Wednesday, November 27, 2019
Media in Nepal After Democracy Essay Example
Media in Nepal After Democracy Essay Example Media in Nepal After Democracy Essay Media in Nepal After Democracy Essay Media in Nepal after Democracy -Narendra Maharjan After the Restoration of democracy in 2046 B. S. a drastic change came in the Nepali Media particularly in the private sector. Liberal provision and guarantee of press freedom enshrined in the constitution opened up avenues for the private sector to involve on media sector. The 2046s democracy yielded by the Peoples Movement also established rights and freedom of the press. After the success of peoples movement, new constitution (Nepals constitution 2047 B. S. ) has guaranteed the press freedom and right to information to people. It was widely praised. Wide impact of this provision has been seen to the media sector. Political and other sectors have also been benefited by this freedom. This provision encouraged the media sector luring huge investment in media. Media became professional and it was accepted as the industry of the country. Political parties became free and Political activities sped up. Before this, people can not imagine television run by private sector. Television and Radio in private sector started and are going on. Off set press came into use and due to the accessibility of computer media became too advanced. So there was a favorable environment to develop professional journalism in Nepal. Kantipur and The Kathmandu Post, the first broad sheet national dailies from private sector were published in 2049 Falgun 7th. Due to the popularity in the short time many other broadsheet dailies came out. Some of them sustained and some went out from the sight. During this period online journalism also came out and because of the computer it was possible to read the newspaper and to hear the radio in computer. Due to competition in media and development of technology, simultaneous publications were also started to get published. Nepal Samacharpatra started to publish from Biratnagar since 2058 B. S. , Baisakh. Likewise, Kantipur started since 2061 B. S. Ashar from Bharatpur. Newspaper publications were also stared from outside the country. For example Nepal Samacharpatra initiated its publishing from Doha, Qatar since 2062 Ashad, although it could not sustain for a long time. Now Kantipur and Rajdhani dailies have their weekly publication from Doha but not simultaneous. Newspaper publication in different languages was started and going on. Significant changes have occurred in radio broadcasting after 2047 B. S. and adio Nepal has started to broadcast the news service in 20 different languages. New wave of FM broadcasting from non government and private sector has become significant initiative in South Asia. Private channels in television came into the light. Channel Nepal, Kantipur TV, Image started their service. New debate on foreign investment in media and multi media ownership is on. The FMs expansion is significant in this period and it is going on in a new height. There seemed the very gloomy picture in Nepalese media during the Maoist Conflict, State of Emergency and during the period of direct rule by the king Gynendra. During the first State of Emergency (26 Nov 2001-29 Aug 2002), journalists were assassinated, some of them by the security forces and few by the rebels and few were arrested and tortured in various ways from both sides. Nepali journalism suffered a lot while it waged a massive struggle against the Kings direct rule. The Nepali press suffered worst form of suppression from the state and also did not remain aloof from the threats, obstructions and violence from the insurgents. Nepal was characterized as the worlds biggest prison for the journalists. The government enforced various restrictive and controversial ordinances that curbed press freedom as the peoples right to information despite the fact that the nations constitution guaranteed full press freedom. Private sector press was subjected to acute censorship and FM radio stations have been totally banned to broadcast news and current affair programs. Newspapers were asked by the government not to print any material on security operation or Maoist insurgency without scrutinizing the facts from the Army. Most newspapers outside Kathmandu have suffered intimidation or arbitrary suspension at the order of District authorities. Due to prohibition on news and news-based programs over private radio stations and strict censorship even on TV channels, several media managements either closed or curtailed programs and relieved staff members. People were completely deprived from right to information and other civil rights such as right to free movement inside the country and freedom of expression and of opinion. During Peoples Movement II, Nepali press played an important role against kings regime. It fought for the freedom of press and democracy. Due to its contribution to the democracy Nepali press is admired among the society and government itself also created the favorable atmosphere to exercise press freedom. After the restoration of