Informed Consent Vs. The Gatekeeper Model Essay - 2187 Words

Informed Consent vs. The Gatekeeper Model While things like marriage and anti-discrimination laws have made it safer and more accepting in the mainstream for lesbian, gay, and bisexual people, the transgender community remains largely unchanged by these things. One area in particular has remained almost completely stagnant since the 1980s, medicine. Most medical professionals willing to aid transgender individuals in Hormone Replacement Therapy (HRT) and Sexual Reassignment Surgery (SRS) operate under the gatekeeper model. The gatekeeper model is loosely defined as the practice where any combination of doctors, therapists, and psychiatrists take the majority of responsibility for the diagnosing and, â€Å"treatment,† of a transgender person seeking either HRT or SRS. Under this model nearly sole responsibility falls to that group of professionals, and because of that many problems in terms of proper diagnosis, ethics, and safety have sprung up. More recently a very small amount doctors have been operating under a new model. This model, called informed consent, allows the transgender individual to take some responsibility for their treatment, and in a lot of cases subvert the massive amount of unreasonable hoops and rules the gatekeeper model has. The informed consent model of treatment for transgender individuals is the superior model by far in terms of diagnosis, safety, and ethical treatment. 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Parents Are Responsible For Their Child s Well Being

Parents are responsible for their child’s well-being, however, what situation should allow for others to step in and enforce this responsibility? Divorce can create a situation where parents no longer are able to work together and every member in that household is affected. Each situation of divorce is different and every family needs help in a different way. Too often, the people who are forgotten during the divorce are the children. These children go through the same five stages as their parents would when responding to the divorce. These stages include: denial, anger, bargaining, depression, and acceptance (Hozman, 1977). Counseling can be a solution to preventing a negative impact to the children involved in the divorce and also help the parents learn how to become more effective in creating a stable environment. For the counseling to be a successful solution, all family members must be willing participants and when this is not the case, it may need to be mandated by the court. Also, before the counseling begins the parents would need to explain the situation to the children and reassure them that it was not their fault. Counseling should include parent to parent, parent and child, and individual sessions for each family member. Divorce is essentially is decided between the two parents, however, the children become caught up in it. The situation would never improve if the two parents involved do not work out their problems. The first step of the counseling wouldShow MoreRelatedThe Effects Of Parental Parenting On Children1089 Words   |  5 Pagesthere is no such thing as a bad child, just a bad parent who did not teach their child to be a respectful person. Strict parenting is essential to having a mature and respectful child. For instance when a child is misbehaving towards the parent. Authoritative parents raise independent children, as the child grows the parents teach them have self-control when it comes to making decisions. 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Lowering the Drinking Free Essays

The central plank of the debate is the determination of minimum age of drinking. The society will be happier where the states interference is less and where it allows the full freedom and liberty to the citizens with qualified restrictions. The actions taken and legislations passed by the governments are just for the welfare of the state with public policy. We will write a custom essay sample on Lowering the Drinking or any similar topic only for you Order Now The heated discussion on Lowering the Drinking is not a new one and it came into spotlight with Jenna Bush’s arrest for consuming alcohol and buying it with fake identification. The social contract theory says that men have right to the sovereign to organize them in better way. The sovereign was not a party to the contract. The people authorized and give up the right of governing themselves to the sovereign who came into being as a result of the contract. [1] It is given the right of make laws. Law is the expression of general will. According to Rousseau â€Å"A law is a resolution of the whole people, for the whole people, touching a matter that concerns all†. Law must relate to general interest. It represents the general will. The enactments of the government are merely a corollary of the general will. So the laws framed regarding the drinking age also should go with the general will. The national minimum drinking age act, 1984 give 21 years as the minimum age of drinking in USA. In many countries there is no age restriction on the drinking and in countries like Indonesia, Malaysia it is 17 year. The present laws set the age of drinking as 21 [2] and it was 24 years back it came into force. And it is time look back with the resent development in social as well as technological development. There are several issues where the importance of age is taken into account. some of them are Marriage Adult franchise Capital Punishment Military Services The above mentioned are very important which are having affinity with the Society, Legislature, Judiciary and Executive (defense). They all prescribed the minimum age of their eligibility’s 18 years. But the age of drinking is declared as 21 years. The detailed discussion of them shows their importance and its relevance to the society. Marriage: According to Black law dictionary, â€Å"The legal union of a man and woman as husband and wife is called marriage.† It is regarded as civil contract by the common law. The essentials of the valid marriage are 1.  Ã‚  Ã‚  Ã‚  Ã‚   the parties are legally capable of contracting marriage 2.  Ã‚  Ã‚  Ã‚  Ã‚   mutual consent or agreement, and 3.  Ã‚  Ã‚  Ã‚  Ã‚   An actual contracting in the form prescribed by law. The essential ‘The parties are legally capable of contracting marriage’ goes with lot of interpretation. The legally capable to contracting marriage in regarding the age varies from religion to religion generally and with the uniform civil code it is given to the states to make laws on their own. For a marriage minimum age, license, proof, application, consent for underage applicant is required. ‘SEC. 3. (1) R. S. 1846, Chap. 83 (Amended by Act No. 44, P.A. 1956) Every person who becomes 18 years of age shall be capable by law of contracting marriage. Every person who becomes 16 years of age but is less than 18 years of age shall be capable of contracting marriage with the written consent of 1 of the parents of the person or the person’s legal guardian, as provided in this section.’[3] So the eligible age for marriage is 18 and even 16 is allowed with the prescribed procedure. Marriage is one of the important institutions in the society. If the a person is allowed to go with that important responsibility and have the metal power, then why not a person is not allowed to drink at that age. Voting; The adult suffrage is the fullest implication of democracy and it is the most striking feature implication of democracy and it is most striking feature of the constitution. The ‘section 1, of the twenty-sixth amendment-reduction of voting age qualification gives the right of citizens of the United States, who are eighteen years age or older, to vote shall not be denied or abridged by the united states or by any state on account of age’.[4] If the person is eligible to decide which government he want and what will be the pros and cons of that government establishment, cant he think on the drinking and the limits of the drinking. With the development of mass media each and every point of manifesto are clearly analyzed and by taking that inputs only the people are voting. Now the leaders are also focusing on the youth issue which shows their importance in the elections. Being so important decision makers of a future government they can also decide on the level of drinking. So the age of drinking should be brought down to the age of voting right. Capital Punishment; Capital punishment is the highest punishment in the penology knows to man. It deprives the criminal’s life and existence. Modern Penologists, jurists, jurisprudents e.t.c preferred it for the grave and heinous crimes only. According to the reformative theory â€Å"No one is a born criminal. A criminal is the product of the social and economical circumstances.† Modern psycho-analysts, criminologists, sociologist’s e.t.c are  Ã‚   behind this modern theory. The one of the recent case Roper v. Simmons, 543 U.S 551(2005) the Supreme Court held that the minimum age at time of crime to be subject to the death penalty is 18. The judiciary is regarded as best institution for its reasoning on any issue. If the court itself is defending the decision and declared that at age of 18 the person is reasonably prudent and he have total knowledge about the society why cant it allow the person to drink at   the age of 18. Now almost 19 states and federal government had set a minimum age of 18 for capital punishment Military services The person having 18 years of age is eligible to enter into the military services and can serve the nation up to 49 years. Even a person of 17 years of age, with parental permission, can join the U.S. armed services.   There is a strong point that a person with 18 years is serving the nation with commitment, responsibility and attitude to serve the nation. If this is the case cant a person with 18 can’t have liberty drink. Conclusion: It is the time to re-look at the existing law with the advancement of the science and technology and improvement is the communication has enhanced the capabilities of a person.[5] The drinking problems can be reduced with alternative legislations. All people should not suffer due to few deterrents, so more though laws on the violators are a good measure.   Now the people are in a position to decide what is good and what is bad by 18 years itself. If the person is able to decide on the marriage, voting and joining into defense services, he can also think as a prudent person on the drinking also. So the minimum age of drinking should be brought down to 18 years. References: 1.VD. Mahajan, origin of state, Political theory,(1988), 4th edition , S. Chand and Company. 2. Radley Balko, Back to 18, A new chorus of critics says it’s time to lower the drinking age, April 12, 2007 Marriage Laws, 2008 Washtenaw County, MI http://www.reason.com/news/show/119618.html 3. Selected Michigan http://ewashtenaw.org/government/clerk_register/cr_clklawsm.html    4.   Ã‚  Reduction Of Voting Age Qualification, 1995, United States Government Printing Office, http://www.gpoaccess.gov/constitution/html/amdt26.html 5. The Minimum Legal Drinking Age Debate, http://ccat.sas.upenn.edu/~jordanlt/alctwo.html [1] VD. Mahajan, origin of state, Political theory,(1988), 4th edition , S. Chand and Company. [2]   Radley Balko, Back to 18, A new chorus of critics says it’s time to lower the drinking age, April 12, 2007 ; http://www.reason.com/news/show/119618.html; [3] Selected Michigan Marriage Laws, 2008 Washtenaw County, MI ;http://ewashtenaw.org/government/clerk_register/cr_clklawsm.html [4]  Ã‚   Reduction Of Voting Age Qualification, 1995, United States Government Printing Office, ;http://www.gpoaccess.gov/constitution/html/amdt26.html; [5] The Minimum Legal Drinking Age Debate, ;http://ccat.sas.upenn.edu/~jordanlt/alctwo.html; How to cite Lowering the Drinking, Essay examples

