Saturday, January 18, 2020

Ethics: How Should I Live My Life Essay

April 15, 2011 How Should I Live? Immanual Kant vs. Jon Stuart Mill In their works â€Å"Principle of Utility† and the â€Å"Categorically Imperative† the philosophers Kant and Mill have addressed one of the most prominent questions humans have asked ourselves since the beginning of time; what are the fundamental moral principles that we should base our lives on? My intent is to show how each of these philosophers in their approach this subject yielding totally different results. I will compare and contrast and ultimately determine which of their philosophies I personally find better suited to my own way of life. I will also point out when sometimes you can have circumstances when they do not contradict each other. â€Å"Actions are right in proportion as they tend to promote happiness, wrong as they tend to produce the reverse of happiness. By happiness is intended pleasure and the absence of pain; by unhappiness, pain and the privation of pleasure† Classics of Moral and Political Theory, 3rd edition p. 398). The purpose of the above passage is to define that the moral choice according to Mill. According to him when presented with a choice of actions to take, the correct and moral action is to choose the one which will produce in its consequences the greatest amount of pleasure and the least amount of pain in the world. To help understand his concept I present the following scenarios in which we would need to make a moral choice according to the above framework. Let’s suppose that while driving we are stopped at a traffic light and a couple of young kids ask you for a donation to help them make a trip to another state for their National Little League Championship. The outcome seems to depend on how much you need the money. If you were out of a job, struggling to make payments on the rent or food for example giving away your money will definitely decrease your own happiness more than it would increase the happiness of others. However if you have some disposableincome giving it away to the little league of baseball players would who need it more it would definitely increase their happiness, therefor increasing the total amount of happiness in the world as the Principle of Utility demands. Another scenario would be as follows. Imagine that you are harboring a fugitive that committed a petty crime but that you know without any doubt that he has the cure of a disease that currently kills hundreds of thousands of people worldwide. If this person gets caught by the police he would never have the chance to develop the cure. The police go to your house and ask you if you have seen the person in question. Now if you are following the Principle of Utility you have to consider the impact on the total amount of happiness each of the two possibilities, telling the police the truth or you telling them something else will bring about. If we examine what could happen if you tell the police the truth, we can see that the police’s happiness will be increased as the lack of pain from future victims of the fugitive’s crimes. But when we compare this against the happiness of the people whose lives will be saved by cure that the fugitive will be helping create we can see that in this case the greatest good will be done by telling the police that you have not seen the petty thief. In this case the long term effect of the decision helps make it a clear choice according to Mills. Long term consequences are also evident in the third scenario. In this scenario you find yourself witness of a horrible crime being committed, let’s say a rape. At first considering the demands of the Principle of Utility the choices are a little difficult to discern for if you choose to end the life of the rapist you are denying him much pleasure of the long term and causing him a lot of pain in the short term. Not doing so will also bring overall loss of pleasure by the victim and increase of pain would occur. Nevertheless if we consider the consequences of not only the short term but also the long term the death of the rapist would most likely spare many in the future from pain and trauma and preserving their opportunity for pleasure, and thus the Principle of Utility would demand that you take the rapist’s life to spare the lives of his victim and his other future ones as well. Let’s continue now to examine Kant’s Categorical Imperative. The first formulation of which is something that reminds me somewhat to the Golden Rule, â€Å"Do Unto Others as You Would Have Others Do Unto You. † (except the Golden Rule does not make for example a duty to be benevolent to others) â€Å"Act only according to that maxim by which you can at the same time will that it would become a universal law. † (p. 851) Kant explains this by a series of example one of which goes something like this. If I run out of money I might be tempted to borrow some, even though I know I would be unable to repay it. I am acting on the maxim â€Å"Whenever I believe myself short of money, I will borrow money and promise to pay it back although I know that this will never be done† I cannot will that everyone should act on this maxim because if everyone asked for money but then would never pay it back nobody would believe the promise of the borrowers. A promise would lose its meaning. Therefore we could not borrow money under this circumstance as doing it would violate the categorical imperative Kant defines perfect duty as those which must be fulfilled under any circumstances and dictate a specific course of action; he defines imperfect duties as those which are more subject to circumstances and allow a certain degree of freedom in deciding how to comply with it. I see the difference between these duties as the one where are required by a society to function and those required by a society to be good and civil. Some actions are so constituted that their maxims cannot without contradiction even be thought as a universal law of nature, much less willed as what should become one. In the case of others this internal impossibility is indeed not found, but there is still no possibility of willing that their maxim should be raised to the universality of a law of nature because such a will would contradict itself. † He is trying to say that if it would be against o ne’s own interest for everyone to act on a particular maxim one cannot will the maxim to be universal as to make it universal it would go against one’s own interest. Let’s revisit the examples I gave earlier to see how our behavior would change if we let our actions be dictated by the Categorical Imperative. In the first scenario, whether to donate to the little league baseball team, it would seem that the fate of the team would be to never be able to travel as (assuming most of their finances come from donations) if people were never to donate to them any money, but none of that would prevent anyone who does have money from not donating to this club. This seems to indicate that donating to the little league baseball club is not a perfect duty. However it would be against one’s own interest for the whole world to be so stingy towards all little league baseball clubs or any other amateur sports clubs for that matter, so one could not will that to be the case and so donating to this club would be an imperfect duty. In the second scenario, whether to lie to the police about the hidden fugitive, following Kant’s Categorical Imperative is that one has a perfect duty to never lie, even in such situation. Let’s analyze that. According to Kant if everyone were to lie in an attempt to achieve some desirable result, even one as benefitting as saving hundreds of thousands of lives, the meaning of language would cease to be as people would start lying for anything they can think would be for the greater good at the end. The maxim in that case would be that you could lie as long as it was to save someone’s life (in this case the