Saturday, August 31, 2019

Rhetorical, Textual, or Source Analysis worksheet

Write a short, clear summary of the article: This article tackles the problem of unhealthy self-esteem among women allegedly caused by media-generated concepts of femininity and how best to confront this problem, which is through social activism and social marketing. It is fuelled by the results of numerous studies which suggest a strong link between the portrayal of unrealistic images of women in the media and the increasing tendency towards unhealthy eating and dieting behaviours of women. What is the context of the article? In â€Å"The Media’s Influence on Body Image Disturbance and Eating Disorders: We’ve Reviled Them, Now Can We Rehabilitate Them,† Thomson and Heinberg (1999) illuminate the growing concern among the American women population on the adverse impact of images portrayed in the mass-media on the self-perception and self-esteem of women who are exposed and vulnerable to subscribing to media-generated conceptions of femininity that have been linked to the increasingly unhealthy lifestyles taken up by more and more girls and women. What seems to be the author’s purpose? The authors discuss the mechanism by which the media is able to influence the lifestyle patterns of women in the aim of identifying ways by which girls and women would be able to resist or combat the ill-effects of media images on their behavioural, psychological, and physical health. They present a relevant perspective on how women can counter the psychological manoeuvres of the mass media. In what type of publication did this appear? Describe it. The article appeared in the academic â€Å"Journal of Social Issues,† a quarterly publication which publishes contributions from social scientists and academics that tackle the relationship between society and human beings and issues that arise from this. The journal is published by Blackwell Publishing in behalf of The Society for the Psychological Study of Social Issues. Write a brief analysis of the author’s credentials and possible expertise or bias. If no information is available on the author, try to take a guess based upon his or her knowledge and writing ability, which you might derive from the article. Thomson and Heinberg (1999) are obviously academic experts in the field of psychology who have extensively studied the impact of media-mediated concepts on the feminine psyche. In fact, the result of their own research on the effect of media images on the self-esteem and self-concept of women was among the evidence they presented in the article. Who seems to be the target audience? Be specific. Judging from the language and tone of the article, the authors’ target audience are policymakers, development workers, and academic researchers. Here, Thomson and Heinberg (1999) clearly advocate for the creation and implementation of education-based programs that would benefit women by arming them with the knowledge to decipher the subliminal messages they are often bombarded with through advertisements and other forms of media. In short outline form, show the author’s stance. Then, explain and evaluate the presentation of the author’s stance. In other words, what’s the thesis? What reasons are given for this stance? Are the reasons supported well? The authors contend that social activism will encourage women to be active in challenging the social structures that profit from and reinforce the prevailing social biases and gender stereotypes of women, while social marketing will teach women not only to pursue the demystification of the â€Å"feminine ideal† but more importantly, in the generation of positive and realistic concepts of being women. The article therefore summarizes the results of recent research which support the contention that the mass media is one of the biggest source of poor self-concept and self-confidence for women, and proposes the combination of two-strategies, social activism and social marketing,   that would enable women to counter the concept of the â€Å"feminine ideal† portrayed in the media—that of the thin, airbrushed, and computer-generated model—by empowering them to see through this images and helping them develop a multi-dimensional concept of being a woman. Analyze the writer’s language. What is the writer’s tone? Why might he or she have chosen this tone? Is it effective? What words are defined or left undefined? Give examples. The writer’s language is formal and academic, which might have been chosen because its target audience are those from the academe such as social scientists and intellectuals. It effectively conveys the weight of the problem at hand and lends seriousness to the discussion of the solutions presented. Based upon your analysis, is this a credible piece of writing? Explain. Yes, because it presents extensive evidence to its claim gained from years of academic research by social scientists interested in the issue. While the authors have recognized that a direct link between the images propagated by the media vis-à  -vis women’s self-esteem has yet to be proven, the article manages to support its contention in an ample manner by showing how media images, even indirectly, shapes the way women think, consume, and behave. In turn, its argument of using the media itself to turn things around becomes more convincing and relevant especially for women and other sectors involved. Finally, and in detail (really think about this—refer to specifics) how do the stance and language choices relate to the author’s purpose and target audience? Explain. This article is written in a persuasive manner, and shows the authors’ capability to use relevant information to support their thesis. It is also written in a way that could be understood best by development practitioners and students of the social sciences, which is suited with its intention of convincing those who might be involved in advocacy or policy-making to seriously address the rise in the number of weight-related issues affecting women that is attributed to the pervasive influence of the media. Work Cited: Thomson, J. Kevin, and Heinberg, Leslie J. â€Å"The Media’s Influence on Body Image Disturbance and Eating Disorders: We’ve Reviled Them, Now Can We Rehabilitate Them?† Journal of Social Issues, 55.2(1999):339-353.

