History of Astronomy - Rise of Modern in 20th Century

History of Astronomy - Rise of Modern in 20th Century Tycho Brahe has often been called the Father of modern astronomy, and for good reasons. However, I think that title really belongs to Galileo Galilei for his pioneering use of the telescope to magnify the view of the sky. However, Brahe did advance the science more than anyone in the past, simply by using his senses, rather than philosophy to study the sky. The work that Brahe began was continued and expanded by his assistant, Johannes Kepler, whose laws of planetary motion are among the foundations of modern astronomy. There are many other astronomers since Galileo, Brahe, and Kepler who have advanced the science:  Here, in brief, are some of the other bright lights who helped bring astronomy to its current place. Edmund Halley (1656-1742) was a British astronomer who was also a big fan of Sir Isaac Newton. After encouraging Newton to write his Principia, Halley then published it at his own expense. Not stopping to rest on the fame of another, he went on to calculate the orbits of comets, including the one named after him.Sir William Herschel (1738-1822), though born in Germany, was a British astronomer. He discovered Uranus in 1781 coined the word asteroids. He also cataloged about 2,000 nebulae, discovered several satellites of Uranus and Saturn, studied the rotation of planets. Discovered and studied binary stars. He discovered two satellites each orbiting Uranus and Saturn. He studied the rotation period of many planets, the motion of double stars, and nebulae. He cataloged more than 800 double stars and contributed new information on the constitution of nebulae. Herschel was the first to propose that these nebulae were composed of stars. He is considered the founder of sidereal astronomy. Albert Einstein (1879-1955) was a German-born American physicist and Nobel laureate. He may be the most well-known scientist of the 20th century. In 1915, he developed his general theory of relativity, which states that the speed of light is constant and that the curvature of space and the passage of time are linked to gravity. Thinking the universe was unchanging, he inserted a  cosmological constant fudge factor  into his calculations to make them fit his viewpoint.Willem de Sitter: (1872 - 1934), a Dutch astronomer, removed Einsteins cosmological constant from his calculations and used the theory of relativity to show that the universe may always be expanding.Georges-Henri Lemaitre: (1894 - 1966) was not only a Belgian astronomer, he was also a Jesuit priest. Discovering the writings of Russian mathematician, Alexander Friedmann, Lemaitre took his solution for an expanding universe and theorized that if the universe is expanding, if we follow it back to the starting point, the n our universe began as a great cosmic egg which exploded and expanded outward. Lemaitre is often referred to as the father of the Big Bang theory. Edwin P Hubble (1889-1953), American Astronomer. In the 1920s, Albert Einstein stated, I have made my greatest blunder. This pronouncement came when Hubble  demonstrated that the universe was not static and Einsteins cosmological constant was not necessary. Utilizing improved telescopic devices, he was also able to confirm that those fuzzy objects astronomers had seen for years were in fact other galaxies.Thomas Gold (1920 - 2004) was an American astronomer. Though it is generally believed that Golds steady state theory of the universe is incorrect, he made many major contributions to our knowledge of the universe, including the nature of pulsars as rotating neutron stars, and the origin of planetary hydrocarbons. These are just a few of the astronomers and their findings in the pre- and early 20th century history of astronomy. There have been and are many other great brains in the field of astronomy, but its time to get away from history for now. Well meet some of these other astronomers throughout the rest of our lessons. Next, well look at numbers. Fourth Lesson Big Numbers Lesson 4, 5, 6, 7, 8, 9, 10 Edited and updated by Carolyn Collins Petersen.

