Saturday, October 5, 2019
Organizational behavior 4 Article Example | Topics and Well Written Essays - 500 words
Organizational behavior 4 - Article Example ing proactive stance, ability to confront adversity, willingness to take risks, innovativeness to think outside the box, take a supportive and encouraging stance for new ideas, and by being creative. As noted in several literatures, a particular leadership style is most effective depending on other factors such as the situation at hand, the personalities of the subordinates, the personality of the leader, and the objectives of the organization, the leader and the follower. In this regard, a balance in both the autocratic and democratic leadership styles would be more supportive of producing qualities that would assist leaders in being effective and successful in the future. By using the leadersââ¬â¢ authority, he must be aware that there are traits and qualities that would make his style succeed toward the accomplishment of well defined goals. On the other hand, by employing a democratic style, the leader encourages ideas which motivate his team to deliver results, as expected. Leadership is the process of influencing people to work or act towards the attainment of specifically defined goals. Communication is the process of transmitting thoughts, feelings, facts, and other information through verbal or non-verbal means. The role of communication in relaying the correct and accurate messages is relevant in order to assess the leadersââ¬â¢ ability to move followers into the achievement of goals. Sometimes, the ways of communication using traditional means are often insufficient to transcend a variety of barriers. There is always this tendency to misinterpret messages due to diverse variances spanning from leadership and communication styles as well as personalities of personnel, specifically those from diverse cultural orientations. In this regard, leaders must use effective communication tools to ensure that the process is free from being misinterpreted accordingly. The question that appealed the most is the determination of challenges confronting leaders
Friday, October 4, 2019
What would happen in a market that is transformed from a perfectly Essay - 1
What would happen in a market that is transformed from a perfectly competitve market to a pure monopoly - Essay Example The only thing that affects the price of the product is the demand and supply of the product. In such a situation, the consumers benefit. They have a high variety of sellers to choose from who are constantly trying to find ways to minimize their prices so that the customers buy from them. In this struggle, the customer ends up finding the lowest price. Also, in a perfectly competitive market, there is high potential for innovation. As the sellers and producers aim to minimize their costs in order to lower their prices, they invest money in research and development and, hence, the state experiences innovation and technological advancements. A perfectly competitive market, however, is not the best place for a seller. Due to fierce competition and lack of market power, sellers experience low margins of profits on the goods they sell (Case and Fair). Moreover, producers must constantly be on their toes to monitor the performance of their competitors and must try and stay a step ahead of them. In perfect competition, producers and seller try and differentiate their offerings through advertisements and creating brands. Again, they must do this through incurring marketing expenditures which would further increase their costs and make the environment very risky for them. The dynamics of a monopolistic market are the opposite as compared to a perfectly competitive market. If a perfectly competitive market were to transform into a pure monopoly, it would become a very stress free zone for the firm. In a pure monopoly, the firm would have complete control over the price of the product. Also, because there are no competitors, it does not need to worry about the customers switching to another seller. It is purely to the firmââ¬â¢s discretion what price it wants to set for the product. (Case and Fair) Needless to say, the customers have to suffer in such a setting. The long list of
Thursday, October 3, 2019
Lincoln and Johnson vs. the Radicals Essay Example for Free
