Psychiatry and control of human behavior Essay Example for Free

Psychiatry and control of human behavior Essay I. In order to create such a resolution and usually to resolve an ethical dilemma nurses use four fundamental ethical principles of nursing care and practice, which are considered by many experts as a cornerstone of ethical guidelines. Autonomy The first one is autonomy. This principle means that individuals have a right to self-determination, that is, to make decisions about their lives without interference from others (Silva, M. Ludwick, R., 1999b, p. 4). It is also possible to define empirically that autonomy consists of two elements: data acquired or proposed as a presupposition and reaching the decision as the action. Beneficence The second is beneficence. This principle is thought to be a basis of day-to-day nursing care and practice. The principle of beneficence and utilitarianism direct health care professionals to make an ethical decision to provide the maximum benefit and to minimize harm to the greatest number of people involved (Silva, M. Ludwick, R., 1999b, p. 4). Beauchamp and Childress (1994, p. 192) state that Each of three forms of beneficence requires taking action by helping preventing harm, removing harm and promoting good. (cited by Silva, M. and Ludwick, R., 1999b, p. 4). This ethical principle may cause some ethical questions when a dilemma regarding performing of a mentally ill patients wishes appears. Nonmaleficence The third fundamental ethical principle is nonmaleficence or do no harm, which is easily connected with the obligation of a nurse to defend safe keeping of the mentally ill patient. Born out of the Hippocratic Oath, this principle dictates that we do not cause injury to our mentally ill patients (Silva, M. Ludwick, R., 1999b, p. 6). Justice The fourth basic ethical principle is justice. This principle implies giving each person or group what he/she or they are due (Silva, M. Ludwick, R., 1999b, p. 7). This principle applies to parity, integrity or another point that may be fundamental for the justice decision. In nursing care and practice the principle of justice usually centered on rightful admission to nursing care and on rightful allocation of scarce resource. Rightful admission to the care means that nurses are easy of access to provide nursing care and a mentally ill patient as well as any member of a society realizes that nursing care is completely accessible. The principle of justice †¦ guides health care professionals to treat every client with fairness and equity regardless the prognosis of illness, social and economic status of clients, the social and financial consequences impose on others (Wilcockson, M., 1999, p. 21). Though it is necessary to remember what actually has the priority if we will compare it with nurses good, a nurse sometimes mixes up with what the nurse considers to be a mentally ill patients good. It is questionable what composes good for a mentally ill patient without violating his or her autonomy or allowing the mentally ill patient to suffer bitterly. And can it be ethical to abolish the choice of the mentally ill patients. For example Beauchamp and Childress (1994, pp. 277-278) maintain that paternalism can obtain two forms a weak and a strong one. They assert that weak form paternalism implies is that a nurse defends the mentally ill patients good when he or she is incapable to resolve some questions as a consequence of problems like depression or the effect of medicaments. But a strong form of paternalism, they say involves interactions intended to benefit a person despite the fact that the persons risky choices and actions are informed, voluntary, and autonomous (cited by Silva, M. and Ludwick, R., 1999b, p.5). II. In the proposed case study the old lady didnt write DNR order, thus, the nurse behaved just adequately. She remembered about her duty to a mentally ill patient to preserve her autonomy but it was no possibility for her and for her mentally ill patient to identifying and addressing problems in the decision-making process as the lady was too depressed. Her quality of life was decreasing ad she couldnt live independently but it was still questionable were these reasons adequate enough to make end-of-life decision. On this ground it is necessary to investigate the notion of quality of life. This obscure notion implied the situations when decisions concerning the question of withdrawing nursing care are formed and †¦based on the likely low levels of self-awareness, reasoning, communication and activity that the mentally ill patient will have and the low probability of improvement (Thompson, E., Melia, K. M. and Boyd, K. M., 2001, p. 44). Usually it is not up to mentally ill patient to make quality-of-life decisions as they