Five Terms Related to Submitting a Manuscript

Five Terms Related to Submitting a Manuscript Five Terms Related to Submitting a Manuscript Five Terms Related to Submitting a Manuscript By Maeve Maddox A reader asks about some terms: I’m confused: Whats the difference between Submissions and Query Letters and Cover Letters and Biographies and Resumà ©s? As these terms are often used interchangeably on writing sites, the reader’s confusion is understandable. Perhaps the following explanations can help. 1. Query Letter A query letter is a one-page letter intended to interest an editor in something a writer has written or intends to write. It should address the editor by name (spelled correctly) and begin with a hook: a strong statement that piques the editor’s interest. If the query is about a magazine article, the hook might be the first paragraph of the article. The query should give the editor an idea of the structure and content of the piece being offered. If the offered work is a novel, the letter should include a description of the main theme and story line, including conflict and resolution (how it ends). A query letter should tell why the author is qualified to write the article or book and end with a direct request for the desired magazine assignment or for permission to send a manuscript. 2. Cover Letter When the editor asks to see a manuscript or sample pages, the writer includes a cover letter with the submission: a brief letter to accompany the manuscript or sample. Editors receive hundreds of queries. The cover letter is a practical and courteous way to remind the editor of the particulars of your initial query. Keep it short and don’t try to do any additional selling. It’s enough to say something like this: â€Å"Here’s the short story I queried you about on March 20, 2016. I look forward to hearing from you.† 3. Author’s Bio The shortening bio for biography is the norm in the context of marketing written material. The bio focuses on the writer’s credentials. Publishers want to know if the writer has published before and is qualified to write about the material being offered. They do not want to know about the writer’s dogs, cats, children, hobbies, or any other irrelevancies. 4. Resumà © A resumà © is a brief account of ones education and professional experience. Some of the same information that belongs in a resumà © can also have a place in an author’s bio, but a resumà © will be more comprehensive regarding past employment. A writer who is applying for a job as an editor or a blogger will certainly offer a resumà © to the potential employer. Note: Although the French original is spelled with two accent marks (rà ©Ã‚ ·su ·mà ©) American spelling recognizes both resume and resumà ©. I favor a single accent for two reasons: the first accent is meaningless to most English speakers, but the final accent mark distinguishes the noun and its pronunciation from the verb resume.   For example: â€Å"I started writing my resumà © today, but was interrupted. I’ll resume work on it in the morning.† 5. Submission When an editor asks to see a partial or completed manuscript, the writer prepares a submission that includes a manuscript (partial or complete) and whatever additional material has been requested by an editor or publisher. Before preparing a submission, the writer will consult the publisher’s guidelines to see how the manuscript should be formatted, how it should be sent (by mail or electronically), and what additional enclosures are wanted. The manuscript included in a submission should be as complete and as correct as the writer can make it. Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Fiction Writing category, check our popular posts, or choose a related post below:Program vs. ProgrammeEnglish Grammar 101: Verb MoodEspecially vs. Specially

Technology Versus Humanity Research Paper Example | Topics and Well Written Essays - 2250 words

Technology Versus Humanity - Research Paper Example It was the period when electronics were missing portability. This breakthrough opened horizons for the music industry and was a revolutionary product. This trend is reminiscent of the revolution the iPod bought to the entertainment industry. It was the time when computers or digital content of any type was almost nonexistent for everyday consumers. Everything was done manually and the efficiency of every system was accordingly slow. Movies were exclusive to cinemas and the world depended on conventional televisions with now forgotten Video Cassette Recorder (VCR) for their home entertainment. For the year 1978, the Walkman was equivalent to the launch of a revolutionary product introducing its own category; just like the year 2010 is known as the year of the iPad (Francoeur 1).  With the development of new technology over time, our productive capabilities as well as our lifestyle have changed. We may not realize the transition because we have been a part of it and passing along wit h every development. But if we take a look down the memory lane and remember our lifestyles decades ago, we realize that we have come a long way and changed without realizing much. Technology has not only improved in entertainment sector as with the development from a Sony Walkman to smart phones we use today, but this change can be applied to every field. Resultantly, our lifestyles have changed with technology. We have more options to choose as to how we spend our leisure time and how we can improve our efficiency in work. This increase in efficiency has accelerated the rate of our learning and developing new technologies and innovations in every sector. Health, education, military and every field that we look at has come a long way. With the technology we have changed and the way we interact with each other has changed as well. The technology has improved our lifestyles in some ways; however, it has negative effects as well. These effects are not minor and they have changed us gr adually over time. We may not realize it, but this change in our behavior is at a very large scale. We can only comprehend the magnitude by comparing it with our values decades ago. Some of the negative effects of technology are highlighted; Technology has improved communications. Mobile phones has given us the capability