Lincoln and Johnson vs. the Radicals Essay The Civil War, which lasted up until 1865, was the bloodiest battle that this Nation had ever faced. Making it even sadder was the fact that this Nation was divided, North against South, and brothers were killing brothers, fathers killing sons. It was indeed a tough time for President Lincoln who was sworn into office in 1861. He needed to end the war and figure out a way to bring peace and rebuild the Nation. In order to end the war he devised a plan to free all slaves in the eyeââ¬â¢s of the government, and on the first day of the year in 1863 he announced his ââ¬Å"Emancipation Proclamation,â⬠declaring all slaves owned under the Confederacy to be now free men. The Confederacy was beginning to crumble; Southern cities were destroyed and the Southern economy was in ruins. Lincoln now focused his attention on the idea of Reconstruction, and reuniting those Southern States back into the Union. It would not be easy for Lincoln, however, as he faced far different ideas than his, proposed by the Radical Republicans, led by Pennsylvania Representative Thaddeus Stevens and Massachusetts Senator Charles Sumner. Despite being the Republican nomination for President, Lincoln was far more conservative than those Republicans taking the majority of seats in Congress. In December of 1863, before the war had officially come to a close, Lincoln began to devise his Reconstruction plan, which at the time was considered to be very lenient by those of the Union. His plan was very compassionate toward white southerners, except for major leaders of the Confederacy. He needed those Confederate Army generals and high-ranking officers to take an oath of loyalty to the Union, and verbally accept the Nationââ¬â¢s abolition of slavery. Lincolnââ¬â¢s plan was to institute new state governments in the South, under control of those southerners who had not aided to Confederacy. Lincoln also had the idea of granting voting rights to those freed African Americans who were educated, owned land, or had participated in the fighting for the Union. Under Lincolnââ¬â¢s plan, three southern states (Louisiana, Arkansas, and Tennessee) acknowledged the abolition of slavery, formed new Union-loyal governments, and were ready to be readmitted completely into the Union. The Radical Republicans were not pleased to the slightest with Lincolnââ¬â¢s plan. They demanded much harsher penalties for seceding the Union, and they refused to seat the representatives from those three states, reconstructed under Lincolnââ¬â¢s plan. Because they were so displeased with Lincolnââ¬â¢s leniency, they pushed what is known as the Wade-Davis bill through Congress in 1864. This bill instituted a temporary governor, from the North, to each of those 11 Confederate states. When the majority of men residing in those states had pledged their allegiance to the Union, the governor was to hold a ââ¬Å"constitutional convention,â⬠where only men who had never fought against the Union could elect delegates to represent them in Congress. Once this was accomplished, the new state governments had to acknowledge the total abolition of slavery, disenfranchise Confederate leaders, and pay off all of their war debts, mainly owed to England. After all of this, and only after all of this, could those southern states be readmitted into the Union. Dissatisfied with the Radicals bill, Lincoln overrode their authority with a ââ¬Å"pocket veto.â⬠As you would assume, the Radicals were utterly outraged with Lincolnââ¬â¢s actions, and demanded that Lincoln accept some of their ideas proposed by the Wade-Davis Bill. Unfortunately, we will never know how the President would have negotiated terms with those Radical Republicans. On the night of April 14th, 1865, Lincoln was shot from behind while watching a play with his wife, and died early the next morning. Andrew Johnson, Lincolnââ¬â¢s vice President, became the Nations new President shortly after the assassination. Johnson, who was originally a democrat, was now faced with the issue of Reconstruction, and like Lincoln, took a more moderate approach. While Congress was out of session in the summer following his launch into Presidency, Johnson quickly began to ââ¬Å"R estoreâ⬠(as he like to call it) those southern states back into the Union. His plan was very much like the Wade-Davis Bill in which he instituted a temporary governor to those southern states and had the governor allow qualified voters to elect delegates to represent them in Congress. When Congress came back into session in December, they began almost immediately to refuse seats to those elected delegates. Even though Johnsonââ¬â¢s intentions were very similar to their Wade-Davis Bill, those Radicals were angered by the fact that most southerners still wished for slavery even though they took an oath against it. Many Confederate