Healthcare law is not in truth mainly about the rights of patients nor Essay

Healthcare law is not in truth mainly about the rights of patients nor the duties of professionals. The main dynamic forces shaping modern healthcare law are economic rather than jurisprudential. Discuss - Essay Example However, recently, it has been brought to the attention of some concerned parties how much economic factors affect healthcare legislation in the UK. They allege that healthcare legislation is now being determined, not by patient rights, but by economic elements. This paper will discuss how healthcare law is not in truth mainly about the rights of patients nor the duties of professionals; it will discuss how the main dynamic forces shaping modern healthcare laws are economic rather than jurisprudential. Healthcare laws are passed with the primary objective of protecting and advocating for the rights of the patient. In the healthcare sector, the patient is the vulnerable party; his condition often makes him a party susceptible to the whims of the healthcare system and the healthcare professionals. In order to neutralize this situation, healthcare laws are in place. These regulations cover rights such as informed consent, right to refuse treatment, right to confidentiality of medical information and such other similar rights. The right to informed consent has been discussed throughout the course as the right of the patient to be properly notified and clarified about the medical procedures that will be undertaken on his person. The risks of these procedures should be properly narrated to the patient in his language. The medical professional informing the patient should ensure that the patient has understood the medical procedures and all that these entail and imply. The right to refus e treatment in essence is about the patient’s choice and his right to refuse medical attention or to refuse medical procedures to be undertaken on his person. The right to confidentiality of medical information is about the right of the patient to be secure in the knowledge that what he reveals to the medical professional in confidence will be kept that way by the