are often reached by doctors or relatives. In other words quality of life should be determined by mentally ill patients themselves being able to evaluate it adequately. The unproved understanding of notion is often used in statements like: After all, we shouldnt waste any more money on this person because their quality of life will be so low, anyway (Hunt, G., 1994, p. 125) Considering the case study we may that the quality of life of the old lady was not so low as to bring to end-of-life solution. However it was up to the mentally ill patient to decide that problem independently as it was her right to create DNR order but she didnt do it, besides her depressed state and, thus, low self-determination was among the main reasons for reasonable nurses acts. III. If we try to use these four fundamental ethical principles to the case study that was chosen for our investigation beforehand we will be able to evaluate the deeds of nurse from ethical point of view. For example, it is clearly evident that nurse violated the principle of autonomy because autonomy of a mentally ill patient means the opportunity to make decisions about his or her life without interference of others. If taking into account this principle then it was up to a seventy three year old woman to decide either she needs to obtain emergency CPR or not. This principle was thus violated by the nurse, and the reasons for such behavior are not deciding in this matter. She might have ignored this principle basing on the other principles that prevent a nurse from doing harm, meaning to rescue the life of her mentally ill patient because human life is valuable and unique. But while the nurse deprived her mentally ill patient of the possibility to choose life or death, the nurse thus made herself responsible for this decision, which is evidently wrong. At least, the nurse should have noted that the mentally ill patient didn’t want to be rescued. As for beneficence, we may suppose, on the other hand, that it was a demonstration of weak form of paternalism. In such case the nurse protected the good of a seventy three year old lady as she was incapable to resolve end-of-life questions as a result of her depression and decreasing of the quality of her life. Consequently the deeds of the nurse were well-taken and righteous. But the nature of the action is also ambivalent, as the nurse might have been directed by her own notion of good, or the notion that the nurse obtained while studying ethics. The nurse shouldn’t have been define independently if the woman was really unable to make reasonable decisions, the nurse must have at least objectively estimate the problems and conditions of the mentally ill patient that led to such mentally ill patient’s intention.   This thought may also be confirmed and at the same time called in question by the principle of nonmaleficence. The nurse protected the safety of her mentally ill patient, but without mentally ill patients wish. It is questionable, would be the note of DNR be regarded as the injury caused to the mentally ill patient. If the life and conditions of this old woman were so poor, they made her suffer; the nurse must have taken it into account while deciding what would be more or less painful for her mentally ill patient. This may be regarded as the intention to take off responsibility from the nurse. Observing the last principle of ethics, justice, it is necessary to note that this principle was violated by the nurse. Her mentally ill patient was at least due to be heard. Her wishes and demands should have been taken into consideration, moreover, the mentally ill patient did not ask to help her die, and she just wanted to prevent her from suffering in future. Thus taking into consideration these four main principles, the case seems to be contradictory. It seems that the nurse acted basing upon her own notion of what is good, safe and just for her mentally ill patient, without taking into account the demands, wishes, living conditions and problems of her mentally ill patient. Of course, definite peculiarities of these principles allow justifying the actions of the nurse, if we look at the situation form the point of view of value of human life. One more issue that should be examined is the absence of mentally ill patient’s order for DNR. This may also be a reason to justify the actions of the nurse. But as soon as the demands was heard by the nurse, the nurse should have defined this problems with the mentally ill patient and helped the woman write a necessary order, if it was her wish. Nurses often cant decide what their actual point of view about some ethical dilemmas is and how far those perceptions go. Anyway nurses should have to do with their own system of moral values but at the same time to determine whether