to call our friends and loved ones any time we want. It provides us with limited interaction with our friends. Video calling is available through our mobile devices and computers. The technology has no doubt provided us with easy access to each other at all times. Our devices are our connection with the world. It all sounds good in theory and has made things easier. But, in reality our devices have replaced our friends. We only meet and interact with our contacts through our devices. The need for physical interaction has become a low priority. Physical interactions have reduced and our devices are our new best friends. We now prefer to stay at our homes and spend t ime with our entertainment systems. As a result, our social activities and interactions have changed and are being affected in a negative way. Face to face communication has decreased and has negative effect on our societies and behavior. Lack of this interaction has decreased personal growth. As per Wier, personalities have started to change over time and we see increase in numbers of introvert human beings (184). This is simply due to the fact that we need social interactions for our

Problems Associated of a Common Currency as Illustrated by the Current Essay

Problems Associated of a Common Currency as Illustrated by the Current EU Crisis - Essay Example Similarly, it has been a key achievement in that about 330 million European Union populations utilize it as their currency and benefit from its advantages. Although the use of a common currency may be beneficial to member states, it may have some various shortcomings. For instance, experts agree that there are various challenges associated with the use of a unified currency – as Eurozone member states are learning. Even though, the first few years of using a common currency went impressively, breaks have started appearing on the Eurozone as the global crisis intensifies, (Gabrisch and Ru?diger, 45). The original objective of the Euro was to enhance the overall economic productivity of the European countries, as fragile, minority nations had changed to be increasingly competitive. On the contrary, fragile nation enjoyed increased purchasing supremacy without the need of producing extensive products and services. Similarly, overall growth of productivity reduced in Europe from a bout 1.7 yearly prior to the euro to half the cost since. Additionally, euro suffers from the disintegrated political authority that controls its economy. Each member state can issue it independent debt; the euro is beneficial and useful in about 16 diverse bond markets, (Horngren, Srikant and Madhav 63). Similarly, each economy designs its own expenditure policies and tax; some nations now experience debts greater than their GDP. Similarly, while the counties have been exempted from the currency fluctuations impacts, euro states now experience a diverse – sometimes extremely painful – effect from the global investors’ whims. Borrowing costs in increasingly obligated nations such as Spain and Portugal are increasingly advanced than of Germany that has accrued the enormous pile of savings. In addition, these nations experience diverse painful choices that they did not have to address in the past when they could devaluate their domestic currency. For instance, Ita ly experiences some stark options, which continue to mess up with the economic growth of the country. Italy contemplates on whether to boost productivity by reducing wages, or leave the euro and devaluate national debts and design its local currency, (Grauwe 89). However, pursuing such decisions would make the situation extremely difficult for Italy to borrow. Some euro nations with extensive debts experience downward spirals as these debts deepen costs leading to increased tax or low spending. Reducing future costs of borrowing implies increasing productivity – via either layoffs or reduction of wage or both. None of these options is likely to receive much support by the day of election. A common currency enhances reduced and steady inflation, stability in the rate of exchange and strong public finance between members of European Union. For instance, some Eurozone nations have reported experiencing financial crisis because of shared currency. Additionally, experts agree that Euro was designed on the basis on a false premise that a common currency would result to unification of economic performance among members. For instance, Greece would resemble Germany and Portugal would resemble Finland. In fact, the creation of Euro has resulted to intensification of the gap between developed and developing nations as

Obamacare, Patient Protection and Affordable Care Act Essay

Obamacare, Patient Protection and Affordable Care Act - Essay Example One of the benefits accruing from the Act is with regards to the fact that it offers an extension of Medicaid’s eligibility in 26 states for up to 138% for the poverty level in the federal hence making it possible for most of Americans to have access to health care. Whether a citizen gets a health insurance coverage for themselves or whether it is done by their employees, the Act abolishes actions that leave citizens without insurance covers when they need them the most. No person gets left out based on their gender or even color. No canceling of policies Unlike before, an insurer cannot come forward and cancel a policy the moment one falls sick on claims that one had made a mistake when taking out the policy. The act of canceling is what is referred to a recession. If an applicant made an honest mistake while taking out the policy, their policy cannot, later on, be canceled on that very ground the instance they fall ill. Appeals When someone feels aggrieved by a decision that an insurance company has reached regarding their policy, they have a right to go ahead and apply for an appeal. The applicant makes the said appeal to a neutral or rather an independent reviewer who checks into their application and delivers a sound verdict in that regard. The response given by the independent reviewer is delivered within 72 hours when the medical condition is urgent in nature. No limited insurances Treatment for some illnesses can consume a lot of time and finances hence accumulating big medical bills.