One Year in a Life of Crime Essay Example for Free

One Year in a Life of Crime Essay There are many contributing factors that can lead to living a life of crime, totally unaware of how self-satisfying actions can negatively affect the people around you. The show HBO’s America Undercover â€Å"One Year in a Life of Crime†, is a perfect example of how there can be many factors that will lead you down a path of self destruction. But in the end it is the relationships we have with our parents, family and friends that ultimately shape the type of person we are and affect the decisions that we make. A contributing factor is something that is partly responsible for a development or something that lead to the cause of something else. If we can identify the contributing factors to an undesirable situation that we may be in, then we can learn to avoid them in the future. Or we can even learn from other people’s mistakes. The show â€Å"One Year in a Life of Crime† could be very beneficial for a younger audience to identify contributing factors that lead you down the wrong path in life. Maybe if the thieves’ in the show could have viewed something like this at an earlier time in their life, things might have turned out different for them. Rationalizing and wishful thinking is a contributing factor that prevents the thieves’ from thinking realistically about their future. Rationalization, also known as making excuses, is a way to devise self-satisfying but incorrect reasons for ones behavior. To not see reality for what is it. We all do this from time to time but the individuals in the show seem to rationalizing everything as a way to justify the bad choices they have made. Rob rationalizes his stealing in the scene where we meet his father for the first time. Rob’s father Ed works all week long and only brings home $80, which Rob describes as peanuts. To survive, you have to make extra money, is one way Rob justifies his stealing. In his mind, if he didn’t steal, his family couldn’t survive. In many scenes we hear Rob wishing for this and wishing for that. I wish for a big business so I can make a million dollars and if only I could get some money together to buy hot dog truck. Rob is unwilling to work hard to achieve any of his goals. Fred, who is Rob’s mentor in regards to shoplifting, is even worse when it comes to rationalizing he’s behavior. He can’t believe his old lady left with their little girl after he promised to stop getting high but then couldn’t follow through with his promise. He tells an old friend he wants to stop doing drugs and stealing but it’s just too much for him to handle now that his old lady has left him. Rationalizing helps them justify their own lazy attitude towards hard work and making an honest living. The prevailing attitude towards stealing instead of working is another contributing factor that keeps the thieves’ from getting ahead in life. Easy money for little effort, such as shop-lifting, can be very attractive to some people and they will choose this life style. But the way life works is the more you put into something the more you will get out. If you’re willing to work hard and not give up, there is a good chance you will be successful in whatever you choose to do. When we look at Rob we can see he is always looking for easy money. Rob can’t believe his father works for such little money when there are other ways to make a living. He thinks his father is foolish. When Rob was working for a neighborhood mechanic he had saved over a thousand dollars but thought the job wasn’t paying enough. In his mind, the amount of time and work he needed to put-in, didn’t equal the pay he was receiving. Stealing is easier and doesn’t require a full day’s work. It’s hard to say no to easy money when there is only a small chance of getting caught and if you do get caught, then the punishment is light or non-existent. When a city does not have the resources to deal with a large volume of crime, the justice system can seem like a revolving door for the criminals. If the smaller criminals have to be overlooked because the system is swamped with major crimes, then the threat of jail time for shoplifting looses its power. Time after time we see both Fred do little jail time for his crimes. The first time me meet Fred, he’s accidentally been released from jail after only doing 60 days of a one year sentence. He’s been out of jail for one day and he’s already back to shoplifting. Four months later Fred is arrested for Grand Larceny and Vehicular Homicide. He uses an alias along with a phony I.D. to hide his extensive criminal record and ends up out of jail in just three weeks after plea-bargaining down to minor charges as a â€Å"first offender†. Fred was responsible for the death of someone and because of an overwhelmed justice system he is set free. After you get away with something like this how much of a deterrent is the law when it comes to shoplifting? Not much to Fred because just three months later he’s arrested for stealing silverware and end up in jail for six months. Of course each time we see the thieves’ stealing they are always with a friend, an accomplice, someone who thinks and acts the same way they do. Enabling is a larger contributing factor as to why our thieves live the life that they do. An enabler is a person who, through their actions, allows someone else to behave in a destructive way. Enabling/reinforcing negative behavior by lying, ignoring or covering up for someone not only allows negative behavior to continue but also slows down the process of learning to be responsible for the consequences of their actions. The most common example in the show is the relationship the thieves have with each other. Rob is mentored by Fred in the ways of shoplifting and along with their friend Mike, reinforces their life style as being just and the only way they can survive in the world. Rob’s wife Angela is the perfect example of an â€Å"enabler†. Throughout the year that the show takes place we see Angela enabling Rob to continuing stealing. All she wants is for Rob to marry her and if stealing is the only way for Rob to make money, then she will support whatever decisions he makes. At the end of the show we see Rob has become a drug addict and Angela is still with him even though she hates what Rob is doing to himself. She would rather say nothing then confront him. It’s a lot less work being an enabler then it is confronting Rob and trying to help him. Mike’s mother is another example of how enabling has a negative impact on learning to be responsible for one’s own actions. She bails Mike out of jail and losses the bail money because her son takes off. I’m guess here, but I would bet she knows where he is hiding out and her only reaction is to be indifferent to Mike decision which just cost her $750. The relationships we have with our friends and family play a strong role on how we think and the decision we make. The most important contributing factor as to why the thieves are in their situation has to do with how they were raised. The values they were taught and relationship they have with their parents. We can see Rob is in a pattern of self-destructive behavior and one of the biggest influences is his father. From the show we find out that Rob’s father is an alcoholic, would hit him and also throw out Rob’s toys. Rob even describes a scene where his father rips apart one of his favorite toys, a stuffed bunny rabbit. Here we can see why Rob might think it is ok steal. He learned from his father that if you are strong or smart enough to impose your will on someone then it is ok to take what you want. In Rob’s eyes this is how the world works. This is what his father did to him so he is repeating the same behavior when he shop-lifts. We can only guess at the relationship Fred has with his parents but we know that one of his uncles was a drug addict and Fred witness his un cle taking drugs. It’s a good possibility Fred’s family didn’t discourage drug use or educate him in regards to the negative impact drugs will have on your life. From the time we are born we start to soak in our environment. We start to learn from everything around us. How we act socially mainly comes from the observations and interactions we have with our parents. We learn how to speak, how to ask for things and how to interact with others. When we are children the most important relationship we will have is with our parents and this can greatly affect our adolescences and adulthood. Our role models in life can help shape who we will become. If we see from our parents that hard work and following the rules doesn’t get you very far then we might have an attitude that working hard isn’t the way to go. Without good role models the odd are stacked against us and some individuals will take the easy road of a thieves’ life style. We can change our behavior later in life but it can be a difficult process and most people are not even aware that a change is needed.