it fits into the big picture (Stacey, J., 1998, p.8). It is necessary for a nurse to take a turn for the better foreshortening of problems and challenges in the area of care by forming at any rate a bifocal view of the problems (Stacey, J., 1998, p.7) Of course, not all ethical dilemmas concern death. Nurses deal with ethics on every eight-hour shift. †¦for example, the Nursing Code of Ethics says to hold all things confidential, but sometimes there is information others need to know, explains Freeman (cited by Stacey, J., 1998, p.4). However nurses often can appear in the situation of resolving of a complex moral dilemma that regards an appeal for assisted death. This problem is one of the most complicated issues in nursing practice. This question is also a key one in the case study that we have in some way already investigated earlier. Given the poor quality of life that seventy-three years old woman would probable suffer she demanded not to perform any heroic measures in the event of cardiac arrest. So she does not want to live anymore. But when the nurse sees the mentally ill patient next she is being resuscitated as there was no Do Not Resuscitate order (DNR) in her notes. Reference List Hunt, G. (1994) Ethical issues in nursing. Routledge. Silva, M. and Ludwick, R (1999a). Ethical Thoughtfulness and Nursing Competency. Online Journal of Issues in Nursing, 10 December, 1999. Available from http://www.nursingworld.org/ojin/ethicol/ethics_2.htm [Accessed 17 February 2006] Silva, M. and Ludwick, R. (1999b). Interstate Nursing Practice and Regulation: Ethical Issues for the 21st Century. Online Journal of Issues in Nursing, 2 July, 1999. Available from http://www.nursingworld.org/ojin/ethicol/ethics_1.htm [Accessed 14 February 2006] Silva, M. and Ludwick, R. (2002). Ethical Grounding for Entry into Practice: Respect, Collaboration, and Accountability. Online Journal of Issues in Nursing, 30 August, 2002. Available from http://www.nursingworld.org/ojin/ethicol/ethics_9.htm [Accessed 14 February 2006] Silva, M. Ludwick, R., (2003) Ethical Challenges in the Care of Elderly Person. Online Journal of Issues in Nursing, 19 December, 2003. Available from http://nursingworld.org/ojin/ethicol/ethics_14.htm   [Accessed 15 February 2006] Stacey J. (1998) A Question of Ethics. Emory Nursing University[online]. Available from http://www.whsc.emory.edu/_pubs/en/ [Accessed 17 February 2006] Thompson, E., Melia, K. M. and Boyd, K. M. (2001) Nursing Ethics. 4th ed. [n.p.] Wilcockson, M. (1999) Issues of life and death. [n.p.]

Depicting the Various Traits and Characteristics of Leadership in Liter

Depicting the Various Traits and Characteristics of Leadership in Literature When discussing any triumphant or flourishing organization or institution, the main attribute which will always surface when examining the true fabric of what allows a particular organization or institution to excel, will always be leadership.   Ã‚  Ã‚  Ã‚  Ã‚  Leadership is portrayed at its pinnacle in William Bratton’s Turnaround, Rudolph Giuliani’s book Leadership, Oren Harari’s book The Leadership Secrets of Colin Powell, and David Lipsky’s book Absolutely American: Four Years at West Point. In each of these works, the author does an exceptional job of depicting the various traits and characteristics necessary for being a powerful and effective leader.   Ã‚  Ã‚  Ã‚  Ã‚   William Bratton, born and raised in Boston, was appointed as New York City’s new police commissioner by Mayor Rudolph Giuliani on December 2, 1993. William Bratton was a leader who spent his whole life turning around low-performing, dysfun-ctional police departments. It was his specialty and it soon became his trademark. Bill Bratton hit the ground running as the commissioner of police by implementing several policies and visions that he had, that many believed would be unfathomable in policing. His goals were revolutionary and unprecedented and would not be possible to achieve if not for his incredible leadership ability. His ability as an effective leader allowed him to select intelligent, experienced, and quality individuals who shared identical beliefs and visions as he did. Any leader would agree that anything is possible through optimism, intelligent planning, and preparation, but nothing is possible if your chosen â€Å"executives† lack the leader’s confid ence to operate freely and carry out the organization’s ultimate goals. Bratton was a believer in Theodore Roosevelt’s ideology that â€Å"the best executive is the one who has sense enough to pick good men to do what he wants done, and self- restraint enough to keep from meddling with them while they do it.