Prisons: Punishment and Rehabilitation

Prisons: Punishment and Rehabilitation In order to understand the nature of imprisonment, this chapter will briefly look at the historical origins of prison, and then it will move onto justify their theoretical legitimacy: punishment/retribution, deterrence, incapacitation, and rehabilitation. These theories/ideologies will re-occur through the thesis like themes- what we refer to them as meta-concepts. The final section of this chapter will examine the strategies employed by the Prison Service to reach its ultimate goal of protecting public and reducing re-offending. ORIGINS OF PRISON Prisons do not exist in a vacuum. They exist because society decided that they should be used as a method of responding to crime. The early 12th century prisons served a custodial function, mainly detaining people until civil debts were met. A prisons effectiveness was measured by its success in holding people (Muncie, 2001: 159). And in the 18th century, though the prison population remained mainly debtors, the rationale behind prison changed to one of punishment rather than containment. The end of the 18th century saw the rise of the penitentiary in which prisoners were categorised into groups in a regime of punishment, and were subjected to severe physical labour and moral reformation (Muncie, 2001: 164). Things changed drastically over time, and issues such as justice and rehabilitation ascended in the prison system. Benevolent societies were committed to ushering in better conditions, useful employment and good habits of behaviour through discipline and compassion (Muncie, 2001: 169). Perhaps this formed the inspiration of contemporary rehabilitative yet punitive National Offender Management Service (NOMS)- which is a law enforcement agency formed by the integration of the headquarters of prison and probation service to improve effectiveness and efficiency. JUSTIFICATIONS FOR IMPRISONMENT In his speech to the Conservative Party Conference, Michael Howard who was the Home Secretary in 1993, argued that for many crimes, imprisonment was the response demanded by victims in the interests of retribution. Hence, the first given purpose of imprisonment is to punish persons for the crime(s) they have committed. Punishment, in essence, is the practice of getting even with the wrongdoer. It is justified on the ground like a payment of what is owned: that is, offenders who are punished are paying their debt to society and offenders have a right to go free once they have paid their debt (McGraw, 2005:54). This is in some ways the complete antithesis of reductivism which justifies punishment on the ground that it helps to reduce the incidence of crime. Garland (1990:17) defined punishment as the legal process whereby violators of criminal law are condemned and sanctioned in accordance with specified legal categories and procedures. In Her Majestys Prison Services (HMPS) statement of purpose, which was adopted in 1988, punishment is defined as keeping in custody those committed by the court (cited in McGraw, 2005:39). There is a general agreement that the restriction of liberty would only be included for crimes like murder and other serious offences of violence against the person, such as rape. In the early times, systems of retribution favoured lex talionis, calling for an eye for an eye, a tooth for a tooth, and a life for a life (Hudson, 1996:38). It claimed that it is morally right to return evil for evil, and that two wrongs can make a right (Bean, 1981: 16). It looked only at the crime: it made no allowance for the mental state of the offender or for any mitigating or aggravating circumstances associated with the crime. Contemporarily however lex talionis is seen as a crude formula because it cannot be applied to many of todays crimes. For instance, what punishment ought to be inflicted on a rapist under lex talionis? The failure to inflict the same on the offender as the offender has inflicted on his or her victim has forced the retributive tariff to be considerably more lenient than it used to be in Biblical times (Hudson, 1996). Being required to stay behind the walls of a prison for the specified period, not permitted to go out from the prison other than in approved circumstances, is now the most punitive sentence which a court in England and Wales can impose. The criminal law is quite specific in restricting the courts authority to impose a prison sentence: The court must not pass a custodial sentence unless it is of the opinion that the offence, or the combination of the offence and one or more offences associated with it, was so serious that neither a fine lone nor a community sentence can be justified for the offence (Criminal Justice Act, 2003: Section 152 cited in Scott, 2007: 42) A sentence of imprisonment is imposed, in principle, to deprive the individual of his or her freedom. Although some would argue that the prison is a refuge from the pressure and severity of normal life, for many prisoners the pains of deprivation of liberty and separation from family are almost unbearable. Furthermore, the coercive punitive element of imprisonment extends beyond the mere deprivation of liberty: typically, the offenders family who have not been found guilty of a crime have also seen to be punished (McGraw, 2005). This is not a big concern for some ideologies. According to the utilitarian theory, moral actions are those that produce the greatest happiness of the greatest number of people (Hudson, 1996:54), inferring that if punishment is effective in reducing crime, then the pain and unhappiness caused to the offender and to the relatives may be outweighed by the unpleasantness to other people in the future which is prevented. Prison works because it ensures that we are protected from murderers, muggers and rapists (Howard, 1993 cited in Cavadino and Dignan, 2002: 67)- a reference to the second justification of imprisonment known as incapacitation. Incapacitation enables the prison service to protect public because offenders are in prison, and they are prevented from committing other crimes. In some respects this argument is valid, particularly in respect of specific neighbourhoods where a significant proportion of crime is committed by identifiable individuals. However, this type of crime tends to be low level, attracting relatively short prison sentences. The person concerned may be taken out of their community for a short period of time but they are likely soon to return. Some of them may still give indication that, if they were to return, they would continue to present a threat to the public. A more problematic group includes those who have not committed a serious crime but have been identified by expe rts as likely to do so. It may well be necessary that these people should be in prison for as long as they present a threat. However, in order to justify holding these men in custody, the state has to derogate from Article five of the European Convention on Human Rights (ECHR), which guarantees the right to a fair trial. Hence, although punishment for imaginary crimes in the future might not be essentially wrong for utilitarianism, it is a serious objection for retributivism and human rights theory. This is because, our powers of prediction are simply not up to the job, whether we use impressionistic guesswork, psychological testing, statistical prediction techniques or any other method (Ashworth and Redmayne, 2005: 206) inferring that a number of persons will suffer incapacitation who would not have committed further crimes if left free. The third justification of