Friday, August 30, 2019

Philippine Constitution

The second chapter dealt on the entirety of the state which is considered to be a very important concept in the field of political science as it is branded as the basic unit of the international community and the ultimate expression of political activity among men. The third chapter was aimed at discovering the historical roots and progression of Philippine government in order to understand the complexities and changes within the bounds of local governance. This chapter will be dedicated to the discussion of the fundamentals of the so called â€Å"fundamental law of the land† which is the guiding light of the affairs of both state and government.In addition, this will e an opening salvo to the critical study of the document as we enter the portals leading to the first two fragments of the 1987 Philippine Constitution?the Preamble and the National Territory. CONCEPT OF CONSTITUTION Creating an Equilibrium Before we delve deeper into the concept of the organic law, let us first turn our attentions to the specific field of political law that is germane to the study of the constitution itself?constitutional Law.Constitutional Law is the study of the maintenance of the proper balance between authority as represented by the three Inherent powers of the State and liberty as guaranteed by the Bill of Relights. L Genuine liberty entails exercising It without causing any harm or Interception on the freedom of others. This Is the Ideal arrangement since by practice, people unavoidably uses liberty beyond normal control.Hence, the state has been endowed from Its birth with the three Inherent powers namely police power, eminent domain, and taxation in order to regulate the usage of individual rights. But this does not mean that the state always has the authority to intrude on an individual's freedom because in the context of Constitutional Law, what is being advanced is not primacy of one of the two factions but the promotion of the â€Å"co-existence† Constit ution Defined Cooley describes it as the â€Å"body of rules and maxims in accordance with which the powers of sovereignty are habitually exercised. 2 It also refers to â€Å"a written instrument by which the fundamental powers of the government are established, limited, defined, and by which these powers are distributed among several departments, for their more safe and useful exercise, for the benefit of the body politic. â€Å"3 The first definition is much more extensive compared to the second one nice it covers even the unwritten constitutions like customs and traditions.Furthermore, Cooley's definition relates on the founding principles reflecting the aspirations of the sovereign while Miller's include in its scope the structuring of the government wherein the several powers are distributed for the promotion of the common good. In layman's terms, it is simply defined as the organic or supreme law of the state. Constitution vs.. Statute Constitution and statute are two terms belonging to the same world of legalities but differ in their scope and intrinsic meaning.The disparity is demonstrated in the allowing instances: 1 . The former elaborates on general items such as policies and principles while the latter deals on more specific topics. Statutes always follow the basic rule of legislation known as â€Å"singularity of subject. † 2. In addition, in the context of being â€Å"open to change,† the constitution (for the cases of the written, enacted and rigid) cannot be easily amended while statute is more open to change and can even be repealed easily with regards to its constitutionality. 3.The constitution is the product of the people's integral sovereign power in society while statute is a result of he process of legislation or law-making as practiced by the legislature. 4. Lastly, in most cases, there is only one constitution in operation but there can be several statutes that would be enforced within the bounds of the state. Discerni ng the Purpose The purpose of the constitution is â€Å"to prescribe the permanent framework of a system of government, to assign to the several departments their respective powers and duties, and to establish certain first principles on which the government is founded. 4 Dissecting this statement originating from American Jurisprudence, three government administering the state; 2. Next is the apportionment of the different governmental powers to the branch or department that must exercise it so as to avoid concentration of powers; and 3. Finally, to provide for the guiding principles which aid the daily affairs of the entire governmental order. Supremacy without a Doubt The constitution is the supreme law of the land.Neither legislation nor even the highest government official exercising immense powers inside the state can question the ultimate position occupied by the organic law in the hierarchy of the political system. The legislature can make laws but such laws are limited bec ause they must inform to the tenets and principles anchored on the constitution. In fact, the judiciary checks both legislative and executive departments by interpreting their actions as â€Å"constitutional† or â€Å"unconstitutional. † The people, its creator, in the exercise of sovereign power may not disregard the constitutions as well.But it must be remembered that they can institute changes if ever it is proven that the constitution does not serve or address the needs of the current situation. The supremacy scenario can also be observed in the landscape of the international community due to the fact that in cases of conflict between international law and municipal (local) law, the latter usually prevails based on the principle of par in paper non habit emporium. But there are exceptional cases wherein constitutional inferiority is demonstrated in upholding the general interests of the people. Variety Exists Constitutions around the globe are not exempted to the p henomenon dubbed as â€Å"variety. † Gradations exist and these are categorized into three major segments: 1 . There are two kinds of constitution according to form namely written and unwritten. The differentiation does not rest on the aspect of being â€Å"written† or not because mom examples of the unwritten constitution are in fact written documents. The major distinction is based on the â€Å"organization† of the scattered pieces into one, single collection.The written constitution is usually the organized one while the unwritten â€Å"consists of rules which have not been integrated into a single, concrete from but are scattered in various sources. â€Å"7 The 1987 Philippine Constitution is a written one while the English Constitution is an unwritten type. 2. The next one is constitution according to origin which also has two types: enacted (conventional) and evolved (cumulative). Enacted is a result of a thorough document construction normally done thro ugh a constitutional convention and is normally instituted at a definite time and place.On the other hand, evolved is a product of continuous process of accretion or adding up as it operates from one generation to another. The present Philippine Constitution is enacted while customs and traditions would be the best example for an evolved constitution. 3. According to manner of amendment is the last category that comprises both flexible and rigid constitutions. Flexible constitutions are characterized by flexibility which implies that it can be changed by he sense that it can only be amended by a specific body and the procedure itself is quite complex and difficult.The 1987 Philippine Constitution is rigid while the constitution of the Scandinavian state of Sweden is considered as flexible. Written Constitution: Essential Qualities Since the 1987 Constitution of the Republic of the Philippines is a written one, it is more sensible to tackle the essential qualities of a constitution i n the lexicon of the written type. 1 . Broadness refers the extensiveness of the constitution in terms of its scope and reach. Furthermore, broadness relates to the fact that the constitution â€Å"is opposed to embody the past, reflect the present and to anticipate the future. Accordingly, it must have the capability to provide answers or solutions for every contingency. 2. Brevity implies that a good written constitution must stick to the basics. It is limited in the sense that it should not be a venue for staging the details which must be addressed and expressed by reinforcing legislation. Thus, the nature of the document is to prevent the situation wherein it becomes too â€Å"chatty' or wordy. 3. A written constitution must also be definite. This quality relates to the condition hat its provisions must be construed in a clear manner to avoid vagueness in the interpretation.Such ambiguity may lead to â€Å"confusion and divisiveness among the people, and perhaps even physical conflict. â€Å"8 Written Constitution: Essential Parts Almost all texts dealing on the topics of constitution, law and Political Science are in agreement that there are three essential parts of a good written constitution. These are the following: 1 . The constitution of liberty which is symbolized by the presence of a Bill of Rights, elaborates the citizens' civil and political rights as well as the imitation imposed on the side of the government in the regulation of the same.It is found in Article Ill (Bill of Rights) of our constitution. 2. Reflected in Article VI (Legislative), VII (Executive), VIII Adjudicatory), and IX (Local Government) is the second essential part known as the constitution of government whose main feature is the outlining of the governmental structure and the respective powers that they must utilize in the conduct of administration. 3. The provisions relating to the procedures on how to institute changes in the constitution is referred to as the constitut ion of sovereignty. Article XVII (Amendments or Revisions) is an exemplary of this part.Beginnings of the 1987 Philippine Constitution September 21, 1972 is the dreaded day of the proclamation of Martial Law courtesy of one of the most infamous head of state in the Philippines?Ferdinand Adrenalin Marco's. Such declaration was fueled by the various political upheavals in the Philippine political scene at that time including insurgency movements of militant groups and the fear of a communist seizure of the duly constituted government. The Martial Law lasted for about 8 years and was only lifted in 1981. The growing year 1983; Seen. Benign â€Å"Ninny' Aquinas, Jar. Turned from his exile in the United States and was assassinated at the Manila International Airport. Three years after such heart-breaking murder, Marco's called for a special snap election which was centered between him and the widow of Ninny?Carbon â€Å"Core' Aquinas. Massive cheating and electoral fraud characterized the election process in which the final tally of votes expressed the victory of the administration. Yet, even though triumph was at hand, the snap election was one of the major reasons that catapulted the People Power Revolution of 1986.The withdrawal of the military support for the overspent through the acts of high military officials Fidel V. Ramose and Juan Pence Enrich led to the downfall of the Marco's Administration. The world's attention was gravitated to the Philippines in the year 1986 when â€Å"the cheapest revolution†9 in history was launched in order to overthrow the infamous regime of Ferdinand Adrenalin Marco's. The latter was forced to go to an exile in Hawaii, United States. When Core was inaugurated as President, her administration reorganized the entire governmental order and promulgated the Freedom Constitution that abrogated the operation of the 1973 Constitution.The â€Å"Freedom Constitution† was the precursor of the 1987 organic law. In the latt er part of the same year, she ordered the formation of a Constitutional Commission through Proclamation no. 9 to draft a new constitution to legalize the new government. The regular session of the said commission was held from June 2 – October 15, 1986. It was headed by Cecilia Munson Palm, the first woman to be appointed to the Supreme Court of the Philippines, as chairman, together with Ambrosia B. Patella as vice- chairman. Napoleon G. Ram served as floor leader with Jose D.Cauldron and Madam Domain Alonso, a Muslim legislator, as assistant floor leaders. Members of the commission came from different walks of life which encompass such prominent names as former COMELY Commissioner Rene Sacramento, former Associate Justice Florien Regarded, former Chief Justice Hilarious Divide, Jar. , Dean Emeritus of Atone Law School FRR. Joaquin G. Barnes, S. J. , award-winningly director Lion Brocks, and notable lawyer Christian Monsoon. After drafting the newly structured and designed f undamental law, the commission recommended to President Aquinas the scheduling of the plebiscite for the ratification of the proposed code.A three-month period was given for the people to carefully study and scrutinize such. The plebiscite was scheduled on the 2nd February, 1987. During the campaign period for the ratification, Filipinos were quite apprehensiveness eventually, they approved the plebiscite. The process was a huge success with 76. 29% affirming the ratification while 22. 