Relapse Prevention the Treatment of Addictive Behaviors Term Paper

Relapse Prevention the Treatment of Addictive Behaviors - Term Paper Example In most cases, such individuals attempt to quit completely or try to modify such addictive behaviors such as by reducing their alcohol intake or smoking (Fisher and Harrison 2). A majority of individuals who make attempts in most cases become successful in changing such behaviors. However, among those who make attempts by seeking medical attention to change addictive behaviors, about 60 to 80% is seen to return to the same behavior after some time (Jonson 765). This is what is termed as relapse. Despite all the challenges that an individual faces in an attempt to move away from addictive behavior, it is necessary that such individuals be helped to cope with the challenge. Johnson (766) argues that the ultimate goal of relapse prevention and recycling success entails helping such individuals stop drug abuse or help them become more successful as they learn from experience. The purpose of this paper is to review the literature on relapse prevention and substance abuse. Johnson (769) notes that interventions designed for relapse prevention have been made under the clinical application of Marlatt and Gordon’s model. The model came about after the advent of a focus on maintenance and relapse prevention. Under this model, interventions are designed so as to enhance the maintenance of behavior change and to ensure that there are self-management and skills for withstanding the challenges posed by relapses (Fisher and Harrison 12). Johnson notes that relapse prevention goals are twofold: preventing initial relapse and management of relapse to abate a complete relapse in case it fails to occur. Nevertheless, treatment goals based on the reduction of harm and reduction of substance use have also been tried. The effectiveness of relapse prevention models have been reviewed with regard to different substances and then matched with numerous intervention alternatives.

Comparison of Healthcare, Nursing Care, and Nursing education in the Research Paper

Comparison of Healthcare, Nursing Care, and Nursing education in the US and Ireland - Research Paper Example Barring a few exceptions such as Veterans Healthcare Administration, Medicare, Medicaid, Children’s Health Insurance Program and TRICARE, the health insurance in the United States is predominantly provided by the private firms (Sultz & Young, 2008). Many of the Americans and their families are extended health insurance by their employers. Yet, a great many Americans are left uninsured. The US spends more money per capita on healthcare than any other nation in the world (Herzlinger, 2007). In fact a large chunk of the national income is spent on healthcare every year. Considering the very high cost of healthcare in the United States, the country has the third highest healthcare budget in the world (Herzlinger, 2007). Irrespective of the gargantuan healthcare expenditure, when it comes to parameters like infant mortality and life expectancy, the US tends to fall behind other developed nations (Herzlinger, 2007). Though there are many government funded healthcare programs, yet they are mostly limited to the veterans, the elderly, the poor, children, and disabled (Armstrong & Armstrong, 1999). Luckily, as per the federal laws, the citizens are allowed a free access to the emergency services, irrespective of their ability to pay (Armstrong & Armstrong, 1999). The hospitals, doctors and the medical personnel in the United States are primarily funded by the insurance pla ns and the payments received from the patients (Roth, 2010). Also, there are also many inequities in the US healthcare system in the context of ethnicity and financial status (Roth, 2010). Besides, United States is one of the only two countries in the world that allows the pharmaceutical companies to engage in direct to consumer advertising of prescription drugs, thereby further adding to the cost of healthcare (Roth, 2010). The current Obama administration has given way to many healthcare reforms like Patient Protection and Affordable Care Act and Healthcare and