imprisonment is deterrence. There are two types of deterrence: individual and general. The former involves deterring someone who has already offended from reoffending where as the latter involves dissuading those who might be tempted. Becarria expressed his early conception of deterrence and argued that the aim of punishment can only be to prevent the criminal committing new crimes against his countrymen and to keep others from doing likewise (cited in Bean, 1981: 30). Michael Howard (1993 cited in Jewkes and Johnston, 2007:84), took a similar position to Beccaria and argued that prison works à ¢Ã¢â€š ¬Ã‚ ¦ it makes many who are tempted to commit crime think twice because people fear the punishment that they may receive if they offend. The greater the punishment, the greater the deterrent. It can be argued, for example, that the prospect of one month in prison might be enough to deter someone from stealing  £100 but not from stealing  £100,000. To dete r someone from stealing that amount of money, the prospect might have to be several years in custody. On the contrary to punishment, another justification for imprisonment is to rehabilitate. The rehabilitation of prisoners became a prime concern for the penal system in the late eighteenth century when the demands for labour were high. The rehabilitation of prisoners in the early years of its origin was unsophisticated. The development of human sciences of psychology, physiology and sociology enabled todays rehabilitative ideal to include an examination of the offence and the criminal, and a concern for the criminals social background. The rehabilitation of offenders to re-join society, as useful and law-abiding members of the community (House of Lords, 2004:12) is attractive on a number of counts. Firstly, it provides a positive justification for what would be an otherwise negative form of punishment of the criminal, although there are some who would argue that punishment has already got a rehabilitative effect on the offender; as a result of punishment is a change on offenders valu es and beliefs which refrains him or her from committing further offences (Cavadino and Dignan, 2002). Secondly, rehabilitation is reinforced by the notion that it can reduce crime by altering the individuals character or behaviour. The rehabilitationist theory regards criminal behaviour as a social disease rather than a personal choice and sees the reasonable solution as curing that disease through psychological therapy, education and training (Cavadino and Dignan, 2002). This is attractive to those who work in prisons and who wish to do more professional work than merely deprive prisoners from their liberty. However, unwarranted assumption that crime is related to a disease and that social experts can diagnose that condition is a weakness because treatment programmes are open-ended and do not always relate to the offence (Farrall, 2002). Furthermore, there is also a room for prisoners to cheat by participating in programmes they had no faith in, by expressions of remorse they did not feel, and of intentions to refrain from crime to which they had no commitment. UNDERSTANDING CONTEMPORARY PENALITY As can be seen, there is relative clarity that prisons are not merely to lock up particular types of offenders for specified periods. There also seems to be a relative clarity that there are problems with the functions of prisons- retribution, incapacitation, deterrence, and rehabilitation- when considering the high recidivism rates. Official figures show that when the Labour party came into power in 1997, more than a third of criminals reoffended within six months, 50% almost within a year, and 58% reoffended within two years of being released (Ford, 2005). More recent statistics showed that of the offenders who were discharged from custody in 2000, 20% had been reconvicted within three months, 43% within a year, 55% within two years, and 68% within five years (BBC News, 2010a). The offenders convicted of theft took the shortest number of days (90 days) to reoffend in 2000, where in 2008 it was offenders convicted of other (91 days) (MoJ, 2010a: 49). The official statistics based on the latest data show that the proportion of offenders reoffending decreased by 6.8% from 43% in 2000 to 40.1% in 2008 (MoJ, 2010a: 21). However, the number of reconvictions classified as severe within this period rose by 14.7% (MoJ 2010a: 9). Despite that however, the severity rate has remained broadly stable at between 0.6 to 0.9 offences per 100 offenders between 2000 and 2008: this is equivalent to less than one serious offence being committed per 100 offenders in the cohort (MoJ, 2010a: 9). The majority of the most serious reconvictions committed by the 2008 cohort were in the violence offence group, with 21% accounting for sexual-related crimes. The 80% of the most serious offences were committed by offenders who had never before committed an offence classified as serious (MoJ, 2010a:15). The reconviction rates for individual prisons published for the first time revealed that there are fourteen prisons in England and Wales which have reconviction rates of more than 70%. The Do rchester prison, in Dorset, has the highest at 74.7% for adult male prisoners and New Hall, in Yorkshire, has the highest reconviction rates for female prisoners at 76% (The Guardian, 2010). However, it is highly questionable whether searching for an association between recorded crime statistics and usage of official punishments can provide satisfactory answers to the question of whether prison works. This is partly because of the unreliability of crime statistics, and also because à ¢Ã¢â€š ¬Ã‚ ¦ there is every reason to assume that extralegal conditions play a major role in criminal etiology (Gibbs, 1988: 28). As can be seen, the statistics above underline a long-term ineffectiveness of the criminal justice system at diverting persistent offenders from a life of crime. Thus the emerging question is why prisons are not working? It would be fair to assert that prisons are impacted by developments, trends, and changes that occur with regularity in the larger society (Saunders and Billante, 2002). The complex set of changes in politics, economics, social and cultural life has had a fundamental influence on the way prisons operate. For instance, in the mid-1990s, escapes from prisons, particularly by highly dangerous offenders, emphasised on improving security, and thus enabled community safety to become a prominent political agenda at central and local level. Michael Howard prioritised public protection and thereby played a central role in the introduction of Prisons Works philosophy because It is a deterrent. Criminals fear it. And it takes criminals out of circulation(cited in Farrall, 2002: 5). This took much of the necessity of tackling prisoners behaviour and lessened the rehabilitation initiatives: the movement was all away from individualised, indeterminate sentencing which considered offenders circumstances towards standardised, tariff sentences, which valued consistency, proportionality and predictability. Consequently, this led to a rise in the prison population (Saunders and Billante, 2002). In May 1993, the prison population used to be 43,500 but this figure rapidly increased to 60,000 within four years (McGraw, 2005:9). The labour government did little to dispel the prison population but favoured tough regime and introduced harsher sentence outcomes for violent and non-violent offences. As a result, while it had taken four decades from 1958 to 1995 for the prison population to rise by 25,000 it had taken