Case study Example | Topics and Well Written Essays - 750 words - 4

Case Study Example Jessica presented case 7 titled ‘It’s not our fault. The case is about two couples who share four children. The family had some unexpressed conflicts and communication problems. Circular questioning, Formula first session talk, scaling and deconstruction were applied before and during the therapy. The therapy was successful and one of the two couples was further referred for couple’s counseling. The case presentation evoked many opinions in the group. Jessica, Teresa, Richard and Keri although were in favor of the therapy applied and the way the case was handled, but they had some differential views when it came to minute details of therapeutic application. Jessica would have added some object relations therapy to improve the relationship of the children with their biological mother. Keri and Teresa agreed with the therapy applied but suggested that Douglas could have been helped with some individual sessions using CBT for reducing his unreasonable and complainant behavior. Richard was of the view that Diane needed more individual therapy regarding the abuse. Matt thought that a strong communication approach would have been helpful since the communication process of whole family was faulty and inadequate. This case is about a two year old boy named Joshua who had constipation due to his parent’s antagonism. The parents, Donna and Nick both lawyers, were not happy with each other and the atmosphere of the home was always tense. After this case was presented, Teresa, Keri and Richard agreed that individual CBT given to both partners would have helped since they refused joint marital therapy sessions, therapeutic work on the personality aspects of each would have been helpful in improving the relationship in an indirect way. Jessica was in a favor of the applied systems approach fully and thought that the case would not have been handled so nicely had the therapist used another approach. Matt believed that play therapy could have

Maslows Hierarchy Of Needs Philosophy Essay

Maslows Hierarchy Of Needs Philosophy Essay Human needs are an important part of human nature. Values, beliefs, and customs differ from country to country and group to group, but all people have similar needs. As a leader you must understand these needs because they are powerful motivators. Abraham Maslow felt that human needs were arranged in a hierarchical order (Maslow, 1954). He based his theory on healthy, creative people who used all their talents, potential, and capabilities. At the time, this methodology differed from most other psychology research studies in that they were based on observing disturbed people. There are two major groups of human needs: basic needs and meta needs. Basic needs are physiological, such as food, water, and sleep; and psychological, such as affection, security, and self-esteem. These basic needs are also called deficiency needs because if they are not met by an individual, then that person will strive to make up the deficiency. The higher needs are called meta needs or being needs (growth needs). These include justice, goodness, beauty, order, unity, etc. Basic needs normally take priority over growth needs. For example, a person who lacks food or water will not normally attend to justice or beauty needs. These needs are listed below in hierarchical order. The basic needs on the bottom of the list (1 to 4) must normally be met before the meta or being needs above them can be met. The four meta needs (5 to 8) can be pursued in any order, depending upon a persons wants or circumstances, as long as the basic needs have all been met. Maslows Hierarchy of Needs 8. Self-transcendence a transegoic (see Note below) level that emphasizes visionary intuition, altruism, and unity consciousness. 7. Self-actualization know exactly who you are, where you are going, and what you want to accomplish. A state of well-being. 6. Aesthetic at peace, more curious about inner workings of all. 5. Cognitive learning for learning alone, contribute knowledge. 4. Esteem feeling of moving up in world, recognition, few doubts about self. 3. Belongingness and love belong to a group, close friends to confide with. 2. Safety feel free from immediate danger. 1. Physiological food, water, shelter, sex. Maslow posited that people want and are forever striving to meet various goals. Because the lower level needs are more immediate and urgent, then they come into play as the source and direction of a persons goal if they are not satisfied,. A need higher in the hierarchy will become a motive of behavior as long as the needs below it have been satisfied. Unsatisfied lower needs will dominate unsatisfied higher needs and must be satisfied before the person can climb up the hierarchy. Knowing where a person is located on this scale aids in determining an effective motivator. For example, motivating a middle-class person (who is in range 4 of the hierarchy) with a certificate will have a far greater impact than using the same motivator to effect a minimum wage person from the ghetto who is desperately struggling to meet the first couple of needs. It should be noted that almost no one stays in one particular hierarchy for an extended period. We constantly strive to move up, while at the same time various forces outside our control try to push us down. Those on top get pushed down for short time periods, i.e., death of a loved-one or an idea that does not work, while those on the bottom get pushed up, i.e., come across a small prize. Our goal as leaders therefor is to help people obtain the skills and knowledge that will push them up the hierarchy on a more permanent basis. People who have their basic needs met become much better workers as they are able to concentrate on fulfilling the visions put forth to them, rather than consistently struggling to make ends meet. Characteristics of self-actualizing people: Have better perceptions of reality and are comfortable with it. Accept themselves and their own natures. Lack of artificiality. They focus on problems outside themselves and are concerned with basic issues and eternal questions. They like privacy and tend to be detached. Rely on their own development and continued growth. Appreciate the basic pleasures of life (e.g., do not take blessings for granted). Have a deep feeling of kinship with others. Are deeply democratic and are not really aware of differences. Have strong ethical and moral standards. Are original, inventive, less constricted and fresher than others Maslows Hierarchy of Needs and Leadership To put Maslows theory into perspective with leadership, a short (less than 3 minutes) audio MP3 file is included: Maslow and leadership. Transegoic Transegoic means a higher, psychic, or spiritual state of development. The trans is related to transcendence, while the ego is based on Freuds work. We go from preEGOic levels to EGOic levels to transEGOic. The EGO in all three terms are used in the Jungian sense of consciousness as opposed to the unconscious. Ego equates with the personality. In Maslows model, the ultimate goal of life is self-actualization, which is almost never fully attained but rather is something to always strive towards. Peak experiences are temporary self-actualizations. Maslow later theorized that this level does not stop, it goes on to self-transcendence, which carries us to the spiritual level, e.g.. Gandhi, Mother Theresa, Dalai Lamao, or