Thursday, November 28, 2019
Indian Music Essays - Punjabi People, Indian Muslims, Music Of India
Indian Music 1) Music is the organisation of sounds with some degree of rhythm, melody, and harmony. 2) Popular Music is music produced for and sold to a broad audience. Indian popular music, which is most strongly influenced by Indian folk music is shaped by social, economic, and technological forces. Popular music is closely linked to the social identity of its performers and audiences. 3) Indian Popular Music has one of the world's most extensive popular music industries. Most Indian popular music is associated with the commercial film industry, centred on Mumbai, in which song-and-dance scenes are inserted into plots. 4) Film songs are heard all over India, in city streets and even in remote villages, and have also become one of the country's major cultural exports. It is a remarkably eclectic genre, borrowing freely from other Indian musics and popular music's from around the world, including some Western harmonic procedures. 5) Both Indian cinema and its film music are widely popular elsewhere in the developing world, from Africa and the Middle East to Eastern Europe and other parts of Asia. 6) While it is difficult to generalize about such a vast and diverse entity, certain observations can be made about Indian popular music. Like classical Indian music and Indian folk music, it is overwhelmingly monophonic: melodies are sung or played solo, rather than in harmony with another singer. 7) The Indian music industry got off to an early start with the production of local recordings in 1901. By the 1950s the film industry had grown phenomenally, and soon became the largest in the world, producing some 700-feature films annually. Music directors like Naushad and S. D. Burman composed scores for hundreds of films, while top singers like Lata Mangeshkar, Asha Bhosle, Mohammed Rafi, and Kishore Kumar have each recorded several thousand film songs. Most were sentimental love songs designed to fit the romantic and often escapist cinematic melodramas. 8) In the late 1970s and early 1980s the spread of cheap audio cassette players dramatically restructured the popular music industry. Since cassettes and cassette players are so cheap, portable, and durable, many millions of poorer rural consumers could afford them and thus enter the popular music market. As a result the popular music industry has become much more decentralized, and its products much more diverse in terms of style, language, and subject matter. 9) Indian popular music has continued to evolve and thrive. Western influence remains strong, and many film music composers borrow pop melodies from the West. Nevertheless, the thriving cottage-industry cassette producers still rely heavily on regional folk music for inspiration and ideas. In the United Kingdom, South Asians of Punjabi descent have popularized a dynamic hybrid style called bhangra, which typically combines Punjabi folk melodies with elements of disco, techno-pop, and dance-hall reggae. 10) I made a survey in which I found out that 90 % of the people whether they are of the new generation or the old say that music has lost its sentimental values. It is no longer made the way it used to be. These days the focus is not in giving a message but just to give some typical masala or dance sequence in the film. Where as the remaining 10 % say that the trends and traditional values are changing and in this ever changing world one must keep up to date. 11) I am in favour of both the groups because I think that Song like "jab tak rahe ga samse main aloo" or "dil ke gate ki name plate per likha hai tera nam" are degrading the Indian music industry. But these are the exceptions people like Javed Akhter,A.R. Rehman Yash Chopra and so many others are still there who respect the values of Indian music and cenima and make movies like dil se kuch kuch hota hai dil to pagal hai hum apke hai kaun. These are only a few of the indian movies which depict the actual Indian sentiments.
Sunday, November 24, 2019
Free Essays on Incorporate
Anyone who operates a business, alone or with others, may incorporate. Under the right circumstances, the owner of any size business can benefit! Reduces Personal Liability Incorporating helps separate your personal identity from that of your business. Sole proprietors and partners are subject to unlimited personal liability for business debt or law suits against their company. Creditors of the sole proprietorship or partnership can bring suit against the owners of the business and can move to seize the ownersââ¬â¢ homes, cars, savings or other personal assets. Once incorporated, the shareholders of a corporation have only the money they put into the company to lose, and usually no more. Adds Credibility A corporate structure communicates permanence, credibility and stature. Even if you are the only stockholder or employee, your incorporated business may be perceived as a much larger and more credible company. Seeing ââ¬Å",inc.â⬠or ââ¬Å"corp.â⬠at the end of your business name can send a powerful message to your customers, suppliers, and other business associates about your commitment to the ongoing success of your venture. Tax Advantages ââ¬â Deductible Employee Benefits Incorporating usually provides tax-deductible benefits for you and your employees. Even if you are the only shareholder and employee of your business, benefits such as health insurance, life insurance, travel and entertainment expenses may now be deductible. Best of all, corporations usually provide an increased tax... Free Essays on Incorporate Free Essays on Incorporate Anyone who operates a business, alone or with others, may incorporate. Under the right circumstances, the owner of any size business can benefit! Reduces Personal Liability Incorporating helps separate your personal identity from that of your business. Sole proprietors and partners are subject to unlimited personal liability for business debt or law suits against their company. Creditors of the sole proprietorship or partnership can bring suit against the owners of the business and can move to seize the ownersââ¬â¢ homes, cars, savings or other personal assets. Once incorporated, the shareholders of a corporation have only the money they put into the company to lose, and usually no more. Adds Credibility A corporate structure communicates permanence, credibility and stature. Even if you are the only stockholder or employee, your incorporated business may be perceived as a much larger and more credible company. Seeing ââ¬Å",inc.â⬠or ââ¬Å"corp.â⬠at the end of your business name can send a powerful message to your customers, suppliers, and other business associates about your commitment to the ongoing success of your venture. Tax Advantages ââ¬â Deductible Employee Benefits Incorporating usually provides tax-deductible benefits for you and your employees. Even if you are the only shareholder and employee of your business, benefits such as health insurance, life insurance, travel and entertainment expenses may now be deductible. Best of all, corporations usually provide an increased tax...