New Labour only eight years to match that 25,000 increase (McGraw, 2005:1). On 22 February 2008 the total population exceeded the useable operational capaci ty of the prison estate for the first time in history. The number of offenders in prison at the end of February stands on 85,206. Of the population in prison custody, 80% comprised males aged 18 or older while 16% were on remand either awaiting trial or sentence (House of Commons, 2010:2). Approximately one-third of the total sentenced prison population are serving sentences of more than 12 months, with a further 18% serving indeterminate sentences (House of Commons, 2010:4). Of the sentenced population, the violence against the person offence group accounts for the largest proportion (28%) (House of Commons, 2010:4). Importantly, unlike in the past, a higher proportion of the sentenced female population are now serving sentences for violence against the person offences rather than drug offences. At a glance, the incapacitation of offenders might be a good idea (as it removes offenders from circulation), but the truth is that it is an ineffective strategy towards crime. The public rightly expects someone who is convicted of a serious crime to receive a suitably severe punishment, and in particular expects protection, but the evidence about the incapacitation effect of prison has concluded that the degree of incapacitation resulting from a sentencing policy has a marginal effect on the crime rate (Blumstein and Farrington, 1986). The best calculations suggest that incapacitation effects of imprisonment are only modest partly because most criminal careers are relatively short: by the time offenders are locked away they may be about to give up crime (Green et al 2005 cited in Cavadino and Dignan, 2002). Where crime was once viewed as a social problem facilitated by the failure of the society to provide for its members, today the society is blameless and the individual offender i s seen as a wholly volitional creature who makes rational choices to engage in crime. When imprisoned, despite the existence Rehabilitation of Offenders Act 1974 which discloses criminal convictions, ex-offenders experience serious difficulty in readjusting to society after they have served their time and paid the dues that the law required of them because the stigma of imprisonment and long absences from work often puts employers off hiring ex-prisoners (Giddens, 1999). This exacerbates social exclusion and increases the risk of a return to crime and a life dependent on social benefits. Another effect of imprisonment, according to Western (1999 cited in Street, (no year:), prisoners are likely to develop certain attitudes, mannerisms and behavioural practices that on the inside function to enhance survival but are not compatible with success in the conventional job market. McGuire and Priestley (1985) told that to reduce the actual crime rates by one-third the prison population in England and Wales would have to rise to 300,000- an approximate fourfold increase. The capital and revenue costs of this enterprise would be enormous. To arrest the required extra numbers, many more police and prisons officers would be needed, and to process them through the courts there would have to be a rise in the numbers of court personnel. The law-and-order would not just be the biggest item of public spending; there might well be nothing left over for anything else. There also exist doubts about the effects of deterrence. According to Lefton (1991) freedom is the most valuable thing for every human being, and people will do anything to avoid putting that freedom at risk. Leftons claim may sound acceptable at first sight but there is little evidence that offenders are deterred by longer or more frequent prison sentences. Because the deterrence theory is based on classical criminology, ie, individuals must, before they act, weigh up the benefit of carrying out the offence against the possible disadvantage of going to prison, one of the problems is that we cannot calculate how many crimes are avoided because potential criminals are deterred by the prospect of imprisonment. But in terms of deterring those convicted from reoffending, the statistics do not give a great deal of cause for optimism, as discussed above. After carrying out a comprehensive review of studies, Beylebeld (1979 cited in Hudson, 1996: 23) concluded that implementing an official deterrence policy can be no more than a shot in the dark because much crime is committed on impulse, given the opportunity presented by an open window or unlocked door, and it is committed by offenders who live from moment to moment (The White Paper cited in Cavadino et al, 1999:186). An alternative deterrent strategy has been put forward by Bachman et al (1992 cited in Farral, 2002). They told that potential offenders are more likely to be deterred by the certainty of detection than the prospect of punishment. At the other end of the spectrum, for McGraw (2005), punishments that are designed as deterrents can increase, rather than decrease, delinquency. In support, Wests (1982:104) research study on boys growing up in London found that if a boy offends, the best way to prevent him from offending repeatedly is not to catch him in the first place. This research evidence may seem contrary to common sense, but such finding suggests that punishment has other effects which may cancel out and even outweigh its deterrent effects. The labelling theory, for example, contends that catching and punishing offenders labels them as criminals, and stigmatises them. To make matters worse, harsher penalties can change offenders self-image from that of a law-abiding person to that of a deviant because custodial institutions are notoriously schools for crime where offenders can meet each other, learn criminal techniques and enter into a criminal subculture. In support, Woolfs (2001) investigation into English prisons found that some prisoners who were not addicted to drugs before admission were later drug addicts by the time of their release (cited in House of Commons, 2005). This process upon release is sufficient to elicit pathological behaviour (Zimbardo, 1982:249) which can in various ways make it more difficult for prisoners to conform to a law-abiding life in future (Cavadino and Dignan, 2002). If labelling theory is correct, then an essential area which needs to be tackle d in order to lower the crime rate is to change the way the society interacts with criminals, including those released from prison, to avoid these stigmatised labels from sticking. An institutional transition from being soft on offenders to get tough agenda which incorporated retribution, deterrence and incapacitation does not mean that the rehabilitative ideal is totally taken away from the justice system. Contemporary imprisonment is also about helping offenders to lead a law abiding lives in custody and after-release (Crawley, 2004:65). Over 700 National Vocational Qualifications (NVQ) schemes are being implemented in prisons. Research-based offender rehabilitation programmes do not only offer viable alternative for reducing recidivism, but they have also shown to be an economically efficient strategy (Farrall, 2002). It is widely accepted that rehabilitation programmes give the opportunity to harness prisoners strengths, make amends to their misdemeanours, earn their redemption, and restore their relationship with the society (Maruna and LeBel, 2002). Today, many rehabilitative programmes are based on cognitive behavioural approach, which attempts to alter how offenders think by