great relevance to social workers to know how parenting styles,culture, family life and the social environments have affected the childs psychosocial development. The notion of a secure base is of vital importance for children and young people. In a useful analogy Gilligan (2001) uses a tree putting down roots to elaborate on the idea of a secure base. It is through continuity, quality and consistency of relationships that a child may find their secure base. Relatives, friendship groups, a teacher or even a social worker may provide a secure base in an otherwise complex and chaotic world. If the child is looked after (a child who enters the care system either informally or legally) they may need to learn to develop new relationships and have the opportunity to develop a secure base. It is not always psychological processes that shape resilience, sometimes a particular episode or situation may occur that may be problematic and have far reaching consequences. Giddens (1991) described these episodes as fateful moments, saying that these are times when events come together in such a way that an individual stands, as it were, at a crossroads in his existence; or where a person learns of information with fateful consequences. A fateful moment will have implications for the individual which may threaten their ontological security. Fateful moments however do not always result in adversity they can signal a change for the better, a potentially empowering experience, however it is the risk that things may go awry that poses the challenge. Within this context it is important that social workers assess the extent to which they make sense of society and peoples experience. Similar to fateful moments, life events, ongoing adversities, personal stress, interpersonal problems or familial situations, can affect levels of stress or anxiety. Rutter (2000) used the example of a divorce in the family as a staged process of a life event, rather than a one off event. The divorce may be preceded by a long period of unhappiness, followed by the divorce itself and the uncertainties that accompany it such as the knowledge and burden of financial worries, possible loss of a parent, introduction of new family members, housing worries etc. Social workers working with Giddensian ideas, (that multiple choices are available to all through abstract systems) are able to help vulnerable children and young people who are on a developmental pathway to make positive choices about the direction their lives will take in their life planning. However, those who criticise Giddens say that he is too optimistic in his view of the positive capacity of individuals to understand their li ves and always know why they act as they do (Ferguson 2009). There are families who work with social workers who may not have the ability to analyse their lives in this way, and social workers should be mindful of this in their work with people. The negative impacts of poverty, lack of social and cultural capital and impact of marital discord can cause children, young people and families to be characterised as at risk according to Hoffman (2010). Poverty can have serious and possibly grave consequences for families. Nonetheless, it is important to recognise that not all poor families, or even most poor families experience these deleterious outcomes. Many impoverished families beat the odds and have stable, loving relationships ( Seccombe, 2002) Skeggs (2001) in her study with young women revealed that they were continually making comparisons between themselves and others and were sure of what they did not want to be but were less sure of what they wanted to be, thus illustrating how the constraints of class and gender are some of the structures that inhibit who we can be and how we can behave. However this does not appear to mean that structures should be accepted per se but by accepting their existence and realising that they are given meaning through human action and interaction it is possible to work with service users and their families. Frost (2003) illustrates the harsh reality for young people stating that the structural inequalities of class and poverty connect into the emotionally quite brutal lived realities of young people themselves- the power of the pecking order, popularity or unpopularity, and in-group membership or exclusion- via the conspicuous display of expensive consumer goods. For some young people, the friendship groups they form, sub-cultures they belong to, the styles they wear dictates the way in which they present themselves and gain a sense of who they are in society. Being part of the group increases self esteem and resilience, conversely being different in some way may attract adverse reaction and stigmatisation for example a disabled child may be affected by the negative perceptions of being different. According to Howe (2009) social workers in the late 1980s began to feel that the service users with whom they were working were the victims of their own biographical narratives, or their place within the social structure. Service users became service users because they had problems, pathologies or weaknesses and that this defined them in some way. The social worker viewed them as a case which then depersonalised them. By introducing a method of assessment whereby they could look at the strengths of people rather than their pathology and problems it was possible for social workers to recognise the resilience and resourcefulness possessed by many people living in adversity. By being interested in and listening to the service user the social worker could begin to uncover where someones strengths lie. Saleebey (2002) identified some types of questions that can lead to the discovery