even poets, such as Robert Frost. Maslows self-transcendence level recognizes the human need for ethics, creativity, compassion and spirituality. Without this spiritual or transegoic sense, we are simply animals or machines. In addition, just as there are peak experiences for temporary self-actualizations; there are also peak experiences for self-transcendence. These are our spiritual creative moments. While the research of Maslows theory has undergone limited empirical scrutiny, it still remains quite popular due to its simplicity and being the start of the movement that moved us away from a totally behaviorist/reductionistic/mechanistic approach to a more humanistic one. In addition, a lot of concerns is directed at his methodology: Pick a small number of people that he declares self-actualizing; read and talk about them; and come to the conclusion about self-actualization. However, he did completely understood this, and thought of his work as simply a method of pointing the way, rather than being the final say. In addition, he hoped that others would take up the cause and complete what he had begun. Herzbergs Hygiene and Motivational Factors Herzberg developed a list of factors (Herzberg, 1966) that are based on Maslows Hierarchy of Needs, except his version is more closely related to the working environment: HERZBERGS HYGIENE MOTIVATIONAL FACTORS Hygiene or Dissatisfies: Working conditions Policies and administrative practices Salary and Benefits Supervision Status Job security Co-workers Personal life Motivators or Satisfiers: Recognition Achievement Advancement Growth Responsibility Job challenge Hygiene factors must be present in the job before motivators can be used to stimulate that person. That is, you cannot use motivators until all the hygiene factors are met. Herzbergs needs are specifically job related and reflect some of the distinct things that people want from their work as opposed to Maslows Hierarchy of Needs which reflect all the needs in a persons life. Building on this model, Herzberg coined the term job enrichment to describe the process of redesigning work in order to build in motivators. Theory X and Theory Y Douglas McGregor developed a philosophical view of humankind with his Theory X and Theory Y (McGregor, 1957) , which are two opposing perceptions about how people view human behavior at work and organizational life. McGregor felt that companies followed either one or the other approach: Theory X People have an inherent dislike for work and will avoid it whenever possible. People must be coerced, controlled, directed, or threatened with punishment in order to get them to achieve the organizational objectives. People prefer to be directed, do not want responsibility, and have little or no ambition. People seek security above all else. Note that with Theory X assumptions, managements role is to coerce and control employees. Theory Y Work is as natural as play and rest. People will exercise self-direction if they are committed to the objectives (they are NOT lazy). Commitment to objectives is a function of the rewards associated with their achievement. People learn to accept and seek responsibility. Creativity, ingenuity, and imagination are widely distributed among the population. People are capable of using these abilities to solve an organizational problem. People have potential. Note that with Theory Y assumptions, managements role is to develop the potential in employees and help them to release that potential towards common goals. Theory X is the view that traditional management has taken towards the workforce. Many organizations are now taking the enlightened view of theory Y. A boss can be viewed as taking the theory X approach, while a leader takes the theory Y approach. Notice that Maslow, Herzberg, and McGreagors theories all tie together: Herzbergs theory is a micro version of Maslows theory (concentrated in the work place). McGreagors Theory X is based on workers caught in the lower levels (1 to 3) of Maslows theory, while his Theory Y is for workers who have gone above level 3. McGreagors Theory X is based on workers caught in Herbergs Hygiene Dissatisfiers, while Theory Y is based on workers who are in the Motivators or Satisfiers section. Existence/Relatedness/Growth (ERG) Clayton Alderfers Existence/Relatedness/Growth (ERG) Theory of Needs (Alderfer, 1969) postulates that there are three groups of needs: Existence This group of needs is concerned with providing the basic requirements for material existence, such as physiological and safety needs. This need is satisfied by money earned in a job so that one may buy food, shelter, clothing, etc. Relationships This group of needs center upon the desire to establish and maintain interpersonal relationships. Since a people normally spend approximately half of their waking hours on the job, this need is normally satisfied to some degree by their coworkers. Growth These needs are met by personal development. A persons job, career, or profession provides significant satisfaction of growth needs. Alderfers ERG theory states that more than one need may be influential at the same time. If the gratification of a higher-level need is frustrated, the desire to satisfy a lower-level need will increase. He identifies this phenomenon as the frustration shy aggression dimension. Its relevance on the job is that even when the upper-level needs are frustrated, the job still provides for the basic physiological needs upon which one would then be focused. If, at that point, something happens to threaten the job, the persons basic needs are significantly threatened. If there are not factors present to relieve the pressure, the person may become desperate and panicky. Notice that Alderfers ERG theory is built upon Maslows, however it does differ. First he collapsing it from five needs to three. And unlike Maslow, he did not see these needs as being a hierarchy in which one climbs up, but rather being more of a continuum. While there has not been a whole lot of research on Alderfers theory, most contemporary theories do tend to support it. Expectancy Theory Vrooms Expectancy Theory states that an individual will act in a certain way based on the expectation that the act will be followed by a given outcome and on the attractiveness of that outcome to the individual. This motivational model (Vroom, 1964) has been modified by several people, to include Porter and Lawler (Porter et. al., 1968). Vrooms Expectancy Theory is written as a formula: Valence x Expectancy x Instrumentality = Motivation Valence (Reward) = the amount of desire for a goal (What is the reward?) Expectancy (Performance) = the strength of belief that work related effort will result in the completion of the task (How hard will I have to work to reach the goal?) Instrumentality (Belief) = the belief that the reward will be received once the task is completed (Will they notice the effort I put forth?) The product of valence, expectancy, and instrumentality is motivation. It can be thought of as the strength of the drive towards a goal. For example, if an employee wants to move up through the ranks, then promotion has a high valence for that employee. If the employee believes that high performance will result in good reviews, then the employee has a high expectancy. However, if the employee believes the company will not promote from within, then the employee has low instrumentality, and the employee will not be motivated to perform better.