improving their cognitive and reasoning skills so that they change their attitudes towards breaking the law. Leading empirical reviews of the literature on prison based rehabilitative programmes (Lipsey and Wilson, 1998; MacKenzie, 1997) told that the most effective way to reduce offending and re-offending is through education and employment, along with behavioural or cognitive programmes. In support, Marques et al (1994:55) gave an encouraging result by reporting that offenders in their study who did not volunteer for treatment were 8.5 times more likely to be arrested for a violent crime in the first twelve months after release from prison or discharge from parole. Less dramatic but equally encouraging results were reported from Patrick Carter (2003): well-designed, well-run and well-targeted cognitive behavioural programmes can reduce reconviction rates by 5-10% (cited in House of Commons, 2005:24). However, despite the positive effects of rehabilitation on recidivism, rehabilitation remains secondary to the facilities primary functions: control and confinement. Carters (2007: 146) research into prisons found that more than two-thirds of prisoners did not agree that they were being helped to lead a law-abiding life on release in the community; and only 28% of prisoners agreed that sufficient efforts are made to help prisoners stop committing offences when they have been released from custody. On the contrary however, Linden and Perrys (1988) review of research studies on the effectiveness of prison education programmes showed that although inmates have made substantial alterations to their behaviour, the changes did not necessarily have an impact on post-release employment and recidivism rates (cited in Ryan, 1990). Crawley (2004) argued that the pessimism that nothing works and that whatever you do to offenders makes no difference (Martinson, 1974) has destroyed the reformative aim of the penal system by encouraging policy makers and legislators to abandon the idea of rehabilitation as an objective of punishment- not because it had been shown to be true, but more because the disappointment of the high hopes invested in reform led to an over-reaction against the rehabilitative ideal. Mental Health Case Study: Generalised Anxiety Disorder (GAD) Mental Health Case Study: Generalised Anxiety Disorder (GAD) Mental health, Amir Daud case study Later in your initial discussions with Amir you think he may be having an anxiety disorder. Identify the character of anxiety disorder Amir is likely to be experiencing and what constituents in his history indicate this type of upset. Amir is highly likely to be experiencing Generalized Anxiety Disorder (GAD) which results from too much sympathetic activation of the neural system. It makes the person experiencing it gets constant nervousness that leads to a negative impact on both physical and emotional health status. It significantly interferes with the normal behavior path of the individual at its mercy. Amir spent two years in torturous detention in Afghanistan, which was a time of constant uncertainty and anxiety followed by a perilous journey to Australia. While he was in detention, he witnessed many episodes of self-harm by fellow detainees who had lost hope and pessimistic about their future welfare which have contributed to increasing Amir’s trauma and anxiety state. The fact that he felt powerless in his situation aggravated his stress levels because he lacked hope or someone or something that would help secure it in that hopeless state of personal business. Amir is also battling with mild depression from worrying too much about the family he left behind as he says he feels guilty because he is aware they are still facing persecution. He blames himself for not being able to rescue them from that situation. In addition, Amir is required to secure himself employment, only he feels quite the opposite due to his impatience and poor absorption. The major symptoms of this disorder include restlessness, exaggerated startle response, sleep disturbance, difficulty in concentrating, irritability and tremor. The symptoms must have occurred days than not for at least 6months and must cause clinically important distress or impairment in social, occupational or other significant areas of functioning’ (APA, 2000). According to Sigmund Freud, His type falls under Neurotic category of which is defined as the anticipation of negative consequences that activate defensive processes. This is as a consequence of his experience in the detention which he says makes him sleep poorly and development of negative intrusive thoughts during his waking time in the morning. Possible Treatments that could be administered to Amir include pharmaceutical medication (SSRIs and Benzodiazepines) or herbal extracts made from a relaxant made from the root of the kava plant (Hall, 1998). References Derek Hayes, A. G., Suhaini, M. J., Kassim, K. K. (2014). Hope and Mental Health Nursing. LinkedIn Corporations. Hall, R. H. (1998). Anxiety Disorders. Psychiatryonline. (2014). Neurobiology of Anxiety Disorders. Retrieved March 31st, 2014, from www.psychiatryonline.org: http://psychiatryonline.org/content.aspx?bookid=29sectionid=1361949 School, I. S. (2008). Neurobiology of Anxiety Disorders. In I. S. School. Russia: St. Petersburg. Explain what is meant by the neurobiology of anxiety. Anxiety is a psychological and a behavioral state commonly characterized by avoidance behavior which affects a patient emotionally and psychologically. Neurobiology of anxiety is the classification of all anxiety disorders that affect the brain emotional states. These emotional states could be anxiety about the future, fear of the present or depression about events that occurred in the past. There are many different categories of the neurobiology of anxiety as listed below. Generalized anxiety disorder (GAD) which is most common in young adults like Amir. It’s the fear, anxiety and depression associated with reaction to any dangerous situation. (Psychiatryonline, 2014). GAD is more likely than not to be confused with other anxiety disorder types. For one to conclude that a patient has it, they must identify four symptoms from the first rank list and at least one from the second list. First rank Inability to relax or restlessness Fatigueability Exaggerated sudden response Muscle tension Poor sleeping habits Poor concentration Easily irritable Second Nausea or abdominal complaints A Dry mouth Tachycardia Tremor Stress disorders (Post traumatic stress disorder- PTSD) and Phobias which are divided into specific and social phobia. These are characterized by a general feeling of dissociation from reality. Panic disorders (With or without agoraphobia) -Attributes are manifested by intense apprehension, terror, fear often associated with feelings of hopelessness and intense physical discomfort. Attacks usually last for a short while and rarely take hours. In case they are accompanied by agoraphobia, there is a fear of being in places or Situations from which escape might be hard or in which help might not be available in the event of a panic attack (Diagnostic and statistical manual of mental health, 2000) Agoraphobia without history of panic disorder- The (Diagnostic and statistical manual of mental health, 2000) identifies the essential feature of this disorder as fear of being in places or situations from which escape might be difficult or in which help might not be available in the event of suddenly developing a symptom that could be incapacitating or extremely embarrassing. Obsessive-Compulsive Disorder (OCD) –This