74% were on the contrary. The 1987 text is pretty lengthy and wordy which is composed of eighteen articles. Historical experiences have molded it into its present form and substance particularly the enormous impact of the Martial Law Era.THE PREAMBLE A Grand Introduction A book has a preface, a thesis has an abstract, and for the case of the constitution, here is a preamble. From the Latin word â€Å"presumably† meaning â€Å"going in front†, achieved through its expression of the author s of the document and their corresponding ideals and aspirations. It must be noted that the Preamble is not a source of rights, obligations and powers for both citizenry and government side. But because it sets down the origin, scope, and purpose of the Constitution, it is useful as an aid in ascertaining the meaning of ambiguous provisions of the Constitution. 0 For a better understanding of the messages imparted by the Preamble, several distinct partitions will be created and analyzed. We, the Sovereign Filipino People. This opening phrase indicates the main authors of the Constitution. What is unique in this construction is that the first person point of view was employed through the usage of the word â€Å"we. † This is very different form the case of the 1935 Constitution wherein the third person point of view was reflected by the less captivating description â€Å"The Filipino people. † FRR.Joaquin Barnes, one of the framers of the current organic document, expla ined that the â€Å"third person approach (1935) suggests that another power (the United States) was merely announcing that the Filipinos were anally allowed to promulgate a Constitution. â€Å"11 Hence, â€Å"The Filipino people† in the 1935 text clearly conjures the situation of the Philippines at that time being under the hands of another sovereign power and has not achieved true independence. During the euphoria of imperialism, the term â€Å"Filipino' does not apply to the natives of the Philippines.The Spanish colonization has founded a social stratification where natives were placed at the bottom of the social ladder while pure-blooded Spaniards (peninsular and insulates) and messiest are situated in a much higher position. These groups were regarded as Filipinos while the natives were branded as â€Å"indigos†?a moniker that signified racial discrimination. It is incredible to know that the framers of the 1973 and 1987 Constitution visualized the commonality among us; that we are one homogeneous body and truly Filipinos by heart.Imploring the Aid of Almighty God. Len both 1935 and 1973 texts, this phrase is worded as â€Å"Imploring the guidance of the Divine Providence† as a form of respect to the the religious freedom of every person situated in the Philippine archipelago including non-believers. During the deliberations of the 1986 Constitutional Commission, it was decided that â€Å"guidance† would be replaced by â€Å"aid† since the latter is a â€Å"more all-embracing term†12 compared to the former. Divine Providence† also yielded to â€Å"Almighty God† due to the realization that the latter implies greater intimacy regarding our relationship with the Divine and is considered as â€Å"more consonant with Filipino religiosity. â€Å"13 Basically, this part of the preamble creates a remarkable picture on how we value the role of the Omnipotent as the rudder leading us to our outstanding lo ries and destinies in life. Build a Just and Humane Society. The state and the government being created by the people themselves must uphold and create a social order that ensures fairness and greatly values human rights and dignity.The phrase added the notion that a constitution not merely sets up a government but is also an instrument for building the larger society of which government is merely a part. 14 Establish a Government. This phrase was carried on by both 1935 and 1973 constitutions in their respective preambles. One of the major intentions in drafting a institution is to establish a government that would regulate both internal and external affairs of the state and has complete autonomy in the eyes of the establishment of this structure: 1. Embody our Ideals and Aspirations.This refers to the primary responsibility of the government in advancing people's interests and not its own selfish political agendas because the powers of the same emanates from the governed per SE. 2 . Promote the Common Good. â€Å"General welfare† was used in both 1935 and 1973 texts but it was agreed by the 1986 Constitutional Commission that â€Å"common good† would supplant it in the new constitution. The rationale is found in the implication of the former phrase as the greater good of the majority and not the greater good of all components of society. Thus, â€Å"good† must be common to all. 3.Conserve and Develop Our Patrimony. â€Å"Patrimony' is so extensive when we speak of its scope since it includes everything that is rightfully owned by the people both material (resources) and immaterial (customs and traditions) ones. The government must see to it that these valued belongings of the nation must be preserved, conserved and developed. 4. Securing the Blessings of Independence and Democracy. This particular segment is not totally similar to the 1935 Constitution because the previous organic laws preamble only mentioned â€Å"the blessing of indep endence† in the third person point of view.This scenario suggests the Philippines' status during the American occupation which is still preparing to accomplish the colossal goal of self-rule. As seen in the current version, â€Å"democracy was already inserted in order to mirror the fact that the country is already a separate and independent state observing the principles of Republicanism and Democracy. In addition, this phrase is accompanied by the word â€Å"posterity' to stress out that the securing of the blessings of independence and democracy' extends even up to the eras of the next generations.Dating and Campanile also emphasized that the government established must also operate under the following conditions: 1. Under the Rule of Law. The created â€Å"medium of the state† must follow and be guided by the laws of the land. It bolsters the principle that â€Å"ours is a government of laws and not of men† which means that no person or institution is above the law. 2. Under the Regime of Truth, Justice, Freedom, Love, Equality and Peace. â€Å"Justice† and â€Å"liberty' were enshrined in the 1935 text while peace† and â€Å"equality' were added in the 1973 Constitution. What is new in the 1987 document is the inclusion of the words â€Å"truth† and â€Å"love. Truth was incorporated in order to impart to the readers of the Constitution how dismaying and hateful the acts committed by the previous administration (Marco's) in plunging the public into the pool of myriad lies. On the other hand, love symbolized the successful staging of the bloodless revolution against the iron rule of a dictator. THE NATIONAL TERRITORY Territorial Jurisdiction of the Philippines Territory is one of the four elements of the state and Just like the effect of the cinematic of people, destruction of the government, and loss of sovereignty, without it, the existence of the state would be in huge peril.Thus, it is important for a state integrity. As expounded by Article 1, the general scope of the national territory of the Republic of the Philippines includes: 1. The Philippine Archipelago. It is generally understood that the Philippine archipelago is the aggregate of the major island groupings namely Luzon, Visas, and Mindanao. An archipelago whose etymology originates from the Greek word appeals(meaning composed of several islands or groups of islands surrounded by water. Tracing the national territory provisions of the 1935 Constitution, the â€Å"Philippine archipelago' also covers: a.The whole Philippine territory ceded by Spain to the United States of America via the Treaty of Paris which was contracted between the two parties on the 10th of December, 1898. B. Subunit Islands and Canaan De Sulk which were clarified by the Treaty of Washington that was signed on November 7, 1900. C. Turtle and Manages Islands through the Convention between the United States of America and Great Britain whose purpose was to d elimit the boundary between the Philippine archipelago and North Borneo. The said convention was signed on January 2, 1930. . Philippine Waters. â€Å"Waters† in this sense applies to all the water forms found in the entirety of the territory. Due to the nature of the Philippines as an archipelago state, the waters embracing its islands (internal waters) are also considered as vital parts of its territorial control. Moreover, the term includes the territorial sea, contiguous zone, and Exclusive Economic Zones (ZEE). 3. Other Territories. These â€Å"other territories over which the Philippines exercises sovereignty or Jurisdiction† entail the inclusion of the allowing: a.The islands of Battles as reflected by the clause â€Å"all territory over which the present government of the Philippine Islands exercises Jurisdiction†16 in the 1935 Constitution. B. Those realms belonging to the Philippines based on historical right or legal title, such as Saba in Northern Bo rneo, enshrined in Article 1 of the 1973 fundamental law. On a more specific perspective, the territorial Jurisdiction of the Philippines is comprised of three kinds of domain namely: 1 .The terrestrial domain corresponds to the Philippine landmass and land forms making up the whole archipelago such as mountains, hills, valleys, volcanoes, islands and islets, etc. Furthermore, this domain embraces the natural and mineral resources found in (floras and faunas) and below (subsoil) the land surface. 2. On the other side, fluvial domain relates to the national waters enclosed by the archipelago baseline and the expanse of water located outside of the same marker. It also incorporates the seabed, the insular shelves, and other submarine areas. A.National waters include the water forms situated within the Philippine landmass like lakes, falls, rivers, canals, bays and treats as well as the internal waters identified by the archipelago doctrine. I. Archipelago Doctrine is a generally accep ted principle in International Law that is being incorporated and can be found in the last part of the National Territory provision. It states that â€Å"the waters around, between, and connecting the islands of the archipelago, regardless of their breadth and dimensions, form part of the internal waters of the Philippines. This doctrine is usually applicable to those states whose territory is archipelago in nature such as the Philippines, Indonesia, and Japan. It solidifies the fact that in the case of archipelago states, the islands, even though separated by bodies of water, will still be treated as a â€Å"single integral geographical and political unit. â€Å"17 ii. Straight Baseline Method is the most commonly baseline method which follows the contours of the landmass, it is done by determining the outermost points of the archipelago and connecting such points with straight lines producing an irregular polygon.The waters within the baselines shall be considered as internal w aters; while the breadth of the territorial sea shall then be measured from the baselines. 18 iii. The Constitution treats the waters inside the baseline as internal waters but International Law through the United Nations Convention on the Law of the Sea (UNCLOGS) considers it as archipelago waters. In the eyes of the municipal law, no foreign vessels can enter the internal waters without the state's consent. On the other side of the scale, International Law recognizes that foreign vessels may navigate the archipelago waters in the exercise of involuntary entrance only.Passage is innocent as long as a ship refrains from engaging in certain prohibited activities which includes but not limited to weapons jesting, spying, smuggling, serious pollution, fishing, or scientific research. 19 Involuntary Entrance refers to emergency scenarios wherein a foreign vessel enters territorial waters by reason of lack of provisions, ship is incapable of continuing the voyage, weather disturbances, e tc. B. Outside the baseline, one can find the territorial sea, the contiguous zone, the Exclusive Economic Zone (ZEE), maritime areas, and the open sea. I.The dimensions and measurements of the first three are also determined by the UNCLOGS, an international agreement which was partaken by the Philippines as one of the signatory states. It. The territorial sea or waters is about 12 nautical miles from the baseline. The coastal state exercises full sovereignty and Jurisdiction over this area; yet foreign ships can enter it on account of the right of innocent passage and involuntary entrance. Iii. Another 12 nautical miles from the baseline of the territorial sea is the contiguous zone where territorial Jurisdiction of the coastal state is not absolute.Even though control is limited in this area, the coastal state is still entitled to â€Å"prevent infringement of its customs, fiscal, immigration or sanitary laws and regulations within its territory or territorial sea. 20 In addition , hot pursuit can still be conducted in this zone. ‘v. Just like the previous zone, the Exclusive Economic Zone or ZEE (about 200 nautical miles from the archipelago baseline) is also not a solid component of the national territory of the Philippines.What is significant about this area is that the coastal state has the right to explore, exploit, conserve, and manage the natural and mineral reserves as well as install structures and conduct marine scientific research within its maritime dominion. V. Maritime areas include the seabed, the subsoil beneath the seabed, and the insular shelves which are redundantly found within the areas of the territorial seas, contiguous zones and the ZEE. V'. The high seas also known as international waters or open seas are definitely beyond the Jurisdiction of the coastal state.