of strengths; survival questions, exception questions, possibility questions and esteem questions. It may b e difficult to tease out strengths however as many people have had years of self doubt or blame from others to carry around with them however it is on these positive elements however slim the potential for progress lies. It is crucial to the safety of children and young people that social workers can identify risks in a childs environment and remove or reduce such a risk. This may ultimately mean removing the risk from the child or removing the child from the risk which could, depending on the level of risk, involve the child becoming a looked after child. In this case the social worker can work with the child to prevent social isolation by maintaining or re-introducing contact with family members, if appropriate. The social worker should also ensure that a child is able to attach the correct meaning to an outcome, if for example, a looked after child has to move to a new placement the social worker must explain in clear language what has happened and why. Schofield and Beck (2005) studied risk and resilience in children in long term foster care and concluded that specific changes or single events in a childs life such as a new attachment relationship, a change of school, a change of contact arrangem ents or the discovery of a childs particular talent do have the potential to alter the direction significantly for better or worse. Howe et al (1999) state that good quality care giving is the most potent form of self enhancement of children confirming that it is a positive building block on which resilience to build resilience. Therefore the social worker needs to ensure that a childs caregivers are able to provide a secure attachment through their relationships to ensure that self esteem is promoted. Any relationship break-down will impact on the childs self esteem thus reinforcing their belief that they are not loved or lovable. A child needs to experience relationships with their caregivers that promote secure attachments. If a child has had a difficult time they may display behaviour or emotions that are not what is expected or are disproportionate to the situation. Atwool (2006) confirms that attachment theory adds weight to resilience theory by clearly outlining the significance of relationships as the key to all aspects of resilience- culture, community, relationships and individual. A social worker can w ork with the caregivers to explain the childs behaviour using a theoretical framework and their knowledge of the child and their social situation. Contemporary social work can help promote resilience in the vulnerable in society however Ferguson (2009) states the discretion social workers once had has diminished because of the rise of bureaucracy, managerialism and targets. This may impact on the time a social worker is able to devote to those they are trying to help. Furthermore Gilligan (2004) queried whether there is to be stress on valued practice principles, for example focus on strengths in clients or is the emphasis to be on what agency management deem important, for example their latest policy or set of procedures. It is also clear that social workers spend a majority of their time at their desk rather than with service users, as Ince (2010) points out in recent child abuse cases the social workers became victims to the point where they have much more familiarity with the computers they use than the children in need they have responsibility for; however this is an opinion and does not appear to be backed up by research. . In conclusion it is clear that relationships and attachment theory is significant to our understanding of resilience. Social workers who work with families to make sure they take full account of their religion, racial, cultural and linguistic background in their work with them are demonstrating the link between social policy and socially inclusive practice. Psychosocial practices should be carefully though out and tailored to the needs of each service users unique circumstances. Access to social and cultural capital enables children and young people to cope with stressors and adversity and increase resilience. Theories of resilience are useful tools to call upon when dealing with the complex and chaotic lives of children, young people and their families/caregivers. However there is no one skill or theory to fit all but many approaches and skills are required to inform and manage effective contemporary social work practice. 2688 words

Shoe market

The up market for shoe industry refers to that segment of the market that prefers to buy expensive luxurious goods because they believe that they deserve quality and experience goods. This market is characterised by the need to buy quality products, the consumers in this up market believe that the high price of a brand of shoe is a sign of quality and therefore they will buy expensive goods.The prices in this kind of market is not determined by the cost of production but by the firm producing the market, the prices are higher than in the other shoe market and therefore consumers spend more on one pair of shoes and therefore the firms in this market will gain more from the consumer surplus they tap.In this market there are a variety of brands and consumers can choose their required product, these shoes are also stylish product in that they are made for consumers who are high income earners and therefore a firm in the industry will only need to market its brand and gain consumerâ€℠¢s attention.  