is characterized by involuntary recurring thoughts or images that the patient is not able to dispense. The victims feel powerless despite them knowing that it’s irrational behavior. The four general categories are: counting, checking, cleaning and finally avoidance. They happen frequently, which consequently interferes with normal daily activities. Acute Stress Disorder-It’s an anxiety disorder due to a general medical condition. Symptoms of are judged to be the direct physiological consequence of a general medical condition. They may include prominent generalized anxiety symptoms, panic attacks, or obsessions or compulsions (APA, 2000) References APA. (2000). Diagnostic and statistical manual of mental health (4th Ed.). DSM-IV-TR: American Psychiatric Assocaition press. Psychiatryonline. (2014). Neurobiology of Anxiety Disorders. Retrieved March 31st, 2014, from www.psychiatryonline.org: http://psychiatryonline.org/content.aspx?bookid=29sectionid=1361949 School, I. S. (2008). Neurobiology of Anxiety Disorders. In I. S. School. Russia: St. Petersburg. Why is hope relevant in mental health nursing practice? How might you incorporate this concept in subsequent therapeutic communication with Amir? What other elements of communication might you employ? Hope is a vital element in any human’s life and is a pivotal act in any mental health nurse. It helps people with any medical problem get assurance about their situation, whether or not the treatment or recovery is complete. Kylma and Vehvilainen-Julkunen (1997) described it as an experience, emotion or need. The term in nursing is regarded as being dynamic and helps in rebuilding a patients self-worth and how they regard themselves which acts as a complementary treatment. Amir needs to be shown unconditional acceptance, understanding and tolerance to help him overcome his disorder condition. A patient who believes that their situation can change through professional guidance and hard work from their end does find a way out of their situation. The reason the placebo effect is important when dealing with patients like Amir. The nurse-client relationship with Amir’s case needs to be on a personal level, to breed trust and a sense of value. Recognizing that Amirs case is difficult will be the first step to helping him since for him to feel inspired by the therapeutic communication; he must feel the same energy from the nurse. There are different ways in which one can inspire hope especially in Amir’s case. They include: Educating Amir of his condition, treatment and assuring him that he can still achieve all his goals and objectives like any normal human being. Group therapy –This is where the assessor tries to interact with the patient with a group of other patients with more or less similar anxiety disorders with the aid of a leader to help them resolve interpersonal problems. Groups bring a sense of security and trust that they not battling their condition alone. More often, this results in positive outcomes in almost all cases. Humor-Using humor to help Amir arouse happy thoughts and avoid the negative thoughts he gets during his waking time. Humor results to laughter which has been proven to be therapeutic. Spiritual aspect-Here one tries to introduce spirituality, faith in the patient, which is a form of faith in all religions. Psychoanalysis-The main goal will be to reduce his anxiety and guilt through verbal processes. Conduct Humanistic therapy to help him fulfill his full potential and improve self concept. Conduct Behavior and cognitive therapy to help him change unwanted abnormal behaviors and acquire desirable ones through revising his thoughts and behavioral training. Later, Amir can be engaged in the assessment of his hope level to monitor any progress. Use of Herth Hope Index (HHI) rating where higher rate shows a high level of hope and subsequent opposite are an indication of low self-worth and depression. Amir detachment from the normal world could drive him to commit suicide and thus the nurse need to do a full assessment on his level of hope. Effective communication of the management plan and encouraging self-help strategies will also play a big role during management discussion with Amir. References Derek Hayes, A. G., Suhaini, M. J., Kassim, K. K. (2014). Hope and Mental Health Nursing. LinkedIn Corporations. Psychiatryonline. (2014). Neurobiology of Anxiety Disorders. Retrieved March 31st, 2014, from www.psychiatryonline.org: http://psychiatryonline.org/content.aspx?bookid=29sectionid=1361949 Define what is meant by ethnicity. Given Amir’s ethnic background explain what cultural assessments you might make in planning his ongoing care. Ethnicity refers to a state in which an individual belongs to a certain social group which happens to share common national, customs or cultural traditions. Amir is ethnic Hazara. The Hazara people have for a long time been the victim of discrimination in Afghanistan. At the refugee camp the people there are more likely to be of the same ethnicity with Amir. This will make it easier for Amir since he will feel a sense of belonging while interacting with people who share his cultural values and origin. I would use a cultural assessment tool to help me get all the information about Amir cultural background. Details I would include in the assessment area include: The primary language spoken by Amir, how he communicates with other people who speak a different language, whether he requires an interpreter or not, the highest level of education he has attained, whether his condition has ever occurred before, if it did in what manner was it handled, what are his normal ways of coping with stress? Let Amir describe his family living arrangements, the major decision maker in the family, his religious beliefs and any religious requirements or restrictions that may place limitation to his care, any special belief and practices that may vary from the conventional ways, from whom has the family been seeking help from. Additionally, the following questions should help in cultural assessment. Are there any topics that are particularly sensitive or unwilling to discuss (because of cultural taboos) Are there any activities in which Amir is unwilling to participate (because of cultural customs or taboos) What are the Amir’s personal feelings regarding touch? What are his personal feelings regarding eye contact? What is his personal orientation to time? (Past, present, future) Any particular illnesses to which the Amir may be bioculturally susceptible? All the above questions will help gather any possible information regarding the Hazara ethnic group which will help in treatment program recommended to Amir while he is in Australia. It will also help the employer of his religious and ethnic practices to avoid stigmatization. References Mary C.Townsend, D.-B. (2011). Nursing Diagnoses in Psychiatry Nursing (8th Edition Ed.). Philadelphia, 1915 Arch Street: F. A Davis Company. Psychiatryonline. (2014). Neurobiology of Anxiety Disorders. Retrieved March 31st, 2014, from www.psychiatryonline.org:

Toyota Vietnam