Effects of religion on children positive or negative?

The David Family Case Family Theory: In my reading about the structural model I recalled Munich because like myself his first concern was problem focused within the context of the family structure (Goldenberg 2000). â€Å"‘ have always felt that if a child is having constant escalating behaviors of tantrums after the age of four there has to be a problem within the family structure. And so in hearing from therapist of who would many times in the past visit only with children and not the parents of families.This would really sound an alarm with me but since I lacked the understanding in the mental field I would asked the question of their knowledge in child development and the family as the root of guiding a child's first developmental years. I also remember reading about Munchies work and his vast array of experiences for example; Munich his practiced in pediatrics, his time volunteered in the army as a Doctor during Israel's war in 1948, he was a child psychiatrist in the Uni ted States working with families in poverty and those who had multiple problems, disconnected structures and displaced children from the Holocaust.His heart to volunteer and research these problematic issues revealed to me his passion and heart for the family as a unit. In my personal experience as an Early Childhood Specialist working with families with children of trauma I often found myself being approached by clinicians who were working with young children yet lacked to understand the details of the early developmental domains. I wondered if they understood temperament, parenting styles or the developmental milestones like, social/emotional patterns, independence, problem solving or attachment and bonding.Clinicians would see toddlers displaying very angry levels of behavior not recognizing they were frustrated simply because they were delayed in their speech, disengaged with their parents, or in a reign land that developed psychological stresses. So as I reviewed the David case I first observed that the structural of the family system; that being, mom, dad and children who had been interrupted by time the hierarchy currently being the grandparents, and the parental roles. This was the root in the context of this families transaction patterns that needed to be changed according to Munchies major thesis of the structural model (peg. 94). This theory looks into the relationships, the organization of the family structure having to due with family roles, rules within this system, boundaries' and wholeness. It also emphasizes on the wholeness of the family system, the influence the family hierarchical organization and the interdependent functioning of its subsystem's for the wellbeing if each individual that consist of the whole family system. In this theory enmeshment is common and the family system is functioning at a dysfunctional level for the lack of boundaries, for inhibiting individual autonomy, and for disruptions in the parental subsystem.This theory r eminds me of a sports; for example, baseball in expressing my complete understanding of this theory I will relate it to this sport. In the game of baseball it does consist of organization of each individuals place in order to function successfully as a whole team. The pitcher and the catcher are like the parents in the family. If they lack to understand their roles and that of their team-members then the whole game will be disorganized and interrupted by a loss and results in very angry, frustrated and confused emotions. What to do? What interventions will the coach implement?In my case what will I implement according to my chosen theory? Alignment, Power, and Coalitions: The David family came to therapy due to their enmeshed family. The parents were having problems in their relationships with their seven and eight year old children who were throwing full blown tantrums consistently, some examples of this manifestation where the children hitting their heads on the walls or vomiting also not listening to their parents instructions and expressing anger at their parents by physically kicking them during these escalating behaviors.As Munich puts it,† this alternated the patterns in the Davit's family structure they went without consideration which caused deviation from any established family rules such as; mandarins', a lack hierarchy, the interdependent functioning, and the wholeness of the family system (Goldenberg 2000). † The results became the resistance of the children making a healthy family connection with their parents. This is how my back- round training in child development will aid me as a future clinician.If the child lacks to build a trusting and secure relationships with their parents becoming that secure base in order for the child to become a healthy separated individual then a sense of loss and fear will result therefore displaying itself as in the Davit's hillside's case. As a therapist I would first look into the family strengths, i n this case the David family taking the step to seek out therapy without it being forced upon them due to an outside report such as D. S. S. I would praise them for taking the first step then observe the spousal, parental and siblings subsystems in this family.In observing this at the first session I could recognize that as the mother expressed her emotions the children and father displayed empathy as they all tried to comfort the mother. The father stepped in and gave instructions to the children who followed wrought it revealed that they did have some understanding for father's hierarchy in this role. This was a psychosomatic family that was enmeshed yet their quick response to comfort the mother here also revealed that they were not disengaged. That showed me that they would be willing to negotiate differences.Within this family it was clear that alignments were off and needed to be put back together by joining its forces by positive activities that engaged in quality time spent. It was the long parental working hours in the Davit's family that disrupted the emotional and psychological connections that members should make with one another. This was the power that was displaced here and instead because of the work demand was given over to the grandparents which caused stressed in the children producing escalating behaviors towards parents.In my understanding the grandparents where the third party alliances between the parent and children which Munich refers to as the coalitions. The grandparents became the dominant part of this family that detoured the power from the parents as the children cried out for their grandparents rather than parents during a place that seemed foreign to them. This resulted in conflicts that placed added stressed on the family systems. Intervention: The David family needs to be realigned, new boundaries' must be set in place and reframing must be worked into this family system.I will use the vignette as an example therapy session an d how I would guide it using Munchies structural therapy. Children are anxious and wondering the office asking to go home crying for their grandparents, they seek each other for comfort rather than parents, parents become embarrassed. Children engage with therapist asking to play with toys, mother becomes emotional children and husband respond. I would greet all by name shaking each individual's hands and then ask mom and dad what they would eke to play with their children today.Knowing that the children are engaging with me as their therapist and interested in my toys this would be used as my intervention tools in order to have the family enact a typical family conflict. Upon children calling out crying for their grandparents I would first validate their state of disconnectedness from grandparents yet redirect them by saying, † look today mommy and daddy wants your time to play with them and they want to play with some of my toys. Children cry say no and began hugging each ot her rather than parents I would then start to realign the family roles by guiding children towards arenas for comfort rather than depending on each other when parents are available. I would do this by having kneel at children's level asking them for permission to comfort them. As mother becomes anxious and emotional and father instructs children to leave mommy alone upon them trying to comfort her, I would intervene by saying to children, â€Å"k well mommy and daddy need some time while you both decide on a game to play with them but then Daddy would love for you both to help comfort your mommy. This will model time and respect given to the hierarchy of the family that being mom and dad yet allow children time for individual mime for choice and space. This would also allow parents to see the importance of setting proper structure, roles, and respectful boundaries' in place. My hope would be to have the family engage in its normal family conflicts. I would do this by either playing a game relating to the last conflict such as the children not wanting to go to bed or take a bath.My session would go something like this. â€Å"Children play a game of wants, dodos and don't, I would ask each individual to tell me what you want to today, what you will do today and what you don't you want to do today? This would e done for each family member (with specific instructions in the beginning that whatever don't want to be done everyone must laugh at the end for them, then try doing those don't by adding something fun. In this case you don't want to take a bath but how can you make it fun? The past tantrums could be realigned by making boundaries' fun thereby inventing new boundaries' and replacing them with parental time with children that will help airframe the family structure. The past rules in the David family consisted of the grandparents filling in the place of parents, the parents jack to consider the importance of time spent with their children gave up their par ental power as that secure base and trusting relationship with their children.My hope is that the engagements of family time spent together would build each individuals self-esteem and confidence as time and energy is being reciprocated here. References Goldenberg, 1. , Goldenberg, H. (2000). Family Therapy An Overview. ; . United States. Headwords, a division of Thomas Learning. Figure Captions Figure 1 . Caption of figure [Figures – note that this page does not have the manuscript header and page number]

Thursday, August 29, 2019

Personal Risk Management Project Speech or Presentation

Personal Risk Management Project - Speech or Presentation Example When Bob or any member of the family injure someone else or damage someone else’s property, the law may compel them to pay for the damage or loss. In such a case, their life savings, properties like home, and even their future income are in jeopardy. If someone sues any member of this family, and without enough insurance cover a major judgment could make this faaamiiily bankrupt. (Rebecca) 2 b) The insurer will have no liability and will not have any legal binding to compensate Mr. smith for the stolen vehicle. Collision coverage protects your car against damage caused while you are driving .He requires to have a comprehensive coverage which protects His car from damages that are not related to driving, events such as storm ,damage, fires and stealing of a motor vehicle. Meanwhile Smiths must have Liability coverage because it’s a requirement under the law. 2 d) Bodily Injury liability will cover for injuries caused to a third party. There is also Property Damage liability which covers damage caused to the third partys property.. If Mr. Smiths have liability limits of 25/50/10, it implies that $25,000 will cover the bodily injury caused to another single person. $50,000 will be the maximum payment for bodily injury per accident. $10,000 is for property damage cover. In order to pay any expenses incurred as a result of the accident, $ 4,000 in Medicare is taken care of by the $5,000 medical payment cover per-person limit in the healthcare policy. However, for Mrs. Smith’s car she will have to provide extra funds to repair her own vehicle. In Sarah’s Health insurance plans, they have a 75-25 coinsurance .This typically means that after the deductible amount of $ 500 has been used up, she will be responsible for a set percentage of her medical expenses. She will be required to pay 25% of the hospital bill, while the insurer pays the other 75%. In her

Wednesday, August 28, 2019

New Forms of Employment Essay Example | Topics and Well Written Essays - 2750 words

New Forms of Employment - Essay Example These phrases have in common their definition of employment relations that differ from typical work arrangements in which it was normally implied that work was implemented full-time, would last for an indefinite period, and was fulfilled at the employer's office strictly according to the employer's instruction. Typical work arrangements were the model in a lot of industrial states for much of the twentieth century and were the foundation of the structure within which employment law, bargaining, and security systems functioned. Reforms beginning at the end of twentieth century created the situation that led countries, companies, and employees to look for more flexibility in employment. As a result, the usual employment relationship started changing (Galbraith, 2004, p. 42; Houseman & Osawa, 1995, p. 10). Worldwide economic reforms increased competition and indecision among companies and made them to push for larger earnings and to be more adaptable in setting relations with their workers and responding to customers. Slow-moving economic development resulted in high unemployment rate that made it obvious, particularly in Europe, that economies were unable to create a sufficient amount of jobs to offer full-time salary employment for all employees (Keeley, 2001, p. 214). The adoption of atypical employment was facilitated by technical developments in communication and information systems that made it simple for companies to specialize their manufacture, bring temporary workers together quickly for assignment s, and count more on outside contractors. Employment laws created to protect permanent workers also fueled the development in atypical work by making employers pass up the mandates and expenses connected with these laws (Brown et al. 2000, p. 13). So too did demographic reforms in the composition of the work force, such more married women and old people working, who frequently preferred the flexibility obtainable through atypical employment arrangements (Gellerman, 1990, p. 122). Therefore, if to evaluate temporary employees and so-called "multifunctional full-time workers" (those who do most part of the work on constant basis), the former is obviously more beneficial and profitable. Atypical work relations are not new. Work arrangements that did not correspond the model of full-time work always existed, and history is full of instances of peripheral work forces and flexible labor markets where the work is unbalanced and temporary (Gratton et al., 1999, p. 74). For example, in the contracting system of the United States in the 19th century, management provided equipment and space in the plant, supplied raw material and monetary resources, and set for the sale of the product while contractors were accountable for manufacture and hired the employers, paid them and controlled them (Jackson & Schuler 1995, p. 237).

Tuesday, August 27, 2019

Human Resource Management at Work Essay Example | Topics and Well Written Essays - 2500 words - 1

Human Resource Management at Work - Essay Example In this approach, there is not much focus on the human resource. The contemporary approach focuses on competencies and the employees’ commitment to the organisation. The principle behind the contemporary approach is that if the employees are happy, the organisation progresses too. Talents and capabilities of the employees are maximized, and are linked to the goals of the organisation. The contemporary approach is based on the principle that the people are the organisation’s greatest asset (Armstrong, 2006, p. 3). HRM provides effective management of the staff, retention, and turnover processes, and selection of employees that fit with both the organisational strategy and culture, and the cost effective utilisation of employees through investment in identified human capital. The first part of this paper focuses on theories and concepts, while the second part is concentrated on a particularly industry, the automotive industry, with Toyota as the particular organization battling the forces of organisational and external environment. The last part is a reflective diary which details this author’s personal experiences in the conduct of the research. The ‘universalist’ paradigm states that the purpose of the study of HRM is to improve the way that human resources are managed strategically within organisations. The aim is to improve organisational performance, as judged by its impact on the organisation’s corporate strategy (Tichy, Fombrun and Devanna, 1982; Huselid 1995, cited in Harris et al., 2003). Good HRM focuses on careful recruitment and selection methods, coupled with an effective training and development. Other contributing factors are a good communication process within the organisation, a well-defined job design, performance appraisal, and the motivation system for employees, which include performance standards, appraisal, etc. (Harris et al., 2003) The contextual paradigm searches