Munchausen Syndrome Essay -- Disease/Disorders Health

Munchausen Syndrome History Munchausen Syndrome, an illness of psychiatric nature, was first introduced by Richard Asher in 1951 (Zibis et al., 2010). Although Munchausen Syndrome had been described in 1931 by Karl Menninger in medical publications it wasn’t until 1951 that Richard Asher published three case reports and the disorder gained interest (Turner, Reid 2002).The syndrome, as described by the Merck Manual for Healthcare Professionals (2008), is a severe form of a factitious disorder in which the patient tends to feign some kind of illness (physical or mental) without an external reason. Richard Asher was a renowned British endocrinologist and hematologist who is said to have named the syndrome after the fictionalized accounts of Baron Karl Friederich Munchausen (1720-1791) a German soldier who was famous for the adventurous tales about his life (Murray, 1997). Consequently because of the extensive traveling, peculiar stories and refractory treatment, as more cases appeared the syndrome took on various names such as the following: pathologic malingering, chronic factitious illness, and peregrinating problem patients (Justus, Kreutziger, Kitchens 1980). Diagnosis Patenaude, Zitsch, and Hirschi (2006) define a factitious disease as one in which the patient consciously and purposely injures themselves in order for a physician or caretaker to make a wrongful diagnosis and thus be submitted to treatment. Munchausen Syndrome is characterized by the patients’ continuous attempt for admittance at hospitals after a dramatic show of physical symptoms (Zibis et al., 2010). The disorder is associated with severe emotional problems specifically in patients with histrionic or borderline personalities; these ten... ... http://www.merckmanuals.com/professional/print/psychiatric_disorders/somatoform_and_factiti ous_disorders/munchausen_syndrome.htm Murray, J. (1997). Munchausen Syndrome/Munchausen Syndrome by Proxy. The Journal Of Psychology: Interdisciplinary And Applied, 131(3), 343-352. Patenaude, B., Zitsch III, R., & Hirschi, S. D. (2006). Blood-but not bleeding-at a tracheotomy site: A case of Munchausen's syndrome. ENT: Ear, Nose & Throat Journal,85(10), 677-679. Turner, J., & Reid, S. (2002). Munchausen's syndrome. The Lancet (Sciencedirect),359(9303), 346-349. Zibis, A. H., Dailiana, Z. H., Papaliaga, M. N., Vrangalas, V. A., Mouzas, O. D., & Malizos, K. N. (2010). Munchausen syndrome: A differential diagnostic trap for hand surgeons. Journal Of Plastic Surgery And Hand Surgery, 44(4-5), 222-224.