Vitamin C Content of Apple Juice :: essays research papers

Vitamin C Content of Apple Juice Introduction Complete lack of ascorbic acid (a.k.a Vitamin C) in the diets of humans and other primates leads to a classic nutritional disease, scurvy. This disease was widespread in Europe during the fifteenth and sixteenth centuries, but it is rare today. Ascorbic acid is widely distributed in nature, but it occurs in extremely high concentrations in citrus and green plants such as green peppers and spinach. Ascorbic acid can be synthesized by all plants and animals, with the exception of humans, other primates, and guinea pigs. Therefore, vitamin C must be present in our dietary substances.   Ã‚  Ã‚  Ã‚  Ã‚  The fundamental role of ascorbic acid in metabolic processes is not very well understood. There is some evidence that it may be involved in metabolic hydroxylation reactions of tyrosine, proline, and some steroid hormones, and in the cleavage-oxidation of homogentisic acid. Its function in these metabolic processes appears to be related to the ability of vitamin C to act as a reducing agent.   Ã‚  Ã‚  Ã‚  Ã‚  The adult Recommended Daily Allowance f vitamin C is 70 mg per day. Some scientists and physicians have suggested doses up to 1 to 3 grams per day in order to help resist the common cold. Deficiency of vitamin C results in swollen joint, abnormal development and maintenance of tissue structures, and eventually scurvy.   Ã‚  Ã‚  Ã‚  Ã‚  Determination of vitamin C in biological fluids such as bolld and urine is difficult because only small amounts of the vitamin are present and many interfering reducing agents are present. Substances containing sulfhydryl groups, sulfite, and thisosufate are common in biological fluids and react with DCIP, but much more slowly than ascorbic acid. The interference by sulfhydryl is often minimized by the addition of p-cholormercuribenzoic acid. Materials and Supplies Apple Juice Metaphosphoric acid/ Acetic acid solution 4% Unknown ascorbic acid in metaphosphoric acid/acetic acid solution, .5mg/ml 2,6 dicholorphenolindophenol solution in water Ascorbic acid oxidase, lyophilized water Experimental Procedure Standard Ascorbic Acid Solution Fill a microburet with DCIP solution. Using a pipet, transfer 1.0 ml of the ascorbic acid standard solution to a 50 ml Erlenmeyer flask containing 5 ml of 4% metaphosphoric acid solution. Read and record the initial reading on the buret. Titrate by rapid, dropwise addition of DCIP from the buret while mixing the contents of the flask. Add DCIP solution until a distinct rose-pink color persists for 15-20 seconds. Record the final reading on the buret. Repeat this procedure twice more, each time with a fresh 1.

Benefits of Human Cloning :: Clones Biology

What is cloning? "Cloning is the process of making a genetically identical organism through nonsexual means."(www.Howstuffworks.com) It has been used for thousands of years to produce plants. The next stage was to clone animals. Scientists can take unfertilized eggs of some small animals, and clone them, so they develop into full adults. After knowing that people realized how great it would be if we could clone humans. There would be a lot of advantages in cloning humans. Lets say someone will die if they can't get a heart transplant. If scientists could clone the human heart, they might be able to save that persons life. Also if they could clone a full human body, they could use the cloned bone marrow as a cure to leukemia. Scientists can also use some cloned animals organs for transplants. Or another big issue would be if you could not have a child with your husband or wife. Many couples around the world would give anything for a chance to have a child. With cloning they would be able to clone a human being that would grow up to be just like one of them. What can cloning do for you? If one of your family members was sick or dying of a disease, scientists will be able to clone them, so they will be normal again. Or maybe one of your pets needs a new liver, they can also clone one, so your pet can live. How would you like it if cloning could bring back some of the worlds most honored and respected people? For example, Albert Einstein was one of the smartest men alive. And with cloning, we could duplicate his DNA to create an exact replica of him. They could do the same for a sports legend or an award winning actor or actress. There are endless possibilities with cloning. What have we already cloned? We have cloned more than what the average person knows about. We have been cloning plants for a very long time. And we have cloned many small animals. Most people know about scientists cloning a sheep named Dolly, but what they don't know is that they have cloned many more small and large animals. They have cloned sheep, goats, cows, mice, pigs, cats, rabbits, and a gaur.