large number of sick people that would have been cured). If that maxim would become universal then we could no longer tell if anyone was telling the truth. Everyone would become untrustworthy communication between people would cease and therefore we would be unable to lie; in this case the categorical Imperative demands that we refrain from lying, even if doing so prevents from bringing about undesirable results. At the same time this still does not required us to always tell the truth; we can simply refrain from saying anything if telling the truth would violate another imperfect duty, and in my example it most definitely would since not speaking in this case (even though it may raise suspicion from the police) would be curing people of a disease all over the world a most noble imperfect duty. We can also apply the same line of reasoning to my third scenario, whether to kill a criminal to stop him from committing a horrible crime, in this case a rape. To allow killing to achieve a greater good would result in much killing all around, possibly resulting in oneself getting killed in the process and thus making impossibly for one to act at all. It seems that no one could will such anarchy to take place. Wecould modify the maxim here to say that killing is allowed if only to prevent another death, but what we are talking about ere is about the preservation of life, and as with the case of lying to the police, many people could by such a maxim feel themselves justified in killing others to achieve other ends that have nothing to do with stopping a crime. This would result in the anarchy described above so we cannot make it according to Kant a perfect duty but instead at least an imperfect one to not kill even when faced with the opportunity of preventing a crime. Kant’s second formulation of the Categorical Imperative is: Act in such a way that you always treat humanity, whether in your own person or in the person of any other, never simply as a means, but always at the same time as an end. † (p. 855). Here Kant states that if a maxim diminishes the freedom of choice of others, which he proclaims is one of the unconditional values of humanity, as a means to obtain other goods then that makes it an immoral maxim violating the definition of perfect duty. Anyone who uses deceptive or coercive methods to undermine the freedom of choice and action exercised by others also violates perfect duty. Looking at the first scenario again, whether to donate to the baseball club. If nobody donated any money it would not mean that you are using other people as a means to an end, you would be just ignoring them not using them at all, so donating is not a prefect duty as the failure of not doing so does not involve misusing other people. However refusing to donate to the little league is a failure to account for other people as ends themselves. People need to have means in order to exercise their will, so limited means makes it much harder for people to exercise their free will. Therefore if not donating would deprive them of resources, it would be a failure to account for the club’s members ability to freely act as an end of one’s own actions and so it makes it an imperfect duty to donate money to the little league baseball club. In the second scenario whether to lie to the police about the location of the fugitive, resource here is information. For an individual to act freely, he must have accurate information which means that if you lie to someone you are giving them information that is not valid thus not only depriving them of the resource they need to act freely but you are taking away the power they have to exercise their will. In this scenario lying to the police even with such good motive as getting a cure to a disease that will save hundreds and thousands of lives is to treat the police as a means to an end disregarding the right to exercise their free will. This make in this example a a perfect duty not to lie. However we can also see how there would be an imperfect duty not to tell the police where the fugitive is, for doing so would be a failure to take into account the fugitive as an end in themselves, getting caught and sent to jail would impede his ability to exercise his free will so according to Kant the correct choice in this case would be to refuse to talk to the police even when this would bring about suspicion and possibly further actions from the police. If we apply the second formulation of the Categorical Imperative to the third example it seems clear that killing another person, even a rapist, would certainly limit his ability to exercise their own will, so the Kant’s second formulation would require as a perfect duty not to kill the criminal even to save another person from being raped. So as we can see when we apply the principles from Kent and Mills we find ourselves following different path of actions. In my first example donating to the Little League Baseball Club both Kent and Mills proclaim that donating is the correct choice to make. But when analyzing the second and third example their philosophies start to disagree as what is the right thing to do. The Categorical Imperative is more rigid insisting that we must not lie to the police and we must not kill the rapist as it is a perfect duty in all cases. The Principle of Utility in contrast allows more room to apply our rational to consider the consequences. It allows certain actions such as lying and killing if it is for the greater good. What is the correct moral framework on which we should base our lives on? Even though I find aspects of each these systems commendable I believe that neither system has been perfectly created. The Principles of Utility relies heavily on the consequences of one’s actions to flag a course of action as correct or incorrect. Only by looking our action and their consequences in retrospect we can truly determine if the course of action taken was the correct one. If we had the luxury of foreseeing all consequences then it would be a perfect system but since we always have to make decisions without knowing the ramifications of our actions and most times we only have partial information it does not seem that one should base one’s life solely on the principles that Mills dictates. What is needed is a set of rules we can use to adapt our actions to that will always produce the biggest benefit or the least amount of harm in the long run even if in the short term produces consequences that are not as good as other course of action. The Categorical Imperative at first seems to be a good standard for behavior but at the end of my analysis I do not feel comfortable with the absolute rules where by following them we can find ourselves in a scenario where one cannot even lie to save a life let alone kill to prevent it. It just seems too open for abuse with great benefits by those who did not obeyed the laws akin to what I think would happen if our right to carry arms was taken away so law abiding citizens would not possess any arms but the criminals would, putting the rest of us in a very precarious situation unable to defend ourselves. At the end I align myself a little more with Mills, I would like to think that if I ever in the situation of the last example I gave I would have enough courage to try stop a rape from happening and any action up to an including killing the rapist would be defensible in court, of course I would prefer to be able to stop it from happening without to resorting to such extreme measures. If the basis of a free society is the right to liberty and property then our duty should be not just to not impede others to have it but to also defend others when their rights to either are being taken away. I have a have a personal duty to defend those in danger and to give those in need and even if not everyone adheres to thesemoral guidelines we will all be as a society better off as the general happiness will certainly reach a higher level.