In today automobiles industry, Toyota is well-known not only in Asia but also all over the world. Established seven decades ago, we could say that Toyota brand has been appeared most of countries all over the world, and they have a big influence on automobiles industry. Beside the success of Toyota through decades, Toyota has faced with many obstacle that affect strongly on its reputation in a few years back. Overview Toyota was found by Sakichi Toyoda. It traces the company's development through 1937, when Toyota Motor Co. Ltd was established with the mission is to make maximum long-term profits for its stockholders and be a good corporate citizen. In 1950, a Toyota motor sale Co. , Ltd was built because the company faces a financial crisis. After thirty years, Toyota Motor Co. , Ltd and Toyota motor sale Co. , Ltd are merged into Toyota Motor Corporation, 1982. The director of Toyota Corporation is Mr. Fujio Cho. Today, Toyota is the world's second or third largest automobiles manu facturer in both unit sales and in net sales, and the No. 1 seller of retail vehicles in the US. It produces over 5. 5 million vehicles per year. Toyota Motor Vietnam (TMV) was established in 1995 and official opening in October 1996. President is Mr. Akito Tachibana. Vietnam Toyota’s product includes Hiace, Camry, Corolla Altis, Innova, Vios and Fortuner (Locally-produced models)and Land Cruiser, Hilux (Imported models), with a production capacity of 20,000 vehicles/year. TMV is possessed by three associates: Toyota Motor Corporation (70%), Vietnam Engine and Agricultural Machinery Corporation – VEAM (20%), KUO Singapore Pte. Ltd (10%). Fact issues The first root problem which Toyota Vietnam encounters is business ethics. TMV is irresponsible in securing the customers’ safety. Although, during production process, the company detected three seriously technical flaws which are involved in safety standard contents, they still passed the decision to launch faulty cars to the market. At the time 2006- 2011, Innova and Fortuner cars were attracting lots of demand s by convenient designs, suitable price. It led TMV’s sale productivity last year up to 31,000 cars for Innova series that occupied 1/3 market share in Vietnam, according to bbc. co. uk/Vietnamese- article in 8th April 12, 2011. That means TMV get lots of profit from those attracted products; but users’ lives are threatening when driving. Moreover, the problem is just exposed to public by an employee who discontented with the irresponsibility of company. It leads the authorities entering into the investigations. The company brand was broken down; and TMV started losing the customers’ loyalty. However, in a press conference, Mr. Tadashi Yoshida- production director of TMV affirmed that â€Å"if there are any accidents which are defined relating to those technical faults by authorities, TMV will take the responsibility. † That means the rights of customers aren’t respected; the safety of thousands of consumers are not concentrated on. The second root problem which Toyota Vietnam is facing is human. In an organization, the human factor is the core in whole processes from production to management. Their power and contribution are invaluable to the growth of company. However, TMV is losing themselves far away their working philosophy â€Å"To employees, we always record and respect each individual’s efforts and contribution in our success. † In the case thousands faulty cars recently, Le Van Tach-an engineer of TMV find out serious faults which will affect to users’ safety, and send suggestion to stop manufacturing and recall the faulty cars to fix immediately. But, the managers don’t heed feedbacks, ideas, or opinions to solve problems effectively. They tend to ignore Mr. Tach many times, and have arbitrary decisions. That means employees contributions in TMV success aren’t focus. Therefore, the company has to face heavy criticisms. Solution Toyota cooperation offers several handling there problem including the external and the internal problems. Firstly, Toyota has some solution for external issue. To customers, the strategy carry the title â€Å"Customer first† which includes creating a complaint center for receiving, handling any customers’ complaints and solving problem with a good and friendly attitude. In addition, the complaint center also handles the employees’ suggestion. Further more, they could organize some corporate social responsibility programs to gain back their reputation and create a new responsibility image in community’s heart. Besides, they also need to do promotion to attract more customers. To employees, they should always record and respect each individual’s efforts and contribution in our success. This human-being business view point has made our active contributions for the society as the good citizen at the local community with 3 important targets: Customer’s satisfaction; Active contributions to Vietnam’s automobile industry and to Vietnam society. Secondly, Toyota has a strategy to solve the internal problem. In human resources strategy, Toyota divided into eight areas such as rewards and recognition, training, hiring, the performance management process, corporate culture, leadership development and succession, retention, risk assessment. However, basing on the published article, we can understand that TMV only need to execute in some fields include rewards and recognition, training, and the performance management process. The purpose of any corporate reward process is to encourage and incent the right behaviors and to discourage the negative ones. It’s important for the reward process to incent the gathering of information about problems. It’s equally important to reward employees who are successful in getting executives to take immediate action on negative information. Toyota can use rewards and recognition for the ones who can contribute the ideas of Cost-cutting, for example. Secondly, for training process, Toyota is famous for its four-step cycle — plan/do/check/act — but clearly the training among managers now needs to focus more on the last two. In addition, in an environment where safety is paramount, everyone should have been trained on the symptoms of â€Å"groupthink† and how to avoid the excess discounting or ignoring of negative external safety information. Finally, Performance management processes identify problem behaviors before they get out of hand, measure responsiveness to negative information, report groupthink type errors. Toyota doing so well, maybe for the time by time the strategy out of dates so retention and improving the current customers’ needs. Implementation The implementation of the strategy of Toyota should follow the ime illustrated by the the chart below. Conclusion General speaking, Toyota’s problems are the lessons for all of corporations in automobiles industry in particular and for all corporations in the world in general. Through those issues, we can conclude with three lessons. Firstly, the companies should not neglect the quality control, even though a famous brand. Secondly, they should not accelerate the market share without focusing on product quality control. Finally, they should build and protect the essence of the brand which is the strength of the brand, which is the product quality in the case of Toyota. Work cited http://www.bbc.co.uk/vietnamese/vietnam/2011/04/110408_toyotavietnam_recall.shtml http://www.tinmoi.vn/6-ldquochieurdquo-Toyota-dung-de-doi-pho-voi-con-loc-trieu-hoi-xe-04177312.html http://www.tienphong.vn/Xe-Hoi/533817/Toyota-se-nga-ngua-o-VN-vi-bi-tay-chay-.html http://vietbao.vn/Kinh-te/Toyota-cho-rang-xe-bi-to-loi-khong-can-thu-hoi/75283550/87/ http://vietbao.vn/Kinh-te/Toyota-VN-xin-thu-hoi-xe-bi-to-dinh-loi-nghiem-trong/75284215/87/ http://vietbao.vn/Kinh-te/Toyota-Viet-Nam-van-lap-lo-thong-tin/75283765/87/ http://tuoitrenews.vn/cmlink/tuoitrenews/business/toyota-vietnam-technical-flaws-spark-public-outrage-1.26622 http://tuoitrenews.vn/cmlink/tuoitrenews/business/vietnam-must-inspect-toyota-over-technical-faults-1.26804

Fans The Most Active and Creative Group Within Media...