The impact of the financial crisis on the airline industry Essay

The impact of the financial crisis on the airline industry - Essay Example Nonetheless, an economic crisis occurred in between the year 2000 and 2001. Within this period, Turkey faced one of the worst economic turmoil, with the unemployment rate reaching over 11%. In addition, the Turkey government borrowed an additional 23 billion dollars (Reinhart &Â  Rogoff, 2009). This paper will analyze the impact of the financial crisis on the airline industry, focusing on Turkish Airlines. The Aviation sector is expanding by day with progressing technologies and economies. Developments on aviation sector affect airlines operations. The Airline industry or sector is connected with international trade laws or policies. The Turkish Airline sector is growing fast and has a large significance to economic progress. Their international and countrywide financial crisis also had a tremendous impact on Turkish Airlines. At the period of the financial crisis, Turkish Airlines was faced with decreased air travels, massive retrenchment of workers, among others. This also contrib uted to the economy of Turkey becoming delicate, not only domestically, but also internationally (Rigas, 2001). Not only, did the financial crisis affect Turkish Airlines and its workers, it also affected businesses that were depending on the Airline services, for example, tourism and shipment of goods from Turkey to other areas. Turkish Airlines is the Turkish national transporter airline in Turkey. Turkish Airline headquarters is situated in the capital city, Istanbul, at Ataturk Airport. Turkish Airlines offers its air travelling services to over two hundred and four domestic and international destinations in the Americas, Africa, Europe, and Asia. In addition, Turkish Airline offers its carrier services to an additional ninety one countries (Rigas, 2002). This makes its destination system from one area the largest in the whole world. Turkish Airline’s central station is Ataturk International Airport. Turkish Airlines has been on the rise since 2006. The number of passenge rs using Turkish Airline increased from 17million passengers in 2006 to 29 million passengers in 2010, earning over $15 million dollars over the five years. A report released in 2011 showed the airline had employed 18,188 workers. Turkish Airline has also been a constituent of the Star Alliance network from 2008. Turkish Airline also co-owned B&H Airlines, AnadoluJet, North Cyprus Airlines, SunExpress, and Cyprus Turkish Airlines. Turkish airline has been affected by financial crises since the olden days. Turkish Airlines suffered financial losses between 1987 and 1988, mainly because of significant expenditure on its numerous new Airbuses. This is according to a report released by Air Transport World. The fleet of airplanes also comprised DC-9s and Boeings. Turkish Airlines finished the period with less than 10,000 airline workers. In addition, after the Persian Gulf War, Turkish Airlines also suffered in the world wide economic crisis (Rigas, 2002). Nonetheless, Turkish Airlines g ot back on its feet in the middle of 1990s. The largest contribution to its financial development came from destination in North America. Turkish Airlines capital continued to increase, attaining the 10 trillion mark, in 1995. During the same year, Turkish Airline had switched some of its Boeing to cargo planes. Turkish Airline attained a $6 million profit within the same year. Nonetheless, Turkish Airline had to compete with the extreme inflation of the country due to

Germany was to blame for the outbreak of the First World War Essay Example for Free

Germany was to blame for the outbreak of the First World War Essay Germany was to blame for the outbreak of the First World War do you agree? I do not agree fully that the Germans were to blame for the outbreak of war. German intentions were not to start a war, however there are a few events where they unintentionally helped to escalate the situation. There is no doubt that they did help to escalate the situation between Serbia and Austro Hungary. In this essay I will be arguing that Germans did not cause the outbreak of the war. I will be doing this by discussing the blank cheque, the Schlieffen plan, the September programme, the actions of the Kaiser and the actions of Bethmann Hollweg. Many historians argue that because Germany pre-planed for war that when the chance of war arose they obviously provoked it. The evidence for this argument is the Schlieffen plan, it was a military strategy devised in 1882 as a means of coping with a two front war. Some people argue that the Schlieffen plan is the first traceable reason why the war started. However this is hardly true the Schlieffen plan was drawn up because of the increasing pressure Germany was under because of the triple Entente. Germany was after all geographically in bad position on one side they had France and on the other Russia, to make this situation worse France and Russia were allied. Therefore it is not surprising that a plan was created in case a war with the both countries was to occur. A war such as this would have to be fought on two fronts so to be able to fight a war like this on side would have to be disabled quickly. The Germans plans to get to Paris in 6 weeks is seen to be an aggressive tactic that is why some people see the Schlieffen plan as a plan to expand Germany if war was to break out. It is clear this is not the case, the Schlieffen plan was a defensive strategy designed to help Germany to come with a war on two fronts. The Schlieffen plan can hardly be seen as the Germans planning for war because other nations had simial plans such as Russia who had to stick to their plans so completely that hey had to declare war on Germany. An argument has been put forward that Germany declaring war on France is proof that the Schlieffen plan was a form of expansion for Germany and that that it was not a defensive plan. However this is hardly true, Germany declared war on France because Russia had declared war on them and Russia and France were allies. So to Germany I was natural that France would join the war because of the alliance system. Russia also did the same when the Tsar was told that he could not mobilise against Austria alone because the plans were for a war with Austria and Russia. The September programme drawn up by the chancellor of Germany, Bethmann Hollweg is seen as another piece of evidence suggesting that Germany had planned the war. The September programme was a document that set out Germanys war aims, including a list of territorial acquisitions. This is seen to be incriminating because it was written so soon after war broke out. However Bethmann Hollweg was under a lot of pressure from military who needed to know their objectives. It should also be considered that the German army had been mobilised for a few months so plans for the army had to be drawn up. Some people argue that because the September programme was released so quickly that these objectives must have been premeditated. This is not completely true, it was important for the germens to think quickly what they were going to have to achieve in the war after all they were fighting on two fronts. Some of the objective might have been premeditated but these were probably defensive ones thought up long ago. It is clear to see that Bethmann Hollweg was caught between the Kaiser and Moltke. Bethmann Hollwegs behaviour is often criticized during the July crisis. It is Bethmann Hollwegs actions that are used as the argument against him. However what he did can be seen as a gamble that went horribly wrong. Bethmann was not consulted on the blank cheque but did back it. Some people argue that Bethmann wanted to manipulate Russia into mobilising against Germany so they didnt look as if they started the war. This is untrue because instead Bethmann thought that he could keep the Balkan war localized. The evidence for this argument is that Bethmann thought that Russia would not help Serbia if a war happened because the Tsar would not lend his support to royal assassins. Bethmann also felt that Russia was not military or financially ready for a war. Germanys mobilisation against Russia was only meant to deter Russia from war not to provoke them into war that is where Bethmanns gamble failed. The blank cheque is seen as confirming Germanys guilt in starting the First World War. The blank cheque is another example of a mistake made by Germany. The Kaiser gave unconditional support to Austria, this was done because Germany felt isolated by the triple entente and wanted to make it clear to Austria that their alliance was strong. However as professor Rohl argues the Kaiser was a very unstable man. There is a lot of evidence to support this argument such as when the Kaiser decided to change is mind about the blank cheque but then was convinced by his wife to be a man. The Kaiser was heavily influenced by others and there are many examples, such as the first Moroccan crisis where he was pushed by Bulow and Holstein into provoking the French. The blank cheque is greatly misunderstood the vague phasing used is open to interpretation. The historian Gerhard Ritter argues that Germany sought to deter Russia from war, not to provoke conflict with her. The blank cheque like the September programme is seen as evidence that Germany had wanted a war for some time but really they have both been misinterpreted. The real nation that was to blame for the outbreak of war was Austro-Hungary who even after finding no evidence that linked the assassins to any terror groups in Serbia and after Serbia agreed to their ultimatum still invaded their country. This is really the behaviour of a nation with war on their agenda. Austro-Hungary it can be said had to avenge the death of Franz Ferdinand. Russia too could have avoided war but much like the Kaiser the Tsar kept on changing his mind. In conclusion from the evidence above it can be seen that everyone muddled into war and that no one power is to blame. The September programme and the Schlieffen plan which are seen to highlight German guilt, do not and are actually defensive precautions not premeditated plans for war. Bethmann Hollweg and the Kaiser both were trying to achieve the same objective but were both communicating very well. The nations involved in the July crisis can be blamed for standing by their alliances instead of sorting out the situation. Germany did contribute to the mix up between nations in the Balkans and for inciting Austro-Hungary however they are not ultimately to blame for the outbreak of war.