Folio Various Independent Fashion Industry

Question: Discuss about theFolio for Various Independent Fashion Industry. Answer: Fashion Brands Plagiarizing Independent Artists Lucy Cormack has collected statements from various independent artists who claim that there design ideas have been plagiarized by fashion industry giants such as Zara and Bershka. Around 40 independent artists from US, UK, Europe and Australia have made these claims through an online campaign called hold the company accountable (Cormack, 2016). Instagram, the popular social app has helped the artists realize that there designs were copied after the followers of these artists mailed them asking if they collaborated with the big brands (Cormack, 2016). Both the companies in question are a part of the Spanish multinational Inditex who responded to one such claim stating that the design was not unique and hence cannot be associated. Since the artists dont have the resources to go against a monolithic firm they plan to file a class action (Cormack, 2016). Fashion, Wealth and Conformation Fashion is a way of expressing ones own desires and at the same time staying in tune with the trend (Swanson, 2016). The need for women to conform to the people around them has been studied by Jeff Galak, a professor at Carnegie Mellon Universitys Tepper School of Business and three other co-authors, who put up a paper on the height of womens high heels. The study was done by examining the 15,000 purchases from an online luxury store over five years and analysis has been made to see how the pattern changed when women moved from one locality to another (Swanson, 2016). Women who moved from wealthier backgrounds to low income areas were consistent with the heel height. However women who moved to a wealthier area changed the height of their heels to the height of those purchased around them in that area thereby confirming the upper class theory of fashion (Swanson, 2016). Chinese Market Influence in Hollywood Hollywood has been expanding over the past years and has now included an audience of 1.4 billion with its penetration in to the Chinese market (West, 2016). The massive hit of the film Warcraft in China which was a critical flop in the United States shows that there might come a need where Hollywood films would be made exclusively for the Chinese audience. The current Chinese market is worth $8bn and is growing rapidly opening 15 screens a day (West, 2016). However, the China has a restriction of releasing only 34 foreign made films a year making it a challenging task for the studios to choose the films they want to release here. It is not just the movies but also Chinese groups such as Wanda have a significant share in the production of Hollywood films making ensuring that the Chinese movie industry would be a potential boon to the Hollywood (West, 2016). References Cormack, L. (2016) Fashion giants Zara and Bershka have been accused of copying designs by independent artists. Available at: https://www.smh.com.au/business/consumer-affairs/zara-and-bershka-accused-of-copying-designs-by-independent-artists-20160725-gqdoos.html (Accessed: 31 July 2016). Swanson,A. (2016) What high heels say about the massive gap between the rich and the poor. Available at: https://www.washingtonpost.com/news/wonk/wp/2016/07/26/what-high-heels-say-about-the-rich-and-the-poor/ (Accessed: 31 July 2016). West, K. (2016) Success of Warcraft in china helps US open door to audience of 1.4 billion. Available at: https://www.theguardian.com/business/2016/jul/02/warcraft-film-china-blockbuster-hollywood-investment (Accessed: 31 July 2016).

The racial discrimination among employers

Although open racism in America and other European nations is almost extinct, the vice still exists among some employers. A critical study on the employment criteria between the African-Americans and the Whites draws some observable disparities. The disparities prove difficult to measure because the researchers are not employers. Probably the employment criterion is far beyond racial discrimination.Advertising We will write a custom article sample on The racial discrimination among employers specifically for you for only $16.05 $11/page Learn More The employers can base their recruitment on education quality, work experience, and not race, while others can base their recruitment on the identity of the race. On the other hand, the use of audit studies may generate poor results because the auditors may base their conclusion on what the society holds about racial discrimination. Therefore, although there is uniformity in the racial discrimination among empl oyers, statistically, researchers are unable to measure the elimination criteria applied. In their study, Bertrand and Mullainathan look at the labor market (recruitment criteria) in Chicago and Boston by posing as job seekers. The following discussion ascertains the statistical findings of the aforementioned researchers on the inconsistency of employment opportunities, between the African-Americans and the whites. To overcome the aforementioned loopholes in the study of racial inequality in the job market, Bertrand and Mullainathan posed as job seekers by creating many resumes. Physical involvement in the study was challenging because of biasness among the researcher/auditors or the employers would not readily show the racial gap in their companies. Bertrand and Mullainathan considered crucial issues like education quality, work experience, social background, and neighborhood. For instance, the African-Americans and the whites have different and distinct names that any American or European would easily identify. First, half of the resumes had white names and the other half African-American names. Secondly, a group of the resumes with white names had high education qualifications, which was similar to the African-Americans. Thirdly, the last group (Whites and African-Americans) had lower education qualifications. Basing on the local newspapers job adverts in sales, administration, clerical, and customer services the researchers deployed the resumes to the respective employers.Advertising Looking for article on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More The sweeping assumption was that all employers would easily categorize the names as per the race. The use of newspaper as the only source of job outlet is a weakness in the experiment. However, the next discussion expounds on the key findings of Bertrand and Mullainathan. Statistically, Bertrand and Mullainathan calculated the call back rates as per the race, which was in the form of names. The names purporting as white people received 9.65 percent calls inviting them for interviews while those with African-American names received 6.45 percent invitations for the interview. Although the applicants had similar qualifications or form of resumes, there was a 50 percent variation in the recruitment. More over, in cases where the male African-Americans applied they had a lower chance when compared to their female counterparts. Thus, from the variation in call back rates, Bertrand and Mullainathan conclude with all other factors like social background and education constant employers practice racial discrimination. Ideally, all the people with similar qualifications/resume quality regardless of the race should receive at least an invitation for the interview. Unfortunately, the significant difference in the invitation for interview has a positive relation to eventual employment. In their discussion, the two researchers disqualify the relationship between occupation, racial discrimination, and wages. Therefore, the difference in wage allocation, in industries cannot measure racial discrimination, because the rate of callback varies among the industries. This article on The racial discrimination among employers was written and submitted by user Kaylynn Hebert to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Pros and Cons of Outsourcing IT Management