A Balance Between Nomothetic and Idiographic Approaches Essay

The idiographic and nomothetic approaches in psychology are often regarded as representing opposing and conflicting positions about how best to study people, especially intelligence and personality. However, the two may be seen as complementary, with both necessary to gain a fuller understanding of human beings. The idiographic approach focuses on: ‘the individual and recognises the uniqueness of the person in terms of their experiences, feelings, developmental history, aspirations and motivations in life, and the values and moral codes by which they live’. The word idiograph comes from the Greek word idios, meaning ‘own’ or ‘private’. Hence the idiographic approach in psychology is concerned with the private, subjective and unique aspects of a person and employs methods of inquiry which provide information about subjective experiences. The idiographic approach is characterised by qualitative methods of investigation. Qualitative methods include unstructured interviews, case studies, self report measures, introspection, and the psychoanalytic techniques of free association and dream analysis. The idiographic approaches is holistic and places great value on the individual’s conscious experiences. The humanistic perspective in psychology perhaps best exemplifies the idiographic approach. Freudian psychoanalysis can also be said to adopt an idiographic approach as he did not use any scientific method to test or find evidence for his theoretical claims. Approach The nomothetic approach in psychology focuses on: ‘similarities between people and attempts to establish general laws of behaviour and thought that can be applied to large populations of people, or indeed to all people’ The word nomothetic comes from Greek words nomos, meaning ‘law’. Hence, the nomothetic approach is most closely aligned with the scientific approaches in psychology. This means that it uses scientific methods of investigation, particularly experiments, to test hypotheses that are derived from theories about human behaviour and thought. The nomothetic approach adopts a reductionist viewpoint, placing great value on objectivity and replication. The behaviourist, cognitive ad biological perspectives best exemplify the nomothetic approach. Freudian theory also attempts to establish laws or rules about human beings, for example the psychosexual stages and the Oedipus complex. Freud believed these were applicable to all and the theory is nomothetic in this respect. Background Humanistic psychology adopt a more idiographic approach, seeking the more unique aspects of individuals, rather than producing generalised laws of behaviour that apply to everyone. It highlighted the value of more individualistic and idiographic methods of study, particularly in areas of personality and abnormalities. Classification manuals like the DSM-IV, which lists the essential behavioural criteria of diagnosing autism, adopts a nomothetic approach and classify people according to particular type of disorders. Traditionally, the idiographic and nomothetic approaches are seen as conflicting, with the implication that as a psychologist you can only operate from one of these positions. Cronbach (1957) identified this potential source of conflict between psychologists about how best to study the nature of what it is to be human. If the psychologist seeks to develop theories that apply to large populations then the nomothetic approach is preferable. If, however, the psychologist is interested in the uniqueness of a person, then the idiographic approach is the one to adopt. Subjective experience The idiographic approach is often regarded as non-scientific, as subjective experience cannot be empirically tested and it is difficult to generalise from detailed subjective knowledge about a person. Some psychologists argue that scientific principles can be applied to study the uniqueness of individuals and the norms and rules by which a specific person operates can be identified. The idiographic approach can be used to study topics such as privation which are relatively rare and depends upon the circumstances surrounding the individual. Most evidence for effects of privation has come from case studies of children who have been raised in conditions of neglect. The case of Genie (Curtiss, 1977) suggests that severe privation has permanent effects. At the age of 13 years she was unable to speak, physically underdeveloped and showed inappropriate emotional responses. Despite fostering and intellectual stimulation, Genie apparently never recovered from her years of privation, although there was a suggestion that other factors may have contributed to her problems. Koluchova’s longitudinal study followed the long-term development of twin boys who had suffered severe privation in early childhood showed that children who have experienced severe privation seem able to overcome the effects of their early suffering with appropriate treatment and care. As such the nomothetic approach would be unsuitable and unable to gather any information which would contribute towards our understanding of the topic. The two approaches can be complementary as the idiographic approach can shed further light on a general law of behaviour established through a nomothetic approach. Idiographic research may disprove a general law of behaviour. For example nomothetic research supported the idea of a multi-store model of memory with information flowing through the STM to LTM. However case studies of patients with brain damage suggest that the multi-store model is over-simplified. A patient known as KF suffered brain damage following a motorcycle accident, and underwent brain surgery. Some years later he was found to have normal LTM storage but an STM capacity of only two items. If STM was necessary for the transfer of information to LTM, then KF’s LTM should also be affected. As a consequence, further models of memory have been proposed and tested. On the other hand, idiographic findings can lead to large scale research. Piaget used the idiographic approach gaining rich and detailed information about the development of his own children’s thinking. These finding inspired further nomothetic research and theories into cognitive development were developed. Scientific approach Both approaches can contribute to the scientific approach – the aim of science are to â€Å"understand and describe† which corresponds to the idiographic approach and to â€Å"predict and control† which corresponds to the nomothetic approach. The nomothetic approach generalise findings e. g. in terms of the primacy and recency effects, more words are recalled from the beginning and the end of the list, irrespective of the length of the list. However an idiographic approach could be used to find the different techniques that people have used to recall the items In contemporary psychology, the idiographic-nomothetic debate is still an important distinction. Attempts have been made to bring the two approaches together in an interactionist model (Bandura, 1986), but no influential solution has been found. It could be argued that the strengths of one approach compensate for the limitations of the other and so both approaches are needed for a complete study of psychology. The nomothetic approach has helped psychology to become scientific by developing laws and theories of human behaviour that can be empirically tested. This approach attempts to determine laws and common characteristics for all people or large groups of people in a culture. It also helps to combine biological and social aspects of a person. However, the focus on general laws and theories neglects the subjective and unique experiences of the person. The extensive use of controlled laboratory experiment means that there is a problem of generalisation to everyday life. Some psychologists also argued that this approach overemphasises the similarities between people and gives little attention to differences. Alternatively, the idiographic approach focuses on the subjective experiences of the person making the individual feeling valued and unique. Each person is valued as an individual rather than seen as one amongst many. Conclusion This approach provides detailed psychohistories and attempts to understand the many influences on how they come to be as they are. Humanistic psychology uses an idiographic approach to enable people to develop their full potential. However, this approach largely neglects biological, especially genetic influences.