Consequences of HIV/AIDS epidemic to Society Essay -- Health, Diseases

Assignment question: 3. A) What are some of the possible consequences of HIV/AIDS epidemic to: 1. Society 2. The infected individual b) What are some of the Human Rights, confidentiality and criminal law implication of HIV/AIDS? Q1. HIV/AIDS has increasingly taken a toll on the society in a myriad of dimensions which are worth discussing in order to find the best solutions. Due to HIV/AIDS epidemic, the economies of various countries have been badly affected and societies have experienced major losses. There is a rapid increase in the number of HIV infected people with resultant financial burden and major psychological and emotional consequences. The rising HIV prevalence has adversely affected the quality of labour in that many skilled and experienced workers have succumbed to the disease. Due the loss of skilled workers to HIV/AIDS, the standard of labour quality has been badly affected resulting in low levels of production, development and low labour inputs (Nations, n.d). HIV/AIDS also threatens the quality and supply of future labour in that infected people are incapacitated from engaging in any productive work as their bodies are rendered extremely weak. People who stay out of work need to be supported by others and this creates a high dependence on the limited resources available. The socioeconomic consequences of HIV/AIDS to the society are enormous. For instance, many children whose parents are infected with HIV are often forced to stay out of school and look for work to support their ailing parents. Consequently, a huge and dangerous gap in education is created and the future of these children is marred with uncertainties. At the same time, the ability of the affected children to serve the society is compromised (... ...he infection through reckless male partners. Criminalization of HIV has triggered debate in which people argue that criminalising HIV infected people does not address the complexities involved in disclosure and instead increases HIV stigma (UNAIDS, International Guidelines on HIV/AIDS and Human Rights, 2006). In addition, imprisonment cannot help people come to terms with their status and develop better attitude. Instead, a better course would be to promote education and psychological counselling. Treating HIV transmission as murder offence increases stigma and discrimination because it is like saying HIV equals death, while we know with the availability of antiretrovirals, people can lead healthy lives even when they are HIV positive. No illness has been treated with the same hysteria as HIV and this is because of its associated stigmatization and promiscuity.