Pros and Cons of Outsourcing IT Management Free Online Research Papers On week 5 of our Managerial Accounting class, we were asked to view several websites and choose an activity that is necessary to outsource for a company’s operations. Then we were asked to discuss the pros and cons of outsourcing that activity. This was a very intriguing subject that provoked a lot of thought and discussion amongst the class. Because of this great discussion, I have decided to make Outsourcing the topic of my Final Project. Outsourcing is quickly becoming a huge trend in the corporate world. â€Å"Whats new is a concentrated effort to outsource back-office support operationse.g., IT, finance accounting, human resources, and procurementto reduce costs and heighten performance, according to a report from Houston-based analyst firm EquaTerra : Outsourcing Trends in the Automotive, Manufacturing, and High-Tech Industries† (Fulcher, 2007). According to the above article, outsourcing is now being used in many industries. In order to better focus my p aper, I will pick the most debated and used outsourcing activity; Information Technology. Companies are increasingly outsourcing the management of information technology (IT) for reasons that include concern for cost and quality, lagging IT performance, supplier pressure, access to special technical and application skills, and other financial factors. The outsourcing solution is acceptable to large and small companies alike because corporate strategies are now more common and the IT environment is changing rapidly. Because of cost and quality advantages, I will prove that outsourcing is a very advantageous way to do business. Although the mix of factors raising the possibility of outsourcing varies widely from one company to another, there are a series of themes that explain most of the pressures to outsource. To get a better understanding of outsourcing, let walk through the process. When a customer calls a toll-free customer service telephone number, it is possible that the call will be routed to a foreign country such as India or Argentina. A technician in that country trained by the American company to answer questions will solve the customers problem, often within a few minutes, and the customer will typically not have any idea where the call center is located. Increasingly, American companies are taking advantage of highly educated labor outside the United States where wages can be one-tenth of what these companies would pay employees within the United States. This alone makes it financially viable to investigate outsourcing in Industry. As mentioned above, India seems to be the leader in foreign o utsourcing. â€Å"For years, Indian developers have had a reputation as the offshore programming outsourcers of choice for Western corporations because of their high-quality, low-cost coding help. Now the continued availability of skilled manpower at costs far lower than in the West, cultural factors, economic conditions, and an improving telecommunications infrastructure in India and worldwide is leading U.S. and European companies to tap the skills of Indian outsourcers in other areas. Indian companies are providing sophisticated, IT-enabled back-office services for customer interaction and data processing† (Ribeiro, 2001). It would be irresponsible of me to not mention some of the negatives that have circulated recently in outsourcing. Media coverage tends to focus on those American workers who are put out of work due to outsourcing. In many cases, jobs are transferred overseas with the result that American workers are put out of work. In other cases, jobs are simply created in the foreign country which limits job creation in the United States. The current presidential candidates on both sides talk about the need to keep jobs in America. Others also mention that by outsourcing jobs, it is putting a big strain on the American Economy. But, there are some economic analysts who maintain that relocating jobs overseas will result in more and better jobs domestically. Keeping the higher skill jobs in America can improve salaries and the economy. This concept could be considered highly debatable. So, are their concerns from the management aspect? First of all, general managers’ are concerned about cost and quality drive outsourcing. The same issues such as getting existing services for a reduced price at acceptable quality standard came up repeatedly. Secondly, failure to meet service standards can force management to find other ways of achieving reliability. It is not atypical to find a company in which cumulative IT management neglect eventually culminated in an out-of-control situation the current IT department could not recover from. Management can see outsourcing as a way to fix a broken department. If someone other than your employee can create a better consultation and knowledge about a product or process, it might be advantageous to outsource that specific process. Third, a firm under intense cost or competitive pressures, which does not see IT as its core competence, may find outsourcing a way to delegate time-consuming, messy problems so it can focus scarce management time and energy on other differentiators. â€Å"Evaluate your companys ability to provide in-house training. If your in-house tech support is unable to adapt to your growing supply chain needs and provide adequate training for new technologies, you should consider outsourcing your companys logistics data and integrating it with that of a service provider that specializes in customized supply chain solutions (Industry Week, pp 67-68). Other financial issues can make outsourcing appealing. One is the opportunity to liquidate the firm’s intangible IT asset, thus strengthening the balance sheet and avoiding a stream of sporadic capital investments in the future. Also, outsourcing can turn a largely fixed-cost business into one with variable costs. This is particularly important for firms whose activities vary widely in volume from one year to another or which face significant downsizing. Other financial benefits from outsourcing included rapid funding of new systems development and economies of scale and scope. As consolidate infrastructure through IT outsourcing, a firm can experience cost reductions in hardware and software licensing, facilities, and support headcount. Hardware and software function can be extremely expensive. Outsourcing, also, can capitalize on an outside vendor’s extensive IT problem solving knowledge. An outside vendor had the ability to get more of the technology that came o ut. They could spend money on investments that a company couldn’t afford internally. That opens up a lot more avenues to future technologies. An outside vendor would manage the IT function more efficiently. A vendor’s main competency is managing computer systems. Through their skills, leverage, and economies of scale, they could provide a level of efficiency that could not be achieved at the outsourcer. Finally, Perhaps most important, outsourcing allow internal IT folks to focus on the development of a new IT infrastructure. Underlying the outsourcing effort is a fundamental strategy to offload legacy applications and operations so a firm could focus on developing new strategic application to support the global business processes, which were being reengineered. There are many ways to manage outsourcing since every company has different culture, strategy, structure, people, and process. Also, many important issues such as structure, Information management operating processes, management processes, and human resources management should be clarified. Many outsourcing contracts are structured for very long periods in a world of fast-moving technical and business change. Eight to ten years is the normal length of a contract in an environment in which computer technology performance is shifting by 20 to 30 percent per year. What is the best and newest toy today is old news tomorrow. Consequently, a deal that made sense at the beginning may take less economic sense three years later and require adjustments to function effectively. The situation from the outsourcer’s perspective is just the reverse. The first year may require a heavy capital payment followed by the extraordinary costs for switching responsibility to them and executing the appropriate cost-reduction initiatives. All this is done in anticipation of a back-loaded profit flow. At precisely the time the outsourcer is finally moving into its earnings stream, the customer, perhaps feeling the need for new services, is chafing under monthly charges and anxious to move to new IT architectures. If the customer has not had experience in partnering activities before, the relationship can develop profound tensions. The evolution of technologies often changes the strategic relevance of IT service to a firm. From the customer’s viewpoint, assigning a commodity service to an outsider is very attractive if the price is right. Delegating a firm’s service differentiator is another matter. The customer that made the original decision on efficiency will judge it differently if using effectiveness criteria later. IT outsourcing has so many positive effects for a company even though it still contains various problem needed to be solved. In the Internet age, any company may want to focus its internal staff on moving it to the environment that will support them tomorrow and outsourcing could be one of the best solutions. Also, outsourcing is really more of an integration of two separate businesses to be successful. Both want to take the best parts of each culture and put them together. In addition, critical success factors including existence of a multi-years, corporate commitment to the IM strategy and outsourcing, and quality culture and attitude should be considered in outsourcing. â€Å"Outsourcing decisions is also called a make or buy decision. It entails a choice between producing a product in house or purchasing it from an outside supplier† (Hilton, p- 593). What it all comes down to is that if a part of your business can run smoother with the help of an outside side; and can potentially save money in the long run, and then the answer is simple and concise. Outsourcing is continues to be the wave of the future and many different industries will continue to tap into this source of business. As stated in my thesis, I hope I have proved that benefits and advantageous nature of outsourcing. Sources 1- Jim Fulcher (2007, August). Back-office IT and business process outsourcing seen as another means to cost containment. Manufacturing Business Technology, 25(8), 40. Retrieved September 4, 2008, from ABI/INFORM Complete database. (Document ID: 1319266941). 2- John Ribeiro (2001, August). The back office moves to India. InfoWorld, 23(34), 26-28. Retrieved September 4, 2008, from Research Library database. (Document ID: 78299045). 3- SO YOU THINK YOU WANT TO OUTSOURCE YOUR IT? (2008, August). Industry Week, 257(8), 67-68. Retrieved September 4, 2008, from Research Library database. (Document ID: 1519268681). 4. Hilton, R. W. (2008). Managerial accounting: Creating value in a dynamic business environment (7th ed.). New York: McGraw Hill. ISBN: 0073022857 Research Papers on Pros and Cons of Outsourcing IT ManagementPETSTEL analysis of IndiaThe Project Managment Office SystemNever Been Kicked Out of a Place This NiceMarketing of Lifeboy Soap A Unilever ProductOpen Architechture a white paperBionic Assembly System: A New Concept of SelfTwilight of the UAWDefinition of Export QuotasAnalysis of Ebay Expanding into AsiaThe Effects of Illegal Immigration