generals being voted in as Representatives in Congress also angered the Radicals. So they shot Johnsonââ¬â¢s plan down, plain and simple. The Radicals began to gain more and more power in Congress due to several factors. First, Black Codes began to arise in southern states which authorized sate officials to apprehend unemployed blacks for vagrancy, and hire them out to mostly plantation owners in order to pay off their vagranc y fines. This angered many northerners as is basically violated southern states oaths of African American freedom. This caused Congress to pass the first Civil Rights Act, which gave the federal government the right to intervene in state affairs if blacks were not given appropriate rights. Johnson vetoed this bill but was easily overridden by the all-powerful Radical Congress. Next, Congress devised the 14th Amendment to the Constitution. It stated that all people born or naturalized in United States territory are considered citizens, and penalties would arise for states that denied the right to vote to any male citizens. It also stated that former Confederate officials were prohibited from holding any state or federal position unless they were pardoned for their treasonous Civil War crimes by two-thirds of Congress. Any state that ratified this 14th Amendment would be readmitted into the Union. Tennessee was the only state to ratify and be readmitted right away. Finally, those ten states that were still outstanding from the Union were divided into five different ââ¬Å"military districts.â⬠A military commander was assigned to each district and was responsible for registering citizens to vote (black males, and those whites who had not bore arms against the Union). Voters had to elect government bodies who would write their new state constitution, and have it passed by Congress. And finally, after all that, the state had to ratify the 14th Amendment. All but Virginia, Texas and Mississippi had reunited with the Union by 1868 and finally by 1870 those last 3 states were reunited only after ratifying 15th Amendment in addition to the 14th one. Alas, the Union was rejoined, blacks now had their freedom and right to vote, and peace was beginning to take presence. When we look at the similarities proposed by Lincoln and Johnson, we see that both men were in favor of leniency for those southern states. Lincoln only felt it was necessary for Confederate leaders to take an oath of loyalty as opposed to the Congressional decision that Confederate leaders needed to be pardoned by two-thirds of Congress (Which would likely never happen as Radicals held so much power in Congress) in order to take part in state or federal legislature. It is clear that Johnson also opposed this idea, and leaned toward Lincolnââ¬â¢s plan, in the way he vetoed Congress vigorously. This similarity in ideas between Lincoln and Johnson is also a major difference between the presidents and Congressââ¬â¢s final decision. Unfortunately for Johnson (and Lincoln), and the rest of the moderate northerners, his veto was no match for Congress. A key similarity between the presidents and Congress though, was the issue of African American rights. The final Congressional plan involved a federal Civil Rights Act and two new Constitutional Amendments, in order to protect the rights of African Americans. Lincoln obviously believed in equality when he delivered his Emancipation Proclamation, and stated that educated, land-owning, or allied blacks should be given the right to vote. And based on Congresses final decision, I would say the majority of people from the south who were qualified to vote on the new state governors were probably African Americans. In conclusion, when comparing the presidential Reconstruction plans, with those actually put into play by Congress, the main difference falls within the idea of leniency vs. anger. The presidents wanted the whole ordeal over and the states rejoined, whereas the Radicals wanted revenge on the South for seceding. As to which ideas would have worked better? It is very hard to say. All that can be said is that eventually, the Radicals gained too much power in Congress for the presidents to handle, and ultimately an all-powerful republican Congress overruled their ideas. Bibliography(EZbib.com) Brinkley, Alan. Reconstruction and the New South. The Unfinished Nation. 6th ed. Vol. 2. New York [u.a.: McGraw-Hill, 2000. 369-83. Print. 35b. Radical Reconstruction. Radical Reconstruction [ushistory.org]. N.p., n.d. Web. 18 Feb. 2013. Time Line of The Civil War, 1865. Time Line of The Civil War. N.p., n.d. Web. 18 Feb. 2013.