Friday, January 10, 2020

Cbt Case Study

CBT – Case Study Identifying Information For the purposes of the case study the client will be called Jane. Jane is a 22 year old single white British female who lives with her parents in a house outside the city. She is heterosexual and has had a boyfriend for seven years. She feels unable to discuss her issues with her boyfriend. Her parents both have mental health issues and Jane does not feel able to talk to her mother about her problems. She has an older brother she has a good relationship who lives with his girlfriend, a four hour drive away.Jane is educated to degree level, having studied Criminology and is currently working part-time for her father managing his client accounts for a business he runs from home. A typical day involves organising all receipts and creating spreadsheets for each client’s accounts. Jane states she would like to get a full time job and be normal like her friends. Jane has a small circle of friends from university who she states have al l gone onto full time employment. Jane also has a puppy she spends time looking after and taking for regular walks.Assessment Jane was referred following a health check at her GP surgery. She had been prescribed Citalopram 20mg by her GP for anxiety symptoms and panic attacks she had been having for two years. Jane has no previous contact with mental health services. Jane’s father had a diagnosis of Bi-Polar Disorder, her brother has Depression and her boyfriend has a diagnosis of Obsessive Compulsive Disorder which he is continuing treatment for. Jane’s anxiety/panic has increased over the past two years.She had read about Cognitive Behavioural Therapy on the Internet and was willing to see if it was help ease her anxiety symptoms. Jane stated that the problem started due to family issues in 2007. Her brother and father were estranged due to a financial disagreement and this resulted in Jane’s brother leaving the country with his girlfriend, causing Jane to bec ome very distressed. Also during this time she was taking her final exams at University, Jane states this was when she experienced her first panic attack.She had spent the evening before her brother left the country, drinking alcohol with friends, she remembers feeling ‘hung-over’ the next day. While travelling in the car to the airport, with her brother and his girlfriend, Jane states she started to feel unwell, she found it difficult to breathe, felt hot, trapped and felt like she was going to faint. Jane stated she felt â€Å"embarrassed† and â€Å"stupid† and had since experienced other panic attacks and increased anxiety, anticipating panic attacks in social situations.Jane had reduced where she went to, finding herself unable to go anywhere she may have to meet new people. Her last panic attack happened when Jane visited her GP for a health check and fainted during the appointment, Jane has blood phobia and she stated she had not eaten since the day before and was extremely anxious about the any medical interventions. Jane believes it was a panic attack that caused her to faint.The GP prescribed her 20mg of Citalopram, a few weeks prior to her initial assessment with the therapist. When Jane and the therapist met for the initial session Jane described herself as feeling inadequate and as if she was trapped in a cycle of panic. Although Jane felt unhappy she had no suicidal ideation and she presented no risk to others. Jane stated she had become more anxious and that she had panic attacks at least twice a week. Prior to and during therapy, Jane was assessed using various measures.These enabled the therapist to formulate a hypothesis regarding the severity of the problem, also acting as a baseline, enabling the therapist and Jane to monitor progress throughout treatment. (Wells, 1997). The measures utilised in the initial assessment were a daily panic diary, Wells (1997) and a diary of obsessive- compulsive rituals, Wells (1997) a self rating scale completed by the client Jane. Other measures used were, The Panic Rating Scale (PRS) Wells (1997), the Social Phobia Scale, Wells (1997), used by the therapist to clarify which specific disorder was the main problem for Jane.Having collated information from the initial measures, a problem list was created so the therapist and Jane could decide what to focus on first. This list was based on Jane’s account of the worst problems which were given priority over those problems which were less distressing. Problem List 1. Anxiety/Panic attacks 2. Obsessive hand washing. 3. My relationship with my family. 4. Not having a full time job. 5. My relationship with my boyfriend Having collaboratively decided on the problem list, the therapist helped Jane reframe the problems into goals.As the problem list highlighted what was wrong, changing them into goals enabled Jane to approach her problems in a more focused way (Wells, 1997), the therapist discussed goals with Jane and she decided what she wanted to get from therapy. It was important for the therapist to ensure that any goals were realistic and achievable in the timeframe and this was conveyed to Jane (Padesky & Greenberger, 1995). Jane wanted to reduce her anxiety and expressed these goals:- 1. To understand why I have panic attacks. 2. To have an anxiety free day. 3. To reduce the amount of time worrying . To reduce obsessive hand washing at home. Case Formulation Jane stated that for about a year she had been repeating certain behaviours, which she believed prevented her from having panic attacks. This involved Jane washing her hands and any surrounding objects at least twice. Jane had a fear of consuming alcohol/drugs/caffeine/artificial sweeteners, she stated she had had her first panic attack the day after drinking alcohol and had read that all these substances could increase her anxiety. Jane had not drunk alcohol for 18 months as she felt this caused her anxiety and made her nable to control the panic attacks. Jane stated she feared that if any of these substances got on her hands and then into her mouth she would have a panic attack and faint. These beliefs increased Jane’s anxiety when Jane was exposed to any environment where these substances were present. This unfortunately was most of the time, Jane stated that every time she saw any of these substances consumed or even placed near her, she became anxious and had to wash her hands and any surrounding items which she may come into contact with again.These safety behaviours maintained the cycle of panic, Jane would always continue the routines that she believed prevented a panic attack. The worst case scenario for Jane was â€Å"the panic would never stop and I will go mad, causing my boyfriend to leave me†. Jane felt this would make everyone realise what she already knew, that she was worthless. Her last panic attack happened when Jane had visited her GP; this caused Jane feelings of shame. â⠂¬Å"There’s all these people achieving, doing great things and I can’t do the most basic things†The therapist used the Cognitive Model of Panic (Clark, 1986), initially developing the three key elements of the model to help socialise Jane to the thoughts, feelings and behaviour cycle (see diagram below) Cognitive Model of Panic Bodily sensations Emotional response Thought about sensation Clark (1986) Using a panic diary and a diary of obsessive-compulsive rituals, Jane was asked to keep a record of situations during the week where she felt anxious, and this was discussed in the next session.Jane stated she had not had any panic during the week, when discussing previous panic attacks during the session, Jane became anxious and the therapist used this incident to develop the following formulation. Heart beating fast/increase in body temperature Fear/dread I feel hot, I can’t control it Clark (1986) Jane stated she felt like she was sweating, she had diffic ulty breathing; felt faint, had feelings of not being here and felt like she was going crazy.All these symptoms suggested that Jane was experiencing a panic attack and Jane met the criteria for Panic Disorder, defined in the DSM IV and states that â€Å"panic attacks be recurrent and unexpected, at least one of the attacks be followed by at least one month of persistent concern about having additional attacks, worry about the implications or consequence of the attack, or a significant change in behaviour related to the attacks† (APA, 1994). During the sessions the therapist continued to socialise Jane to the model of panic (Clark, 1986); together Jane and the therapist looked at what kept the cycle going.The therapist continued to use the model formulation, with the addition of Jane’s catastrophic interpretation of bodily symptoms, to illustrate the connection between negative thoughts, emotion, physical symptoms. Social situation I will be unable to stay here Everyone will notice I am not coping I’m going to faint Sweating/breathing fast/dizzy Clark’s (1986) Cognitive Model of Panic.Progress of Treatment The therapist hypothesised that Jane’s symptoms continued due to Jane not understanding the physiological effects of anxiety. The results were a misinterpretation of what would happen to her while being anxious, and this maintained the panic cycle. Although Jane tried to avoid any anxiety by using safety behaviours, she eventually increased the anxiety she experienced. Session 1 After the initial assessment sessions, the therapist and Jane agreed to 8 sessions, with a review after 6 sessions.Jane and the therapist discussed that there may only be a small amount of progress or change during the sessions due to the complexity of Jane’s diagnosis and agreed to focus on understanding the cycle of panic (Clark, 1986) From the information gained from the formulation process, the therapist tried psycho education. The therap ist was attempting to illicit a shift in Jane’s belief about what, how and why these symptoms were happening. The therapist discussed with Jane what she knew about anxiety and from this the therapist discovered that Jane was unsure of what anxiety was and the effects on the body.For the first few appointments the therapist knew it could be beneficial to concentrate on relaying information about anxiety, (Clark et al, 1989) focusing on Jane’s specific beliefs anxiety, the therapist wanted to try to reduce the problem by helping Jane recognise the connection