Unemployment in France Essay Example | Topics and Well Written Essays - 1750 words

Unemployment in France - Essay Example Unemployment in France Unemployment has taken the centre stage in past political campaigns, with leaders making promises on lowering the unemployment rate. It was evident with former president Nicolas Sarkozy before his election in 2007, and was atop agenda in the 2012 May elections between him and the current president, Francois Holland. As the second largest economy in the Eurozone, France’s trend in unemployment seemed to have staggered in the last one decade, but is highly escalating, especially since the end of 2011. France was among the nations’ worst hit by the global recession in 2008, which left its economy struggling. The nation sunk deep into crisis and had to be bailed out by the international monetary fund (IMF), to try position the economy into balance. France contributes a great share of unemployment in the entire EU economy. As of May, France marked the 24th month of growing unemployment, with 5.1 million people unemployed, as the president struggled to revive the economy that was already in a recession in the first quarter of the year 2013. Unemployment figures for 2012 and 2013 indicate more than 10 % growth, which has begun to cause tension among the citizens. Occurring in France, it is clear that unemployment is a problem affecting even the nations with considerable industrial activity. The youths are the majority, and besides having an impact on the economy, joblessness continues to be a personal and social problem. In the past 3 years, some quarters recorded zero growth rate of unemployment, and though the awaited hope after the elections, numerous companies have announced a substantial number of layoffs, which is actually an indication of a worsening situation in the labour industry. (BBC, 2012). (France Unemployment, n.d.) Many blame the former government, but much has to be done in the current leadership to reverse the situation, and at least keep the rate below a figure of 3 million. This paper focuses on the issue of unemployment in France, with a bias on the youth and the government strategies in place to counter the problem. Unemployment has merged with other economical problems to influence the performance of the general economy , causing quandary within households, social settings, organizations, and the authority in one way or the other. France is no different and has various socio-economic structures that cause unemployment; hence, the demand and supply of labour in its economic organization would guide in understanding the insufficiency and scarcity of jobs in the labour market. Youth unemployment has been the highest in France, as more skilled personnel have increased in the labour market. This adds to the frictional unemployment that the government has been juggling with, in the economy. 2.0 Discussion on the Economic Problem/Issue Causes of France’s High Rate of Unemployment Inflexible labour markets: It is not surprising that a powerful and industrialized country, such as France has always had a higher average unemployment rate than most of its competitors. France, though small in population, has been recording an increasing and constantly higher rate of unemployment than the US economy. Fran ce has had quite a rigid labour market, which has its benefits and shortfalls with the changes in the internal and global economy. It is one of the European countries termed to be inflexible in its labour market policies and institutions that hinder its economic efficiency, full productivity, and competition. During the last global recession, the risks and benefits of labour market rigidity and flexibility came out clearly. France’s rate of unemployment rose by 1.5 percent, compared to the US 5 percent over the course of the

Assess the hierarchical structure of the court system in England and Essay - 5

Assess the hierarchical structure of the court system in England and Wales. To what extent does the common law doctrine of binding precedent engage with this structure - Essay Example Chadwick (2011) asserts that English legal system is found in common law that among other factors advocates for an organised court system. Courts in England and Wales observe a rigid hierarchy as a consequence of hierarchy of judicial precedents. An important function of the English courts is operating two distinct systems of justice namely the criminal and the civil justice system (Chadwick, 2011). There exists a fundamental distinction between the two systems of justice. The criminal justice system concerns with enforcing criminal law in criminal courts employing its unique criminal procedures. Criminal law is known as the law of the state and falls under public law. Criminal law is meant to protect the public by prohibiting specific forms of conduct and punishing the offenders (Chadwick, 2011). Cases that have a criminal element are heard first in the crown court or the magistrates’ court. The civil justice system is designed to handle matters that are civil in nature in ci vil courts. Civil law is the law among individuals that are essentially private law. Civil cases are principally tackled in the high court and county courts. The size and complexity of a particular matter determine where the matter will be heard. Gillespie (2013) observes that courts in England and Wales adhere to a specific hierarchical order. On the top most of the hierarchy is the supreme court of the United Kingdom. This is a modern supreme court established by constitution reform act of 2005, and it replaced the House of Lords. It is constituted by 12 professional judges appointed by members of the House of Lords (Gillespie, 2013). The court is the highest appellant court and court of the last resort in all matters under the English law, Wales’s law as well as Northern Irish law. The court bears authority over criminal cases in Scotland. In addition, the court has jurisdiction over appeals from the