Rosai-Dorfman Disease with Cervical Lymphadenopathy
Rosai-Dorfman Disease with Cervical Lymphadenopathy Rosai-Dorfman Disease with Cervical Lymphadenopathy and Orbital Involvement: A Case Report *Sameer Saleem 1, Sundas Younas 2, Kamran Qayyum 3 1 MBBS (2013), Khyber Medical College Peshawar, Pakistan 2 MBBS (2013), Khyber Medical College Peshawar, Pakistan 3 MBBS (2014), Khyber Medical College Peshawar, Pakistan ABSTRACT Rosai-Dorfman disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a rare histiocytic disorder which occurs due to the over-production of non Langerhans sinus histiocytes. It is a nonmalignant disorder that most frequently affects children and young adults and typically presents with fever, night sweats, nonpainful cervical lymphadenopathy, leukocytosis and an elevated ESR. Extranodal involvement may also occur which includes skin and soft tissues, nasal cavity, orbit, bones, central nervous system, salivary glands, kidneys, respiratory tract and liver. The digestive tract, heart and breast can also be affected but very rarely. The disease has an unknown etiology, although some viruses like Human Herpes virus 6 and Epstein Barr virus have been implicated as causative agents. RDD can often be misdiagnosed as lymphoma, leukemia or tuberculosis, so it is imperative to distinguish it from these conditions as well as other causes of histiocytosis becaus e of the different treatment modalities. Diagnosis of Rosai-Dorfman disease is based on biopsy of affected tissue. Biopsy showing the presence of emperipolesis, or the engulfment of lymphocytes and other immune cells by histiocytes that express S-100 antigen is diagnostic of Rosai-Dorfman disease. Once diagnosed, further workup including imaging studies are undertaken in order to determine the extent of the disease. In majority of cases, the disease resolves on its own however, treatments including corticosteroids, chemotherapy, surgical treatment or radiotherapy are carried out in severe or persistent disease or when organ function is at stake (e.g. breathing obstruction, kidney failure, visual problems). The case we report is that of a 16 year old girl who presented with a 6 month history of gradual onset drooping of left upper eyelid with mild proptosis of the left eye alongwith mild drooping of right upper eyelid, low grade fever, night sweats and cervical lymphadenopathy. Blood workup showed increased ESR, CT scan of orbits showed superior orbital masses and diagnostic biopsy revealed Rosai-Dorfman disease. Keywords: Rosai Dorfman disease, cervical lymphadenopathy, emperipolesis, histiocytes, proptosis CASE REPORT A 16 year old girl presented to the outpatient department of Khyber Teaching Hospital, Peshawar, Pakistan in February 2015 with a six month history of gradual onset, painless left upper eyelid drooping alongwith low-grade fever and night sweats plus a 20 day history of gradual onset right upper eyelid drooping. She also noticed a few lumps in her cervical region. She had no significant past medical history of any major illness and no family history of tuberculosis or blood disorders was found. Her vitals were as follows, BP 120/80 mm Hg, pulse 90/min, respiratory rate 15/min and temperature 100.2 ÃÅ'Ã
F. On examination she had bilateral painless cervical lymphadenopathy and bilateral superior orbital masses on palpation. Her vision was 6/6 in both eyes. Ptosis was seen in both right (3mm) and left (5mm) eyes. Mild left eye proptosis was also seen. Extraocular movements were restricted in upper gaze of both eyes, more so of the left eye. There was no evidence of any visceromegaly and the rest of the general physical and systemic examinations were unremarkable. Lab investigations: Hb 11.1 g/dl, RBC 4.27 million/cmm, Hct 32.4 %, MCV 76 fl, MCH 25.9 pg, MCHC 34.2 g/dl, Platelet count 328000/cmm, TLC 11000/cmm, normocytic normochromic picture with DLC showing 80% neutrophils, 15% lymphocytes and 5% monocytes on peripheral smear, ESR 70 mm/1st hour, negative HbS and HCV screening, negative PPD and sputum AFB, normal Liver function tests and normal Renal function tests. Chest X-ray was normal, U/S and CT scan of the abdomen and pelvis were normal. CT scans of the orbits showed bilateral superior orbital masses