The Theory Underpinning One Intervention With A Dually Diagnosed Client Nursing Essay

The Theory Underpinning One Intervention With A Dually Diagnosed Client Nursing Essay Dual diagnosis has been described as one of the most significant problems facing the health services (Phillips et al 2010). The term was first used in America in the 1980s and in its most basic elements describes someone who has a combination of a mental illness and substance misuse problem. Dually diagnosed patients are often frequent users of emergency services and of in-patient care (Bartels et al 1993). There is also a much higher rate of offending and imprisonment amongst this group (Yesavage and Zarcone 1983 cited in Menezes et al (1996). Yesvage and Zarcone cited in Menezes (1996) believe that alcohol and drug misuse interact with the symptoms of psychotic illness to produce a more severe acute illness. Due to the complication of treatment approach recovery is often slower than a psychotic episode uncomplicated by substance abuse. This places a great burden on resources and staff (Drake et al 1993), which is corroborated by the London survey (Menezes et al 1996) discovering on average that this group of patients spends almost twice as much time in hospital than those without a substance misuse problem. Clients with the most severe psychiatric disorders tend to have the highest rates of co-occurring substance use disorders (Drake 2007). It has been well documented that the co-existence of severe mental health and substance misuse problems are common (Regier et al 1990; Krausz et al 1996; Menezes et al 1996 cited in Graham 2003). Prevalence figures vary across studies however the latest study by Weldon and Ritchie (2010) estimate the lifetime prevalence rate of substance abuse amongst persons with severe mental illness at 50%, which is 4.6 times higher than that of the general population (Blanchard et al 2000). One of the challenges of mental health providers is how best to meet the needs of this group of clients (Graham 2003). The most recent government guidance is one of integrated treatment whereby the treatment for drug and alcohol problems are provided primarily within mental health services, integrating this with the treatment of mental health problems (DoH 2002). This is to be provided by one team and involves a flexible combination of treatments targeting the specific needs of those diagnosed with co-morbid severe mental illness and substance misuse (Horsfall 2009). Researchers and clinicians have developed a number of interventions that combine, or integrate mental health and substance abuse interventions (Drake et al 2007). An example of one element of integrated treatment is Cognitive- Behavioural Integrated Treatment (Graham and Carnwath 2004). C-bit incorporates an integrated approach with personalised formulation to deliver improved treatment outcomes to dual diagnosis patients. The focus of this essay will be on the use of C-bit (Graham and Carnwath 2004) and its application with a client who has been has been diagnosed with schizophrenia and alcohol problems. For the purpose of this essay and confidentiality his name has been changed to David. C-bit can be split into 4 distinct phases, Engagement and Building motivation, Negotiating some behaviour change, Early relapse prevention Relapse management. The essay will concentrate on negotiating behavioural change and what this entails. The author will then compare its effectiveness with an alternative approach. An introduction to C-Bit Hermine Graham (2004) describes C-bit as a psychological multi-purpose tool designed specifically for people with both a mental illness and a problematic substance misuse. It was developed from CBT which had a strong evidence base for mental health (Grant et al 2004) and substance use problems (Conrod and Stewart 2005). The evidence base of CBIT in dual diagnosis remains poor as studies have tended to focus on engagement and building motivation as appose to the maintenance of change that CBIT encompasses (Callaghan and Jones 2010). However early studies would suggest that the skilful use of analysis, disputing cognitions and homework assignments improve the skills required to promote abstinence including self-efficacy in finding, establishing and maintaining appropriate support networks (Rassool 2002). CBIT follows the cognitive model and treatment approach (Graham 1998, 2003). A clients beliefs about substance misuse are often linked to their own experience of mental health problems. David would often say in therapy that the side effects of his anti-psychotic medication made him feel over sedated and this had a knock on effect in social situations. He found that alcohol improved this and allowed him to integrate better in social situations. By continuing to use alcohol it was maintaining a negative maintenance cycle. Graham (2004) identifies three key aims of CBIT with dual diagnosis patients. The first concentrates on client and therapist identifying and challenging unrealistic beliefs about substance misuse and substituting them with alternatives that aim to break negative maintenance