Democracy in year 2062 B. S. ( 2006 AD), a historic year for Nepali politics, it is observed that the countrys media faced significant harassment and obstruction; however it contributed enough in bringing the country back to democratic path being a part of the 2006 April Uprising. Ever following the restoration of democracy and signing up of Comprehensive Peace Accord between the Nepali government and CPN (Maoist), a rebel force, Nepali media and media workers did not witness a sigh of relief and respite from the brutal attacks and blatant violation of press freedom perpetrated by the state, CPN (Maoist) including other agitating parties. The promulgation of Right to Information Act-2064, Working Journalist Act-2064 (Second Amendment) and constitutional guarantee of freedom of press and expression in the Interim Constitution-2064 have been the remarkable achievements yielded in Nepali press. During the Terai movement launched by Terai-based various agitating parties and groups, Nepali media witnessed another setback as it was manipulated and numerous incidents of attack and atrocity in the series of political confrontation and clash erupted in the Tarai region. In short, there is still need for Nepali Media to wage struggle for their professional and physical safety as well as to establish freedom of press and of expression in Nepal. Conclusion Nepals politics today stands at the cross road of history. Despite peace accord, interim constitution and Constituent Assembly election deadlock and political uncertainty prevail all around. The current political trend is far more hostile towards the media freedom and the principle of independent media as political actors are behaving in pre-peace accord period and seeking monopoly of power than common ground for conflict resolution, socio-economic reforms and timely promulgation of new constitution. The media is not only getting political, its getting identified with one or the other party or with one or the other polarized groups in politics and becoming weak in critical areas of civic education. In this context, how can they objectively report about many constitutional issues, federalism, integration of Maoist combatants in productive life of society, economy, judicial independence, autonomy of governance, foreign policy, land reforms etc and enable citizens to exercise their reasoned choice? The bottom line is Media should be neutral and unbiased. References : www. nepalpressfreedom. org www. martinchautari. org. np
Saturday, November 23, 2019
Louisiana Serial Killer Ronald Dominique
Louisiana Serial Killer Ronald Dominique Ronald J. Dominique of Houma, LA has confessed to murdering 23 men over the course of nine years and dumping their bodies in sugarcane fields, ditches and small bayous in six southeast Louisiana parishes. His reason for killing? He did not want to return to jail after raping the men. The First Victims In 1997, authorities found 19-year-old David Levron Mitchells murdered body near Hahnville. The body of 20-year-old Gary Pierre was found in St. Charles Parish six months later. In July 1998, the body of 38-year-old Larry Ranson was found in St. Charles Parish. Over the next nine years, more bodies of men ranging in age from 19 to 40 would be found dumped in sugarcane fields, desolate bayous, and ditches in remote areas. Similarities in 23 of the murders lead investigators to suspect the men were victims of a serial killer. The Task Force A task force made up of nine South Louisiana parish sheriffs offices, the Louisiana State Police and the FBI were formed in March 2005, to investigate the murders. Investigators knew the 23 victims were mostly homeless men, many who led high-risk lifestyles, which included drug use and prostitution. The victims had been asphyxiated or strangled, some raped and several were barefooted. The Arrest After receiving a tip, authorities armed with forensic evidence, arrested Ronald Dominique, 42, and charged him with the murder and rape of 19-year-old Manuel Reed and 27-year-old Oliver Lebanks. Just days before his arrest, Dominique had moved from his sisters home into the Bunkhouse shelter in Houma, LA. Residents of the home described Dominique as odd, but no one suspected he was a killer.ââ¬â¹ Dominique Confesses to 23 Murders Soon after his arrest, Dominique confessed to murdering 23 southeast Louisiana men. His tactics in capturing, sometimes raping then murdering the men was simple. He would lure homeless men with the promise of sex in exchange for money. Sometimes he would tell the men he wanted to pay them to have sex with his wife and then show a picture of an attractive woman. Dominique was not married. Dominique then led the men to his home, asked to tie them up, then raped and eventually murdered the men to avoid arrest. In his statement to the police, Dominique said the men who refused to be tied up would leave his home unharmed. Such was the case with one unnamed man who reported the incident to the task force, a tip that eventually led to Dominiques arrest. Who Is Ronald Dominique? Ronald Dominique spent much of his youth in the small bayou community