and mild proptosis of the left eye. Incisional biopsy of the left Superior orbital mass was performed that revealed the diagnosis of Rosai-Dorfman disease. CT scan orbit (Coronal View): Bilateral Superior Orbital Masses CT scan Orbit (Axial View): Mild Proptosis of the Left Eye Treatment: The patient was counseled about the nature of the disease and administered Inj. Methylprednisolone 1gm x OD for 3 days followed by Tab Prednisolone 1mg/Kg body weight x OD and advised followup after 4 weeks. On followup visit, examination showed that her ptosis and cervical lymphadenopathy had improved. She was also assessed for side effects of steroid therapy. No side effects were noted. She was advised followup after 8 weeks. DISCUSSION Rosai-Dorfman disease (RDD), also known as sinus histiocytosis with massive lymphadenopathy (SHML), is a rare histiocytic disorder which occurs due to the over-production of non Langerhans sinus histiocytes. [1, 2] It was first described as a unique clinicopathologic entity by Rosai and Dorfman in 1969. [3] Although lymph nodes are more commonly involved, any organ may be affected. [1] Cardinal features include painless cervical lympahadenopathy, fever and elevated ESR. [4]Extranodal involvement has been reported in diverse anatomic sites, particularly the skin, orbit, and upper respiratory tract. [5, 6] Central nervous system involvement without nodal disease has also been reported. [7] Rosai-Dorfman disease though quite rare, is distributed worldwide with 80% cases occurring in children and young adults with a slight male predominance (58%) and has a general predilection for individuals with African descent. [8] The etiology of RDD is unknown, however certain viruses like Human Her pes virus 6 and Epstein-Bar virus via causing immune dysregulation have been implicated in the pathogenesis of this disease. [9, 10, 11] The diagnosis of Rosai-Dorfman disease is not easy since its presentation can mimic a number of other non-malignant as well as malignant conditions ranging from bacterial or viral infections to malignancies including leukemia and lymphoma. Biopsy of the lymph node or affected tissue is required for the diagnosis of this disease. Proliferating S100 and CD68 antigens positive histiocytes exhibiting emperipolesis i.e. phagocytosis of intact lymphocytes and other immune cells, is the classical histologic finding on biopsy in Rosai Dorfman disease. No specific treatment protocol is established for Rosai Dorfman disease because the disease is rare and its course is mostly self limiting. [14] However, patients with severe, persistent disease or in cases where organ function is compromised steroid therapy, chemotherapy, surgical resection or radiotherapy can be instituted with varying success rates. [12, 14, 15] CONCLUSION Rosai-Dorfman disease shares many of its presenting features with leukemia, lymphoma, tuberculous lymphadenitis and other causes of histiocytosis, so it should be considered in the differentials of patients, especially children and young adults who present with painless cervical lymphadenopathy. It is also important for physicians to recognize that the disease can have a myriad of clinical manifestations depending upon the tissue involved, as was the case in our patient we presented in this case report having cervical lymphadenopathy with orbital involvment in whom lymphoma, leukemic deposits, orbital pseudotumor, Langerhanââ¬â¢s cell histiocytosis and hemangioma were also amongst the list of differentials until biopsy confirmed the diagnosis of RDD. It is essential for pathologists as well to look for the histopathologic features of this disease in biopsy specimens, since if promptly diagnosed and managed, can reduce unnecessary diagnostic workups and mismanagement due to misdiag nosis of this disease. CONSENT Written informed consent was taken from the patient and her parents for the publication of this case report and any accompanying images. ABBREVIATIONS AFB Acid Fast Bacilli BP Blood Pressure CT Computed Tomography DLC Differential Leukocyte Count ESR Erythrocyte Sedimentation Rate Hb Hemoglobin HbS Hepatitis B surface antigen HCV Hepatitis C virus Hct Hematocrit MCH Mean Corpuscular Hemoglobin MCH CMean Corpuscular Hemoglobin