Monday, August 26, 2019

Comparing and contrasting HMO and PPO insurance programs Essay

Comparing and contrasting HMO and PPO insurance programs - Essay Example Whenever a policyholder needs the services of a specialist doctor, the PCP needs to be visited to refer the specialist to be visited by the policyholder, HMO or PPO. Difference between HMO and PPO comes in the PCP aspect. For HMO, there is no choice; the member has to identify a PCP but in PPO, it is not mandatory. It depends on the will of the members to choose a PCP or not. In other words, the PPO members can select a specialist by their own (Daltons, 2007). Personally, I would like to opt for HMO, reason being it suits my needs. I do not need to search for any specialist myself. Whosoever the specialist, I will be referred to by the PCP; it would relieve me from the tension of finding a good specialist. It is cost-effective also, as I will be eligible for coverage or benefits, not available in PPO for getting medical care outside of the private network. I need not pay from my own pocket if I select HMO, as my healthcare insurance provider (Dalton, 2007). It needs to be noted that a PPO member will not pay extra if the chosen doctor is from the preferred providers, but the HMO member can consult only the selected PCP. If there is some emergency, the selected PCP would refer the case to the specialist in the HMO network only. In the case of PPO, advanced permission might be required for costly services, such as MRIs. Even in HMO, procedures and prescription services and copayments for doctor visits are charged. In PPO arrangement, out-of-network charges are only partly paid (Behari, 2010). Role of the PCP is very critical in HMO, as it is the PCP who caters to all healthcare needs of the insurer. A PCP functions as a personal doctor to attend to all needs of the patient. A PCP could either be an internal medicine physician, family physician, and in some HMOs, gynecologists to offer essential healthcare for women. A PCP can be a pediatrician too or a family doctor as well, as per one’s choice for getting treatment for

Sunday, August 25, 2019

Thai Restaurant in Brighton, UK Literature review

Thai Restaurant in Brighton, UK - Literature review Example This part of the study focuses on the available reading materials pertinent to the information needed. 2.1 Overview Obesity rate in the United Kingdom has been rising along with the number of restaurants especially in the fast food industry. As of 2011, UK’s Department of Health (2011) revealed the results of a survey for England known as the Health Survey for England (HSE), which showed 25% of all adults are obese, while 10% of children are also obese. Since the beginning of the 20th century, people tended to eat out. Fast food restaurants served meals that increased the level of cholesterol, sugar, and salt in consumers. This was observed to have resulted in the high obesity rate, heart disease, and high blood pressure for people living in UK. Crawford, et.al. (2010) said these are the effects of mass production and consumption of unhealthy food. Thus, it would be a good idea to have a Thai restaurant capable of serving the right menu to promote a way to overcome obesity via healthy and delicious recipes. One relevant literature describes diet and nutrition, and then compares healthy diet models. |This can be a source of knowledge about how to start, promote, and develop a healthy food market in the United Kingdom. ... Dietary patterns affect neurotransmitters responsible for the alteration of moods and actions in the human body. In addition, experts pointed out that any shortage or excess in diet will lead to neurotransmitters causing changes in human growth, emotionally, as well as physically, according to Wiseman (2002). From this understanding of the relation of neurotransmitters with diet, majority of nutritionists came up with dietary patterns or models that may enable human body to control neurotransmitters effectively. Medeiros and Wildman (2012) defined the duty of neurotransmitters to be the brain chemicals that flow and communicate information throughout the body and brain. 2.2 Diet and Nutrition Debruyne et al. (2008) and Insel et al (2011) pointed out that the terms ‘nutrition’ and ‘diet’ exist synonymously. In particular, food is most essential in the human diet for survival. To understand nutrition and diet, Smolin and Grosvenos (2005) identified two groups, namely, macronutrients and micronutrients, wherein the first group includes carbohydrates, proteins, and fats, while the later includes all the vitamins and minerals. Mcguire and Beerman (2009) support the fact that both groups play an essential role in the physical and emotional growth of the human body. Macronutrients enable the body to acquire energy for the production of tissues and cells. Although excess fats in the body can be harmful, the body cannot live without fats. Dr. Meyers, Jeffrey P.(2005) described the many important roles of fats in the body. They protect cell membranes by keeping them flexible, enriched with white blood cells that fight foreign substance and prevent the development of diseases. Without fats, nerves and blood vessels cannot grow normally.

Saturday, August 24, 2019

Women in combat and the risk of post-traumatic stress disorder and Essay

Women in combat and the risk of post-traumatic stress disorder and depression - Essay Example Women hold important positions in the armed forces including military police, intelligence, as pilots, as physicians, as physiotherapist, for transportation, as mechanics, civil affairs etc. It is really pitiful that their efforts are undermined and are always treated as less victimized when compared with their male counterparts. They perform small but imperative jobs and their contribution cannot be diluted. Even though women are expelled from allocating in straight combat specialties encompassing infantry or armor, but they do endow with varied support as travelling outside military base, working with the combat soldiers, exposure to fire or victimized under any casualty (Hoge, 2007). Research findings reveal that there exist a gender difference if veterans are screened for depression, PTSD (Post Traumatic Stress Disorder), pain, obesity etc (Haskell, 2010). Screening of veterans have been performed and it was instituted the prevalence of MST and depression amongst the female veter ans. Results disclose that almost 14% of the female veterans were positive for MST while half of the females (48%) were found to be the sufferers of severe depression, indicating that females are at double risk of depression irrespective of cultural or racial milieu or financial standing.

Friday, August 23, 2019

Primitivism and Exoticism Essay Example | Topics and Well Written Essays - 1500 words

Primitivism and Exoticism - Essay Example If an entity is being adopted or being infiltrated in the other culture then the entity becomes foreign for that specific culture. Exoticism deals with the exotic adoptions in arts from diverse and previous cultures and incorporates it in the modern era of art. It demonstrates that â€Å"Exoticism is to space what Primitivism is to time†. However, Primitivism and Exoticism in the modern music congealed the preceded understanding of these two schools of thought in the modern art. Exoticism and primitivism in music do not only deal with foreign or previous contents and contexts but also utilized the developed outcomes of those contexts in the modern manner. This paper is aimed to discuss the association of Exoticism and Primitivism to the music in the era of modernism and it will be discussed in the light of chapter seven of the book Modernism and Music: Anthology of Sources by Daniel Albright. Primitivism The side of modern music which is embarked in the ideology of Primitivism is contained with some distinct traits which are not usually found in the conventional ideals of primitivism in other modern art forms like paintings. It can be understood by contrasting the two art forms in the domain of Primitivism. Primitivism in the art is accepted to be consisting on three major factors. These major factors are intensely separate in their realistic sense and concepts. However the modern primitivism does incorporate all three of these distinct factors which are fascination, the factor of disgust and a significant proportion of terror. Modern primitive art is formulated by the compilation of these three factors in which the pessimistic account is more illuminated than the optimistic shade of the demonstration. (Albright, 2004). Primitivism in modern music is significantly different from the other art forms regarding Primitivism. It can be said that Primitivism in music contains a less amount of pessimism as compared to the Primitivism in painting and literature. Musical primitivism is immensely based on research and this research involves the analyses of folksongs. The researchers of these folksongs realize the non modernity of those folksongs which were produced in the preceding times. The essence of Primitivism is steeped under the principle that the art of previous times must be adopted and demonstrated on the canvas of modern art in the modern times. Similarly, the Primitivism in modern music manifests the correspondence of preceding folksongs with a lesser of the dark side (Albright, 2004). Primitivism and Modernism Modernism is often described as the post feudal and post colonial era in which the preceding ideologies were replaced with the modern ideologies including the equality of mankind. The most fundamental change which is marked to be identified as the major change was the rise of capitalism and industrialization in the prominent parts of the world. This major change initiated the congealment of society by every possible aspect and perspective including the system of politics in the society, educational system and most importantly the art. The period of modernism is also known as the era of enlightenment in which many thinker and artists played there significant roles in their scope of excellence. Many of the artistic movements were formed and appreciated in

Thursday, August 22, 2019

History (Fifteen Year War in Asia) Essay Example | Topics and Well Written Essays - 1000 words

History (Fifteen Year War in Asia) - Essay Example This essay will address the responses of African Americans and Japanese Americans before and during the World War II. Many influential African descendants began admiring Japan after Japan’s defeat of Russia. W.E.B. Du Bois, Booker T. Washington, Marcus Garvey and Harry Dean all wrote and spoke about their high regard for the Japanese. These men considered Japanese to be a people of color. For a people of color to vanquish a country ruled by a white monarchy gave African Americans hope. If Japan could triumph over Russia, why could Japan not defeat America? Marcus Garvey believed the wind of change had started blowing. His organization the Universal Negro Improvement Association began supporting pro-Japanese causes in American and Britain. The African descendents and African Americans did not only admire the Japanese for their victory in the Russo-Japan war. The Japanese were admired for their acceptance of people of color. Many Japanese speakers in America at that time brought an African American wife or mistress to address the African Americans. In a time of Jim Crow laws to have a Japanese man affiliate himself with African Americans proved that Japan could provide a more racially equal environment than America. The thought of a society with little or no racial tension appealed to African Americans. To boost the pro-Japanese stance, Elijah Muhammad, a Nation of Islam leader, Marcus Garvey and Harry Dean, Paul Cuffe’s grandson, put forth the theory that Africans and Japanese were related by blood. A theory was put forth that Africans and Japanese were related by blood. Harry Dean, a sailor by profession, brought a tale back from Africa. This tale, the Teo Saga, claimed a chief, more Japanese than Africa, told how South Africa, Madagascar, Sumatra, Java, Korea and Japan once were connected by land. After the great flood these places were separated by water. Elijah Muhammad pointed out the