Thursday, November 21, 2019
Darwinian Evolution of ethics Essay Example | Topics and Well Written Essays - 750 words
Darwinian Evolution of ethics - Essay Example Of these, ethics is the most vulnerable to change as it merges with beliefs, morals, science, religion, and character of each individual. As a result, the evolution of ethics has a direct relationship to what Charles Darwin believes is the human speciesââ¬â¢ inherent desire to survive in a culture that alters regularly. This ultimately demonstrates that the underlying principle of the evolution of ethical systems remains upon the survival of the human species. Darwinââ¬â¢s stance on morality suggested morality as the evolutionary processââ¬â¢s product. Darwin was of the view that such social instincts as the tendency of humans to display kindness, sympathy, and have an urge for social approbation originate in the human nature. In reality, other social species also constitute the rudiments of such behaviors. Even though, Darwin thought that these instincts tend to contradict the natural selectionââ¬â¢s imperatives e.g. the rise of selfless behavior from the selfish genesâ â¬â¢ machinations. Among a vast majority of the Darwinian theorists, Darwin was the first to deal with this conundrum. ââ¬Å"Darwin proposed to account for our sociality with a combination of selection for individual reciprocity (reciprocal altruism), "family" selection (a.k.a. kin selection) and "group selection" -- that is, the positive selection of traits which provide an advantage for groups that are in competition with other groupsâ⬠(Corning). In addition to that, nothing but the human beings possess the true morality because of their ability to superimpose the reasoned constraints of culture upon their motives. Darwinian theses that have implications for moral philosophy include: humans being the natural selectionââ¬â¢s product, humans being forged to serve as social organisms by that process, and the presence of an innate moral sense among the mechanisms governing human sociality (Joyce 1). Although the first two theses are not questioned seriously, yet the thesis of moral nativism sparks doubt. However, Darwin has personally approved of all three theses in The Descent of Man. The evolutionary account of moral sense provided by Darwin emphasizes upon the importance of moral emotions, thus overlooking the moralityââ¬â¢s essence as pure rationality (Arnhart). Interest in Darwinismââ¬â¢s moral implications rose after the Originââ¬â¢s publication as the truth of Darwinism was suspected to undermine the traditional ethics. Darwinismââ¬â¢s biological thesis attracted some resistance from its incompatibility with the traditional morality that led to the perception of rejection of Darwinism. The founder of the Social Darwinism ethical system is Herbert Spencer, who argued that the fittest in a proper society are the ones who are successful while the unfit are placed at the bottom. These ideas are challenged today, especially the argument that helping the needy leads to unfavorable consequences since it helps the ones who are demonstrated to be unfit survive (ââ¬Å"Evolution and Ethicsâ⬠). There was an obvious oversimplification of the adaptation of Spencer to Darwinism to the social situations. Such virulent anti-Darwinian perspective is inspired by social Darwinism and its logical following from the evolutionary theory. However, the ideas of Spencer do not necessarily follow from Darwinism logically. Humans adapt to survive and they do so by creating standards and rules of
Wednesday, November 20, 2019
Paper_8 Essay Example | Topics and Well Written Essays - 500 words
Paper_8 - Essay Example I am aware of at least one incident where a man had his medical records used without his consent and the records inadvertently revealed his identity. As a result, many people in his community discovered details of his medical history that he wished to keep private! Forcing individuals to divulge medical information without their consent also runs afoul of the Fifth Amendment's prohibition on taking private property for public use without just compensation. After all, people do have a legitimate property interest in their private information; therefore restrictions on an individual's ability to control the dissemination of their private information represents a massive regulatory taking. The takings clause is designed to prevent this type of sacrifice of individual property rights for the "greater good." To the extent these regulations sacrifice individual rights in the name of a bureaucratically-determined "common good," they are incompatible with a free
Monday, November 18, 2019
Can Teaching The Key Ideas Of Object Orientation Be Aided By Using Dissertation
Can Teaching The Key Ideas Of Object Orientation Be Aided By Using Visual Representations - Dissertation Example Object oriented programming, however, remains an outstanding anomaly when it comes to teaching the concepts and the comprehension thereof. Much as it is difficult to introduce object oriented programming to novice, it also remains a nightmare to experienced procedural programmers to grasp the anthropomorphic perspective necessary for object-oriented design. Below are some of the shortcomings encountered when introducing (OOP) to a novice Paradigm shift. According to Schoenfeld et al. (1993) replacing one idea with another is not a simple task. Why then is OOP difficult for learners to comprehend Well to be able to answer this question perhaps we need to turn around, and view this menace from this spectrum; when should object-oriented programming be taught Due to the fact that Object oriented programming was considered as an advanced subject that was taught late in the curriculum, this must have dealt a mega psychological blow upon the minds of the learners. This is slowly changing: more Universities have started to teach object-orientation in their first programming course. The main reason for doing this is the often-cited problem of the