concentration MCV Mean Corpuscular Hemoglobin PPD Purified Protein Derivative RBC Red Blood cells RDD Rosai-Dorfman Disease SHML Sinus Histiocytosis with Massive Lymhpadenopathy TLC Total Leukocyte Count References Riyaz N, Khader A, Sarita S. Rosai-Dorfman syndrome.Indian J Dermatol Venereol Leprol.2005;71:342ââ¬â4. James, William D.; Berger, Timothy G.; et al. (2006).Andrews Diseases of the Skin: clinical Dermatology. Saunders Elsevier.ISBN0-7216-2921-0 Kong Y, Kong J, Shi D, Lu H, Zhu X, Wang J, Chen Z:Cutaneous Rosaiââ¬âDorfman Disease: a clinical and histopathologic study of 25 cases in China. Am J Surg Pathol2007,21:341-350. Foucar E, Rosai J, Dorfman R: Sinus histiocytosis with massive lymphadenopathy (Rosai-Dorfman disease): a review of the entity. Semin Diagn Pathol 1990; 7:19-73 Puppin D Jr, Chavaz P, Harms M: Histiocytic lymphophagocytic panniculitis (Rosai-Dorfman disease): a case report. Dermatology 1992; 184:317-320 Andriko JW, Morrison A, Colegial CH, et al: Rosai-Dorfman disease isolated to the central nervous system. A report of 11 cases. Mod Pathol 2001; 14:172-178 Woodcock RJ, Mandell JW, Lipper MH: Sinus histiocytosis (Rosai-Dorfman disease) of the suprasellar region: MR imaging findings a case report. Radiology 1999; 213:808-810 Sodhi KS, Suri S, Nijhawan R, Kang M, Gautam V:Rosaiââ¬âDorfman disease: unusual cause of diffuse and massive retroperitoneal lymphadenopathy. Br J Radiol2005,25:845-847. Ensari S, Selcuk A, Dere H, Perez N, Dizbay Sak S:Rosaiââ¬âDorfman disease presenting as laryngeal masses. Kulak Burun Bogaz Ihtis Derg2008,18:110-114. Pinto DCG, Vidigal TA, Castro B, Santos BH, DeSousa NJA:Rosaiââ¬âDorfman disease in the differential diagnosis of cervical lymphadenopathy. Bras J Otorrinolaringol2008,74:632-635. Levine PH, Jahan N, Murari P, Manak M, Jaffe ES:Detection of human herpesvirus 6 in tissues involved by sinus histiocytosis with massive lymphadenopathy (Rosaiââ¬âDorfman disease). J Infect Dis1992,166:291-295. Yoon A, Parisien M, Feldman F, Young-In Lee F:Extranodal Rosaiââ¬âDorfman disease of bone, subcutaneous tissue and paranasal sinus mucosa with a review of its pathogenesis. Skeletal Radiol2005,34:653-657. Montgomery EA, Meis JM:Rosaiââ¬âDorfman disease of soft tissue. Am J Surg Pathol1992,16:122-129. Pinto DCG, Vidigal TA, Castro B, Santos BH, DeSousa NJA:Rosaiââ¬âDorfman disease in the differential diagnosis of cervical lymphadenopathy. Bras J Otorrinolaringol2008,74:632-635. Moore J, Zhao X, Nelson E:Concomitant sinus histiocytosis with massive lymphadenopathy (Rosaiââ¬âDorfman disease) and diffuse large B-cell lymphoma: a case report. J Med Case Reports2008,2:70.
Wednesday, October 2, 2019
A Valediction: Forbidding Mourning by John Donne Essay -- A Valedicti
ââ¬Å"A Valediction: Forbidding Mourning,â⬠by John Donne explores love through the ideas of assurance and separation. Donne uses vivid imagery to impart his moral themes on his audience. A truer, more refined love, Donne explains comes from a connection at the mind, the joining of two souls as one. Physical presence is irrelevant if a true marriage of the minds has occurred, joining a pair of loversââ¬â¢ souls eternally. In order to describe the form which Donne gives to true love he chooses to create a scene of separation. He insists that when in love, absence is not a cause for despair. Stanza two describes the usual reaction lovers have to separation but explains that such reactions of tears and sighs do not prove oneââ¬â¢s love but rather the opposite by suggesting that the relationship depends on a physical connection. In stanza three then he states that it is the connection at the mind which is important to a devoted love, and that when this emotional connection of the souls is attained then ââ¬Å"eyes, lips, and hands,â⬠are less to miss. Donne uses a compass to create a visual metaphor for their love. Although the two feet may be far apart, they are constantly joined in the center. This connection at the center is representative of the mental connection which is found at the center of true or refined love. Regardless of how far apart the feet of the compass may move, or how far apart lovers may travel, the connection which is the center of their relationship serves to hold and br...