cycles. The second facilitates an understanding of the link between substance misuse and mental health problems and thirdly CBIT aims to give the client the ability to self-manage substance misuse and recognise the early signs of relapse. Although there are 4 distinct steps in treatment approach the flexibility of the treatment means a client does not need to progress through them all. The harm reduction philosophy that underpins the intervention (Heather et al 1993) puts more emphasis on a client setting more realistic goals and achieving these. Although flexibility is a key asset of CBIT it would be wrong to assume there was no structure to therapy sessions. In later sessions especially, before commencing a sess ion client and therapist must set an agenda to discuss which ensures key areas are discussed (Graham 2004). In practice, teams trained in the use of CBIT tend to use the general principle of the approach rather than the distinct components or techniques (Graham et al 2006). The author believes this shows the flexibility of the therapy and therapists and clients find what proves useful to them . Graham et al (2006) also discovered that when trained members of the team used various assets of CBIT, engagement increased, alcohol intake was reduced and a reduction in alcohol-related beliefs. The study however noticed similar findings when the client had been seen by teams that had not yet received CBIT training suggesting that CBIT alone was not responsible for the change in behaviour and belief. However, qualitative information recorded from the teams staff suggested that treatment integration increased over the course of the study, and that CBIT was a useful tool for integrating planning substance misuse treatment. Qualitative information from the team managers suggested that CBIT training i mproved the ability of teams to address substance use by themselves, rather than avoiding substance issues referring clients to specialists. Achievable Goal setting Following treatment phase one the client will be able to identify some of the negative effects of substance misuse. David could recognise the negative effect that alcohol use had on his ability to find any form of employment and how he had no real supportive social network besides drinking companions. Graham (2004) highlights that in treatment phase two it is probably too early for a client to consider complete abstinence. David was beginning to make links with the amount he drank and the negative effects he was having. Due to this he negotiated with the therapist that he would reduce his alcohol input by stopping all spirits but remaining on his strong lager. This follows the harm reduction philosophy that there are several levels in which change can occur that would reduce the negative impact it causes to the client. David identified his long-term goal as eventually getting some form of employment. Following treatment phase one David was able to see the impact excessive impact alco hol was having on his ability to make appointments on time (if at all), and how this would have a negative effect on any chance of employment. Graham (2004) suggests that for a client to get to this long-term goal a series of short term harm reducing steps need to be identified by the client in therapy that will in-turn have a positive impact upon his life. David had already agreed to stop drinking spirits but further steps included reducing contact with fellow drinkers, attending all appointments on time, getting his body back into a work routine. These steps would move David closer to the eventual long term goal and give him the belief that this was achievable. The therapist found that the use of the recovery star was a useful tool with aiding the client identify and plan how to achieve these goals. The recovery star helps both client and therapist measure change and visually see progress made. At times when David struggled to achieve goals it provided an opportunity for discussio n on how to change the approach. David found the tool useful in between sessions where he could refer back to past successes to give him the confidence to continue. On reflective sessions what proved important for David was to identify and discuss possible obstacles that he may experience in trying to achieve his goals and to recognise that if things do not go as planned it should not be automatically assumed to be a failure. Simmons and Griffith (2009) believe that there is never a failure but an opportunity to learn and do things differently. Behavioural Experiments By treatment phase two of CBIT the client will have identified an unhelpful thought, the nature of which will be maintaining a negative maintenance cycle. David had begun to plan harm reduction goals to reduce the negative aspects of his substance misuse however there was clearly some situations he was avoiding, and some underlying maladaptive thoughts there were perpetuating his problems. To address this the therapist and David discussed and designed a Behavioural Experiment. Beck (1995) believes that BEs strengthen an intellectual belief by helping the client test out alternative