† Bratton was a master motivator. His optimism rubbed off on everyone around him and this reflected their performance. He had a belief that â€Å"leadership is the ability to enthuse and encourage the people in your organization so highly that, whatever idea is put into action, they embrace it so fully they forget the genesis and assume it was their own† (Bratton pg.155). This was Br... ...spects of what makes up an effective leader, it is clear that there cannot be one clear- cut and dry definition of what a leader is. A leader is a make up of many different attributes and qualities. An effective Leader encompasses all of the attributes which go along with facilitating ideas and allowing an organization to grow and flourish, as well as inspiring and motivating those he or she oversees to do the same. A Leader has the ability and almost the reflex action to surface when it is time for a difficult task to be accomplished or a difficult decision to be made. Leadership may be a type of management but a manager is not always a leader. â€Å"Leadership is the art of accomplishing more than the science of management says is possible.† Works Cited   Ã‚  Ã‚  Ã‚  Ã‚  Bratton, W., & Knobler, P. (1998). Turnaround: How America’s Top Cop Reversed the Crime Epidemic. New York: Random House Press.   Ã‚  Ã‚  Ã‚  Ã‚   Giuliani, R.W., & Kurson, K. (2002). Leadership. New York: Hyperion Press.   Ã‚  Ã‚  Ã‚  Ã‚   Harari, O. (2002). The Leadership Secrets of Colin Powell. New York: McGraw- Hill Press.   Ã‚  Ã‚  Ã‚  Ã‚   Lipsky, D. (2004). Absolutely American: Four Years at West Point. New York: Vintage Books Press.

The Sixth Sense Film Analysis

With a close up of the award, the clip begins with our view of the couple only in reflection of Malcolm’s recent award, which is made to seem meaningless as we can’t read the writing despite it being in centre of the frame. The award is in a red frame. This already seems to be warning to both Malcolm and Anna that danger could be heading their way, especially during the reflected close-up shot of the two. It also makes us wonder why this prop appears slanted on the chair.This suggests that the award is a symbol of danger. Also, the red lighting on the couple from the fire leads us to believe that they are now the central target of a dangerous presence. Which we see in upcoming events. The only sound we hear is diegetic, though its very quiet which gives off a calm atmosphere but may also suggest we should be listening for something. In the shot where the couple are reflected in the frame, we see that she is lower down than him showing the characters importance.00:06:08 A wide shot is used to show the scenery and expensive objects. We can see that they are a wealthy couple through the setting. The large living room has what looks to be expensive furnishings and an ornate fireplace as well as a grandfather clock and chandelier in the equally big hallway. We also can assume this as Malcolm is wearing a jumper with a rowing club logo, something we often associate with richer people. The couple then head upstairs and discover the house has been broken into.The setting suddenly becomes dark and we see Anna’s shadow on the wall, She’s positioned to the right in front of the open window showing a dangerous situation, this is also hinted as her back is turned on the dark room insinuating there may be something lurking in the shadows, which is why the lighting is very low key and dull. We hear some diegetic sound though its rather quiet which helps to change the atmosphere from relaxing to a tense and suspicious one.00:06:41 Malcolm approaches his wife to see what the problem is, with this we get a point of view shot, the camera examines the floor before tracking up to the smashed window, the shot lasts approximately 8 seconds and allows us to take in the situation. The phone on the ground makes a beeping noise similar to the sound of a warning alarm which should be seen as a warning in its self. The noise then dies out which links to Malcolm’s life later in the scene.We can assume this scene is centred around Malcolm as it’s his view we’re seeing from, it’s also his bag we see on the floor sprinkled with shattered glass as well as earlier the winning of the award. 