Gap year

There are approximately ten out of ten students that would take a gap year before attending college rather than Just applying for college right away. Undoubtedly a nice break from all this pressure would be Just perfect but not really helpful for graduates. Therefore, students that do not attend college right after high school tend to lose time. The actual concept is to register into college after graduating from high school. If graduates get a year off after high school they will not get the college experience.School is not Just about learning the essentials; it is about deciding what a student wants to be, and which college a student wants to attend. Students should not take a gap year because they are more likely to forget everything they have learned during their high school years and it also affects their motivation for learning. Students that attend college after high school without taking a gap year have a knowledgeable mind and preserve more of what they were taught in school to participate in their college courses.However, students that take a gap year tend to lose their knowledge and it will be difficult for them to get back on track. Instead of all the suffering and anxiety on making the right choice to which college to apply to, just get it over with. Rather than risking their life and career. In â€Å"The Gap Year,† Hannah Purnell (2013) argues that students are going to forget and move out of formation of the academic skills. It will be a difficult for them and they are not going to be fully prepared on the first day of college after having a gap year. Gap year There are approximately ten out of ten students that would take a gap year before attending college rather than Just applying for college right away. Undoubtedly a nice break from all this pressure would be Just perfect but not really helpful for graduates. Therefore, students that do not attend college right after high school tend to lose time. The actual concept is to register into college after graduating from high school. If graduates get a year off after high school they will not get the college experience.School is not Just about learning the essentials; it is about deciding what a student wants to be, and which college a student wants to attend. Students should not take a gap year because they are more likely to forget everything they have learned during their high school years and it also affects their motivation for learning. Students that attend college after high school without taking a gap year have a knowledgeable mind and preserve more of what they were taught in school to participate in their college courses.However, students that take a gap year tend to lose their knowledge and it will be difficult for them to get back on track. Instead of all the suffering and anxiety on making the right choice to which college to apply to, just get it over with. Rather than risking their life and career. In â€Å"The Gap Year,† Hannah Purnell (2013) argues that students are going to forget and move out of formation of the academic skills. It will be a difficult for them and they are not going to be fully prepared on the first day of college after having a gap year.