beliefs and thoughts in practice in order to gain evidence to discover the validity of a belief . Beck (1979) believed through altering behaviour a cognitive change occurs. BEs are significant as a means of explicitly targeting belief change through experience and as such offer prime opportunities for sustained therapeutic change (Padesky 2004). David held the belief that if he did not drink alcohol he wou ld appear boring and no-one would have any time for him. For this reason when David was going to be in the company of anyone he would drink excessively, therefore getting intoxicated became a safety behaviour. By allowing a client to see what will happen if they drop safety behaviour and then testing out what actually happens in that situation proves to be a powerful challenge to unhelpful assumptions (Whitfield and Davidson 2007). Sloan and Telch (2002) support this view adding that experiments target safety behaviours result in significantly greater changes than exposure alone. Safety behaviour may seem helpful and protective to a client but can lead to maintenance cycles of maladaptive processes perpetuating the initial belief. If a threat is not disconfirmed the maladaptive cognition continues (Salkovskis 1991, Sloan and Telch 2000, Clark 1989, Salkovski et al 1998). The notion of experimentation, derived from scientific principles, can be applied to the patients experience of t he therapeutic process and it is this active experience which can be so meaningful; the validity of a new cognition being generally more memorable when followed through from conceptualisation to active experience (Westbrook 2007). Once the evidence contradicts the initial belief it allows the client and therapist to explore the validity of new more adaptive beliefs (Westbrook et al 2007). David and the therapist designed an experiment in which he would limit his alcohol approach and would then engage in general conversation in his local pub. Initial experiments gave David the confidence to build on further experiment supporting the work of Bennett-levy (2004) who believe early experiments increase confidence and independence BEs can be active, where the patient takes the lead role in either real or simulated situations to test the validity of thoughts, or observational, where data is gathered. Lewin and Kolb propose a learning cycle in which it suggests that for learning and retenti on to be enhanced the client must build upon knowledge and understanding gained through the experiment which in turn forms a foundation for the next step of the experiment. (Lewin 1946; Kolb 1984). The five key aspects of this learning cycle, Experience, Observation, Reflection, Planning and then further experiment underpins BE work. Establishing supportive social networks In the field of substance misuse social factors are seen as important in the onset, aetiology and maintenance of substance misuse (Graham 2004). David recognised that as his alcohol intake increased the friends he associated with were also using alcohol regularly. This supports the work of Drake (2004) who identified that clients with both severe mental health problems and substance misuse problems would have social networks of solely fellow substance users. David felt increasingly isolated from anyone outside of this network as his behaviour would draw attention towards himself. Trumbetta et al (1999) suggest that for anyone to make changes in substance misuse they need to reduce contact with such peers. Healthier networks need to be formed which provide positive support where there is excessive substance misuse is not the norm (Drake 1993a). David identified his sister as someone who was willing to and who he would like as a supportive person away from mental health services. In cr isis David could contact his sister who could give him some level of support. Graham (2004) emphasises the importance of working closely with family members as they often know very little about dual diagnosis problems. David was only close with his sister. The rest of his family had isolated him due to his substance misuse. Ideally psycho-education information is often given in the group setting as family members may benefit from the experience and support of fellow members (Graham 2004). Davids sister became a key figure in Davids recovery and was encouraged to attend sessions on psycoeducation so she could best understand the problems associated with dual diagnosis clients and how best she could support David. Limitations of its use Prochaska and DiClemente (1992) recognised certain barriers to treatment for dual diagnosis patients in regards to therapeutic engagement, treatment continuance and goal setting. In the case of CBIT it makes assumptions of a certain level of coping skills and ability to facilitate cognitive change. Symptoms of schizophrenia can inhibit a clients impetus to change behaviour (Horsfall et al 2009). Negative symptoms which have a negative effect on motivation and energy affects individuals internal drive to initiate the complex behavioural routines needed for abstinence (Ballack and DiClemente 1999). An integrated