paradigm shift. Learning to program in an object-oriented style seems to be very difficult after being used to a procedural style. (Anecdotal evidence, 1999 indicates that it takes the average programmer 6 to 18 months to switch her mind-set from a procedural to an object-oriented view of the world. ) Experience, on the other hand, also shows that students do not seem to have any difficulty-understanding object oriented principles when they encounter them for the first time. Global Regression. It is the switch... Paradigm shift. According to Schoenfeld et al. (1993) replacing one idea with another is not a simple task. Why then is OOP difficult for learners to comprehend Well to be able to answer this question perhaps we need to turn around, and view this menace from this spectrum; when should object-oriented programming be taught Due to the fact that Object oriented programming was considered as an advanced subject that was taught late in the curriculum, this must have dealt a mega psychological blow upon the minds of the learners. This is slowly changing: more Universities have started to teach object-orientation in their first programming course. The main reason for doing this is the often-cited problem of the paradigm shift. Learning to program in an object-oriented style seems to be very difficult after being used to a procedural style. (Anecdotal evidence, 1999 indicates that it takes the average programmer 6 to 18 months to switch her mind-set from a procedural to an object-oriented view of the world. ) Experience, on the other hand, also shows that students do not seem to have any difficulty-understanding object oriented principles when they encounter them for the first time. Global Regression. It is the switch that is difficult, not object-orientation, for instance getting the learner to give up the global knowledge of control that is possible with procedural programs, and rely on the local knowledge of objects to accomplish their tasks. Novice designs are littered with regressions to global thinking:
Friday, November 15, 2019
Limitations Of CBT For Social Phobias
Limitations Of CBT For Social Phobias Social phobia, also known as Social Anxiety Disorder (SAD) is considered as one of the most common psychological disorders on its own, and also as a comorbid disorder (Kessler, McGonagle, Zhao, et al., 1994). Current research literature suggest Cognitive Behaviour Therapy (CBT) as the first treatment choice for social phobia, unless in the case where the client opt for medication or if the client is suffering from comorbid depression or another psychological disorder that makes medication essential (Veale, 2003; Social Anxiety Disorder, 2006; NICE guideline, 2004c). The aim of this paper will be to discuss the application of CBT in the treatment of Social Phobia. However, it is important to emphasise that it will not attempt a detailed discussion on the historical development, or theoretical frameworks of CBT. These aspects of therapy will be emphasised, discussed and analysed where necessary, to comprehend its practicality in the treatment of social phobia. Furthermore, the scope of this paper will be limited to examining the use of CBT for treatment of adults with social phobia but, it will not focus on treatment of social phobia in children and adolescent groups. CBT was initially developed by Aaron T. Beck as a structured, short-term, present-oriented psychotherapy for depression, directed toward solving current problems and modifying dysfunctional thinking and behaviours (Beck, 1995). The basic assumptions of cognitive model suggest that distorted or dysfunctional thinking that influence the patient/clients mood and behaviour is common to all psychological disturbances (Beck, 1995). CBT is a collection of therapies that are designed to help clients suffering from phobias, depression, obsessions compulsions, stress disorders, drug addictions and/or personality disorders. CBT attempts to help people identify the situations that may produce their physiological or emotional symptoms and alter the manner in which they cope with these situations (Smith, Nolen-Hoeksema, Fredrickson, Loftus. 2003). The effectiveness of CBT has been widely tested since the first study on treatment success in 1977 (Beck, 1995). Westbrook, Kennerley and Kirk (2007) stated that CBT has many features common to other therapies. However, they acknowledged that CBT is different from the other psychotherapies with some distinguishing characteristics. This therapeutic approach is a combination of Behaviour Therapy (BT) and Cognitive Therapy (CT). However, these will not discuss in detail. However, as a result of having been evolved from a combination of both BT and CT, modern CBT consist important elements of them both. Westbrook, et al. (2007) presents the CBT model of viewing problem development. For instance, individuals develop cognitions (thoughts beliefs) through life experiences (mostly based on childhood experiences, but sometimes with later experiences). These can be functional (ones that allow making sense of the world around and deal with life issues), as well as dysfunctional beliefs. Most of the time, functional beliefs permit individuals to reasonably cope well with life situations. Whereas dysfunctional beliefs may not cause problems unless/until encountered with an event or a series of events (also known as critical incident) that violates the core beliefs or the assumptions, to the extent of being unable to handle ones positive/functional beliefs. This situation may activate the negative/dysfunctional thoughts over the positive thoughts resulting or provoking unpleasant emotional status such as anxiety or depression. Thus, Westbrook et al. (2007) highlighted the interactions between negative thoughts, emotions, somatic reactions, and behaviours as responses to different life events. These dysfunctional patterns lock the individual into vicious cycles or feedback loops resulting in the perpetuation of the problem. Focussing