â€Å"Fans are the ones who wear the colours of their favourite team, the ones who record their soap operas on VCR’S to watch after the day of work is over, the ones who tell you every detail about a movie stars life and work, the ones who sit in line for hours for front row tickets to rock concerts.† (Lisa. A. Lewis 1992: 1). This description of fans exhibits the intriguing nature and great interest so called fans has for their idols. It is argued that fans are the most creative and active group out of all of the media audiences. This could be because of the lengths fans go to in order to find out about the latest news concerning their idols or to get the latest merchandise provided by their idols. The examples of the activities fans†¦show more content†¦Jensen counters the view that the popular press portrays fans as ‘dangerous’ by approaching fans as â€Å"ordinary people immersed in everyday life, and reveals the deep dilemmas about modern life that generate such negative characterizations.† (Lisa. A. Lewis 1992: 2) Lawrence Grossberg approaches fandom as: â€Å"a special relationship between audience and culture in which the pleasure of consumption is superseded by an investment in difference. In fandom, moods and feelings become organized and particular objects or personas take on significance. By participating in fandom, fans construct coherent or cultural activity of their own making which is, potentially, a source of empowerment in struggles against oppressive ideologies and the unsatisfactory circumstances of everyday life.† (Lisa. A. Lewis 1992: 3) Both Grossberg and Jensen seem to agree on the fact that fandom is merely about giving people the opportunity to create a new identity for themselves and to move away from the negative aspects of their lives or society. This could not be said for other general media audiences. As mentioned above â€Å"fans† are the individuals who know almost every aspect of the movie stars life and who have the latest merchandise from their favourite movie star or musician. This could be down to the fact that fans want to escape the struggles of their everyday life and to feel connectedShow MoreRelatedThe Internet And The World Wide Web1697 Words   |  7 PagesThe Internet is a unique place where all different nationalities, social groups and age groups with different values and characteristics, meet and interact. All spheres of media are being represented on the world wide web. Some of the relations are being mirrored from those present in real life, but the internet was never the same. A s with real life, not everyone on the internet is equal and there are numerous differences between the users of this medium of mass communication. Even though the inequalitiesRead MoreMedia Product Strategy Paper909 Words   |  4 PagesThe media product strategy for selling fashion wear online will involve an analysis of the existing media, such as Facebook, which has the highest number of active users at 2 billion. Various fashion brands are using different online platforms to push their products and increase penetration level on the social media platform through consistency and creative ideas to capture the audience’s attention. Therefore, Facebook is the best platform of attracting potential clients. Facebook currently has anRead MoreDramatic Development Of New Technologies And Media Content Diversity1289 Words   |  6 Pagesdevelopment of new technologies and media content diversity, which gained a major boost in recent years, entitled the audiences to power, which they never had before. People want to participate in the process of creation and influence the form of provided entertainment and information more than ever before. This statement relates to all media sectors. This power is an effect of the tools that are being published by the contemporary cultural industry. Not only the audiences are being given the technologyRead MoreSocial Network Plan1760 Words   |  7 PagesOman to the travel enthusiast target audience through the most active social platforms. The objectives include portraying the company as a cult choice for experiencing the authentic destination experience; by engaging influencers on social platforms to target relevant traffic and generate ac ¬Ã‚ ¬Ã‚ ¬ti onable content for the brand. A set of preliminary goals include: †¢ Rolling the conversational buzz to occupy influencers through trending local posts. †¢ Derive active traffic towards the website and portalRead MoreRole of Facebook in the Enhancement of Brand Loyalty for Knorr Seasoning among Members of Its Nigerian Online Community2646 Words   |  11 PagesLoyalty for Knorr Seasoning among Members of Its Nigerian Online Community SECTION 1 1.0 INTRODUCTION Social Media are an integral part of the integrated marketing communication (IMC), which has been defined thus: â€Å"True IMC is the development of marketing strategies and creative campaigns that weave together multiple marketing disciplines (public relations, paid advertising, social media, promotion, and owned assets) that are selected and then executed to suit the particular goals of the brand (BennettRead MoreA Report On New Nordic Canada s Digital Marketing Campaign2014 Words   |  9 Pagesof New Nordic Canada FROM: Ahmed Haydar, Marketing Executive Manager SUBJECT: Social Media DATE: February 17th, 2015 Dear Mr. Peterson The attached report, is a business case designed by the Marketing management team, which represents our findings regarding incorporating social media platforms into New Nordic Canada’s digital marketing campaign. Our report includes an assessment of current top social media platforms, benefits, monitoring strategies, organizational approaches, costs and theirRead MoreAudi A6 2012 Marketing Plan3027 Words   |  13 Pagesincrease the market share by selling new cars. With this campaign, Audi will focus on affecting the target audience, driving quality user generated content, leveraging social media platforms and having a high impact launch that will generate buzz around â€Å"Audi Envy† The creative and media strategy is designed to position A6 as the most modern, innovative and luxury product in the marketplace. Media budget part will provide A6 dominance especially in Q3 around product launch. 2. SITUATIONAL ANALYSIS Read MoreEssay on Social Networking Sites1624 Words   |  7 Pagesconnections. Early sites such as SixDegrees.com and Friendster allowed people to manage a list of friends. One drawback to these sites was that they did not offer users the ability to publish content like blogs. Social networking sites begin with a group of founders sending out messages to friends to join the network. In turn the friends send out messages to their friends, and the network grows. When members join the network, they create a profile. Depending on the site, users can customize their profileRead MoreSocial Media Policy For Hcl2356 Words   |  10 PagesSuggestions 4.1 HCL’s Social Media Policy The current social media policy for HCL provides that social technologies like LinkedIn, Facebook and Twitter should be used only as a means of broadcasting the company’s information for internal purposes only. The company does not use social media platforms to market or improve its business of providing IT services and solutions in India and globally. This Enterprise 2.0 Business Improvement Plan proposes the creation of a new social media policy for HCL to guideRead MoreThe Digital Record Label For The Edm Artist Essay1961 Words   |  8 Pagespacks and synthesiser presets that come straight from our artists. Extra marketing tools such as competitions will stem from this and result in a more engaging experience. Online content such as blogs, mini-interviews, and music videos will keep the audience engaged. In today’s music industry, the majority of recorded music is consumed through digital means - mainly via streaming such as Apple Music and Spotify. To get an idea of its popularity we can see that in 2014, streaming usage increased by

Anger Is A Basic Human Emotion That Is Experienced By All...