This is a competitive market because of the existence of 15 markets in the industry however ony a few firms have introduced branding and pricing strategy aimed at those high income earners and therefore competition is high in the shoe industry, there is however free entry and exit by firms into the industry.Monopolistic competition:In a monopoly type of market there is only one firm in an industry and there exist barriers to entry and exit into the industry, the firm is also a price maker and not a price taker. In monopoly competition there exist several firms but the firms have little control over prices, there exist many firms in this type of market and each firm commands a small share of the market and therefore the prices are still determined not by demand and supply but by the firm.In the short run in the Greson case the firm will make abnormal profits but in the long run equilibrium this will not be possible as shown by the monopoly competition long run and sh ort run equilibrium:  The diagram below shows a monopoly competitive firm in the short run:  In the short run the firm price is far beyond the average cost and for this reason the firm makes abnormal profits.In the long run in a monopoly competition the equilibrium is as follows:  In the long run the price is equal to the average cost and therefore the firm does not make any abnormal profits, however the assumption underlying this diagram is that the industry has no barriers to entry. Similar essay: Homemade Shoe Polish From CharcoalReferences:Philip Hardwick (2004) Introduction to Modern Economics, Pearson Publishers, New YorkStratton (1999) Economics: A New Introduction, McGraw Hill Publishers, New York

Beloved, By Toni Morrison Essay - 1576 Words

After reading Toni Morrison’s novel Beloved, I could not help but feel shocked and taken aback by the detailed picture of life she painted for slaves at the time in American history. The grotesque and twisted nature of life during the era of slavery in America is an opposite world from the politically correct world of 2016. Morrison did not hold back about the harsh realities of slavery. Based on a true story, Toni Morrison wrote Beloved about the life of Sethe, a slave and her family. Toni Morrison left no stone unturned when describing the impact slavery on had the life of slaves. She dove deeper than the surface level of simply elaborating on how terrible it is to be â€Å"owned† and forced to do manual labor. Morrison describes in detail, the horrors and profoundly negative impacts slavery had on family bonds, humanity of all people involved and the slaves sense of self even after they acquired their freedom. In just 3rd grade, students in United States school syste ms begin to learn about America’s history. Although slavery the subject is incorporated into every single history class from 3rd grade through high school. What is covered in class does change, as students get older the details of slavery become clearer and a fuller truth is told. By my senior year in history classes, we were given the full runaround of the physical tortures and atrocities committed by plantation owners to the slaves without circumventing the nastier details. I hoped I had heard the worstShow MoreRelatedBeloved by Toni Morrison1455 Words   |  6 Pagesthese hardships to light and shed insight on the pain and suffering of slaves, narratives such as, Incidents in The Life Of A Slave Girl..by Harriet Jacobs,The narrative of the Life of Frederick Douglass, an American Slave. Novels such as Beloved by Toni Morrison blend the slave narratives with fiction highlight the life after slavery and the struggle faced by former slaves to adjust their lives to freedom. According to Paul E. Lovejoy’s ‘Freedom Narratives’ of Transatlantic Slavery, he states thatRead MoreBeloved, By Toni Morrison1571 Words   |  7 PagesIn the novel, Beloved, written by Toni Morrison, many themes and symbols played a crucial role when analyzing a variety of different characters. One specific theme that has had an everlasting effect between characters and relationships throughout the novel is the transformation of the theme thick love. The idea of love in Toni Morrison s Beloved is a complicated subject to understand. If love wasn t hard enough to figure out, it is made more complex through the evils of slavery during this timeRead MoreBeloved by Toni Morrison2137 Words   |  8 PagesToni Morrison explores the idea of slavery through her novel, Beloved, by using a variety of literary techniques and postmodern concepts. The idea of the rememory is a major theme throughout the novel that Toni Morrison uses to introduce the lives of Denver and Seth e and the idea of slavery. Rememory is the act of remembering a memory that happened in the past. Beloved, depicted as a ghost, exemplifies the idea of rememory for Sethe because she brings back many memories to Sethe’s mind. ThroughoutRead MoreBeloved by Toni Morrison622 Words   |  3 Pages In the novel Beloved by Toni Morrison, Morrison has created two very powerful characters: Denver and Beloved. Denver and Beloved are sisters, but in a sense, they werent always. It used to just be Denver and her mother, Sethe, that lived together in a house. That house was passed down to them by Denvers grandmother, Baby Suggs, which was given to her by a white couple who were out to help the blacks. Sethe and Denver were very content with the way things were. Sethe had a paying job as a cookRead More`` Beloved `` By Toni Morrison2097 Words   |  9 Pages â€Å"Beloved† by Toni Morrison is a historical/fictional novel that deals with the idea of the supernatural and the repercussions of slavery towards a society and the individual persona. The novel explores the wreckage slavery brings upon its characters in all senses of the self. They have been freed from slavery but the psychological trauma endured remains constant; leading