The Joy Luck Club Research Paper Example | Topics and Well Written Essays - 500 words

The Joy Luck Club - Research Paper Example According to him, the ‘matrilineal’ connection between the mother and daughter has not only been portrayed through the stories, but the direction of photography and the visuals scenes are very well organized. Each of the stories have been interlinked very beautifully which makes this movie all the more popular among the viewers. The director chose the actors very carefully because they needed to play the roles and get into the shoes of the characters in order to play their part properly (Li). The second article was published by John Mullan, who described the narration of the movie in a very interesting way and how the mothers played the most important role in the movie. According to Mullan, the story has been divided into two parts. The first and the last parts are essentially the stories of the four mothers and how they met each other frequently over a card game. The second and third parts in the film depict the lives of the daughters and how they describe their ‘silently soup eating father’ who watch the game of their mothers. Interestingly, the movie has concentrated upon the lives of the women, but no importance has been given to the men of the society (Mullan). The third article was published on a website called Turner Classic Movies (www.tcm.com) where more importance was given in understanding how the movie was prepared with the help of the earlier published book. According to the website, the project was initially rejected, but as the book started becoming popular and was later translated into 23 languages worldwide after being in the NewYork best seller weeks for 75 weeks, there were second thoughts about directing the movie. After the popularity of the movie, the Oscar winning director, Ronald Bass also helped Wayne Wang (director) and Amy Tan (author) in writing the screenplay of the movie (Passafiume). The last article in this research study is more like a movie review of the