of Thibodaux, LA. Thibodaux sits between New Orleans and Baton Rouge and is the type of community where everyone knows a little about each other. He attended Thibodaux High School where he was in the glee club and sang in the chorus. Classmates who remember Dominique say he was ridiculed for being homosexual during his teen years, but at the time he never admitted he was gay. As he got older, he seemed to live in two worlds. There was the Dominique who was helpful to his neighbors in the small trailer parks where he lived. Then there was the Dominique who cross-dressed and did bad impersonations of Patti LaBelle at the local gay club. Neither world embracedà him, and among the gay community, many remember him as someone who was not particularly well liked. Through most of his adulthood, Dominique struggled financially and would end up living with his mother or other relatives. In the weeks before his arrest, he was living with his sister in a single-wide trailer. He was suffering from declining health, having been hospitalized for a severe heart condition and forced to use a cane to walk. Outwardly, there was side to Dominique who enjoyed helping people. He joined the Lions Club just months before his arrest and spent Sunday afternoons calling out Bingo numbers to senior citizens. The membership director said he was well liked by everyone he had met through the Lions Club. Maybe Dominique had finally found a place he felt accepted. What sparked Dominique to move from the comfort of his sisters home to the dismal surroundings of a shelter for the homeless is uncertain. Some suspect the family grew uncomfortable by the 24-hour police surveillance and Dominique, knowing he was soon to be caught, moved away to avoid getting his family involved in his arrest. A Criminal History Dominiques past arrests include forcible rape, disturbing the peace and telephone harassment. Feb. 10, 2002 - Arrested in Terrebonne Parish after he allegedly slapped a woman during a Mardi Gras parade. According to the reports, Dominique accused a woman of hitting a baby stroller in a parking lot. The woman apologized, but Dominique continued to verbally assault her, and then slapped her across the face. He was arrested but entered a parish offenders program instead of standing trial. Reports show he met all his conditions in the program in October 2002.May 19, 2000 - He received a summons to appear in court on disturbing the peace charges. Since it was a misdemeanor, he was able to plead guilty and pay a fine to avoid appearing in court.Aug. 25, 1996 - Dominique was arrested on forcible rape charges and booked on a $100,000 bond. According to neighbors, a partially dressed young man escaped from the window of Dominiques home in Thibodaux, screaming that he had tried to kill him. When the case was brought to court, the victim could not be found to testify. In November 1996, the judge continued the case indefinitely. May 15, 1994 - Arrested and charged with driving while intoxicated and speeding.June 12, 1985 - Arrested and charged with telephone harassment. He pleaded guilty, paid a $74 fine and court costs. Three days after Dominiques arrest for killing Mitchell and Pierre, investigators said Dominique confessed to 21 other murders, giving details only the killer would know.
Thursday, November 21, 2019
Politics Essay Example | Topics and Well Written Essays - 2500 words
Politics - Essay Example International trade is a common policy of an open economy. This might come in goods and services trade or in shipping of capital to and from the country. International trade is one of the highly talked about macroeconomic policies of the governments in the world. Almost all the capitalist countries open their goods and services to trade especially with the creation of the international agencies such as World Trade Organization and the World Bank. Opening the country to the rest of the world also means having an ally in the form of aids in case of calamities or wars. Trade talks can be bilateral or multilateral. At the present, the vast of its international relation of Africa is through foreign aid. The continent has opened its door to foreign aids especially after its independence from Europe. ââ¬Å"Overseas development aid has played a much greater role in Africa than in any other part of the worldâ⬠(Mkandawire). This paper wishes to trace if the existence of a trade deficit (having higher imports than exports) influenced the conduct of macroeconomic policies in African countries such as Tanzania. If so, in what ways has the deficit influenced macroeconomic policies? ââ¬Å"In the broadest sense, macroeconomic policy is directly concerned with the aims of growth, distribution and sustainability that have been recognised as overriding national objectivesâ⬠(National Development Strategy). ââ¬Å"It is a tool for changing the economic positions of countries in the wordl economyâ⬠(Wuyts). International trade is one of the most important macroeconomic decision of a country as it affects its exchange rate, the interest rate and other aspects of the economy. TheAfrican economies was tagged as ââ¬Å"uncommonly openâ⬠because of a high ratio of trade relative to the Gross Domestic Product (Wuyts). In the year 2000, this number reached to more than 60% of the GDP in Sub-Saharan Africa. An important study then is to