them to do the unthinkable. In the novel Morrison utilizes the character of Beloved to represent the ghost of slavery in anRead MoreBeloved, Beloved By Toni Morrison1774 Words   |  8 PagesIn Toni Morrison’s novel, Beloved, Beloved is an enigmatic character. Throughout the novel, it is implied that Beloved is a reincarnation of Sethe’s dead child. However, Beloved is not just a physical embodiment of Sethe’s dead baby. Instead, Beloved is a representation of slavery and the suffering associated with slavery. Morrison displays that Beloved is a representation of slavery by the conv ersations and thoughts characters have about Beloved. Morrison also displays Beloved as a representationRead More`` Beloved `` By Toni Morrison Essay1726 Words   |  7 Pages Distinguished African-American novelist, Toni Morrison, in her notoriously suspenseful anachronic masterpiece, Beloved, tells the story of a fugitive slave named Sethe who escaped from the Sweet Home plantation in Kentucky to Cincinnati, Ohio, a free state. She lives freely with her husband’s grandmother for twenty-eight days until the slave masters come to capture her. Frightened, she attempts to murder all of her children to prevent them from living a life of dehumanized servitude but only succeedsRead MoreBeloved by Toni Morrison769 Words   |  3 PagesBeloved is the character who lends her name to the title of Morrison’s novel, isnt really a flesh-and-blood character at all, she’s is a ghost. It is this fact that makes the presence of the character a symbol in terms of her effect on the narrative and the other characters so profound. For a ghost, Beloved exerts a ton and control over most of the characters, affecting nearly every part of their lives, their ability to live in peace, their ability to love one another, and to move on with theirRead More`` Beloved `` By Toni Morrison906 Words   |  4 PagesGothic Literature normally, if not always, has a haunting. In â€Å"Beloved† by Toni Morrison there is a haunting of 124. 124 is being haunted by Sethe’s daughter who is the character Beloved. The haunts in Gothic Literature can also be a non-physical haunting, a haunting in the head. Sethe has not been haunted by Beloved physically, but mentally. The bond that a mother has for a child is so tight and loving. There is no real way to understand this bond unless someone has personally been a mother. TheRead MoreToni Morrison s Beloved And Beloved1376 Words   |  6 PagesToni Morrison brings another surprise to the story of Beloved. The addition of character Beloved conceals whole meaning Morrison tries to conduct to the readers. So far, character Beloved is portrayed as an innocent, pure, yet egotistic girl. Beloved also presumably the incarnation of Sethe’s dead baby, whose tomb is engraved Beloved. Morrison offers supernatural element in the story to create mysterious and spooky atmosphere, which raise curiosity and excite readers even more. Beloved is seen

The Role Of Inefficiency Of Medical Care - 946 Words

Discussion Case #1 Raymond, a 78-year-old man living in a motel, is found by the housekeeper lying on the floor of his room, semiconscious. The motel manager calls 911, and Raymond is taken to the closest emergency room, where he lies on a gurney in the hallway for 6 hours before a physician examines him. Because it is unclear what is wrong with him and he cannot speak coherently, the physician admits him to the hospital for observation. Later, when it is determined that he had suffered a stroke; he is discharged to an inpatient rehabilitation facility that has no knowledge of his medical history including his current medications for hypertension and high cholesterol. He dies there several weeks later. 1. Identify the source(s) of inefficiency of medical care. The first source of inefficiency in this case is that the patient was admitted to observation. The patient would be on Medicare and if he is admitted to observation, then to a rehabilitation center it will cost more. The patient should have been admitted to the hospital first as an inpatient, preferably in the ICU, because the patient was unable to communicate (Barry, 2012). When the condition of stroke was determined the patient needs to stay in the ICU, until stable, before going to a rehabilitation center. Rehabilitation will not do any good until the patient is well enough to be able to rehabilitate. If the patient is not stable enough, to be moved then this would cause a readmission, which would cost more money.Show MoreRelatedThe Marcus Welby Medicine Healthcare Market1482 Words   |  6 Pageswas flawed in many ways with regard to the role of the primary care physician. The primary care physician takes the role of â€Å"captain of the ship,† meaning that he or she harn esses a great deal of power in the doctor-patient relationship. For example, primary care physicians today have created supplier-induced demand, meaning that they determine the demand level for the supply which they are creating, which is highly illogical and impractical. The primary care physician is both the diagnostician andRead MoreWho Is The Physician? An Organization For Health Care?848 Words   |  4 Pagestechnology advancements creating health care consumerism notion. Physician’s referrals dropped in half from by 2009; which was the leading influence during this time period (Winan and Kasubski, 2011). The physician-focused strategy is method used further enhance the patient’s independence. To go into line with the patient’s independence health care providers are marketing the value added options. 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Oedipus the King A Victim of Fate Essay - 956 Words