Interventions to Reduce Risk of Sexual Abuse

Interventions to Reduce Risk of Sexual Abuse Introduction Various intervention strategies have been implemented to try and reduce the risk of sexual abuse in those persons with a learning disability. There is a general consensus that education programmes directed towards the perpetrator are least effective and that techniques aimed at fostering assertiveness and communication in the learning disabled adult are the best preventative measures. In this review I found there to be a significant lack of research that measured the effectiveness of these interventions and further support and investigation is needed into researching these intervention strategies, advocacy and community awareness studies. Methods of obtaining research In recent years the number of articles on ‘sexual abuse in people with a disability’ found in databases such as Medline and Proquest have increased although there is still a considerable lack of quality statistically significant research. Political and media exposure has unsurfaced the need for this group to be protected. For example, the European ‘Valuing People’ agenda unsurfaced serious inequities.3 Some of the most in-depth studies come from research in which women with learning disabilities have been interviewed directly about their experiences including the ground breaking work of Michelle McArthy.3   A number of factors can limit the disclosure of abuse and lead to an underestimation of the extent of this problem. For example, an individual that has had limited exposure to prevention programs and sexuality education may not recognise the abusive nature of sexual contact they have experienced.4 Disclosure may also be inhibited by feelings of confusion, guilt or denial especially if the abuse occurred from a care-giver or a person that was trusted by the victim.4 This paper aims to criticize interventions and assess the most appropriate methods used to help educate those with learning disabilities about sexual abuse and foster prevention rather than looking at ways to support post-abuse. I haven’t addressed the issue on whether sterilization is appropriate in this review as it steers away from the autonomy of the mentally disabled adult and it is more appropriate to concentrate on education as a tool of prevention and looking at the efficacy of training methods. Method of obtaining papers for literature review All papers in ‘British Journal of Social Work’, Medline via PubMed and Medline via ProQest from 1995 – 2005. Keywords used were ‘learning disability’, ‘sexual abuse’, ‘mental handicap’, ‘prevention’, ‘intellectual disability’, ‘consent sexual relationships’, ‘learning disabilities’, ‘sexual act’, ‘sexual malpractice’. Search terms were grouped as follows:- ‘education, sexual abuse, disabled’, ‘education, sexual abuse, handicap’, ‘education, sexual, disabled’, ‘assertiveness training, sexuality, disabled’ and ‘sexuality, training, mentally disabled.’ Papers found that concentrated on adults only were used and those articles found on sexual abuse pertaining to children were omitted apart from one paper that examines the use of a Computer-Based Safety Programme that could be useful in edu cating mentally disabled adults. Papers that addressed interventions used to prevent abuse from occurring were included in the review. Definitions A ‘learning disability’ is defined as â€Å"a disorder in one or more of the basic psychological processes involved in understanding or in using language, spoken or written, that may manifest itself in the reduced ability to listen, think, speak, read, write, spell, or to do mathematical calculations, including conditions such as perceptual disabilities, brain injury, minimal brain dysfunction, dyslexia, and developmental aphasia.†2 Disorders not included are â€Å"learning problems that are primarily the result of visual, hearing, or motor disabilities or mental retardation, of emotional disturbance, or of environmental, cultural, or economic disadvantage.†2 It is not necessarily the person’s learning disability that makes them more vulnerable to the sexual abuse as to the situation they are placed in so that if we took a person of normal mental capacity and placed them in the same environment the risk of sexual abuse for that person would be greate r as well. Sexual Abuse refers to any form of sexual contact to a vulnerable party and violates the victim’s rights as they are not fully aware of the situation. Sexual exploitation is evident when done by anyone in a position of trust or authority towards a person or where the victim has a relationship of dependency with the perpetrator. There are various definitions of sexual abuse used in the literature and widely diverging definitions tend to be used in studies of adults with intellectual disabilities.5 Brown and Turk (1992) also distinguished between non-contact and contact abuse. Another definition of sexual abuse was â€Å"any sexual contact which is unwanted and/or unenjoyed by one partner and is for the sexual gratification of the other†.6 This is still ambiguous as sometimes sexual contact is misunderstood and it could still be enjoyed it is just that the victim is unaware of what the full extent of the act means. I believe that a better definition of sexual abuse is any sexual act performed on a victim in a position of vulnerability. That is one party is not fully aware of the act being performed and there is an imbalance in power. Could this then exclude those persons with an intellectual disability from having a relationship with a person of normal mental capacity? Perhaps, if there is balance in t he relationship and the learning disabled adult can make decisions in other aspects of the relationship this would be a more equally distributed balance of power and this person may be able to fully make decisions on relationships at their own accord. There are varying degrees of mental handicap and this makes research difficult as ethical dilemmas on whether there is full consent and understanding of sexual contact can be ambiguous. However, there are also clear cut cases such as when a disabled person is institutionalized or the primary care-giver is the perpetrator. For the purpose of this review it is important to move more onto preventing the abuse in those that are vulnerable and critiquing methods used to empower those with disabilities rather than focus on the definition of abuse. Protection of those that are in a more vulnerable position and empowerment of individuals already victims of abuse should be fore-front in the social literature. Prevalence of Sexual Abuse There is an increase in the prevalence of sexual abuse in children with learning disabilities. A study conducted by the US National Center on Child Abuse and neglect (1993) found that caregivers abused children with disabilities 1.7 times more than children without disabilities.11 The violation of children can foster the development of low self-esteem and lead onto abuse into their adult lives. A research study by Sobsey found that the risk estimate of abuse of people with disabilities may be as high as an increase of five times greater than the risk for those that aren’t disabled.8 A study by Zemp (2002) found that 64% of female and 50% of male participants were sexually exploited and that disabled room mates were the predominant group of perpetrators for the male and third important for the female participants in the study.9 The statistics in the current literature does vary and â€Å"the wide variation in the figures is due to differences of abuse, the differences in the populations sampled and differences in research methods.†7 Vulnerability For children with disabilities the risk factors for sexual child abuse are increased. A child with a learning disorder has more difficulty in understanding and communicating and has an increased level of vulnerability. As they are unable to understand tasks as well as other normal children of the same age they are often brought up with low self-esteem as their care givers perform more of the tasks for them than they would for other children. This also leads onto a greater vulnerability and increased risk of sexual abuse than what is seen in children of the same age and normal development.1 This low self-esteem can continue into adulthood resulting in the learning disabled adult also possessing low-self esteem and greater risk factors of vulnerability in comparison to other adults. For those adults with intellectual disabilities there is a difficult balance to be met between empowering the individual to make their own sexual choices and to be leading more of a normal life and to claim their sexual rights and protect them from sexual abuse.4 Murphy et al (2004) suggests that services should be guided as to whether a person has the capacity to make their own sexual choices, however, the ability to assess this capacity to consent hasn’t been clearly defined. It is obvious that a caregiver would be taking advantage of their position of trust and it would be defined as sexual abuse. However, relationships outside this sphere are much more difficult to assess. Sexual acts between two adults of diminished mental capacity for instance and with adults outside the care-giving role. A more appropriate definition in this case may be â€Å"where a person is used by another in order to satisfy certain needs without being informed or giving consent†. This focus is more on the perpetrator as satisfying their sexual needs while the victim does not gain anything by the relationship so the victim is in a position of vulnerability and may not be able to represent themselves. Review of Intervention Techniques as a method of preventing Sexual Abuse in the learning disabled adult Lobbying the Government and changes to policy The manner in which sexual abuse is dealt with in a community reflects the way disabled people are regarded by in society. A report was released in 2004 that spoke about the changes the government is try to initiate as part of the ‘Valuing people: Moving Forward Together’ project.12 According to the Health and Social Care Act 2001, an annual report must be given to Parliament on learning disability. The Leaning Disability Task Force report for 2004 was called ‘Rights, Independence and inclusion’ and addressed the Sexual Offences Bill. Part of the Bill that talks about capacity and consent was changed to reflect the rights of people with learning disabilities to a full sexual life. The British Home Office is now working on helping others understand the Sexual Offences Act fully. Change has taken place and inclusion in helping to form government policy can be considered ‘morally and ethically the most appropriate form of education’. The acceptance of the disabled person as an individual is important not only at school level but right through to parliament. Behavior modification in the learning disabled adult; empowering the victim It has been suggested that programs aimed at re-educating the perpetrator have had little success and interventions aimed at modifying the behavior of the victim have a much greater success at reducing the risk of sexual abuse in adults with learning disabilities (Bruder et al, 2005). To be able to protect themselves against perpetrators, the adult with learning disabilities needs to learn how to assess whether a situation is inappropriate, must have the assertiveness to say no and seek help and to report the event. The eleven papers chosen for review are listed in Table 1 in the Appendix. Burke et al, 1998, suggested that one way a care provider can lower the risk of sexual abuse in a learning disabled adult is to help provide functional communication skills. The adult may use their own form of communication whether this be symbols or words and their form of communication should be encouraged so that they are able to express their needs. Communication is empowering to the individual and enables them to be able to get a message to their Caregiver. Often those with intellectual disabilities are hard to understand and the carer should ask themselves if they have tried to read non-verbal behavior or begun to establish an alternative form of communication. Burke et al, 1998, also suggested that it was the Carer’s role to provide sexual education to limit the risk of abuse. This education then becomes a way of communicating the common language of sexual health. It is important that the individual understands what appropriate sexual behavior is and understands how to trust their feelings by ‘validating, rather than dismissing or minimizing, them’. The person also needs to be made aware of the appropriate forms of touch so that they can maintain and understand personal boundaries. Burke has suggested that these adults need to have a plan for when somebody doesn’t obey their personal boundary rules so that they are able to get themselves out of the situation and avoid sexual abuse altogether. It doesn’t mean being afraid of strangers but learning how to remain safe. Burke has suggested ways of empowering the learning disabled adult and reducing the risk of sexual abuse. These methods may not be useful when the caregiver is the perpetrator and it could be suggested that a teacher outside the carer role provide this type of education so that the individual is then able to recognise when a person in close association with them has crossed personal boundaries. It does not give ways to avoid abuse altogether and aims to reduc e the risk when the person knows what types of behavior is inappropriate and requires reporting. The main downfall of Burke’s research was that she didn’t quantitatively measure the reduction in risk of introducing a communication skills program so further research is needed to assess whether the implementing education on sexuality and encouraging communication strategies actually lower the incidence of sexual abuse. Earle, (2001), agreed that those with learning disabilities are especially vulnerable to sexual abuse due to the disabled person’s dependent environment, difficulty in articulating their abuse and understanding when abuse has taken place. She suggested that ‘whilst disabled people have the right to be protected from sexual abuse and exploitation, it could be argued that a concern with this risk should not be used as a smokescreen to deny disabled people their sexual identity.’ Earle also postulated that by not discussing sexuality and creating an atmosphere where ‘sexuality is taboo’, this may in fact increase the incidence or worsen the experience of the sexual abuse. Earle also found that nurses tended to think of their disabled patients as asexual and in denial did not address the sexual needs of the patient at all. She also found that disabled individuals have been unable to access information and services on sexuality. Earle admits in this paper that ‘the purpose of this paper has not been to provide answers’,’ nor has it been possible to explore all of these issues in depth’ but to show that the issue of sexuality should be given greater emphasis in a holistic health care framework. The missing link is whether empowering the disabled individual to make their own sexual choices and discover their own sexual identity actually reduces the incidence of sexual abuse. Teaching refusal skills to sexually active adolescents was introduced in a study by Warzak et al (1990). The training was given to sexually active handicapped female adolescents who lacked an effective refusal strategy. Role-plays were used to help teach effective strategies using ‘the who, what, when and where of situations which resulted in unwanted sexual intercourse.’ The skillfulness and effectiveness of the subjects’ refusal skills were judged to be improved as a result of the training. This study did not have a control group. The research did have a long-term follow up after 12 months and this showed a decrease in sexual activity for each girl. Singer (1996) introduced a programme to seven intellectually disabled adults that lived in a residential group home. The programme consisted of weekly sessions of assertiveness training, group exercises, role-plays and information giving. The participants had previously been subjected to verbal, physical and emotional abuse by previous members of staff and Singer aimed to teach them how to respond appropriately and assertively in situations of abuse. The trainers assessed each client individually to evaluate how they would initially act in a situation of abuse and also measured their social behavior, assertiveness skills, use of verbal and non-verbal behavior and reading and writing skills. They were given ratings on assertiveness in each role play and it was found that after the training was implemented, the participants did not show improvements in scores where authority figures were the perpetrators but that an overall general improvement in assertiveness scores was established. T he staff did comment that the residents showed an increase in confidence, communication and positive attitude post-intervention. This type of study would be great implemented on a larger scale. The difficulty in establishing whether this research has been effective is due to the small numbers. The long-term effects of the trainings are also unknown as there has not been any follow up study. The research study is lacking statistical analysis and a control group so it is difficult to assess whether the trainings actually reduced the risk of further sexual abuse. Mazzucchelli (2001) introduced a ‘Feel Safe pilot study of protective behaviors programme for people with intellectual disability.’ The programme was designed to increase personal safety skills by teaching ways of recognizing unsafe situations and developing a range of coping and problem-solving skills. This research study implemented the use of a control group. There were ten participants in each group. This intervention program was originally developed in the 1970s for children and was then used in this research study with learning disabled adults. Another main focus of the training was â€Å"Nothing is so awful that we can’t talk to someone about it.† The training programme involved the research group participating in role-plays and then evaluating how they behaved to promote self-regulation of behavior as well as using the role-plays in real, everyday situations. Questionnaires were used to evaluate quality of life and protective behavior skills and con ducted by assessors that weren’t involved in delivery of the programme. The experimental group did show a statistically significant increase in performance on the Behavioral Skills Evaluation in comparison to the control group from pre-test to follow-up suggesting that the programme did improve favorable behavioral skills but did not improve the participant’s quality of life. The six-week follow up may have been too soon to appropriately evaluate any change in quality of life. Mazzucchelli also had a small number of participants which led to difficulties in showing statistical significance for the research. The themes which showed the greatest increase from pre-test to post-test were â€Å"we all have the right to feel safe†, â€Å"it is acceptable to be non-compliant or ‘break rules’ during an emergency and self-assertion skills. The researchers Lee et al (2001), examined the effectiveness of a computer-based safety programme for children with severe learning difficulties that could be implemented into an adult training programme. Three groups were established. One group was offered the safety programme, one was a control and the third group was given the intervention programme much later in the study. All of the participants were tested for cognitive ability and knowledge of personal safety concepts pre-training. Two post-tests were conducted 1 week and 2 weeks after the safety programme. There were 18 candidates in the control group and 31 children in the experimental group. None of the schools had previously implemented formal personal safety training programmes although some of the teachers had started to discuss personal safety with their students. The computer programme went through role-plays illustrating types of behavior and the experimental group was divided into ‘less able’ and ‘ more able’ depending on cognitive ability. The researchers used two interviews to establish the student’s perception of authority figures and their knowledge of personal safety. MANOVA analysis found authority to have an independent effect on the respondent’s safety scores and this authority awareness was independent of the participant’s cognitive ability. These researchers found that those involved in the safety programme have significantly improved their knowledge of safety concepts and maintained this increase in knowledge for 15 weeks. There was also a statistically significant result in those going through the programme for the skill of ‘being able to tell someone’ and the study illustrated that they would repeatedly tell someone even after being dismissed the first time and they could also provide a reason for this disclosure. The research showed that there was no significant increase in knowledge attained by the control group leaving t hese untrained students as potential targets by perpetrators. Lee et al (2001) also found that the increase in knowledge post-training was greater in the ‘more able’ group so that training may need to be repeated for those with lower cognitive ability. By the end of the programme all the students were able to produce a list of people that they would tell if they experienced an incident. The researchers also explored the importance of acknowledging authority issues when designing a personal safety programme. This research illustrates that learning disabled students can benefit from training programmes on personal safety. The implementation of these programmes with adults may prove beneficial. Education of teachers, health care providers and caregivers Howard-Barr et al (2005) explored the beliefs in teachers regarding sexuality training of mentally disabled students. The researchers also investigated the range of sexuality topics they would teach and their professional preparation. The participants in the study believed that sexual education should be taught, they rated their current delivery as inadequate and expressed that they needed much more preparation. The number of participants was moderate (n=494) although only 206 candidates actually returned the questionnaire resulting in a response rate of 42%. There were 36 sexuality topics presented and out of the top 6 most important skills, the concept of personal skills was rated the highest. Teachers of mentally disabled students rated personal skills topics such as finding help, assertiveness, communication and friendship more important than human development topics such as reproduction, anatomy and body image. Subjects such as masturbation, human sexual response and shared sexu al behavior were the most neglected topics. The limitations of this study included the inability to assess the quality of teaching and whether the teacher was actually addressing any specific areas of the 36 topics. This research topic did not address the effectiveness of education as a risk reduction method for sexual abuse however it did examine the beliefs of the teachers in the type of topics covered in sexuality education of mentally disabled students. It also revealed a general feeling of professional inadequacy in this area. Fronek et al (2005), conducted a research study that examined the effectiveness of a Sexuality Training Program for patients post-spinal cord injury. They found that there was evidence to support consideration of the client sexuality and a lack of training given to caregivers in this area. This study evaluated the attitudes of staff before and post-sexuality training. The researchers based the training on the Specific Suggestions and Intensive Therapy (PLISSIT) model. The sample group (n=89) was divided into a control group and experimental group randomly. A series of one-day workshops were conducted to the experimental group. Topics covered included identification of professional boundaries, limit setting, maintaining boundaries, development of sexual identity and case studies. This training programme was not focusing on the prevention of sexual abuse, rather the education of staff to being able to be open and teach their patients about sexuality. The staff assigned to the treatment group showed a significant improvement on all subscales of the KCAASS (Knowledge, Comfort, Approach and Attitudes towards Sexuality Scale) post-training and these changes were still significant three months later. In comparison, the control group did not show any significant changes on the KCAASS. Those patients suffering from spinal cord injury are not necessarily affected cognitively and may be only physically affected so this study is limited in assessing how sexuality training of staff could benefit the needs of people with a learning disability. The training was conducted over a one day period and a longer programme may be more beneficial to staff. There was a reporting bias shown by the control group as they were not assigned to receive training initially and the researchers believe that feelings of resentment and a tendency to over-estimate knowledge resulted from being assigned into the control group. Whether improvements can be maintained for longer periods of time (>3 mon ths) is uncertain and refresher courses may be necessary. The research did not examine the effect this education has on the patient in improving their own sexual identity and further studies would be useful in examining whether this limits the risk of sexual abuse. The PLISSIT model has been widely used to implement staff training and sexuality rehabilitation interventions within various clinical disciplines and could be an effective model to use to train carers of mentally disabled people. This model also allows for staff involvement according to level of comfort, previous knowledge and counseling skills. Community awareness Rogow (1998) discusses the impact of different forms of abuse in two case studies and expresses the need for comprehensive preventative or pro-active intervention strategies. The author discusses the release of an education campaign that consists of a video, handbook, workshop series and public service announcements for broadcast media that is aimed as a preventative to educate people involved with disabled youth. These publications are not specifically addressing prevention of sexual abuse in mentally disabled persons although, these forms of media could be used to help foster community awareness of this subject. The effectiveness of these media releases has not yet been evaluated and requires research. The video and handbook is being supported by government and private agencies and made in co-operation with parents and organizations advocating for the rights of people with disabilities. Advocacy Leicester Cooke (2002) expressed a need for further advocacy to those individuals to whom the giving of informed consent is difficult (individuals who are most likely to be among those labeled as having ‘severe learning disabilities’). These researchers also suggest that advocates, in representing other people, must attempt to work out what the learning disabled person would choose and not necessarily what they would choose. Advocates needs to have high levels of empathy and the ability to know when and how to set their own beliefs and values aside. Assessing the ability to use advocacy to reduce the risk of sexual abuse in learning disabled persons is yet to be researched. Recommendations for social work practice at local level There are several great projects currently in place that foster the empowerment of the learning disabled adult to help them protect themselves and also to be able to make their own choices about sexual relationships. For example, The Disability Pride Project explores avenues that promote safety and support by promoting awareness within the community and developing healthy sexuality workshops for people with disabilities.10 This group teaches community specific advocacy and self-advocacy skills, organizes workshops for personal attendants and institutions about sexuality in the lives of people with disabilities and creates opportunities for young women with disabilities to be mentored by older women with disabilities.10 These educational sessions could be implemented by Social Workers, carers and other educators internationally to foster empowerment in the learning disabled adult to help prevent abuse and instill confidence and responsibility in both the disabled adult and the caregivers. In this review I have critiqued papers that have researched the effectiveness of education of both the carer / teacher and the learning disabled adult and it is evident that there is an extreme lack of research in this area and there is a need for more statistically significant, large numbered studies that investigate the effectiveness of intervention strategies. Conclusion The studies on interventions used to prevent sexual abuse in those with a learning disability are limited. There is some suggestion from the research that advocacy and changes to policy will help to encourage greater understanding of learning disabled people in the community. Greater awareness can foster independence and boost self-esteem which may then lower the risk of sexual abuse in this minority group. Some of the research papers presented in this review have shown that intervention strategies such as improving communication skills in the learning disabled and education of both staff and carer may be beneficial. The implementation of behavioral strategies including role-plays may help the intellectually disabled person gain an increase in confidence, assertiveness and develop a strategic plan if placed in danger of a sexual predator. These training programmes could be introduced by the social worker or some other authority figure apart from the actual care-giver as there have be en cases where the carer is actually the perpetrator of the abuse. More studies of greater numbers using both an experimental and control group are necessary to determine whether these intervention strategies will be successful at significantly reducing the risk of sexual abuse in the learning disabled adult. Although, an increase in confidence and assertiveness in these people would also be a great benefit so even if the studies are unable to show significant risk reduction of sexual abuse the training could positively influence other aspects of their lives. References Abuse of Children with Disabilities. NCFV. Public Health Agency of Canada. www.phac-aspc.gc.ca http://curry.edschool.virginia.edu/sped/projects/ose/categories/ld.html#defin Brown, H. 2004. A Rights-based Approach to Abuse of Women with Learning Disabilities. Tigard Learning Disability Review. Volt 9, Is 4, pp41-44. Murphy, GH and O’Callaghan, A.2004. Capacity of adults with intellectual disabilities to consent to sexual relationships. Psychological Medicine, Volt 34, Is 7, pp 1347 Brown, H and Turk, V. 1992. Defining sexual abuse as it affects adults with learning disabilities. Mental Handicap Volt 20, pp 33-55. McCarthy, M. 1993. Sexual experiences of women with learning disabilities in long stay hospitals. Sexuality and disability Volt 11, pp 277-286. McCarthy, M and Thompson, D.1996. Sexual abuse by design: an examination of the issues in learning disabilities services. Disability and Society. Volt 2, pp 205-224. Subset, D. 1994. Violence