between her symptoms. As Jane believed, â€Å"she was going mad†, the therapist was trying to help Jane understand the CBT model of anxiety and to alter Jane’s misunderstanding of the symptoms. The therapist and Jane discussed Jane’s belief that she would faint if she panicked, Jane had fixed beliefs about why she fainted.The therapist attempted to enable Jane to describe how her anxiety affected her during a ‘usual panic’. Instead Jane began to describe symptoms of social anxiety, this suggested to the therapist that the main problems could be a combination of /social phobia and obsessive behaviours; the following dialogue may help to illustrate this. T. When you begin to become anxious, what goes through your head? J. I need a backup plan; I need to know how to get out of there. Especially if it’s in an office, or a small room. T. What would happen if you did not get out? J. I would panic, and then pass outT. What would the reasons be for you to pass out? J. Because I was panicking. T. Have you passed out before when you have panicked? J. I have felt like it. T. So what sensations do you have when you’re panicking? J. The feeling rises up, I feel hot and I can’t see straight. I get red flashes in front of my eyes, like a warning. My vision goes hazy. I think everyone is looking at me. T. Do you think other people can see this? J. Yes. T. What do you think they see? J. That I’m struggling and I cannot cope or, I try to get out of the situation by pretending I feel ill before they notice. T.What would they notice, what would be different about you? J. I stick out like a beacon, I’m sweating, loads of sweat and my face is bright red. T. How red would your face be, as red as that â€Å"No Smoking† sign on the wall? J. Yes! I’m dripping with sweat and my eyes are really staring, feels like they stick out like in a cartoon, it’s ridiculous. T. How long before you would leave the situation? J. Sometimes the feeling goes, like I can control it. But I could not leave. There would be a stigma and then I could not go back, the anxiety would increase in that environment or somewhere similar.The therapist persisted with this example and tried to use guided discovery to help Jane get a more balanced view of the situation. (Padesky and Greenberger, 1995) T. So you would not go back? J. I would if I felt safe, like with my boyfriend or I could leave whenever I wanted to. It’s the last straw if I have to go. It makes it even harder. T. You say that sometimes it goes away. What’s different about then and times when you have to leave? J. It’s like I just know I have to leave. T. What do you think may happen if you stay with the feelings? J. That I will pass out. T. hat would that mean if you passed out? J. It would be the ultimate. It would mean that I could not cope with the situation. T. If you could not cope what would that mean? J. I can’t function, I can’t do anything. I‘m just no use. T. How much do you believe that? Can you rate it out of 100%? J. Now. About 60% if I did faint it would be about 100% T. Have you ever fainted due to the sensations you have described to me? J. No. I have fainted because I’m squeamish. I don’t like blood. Or having any kind of tests at the GP. T. So do I understand you? You have never fa inted due to the panic sensations?J. No. I’ve felt like it. T. So you’ve never passed out due to the symptoms? What do you make that? J. I don’t know, that would mean that what I believe is stupid. It’s hard to get my head around it. Session 2-3 The therapist used a social phobia/panic rating scale measures to ascertain the main problem; this was increasingly difficult as throughout each session the patient expanded on her symptoms. The therapist managed to understand that the patient avoided most social situations due to her beliefs about certain substances; this caused the obsessive hand-washing.This then had an impact on Jane’s ability to go anywhere in case she could not wash herself or objects around her. Jane also believed fainting from blood phobia had the same physical effects as panic, and she would faint if she panicked. It was complicated and the therapist attempted to draw out a formulation. I SEE A PERSON DRINKING ALCOHOL IT’S G OING TO GET ON MY HANDS AND INTO MY MOUTH I FEEL SICK, I’M GOING TO FAINT I FEEL DREAD, I FEEL ANXIOUS, SWEATING I MUST WASH MY HANDS TO STOP THE PANIC GETTING WORSE.Session 4 The formulation shows the extent of Jane’s panic and how her safety behaviours were impacting on all aspects of her life. The therapist attempted again to use information about the causes of anxiety and its effects on the body. The therapist explained what happens when you faint due to blood phobia, this was an attempt to supply Jane with counter evidence for her catastrophic interpretations of her panic. The therapist also used evidence to contrast the effects on the body when fainting and when panicking.After two sessions, the therapist continued to provide and attempted to relay the facts about the nature of anxiety/panic/fainting with the inclusion of behavioural experiments. Educational procedures are a valid part of overall cognitive restructuring strategies, incorporated with questioning e vidence for misinterpretations and behavioural experiments (Wells, 1997) The therapist asked Jane to explain to the therapist the function/effects of adrenalin, to see if Jane was beginning to understand and if there had been any shift in her beliefs about panic.The following dialogue may help to illustrate the difficulties the therapist encountered; T. Over the last few sessions, we have been discussing anxiety and the function of adrenalin. Do you understand the physical changes we have looked at? Does it make sense to you? J. Yes. Something has clicked inside my head. I feel less insane now, I understand more about what’s going on. It makes things a little bit easier, but it takes time for it to sink in. T. Do you think you could explain to me what you understand about anxiety/adrenalin? J.As I interpret it is, I like to think of it as, â€Å"I’m not anxious it’s just my adrenalin, It’s just the effects of adrenalin effecting my body† but itâ₠¬â„¢s hard to get from there, to accepting the adrenalin is not going to harm me. I know logically it’s not. But it’s still hard. T. That’s great you’re beginning to question what you have believed and are thinking there may be other explanations for your symptoms. J. Yes. But I still think it’s to do with luck. I have good or bad luck each day and that predicts whether I have a panic or not. I think I’ll be unlucky soon.Session 5-6 The therapist continued to try use behavioural experiments during the sessions to provide further evidence to try to alter Jane’s beliefs about anxiety. The therapist agreed with Jane that they would imitate all the symptoms of panic. Making the room hot, exercising to increase heart rate and body temperature, hyperventilation (ten minutes) Focusing on breathing/swallowing. This continued for most of session 5. As neither the therapist nor Jane fainted, they discussed this and Jane stated it was different in the session than when she with other people.Jane also stated she felt safe and trusted the therapist, she did not believe she could be strong enough to try the experiments alone, as it was â€Å"too scary† The therapist asked Jane to draw a picture of how she felt and put them on the diagram of a person, this then was used to compare with anxiety symptoms, while talking through them with the therapist. The therapist and Jane created a survey about fainting and Jane took this away as homework to gain further evidence. The survey included 6 different questions about fainting e. g. – What people knew about fainting/how they would feel about seeing someone faint, etc. Treatment Outcome The treatment with Jane continues. The next session will be the 6th and there will be a review of progress and any improvements. There has been no improvement in measures as noted yet. The therapist intends to use a panic rating scale (PRS) Wells, (1997) during the next session. The thera pist will continue to see Jane for two more sessions, looking at what Jane has found helpful/unhelpful. Discussion Overall the therapist found the therapy unsuccessful.Although Jane stated she found it helpful, it was difficult for the therapist to see the progress due to the many layers of complexity of Jane’s diagnosis. The therapist has grown more confident in the CBT process and understands that as a trainee, the therapist tried to incorporate all the new skills within each session. The therapist was disappointed that they were unable to guide Jane through the therapy process with a better result. The therapist would have like to have been able to fully establish an understanding of Jane’s complex symptoms earlier on in the therapy.The therapist believes that Jane’s symptoms were very complex and the therapist may have been more successful with a client with a less complicated diagnosis. The therapist would then be able to gain more information via the appro priate measures to enable the formulations in a concise manner. This has been a huge learning curve for the therapist and has encouraged them to seek out continuing CBT supervision within the therapist’s workplace. This is essential to continue the development of the therapist’s skills.The therapist feels that although this has not had the outcome that the therapist would have wanted, it has been a positive experience for Jane. There appeared to be a successful therapeutic relationship, Jane appeared comfortable and able to communicate what her problems were to the therapist from the beginning of therapy. The therapist hopes this will encourage Jane to engage with further CBT therapy in the future and the therapist over the final session hopes to be able to support Jane in creating a therapy blueprint, reviewing what Jane has found helpful.Certificate in CBT September – December 2009 CBT Case Study Panic/Social Phobia/OCD WORD COUNT 3,400 References APA (1994). Diagnostic Statistical Manual of Mental Disorders, Revised, 4th edn. Washington, DC: American Psychiatric Association Padesky, C. A & Greenberger, D. (1995). Clinicians Guide to Mind Over Mood. New York: Guilford Padesky, C. A & Greenberger, D. (1995). Mind Over Mood. New York: Guilford Wells, A (1997). Cognitive Therapy of Anxiety Disorders. Chichester, UK: Wiley