Tuesday, November 19, 2019
Can Warfare be Anything Other than Barbaric Essay
Can Warfare be Anything Other than Barbaric - Essay Example Above all, it is important to define ââ¬Ëbarbarismââ¬â¢. This essay uses the following definition given by R.G. Collingwood (1942): By barbarism I mean hostility towards civilisation; the effort, conscious or unconscious, to become less civilised than you are, either in general or in some special way, and, so far as in you lies, to promote a similar change in others.2 Hence the major question is, is warfare really barbaric? Most people will answer ââ¬Ëyesââ¬â¢. Human lives are slaughtered, and usually in huge numbers. War is a nightmare. However, it is important to deeply analyse this belief, because peopleââ¬â¢s thoughts about warfare on the whole and about the actions of combatants rely greatly on how human beings are slaughtered and on who these victims are. In that case, maybe, the most appropriate way to depict the barbarism of warfare is basically to argue that there are no restraints at these thoughts: human beings are butchered with every imaginable cruelty, an d people from all walks of life, regardless of sex, age, or moral state, are slaughtered.3 This image of war is vividly portrayed by Karl von Clausewitz in his book On War. It is his pioneering descriptions that have influenced the thoughts of subsequent scholars. There are some unrealistic individuals who think that morality and war are unable to coexist. War is barbaric, they argue, war is inhuman; in its existence it is bizarre, virtually nonsensical, to evoke morality. The truth is, as most people usually overlook, and at times are not aware of, morality is basically a norm of a culture. It is a set of rules which is in uninterrupted movement. However, in an integral and meaningful way morality represents the actions or behaviour of a societyââ¬â¢s majority.4 Hence implicit, it is evident that in the contemporary period warfare still has dealings with morality. That there actually such a thing as morality of warfare, and that almost all enlightened and civilised cultures esse ntially share a particular traditional rule regarding the deeds which may or may not be committed in warfare, has been quite evidently witnessed throughout contemporary wars. This moral rule is generally claimed to be rooted in international policies and agreements. However, is it the common moral rule which is deep-seated, and international rule is simply an effort to put that morality into effect. In view of these arguments, a look at the continuous barbarisation of warfare from the 19th to the 20th century, which modern scholars examined, is important. Evolutions in the conduct of warfare have been erratic, and this relates as well, perhaps mostly, to their impacts and to how these are viewed.5 Perspectives on barbarism in warfare is subjected to cultural standards, and the beliefs based on these, like the total number of deaths caused by war, in relation to deaths caused by other actions. Furthermore, the practice of warfare since the Roman period did not evolve in a single dire ction from crude warfare towards more sophisticated techniques or the larger study of limitations on warfare, or a grander warfare. Rather, the transformation of warfare ebbed and flowed intensely. What the world witnessed after the mayhem that swelled in Europe with the fall of the West Roman Empire and the measured rebuilding and modernisation of an expanded civilisation with recognised rules is primarily lethargic but, since the 19th century, continuous development with ââ¬Ë
Sunday, November 17, 2019
Odysseus analysis Essay Example for Free
Odysseus analysis Essay Odysseus himself, Pheidon said, had gone to Dodona to find out the will of Zeus from the great oak-tree that is sacred to the god, how he should approach his own native land after so long an absence, openly or in disguise. So he is safe and will soon be back. Indeed, he is very close. His exile from his friends and country will be ended soon; and you shall have my oath as well. I swear first by Zeus, the best and greatest of the gods, and then by the great Odysseus hearth which I have come to, that everything will happen as I foretell. This very month Odysseus will be here, between the warning of the old moon and the waxing of the new. Through Pheidons point of view, this passage illustrates Odysseus return to his homeland of Ithaca, which is near the end of his journey in Homers book of The Odyssey. Also, this passage shows the relation Odysseus had with the Greek gods, notably the almighty Zeus. In those days, to seek advice from the goods only few had the privilege of doing. This shows that Odysseus was heroic and important in those days. The next passage which exemplifies Odysseus journey is when he first reveals himself to his loyal supporters, Philoetius, and Eumaeus in his home country after 20 years: (Book 