Ernest Hemingways Hills Like White Elephants Essay -- Ernest Hemingwa

Ernest Hemingway's "Hills Like White Elephants"   Ã‚  Ã‚  Ã‚  Ã‚  Ernest Hemingway's short story 'Hills Like White Elephants' is a story about a couple who are having some trouble in their relationship. The main characters in the story are an American man and a girl. The whole story is mostly a dialogue between the couple. They are trying to have a fine time, but there is a tension between them and some kind of operation needs to be done. The operation can easily be done and if it's going to happen it will be done on the girl. In the story it's not being said what the operation is. The second time I read it I understand that they are talking about an abortion. The man wants the girl to do the abortion while the girl is not sure.   Ã‚  Ã‚  Ã‚  Ã‚  The setting of the story is well described; the couple is waiting at a little train station between Barcelona and Madrid. The couple is sitting outside a bar 'at a table in the shade'. (171) They are having a cold drink. It?s warm outside and the view is beautiful, in the distance they see white hills.  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The story doesn?t give very much information about the characters. The American man and the girl, whose name is Jig, are a couple, but they are not married. The man are probably a bit older than the girl, he is mention as an American man while Jig is just mention as the girl, the story doesn?t say what her nationality is. But she can?t be Spanish because she doesn?t speak Spanish. They are traveling around because they have bags with ?label... Ernest Hemingway's Hills Like White Elephants Essay -- Ernest Hemingwa Ernest Hemingway's "Hills Like White Elephants"   Ã‚  Ã‚  Ã‚  Ã‚  Ernest Hemingway's short story 'Hills Like White Elephants' is a story about a couple who are having some trouble in their relationship. The main characters in the story are an American man and a girl. The whole story is mostly a dialogue between the couple. They are trying to have a fine time, but there is a tension between them and some kind of operation needs to be done. The operation can easily be done and if it's going to happen it will be done on the girl. In the story it's not being said what the operation is. The second time I read it I understand that they are talking about an abortion. The man wants the girl to do the abortion while the girl is not sure.   Ã‚  Ã‚  Ã‚  Ã‚  The setting of the story is well described; the couple is waiting at a little train station between Barcelona and Madrid. The couple is sitting outside a bar 'at a table in the shade'. (171) They are having a cold drink. It?s warm outside and the view is beautiful, in the distance they see white hills.  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The story doesn?t give very much information about the characters. The American man and the girl, whose name is Jig, are a couple, but they are not married. The man are probably a bit older than the girl, he is mention as an American man while Jig is just mention as the girl, the story doesn?t say what her nationality is. But she can?t be Spanish because she doesn?t speak Spanish. They are traveling around because they have bags with ?label...