Thursday, January 2, 2020

The Between Mind And Body - 1056 Words

There is no real answer for the question about if mind and body are the same or different, a person is made of mind and body and the both have different characteristics. Rene Descartes asked the question what am I. he gives and answer to the question by saying he is a thinking thig, if the body and mind are different from one other, mind can also continue with no body because it is not import for what he is. Moreover body is breakable and extender and mind is not breakable and non-extended, that is a reason they are different in nature. Rene Descartes settled the metaphysical differences between the body and mind, but he also have to think about the relationship between mind and body. Mind and body are two different substances with many properties. Moreover the mind and body communicate, its and everyday experience, the actions that we do every day is from our thoughts. The relationship between the body and mind is much more close and special, it cannot be regenerated with any other physical substances. When anywhere in the body is wounded we feel pain and tries to not get injured again. Desires and thoughts have a connection with how the body behaves but the mind is able to take control of the body Descartes assumes that if it is possible to conceive of one thing without the other, then those two things are not identical. The self is not a body, it’s not a physical thing without a body. He also argues that we can conceive of ourselves as existing. Thinking isShow MoreRelatedRelationship Between Mind And Body929 Words   |  4 PagesIn philosophy, Mind–body dualism is any theory that states that the mind and body are two distinct kinds of substances or natures. The problem of the relationship of the mind to body arose from the works of Renà © Descartes, a French philosopher and mathematician of the 17th-century who gave dualism its classical formulation or made it to be what it is today. Conceived from his famous â€Å"Cogito, ergo sum† (Latin) meaning â€Å"I think, therefore I am,† he developed a theory of the mind as a nontangible andRead MoreA Conversation Between Mind And Body1288 Words   |  6 Pagesin ones own mind. However in 65b Socrates states that in the search for knowledge, the body is not an ally but actually an obstacle, and that senses are never clear and cannot be trusted. However the body is the mean in which our mind obtains knowledge. Without the acquisition of senses as well as human interaction the mind is useless. The same goes to say that without a sound mind, the body itself is nothing more than a vegetable. It is the essential connection between mind and body, which allowsRead MoreDifference Between Mind And Body1449 Words   |  6 PagesWhen asked whether there is a difference between mind and body, most people (e.g. most non-philosophers) will likely answer with an immediate â€Å"yes.† This is due to the fact that we have the inherent belief that our mental processes differ from that of the physical. This idea just â€Å"seems† right. However, if we truly believe that the mind has a nonphysical existence then how can we reconcile the relationship between mind and body – an interaction between the nonphysical and the physical? FurthermoreRead MoreThe Separation between Mind and Body1045 Words   |  4 Pagessomething interior or exterior? This dichotomy correlates to idea of separation, or even conflict, between mind and body. Are the two separate, or are they symbiotic, and entirely dependent on each other? Just as some people believe that meditation can clarify or synchronize the mind and body, my work is a process that symbolically expresses trauma, disease, and death, beyond what is apparent from a physical body, bringing about a similar synchronization. Recently, I have been exploring Francisco J. VarelasRead MoreThe Relationship between Mind and Body1005 Words   |  4 PagesThe relationship between mind and body seems like an important key to understand more about whether a person has a mental state or not. Many philosophers have developed many branches of philosophy to study the nature of mind and its relationship to body. From the conversation, the doctors’ positions actually represent one of the branches when they are discussing the mental states of the patient. Each branch has their own defenses. In the following paragraphs, I will argue that it is more reasonableRead MoreThe Complex Relationship Between Body And Mind1729 Words   |  7 Pagescomplex relationship between body and mind is a delicate one, for both systems work together by providing sustenance for one another. The brain is responsible for sending messages to the body by deciding what the body needs and dictating how the body should act upon these said n eeds. On the other hand, the body is held accountable to provide the brain with adequate energy in order for the brain to perform basic cognitive functions. For example, when one consumes breakfast, the body uses the process ofRead MoreDescartes on the Distinction Between Body and Mind1181 Words   |  5 PagesCourse Date Descartes Premise for Distinguishing Body and Mind In the Meditations on First Philosophy, Descartes discusses the nature of the body and mind. By drawing from three lines of thought, Descartes launches a powerful premise that the body is something distinct from the mind. He conceptualizes his argument by using the uncertainty of knowledge argument, appealing to God’s omnipotence, and describing the indivisibility of the body and mind. Therefore, the purpose of this paper is to discussRead MoreTheoretical Relationship Between The Mind Body1193 Words   |  5 PagesAccording to different theories; the human mind and body may or may not have a correlation. In other words, there are explanations that concur that the mind and the body have a relationship of some kind. Yet there are other explanations that may disagreed and appose the fact that there is such an idea of the mind and body correlation. In this paper I will discuss the history of theories regarding the relationship between mind and body, as well as my understanding o f this relationship. I will alsoRead MoreThe Distinction between Mind and Body Essay605 Words   |  3 Pagesdistinction between the physical world, and the non-physical world. Within Descartes Meditations, he explains the fundamental differences between the mind and the physical world. The distinction is that matter is an unthinking, doubtable, and extended substance, meaning it extends in space. Whereas the soul is a thinking and unextended substance that cannot be doubted. My thoughts do not take up space, do not have a mass, and cannot be divided, unlike matter. Descartes concludes that mind and body areRead MoreDescartes: Relationship Between Mind and Body922 Words   |  4 PagesReal Distinction between the Mind and Body†, one important thing Descartes explores is the relationship between the mind and body. Descartes believes the mind and body are separated and they are two difference substances. He believes this to be clearly and distinctly true which is a Cartesian quality for true knowledge. I, on the other hand, disagree that the mind and body are separate and that the mind can exist without the body. First, I will present Descartes positi on on mind/body dualism and his