Media regs

Though freedom of the press is protected and guaranteed by the First Amendment, there have virtually always been laws limiting and defining that freedom.   These restricts stem from English common law regarding libel and defamation and from the attempts of the United States government to keep up with ever changing modern times.The initial restrictions on the freedom of the press were only in regards to libel and defamation. These concepts, dating to before the adoption of the American Constitution, were inherited restriction of the freedom of the press. Ultimately though, in American law at least, they   come down to a singular defense. It’s not libel or defamation if it is true.Libel laws require that the victim be identified, that the thing being written damages them in the eyes of a significant minority and that the accusation not be true. Under American law, truth is the ultimate libel defense. However, the American court system has also long held that the freedom does not extend to the press the right to deliberately and with malice harm a person or group by reporting fiction.   If the issue being reported is true, then there is no libel. This differs from other countries around the world, including Australia, where libel simply involves damaging another person’s reputation and the claim can be made whether or not the facts in evidence support the accusations made.The important distinctions of American libel law in lie in identification and the concept of a significant minority.   In the part, American courts have ruled that identification does not necessarily mean by name. Identification can be implied, so that a significant number of people can figure out who the individual is that is being discussed or it can be as a member of a group. For example, even if Bob Jones is never identified by name as a member of the library board, he is a part of that group.If the press then accuses all library board members of being tax cheats, and Jo nes is not, then he has been libeled as part of an identifiable group. The other interesting caveat of the law and the administration of libel law is that the victim must only prove that their reputation was damaged within a significant minority.   This wording leaves a great deal up to the discretion of the court, both in determining what is a significant minority and when that minority might believe the things that are published about an individual. Ultimately though, all journalism students in the U.S. are taught that truth is the ultimate defense. If the issue being reported is true, there is no libel.Further restricting the freedom of the press is the concept of defamation of character.   This is the statute under which most lawsuits against tabloid magazines were brought before the more modern move to accuse them of invasion of privacy. Libel requires that a person suffer actual damage as a result of the insult to their reputation, i.e. the loss of a job, relationship or s ome tangible asset. Defamation simples requires that a person was injured by the falsehoods spoken or written about them.This was well and good until 1964 when the Supreme Court ruled that public persons, politicians and others who earn their living via being in the limelight, could only sue for defamation when they could prove actual malice. This meant that unless the public figure, say the president, for example, could prove that the news organization concocted false stories knowingly for the sole purpose of harming him, he would have no right to sue. If the story was true, then he definitely had no grounds to stand on.In 1798, the U.S. Congress further restricted the freedom of the press with the Sedition Act of 1798. The sedition act said, among other things, that any â€Å"false, scandalous or malicious writings† that bring damage to the U.S. Congress, the President, or any branch of the government were illegal (Wisconsin Journalism 2005). The laws regarding seditious li bel were used to keep the press from criticizing the government and to restrict the freedom of the press. Furthermore, the government has always seen fit to regulate â€Å"adult content† in print and has in recent years also restricted the types of advertising allowed in some form of media.However, with the advent of and expansion of radio and television, the U.S. government determined it necessary to create an entirely new arm of the government to regulate the media, the Federal Communications Commission. The FCC was begun as a means of controlling the airwaves with a lot of lofty goals in place. Allegedly, there was a concern about air space.The frequency the broadcast media was using had to be apportioned so that radio stations were not stepping on each other’s signals, preventing anyone from receiving clear reception. Furthermore, by regulating the size and power of the broadcast tower, the FCC claimed it was preventing the rcih stations from dominating the airwave s with might instead of talent or desire. The plan then, was to increase competition by making sure than everyone was on a level playing field.As time progressed, the FCC also worried about the influence that the broadcast media held and installed limitations on the number of television stations and radio stations that could be controlled by a single company or person. The idea was to again promote competition and prevent one faction from having superior control over the information accessible to the average citizen.   In further support of this, in 1949, the FCC instituted the Fairness Doctrine, a rule that said if a broadcast media gave a specific amount of time to one side of an issue, it was required to give the same amount of time to the other side.This was done theoretically to promote fair and balanced reporting of issues so that the public could make informed decision regarding political issues, rather than being completely influenced by hearing only one side of an issue. Paid advertising was exempted, except that the media had to charge the same price to whatever person wanted to buy advertising space rather than offering special deals to the side of an issue supported by the editorial staff of the station.The fairness doctrine was later withdrawn as unnecessary, but there have been some efforts recently to bring it back. Largely, these efforts come in the form of diatribes against right-wing talk radio, saying that because the talk show hows do not present fair and balanced reporting of the issues, the stations which air them should be forced to offer a show with a counter point. Opponents of this argue that free market competition has made the right-wing talk shows profitable and that commerce, not politics, has dictated the content of most broadcast stations.Because of the differing availability of broadcast television and radio, the FCC has also felt more comfortable with restricting the types of advertising that these stations may accept and wh en they may air it.   