Rosa Lee Story

The Rosa lee story Rosa Lee gave dash full access to her and her family life for four years, because she thought someone could learn from it. Rosa was born in Washington and was living a low class life, and often looked down up on for it . Rosa lee was brought up in a single parent house hold and when she entered jr. high her dad died. Rosa mom often struggled to take care of her and her siblings. Her mother gave birth to twenty-two kids, but only eleven survived. Rosa and her mom never saw eye to eye and when she got pregnant at the age of thirteen it didn’t make their relationship any better.At the age of fourteen she had her first prostitution experience for five dollars, she told her customers at work that if they were going to have sex with her, they had to pay because she had eight kids at home. After Rosa third child she married into an abusive relationship with a man who was twenty one which made her sixteen she couldn’t take anymore so she moved back in with he r mom. Rosa and her mom relationship was filled with conflict. At a very young age Rosa started stealing from people. She stole to basically buy her some friends, she would take her friends to the movies and buy them candy.At the age of twenty Rosa had moved to the North East with her six kids and was on welfare by the time she was twenty one she had two more kids. Rosa just wanted to make sure her family was ok and that they had some of the things they needed. Rosa also did other jobs that paid under the table so she could still get her welfare check. So she became a dancer at night clubs and got paid for sex. Being brought up in a neighborhood like Rosa had several down falls. Her and her sibling didn’t really have anyone to motivate them to do the right thing. The girls were supposed to be domestic but Rosa rebelled against it.Rosa started selling drugs in the seventies and in fifteen years she was in jail a dozen times. Until Rosa was twenty-nine she got away with stealin g, she tried to steal a fur coat and had to do eight months in jail. Most of Rosa lee brother and sisters made it out of poverty and became middle class. They had honest jobs like bus driving and had their own cab services. Her brother and sister choose a different path because they seen and knew the struggle that their mom and sister Rosa had to deal with. Seeing Rosa life its self made you want to do right.Eight kids, having to steal, selling and using drugs and being back and forth in jail made you want to do right. Rosa didn’t start selling drugs with the intent to use them, it just happened, she thought selling marijuana and heroin was a quick way to get money and keep her welfare, but when she started she couldn’t quit she was using two fourty dollar bags a day. She said that when she used the drug it gave her courage. Rosa could do and say anything when she was high. Rosa and her siblings used drugs and broke the law because they were not taught any right from w rong .They had such a rough childhood and at this time they didn’t know any better, they were young when they started. Even Rosa kids started taking different paths at very young ages. They didn’t go to school because she didn’t make them. Rosa did drugs in front of her kids and it made them want it. Her one and only daughter Patty started using drugs at the age of thirteen and was rapped several times by relatives while Rosa was incarcerated, which is why she said she hated males and on top of that she was prostituted by her mom.Her son Ronnie started using drugs at the age of fifteen, she told him if he wanted to drugs he had to support his own habit, so he started selling marijuana with his mom. Her oldest son Bobby died of aids cause they all shared needles. At a very young age Rosa stopped going to church and didn’t start going back until she was about forty. She didn’t seek for religious ways to help her in her situation she thought that what she was doing was right for her and her kids.Even with Rosa taking the path she did she could have taught her kids the right from wrong. I think that Rosa had a choice to do well she just choose a different path. She lived in a single parent household, where drugs were being sold and welfare was the way to live. She wasn’t getting the attention that she needed so she explored and ended up finding out the hard way that wasn’t the life she wanted to live. If Rosa stayed in school and maybe had a better a male figure in her life she probably wouldn’t have been in all the trouble she was in.