on the effectiveness of CBT as a therapy, the UK National Institute for Clinical Excellence (NICE) guideline recommends CBT for several major mental health problems including depression (NICE, 2004a), generalised anxiety and panic (NICE, 2004c), and post-traumatic stress disorder (PTSD) (NICE, 2005). Furthermore, Westbrook et al. (2007) highlighted the findings of Roth and Fonagy (2005) in their book What works for whom? a landmark summary of psychotherapy efficacy. This book presents evidence on the success of CBT as a therapy for most psychological disorders. However, though there is evidence supporting the successfulness of CBT for numerous psychological disorders, CBT has some limitations as well. Firstly, it is not suitable for everyone. One should be committed and persistent in finding a solution to the problem and improving oneself with the guidance of the therapist (Grazebrook Garland, 2005). Secondly, it may not be helpful in certain conditions. Grazebrook Garland (2005) mentioned that there is increasing evidence of the successful therapeutic use of CBT in a wide variety of psychological conditions. However they pointed that there is a great need for further research to gather evidence on the therapeutic success of CBT in these different types of psychological disorders. Social Phobia Social Phobia is categorised as an Anxiety Disorder in the Diagnostic and Statistical Manual-IV-TR (DSM-IV-TR) of the American Psychiatric Association (2000). This disorder is characterised by persistent excessive anxiety and fear of scrutiny by others, often accompanied by anxiety symptoms such as tremulousness, blushing, palpitations, and sweating (Social Anxiety Disorder, 2006). The DSM-IV-TR (2000) presents the following diagnostic criteria for social phobia (SAD). Marked and persistent fear of social or performance situations in which the person is exposed to unfamiliar people or to perceived scrutiny by others. This includes the fear of embarrassment or humiliation Exposure to feared social or performance situations that almost invariably provoke anxiety. This may even take the form of a panic attack. In the case of children, the anxiety may be expressed by crying, tantrums, freezing, or shrinking from social situations with unfamiliar people. The person recognises that the fear is unreasonable and that it is excessive. However, this fear and knowledge may be absent in children. The feared social situation or the performance is avoided or else it is endured with intense anxiety or distress. The avoidance, anxious anticipation, or fear causes significant distress or impaired functioning. Fear or avoidance are not due to another psychological, or physiological condition (e.g., a personality disorder such as paranoid personality disorder, a specific phobia, or due to the influence of substance use/abuse) Specify generalised, if the fears include most social situations (e.g., these may range from initiating or maintaining conversations, participating in small groups, dating, speaking to authority figures, or attending parties hindering most parts of a personal social life) According to the criteria stated above, social phobia can be generalised or non-generalised, depending on the breadth of social and performance situations that are feared. While generalised social phobia hinders a vast range of social and performance situations, non-generalised social phobia may hider/restrict only performance of some social activities or engagements. According to health statistics from year 2002, social phobia affects 3% of the Canadian adult population (Social Anxiety Disorder, 2006). In USA 13.3% of the population suffer from social phobia at some point in their life (Kessler et al., 1994). Statistics indicate a life time prevalence of about 8% to 12% making social phobia one of the most common anxiety disorders (Social Anxiety Disorder, 2006; Kessler, et al., 1994). Apart from being a high prevalence disorder, social phobia is also known to have a high comorbidity, specially substance abuse and/or alcohol dependency (Schadà ©, A., Marquenie, L., Van Balkom, et al., 2008; Amies, Gelder, Shaw, 1983; Schneier, Johnson, Hornig, Liebowitz, Weissman, 1992). Kessler et al. (1994) stated that while the lifetime prevalence of social phobia is as high as 13.3%, the prevalence reported in a 30-day period is between 3% 4.5%. In addition, other similar conditions, such as shyness, behavioural inhibition, self-consciousness, selective attention and embarrassment are seen to be correlated with social phobia (Beidel Morris, 1995; Beidel Randall, 1994; Leary Kowalski, 1995; Rosenbaum, Biederman, Pollock, Hirshfeld, 1994; Stemberger, Turner, Beidel, Calhoun, 1995). According to Schneier, Johnson, Hornig, et al. (1992), comorbidity of two or more psychological disorders, is also fairly common with social phobia. Research has also indicated that social phobia is also characterised with a higher frequency of suicide attempts (Schneier et al., 1992). Focusing on the impact of the disorder on the quality of life, social phobia is described as an illness of missed opportunities, because its early onset hinders future social progression such as marital success and career growth (Social Anxiety Disorder, 2006). The authors of this article stated that these individuals were less likely to be well educated, belong to lower socioeconomic status, and are possibly unmarried. In addition, they also suffer greater functional, health, and physical impairments than individuals without social phobia (Social Anxiety Disorder, 2006). Thus the disorder has a significant impact on the quality of life, in particular, socially and emotionally. Emphasising on this point, the authors of this article highlighted that in a community health survey in Canada, people with social phobia were twice as likely to report at least one disability day in the past two weeks, compared to people without social phobia (Social Anxiety Disorder, 2006). Aetiology of social phobia can be traced to