The FCC banned some alcohol commercials and all cigarette advertising from the broadcast media in an attempt to legislate a healthier country. Proponents of the restrictions say that manufacturers were unfairly using the psychological impact of broadcasting to influence people of an inappropriate age range to drink or smoke. Further restrictions have run the gamit from requiring alcohol manufacturers to encourage responsible drinking to forcing tobacco companies to rethink and redesign trademark logos.In short, the FCC has tried to regulate the broadcast media at any turn that it appears the American public is likely to accept. They have been able to do this by differentiating between the press and the mass media when it suits them. And, the FCC has tried to regulate the print media as well, from suing Hustler for its publication of pornography to creating and overseeing joint operating agreements between major metropolitan newspapers, forcing the papers, onc e owned by the same company, to maintain separate editorial boards to preserve the appearance of competition and diversity in news.The FCC has also tried to regulate even more modern media forms with attacks on the internet and attempts to regulate how Americans access the world wide web.   This over regulation has led to a backlash with many people believing that the industry needs to be de-regulated and the FCC in a precarious position. In recent years it has fined broadcast networks for the language and behavior of shock jocks, for â€Å"wardrobe malfunctions† at the Super Bowl, and for language used during prime time television.But an increasingly media savvy nation is demanding that they back off. Yes, some people were offended with the sight of Janet Jackson’s breast in a time when people believed the programming to be â€Å"family-friendly†, but at the same time, people are also calling on the offended to regulate themselves and turn off the programs th ey find offensive. Many people no longer believe in the government’s right or need to protect people. After all, what tech savvy child can’t find his way to much more gratuitous sites on the internet?The relaxing of the regulations on the broadcast media is long overdue.   The broadcast media has been ham strung for years by the overregulation by the FCC. It has suffered through undue restrictions and made to compete with cable television which did not suffer from the same sort of restrictions. They have been subjected to the whims of the FCC and have had restricted advertising revenues due to FCC regulations. The reality is that Americans are tech savvy enough now to restrict themselves. If they want to keep their families from viewing in appropriate materials, they can do so via parental controls or a v-chip.   It should not be the government’s responsibility to legislate morality.Furthermore, the regulations either need to be applied across the board or n ot at all. The FCC has not kept pace with technology in the modern era, and has thus not had Congress give it jurisdiction over newer forms of communication including cable television and satellite radio. As these things become commonplace, by regulating the broadcast media that uses the free airwaves and not the pay-for-use broadcast media,   the FCC places the free media at a distinct disadvantage and should not do so.While some restrictions on the freedom of the press, such as libel and defamation laws are appropriate, laws aimed at â€Å"protecting society† from itself, including advertising and pornography restrictions should be lifted. Once again, the government should trust the free market to decide as it did in the Imus’ case. No FCC interference was needed to get the bigoted talk show host off the air. The fair market did its job, demanding that he be removed or th station face lost revenue. That should be the way the media is regulated.WORKS CONSULTED †Å"America’s Battle over Media Ownership† The Economist, Sep. 11, 2003. , June 29, 2007.Hendrickson, Chris T and Francis Clay McMichael. â€Å"Controlling Contraditctions among Regulations†   The American Economic Review, Vo. 75, No. 4. Sep., 1985, pp. 876-877.â€Å"Media Regulation†, PBS,, June 29, 2007.

Effect of Rapid Urbanization on Housing

THE IMPACT OF RAPID URBANIZATION ON HOUSING DEVELOPMENT IN NIGERIA FROM 1950 -2010 (Focus on urban developments and housing problems case study: Lagos) Urbanization according to Aluko O. E is rather subjective and can be given various interpretations. However in this concept it can be defined as the expansion of the number of people living in an urban area that depicts the rate at which people move from rural areas and populate the urban areas.Reports however, from the united nation show that the population at the urban centres has multiplied four times its initial growth since 1960 and would have risen to a projected number of about 5 billion in the year 2030. Report also has it that over 70 per cent of these populations would settle in cities and towns. Following independence, many administrative centres experienced major unplanned rapid urbanization .The ripple effect of these on cities being the core of urban development is enormous especially on the housing development which has eventually resulted in overcrowding, inadequate dwellings, deplorable urban environment, degrading public infrastructure, and to an extreme, â€Å"outright homelessness† (Adesoji David Jiboye, 2011) . Nonetheless, According to Femi Olokesusi, 2011 quoting Onibokun et. al. 1987) and Onibolun and Kumuyi (1999), assert that various political and socio-economic factors have resulted in rapid growth of urban population resulting in informal settlements, poor housing and slums in Nigeria. The rate of influx