21, page 282, lines 200-206) Father Zeus, the cowman said, hear my prayer. May some power lead him home! Youd soon know my strength and the power of my right arm. And Eumaeus added a prayer to all the gods that the wise Odysseus might see him home again. Odysseus, thus assured of their genuine feelings, said: Well, here I am! Yes, I myself, home again in my own country in the twentieth year after much suffering. This passage is significant in Odysseus journey, because this is the first time he is revealing his heroic identity. Odysseus was looking for companions to fight alongside him against the suitors, but he first had to find his loyalists. After Philoetius and Eumaeus genuinely showed their gratitude for Odysseus, he finally reveals himself after 20 years. The next passage takes place during a conversation between Penelope and Odysseus. After a period of 20 years separated from each other, the two finally have time to converse. Odysseus starts with his heroic victory over the Cicones: (Book 23, page 308, line 310-313) He began with his victory over the Cicones and his visit to the fertile land where the Lotus-eaters live. He spoke of what the Cyclops did, and the price he had made him pay for the fine men he ruthlessly devoured. In this passage, Odysseus describes his heroic journey to the fertile land where the Cyclops lived. He then explains about how he made the man-eating Cyclops pay for what they had done. This passage really sheds light upon Odysseus heroic side, because he acted for the good of men on that journey. Part 2. Risk taking: Odysseus is first to act when hunting a pack of savage boars. (When he obtained his infamous scar on his leg. (Book 19, page 261, lines 446-450) . Odysseus was the first to act. Poising his long spear in his great hand, he rushed the forward, eager to strike. But the boar was too quick and caught him above the knee, where he gave him a long flesh-wound with a cross lunge of his tusk, but failed to reach the bone. Trusting: Odysseus out Philoetius in charge of his estates cattle, which proves that he put trust into his true friends. (Book 20, page 271, lines 209-211) . Odysseus, that marvellous man who put me in charge of his cattle in the Cephallenian country when I was only a youth. Courageous: When Odysseus had travelled to Telepylus, the Laestrygonians had destroyed his fleet, and all his fighting men. Odysseus then had to escape alone on the black ship. . Next he told how he came to Telepylus, where the Laestrygonians destroyed his fleet and all his fighting men, the black ship that carried him being the only one to get away
Thursday, November 14, 2019
Great Gatsby-Santiago :: essays research papers
This may be true in all cases, but it is clearly predominant in Ernest Hemingway's Old Man and the Sea. It is evident that Hemingway modeled the main character, Santiago after his own person, and that the desires, the mentality, and the lifestyle of the old man are identical to Hemingway's. Santiago is an old fisherman who lives in a small coast town in Cuba. At the time that Hemingway wrote the story, he was also an elderly gentlemen and was such an avid fisherman throughout his life, that books such as "Ernest Hemingway, The Angler As Artistâ⬠were written on the sole subject of how this obsession influenced Hemingway's writing. Furthermore, he fished off the coast of Cuba so much that he decided to "buy the 'Finca Vigia' in Cuba, a substantial estate located about fifteen miles from downtown Havana . . .â⬠For entertainment Santiago would "read the baseball." Meanwhile Hemingway often "relied on baseball analogiesâ⬠in his writing, suggesting that he also loved the game. These similarities between Santiago's lifestyle and Hemingway's cannot be ignored or passed off as coincidence because they are much too precise. Already, from these prominent identical traits it is evident that Hemingway modeled the character of Santiago after his own person. Hemingway had a very characteristic view of life. He believed it was admirable to risk one's life in order to test one's limits. His love of bullfighting clearly demonstrated this. Raymond S. Nelson, Hemingway scholar, states, "He saw bullfighting as tragic ritual, and he lionized the better bullfighters as men who risked death every time they entered the arena -- a stance he admired and chose for himself in other ways." One example of Hemingway choosing this stance for himself was when "he shot and dropped a charging Cape buffalo a few feet before the enraged animal would have killed him." This daring act of Hemingway's sounds peculiarly similar to the sport of bullfighting, and is an excellent example of Hemingway's obsession with courting death. Scholar, John Smith believes that "Hemingway's whole life and outlook suggest that, if he had known in advance of this deadly possibility, he would have embraced it even more enthusiastically." Very simil arly, and not so coincidentally, Santiago had this very same mindset. He also believes in testing one's limits and admits as much when he tells himself, ". . . I will show him what a man can do and what a man endures.