00:06:54 A mid-shot Is used to show Malcolm being protective of his wife. As the couple have now taken off there expensive jackets/cover ups it seems they also lost the power that comes with it. 00:07:08 The camera slowly zooms towards Malcolm and straight cuts back to a point of view shot, as this happens we hear the non- diegetic music increasing the tension.As we see Malcolm begin to move we also hear the faint noise of movement from the intruder, this (as well as the camera shot) is allowing the audience to capture that the intruder is standing in the bathroom. We see in a point of view shot to add tension as well as close ups so the audience can see the expression on Malcolm’s face. Though the distance from the bathroom and the position of Malcolm isn’t far at all 13 seconds pass before we discover who is in the room, the time has been stretched out to cause more tension.00:07:13 The first view we get of the bathroom is of the floor as the shot is still from Malcolm’s point of view, the fact we see the floor before the camera moves up shows that he isn’t confident enough to look straight ahead, the shot then is then zoomed out to create a full body shot. it’s obvious the man we see (Vincent) isn’t mentally stable due to the break in, his body language and the fact he’s took the majority of his clothes off, knowing this Malcolm speaks quietly trying to keep a clam atmosphere.As Vincent moves towards the door we hear the diagetic sound return, we also see Malcolm and his wife are aware of the danger, when Vincent moves closer and Malcolm steps back. 00:09:10 A mid-shot frame is used when Vincent starts to become angry and upset making him unpredictable and therefore more of a risk, the pan across Vincent’s face to allow us to see the emotions and then does the same to Malcolm. Vincents body language also tells the audience how unstable he is, one arm  is ‘protecting’ him throughout, he’s also very closed and shrugged which also gives off the sense of fear.The scene becomes very quiet with the only sound being whispers and crying. 00:09:51 A mid-shot is used as Vincent shoots the gun. High key lighting has been used to show whats going on as it’s done very quickly. The loud gunshot comes as a shock to the audience as it’s been very quiet which adds more shock, within seconds Vincent turns the gun on himself.The camera pans while this happens. Malcolm was shot in his rowing jumper, making it ironic that he was shot right in front of his rowing photo in which they all look happy and full of life. 00:10:27 A crane movement is used to end the scene, the screen then fades black and remains silent for a moment before playing the same non-diegetic music as earlier in the scene. The lighting is very dark and the room is a mess which represents the current situation The sixth sense film analysis With a close up of the award, the clip begins with our view of the couple only in reflection of Malcolm’s recent award, which is made to seem meaningless as we can’t read the writing despite it being in centre of the frame. The award is in a red frame. This already seems to be warning to both Malcolm and Anna that danger could be heading their way, especially during the reflected close-up shot of the two. It also makes us wonder why this prop appears slanted on the chair.This suggests that the award is a symbol of danger. Also, the red lighting on the couple from the fire leads us to believe that they are now the central target of a dangerous presence. Which we see in upcoming events. The only sound we hear is diegetic, though its very quiet which gives off a calm atmosphere but may also suggest we should be listening for something. In the shot where the couple are reflected in the frame, we see that she is lower down than him showing the characters importance.A wide sh ot is used to show the scenery and expensive objects. We can see that they are a wealthy couple through the setting. The large living room has what looks to be expensive furnishings and an ornate fireplace as well as a grandfather clock and chandelier in the equally big hallway. We also can assume this as Malcolm is wearing a jumper with a rowing club logo, something we often associate with richer people. The couple then head upstairs and discover the house has been broken into.The setting suddenly becomes dark and we see Anna’s shadow on the wall, She’s positioned to the right in front of the open window showing a dangerous situation, this is also hinted as her back is turned on the dark room insinuating there may be something lurking in the shadows, which is why the lighting is very low key and dull. We hear some diegetic sound though its rather quiet which helps to change the atmosphere from relaxing to a tense and suspicious one.Malcolm approaches his wife to see w hat the problem is, with this we get a point of view shot, the camera examines the floor before tracking up to the smashed window, the shot lasts approximately 8 seconds and allows us to take in the situation. The phone on the ground makes a beeping noise similar to the sound of a warning alarm which should be seen as a warning in its self. The noise then dies out which links to Malcolm’s life later in the scene.We can assume this scene is centred around Malcolm as it’s his view we’re seeing from, it’s also his bag we see on the floor sprinkled with shattered glass as well as earlier the winning of the award. A mid-shot Is used to show Malcolm being protective