Oedipus the King would not have been successful throughout centuries as a tragic play, if Oedipus were clearly responsible for his own tragedy. The plays ongoing success was do to Oedipus innocence which immediately makes one think he can not be fully responsible and to blame. I do not believe Sophocles would have wrote the story, or I do not think people would have ever read it or studied it had it simply been a story of a criminals retribution. Sophocles himself believed Oedipus to be the innocent victim of an ironic tragedy, and built the play around this belief. This story was destined to happen and I believe the author would agree. The story revolves around destiny, the resistance of people to it and the ultimate ending of destiny†¦show more content†¦For example when Agamemnon sacrificed his daughter to the gods his wife was angered with him for taking his own childs life and rather than waiting to see what was to be destined to her husband she killed him. She took the matters into her own hands and found justice her own way. These traits are also seen in Oedipus, for he values the power of truth. Instead of relying on the gods, Oedipus counts on his own ability to root out the truth; after all, he is a riddle-solver. People make the assumption that Oedipus murdered his own father, however this is flawed. The play clearly states that this act was provoked; therefore, all he is guilty of is self-defense. Oedipus describes a wagon about to shove him off the road with brute force, this angered him to strike the driver, and when the old male passenger (a stranger to Oedipus) tried to prong him in the head, he attacked him - this is far from being guilty of murder. This makes you think that Sophocles is writing it from the angle that Oedipus was innocent. In order to discuss the issues at hand, we need to assess the degree of free will that an individual has when there is gods ruling over them. The characters who tried to avoid the oracles did not realize their limits as humans; they listened to their egos and perhaps believed their choices were in their hands rather than the hands of the gods and fate. Oedipus and Laius tried to prevent the prophecy that the oracle presented them with, and in doingShow MoreRelated Destiny, Fate, Free Will and Free Choice in Oedipus the King - Victim of Fate3445 Words   |  14 PagesThe Victim of Fate in Oedipus Rex The question has been raised as to whether Oedipus was a victim of fate or of his own actions.   This essay will show that Oedipus was a victim of fate, but he was no puppet because he freely and actively sought his doom, although he was warned many times of the inevitable repercussions of his actions. When first considering this topic, I speculated that maybe it was the destiny of Oedipus to suffer, but a friend asked me to explain why Oedipus, in theRead MoreOedipus the King by Sophocles1393 Words   |  6 Pages Sophocles’ play, Oedipus the King, has risen many questions concerning the main character and whether or not he acts on free will or if his future is predestined by the gods. I am going to test the theory that although Oedipus believes he is acting on his own free will, he is in fact a victim of the gods. I will analyze several different sources that discuss fate and human agency in Oedipus the King and then proceed to build my original argument on the archaic debate. There has been a great dealRead MoreWas Oedipus Responsible For His Own Fate?1384 Words   |  6 Pages Was Oedipus responsible for his own fate? Oedipus, the King Harmanjot Singh Parmar, 578087686 Vancouver Island University Author note This paper was prepared for Liberal studies, Section 250, taught by Mark Blackell Oedipus-the king is a true Greek novel in all sense. It is a tragedy at heart and explores variousRead MoreOedipus: the Mysteries of Fate869 Words   |  4 PagesOedipus: The Mysteries of Fate Robert Choi Among the first thing a historian discovers in his study of early civilization are records of peoples belief, or faith, in powers greater than themselves, and their desire to understand what causes these powers to act. People everywhere wonder about the marvelous things in the sky and on the earth. What makes the rain? How do the plants and animals live and grow and die? Why are some people lucky and others unlucky? 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It was the fate for Oedipus gettingRead More Destiny, Fate, Free Will and Free Choice in Oedipus the King - The Fate of Oedipus1239 Words   |  5 PagesThe Fate of Oedipus in Oedipus the King    In Oedipus the King there comes a point in the play where Oedipus learns something that plays an important role throughout the play.  Ã‚   He learns from a   oracle that he will eventually kill his own Father and sleep with his own mother.   As one could imagine this is a shock to Oedipus, and he does not believe the oracle.   However, he cannot prevent any of this from happening because it is his fate.   Oedipus is a victim of circumstancesRead MoreIs Oedipus a Victim of Fate? Essay962 Words   |  4 PagesFate the un-avoidable Throughout the vast history of literature, various concepts have come and gone. The idea of fate or fatalism has been a concept that has survived the test of time. Numerous characters have succumbed to the power of fate and the character of Oedipus from Sophocles’ Oedipus the King is a prime example of the vast power of fate within literature. Sophocles effectively depicts the wrath of fate as he portrays how Oedipus fell victim to fate and his efforts to disregard fate wereRead MoreOedipus Rex : A Tragic Hero882 Words   |  4 Pagesbelief in many gods. They believed that the gods would guide them and that everyone was destined to live out their fates. In the case of Oedipus Rex, fate drove him into a downfall. Oedipus Rex is a part of the great Sophoclean play, written by Sophocles. Sophocles wrote this story to exemplify a tragic hero, he uses specific character flaws to explain the downfall of his hero. Oedipus is a perfect tragic hero because his early life forces the au dience to admire as a privilege young man and also pityRead MoreFate in Oedipus the King Essay1065 Words   |  5 Pagesat least in â€Å"Oedipus the King† in which the protagonist, Oedipus calls forth his doom unwillingly. Fate is defined as something that unavoidably befalls a person. The author of â€Å"Oedipus the King,† Sophocles, writes a tragic fate that Oedipus was born to experience. Fate is what is meant to happen and cannot be avoided or unchanged. Furthermore, events that lead to other events could be the result for one to meet their fate. 