Bio-Psycho-Social factors (Smith, Hoeksema, Fredrickson, et al., 2003). Looking at the neuro-biologic factors, research data up to date, provides evidence of dopaminergic, serotonergic, and noradrenergic systems (Stein, Tancer, Uhde, 19992; Tancer, Stein, Uhde, 1993; Yeragani, Blalon, Pohl, 1990). However, Stein, Tancer, Uhde (1995) stated that the evidence for these neuro-biological factors in the predisposition, precipitation, and perpetuation is far from clear. The authors also present the same regarding the effect of antidepressants on social phobia stating that further work is warranted, although preliminary evidence indicates that antidepressants are not entirely effective on social phobia. From a cognitive-behavioural perspective, a person with social phobia develops a series of negative assumptions about themselves and their social world based on some negative experience (Kessler, et al., 1994). These assumptions of behaving inappropriately and being evaluated negatively and/or being humiliated will give rise to anticipatory anxiety that precedes the social situation adding an extra source of concern and perceived danger. Preoccupied with these fears, clients with social phobia have difficulty focussing their attention on the social cues or their own strengths that help them to effectively cope in the phobic situations. In addition, biased memory and focused attention towards negative signs will prevent the individual from perceiving the positive signs (e.g., acceptance, success, admiration) giving rise to performance deficiencies. These may contribute towards producing patterns of negative interactions that may further contribute to the perpetuation of the phobic con dition experienced at the time (Elting Hope, 1995). These explanations are similar to the generic CBT model, of problem development. Thus the research by Kessler et al (1994) has provided supporting evidence to the general CBT explanation and theoretical framework of problem understanding, assessment and treatment. Another dimension of the aetiology of social phobia is the lack of social skills and/or the lack of awareness of ones own social skills. According to Hill (1989), clients with social phobia vary widely in their knowledge of socially appropriate behaviour skills. Many of these individuals seem to have adequate social skills when assessed in a non-threatening environment such as the clinicians office, but they fail to use these skills when laden with anxiety in an unfamiliar social situation that is perceived as threatening. Hill (1989) further described that there is another group of individuals suffering with social phobia who may be unaware of socially appropriate behaviours in certain situations and therefore encounter repeated failures and disappointments. Thus, Hill (1989) suggest that apart from medication and/or conventional CBT, individuals in this group will benefit more from specific training in social skills either through role playing or modelling as appropriate. In addition to the above dimensions, there are developmental and psychodynamic issues associated with the aetiology of social phobia as well. In this view, children who are rejected, belittled, and censured by their parents, teachers or peers may develop feelings of low self-esteem and social alienation (Arrindell, kwee, Methorst, 1989). The authors of this article further stated that clients with social phobia tend to report, having had hypercritical parents. The article further examine the condition of social phobia from a psychodynamic perspective hypothesising that avoidant behaviour may be caused by an exaggerated desire for acceptance, an intolerance of criticism, or a willingness to constrict ones life to maintain a sense of control. Furthermore, they claim that traumatic embarrassing events may lead to loss of self-confidence, increased anxiety, and subsequent poor performance, resulting in a vicious circle that progress to social phobia. Concentrating on treatment seeking behaviours for social phobia, Hill (1989) highlighted that clients rarely see a physician for symptoms relating to social anxiety. More often seeking help will be for conditions such as substance abuse, depression or any other anxiety disorder (e.g. panic attack). Treatment for Social Phobia As mentioned above, social phobia is the result of biopsychosocial factors. Thus, the treatment choices may also vary which may include pharmacotherapy, and/or different types of psychotherapy. Veale (2003) stated that treatment choice for social phobia is up to the client to decide. Medication is indicated if it is the clients first choice, or if CBT has failed or if there is a long waiting list for CBT. Similarly, pharmacotherapy becomes the choice of treatment when social phobia is comorbid with depression (Veale, 2003). Considering the first treatment choice, UK National Institute for Clinical Excellence (NICE) does not have a specific guideline specific for social phobia. However, in its guidelines for anxiety disorders (NICE, 2004), it recommends pharmacotherapy as treatment if the client opts for medication, or if the client opts for psychological treatment, CBT is given as the first choice of therapy. NICE guidelines (2004) too recommend CBT as the first choice of psychologic al therapy for generalised anxiety disorder and other anxiety disorders. The National Institute for Clinical Excellence provides evidence that CBT is more effective than no intervention and that CBT has been found to maintain its effectiveness when examined after long term follow up of eight to fourteen years. This can be used as a cost and time effective therapeutic intervention in group settings and most clients have maintained treatment gains at longer terms (NICE 2004). It further stated that CBT is more effective than psychodynamic therapy and non-specific treatments. Apart from CBT, clients who receive anxiety management training, relaxation and breathing therapy have been proven to be effective compared to having no