Tuesday, November 12, 2019
What is a Self-injurious Behavior
The incident which I have chosen for my Nursing Project happened on the last day of my learning difficulties placement. It involved a young Autistic man, who I will refer to as ââ¬ËJohnâ⬠throughout my assignment. This is to protect the clientâ⬠s identity, this is in accordance with the UKCC Code of professional conduct (1992) clause 10: ââ¬Å"Protect all confidential information concerning patients and clients obtained in the course of professional practice and make disclosures only with consent, where required by the order of a court or where you can justify disclosure in the wider public interest.â⬠One incident which I believe highlights the problem I will address, involved myself bathing ââ¬ËJohnâ⬠. This was not the first time that I had bathed a person during the placement, however, the difference this time was that while I was washing ââ¬ËJohnâ⬠, he would display elf-injurious behaviour by slapping his face and then repeating the phrase ââ¬Ëstop slapping faceâ⬠. I chose this incident from my clinical diary as I feel that the self-injurious behaviour that ââ¬ËJohnâ⬠exhibited is an interesting and difficult Nursing problem and one, which affected my ability to care for him. Rather than focussing on the self-injury specifically related to ââ¬ËJohnâ⬠sâ⬠case, I will examine the possible ways to manage self-injurious behaviour, especially in persons with learning disabilities. To manage this problem effectively, a multi-disciplinary approach is required, but for the purposes of this essay I will look at the problem from a Nurseâ⬠s perspective. I will begin by giving a brief description of self-injurious behaviour and the possible causes. I will then highlight the different techniques available to Nurses for the management of this behaviour. Murphy and Wilson(1985) define this as: ââ¬Å"Any behaviour initiated by the individual, which directly results in physical harm to that individual.â⬠As is apparent in the literature, self-injurious behaviour is referred to as any behaviour that can cause tissue damage, such as bruises, redness, and open wounds. The most common forms of these behaviours include head banging, hand biting, head-slapping, and excessive scratching. There are two main sets of theories on the subject and these concentrate on physiological or social causes. The main physiological theories are: Self-injurious behaviour releases beta-endorphins in the personâ⬠s brain. Beta-endorphins are opiate like substances in the brain, which provide the person with some pleasure when released. Sudden episodes of self-injury may be caused by sub-clinical seizures. Sub-clinical seizures are not typically associated with the behaviours of normal seizures by they are characterised by abnormal EEG patterns. May be caused by over arousal such as frustration. Self-injury acts as a release, and thus lowers arousal. Self-injury may be a form of self-stimulatory, stereotypic behaviour. Some people exhibit self-injury to escape or avoid a task. Self-injurious behaviour may be used as an attention-seeking device. An incident that involved ââ¬ËJohnâ⬠which illustrated the difficulty in managing self-injurious behaviour, was when an object he was obsessed with, was removed. This was using a punishment strategy which I will discuss later. This was thought to be the best course of action, but it lead to ââ¬ËJohnâ⬠being restrained for nearly an hour, followed by him being sedated with an intra-muscular injection of chlorpromazine. What can learned from this is that it demonstrates the need for careful assessment of the individual. As highlighted by Murphy and Wilson(1985): ââ¬Å"The treatment selected will depend on how the self-injurious behaviour originally developed and what factors maintain it.â⬠There are a wide variety of different strategies or factors involved in treating or managing self-injurious behaviour. These include restraint, pharmacotheraphy, behavioural therapy, inter-personal strategies, normalisation and environmental factors. I will now examine in turn each of these strategies or factors. This is the most effective way of dealing with self-injurious behaviour in an emergency but there are a number of problems that can arise. Firstly, restraint raises some ethical questions, such as does someone have the right to injure themselves? This dilemna and others related to this topic are difficult to answer, but in general we make the assumption that the client is not capable of choosing for themselves. Secondly, the use of restraint present devaluing images of the client. Thirdly, they involve the violation of personal space which is usual for everyday social interaction. This can lead to a detrimental effect on the nurse/client relationship. Furthermore, there is the risk of injury to staff and to the client. Also there is the possibility of staff being accused of abuse, this is highlighted by Jones and Eayrs(1993): ââ¬Å"Care staff may well face allegations of client abuse associated with the use of restraint.