African-American women Essay Example for Free

African-American women Essay Firstly however we must address the problems that occur when separating the effects of time and interference. Baddeley and Hitch (1977) conducted a survey whereby they asked rugby players to recall the names of teams they had played against during the previous season. Due to illness and injury some of the players had been unable to play in all the fixtures. This meant for some of the players two games back meant two weeks ago whereas with others two games back meant four or five weeks ago. The findings showed that passage of time was not the main factor that determined how well the teams could be recalled, but it was the number of games that effected recall. In other words forgetting occurred more often where team members had other games interfere with previous fixtures rather than trace decay. If interference is the major cause of forgetting within L. T. M it should be true that people will remember material over a time period providing no interfering material intervenes. It is clearly difficult to set up a condition whereby no participant is immobilized after learning with any opportunity for the occurrence of any new learning. This has led researchers to look at the effect of different types of interfering material on recall. McGeoch and McDonald (1931) asked participants to learn and relearn lists of adjectives and then compared their performance on recall tests after interpolated tasks. Forgetting these adjectives was at its least when participants simply had to rest during the learning and recall and increased when participants were required to learn nonsense syllables in the interval. Rates were even higher when it was adjectives that were learned in the interval and were at there highest when the adjectives learned were similar in meaning to the original list. This shows that forgetting increases as a function of the similarity of the interfering material. Retroactive Interference Proactive Interference Retrieval Failure This is also known as the tip-of-the-tongue phenomenon and comes about when we think we know something but cannot recall it at that precise moment in time. This is due to the fact that the correct retrieval cues are not available. Sometimes different words related to the original memory can prompt us to remember the memory and these are called interlopers. Brown (1991) has reviewed this phenomenon for the last 25 years and has concluded that people can correctly name the first letter of the target word between 50 and 70 per cent of the time along with being correctly accurate with the number of syllables in the word. The interloper theory (retrieval cue) was investigated by Perfect and Hanley (1992) who found that distinctiveness of the target word and its similarity in meaning play a factor in recall. Tulving was another researcher to investigate retrieval cues and it was his work with Osler (1968) that led to some interesting findings. They presented participants with lists of words, each paired off with a weakly associated cue word e. g. city-dirty. Participants where then tested for free recall (without the cue word) or were cued with the word e. g. dirty. They found that cued recall consistently produced higher levels of recall. To counteract the argument that any semantic association might aid the recall, they gave participants weak semantic associates which were different to that of the original cue words. These cues did not aid in recall and so led them to conclude that specific retrieval cues aid recall if and only if the information is stored at the same time as the information about the membership of the word in a given list. While Tulving stressed the importance of cues at the encoding stage he later admitted that cues not present at this stage could also be helpful under certain circumstances. Context Dependant and State Dependant Learning Research has shown that we remember more if we recall things in the same state as what we learned them in. In other words how we encode material at the time of learning is clearly important. Godden and Baddeley (1975) presented deep-sea divers with lists of words to learn. They learned these on the beach and under 15 feet of water. Recall was then tested in either the same or the opposite environment. Findings showed that recall was significantly better if tested in the same environment. These differences however are only small but it has been suggested that by even simply imagining the original environment can be helpful. Smith (1979) gave participants a list of 80 words to learn while sitting in a distinctive basement room. The following day he tested some of the participants on recall in the basement room and others in a fifth floor room with quite different surroundings. Average recall for the basement group was 18 but for those in the fifth floor room it was only 12. A third group was tested in the fifth floor room but were instructed to imagine themselves in the basement. The average recall for this was 17 words. There is also some evidence to suggest that not only external environment plays a role in recall but also our internal environment i. e. physiological state or mood may play a part. Godwin et al (1969) found that heavy drinkers who learn things in a drunken state are more likely to recall them in a similar state. Eich (1980) has found similar findings with a range of drugs including marijuana. Research into the Role of Emotional Factors in Forgetting Flashbulb Memories Psychologists have often ignored the role of emotion in human cognitive processes but it seems likely that the way we feel has an impact upon the way we remember things and one particular type of memory that seems to be influenced by emotion have been called flashbulb memories. This is a particularly vivid, detailed and long lasting memory of an event that is usually highly significant and emotional and is usually unexpected. It can be a personal event or something that provokes worldwide interest e. g. death of Princess Diana. Research carried out by Brown and Kulik has led them to conclude that the event must be surprising and have real consequences for the persons life. They believe that such an emotional event triggers a neural mechanism that causes details of the scene to be imprinted on the memory. They believe it is a special type of memory because the detail and accuracy with which the event is remembered and the fact that the structural form of the memory is always so similar. They believe six different types of information about the event are stored being i. Where they were ii. What they were doing iii. The person who gave them the news iv. What they felt about it v. What others felt about it vi. What happened in the immediate aftermath However not all psychologists believe that flashbulb memories are special. Neisser (1982) believes that the longitivity of such memories result from frequent rehearsal and reworking of the event rather from neural activity at that precise moment in time. He believed that we recall it clearly due to the fact that we resort to storytelling techniques when telling someone about the event. It is still unclear whether flashbulb memories represent a particular type of memory or whether they are substantially similar to most memories for big events. Repression Another view about the way in which we forget things was put forward by Freud (1915-18) who believed that some memories become inaccessible as a result of repression. He believed that we use an unconscious process that ensures that threatening or anxiety-provoking memories are kept from our conscious awareness. These memories may stay repressed for years and never come to mind or can do in the form of hysterical neurosis. Although it has proved difficult to recreate repression in laboratory circumstances a number of attempts have been made. Levinger and Clark (1961) asked participants to generate associated words with words presented by them. Some of these words were emotionally neutral e. g. tree, window and others were emotionally arousing e. g. angry, quarrel. When asked to recall these associated words results showed that people tended to recall the emotionally neutral ones as opposed to the emotionally provoking ones, which helps to support the idea of repression. However such tests are considered suspect and Holmes (1990) concluded that there is no experimental support for the concept of repression. Recently research has focused upon repressed memories associated with child sexual abuse and whether or not recovered memories are genuine. The main problem with assessing whether or not they are true is that they have no independent, objective corroborative evidence. Williams (1992) found that 38 percent of a group of African-American women who were known to have suffered abuse reported repressed memories about it although it was clear that some of these memories were false. Loftus (1997) conducted an extensive review of studies that led him to believe that even psychologically healthy individuals altered their memory of events based on false suggestions about them. Baddelley concluded that it is important to exercise great caution in interpreting such reports.