intervention. Apart from CBT, Veale (2003) also discusses Graded self-exposure as a psychological therapy for social phobia. This therapeutic intervention which is based on the learning theory hypotheses has been the treatment of choice for social phobia for many years. However, as this method of therapy using exposure to previously avoided situations in a graded manner until habituation occurs was only successful with limited amount of clients, alternative approaches such as CBT have become a more frequent therapy choice. NICE guidelines (2006) on computerised cognitive behaviour therapy (CCBT) for depression and anxiety recommend CCBT for mild depressions and anxiety disorders, including social phobia. With reference to two Randomised Controlled Trials (RCTs) and two non-RCTs comparing CCBT (programme for panic/phobic disorders FearFighter) with therapist led CBT (TCBT) the NICE guidelines recommend the use of CCBT for mild phobic/panic disorders. When results of CCBT and TCBT were compared after a three month period of therapy for global phobia, both groups showed statistically significant improvement. Similar results were shown in two non-RCT studies too. When these scores were compared with a group who received relaxation techniques as therapy, this third group did not show statistically significant improvement while the other two groups (CCBT TCBT) did. However, it must be noted that the RCT and the non-RCT studies does not report clinically significant improvement. Nevertherless, the dropout r ate of FearFighter group was twice as many as the TCBT dropout rate. However, from a positive point of view on the practicality of CCBT on phobias, delivery of FearFighter programme at the clinical setting for one group, and the other group having access to the programme at home over a 12 week period showed that both groups showed statistically significant improvement in all measures (NICE guidelines, 2006). In terms of client satisfaction too there was no statistically significant difference between TCBT and CCBT (NICE guidelines, 2006). Thus, though further research is warranted to evaluate the clinical significance of CCBT for social phobia specifically, the NICE guidelines recommend CCBT as a choice of therapy for mild levels of depression and anxiety disorders. In addition to the observed effectiveness of CCBT, NICE guidelines also recommend it as a cost effective therapy alternative. Thus, CCBT for social phobia at mild levels could be useful at a practical level too. In a study by Rosser, Erskine Crino (2004), the researchers studied the treatment success of CBT with antidepressants and CBT on its own as treatment for social phobia. The results did not show a statistically significant difference in the treatment progress between the two groups allowing the researchers to conclude that pre-existing use of antidepressants did not enhance or detract from the positive treatment outcome of a structured, group-based CBT programme for social phobia. Application of medication and CBT is common practice in treatment for social phobia (Rosser et al., 2004). Yet, there are not many studies that have studied the combined effectiveness for social phobia. Citing Heimberg (2002) Rosser et al., (2004) describe that there are three possible outcomes from combining medication and CBT. Combined treatment may produce a better outcome than each treatment alone, by potentiating the gains achieved by CBT and also reducing relapse rates following the discontinuation of medication. Alternatively, there may be no difference between the combined approach and each approach individually, if both therapies (pharmacotherapy and CBT) are sufficiently powerful on their own. Also, depending on how individual clients attribute treatment success, effectiveness of CBT might be detracted by medication in a combined approach of treatment. Referring to literature on treatment success for social phobia Rosser et al., (2004) highlighted that combination treatment (CBT and pharmacotherapy) or pharmacotherapy alone has not been found to be of significant advantage. CBT has mostly been successful in overcoming symptoms, minimising relapses and also effective in terms of cost minimisation (Rosser et al., 2004). Focussing on the conclusions Rosser et al. (2004), there were no significant differences between the combination treatment (CBT antidepressants) and CBT alone could be interpreted in different ways. It is possible that since antidepressants and CBT are both re asonably powerful treatments individually, and thus a combination of the two did not contribute to a significantly to improve the outcome. Alternatively it may be that the group who were already taking antidepressants may have been prescribed with the medication because they were more severe in terms of social phobic or depressive symptoms prior to commencing treatment programme. Thus, it may be possible to argue that the combined therapy may not have contributed to a significant improvement compared to the group that that only received CBT, because there was a difference in symptom severity between the two groups. In addition there was no control in allocating (randomly) participants and or having a control over the medication dosage. Thus, the research findings of the study are subjected to the limitations of these variables that were out of the researchers control. However, it has to be noted that it does not devalue the comparative treatment success on the CBT (alone) group. The researchers of this study therefore emphasise the need for further research on combined therapy for social phobia as in real life clinical settings most clients are on medication while receiving CBT. Moreover, Rodebaugh Heimberg (2005) recommends CBT combined with medication as a widely used successful treatment method for social phobia. However, while recommending the above, they also emphasise the need for further research in this regard as the current data reveals mixed results. According to available evidence