â€Å"Anger is a basic human emotion that is experienced by all people† (Mills, 2005). It is a natural response, triggered when someone feels hurt or mistreated. However, it is not just a clear-cut emotion that consists of one general feeling that is the same for everyone. The levels of anger that a person feels may not always be identical and there are varying degrees of responses that someone can express when they are experiencing this sentiment. How often a person gets angry, how intensely they feel this emotion, and how long it lasts varies for every individual. This results in a range of intensity of the anger that they express. Moreover, how a person decides to handle this emotional signal can be a decisive factor as to any consequential effects that may occur. Some forms of expression are perfectly healthy and normal for a person to exhibit, meanwhile others pose more serious problems. When it is â€Å"well managed, anger has very few detrimental health or interpersona l consequences† (Mills, 2005). Nevertheless, when someone demonstrates hostility they â€Å"not only increase [their] risk for an early death, but also risk social isolation, which itself is a major risk factor for serious illness and death† (Mills, 2005). The poems â€Å"A Poison Tree,† â€Å"Bitch,† and â€Å"Daddy† all demonstrate an expression of a distinctive quality of anger. In each of the works, a different level of this emotion is exhibited ranging from resentment to wrath. In both â€Å"Bitch† by Carolyn Kizer and â€Å"Daddy† byShow MoreRelatedThe Types Of Emotions Are Observed And Experienced By People ( Zimbardo, Johnson Hamilton 2015 )944 Words   |  4 Pagesthe emotions people exhibit in their daily lives. Psychologists such as Robert Plutchick argued that there are more than 90 different definitions that can be used to describe emotions. The difficulty brought about in defining emotions can be rated to its complexity and varied nature that is usually internal. A basic psychological definition of emotions describe it to be a condition of feeling that its outcomes are typically psychological and at times physical changes that affect the way people behaveRead MoreConsidering Emotions Are A Huge Part Of Daily Life, One1085 Words   |  5 PagesConsidering emotions are a huge part of daily life, one might have an interest as to why in the world they operate in such a fashion. A person might go through an entire lifetime without knowing how their actions might have impacted the emotion they experienced. Often times if one knew how to change the way the felt, they would. It is possible that it could have even benefited that person to be more aware of their actions. Emotions are a part of one’s personality and knowing the cause is importantRead MoreAnalysis and Evaluation of the Types of Emotion Essay1347 Words   |  6 Pagesprovide an analysis and evaluation of the Types of Emotion from the scientific/empirical and Islamic perspectives. The paper presumes that the readers are familiar with the content of the topic in question based on the introductory Psychology textbook by Ciccarelli and White (2010). Therefore, this paper will focus more the analysis and evaluation, rather than the description and details of the topic. Types of Emotion An emotion is experienced as a feeling that motivates, organizes, and guides perceptionRead MoreAnger Is Defined By The Oxford Dictionary1244 Words   |  5 PagesAnger is defined by the Oxford Dictionary as a strong feeling of annoyance, displeasure, or hostility. Psychology list anger as one of the basic human emotions felt by all people, regardless of race, religion, or culture. Numerous studies have been conducted on anger to try and find out how often people get angry; the findings range from once a day to fifteen times a day. What the studies did all find, was that anger is an emotion often used to mask other emotions, such as guilt, hurt, or fear. WhileRead MoreWhy Do We Have Emotions?1745 Words   |  7 PagesWhy Do We Have Emotions? When your friend tells you you’re fat why do you feel sad that they would say that? When your significant other buys you a gift, gives you a hug and kiss, or compliments you, why do you feel happy and excited? Believe it or not, there are reasons for the way we feel--emotions. Everyone loves, hates, gets angry, and feels happy. Although we all feel these things, none of us really understand why and where these emotions come from. Some may say love and happiness come fromRead MoreThe First Two Years : The Social World, Section, Emotional Development Essay1161 Words   |  5 Pagesdiscusses the significance of variety of early emotions that humans have the experience in their life. The most common and basic forms of emotions that infants present as their age is pain and pleasure. Throughout their life, they develop mentally and physically, as well as learning more emotions that enable them to show expressions, reactions, and reasons that trigger those reactions (Berger, 130) D uring toddlerhood, between the ages of two and up, emotions are strengthened, for example, toddlers’ laughterRead MoreMaslow s Theory Of Self Actualization1221 Words   |  5 Pagesby maximizing his/her talents and abilities. Maslow proposed that human needs are categorized in a hierarchy into the following requirements (from basic to complex and/or advanced needs): physiological, safety, love and belonging, esteem, and then self-actualization (Maslow, 2006). The hierarchy is often projected as a pyramid figure, with basic needs at the bottom, and more complex needs at the top. According to Atkins (2001), people must achieve lower needs before they attempt to fulfill higher andRead MoreMary Shelley s Frankenstein And The Human Nature1029 Words   |  5 PagesThere are many places in Mary Shelley’s book Frankenstein that refer to the human nature; different components of it is represented through almost every character. For instance, Elizabeth possibly epitomizes the benevolence, compassion, and empathy of humanity. Other characters symbolize aspects as well; Victor is curiosity and obsession, Henry is adventure and creativity, Caroline is selflessness and love, etc. My personal favorite, however, is the creature that was created by Victor FrankensteinRead MoreLove With The Addiction Cycle853 Words   |  4 PagesHave you ever experienced love? Do you remember the way that it made you feel inside? Some of us could answer swiftly with a yes and recall that person with feelings of warmth overtaking our body. This is exactly how an addict feels about their substance or behavior of choice. It is their best friend, their confidant, their lover. They are in a relationship with their addiction. Now, have you ever experienced a loss from love? When an individual begins the process of recovery they experience griefRead MoreThe Between Human Beings And The Divine797 Words   |  4 Pagesaiding in the relationship between human beings and the divine. Thi s perspective contributes to the understanding that humans are created in the image of God because virtue by definition is behavior of high moral standards. Without Jesus there would not even be a standard of what moral behavior is. By following Jesus’s example of virtuous activities we can live well. Aristotle’s treatises cover these character traits that humans should have in order to live well. Human beings not only have the lower