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Educational Reforms in Bhutan Free Essays

The purpose of the article is to discuss the weaknesses of Bhutan’s educational reforms focusing on how the educational system is not able prepare the youth for the world of work. The author implicitly discusses two questions. The first question pertains to how the education reforms fail to provide the youth with better knowledge, skills and values to match employers’ needs. We will write a custom essay sample on Educational Reforms in Bhutan or any similar topic only for you Order Now The second question relate to how the educational system should be reformed to address the employment challenge. The author has used descriptive method designed to provide rich descriptive details of education reforms in Bhutan between 1961 and 2008. This article is targeted at policy makers, educationalists and public. While the research design involved in-depth narrative analysis, it did not use scientific inquiry into the subject, especially the empirical analysis and hypothesis testing. Rather than making some sweeping statement, the author could have supported those statements with some empirical analysis. However, the article can serve as the first step towards more rigorous research, as it identifies important factors leading to mismatch of education and employment in the country. The author begins by discussing the overall context of the education-employment mismatch in the country. The historical development of education system was discussed explaining the low enrolment rate in the beginning (1960s), positive change in the Bhutanese people’s attitude towards western education, and now the problem of enrolment pressure. He discusses (with figures) a growing difference in the quantitative expansion of educational facilities and the sharp rise in enrolment rate. The author also discussed about the growing number of school dropouts, entering the job markets unprepared to meet the needs and expectations of the public and private employers. He contrasts the unemployment problem in general with the shortage of workforce in the agriculture sector. The author does not mention about field research, interviews or literature reviews based on which he tried to answer his research questions. The analysis identifies six main factors of the high youth unemployment scenario in the country. These factors are inadequate education quality, limited diversity of educational tracks, mismatch between demand and supply of the youth, youth’s preference for civil service, reluctance to enter the private sector and negative attitude towards blue collar jobs. These factors are valid, but they are not consistent with the topic and research questions, that is, education reforms in Bhutan. By discussing these factors, the article is concerned more about the overall youth unemployment rather than focusing on the aspects of education system such as curriculum, pedagogy, infrastructure, quality, etc (the title seem to point out). How to cite Educational Reforms in Bhutan, Essay examples

Australian Pharmaceutical Scheme Free-Samples-Myassignmenthelp

Question: Discuss about the Australian Pharmaceutical Benefits Scheme and the Consumption of Medicines in Australia. Answer: A publication is annually held in Australia regarding the statistics of medicine based on the production of its drug. The utilization of drug is also taken into account. ASM estimates the use of drugs by aggregate community by maintaining a data. The use of medicines that are prescribed by the doctors is necessary to able to intake in Australia. ASM represents Australian Statistics on Medicine, which maintains the procedure of publication of drugs. It is regulated by DUSC, which is mainly referred as Drug Utilization Sub-Committee, which is a part of the committee of pharmaceutical Advisory Benefits (Pearson et al., 2015). It is essential to have drug utilization that is comprehensive, as they are needed for a large number of purposes. The purposes range from evaluation and targeting the initiative of quality use of medicines. The Pharmaceutical Industry also needs it as it helps the authorities of the financing and regulatory authorities. The main aim of ASM is to put valid and comprehensive statistics on the use of medicines into the public domain in Australia (Schaffer et al., 2016). In order to enhance the healthy outcomes and the quality of medicines used in Australia, there is encouragement for International Collaboration about utilization of drugs. It can be found out in the publication of International data facilities available in Australia (Page et al., 2015). PBS processing is done for providing a summary on prescriptions and maintaining its expenditure. There are availability of various charts and tables for the processing of cost, prescription volume and drug utilization. The Department of Government