Wednesday, August 21, 2019

Health Policy And The Social Determinants

Health Policy And The Social Determinants INEQUALITIES IN MENTAL HEALTH Introduction and definitions: Mental health is described by the World Health Organization (WHO) as: a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community (WHO 2001a, p.1). According to NHS website every year in the UK, more than 250,000 people are admitted to psychiatric hospitals and over 4,000 people commit suicide (http://www.nhs.uk/conditions/mental-health/Pages/Introduction.aspx , accessed 20-4-2010) Mental health inequality is a long standing problem that has been tackled for decades by epidemiologists, sociologists and health professionals. And because this problem has both strong social and health aspect there is no unified approach to identification and resolution. From Sociologists viewpoint inequality with mental health is a problem that has two main explanations: people are poor because they have mentally illness that makes them unable to keep work probably (social selection), or they become mentally ill under the stress of being poor (social causation). However, in modern psychiatry other factors are believed to involve in the etiology such as genetic factors, diet, and hormonal disturbance which interact with personality disorders or emotional state to produce mental illness. The problem of inequality is not only about serious mental illness but we can expand the definition of mental health inequality to include everyday feelings which is considered by United Kingdom Department of Health to be public health indicator: How people feel is not an elusive or abstract concept, but a significant public health indicator; as significant as rates of smoking, obesity and physical activity (Mental Well-being Impact Assessment ,2009) The table below gives examples of those factors that promote or reduce opportunities for good mental health (DOH 2001): MENTAL HEALTH PROTECTIVE FACTORS INTERNAL PROTECTIVE FACTORS EXTERNAL PROTECTIVE FACTORS EMOTIONAL RESILIENCE physical health self esteem/positive sense of self ability to manage conflict ability to learn CITIZENSHIP a positive experience of early bonding positive experience of attachment ability to make, maintain and break relationships communication skills feeling of acceptance EMOTIONAL RESILIENCE basic needs met food, warmth, shelter CITIZENSHIP societal or community validation supportive social network positive role models employment HEALTHY STRUCTURES positive educational experiences safe and secure environment in which to live supportive political infrastructure live within time of peace (absence of conflict) MENTAL HEALTH DEMOTING/VULNERABILITY FACTORS INTERNAL VULNERABLE FACTORS EXTERNAL VULNERABLE FACTORS EMOTIONAL RESILIENCE congenital illness, infirmity or disability lack of self esteem and social status feeling of helplessness problems with sexuality or sexual orientation CITIZENSHIP poor quality of relationships feeling of isolation feeling of institutionalisation experience of dissonance, conflict, or alienation EMOTIONAL RESILIENCE needs not being met hunger, cold, homelessness/poor housing conditions etc. experience separation and loss experience of abuse or violence substance misuse family history of psychiatric disorder CITIZENSHIP cultural conflict experience of alienation discrimination the negative experience of being stigmatised lack of autonomy the negative experience of peer pressure unemployment HEALTHY STRUCTURES value systems effects of poverty negative physical environment Table 1: factors that promote or reduce opportunities for good mental health What is the evidence on mental health inequalities? Socio-economic status: Community-based epidemiological studies across countries and over time have consistently identified an inverse relationship between Socio-economic status and prevalence rates of schizophrenia .The ratio between the current prevalence (defined as period prevalence up to one-year prevalence) of the disorder among low-SES and high-SES people was 3.4, whereas the ratio for lifetime prevalence was 2.4 (Saraceno et al,2005), and in Britain, twice as many suicides occur among people from the most lower SES (Blamey A et al ,2002). There are five hypotheses to explain this relation (Hudson 2005): Hypothesis 1: Economic stress. The inverse SES-mental illness correlation is a speci ¬Ã‚ c outcome of stressful economic conditions, such as poverty, unemployment, and housing unaffordability. Hypothesis 2: Family fragmentation. The inverse SES-mental illness correlation is a function of the fragmentation of family structure and lack of family supports. Hypothesis 3: Geographic drift. The inverse SES-mental illness correlation results from the movement of individuals from higher to lower SES communities subsequent to their initial hospitalization. Hypothesis 4: Socioeconomic drift. The inverse SES-mental illness correlation results from declining employment subsequent to initial hospitalization. Hypothesis 5: Intergenerational drift. The inverse SES-mental illness correlation is a function of declines in community SES levels of hospitalized adolescents between their  ¬Ã‚ rst hospitalization and their most recent hospitalization after turning 18 Age: In elderly: National Institute for Mental Health in England (NIMHE) has reported the following point regarding mental health problems in elderly : 3million older people in the UK experience symptoms of mental health problems the annual economic burden of late onset dementia is  £4.3 billion which is greater than that for stroke, cancer and heart disease combined dementia affects 5% of those aged over 65 and 20% over 80 10-15% of all older people meet the clinical criteria for a diagnosis of depression these numbers are set to increase by a third over the next 15 years (NIMHE, 2009). Mental health problems in elderly often go unrecognised. Even where they are acknowledged, they are often inadequately or inappropriately managed (DH 2005c). The UK inquiry into mental health and well-being in later life (2006) identified five factors that influence the mental health of older people: discrimination (for example, by age or culture); participation in meaningful activity; relationships; physical health (including physical capability to undertake everyday tasks); and poverty. in children : WHO states, that the à ¢Ã¢â€š ¬Ã… ¾development of a child and adolescent mental health policy requires an understanding of well-being and the prevalence of mental health problems among children and adolescents(child and adolescent mental health policy, 2006) However, there is an evidence that levels of distress and dysfunction during childhood are considerably high between 11 per cent and 26 per cent, while the severe cases that require interventions are around 3-6 per cent of people under 16 years of age (Bird et al.1988; Costello et al. 1988). Emotionally disturbed children are exposed to abuse or neglect in their family of origin, with estimates up to 65 per cent (Zeigler-Dendy,1989). Gender: Women and Mental Health Mental health problems are more common among women than men with higher incidence rates of depressive disorder than men (Palmer, 2003). There are many factors to explain this, first: Socio-economic factors such as poverty and poor housing conditions cause greater stress and fear of future amongst women. lack of confidence and self-esteem may be the results of educational factors such negative school experiences , Living in unsafe neighbourhoods cause stress and anxiety amongst women , dependency on prescription drugs (for depressive and sleeping disorders) often leads to anxiety. Men and Mental Health Men tend to be more vulnerable to mental health problems and suicide than ever before due for a number of reasons including: Men in general are less likely to talk about their problems or feelings or to admit that they have depression. Men are less likely to seek help for mental and emotional health problems. Unemployment has a greater impact on men in general. Some mental disorders are more serious in men for example suicide is the leading cause of death among young men. The rate for young men aged 10-24 years is higher among those from deprived communities compared with those from affluent communities. Men also experience earlier onset of schizophrenia with poorer clinical outcomes (Piccinelli, 1997) Risk groups for mental illness in men include (DHSSPS,2004): Older men: they are less willing to use health services because of the perception that these services are for older women. Divorced men because they have less support available from family , and services designed to meet the needs of this group is particularly. Male victims of domestic abuse -especially boys in rural areas. Gay and bisexual men few services are available to help men deal with problems such as homophobic bullying and harassment. Male survivors of sexual abuse lack of co-ordinated support for adult survivors of abuse Fathers despite examples of good practice, men have comparatively less access to support services than women, to enable them to cope with the stresses of parenthood. Bereaved men lack of appropriate services specifically targeted at men who have experienced bereavement. Men in rural areas particularly isolated in terms of service access. Young offenders inadequate psychological services in juvenile justice centres despite the high proportion of young people entering the juvenile system with a range of mental health problems. Ethnic group: A review by Commission for Healthcare Audit and Inspection,( Count me in, 2009) noted that Rates of admission were lower than the national average among the White British, Indian and Chinese groups, and were average for the Pakistani and Bangladeshi groups. They were higher than average among other minority ethnic groups particularly in the Black Caribbean, Black African, Other Black, White/Black Caribbean Mixed and White/Black African Mixed groups with rates over three times higher than average, and nine times higher in the Other Black group. Employment Status and Mental Health Having a job helps to maintain better mental health than not having one, but this is not always true as many factors involve For example, jobs which are unsatisfactory or insecure can be as harmful to health as unemployment (Wilkinson et al , 2003). Anxiety about job security, lack of job control, perceived effort-reward imbalance, negative relationships in the workplace, including bullying and harassment can have negative mental health consequences. According to OSC Health Inequalities Review (2006) people with a common mental disorder are five times more likely to be unemployed, and if they have work they are more likely to be excluded, people with an identified mental health problem are twice as likely to be on income support and four to five times more likely to be getting invalidity benefits. A person with a diagnosis of a psychotic illness leaves him with only a one in four chance of being in employment. Geographic variation: Studies result on geographic variation of mental illness are inconsistent , for example Hollie has concluded that In mental health problems there is substantial variation at the household level but with no evidence of postcode unit variation and no association with residential environmental quality or geographical accessibility. It is believed that in common mental disorder the psychosocial environment is more important than the physical environment (Hollie et al, 2007) On the other hand, a recent Swedish study of 4.4 million adults found that the incidence rates of psychosis and depression rose with increasing levels of urbanisation (Sundquist K.et al.,2004). Another study by Royal Commission on Environmental Pollution shows that people from densely populated areas had a 68-77% and 12-20% higher risk of developing any psychotic illness and depression respectively when compared to a control group in rural areas. Within urban areas the rates for psychoses map closely those for deprivation and the size of a city also matters; in London schizophrenia rates are about twice those in Bristol or Nottingham (Royal Commission on Environmental Pollution, 2007a, 2007b). Disability and Mental Health: Definition: According to Disability Discrimination Act (1995) (DDA) A person has a disability if he has a physical or mental impairment which has substantial and long-term adverse affect on his ability to carry out normal day to day activities In the light of this definition we can focus on mental health inequality of three groups of people: à ¢Ã¢â€š ¬Ã‚ ¢ People suffer socio-economic disadvantage caused by stigma and discrimination associated with their mental health problems. à ¢Ã¢â€š ¬Ã‚ ¢ People with both mental health problems and physical disabilities. à ¢Ã¢â€š ¬Ã‚ ¢ People with physical disabilities, whose experience discrimination and stigma because of their physical impairment and become mentally ill because of this experience. Disabled people are more likely to experience stress and emotional instability than those who are not disabled. a report by the Equality Commission for Northern Ireland (2003) has found that whilst 34% of those who were not disabled had experienced quite a lot or a great deal of stress in the last 12 months prior to the survey, the percentage rose to 52% for disabled people. Experiences of depression within the last 12 months were higher among women who were disabled (44%) than men (34%). Conclusion: Inequality in mental health is as important as any other form of health inequality, however the interaction between social and personal level in mental illness makes it more difficult to address different kinds of mental health Inequalities associated with it. Question 2 : word count (2000) Tackling inequalities in mental health Introduction: Mental illness, among other disorders, is widely considered as a significant determinant of