Wednesday, December 25, 2019

The San Jose March For Science. For My Civic Engagement

The San Jose March for Science For my civic engagement assignment, I attended the San Jose March for Science from San Jose city hall to the Plaza de Caesar Chavez. The March was in organized primarily in response to the Trump administration’s unfavorable views on science, especially towards environmental science, and was held in conjunction with hundreds of other marches attended by hundreds of thousands of people across the world. I’ve never been the most civically-minded person so I was not quite sure what to expect when attending, but I think that I gained a more personal understanding of the political and democratic aspect of environmental citizenship. I arrived at the march slightly after it was underway, a few blocks away from San†¦show more content†¦In layman’s terms, Environmental citizenship is the idea that humans are part of the environment and that as a result we should work to help the environment through day-to-day and political actions. A parallel could be drawn to the idea of the Social Contract, where people give up certain privileges and take on certain duties in order to be effectively governed as a part of a greater society (Gough 2-3). Environmental citizens give up certain privileges such as littering or using fossil fuels and take on duties like recycling or voting for environmentally friendly laws or politicians in order to better the environment as a whole. Environmental Citizenship can be further broken down into two rough categories: personal daily citizenship and large scale political citizenship. Daily environmental citizenship refers to people following environmentally just laws and performing environmentally conscious actions in daily lives, such as recycling, eating food from environmentally friendly sources such as homegrown gardens, using eco-friendly transportation such electric cars or public transportation, and other similar activities. Political environmental citizenship is when people partic ipate in large scale political processes such as voting, political demonstrations (such as the March that I attended) or protests and even running for political office. Of course,Show MoreRelatedCsr Communication in the Pharma Industry35538 Words   |  143 PagesCSR COMMUNICATION IN THE PHARMACEUTICAL INDUSTRY AN ANALYSIS OF THE WEBSITES OF THREE PHARMACEUTICAL WHOLESALERS MASTER THESIS Author: Josà © Javier Levrino (JL82847) Supervisor: Anne Ellerup Nielsen MA in Corporate Communication Ã…rhus, Denmark. August 2010 CSR COMMUNICATION IN THE PHARMACEUTICAL INDUSTRY Josà © Javier Levrino Table of contents Abstract 1. Introduction 1.1 Motivation 1.2 Problem statement 1.3 Delimitation 1.4 Methodology 1.4.1 1.4.2 1.4.3 1.4.4 Scientific paradigm: hermeneuticsRead MoreDeveloping Management Skills404131 Words   |  1617 Pagessucceed. Visit www.mymanagementlab.com to learn more. DEVELOPING MANAGEMENT SKILLS EIGHTH EDITION David A. Whetten BRIGHAM YOUNG UNIVERSITY Kim S. Cameron UNIVERSITY OF MICHIGAN Prentice Hall Boston Columbus Indianapolis New York San Francisco Upper Saddle River Amsterdam Cape Town Dubai London Madrid Milan Munich Paris Montreal Toronto Delhi Mexico City Sao Paulo Sydney Hong Kong Seoul Singapore Taipei Tokyo Editorial Director: Sally Yagan Editor in Chief: Eric Svendsen AcquisitionsRead MoreOne Significant Change That Has Occurred in the World Between 1900 and 2005. Explain the Impact This Change Has Made on Our Lives and Why It Is an Important Change.163893 Words   |  656 Pages82—dc22 2009052961 The paper used in this publication meets the requirements of the American National Standard for Information Sciences—Permanence of Paper for Printed Library Materials, ANSI Z39.48-1992 Printed in the United States of America 2 4 6 8 9 7 5 3 1 C ONTENTS Introduction Michael Adas 1 1 World Migration in the Long Twentieth Century †¢ Jose C. 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Monday, December 16, 2019