Human Resource in Australia helps in providing wide range of statistical information about various programs on Medicare (Currow Sansom 2014). These programs include, MBS ( Medicare Benefits Schedule ), PBS ( Pharmaceutical Benefits Schedule ), RPBS ( Repatriation Pharmaceutical Benefits Scheme, AODR ( Australian Organ Donar Register ), AIR ( Australian Immunization Register) and PIP ( Practice Incentives Programme). Online report of Groups and BS Item use codes of PBS items, ATC classifications or patient categories. The reports on the expenditure of the drugs that are highly specialized provides with a summary of the National expenditure. This expenditure on drugs is dispensed through Community Access, Private Hospitals or Public Hospitals. This data is quarterly reported in the present financial year along with the last two financial years as well (Thai et al., 2016). The Date of supplying tablets and the date of processing provides PSB the information about expenditure under section 85. The information is updated once in particular month, mainly around its second week. The ATC groups are also included in their scheme, including with the market share and PBS sales (Vitry Roughead 2014). The pharmaceutical expenditure has risen faster than the economy in Australia presently. It has leapt up to 1.1 % of gross domestic product from a mere 0.6%. The PBS expenditure has also rose from 5 to 8 percent on a routine basis. This growth is due party by the increased utilization and the increased price of dispensed medications (Mellish et al. 2015). The expenditure on health per capital of different nations for 12 years from 1995 to 2017 is given below: Figure 1: Health expenditure per capita (Source: OECD data, 2010) The expenditure on PBS is a component that is growing at knots. It is growing around 15 to 20 % every year. If there is a continuity of its growth, then PBS will exceed on all hospitals in the recent years to come. The listing of an item on PBS leads in commitment of Government expenditure significantly. Since 1993, a decision was started to check whether the drugs that were sold, actually were cost effective (Blanch et al. 2015). In 1987, the legalization on the analysis of cost-effectiveness was passed. Other details on submission listing, incorporating analysis of cost effectiveness was passed in 1990 and its definitive guidelines in the year 1992. A drug can be listed in PBS only if it follows certain criteria. They are as follows: Needed for significant medical treatment or its prevention, that is not covered. It can also be of not effective cost. The drugs must be less toxic, more effective than the drug that is listed already for benefiting the same issue and is accepted for its cost effectiveness. If the drug is more effective or shows symptoms of speedy recovery besides being safe. The legality of drugs is taken into account by PBPA on the basis of certain steps listed below, They look out on the cost effectiveness and criticality of drugs. Researching on the prices of alternative brands of the same drug. Comparing the price of drugs that are ranging in same group of therapeutic drugs. Estimation of cost information provided by supplier. Taking in account economies of scale, prescription volumes and all other factors like storage requirements, date expiration, special manufacturing requirements and product stability. Checking the price of the particular drugs in other overseas countries which are relevant. The PBS (Pharmaceutical Benefits Scheme) refers to a programme of the Australian Government. Here, the Government provides subsidized prescribed drugs to the residents of Australia. They also prescribe drugs for foreign visitors, covered by an agreement of Reciprocal Health Care. The total benefit that has been dispensed under the scheme is given below: Figure 2: Community prescription dispensed (Source: Created by Author) In Australia, the cost of consumption of medicine is quite high when compared the other countries. In most cases, the Australians are paying four times greater value than that of their price in the international market for most of the drugs that are prescribed by the doctors. As a result of which nearly about 6% patients in Australia delays or avoid taking essential medicines due to their cost. According to the report published by Grattan Institute, it is stated that the cost of some medicines in Australia is 3.7 times more than their international prices that is unacceptably high. Prices of 19 Australian drugs were compared with that of the prices prevailing in UK, Canada and New Zealand and it was found that even after the 2nd round of cutting of the price of the drugs, it was still 3.7 times higher on an average than that of the best benchmark price. After assessing the reports it was found that the prices of the drugs in Australia was almost as twice as the same drugs costs in UK and 3.1 times higher than they actually costs in New Zealand. A fact that the governments price disclosure policy was performing quite slowly was also added in the report. According to the report of an established health economist Stephen Duckett, many years had taken to achieve a policy that led to a considerable cut to the price of generic drugs in Australia. It is also included in the report that savings of government, tax payers and patient would be much more that what actually is if an efficient policy would have been taken place. From the above discussion it is clear that the cost of prescription drugs are significantly high is Australia. For example, Anaztrozole is a medicine that is used to cure breast cancer. In US, the market price of 30 tablets of 1mg medicine is $2.45 whereas the same medicine of same quantity in