of his wife. As the couple have now taken off there expensive jackets/cover ups it seems they also lost the power that comes with it. 00:07:08 The camera slowly zooms towards Malcolm and straight cuts back to a point of view shot, as this happens we hear the non- diegetic music increasing the tensio n.As we see Malcolm begin to move we also hear the faint noise of movement from the intruder, this (as well as the camera shot) is allowing the audience to capture that the intruder is standing in the bathroom. We see in a point of view shot to add tension as well as close ups so the audience can see the expression on Malcolm’s face. Though the distance from the bathroom and the position of Malcolm isn’t far at all 13 seconds pass before we discover who is in the room, the time has been stretched out to cause more tension.The first view we get of the bathroom is of the floor as the shot is still from Malcolm’s point of view, the fact we see the floor before the camera moves up shows that he isn’t confident enough to look straight ahead, the shot then is then zoomed out to create a full body shot. it’s obvious the man we see (Vincent) isn’t mentally stable due to the break in, his body language and the fact he’s took the majority of hi s clothes off, knowing this Malcolm speaks quietly trying to keep a clam atmosphere.As Vincent moves towards the door we hear the diagetic sound return, we also see Malcolm and his wife are aware of the danger, when Vincent moves closer and Malcolm steps back. A mid-shot frame is used when Vincent starts to become angry and upset making him unpredictable and therefore more of a risk, the pan across Vincent’s face to allow us to see the emotions and then does the same to Malcolm. Vincents body language also tells the audience how unstable he is, one armis ‘protecting’ him throughout, he’s also very closed and shrugged which also gives off the sense of fear. The scene becomes very quiet with the only sound being whispers and crying. A mid-shot is used as Vincent shoots the gun. High key lighting has been used to show whats going on as it’s done very quickly. The loud gunshot comes as a shock to the audience as it’s been very quiet which adds mo re shock, within seconds Vincent turns the gun on himself.The camera pans while this happens. Malcolm was shot in his rowing jumper, making it ironic that he was shot right in front of his rowing photo in which they all look happy and full of life. 00:10:27 A crane movement is used to end the scene, the screen then fades black and remains silent for a moment before playing the same non-diegetic music as earlier in the scene. The lighting is very dark and the room is a mess which represents the current situation

How Poets Describe Their Attitude to Place in Several...

How Poets Describe Their Attitude to Place in Several Works of Poetry Poets often write about the place they live in or come from. I am going to examine how poets how poets express their relationship to a particular place while considering their intentions, how thoughts and feelings are expressed, the use of language, connections between different poems and include my personal response. In Hotel Room, 12th Floor Norman McCaig is writing about America. We know that he is more precisely writing about New York because he mentions the Empire State Building and the Pan Am skyscraper. We know his place is America because he uses the word sidewalks which is essentially an American terminology†¦show more content†¦These lines state his feeling that no matter how civilised a place may seem or how technologically advanced it may be, there is no way that the primitive urges can be covered over and stopped. McCaig contrasts the sophisticated modern technology of the city with the Wild West. The Wild West dominates over the technology of the city and the technology of the city is being used as a cover for uncivilised ways. McCaig uses time structure of day and night as contrasts and metaphorically personifies midnight in the phrase but now midnight has come in because midnight doesnt literally come in as such. The fact that the second stanza begins with But midnight is not so easily defeated indicates that despite the technology making places civilised, there is still a native and primitive, uncivilised midnight in us all. The phrases warwhoops continually ululating, broken bones, blood glazed on sidewalks and harsh screaming emphasises the brutality of the frontier. The statement not so easily defeated exaggerates the sense that this native reaction is always with us and could be unleashed at any time. Even though the poem Brooklyn Cop by McCaig is essentially about a person rather than a place, it shares the same idea as Hotel Room, 12th Floor. 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