Customary International Law Customs - 1437 Words

CUSTOMARY INTERNATIONAL LAW Customs in international law can generally be defined as rules developed by the practice of states, which rules the states concerned follow because they believe there is a rule of law requiring them to behave as such. Rebecca Wallace (1997) defines it as â€Å"a practice followed by those concerned because they feel legally obliged to behave in such a way† (p. 172). Thus, for there to exist a rule of customary international law, there must be a practice that is followed by the generality of states in the belief that there is a rule of law requiring such practice. It is important to distinguish custom from other rules that states may follow not out of any feeling of a legal obligation, such as behavior undertaken out of courtesy, friendship or convenience. The difference between customs and these other norms is the fact that custom is derived from two elements: (a) a material element (state practice) and (b) a psychological element (opinio juris). The material element is derive d from the practice and behavior of states whereas the psychological element is the subjective conviction held by states that the behavior is question is necessitated by a rule of law and not discretionary (Villiger, 1985). State practice includes any act, articulation or other behavior of a state that discloses the state’s conscious attitude with respect to its recognition of a rule of customary international law. The International Law Commission (ILC) in 1950 listed theShow MoreRelatedState X And The Outer Space Treaty1507 Words   |  7 Pagesdeemed Jus Cogens or International Customary Laws. As a result of this, through State X’s actions of claiming the territory as part of its own, State X is violating the treaty and State Y is making a request to the international court to declare State X’s claim of the moon as invalid or void. State X has refuted this claim by arguing that since it was not to the Outer Space Treaty of 1967, it is not under any obligations to adhere to it nor is there any international law claiming that its acquisitionRead MoreIs The Ultimate Crime Someone Can Commit?2438 Words   |  10 Pagesof individual security. As a student, these fears most likely consist of physical safety such as being robbed, so an easy fix is just to not walk home alone and be more aware of the environment. If more support is needed, there are campus security, law enforcement officers, and many other resources to turn to for help. Now let’s escalate the situation and imagine a world where we fear not just losing monetary belongings, but we fear for losing our lives and there is no one to turn to for help. TheRead MorePublic International Law Is Formed By Sovereign States1463 Words   |  6 PagesPublic International law is formed by sovereign states, for sovereign states and governed by the notion of con sent. The international Court of Justice under the statute of Article 38, states that when disputes are presented they shall apply International Conventions (also known as treaties), international customs and general principals of law and it shall draw on judicial decisions and the teachings and writings of highly qualified publicists in determining rules of law . The domain of the sourcesRead MoreThe Sources Of International Law1060 Words   |  5 PagesThe sources of international law are laid down in the Statute of the International Court of Justice Art.38 and include: â€Å"1. The Court, whose function is to decide in accordance with international law such disputes as are submitted to it, shall apply: a. international conventions, whether general or particular, establishing rules expressly recognized by the contesting states; b. international custom, as evidence of a general practice accepted as law; c. the general principles of law recognized byRead MoreCommon Law And Civil Law835 Words   |  4 PagesAt the global level international law is of great importance and the legal systems such as common law, civil law, customary law, and theocratic law exist in different countries across the world. There are about 196 sovereign states in the United Nations Organization and each of the states follows a legal system created by them or by an agreement in the form of regional treaties and other accords. Common law: A common law system according to Samii (2011, p. 112) is based on tradition, judge madeRead MoreInternational Laws : A Common Law System1546 Words   |  7 PagesAt the global level, international laws are of great importance and the legal systems such as common law, civil law, customary law, and theocratic law exists in different countries across the world. There are about 196 sovereign states in the United Nations Organization and each of the states follows a legal system created by them or by an agreement in the form of regional treaties and other accords. Common law: A common law system according to Samii (2011, p. 112) is based on a traditions, judgeRead MoreNicaragua Case1655 Words   |  7 Pagesarticulate what the law is and where it can be found. The sources of international law can be found in article 38 of the Statute of the International Court of Justice. Article 38 of the Statute of the ICJ states: ‘The Court, whose function is to decide in accordance with international law such disputes as are submitted to it, shall apply: a. international conventions, whether general or particular, establishing rules expressly recognized by the contesting states; b. international custom, as evidenceRead MoreEssay about International Laws766 Words   |  4 PagesFirst coined by English philosopher Jeremy Bentham, international law is customarily recognized as the law that regulates the affairs between sovereign states, the foremost issue of international law. Public international law only concerns itself with the issues of rights involving a number of nations, or nations and its people, or matters of other nations. It differs from private international law, which deals with dissimilarity between private individuals, natural and/or juridical, by developingRead MoreBSBINT405B Apply Knowledge Assessment V2 Essay1234 Words   |  5 Pagesï » ¿ Assessment Materials BSBINT405B Apply knowledge of import and export for international conventions, laws and finance To achieve competency in this unit you must complete the following assessment items. All tasks must be submitted together. Tick the boxes to show that each task is attached. Task 1. Theory Exam ☠ NOTE: If this is a group assignment, each member of your group must individually submit a separate and complete copy. Student ID Student Name 41221 Filippo Alexander Juhas ArientiRead More International Law as Law Essay1569 Words   |  7 PagesInternational Law as Law When comparing apples to pears, one is not making a fair comparison, but a disproportionate comparison. Often times when international law is discussed or attempts are made to understand international law; many often attempt to compare international law with existing laws such as national law or domestic law. Making such disproportionate comparisons leads to many misconceived notions and attitudes toward international law. For an adequate comparison of international