Australia costs $19.20 that is nearly about 10 times more that it cost in US. There are some reasons behind high cost of drugs in Australia such as: No Price control- The Australian government has limited or no control over majority drugs that are supplied in the market as a result of which drug makers sets their own price without anyones interference. Competition is Limited Majority of the drugs in Australia has no real competition to keep the price level at a reasonable rate. Only one or two companies make those drugs as a result of which they charge high price for those medicines. High cost of Production Development cost and production cost for few medicines are increasing in Australia. Moreover the cost of conducting research is also becoming quite expensive as a result of which the price of the medicines are also increasing. The Department of Health, Australian Government, it is found that Atorvastatin is the most commonly prescribed drug in Australia which is used to fight against high blood cholesterol level, curing pneumonia and also to reduce stomach disorders. Perindopril takes the second position in the list used to treat high blood pressure that is the second most frequently used medicine in Australia. At the third place comes Rosuvastatin that is also used to treat heart diseases, high cholesterol level, etc. The different other types of medicines that are consumed on daily basis in Australia are ESOMEPRAZOLE, PARACETAMOL, PANTOPRAZOLE, PERINDOPRIL, AMOXYCILLIN, CAFALEXIN, AMOXYCILLIN with CLAVULANIC ACID and many more. The Several issues relating to the Pharmaceutical Benefit Scheme are listed below: Issues regarding confidentiality Maintaining the confidentiality of Pharmaceutical Benefit Scheme is now a big problem. The government has legally issued clear cut instruction to maintain transparency which include the fact that it is necessary to make the public aware that such system of PBS exist (Daniels et al., 2017 ). Problems of future competitors The government anticipates that how expansion of the proposed deed is necessary before the enactment of the deed if other medicines are to be used in the same population. Thus, equality among the competing medicines are confirmed by this deed (Faunce, 2015). Problem relating to execution Execution of the scheme is leading to some issues. The sponsor and the department must negotiate the deed and finalize during PBAC recommendation and PBS listing. Simultaneously with the process of finalizing the prices, they take place. It is also mentioned that both the parties must execute the deed before the cut-off date (Parkinson et al., 2015). Issues regarding timeliness An essential step towards PBC-subsidizing of a drug is positive recommendation for listing by PBAC. Although before a drug is to be subsidized, there are a certain numbers of steps that are need to be followed and these process entirely consumes a lot of time (Brett et al. 2017). Such steps includes approval from cabinet, pricing, etc References Blanch, B., Pearson, S. A., Haber, P. S. (2014). An overview of the patterns of prescription opioid use, costs and related harms in Australia.British journal of clinical pharmacology,78(5), 1159-1166. Brett, J., Karanges, E. A., Daniels, B., Buckley, N. A., Schneider, C., Nassir, A., ... Pearson, S. A. (2017). Psychotropic medication use in Australia, 2007 to 2015: Changes in annual incidence, prevalence and treatment exposure.Australian New Zealand Journal of Psychiatry, 0004867417721018. Currow, D. C., Sansom, L. N. (2014). Uptake of medicines and prescribing patterns in the palliative care schedule of the Pharmaceutical Benefits Scheme.The Medical journal of Australia,200(10), 560-561. Daniels, B., Lord, S. J., Kiely, B. E., Houssami, N., Haywood, P., Lu, C. Y., ... Pearson, S. A. (2017). Use and outcomes of targeted therapies in early and metastatic HER2-positive breast cancer in Australia: protocol detailing observations in a whole of population cohort.BMJ open,7(1), e014439. Faunce, T. (2015). How the Australia-US free trade agreement compromised the pharmaceutical benefits scheme.Australian Journal of International Affairs,69(5), 473-478. Mellish, L., Karanges, E. A., Litchfield, M. J., Schaffer, A. L., Blanch, B., Daniels, B. J., ... Pearson, S. A. (2015). The Australian Pharmaceutical Benefits Scheme data collection: a practical guide for researchers.BMC research notes,8(1), 634. Page, E., Kemp-Casey, A., Korda, R., Banks, E. (2015). Using Australian Pharmaceutical Benefits Scheme data for pharmacoepidemiological research: challenges and approaches.Public Health Res Pract,25(4), e2541546. Parkinson, B., Sermet, C., Clement, F., Crausaz, S., Godman, B., Garner, S., ... Elshaug, A. G. (2015). Disinvestment and value-based purchasing strategies for pharmaceuticals: an international review.Pharmacoeconomics,33(9), 905-924. Pearson, S. A., Pesa, N., Langton, J. M., Drew, A., Faedo, M., Robertson, J. (2015). Studies using Australia's Pharmaceutical Benefits Scheme data for pharmacoepidemiological research: a systematic review of the published literature (19872013).Pharmacoepidemiology and drug safety,24(5), 447-455. Schaffer, A. L., Buckley, N. A., Cairns, R., Pearson, S. A. (2016). Interrupted time series analysis of the effect of rescheduling alprazolam in Australia: taking control of prescription drug use.JAMA internal medicine,176(8), 1223-1225. Thai, L. P., Moss, J. R., Godman, B., Vitry, A. I. (2016). Cost driver analysis of statin expenditure on Australias Pharmaceutical Benefits Scheme.Expert review of pharmacoeconomics outcomes research,16(3), 419-433. Vitry, A., Roughead, E. (2014). Managed entry agreements for pharmaceuticals in Australia.Health Policy,117(3), 345-352.