Tuesday, October 1, 2019
John Miltons Paradise Lost Essay -- Epic Biblical Poems Blind Faith E
John Milton's Paradise Lost Freedom (free will) is the absence of imposed behavior. Individual freedom is obviously attractive, but when there is real freedom of choice, the wrong choice is the one that is made - such as the choice made by Satan who although he can be admired for his having dared to rebel against the norm, is not heroic for having chosen to plot against God. Free will was given to man in order to be able to choose the faith since in the absence of free will, there is no way to test faith. The more tested we are, the closer we are to God although whether we truly exercise free will is questionable since perhaps it is simply enforced via the threat of punishment upon transgression. In any event, despite the sanctions, man continues to disobey. Paradise Lost begins in medias res, i.e. in the middle of the action and from line 1, the association is made to the consequences of sinning (disobedience). Such is the responsibility of free will. The motivation to sin is the associated pleasure of fulfilling individual desires. Disobedience leads directly to punishment. It is important to note however that there is no fulfilment with transgression since the feelings associated with this fulfilment disappear before they can even be apprehended while the punishment lasts. Milton surely knew all about since as a puritan, he was a great believer of penance. It was also believed by Protestants at the time that without deprivation during life, there was no ascent to Heaven upon death. Satan's flaw in one word was pride. For any true protestant, this is a terrible sin since any achievement is directly attributable to God and not to the man in question. Milton identifies pride as the cardinal sin b... ...ms throughout Paradise Lost that this simple equation might work : since God is good and Charles II can be compared to God then logically it can be deducted that he is also good. Conversely, in the poem, we arrive at the conclusion that Satan is bad and this time, since milton compares cromwell to Satan then it would seem logical to deduce that cromwell is also bad. However, this equation does not hold up to close inspection and in this way, it is evident that in fact, this is a test since we should properly analyse the facts and not simply accept things at face value because they seem right. He encourages us to make our own investiations and make informed, knowledgable decisions. Consequently, it cannot be simply stated that all monarchs are good since such sweeping statements are false and it is primordial to properly examine each separate individual.
Children, Young People and Families Essay
Case Study Four (appendix one) describes a family which due to multiple issues including separated parents with mental health needs, siblings living apart, aggressive behaviour and truancy they present an extremely complex case for any social worker. It focuses on the story of Callum and his current status with brief mention of his brother and two sisters. I will explore the legal and policy guidance along with relevant theories and values that would inform and guide social work practice in relation to Callum as the majority of the information relates to him. The Every Child Matters (ECM) Green Paper introduced wide spread policy change and was underpinned by law in the 2004 Children Act. The ECM requires that social workers support the parents and carers instead of removing children to long term care (Hodge, 2004). For example the ECM set out the agenda for the unification of local childrenââ¬â¢s services such as schools, GPââ¬â¢s, social services and so on (Hodge, 2004). The idea of a holistic approach to a personââ¬â¢s needs by removing the legislative barriers between inter agency information sharing, directs services to work together towards a mutual aim which is ââ¬Å"what is best for the childâ⬠in this case Callum. Another key theme set out in the ECM is early intervention, which means that children should receive the appropriate help then need but when they need it. An important step in reaching this goal is the use of the Common Assessment Framework (CAF). For Callum and others the CAF aims to put their needs ahead of the agencies agenda (Gilligan, 2008). The entire processà should be guided by a lead professional whose job it is to lead and follow up actions with all agencies involved while being the primary contact for the child with the extra needs, this helps when a child is working with more than one professional as it can easily become disorientating and counterproductive for the child developmentally to be dealing with multiple professionals (Howarth, 2010). For Callum and his family the CAF would be used by the Local Authority (LA) to assess the needs of the children and the family as under S.47 of the Children Act they have a duty to do so (Calder and Hackett, 2013). Within the assessment three key areas are explored. Firstly Callumââ¬â¢s developmental needs, parental capacity which although his mother is currently unable