and theoretical considerations they suggested that some methods of combination could provide short-term benefits, but long-term decreases in efficacy compared to either treatment alone. In this paper Rodebaugh Heimberg (2005) emphasised that most research on the effects of CBT combined with medication had the common research gap of failing to control the medication dose and the allocation of participants in to random samples. However, the authors of this paper emphasised that in most studies combined therapy for social phobia had not shown significant evidence of treatment success compared to either pharmacotherapy or CBT. Rodebaugh Heimberg (2005) highlighted that there is supporting evidence to the treatment success of combining CBT with relaxation training. While mentioning this, they also noted that relaxation training alone has not proven to have any clinically significant benefit for the clients. Thus, it is when combined with CBT that clients have had a successful experience with relaxation training. Rodebaugh Heimberg (2005) stated that all forms of CBT aim to reduce the experience of fear through modification of avoidance and other maladaptive behaviours, thoughts, and beliefs (e.g. through exposure with cognitive restructuring). Thus, in the process of therapy most clients may experience an increase in stress and negative affect and distress in the short-term, but the modification of these earlier components of these earlier components of a behavioural-emotional chain leads to reduction of symptoms over time. In regard to combining treatment methods with CBT as treatment for social phobia, Rodebaugh Heimberg (2005) highlighted the fact that all treatment methods have its own limitations and strengths. Thus when combining two therapies (either pharmacological and CBT or CBT with another psychotherapy), the strengths as well as the weaknesses of the two approaches could be magnified, depending on the nature of the combination. Hence, Rodebaugh Heimberg (2005) stated that an empirically supported method of combining medication and CBT for social anxiety disorder is yet to be established, although under varied circumstances clinicians use different combinations of CBT along with other psychotherapies and medication to maximise effectiveness on a case by case level. Concluding Remarks As discussed in this paper, social phobia may literally be a common mental disorder and it is categorised as an anxiety disorder under the DSM-IV classification system (DSM-IV-TR, 2000). While being highly prevalent, it is also a disorder that may have a large impact on a persons quality of life, hindering opportunities for personal growth and/or social interaction/relationships. Therefore, it is an important area of study and clinical practice in mental health, which has the aim of improving the lives of people suffering from this disorder, and minimising its effect on the society. Research literature on social phobia recommends certain types of medication, and CBT as a psychotherapeutic intervention as the first choice of treatment for this debilitating condition. As it is out of our scope, this paper did not pay detailed attention to the types of pharmacotheraputic interventions that may successfully be used to control symptoms of this disorder and enable clients live a healthy life. From a psychological perspective, CBT is widely recommended through evidence based research as the first choice of psychotherapeutic treatment for social phobia. As discussed in this paper, evidence on the successful combinations of therapeutic methods at present denotes the need for further research in order to determine the best combinations for successful treatment. Another area that needs similar attention is combining different types of psychotherapies with CBT as treatment for social phobia. Focusing on CBT for social phobia, although there is supporting evidence for therapy success, and though it is widely considered as the first choice of psychotherapy for this disorder, it is not always successful with all individuals. Thus, form a practical point of view, it is important that clinicians are able to tailor and combine different therapeutic methods (pharmacotherapy and psychotherapy), not only to maximise treatment success, but also to make it useful with different types of clients/clients from different background and life-experiences. Furthermore, although CBT is recommended as the first therapy choice, there are practical issues regarding meeting the demand for services. This becomes an issue in terms of finance as well as in terms of the limited amount of professionals available to deliver treatment. Some successful methods of overcoming these difficulties would be Group CBT for social phobia and CCBT. However, it must be emphasised that these issues become a much grave problem in countries where psychotherapists trained in CBT are rare, and even methods such as CCBT could be unaffordable and inaccessible for certain groups. In addition, there are also limitations in being able to use programmes such as CCBT in countries where English is not used, or it not the first language. Thus, from a global perspective, the use of CBT as a therapy choice is practically challenged due to limitations of resources and trained personals, leavening pharmacotherapy as the most practical mode of therapy for a large numbers of people suffering from social phobia. To conclude, it must be stated that continued research on the successful use of CBT as a therapeutic tool for social phobia and other disorders should be continued as it proves to be a successful therapy for many psychological disorders (Westbrook et al., 2007). Thus, it can be stated that CBT is a useful and successful therapeutic intervention for social phobia. The practical use of it could be further improved through continued research, and through therapist training programmes to meet the demands for therapy, as it would further increase the effectiveness of CBT as a therapy for social phobia.