both health and social outcomes and many studies have spotted mental health disorders as both consequence and cause of inequalities and social exclusion. Mental health diseases have two distinct characteristics as a public health problem: first very high rates of prevalence; secondly : onset is usually at a much younger age than for other health problem , Mental health diseases effects all areas of peoples lives : personal relationships, employment, income and educational performance. (Friedli and Parsonage , 2007; McDaid , 2007) Who is at risk for mental health problems? Defining risk groups enables policies makers to determine how to manage available resources to achieve better health equality. Furthermore, these groups are the main targets for health equality promotional programs. A review of recent evidences on mental health inequalities can help to define the large groups at risk: à ¢Ã¢â€š ¬Ã‚ ¢ People living in institutional settings: such as care homes or those in secure care or subject to detention. à ¢Ã¢â€š ¬Ã‚ ¢ People living in unhealthy settings and who may not be reached by traditional health care such as veterans or the homeless. à ¢Ã¢â€š ¬Ã‚ ¢ People with physical and/or mental illness, people misusing drugs, people with alcohol problems, people who are victims of violence and abuse. à ¢Ã¢â€š ¬Ã‚ ¢children whose parents have problems with alcohol or with drugs, children whose parents have a mental illness and looked after and accommodated children, à ¢Ã¢â€š ¬Ã‚ ¢ People from groups who experience discrimination. Key policies: These policies can be long term policies focusing on deep change over long period or short term seeking fast results such as health promotion. Long term aims: Inequalities in mental health are not only about equality of access, but also about quality of access. In the year 2009 Mental Health Foundation has published a report on resilience and inequalities in mental health (Mental Health, Resilience and Inequalities ,2009) This report mentioned four priorities for action: 1-Social, cultural and economic conditions that support family life: This can be done by reduce child poverty , parenting skills training and high quality preschool education , increasing access to safe places for children to play, especially outdoors, inter-agency partnerships to reduce violence and sexual abuse. 2- Education that helps children both economically and emotionally by: schools health promoting programs, involving teachers, pupils, parents and supporting parents to improve the home learning environment (HLE) support social, sports and creative achievements, as well as academic performance 3- Reduce unemployment and poverty levels and promote and protect mental health by: Supporting efforts to improve pay, work conditions and job security. Facilitate early referral to workplace based support for employees with psychiatric symptoms or personal crises to prevent employment breakdown. 4- Tackle economic and social problems, which cause the psychological distress. Such as housing/transport problems, isolation, debt, beside that art and leisure centres can help to reduce stress too. However, these strategies take long time to be effective, that means the need for more rapid actions or short term aims. Short term aims: Mental health promotion: To build an effective strategy to promotion for health equality the following points should be achieved: à ¢Ã¢â€š ¬Ã‚ ¢ Comprehensive: Mental Health promotion is not only the responsibility of health services alone; other sectors of society should join that effort. à ¢Ã¢â€š ¬Ã‚ ¢ Based on evidence à ¢Ã¢â€š ¬Ã‚ ¢ Based on the needs of the local communities, and with the agreement of these communities. à ¢Ã¢â€š ¬Ã‚ ¢ Subject to evaluation: The strategy should be subject to critical evaluation and can be changed when necessary. A good example of such strategy is the Mental health national evidence based standards which have been issued by The National Service Framework for Mental Health (DOH 1999). The purpose of these standards is to deal with mental health discrimination and social exclusion associated with mental health problems. And that can be achieved by promotion: promote mental health for the whole society, working with individuals and communities Stop discrimination against individuals and groups with mental health problems, and take steps towards better promotion for their social inclusion. Tackling inequalities for special risk groups: The Suicide prevention strategy: One of the best example is the strategy based on work by (DOH 2002) and The NSPSE (National Suicide Prevention Strategy for England), the report was the result of literature review of suicide prevention programs around the world and has reached the following goals: 1. To reduce the risk in key high-risk group. 2. To promote mental well-being in the wider population. 3. To reduce the availability and lethality of suicide methods. 4. To improve the reporting of suicide behavior in the media. 5. To promote research on suicide and suicide prevention. 6. To improve monitoring of progress towards the target for reducing suicide. Women and Mental Health: Preventing: The results of UK-based survey (Williams, 2002) shows that mental health services for women: Do not meet womens mental health needs. Can replicate inequalities. Can be unsafe for women. Can be insensitive to the effects of gender and other social inequalities, such as race, class and age However, in their response to a survey conducted in England and Wales, women said that they wanted services that: à ¢Ã¢â€š ¬Ã‚ ¢ Keep them feel safe. à ¢Ã¢â€š ¬Ã‚ ¢ Promote empowerment, choice and self-determination. à ¢Ã¢â€š ¬Ã‚ ¢ Place importance on the underlying causes and context of their distress in addition to their symptoms. à ¢Ã¢â€š ¬Ã‚ ¢ Addressee important issues relating to their roles as mothers, the need for safe accommodation and access to education, training and work opportunities. à ¢Ã¢â€š ¬Ã‚ ¢ Value their strengths, abilities and potential for recovery. (DH, 2002a) These points are important to build a need-based action plan for better equality in health services. Men and Mental Health: Preventing: The Equal Minds conference workshop which had special focus on men and mental health listed five service design features targeted at mens mental health and well-being (equal minds, 2005): à ¢Ã¢â€š ¬Ã‚ ¢ Accessibility and flexibility of services regarding time, location. For example, Select places familiar for men, Men Only sessions run by male staff, make use of some activities, such as sport and physical activity programmes. à ¢Ã¢â€š ¬Ã‚ ¢ Holistic approach, works on the person as a whole, not just on mental health. à ¢Ã¢â€š ¬Ã‚ ¢ Early intervention to prevent anxieties and concerns build up, especially in stress and anger management. à ¢Ã¢â€š ¬Ã‚ ¢ Trust and confidence are important to solve problems of identity and role that can underlay mens anxieties and self-perceptions or lack of self-esteem. Ethnicity and Mental Health: Preventing: The main problem in this field was the barriers to access services. Barriers include: à ¢Ã¢â€š ¬Ã‚ ¢ Language. à ¢Ã¢â€š ¬Ã‚ ¢ Stereotyping. à ¢Ã¢â€š ¬Ã‚ ¢ Lack of awareness or understandings of mental illness. The report Inside Outside (Sashidharan, 2003) which addresses mental health services for people from black and minority ethnic communities in England and Wales. Suggest that patients from all minority ethnic groups are more likely than white majority patients: à ¢Ã¢â€š ¬Ã‚ ¢ To follow aversive pathways into specialist mental health care. à ¢Ã¢â€š ¬Ã‚ ¢ To be admitted compulsorily (there are differences also between ethnic groups at all ages). à ¢Ã¢â€š ¬Ã‚ ¢ To be misdiagnosed. à ¢Ã¢â€š ¬Ã‚ ¢ To be prescribed drugs and Electroconvulsive therapy (ECT), more than talking therapies. à ¢Ã¢â€š ¬Ã‚ ¢ To have higher readmission rates and stay for longer periods in hospital. à ¢Ã¢â€š ¬Ã‚ ¢ To be admitted to secure care/forensic environments. à ¢Ã¢â€š ¬Ã‚ ¢ Their social care and psychological needs are less likely to be addressee within the care planning process. à ¢Ã¢â€š ¬Ã‚ ¢ To have worse outcomes. A strategic approach in Ethnicity and Mental Health: In England and Wales a framework have been developed for action for delivering race equality in mental health (DH, 2003b) The framework focuses on three building blocks which are essential to improved outcomes and experiences of people from black and minority ethnic communities: à ¢Ã¢â€š ¬Ã‚ ¢ Information of better quality and more intelligently used. à ¢Ã¢â€š ¬Ã‚ ¢ Services which are more appropriate and responsive. à ¢Ã¢â€š ¬Ã‚ ¢ Increased community engagement In other words any approach should take in consider both quality of health services and the socio-economic disadvantages experienced by people from ethnic communities. Some suggested steps for this approach may include: Providing interpretation and translation services beside mental health service to insure highest possible quality. Adopting equalities practice in mental health services, that mean better understanding for cultural identity, the impact of racism, and culture differences in expression of mental distress. Developing assessment and diagnostic tools that can better assess patients from different backgrounds and ethnicities. Ensuring that services understand and respect spiritual requirements for different cultures. Ensuring access equality to culturally appropriate services including, counseling, psychotherapy and advocacy. Addressing common problem for people from black and minority communities, such as housing, employment, welfare benefits, and child-care. Disability and Mental Health: people with disabilities may experience high levels of socio-economic disadvantage due to discrimination and stigma , this group need a special interest regarding mental health services , they are liable for what Rogers and Pilgrim (2003) described :inequalities created by service provision. Mental health services for disable people should be customized to their needs, some recommendations for such services may include: Promotion for mental health, well-being and living with disability. Early intervention: for people who show symptoms for possible mental illness. Personalised care based on individuals needs and wishes Stigma: work for better social inclusion and tackling stigma and discrimination associated with some disabilities. Elderly and mental health: In order to achieve better equality for this group, policy makers should insure better access to mental health services on the first place. In the year 2005 the Department of Health published a report titled Securing Better Mental Health for Older Adults to launch a new programme to bring together mental health and older peoples policy in order to improve services for older people with mental health problems. The National Directors for older people and mental health promoted the dual principles of: à ¢Ã¢â€š ¬Ã‚ ¢ Delivering non-discriminatory mental health and care services available on the basis of need, not age and à ¢Ã¢â€š ¬Ã‚ ¢ Holistic, person-centred older peoples health and care services which address mental as well as physical health needs Here, it is essential to emphasis the importance of specialist mental health service for older adults. Sexual Orientation and Mental Health: In this group health promotion plays a great role to address the mental problems associated with sexual orientation. PACE organization has drawn up a set of practice guidelines for working with lesbian, gay and bisexual people in mental health services (PACE guideline.2006). The guidelines suggest promoting services and resources specifically for LGB people, including services such counselling and advocacy provided by LGB organisations. In response to these guidelines and studies about LGB such as (McNair et al, 2001). Mental health services for LGB people should: Reflect upon the homophobia and heterosexism that LGBT people may experience within mental health services. Enhance awareness of LGBT people problems, and the forms of discrimination and social exclusion they may face. Consider the nature of a culturally competent for LGBT people Preventing in Mental Health Problems: people with mental health problem are in need for resilience factors that enable them to recover from mental distress and to fight the effects of discrimination and stigma, we can name some of these factors such as confiding relationships, social networks, self-determination, financial security, however, support health services are essential for individual recovery and to achieve socially inclusive accepting communities (Dunn, 1999). Examples for these services can be found in report on Mental Health and Social Exclusion which has been published by Social Exclusion Unit. The report included a 27-point Action Plan aimed at tackling stigma and discrimination, focusing on the role of health and social care in addressing problems of social exclusion, unemployment, and supporting families and community participation through ensuring access to goods and services such as housing, financial advice and transport (SEU,2004). Beyond this report, it is important that policy makers be aware of connection between inequalities and mental health as a result and a cause, this will encourage more holistic approach that aim prevention on the long run. Conclusion: It is essential to put the different recommendations on mental health inequalities into everyday practice , for example a recent study by Glasgow Centre for Population Health found that policies are not driving practice for reducing inequalities in mental health within primary care, and the primary care organization studied is not conducive to addressing inequalities in mental health. (Craig, 2009). For that reason, it is the responsibility of government, health services and health professionals to put these strategies and plans into action to insure a better and healthier society.