to demonstrate capacity to care for Callum the new policy context assures that she will be fully assessed and supported where possible if it is in Callumââ¬â¢s best interests to have an input in his life. Lastly family and environmental factors (Calder and Hackett, 2013). The three core assessment areas are explored in more detail in the assessment framework triangle. During the assessment the social worker gains information required from individuals involved including family members and all supporting agencies. The plan is to build a complete picture that will allow the social worker to begin to look at different theories and research which may offer insight or explanation for Callumââ¬â¢s behaviours. Professor Nick Frost (2013) when discussing the lessons learned from a Serious Case Review echoes the findings of the Munro report (2001) stating that the decisions undertaken by social workers on a daily basis, often with very little time, are extremely complex and involve a high degree of uncertainty. This something that the CAF attempts to address as it is to be approached as a partnership between services the young people and their families (Calder and Hackett, 2013). Each of the three sections of the assessment framework triangle are gone into in much more detail and guidance for this is laid out in the CAF guidelines. In order to make use of the information gained a robust foundation of knowledge is required to deliver evidenced based practice. For example When looking at Callumââ¬â¢s Health areà all his needs being met to enable him to develop physically as he should. He is staying out late and not attending school so we can reasonably assume that he may not be getting sufficient food or rest. The medical model suggests that without regular and nutritious meals and adequate rest Callumââ¬â¢s physical development will be retarded (Cowie, 2012). This is a rather simplistic example though it effectively demonstrates how research directly informs practice. The new policy also calls for flexibility so that services can be provided parallel to the assessment process meaning that children and their families donââ¬â¢t need to wait until after the assessment process to start receiving support (Calder and Hackett, 2013). When Callumââ¬â¢s physical needs are identified it is possible then without delay to for example refer him to his GP for an examination to assess his physical condition. Further along the childââ¬â¢s developmental needs assessment we come to emotional and behavioural development which looks at characteristics like the childââ¬â¢s temperament, self control and how they respond to stress. These are all heavily informed by a broad base of research and theories some of which have conflicting views on how certain behaviours can be explained (Calder and Hackett, 2013). Before I look at some theories that would inform practice in relation to the case study I think it is helpful to look at how Beckett (2006) explains how social workers find a solution by first seeking for explanations. This he says is looking at the information gathered from the assessment and trying to find a theory that we think fits and them apply the relevant intervention. He calls these past orientated approaches, in the case of Callum we look at his past to try and find out why things are the way they are (Beckett, 2006). Callum is displaying aggressive behaviour, he resisted foster carers and now that he is back in a childrenââ¬â¢s home he stays out on occasion with his father. Attachment theory has plenty of empirical evidence and suggests that Callum like us all is hard wired to seek a relationship with his carer, in this case the attachment with his father is still felt by him. Bowlbyââ¬â¢s (2005) work on attachment suggests that during our formative years we develop an internal working model (IWM) from our initialà attachments, the resulting quality of the IWM is dependent on the quality of the original attachments. In Callumââ¬â¢s case he quality of this attachment could be questionable. Cassidy (1988, cited in Cowie, 2012, p.49) Bibliography Bowlby, J. 2005. A secure base. London: Routledge. Brayne, H. and Carr, H. 2012. Law for social workers. Oxford: Oxford University Press. Calder, M. and Hackett, S. 2013. Assessment in child care. Lyme Regis, Dorset: Russell House. Cassidy, J. and P. R. Shaver (eds). 1988. Handbook of attachment. New York: Guilford Press, pp.3-20. Quoted in Cowie, H. 2012. From birth to sixteen years. Abingdon, Oxon: Routledge. pp.49. Cowie, H. 2012. From birth to sixteen years. Abingdon, Oxon: Routledge. Frost, P. 2013. Lessons From a Serious Case Review. Interviewed by Anne Llewellyn [in person] Leeds, 27.11.2013. Gilligan, P. and Manby, M. 2008. The Common Assessment Framework: does the reality match the rhetoric?. Child & Family Social Work, 13: 177ââ¬â187 Green, L. 2010. Understanding the life course. Cambridge: Polity. Hodge, M. 2004. Every child matters. London: DfES Publications. Horwath, J. 2010. The childââ¬â¢s world. London: Jessica Kingsley Publishers.
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