Wednesday, November 13, 2019
A Womans Role on a Patriarchal Family Farm Essays -- literary Analysi
As the title suggests, Iââ¬â¢ve hit a few notable markers in my research. Some of them would definitely be called bumps in the literary road as far as this paper goes, but I feel that a broader view of what Iââ¬â¢ve experienced and found has created something original. Let me explain. I started this idea with a simple goal in mind. I wanted to make A Thousand Acres working class. I simply wanted to show how it was working class, but more importantly why, it fit in that category. What that has evolved into, however, is not so simple. Jane Smileyââ¬â¢s novel encompasses a huge array of ideas and could fit in an absurd number of categories. Drama, tragedy, pastoral, family, business and several other one word titles would just as effectively classify this novel as does working class, so I had to look elsewhere. I had close to a dozen sources from JSTOR to Google Scholar saved on my flash drive, and I read them all. Only in about 2 of them were the terms ââ¬Å"working classâ⬠even alluded to, and I got a little worried. I had plenty of time to change my topic, but I found a few points of interest. Working class, as it stands in my mind, has the metaphoric likeness of Play-Dough and I would like to be the person to look at A Thousand Acres as the wor king class text that I believe it is, and mold and form a wholly original idea using feminism, education and prosperity (or the lack thereof) as the backbone. Conveniently enough, three texts in particular struck me as particularly useful. Each one is very different from the other in its own right, but each text also solidified Jane Smileyââ¬â¢s work as something useful to my project. Just when I thought Iââ¬â¢d move on to something easier and over done (like Steinbeck), these articles renewed my in... ...another crisis that may be insolubleâ⬠(590). This crisis is the same problem in some respects that Hall and Leslie note, the same problem that I started my paper with, and the crisis is ââ¬Å"discontent within families, especially among females, within a quintessentially patriarchal institutionâ⬠(590). These three articles are so very different, but share similar ideas underneath their main ideas in several areas, and on different levels. The main ideas are important, but the underlying connections are what go tme excited about what I was doing. The literature is new, the scholarly community is small, and working with this is challenging, but I think it will be rewarding. With the help of these articles (and a couple more that could prove useful) I hope to find what Iââ¬â¢m looking for and be able to produce a product that is at the same time original and insightful. A Woman's Role on a Patriarchal Family Farm Essays -- literary Analysi As the title suggests, Iââ¬â¢ve hit a few notable markers in my research. Some of them would definitely be called bumps in the literary road as far as this paper goes, but I feel that a broader view of what Iââ¬â¢ve experienced and found has created something original. Let me explain. I started this idea with a simple goal in mind. I wanted to make A Thousand Acres working class. I simply wanted to show how it was working class, but more importantly why, it fit in that category. What that has evolved into, however, is not so simple. Jane Smileyââ¬â¢s novel encompasses a huge array of ideas and could fit in an absurd number of categories. Drama, tragedy, pastoral, family, business and several other one word titles would just as effectively classify this novel as does working class, so I had to look elsewhere. I had close to a dozen sources from JSTOR to Google Scholar saved on my flash drive, and I read them all. Only in about 2 of them were the terms ââ¬Å"working classâ⬠even alluded to, and I got a little worried. I had plenty of time to change my topic, but I found a few points of interest. Working class, as it stands in my mind, has the metaphoric likeness of Play-Dough and I would like to be the person to look at A Thousand Acres as the wor king class text that I believe it is, and mold and form a wholly original idea using feminism, education and prosperity (or the lack thereof) as the backbone. Conveniently enough, three texts in particular struck me as particularly useful. Each one is very different from the other in its own right, but each text also solidified Jane Smileyââ¬â¢s work as something useful to my project. Just when I thought Iââ¬â¢d move on to something easier and over done (like Steinbeck), these articles renewed my in... ...another crisis that may be insolubleâ⬠(590). This crisis is the same problem in some respects that Hall and Leslie note, the same problem that I started my paper with, and the crisis is ââ¬Å"discontent within families, especially among females, within a quintessentially patriarchal institutionâ⬠(590). These three articles are so very different, but share similar ideas underneath their main ideas in several areas, and on different levels. The main ideas are important, but the underlying connections are what go tme excited about what I was doing. The literature is new, the scholarly community is small, and working with this is challenging, but I think it will be rewarding. With the help of these articles (and a couple more that could prove useful) I hope to find what Iââ¬â¢m looking for and be able to produce a product that is at the same time original and insightful.
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