Japan Political System Essay

Japan is a constitutional monarchy like British government, which is a parliamentary democracy country with ceremonial emperor. The Empire of Japan was dissolved in Japan’s 1947 constitution. After the defeat of Japan in the Second World War, the Japanese political system was being constructed, which is based on the principles of sovereignty that respect human rights and the encouragement of peace. According to separation of powers, the political system of Japan officially divided into executive, legislative and judicial branches. This essay will discuss and classify the political system of Japan, followed by the argument whether Japan is better to describe as a democracy or a monarchy. The monarch, in other words, the Emperor is the head of state and no longer holds a real power. The role Emperor of Japan is the symbol of the country and focuses for unity of the people. The head of government and Cabinet is the prime minister who holds the executive power. The prime minster has the right to nominate the Cabinet members. The Cabinet is composed of prime minster and ministers of state, which is responsible to the National Diet. The main political power is held by the prime minister and the elected members of the National Diet. The prime minister is elected with winning a majority vote in the National Diet through single-member plurality for a 4-year term. Single-member plurality refers the candidate win most votes on the first in the election that only ballot in each single-member district. Legislative power is vested in the National Diet which consists of an upper house, named the House of Councillors, and a lower house, named the House of Representatives. The House of Councillors is composed of 242 members for 6-year term. The House of Representatives is the powerful house in National Diet and comprised of 480 members for 4-year term. The national Diet is designated as the highest organ of state power that the political responsibility is decided by elected legislature. Unlike the political system of Japan in wartime, the political responsibility was rested with the emperor and a cabinet (Ishida and Krauss 1989:39). The Supreme Court is the highest judicial branch that is independent. The judicial members are nominated by the emperor with the agreement of prime minister and cabinet. The major function of Supreme Court is to settle the legal disputes by establishing judicial polices and rules for lower courts. The judicial conference consists of 15 members, which is responsible for decision-making about proposing rules and regulations and in charge of the general secretariats of the Supreme Courts (Itoh 2010:40-41). Japanese political system can be classified as democratic country. Liberal democracy refers a system of government that is elected through free and fair election and limited by law to place on the power of democratically elected government (Hague and Harrop 2010:84). For instance, The House of Representatives in comprised of 480 members. In 480 seats, 300 seats are elected from single-member voters and the other 180 seats are elected 11 multi-member voters by a system of proportional representation. Proportional representation means the number of seats won by a party is proportionate to the number of votes received (Hague and Harrop 2010:184). The House of Representatives can be dissolved by the no confidence vote of the Prime Minister or a Cabinet. 42 seats of the House of Councillors, 146 seats are elected by electoral district system and the remaining 96 seats are elected based on a proportional representation system (Schoppa 2011:47). A half of members from the House of Councillors are re-elected every three years by parallel voting system. Parallel voting is two separate elections without mechanism to get a proportional result (Diamond and Plattner 2006:205). Another feature of liberal democracy is to prevent the government from becoming too powerful. The executive, legislative and judicial powers in Japan’s political system are separated. The judicial is totally independent (Dean 2002:347). Unlike the independent judiciary in most of the western countries, the independent judiciary in Japan is the principle that judicial power of a state is to be implemented independently and fairly by the courts (Goodman 2008:191-193). Even the head of government cannot use his power to control the judicial system. The separation of power of Japan’s government is to avoid the abuse of power. Moreover, based on the Article 20 of Japanese law, Japanese citizens are free to choose their religions. It reflects one of the features of liberal democracy that is to ensure the minorities not being repressed by majority. For example, Christian cannot repress Muslin. All the people deserve equal chance to choose the religion. The advantage of separation of power is to prevent the members of the National Diet or the government become too big and abuse the power. In addition, the different branches will regulate the members from other branches. However, there are some drawbacks. The disadvantage of complying with separation of power affects the effectiveness of implementation of the legislation. The process of implementing the policy is rather rigid. One of the significant features of liberal democracy is that the individual human rights are being guaranteed. According to article 21 the Japanese law, Japanese enjoys wide ranges of rights and freedoms. One of the ‘rights and freedoms of the spirit’ is that Japanese enjoys freedom of assembly and association as well as speech; press and all other forms of expression are guaranteed (Foote 2007:263). These are the examples of rights that should be guaranteed. Nevertheless, some people argue that whether is better describing Japan as a monarchy or a democracy. Japan still has the emperor as the head of state although it is a liberal democratic country with all the features about liberal democracy. A monarchy represents that a government is ruled by only one single absolute hereditary ruler. The ruler held an absolute power in hand. The Japan in pre-wartime was a monarchy. The monarch is the emperor, known as Tenno, who had the whole political power to make the decisions of the whole country. However, the defeat of Second World War led to the Japan’s government reconstructed. The political system reform led to the change from a monarchy to a constitutional monarchy. The form of modern Japan’s government is belonging to constitutional monarchy. That is different from a monarchy. Constitutional monarchy refers to separate out the duties of the head of state and the head of government. The head of state is only ceremonial in nature and their political power is very little, even they no longer have the political power. While the head of government is the prime minister and his cabinets, all the decisions of a country are drawn by the head of overnment and the national Diet. According to Aristotle’s the classification of governments (Kelsen 2009:283), a government ruled by one ruler is monarchy while a government ruled by many rulers is a called democracy. The parliamentary government reflects that the government is ruled by all rulers, which is a democracy. Unlike a monarchy, is ruled by only one ruler. It is clearly show that Japan is better described as a democracy. Aristotle’s classification based on two dimensions which are the number of people involved governing. It captured the extent of involvement in a political system. Besides, the second dimension is whether rulers governed by common interest or in their own interests. Although the emperor of Japan still exists, the emperor has no political power to control the government by himself. Only the head of government can exercise the political power and the national Diet is the highest decision-maker as the national Diet holds the most political power. Moreover, the political system of Japan is divided into three branches, including executive, judicial and legislative branches. Each branches composed of a large group of people to make decisions and handle national activities. All the decisions are made by the constitution instead of the emperor in Japan. As the emperor in Japan has no political power, Japan cannot be described as a monarchy. Overall speaking, Japan is a parliamentary government with ceremonial emperor and it is a liberal democracy based on the theory of Aristotle. Liberal democracy is free to express the views as well as the individual rights are being protected. In addition, people in Japan can enjoy freedom of expressions and they will have a free and fair election to select the preferred government. These are the main features of a liberal democracy. Furthermore, Japan is better to describe as a democracy rather than a monarchy. Since the emperor has no real political power and the government consists of a large group of people to handle different kinds of national activities, such as establish and pass new policy, international cooperation and make decisions. The political power of a country is being separated into different constitutions, which means all rulers, such as legislature, executive council and judicial courts, control the government.