â⬠There are some drawbacks in the use of restraint but it is an essential tool available to the Nurse in the management of Self-injurious or challenging behaviour. A number of drug treatments were used at Woodlands namely Chlorpromazine and Hapliperidol. These were reasonably effective but with these drugs there are serious side effects. As stated by Bernstein et al(1994): ââ¬Å"Serious side effects include symptoms similar to those of Parkinsonâ⬠s disease, such as muscle rigidity, restlessness, tremor and slowed movement.â⬠These side effects can be treated with anti-Parkinson drugs. When trying to manage inappropriate behaviour using psychoactive drugs they should only be used as an integral part of the clientâ⬠s programme. For example to combine Pharamacotherapy with other strategies such as behavioural treatments. In general behavioural approaches to treatment seem to be the most effective and long lasting ways of managing violent and aggressive behaviour. A reason for this is suggested by Murphy Wilson( ): ââ¬Å"The fact that the ââ¬Ëlearned behaviour hypothesisâ⬠is one of the most convincing hypotheses for explaining the development of self-injurious behaviour.â⬠This term covers a variety of different approaches but some of the main methods are positive reinforcement, modelling, extinction, aversive conditioning and punishment. This means, in the context of my essay, reinforcing or strengthening any behaviour that is not self-injurious. An example of this is raised by Bernstein et al (1994): â⬠Autistic children, who, use very little language, were rewarded with grapes, popcorn, or other items for saying ââ¬Ëpleaseâ⬠, ââ¬Ëthank youâ⬠and ââ¬Ëyour welcomeâ⬠while exchanging crayons and blocks with a therapist.â⬠This is defined by Bernstein et al(1994) as: ââ¬Å"The gradual disappearance of a conditioned response or operand behaviour due to elimination either of the association between conditioned and unconditioned stimuli or of rewards for certain behaviours.â⬠In the case of treating self-injurious behaviour it can be effective, but it is not always possible to use this method, because, firstly the client may seriously injure himself before the behaviour disappears. Secondly, if the reason for the behaviour is self-stimulation, it may not be possible to remove the source of reinforcement. This is basically a method of therapy in which desirable behaviours are demonstrated as a way of teaching them to clients. This method employs classical conditioning principles to link physical or psychological discomfort with undesirable behaviours. An example of this by Bernstein et al(1994) is: ââ¬Å"Alcoholics might be allowed to drink after taking a nausea-producing drug, so that the taste and smell of alcohol are associated with nausea rather than the usual pleasurable feelings.â⬠This was used extensively at woodlands. The main way in which clients were relaxed was through the use of a ââ¬Ësensory room.â⬠This was basically a room that contained various lights, music and tactile objects designed to relax the client. The ââ¬Ësensory roomâ⬠was extremely effective at woodlands and was an invaluable apparatus in the management of violent or aggressive behaviour. This kind of strategy involves penalising any behaviour considered to be inappropriate. These were used at Woodlands, sometimes they were effective, but in one case regarding ââ¬ËJohnâ⬠it seemed to make matters worse, leading to him to require to be sedated. In general punishment strategies should be used in conjunction with reinforcement of desirable and non-injurious behaviours. This is an important strategy in the treatment of challenging behaviour. It is the way in which a Nurse communicates verbally or non-verbally with the client. It is recognised that inappropriate behaviour from carers can instigate or maintain aggressive behaviours. The important factors as indicated by my research are eye contact, posture, touch and how the nurse actually speaks to the client. From my research I have found that there is a great deal of contradictory advice when dealing with an aggressive client. For example there is some evidence that remaining calm is the best thing to do but Breakwell(1989) cited by Jones and Eayrs(1993) suggests that: ââ¬Å"The assailant who shouts is shouted at: calm intensity is greeted with equal intensity.â⬠What is obvious is that when dealing with a client, interpersonal strategies are extremely important, but there is no right or wrong way. This is defined by Bank-Mikkelson (1980) cited by Murphy and Wilson(1985) as the need to: â⬠Create an existence for the mentally retarded as close to normal living conditions as possibleâ⬠This means to make conditions of education, housing, work and leisure to as near normal as possible and to bring greater equality of rights, obligations and responsibilities under law. Although it is not necessarily related with the treatment of someone who presents challenging behaviour, it is an important factor in considering the overall care of the client. This is providing an environment safe from potential factors, which may cause challenging behaviours. Some of these negative environmental factors may be things like loud noise, absence of attention, aggression from other residents, isolation or not enough space.
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