of people into major cities has been so high that the pace of settlement development and housing provision could not accommodate them. Since they must have shelter, all forms of informal procedures are adopted to provide housing. This has resulted in non-compliance with physical planning regulations and development control standards.Thus there have been cases of incompatibility of land use activities, overcrowding (due to high occupancy ratio, high density of development), poor construction standards (due to use of substandard building materials and construction methods), and ill-serviced dwelling Units, among others. The impact of rapid population growth however, on urban development and conditions is far more than merely a demographic or quantitative one especially on housing development as a whole which is a direct consequence of the push of the rural areas and the pull of the town.Current studies however indicate that the impact of rapid urbanization in terms of housing is revealed both in its quantity and quantity such that the little number of available houses is being overloaded infrastructurally and spatially leading to a reduction in the level of comfort and a rapid development in the number of slums being created and the level of substandard houses being built in an unplanned and unhealthy environment.However, the level of impact on the adequacy of housing has been compounded particularly by the high rate of population growth, through influx of immigrants, exaggerated real estate values etc. Nonetheless, housing according to Aduwo 2011, Daramola 2006 et al is the measure of the level of housing inadequacy and its quality. According to pelu Awofeso, one out of every two Nigerians now live in a city leaving limited infrastructure to be engulfed by millions of individuals.In his report he stated that 16 million housing units would have to be provided to address the shortage in urban shelters since the inflow of people supersedes the rate at which affordable housing is being constructed. Housing however, according to Abbas Olukunmi Owoade, 2007 quoting Tannerfeldt and Ljung ‘06)does not only relate to provision of houses but also basic infrastructure of a neighbourhood as well as schools clinics , recreational facilities and other amenities. CASE STUDY:LAGOSThe city of Lagos was first inhibited before the 15th century and grew from a typical small fishing and farming settlement due to certain factors such as, the constru ction of the railway in 1895 that linked the city, the hinterland and the port with the development of the Lagos harbour. In the twinkle of an eye, Lagos became the centre of trade and commerce bringing migrants from every nook and cranny. As the population increased so did the spatial expansion which posed a great deal of problems especially housing development. kehinde George, 2002). Population explosion in lagos became noticeable after 1950 amongst other reason, it was the national capital and in ’67 became a state on its own attracting funds from both the federal and state government there by introducing more migrants. However, Over 90 per cent of the typical housing standard is being provided by the private sector and individual efforts bringing about a gap between its demand and supply finding expression in the cost of rented values that eventually leads to vercrowding, growth of slums and rise in the number of substandard housing (Owoade,Abiodun ‘97). Two major f actors that accounted for the rapid growth in lagos can tied to net migration and natural increase According to the old United Nations university website, prior to 1928, planned residential areas in Lagos were limited. They included Ikoyi, which was a reservation area for expatriates who were colonial administrators and executives of foreign firms, and had a population of 4,000, or 3 per cent of the population of the city in 1931.Apapa, Ebute Meta, and Yaba, with a combined population of 22,000, or 17 per cent of the total, also had some element of planning, in the sense that road networks in Ebute Meta and Yaba were laid out on a grid and residential development was confined to the blocks within the road pattern. On Lagos Island, apart from the areas around the racecourse and marina, the indigenous housing was unplanned and was left to develop haphazardly, with houses built quite close together.Such overcrowded, unhealthy housing and poor environmental conditions stimulated the rap id spread of influenza epidemics and bubonic plague, which ravaged the city between 1924 and 1930. These led to the emergence, in 1928, of the pioneer planning authority in Nigeria, the Lagos Executive Development Board (LEDB), which embarked on slum clearance and the relocation of families from the Island to the Mainland (Oko Awo scheme) and since then, the activities of planning authorities have assumed considerable importance in metropolitan Lagos.The government of Nigeria has interceded at different times to solve housing problems with particular focus on Lagos by providing housing units as well as establishing site and service programmes to make available plots of lands to individual to build their own houses, the period 1979-1983 under the Jakande administration witnessed a massive housing development programme. evertheless, These programmes had little impact in that it provided limited number of housing units with a major setback in the year 1994 due to increase in price of b uilding materials. Thus, making a considerable number of Lagosians lack â€Å"shelter† a basic need of human existence. The wide gap between the supply of and the demand for has operated in escalating house rents, rent edict were promulgated to reduce this hardship by working population .In 1973 for instance the mid-west state government proclaimed an edict which limited the maximum rent payable on dwelling units. However, such edicts have not been effective in arresting increase in house rents (Josephine Abiodun,1976) Planned housing schemes in metropolitan Lagos |Housing agency |Scheme |Remarks | |Lagos Executive Development |Slum clearance of Central Lagos, 1955 to|1,847 families housed in Surulere. ,337 families resettled | |Board, 1955 -1975 |early 1960s, Olowogbowo Rehousing |in low-income rented houses. Subsidized by Ministry of Lagos| | |Scheme, Lagos Housing Scheme |Affairs | |   |Other housing schemes in Surulere |14,537 family units (dwellings) provided.In all, 128,800 | | | |people were provided with housing | |Lagos State Development and |Resettlement of slum dwellers from |1,000 families housed | |Property Corporation (LSDPC), |Central Lagos to Ogba and low-income | | |1972-1979 |housing in Isolo | | |Federal housing |Under 1975-1980 and 1981-1985 plan |6,000 housing units | | |periods | | |LSDPC, 1979 to date |Low-income housing |16,878 housing units | |   |Medium-income housing |1,790 housing units | Source: LSDPCIn Lagos, like elsewhere in Nigeria the access to privately owned housing units through traditional channels has made it immensely possible for a relatively large number of people to be house owners at certain cost which includes the sale of the same plot to more than one buyer owing to a lack of a comprehensive land register and sometimes conflict over rights of ownership between the state and private individuals or family groups or between members of families â€Å"omo onile† (owoade, abiodun ‘97). However , over 60% of these residents are under a tenement kind of arrangement constructed by â€Å"absentee landlord† with this kind of arrangement ending abruptly due to unforeseen evictions(Owoade, abiodun et al) The issue of land acquisition at the same time is far more complex because government acquired land is rarely made available or affordable for the average or even made accessible due to lack of basic infrastructure.Alternatively, in order to live closer to job opportunities there’s need for settling in centrally located pieces of abandoned land left due to unsuitability for housing either for being along railway paths or under high tension electric cable or marshy lands. (Owoade ’07, Tannerfeldt and Ljung 2006). David Owoade in his report emphatically stated that the Problems of rapid urbanization have increased and become more glaring as the cities expand and many attempts to curb these problems have not achieved the desired results. Housing continued to be supplied through informal self-help landlords and a majority of tenants live in homes with unsecured tenure while many holders find home in slums and shantytowns. Examples include Ajegunle, Makoko, Badiya, Maroko etc.Those that have been fortunate enough to build their houses on the periphery of the cities (ota in sango) have to live without basic services and infrastructures such as clean water, sewers, electricity and roads. In 1976, it was estimated that 111000 residential houses were available in Lagos to provide accommodation for a population of 3. 2 million keeping it at an average of 28 persons per building. By 19080, it had gotten worse with 30 persons living in a building and it was further projected that 2 per cent of the population lived in self-contained buildings leaving the remaining 98 % to rooming accommodations connoting shared facilities like the kitchen and the toilet.It was further estimated that by the year 2000, a total number of 1. 5 million housing units wou ld be needed to cater to fast growing population. It is no surprise that there is no more land for the government to build that they have resulted in sand filling of certain areas ( Raji Rasaki, 1988). However an updated article by lookman oshodi,2010 quoting the Lagos ministry of housing 2010 brings the demography to a total number of 91% of the total population living in the metropolis, about 20,000 persons per square kilometre in the built up areas. The occupancy ratio however are 8-10 persons per room with 72. 5% of household occupying one room apartment’s . ince the rate of growth in Lagos has assumed a geometric progression the provision of houses has never been commensurate leading to decay in structure either by quantity or quality. Hence, multiplying the number of inhibited slums from 42 in the year 1985 to over a hundred in 2010. (slums and squatter settlement)also, this â€Å"urban poor† pay house rents that are almost 50-70% of their income since most accom modations as earlier said are provided by private landlords. Thus, dividing the metropolis into classes such as low income/high density, medium income/medium density, high income /low density. (Lawanson 2007, lookman oshodi 2010) The population in Lagos seems to growing each day with its problems. onetheless, according to aduwo,2011 quoting (Okupe, 2002; Oruwari, 2006), Public housing was birthed as a solution to the proliferation of slums and squatter settlements but Housing specialists have revealed that public housing has failed to provide decent housing, claiming that it has succeeded in segregating tenants by income, race, and that it has isolated residents from the larger community. However, all these problems have resulted in overcrowding of buildings leaving room for no access, urban sprawl, lack of open spaces, high cost of building materials etc. [pic] Population in lagos Source: case study of lagos:geography and climate [pic] Source: case study of lagos:geography and clim ate Reference 1.MANAGING METROPOLITAN LAGOS ,Raji Rasaki ,Inaugural Programme of the Africa leadership forum, 1988 2. HOUSING TRANSFORMATION AND ITS IMPACT ON NEIGHBOURHOODS IN SELECTED LOW-INCOME PUBLIC HOUSING ESTATES IN LAGOS, NIGERIA: A PhD Thesis: Egidario Bridgette ADUWO,2011 3. THE IMPACT OF URBANIZATION ON HOUSING DEVELOPMENT: The Lagos Experience, Nigeria. ;Aluko O. E; Ethiopian Journal of Environmental Studies and Management ; Vol. 3 No. 3 2010 4. PUBLIC HOUSING DELIVERY IN NIGERIA: PROBLEMS AND CHALLENGES; World congress on Housing Transforming Housing Environments through the Design south Africa, L. M Olayiwola, O Adeleye & L Ogunshakin, 2005 5.CHALLENGES AND GROWTH OF DEVELOPMET IN METROPLOLITAN LAGOS, archive. unu. edu/unupress/unupbooks; old United Nations university website. 6. ANALYSIS OF THE INTERPLAY OF MIGRATION AND URBAN EXPANSION, ON HEALTH AND THE ENVIRONMENT: THE CASE OF LAGOS by Okuneye P. A, Adebayo, K, Opeolu B. T. and F. I. Baddru; University of Agricultu re, Abeokuta and University of Lagos, Lagos, Nigeria 7. LAGOS: THE CHALLENGES AND OPPORTUNITIES OF AN EMERGENT AFRICAN MEGA CITY by Femi Olokesusi Paper Presented at the NISER Seminar Series on 5 July, 2011 8. HOUSING PROBLEMS IN NIGERIAN CITIES, Josephine Olu. Abiodun, reprinted from the town planning review, vol. 47, no. 4, October, 1976.