Sunday, December 8, 2019

Fringe Benefit Derived From Car

Questions: (a). Advise Periwinkle of its FBT consequences arising out of the above information, including calculation of any FBT liability, for the year ending 31 March 2016. You may assume that Periwinkle would be entitled to input tax credits in relation to any GSTinclusive acquisitions. (b). How would your answer to (a) differ if Emma used the $50,000 to purchase the shares herself, instead of lending it to her husband? Answers: a. It is apparent on the basis of the case presented that Emma is an employee of Periwinkle and has obtained some fringe benefits from the employer. Hence, the central aim is to determine the fringe benefit related tax implications of these benefits with especial reference to Fringe Benefit Tax Assessment Act 1986 (FBTAA86). The various fringe benefits that arise based on the employers conduct are discussed as follows. This benefit is derived by the employee only when the employer gives away the car owned by itself to the employee for usage in personal needs. This has been advocated by Section 8, FBTAA and the fringe benefit tax would typically depend on the usage of the car. Besides, Section 23L ITAA 1936 rules that tax implications for any fringe benefit that may be given away to employee has to be borne by the employer (Sadiq et. al., 2014). As per the case details, Emma has been given car fringe benefit since the employer owned car was given by the employer for personal usage. The payment of GST is a key issue with regards to the computation of fringe benefit associated with car as the factor involved in calculation of the grossed taxable value is driven by the GST (McCouat, 2012). As is apparent from the data given in the case, the car attracts GST and thus the gross up factor to be applied is 2.1463 (ATO, 2015). The FBT liability imposed on the employer as a result of the given arrangement can be computed as mentioned below (Wilmot, 2012). Step 1: Ascertain the taxable value The taxable value of the benefit associated with the given arrangement is determined using the approach below. The calculation of the key constituents for the determination of the underlying taxation liability is shown below. 20% is the statutory percentage that would be applied in accordance with the ATO rule as per which the personal usage of any car to the extent less than 15,000 km during the assessment period. In the given case, the personal usage is 10,000 km. (ATO, 2015). Period for which Emma has the office owned car under her possession = 365-30-5 = 330 A deduction of thirty days has been introduced as Emma was given the car not at the starting of the financial year but after one month. Also, there has been an adjustment to the tune of five days as the car had gone out for repairs and hence Emma did not have it. However, no provisioning would be done for those ten days when the car despite being in possession was parked at the airport and therefore not in use. Benefits value that is subject to FBT = 32450 0.2 (330/365) = $ 5,867.7 Step 2: FBT related liability FBT on car fringe benefit to be paid by employer = 5,867.7 2.1463 0.49 = $ 6,170.95 Fringe benefit derived from loan The above benefit is derived by the employee if the employer does give loan to the employee at an interest rate lower than the RBA prescribed rate and thereby tends to benefit the employer in the form of lower interest cost. Similar to the nature of the fringe benefit derived from car, the employer only has to bear the tax liability arising on account of this benefit. The RBA rate that is currently applicable if given by tax ruling TD 2015/8 and stands at 5.65% pa (Barkoczy, 2015). But the interest rate being charged to Emma is significantly lower at 4.45% pa which essentially gives rise to the benefit being realised by the employee. The loan fringe benefits value is equivalent to the employees saving on the interest cost by comparing if lending was done at the RBA rate (Gilders et. al., 2015). Interest cost @RBA rate i.e. 5.65% = 500,000 0.0565 = $ 28.250 Actual interest cost @ Periwinkle rate i.e. 4.45% pa = 500000*0.0445 = $ 22,250 Net Interest Savings due to employer lower interest = $ 28,250 - $ 22,250 = $6,000 Thus, FBT would be applicable on the value of loan fringe benefit as ascertained above at $ 6,000. Emma uses 90% of the loan amount i.e. # 450,000 for the purchase of a holiday home with the intention of making personal gains, thus the interest component on this portion of the loan would be available for deduction at the end of the employer and thereby help in lowering the liability on account of FBT (Sadiq et. al., 2015). Fringe benefit derived from bathtub In case of bathtub, Emma realises fringe benefit as the employer has extended a favour or a benefit by giving the bathtub at significantly lower value as compared to the actual retail value and hence the underlying tax liability on account of this would be computed as 49% of the total benefit extended (Deutsch et. al., 2015). b. There has been a change in the deployment of funds since 10% of the loan is now used by husband of Emma for making investments in shares. Since, the remaining $ 450,000 still continues to be used by Emma with regards to making investment in holiday home, hence the deductions available to the employer on this interest would continue to take place. Additionally, the decline in the related liability to FBT is determined below (Sadiq, et. al.,2015). Interest cost @RBA rate i.e. 5.65% for 10% loan amount = 28,250 0.1 = $ 2,825 Actual interest cost @ Periwinkle rate i.e. 4.45% pa for 10% loan amount = 22,250 0.1= $ 2,225 Hence, the taxable fringe benefit would now become less by 2825-2225 which is $ 600. Savings on FBT = 600*0.49 = $ 294 References Barkoczy,S 2015.Foundation of Taxation Law 2015,7th edn, CCH Publications, North Ryde Deutsch, R, Freizer, M, Fullerton, I, Hanley, P, Snape, T 2015. Australian tax handbook, 8th edn, Thomson Reuters, Pymont Gilders, F, Taylor, J, Walpole, M, Burton, M. Ciro, T 2015. Understanding taxation law 2015, 8th edn, LexisNexis/Butterworths. McCouat, P 2012, Australian GST legislation. 17th edn, CCH Australia Limited, North Ryde Sadiq, K, Coleman, C, Hanegbi, R, Jogarajan, S, Krever, R, Obst, W, and Ting, A 2015,Principles of Taxation Law 2015,8th edn, Thomson Reuters, Pymont Wilmot, C 2012, FBT Compliance guide, 6th edn, CCH Australia Limited, North Ryde.

Sunday, December 1, 2019

Racism In America Essays (282 words) - Discrimination, Hatred

Racism In America Racism In America Race is a socially constructed category. Society assigns races to people based on opinion and social experience. If races are socially constructed, then racism must also be an offshoot of race and derived from social experiences too. Racism, as defined by Webster's New American Dictionary, is ?a belief that some races are by nature superior to others.? Why is there racism in America today? There are two distinct schools of thought; the social psychologists and the sociological theorists. There are two social psychological theories. The scapegoat theory, that argues ?historically, members of the dominant group in the United States have harbored various frustrations in their desire to achieve social and economic success? and vent these frustrations in the form of anger towards other racial groups (Andersen, Taylor, 291). The authoritarian theory ?is characterized by a tendency to rigidly characterize people? (Andersen, Taylor, 291). The sociological theories focus more on institutional racism. Racism appears to be a mixture of the scapegoat, authoritarian, and sociological theories. While majority of the people automatically characterize people into groups, they also have a tendency to turn these groups in punching bags. The reason from this may be the detachment associated with categorizing people into groups other than your own. Therefore, detachment of one person from another allows each person to feel able to blame or hate the other without feeling guilt. George Ritzer would argue that ?Mcdonaldization of society? definitely helps to create the dehumanization needed to ignite and cultivate racism. Symbolic interaction theorists ague that greater interaction within the groups will reduce racism. If racism is socially constructed, then changing the structure of how society allows only brief and indifferent interactions between people, (curbing the growth of mcdonaldization) will help create a more equal society. Environmental Issues