Herpeutic relationships in nursing

For Carl Rogers, discussing therapeutic relationships suggests that the relationship between the one being helped and the helper is a mutual one. Buber (1966) opposed and disagreed with Rogers and suggested that, because it is always the patient that comes to the professional for help and not the other way around, the relationship can never be a mutual one. Mutualism is defined as ‘the relation between two different species of organisms that are interdependent; each gains benefits from the other', (dictionary. eference. com (2008). Campbell (1984) said the role of a nurse in a therapeutic relationship is; somebody who shares freely with others, but does not interfere and allow others to make and define their own journey. Patterson (1985) believes that the relationship itself is central and quoted that ‘counselling or psychotherapy is an interpersonal relationship. Note that I don't say that counselling or psychotherapy involves an interpersonal relationship-it is an inter personal relationship'. The Nursing and Midwifery Council (NMC) influence a therapeutic relationship throughout The Code (2008), it quotes ‘you must listen to the people in your care and respond to their concerns and preferences and you must make arrangements to meet people's language and communication needs'. It encourages nurses to develop their relationship with the patient through the use of communication skills and through educating the patient about their illness. A therapeutic relationship is based on the communication between the nurse and the client themselves. You can read also Coronary Artery Disease Nursing Care Plan Communication involves almost every aspect of our interactions with others; and it plays an important part in any relationship. The holistic approach helps us, as nurses to encourage/support and authorize the patient with the accurate knowledge and understanding in order to help them to recover from their illness. If the nurse has the aptitude to communicate skilfully with the patient, throughout developing a therapeutic relationship, the patient will be more eager and willing to communicate and be more open with the nurse. Within a therapeutic relationship, trust is essential (holisticlocal. co. uk), and helps the nurse to increase their chance in healing the patient to overcome their illness and gain their respect. Patients expect the nurse to have the essential knowledge and to be able to display caring attitudes, so that they are able to trust the nurse and assign their care to the Professional. Breaching trust can make it very hard to re-establish it and therefore if a promise is made it should be adhered to. Mitchell and Cormack(1998) agree with this as they believed ‘patients themselves value therapeutic relationships which offer respect, trust, and care and it seems that such relationships may in themselves prove to be healing in the broadest sense' (Mitchell & Cormack (1998). In relationships constantly agreeing/ disagreeing with the other person on every occasion is not necessary as this could lead to aggravation, annoyance, and eventual dissatisfaction. Particular skills are needed to be adequately assertive without damaging the relationship. There are a variety of key skills which incorporate inside this relationship. Listening attentively and fully taking in to consideration what the patient is saying is perhaps the single most important skill that must be accomplished by the nurse. Listening to the patient without instantly giving suggestions and advice or diminishing the client's opinion, is central to the establishment of developing a relationship. Listening refers to more than hearing what the patient says and Rogers (1980) believed that ‘In some sense attending and listening means that you lay aside yourself; this can only be done by persons who are secure enough in themselves that they know they will not get lost in what may turn out to be the strange and bizarre world of the other, and that they can comfortably return to their own world when they wish', he is referring to ‘getting lost in the world of the other'. Burnard (1997) describes the art of ‘attending' as the act of truly focusing on the other person, consciously making ourselves aware of what they are saying and what they are trying to communicate. Vital to the establishment and construction of a therapeutic relationship is the nurses own capability to use an extensive range of communication skills, strategies and interpersonal skills. Effective and successful communication is a necessary aspect in producing and preserving a successful relationship. Regardless of the surroundings and the duration of interaction, the nurse acts in therapeutic ways to supervise the limitations of the relationship. This could involve tasks such as, the nurse introducing themselves to the client and addressing the patient by their preferred name/title, or showing a genuine interest in, and compassion for the client. In a therapeutic relationship between the nurse and the patient the power tends to be unequal, although nurses may not observe themselves as having power and authority in the relationship. The nurse should always try and remember that the patient is in a vulnerable position and due to the nurse's amount of health care knowledge and her position in the health care system the patient may feel more vulnerable than they already are. The misuse of power /authority can be known as abuse and using it appropriately enables the nurse to maintain paramount professionalism as well as dealing with the patients requirements. Empathy is also part of the structure of a nurse and patient relationship. Burnard (1995) defines empathy as ‘the ability to perceive accurately the feelings of another person and to communicate this understanding to him'. The nurse should be able to view the patient's illness and circumstances from their position and not look down upon them from an exalted position and the patient should not be made to feel vulnerable. Millenson concludes by stating ‘accurate empathy is always empowering, since it represents an understanding and acceptance of the speakers feelings' (Millenson, 1995). Respecting the client and their dignity at all times is fundamental to the relationship between the nurse and the client. The nurse should appreciate and understand the patient's religion, culture and the other aspects related to the patient themselves and the patient's background, and whilst providing care these factors should be taken in to account. Respect is not an attitude; it is an element that nurses should ‘master' and when showing respect nurses should make a difference in the way a patient is seen. Mayeroff (1971) believes that it is ‘more than good intentions and warm regards'. There are certain skills that users can use in attending to clients, in order to generate a therapeutic environment. They can be summarised in the acronym S-O-L-E-R. Sit facing the patient squarely; adopting a posture that indicates involvement is important. Open posture, crossed arms and legs illustrate lessened participation/availability; an open posture shows that you are open to the client and to what they have to say. Lean slightly towards the other person to enhance communication. Establish eye contact with the patient, keeping it fairly steady but not staring. Relax, and don't be nervous, adopt a comfortable posture and this will also helps put the client at ease. People might use these guidelines differently in relation to culture and individuality, so they should not be taken as absolute rules. Therapeutic relationships are also encouraged, supported and developed by members of the multi-disciplinary team, for example; doctors. Doctors support patients by educating them about their illness and also by developing a therapeutic relationship with the patient. They have to consider professional intimacy and also the method in which they communicate with the patient, since giving bad news is very different to giving good news and they also have to think about their facial expressions and body language and show empathy. This also relates to other members of the Multi Disciplinary team (MDT), such as physiotherapists, psychologists, dieticians etc. During practice, I have had to think about my communication skills, key elements and professional intimacy, on an occasion, were I communicated with the relatives of a terminally ill patient. The wife of this patient was crying, and therefore in order to comfort her, I talked to her, held her, hand and gave her a hug. The communication skills I used were Empathy, which Mayeroff (1971) believes is an essential part of caring. I also used verbal communication and non verbal communication, which is described as ‘an awareness of your body and mind as a source of communication' Egan(1990) and also showing respect, Rogers (1961, 1967) ‘You are there to help clients, not to judge them', following Standal (1954), who calls this kind of respect ‘unconditional positive regard' Egan(1990).