treatment approach incorporating CBIT does not make dramatic changes in the short term, it is a long term therapy. Evidence based studies are always plagued by attrition rates as clients relapse or do not return to the study. This may suggest that CBIT may suffer from the same poor treatment compliance/attendance. For clients who complete a full programme of treatment 10-20 per cent achieves a stable remission of their substance use problems per year (Graham 2004). This seems a low figure for the intensive input required on the part of the therapist and client. Bellack and Gearon (1998) believe the therapist must become tolerant of this client group dropping in and out of therapy and abstaining then relapsing. Davids attendance was at times sporadic but the therapist never criticised him for this but used it as a platform for discussing problems experienced through the week. Drake et al (2001) suggests the importance of assertive outreach teams in retaining clients within programmes. Hellerstein et al (1995) cited in Philips et al (2010) highlight that without this input dropout rates may be high, especially amongst those identified as having difficulties participating in treatment. Alternative approaches The evidence base for dual diagnosis is still in its infancy. Those studies completed have limited generalisation due to methodological issues such as heterogeneous samples, equivocal descriptions of treatment components and high attrition rates (Weldon and Richie 2010). Horsfall et al (2009) recognises that due to a lack of longitudinal studies long term outcomes have yet to be determined. It also proves difficult to compare C-Bit with alternative interventions as C-Bit is not used in a vacuum it is often used in conjunction with other therapies such as pharmaceuticals of motivational interviewing. Kemp et al (2007) found a significant improvement in substance use in dual diagnosis patients when CBT and MI principle were combined. For the purpose of this essay the author will briefly look at one main alternative approach to dual diagnosis, that of motivational interviewing. Motivational interviewing Treasure (2004) describes MI as a patient centred counselling approach that facilitates the patient in resolve and explore ambivalence about behaviour change. The theory of MI centres on the cycle of change and its six components, precontemplation, contemplation, decision, action, maintenance of change and relapse. Miller and Rollnick (1994) describes motivation as something that one does as appose to something that one has. Empathy is vital in the therapeutic relationship and the use of MI. If the client believes the therapist has no appreciation of their experience they are likely to dis-engage or not fully commit to therapy. Rassool (2002) believes active listening also has an important role in MI. Reflecting back to the client their thoughts, fears, hopes and doubts give a feeling of genuineness, trust and empathy. In MI it is important not to offer advice , give judgement or attempt to question. The reason for behavioural change should be acknowledged and stated by the client. M I proves an effective therapy in dual diagnosis if delivered effectively. The therapist needs to avoid confrontation as this will lead to client denial, the role of the therapist as expert proves counter-productive and structured answer formats will inhibit the client in recognising the effects of their substance misuse. Motivational styles that guide a client in discovering alternative ways of thinking about their problems results in positive change (Miller and Rollnick 1991). By combining elements of style and technique MI has proven successful in dual diagnosis patients and has a developing evidence base. It proves difficult to contrast MI with CBIT as both complement each other so well and have similar approaches. Both are based on a collaborative relationship with clients, both incorporate a non-judgemental approach and both are approaches are built on empathy, warmth, trust and positive regard (Rogers, 1991). Both approaches also incorporate socratic questioning techniques encouraging the client to discover alternative meanings of their experience (Padesky and Greenberger 1995). One of the key differences is when it is best to use either technique. Those following a transtheoretical model of change may use MI when the client remains undecided about change in the precontemplation and contemplation stage whereas CBIT can be adopted when the client is more committed to change (Treasure 2004). This would support the work of Drake et al (2001) who after studying the work of a number of researchers believe that to enhance attendance and utilisation of treatment motivation interventions a re important. Conclusion The research on the impact of CBIT as a therapeutic intervention is still in its infancy. Some anecdotal evidence would suggest it provides the skills necessary to promote abstinence (Rassool 2002). Qualitative information gained from Grahams (2006) study suggests CBIT proved a useful tool for integrating and planning substance misuse. Due to the complex nature of dual diagnosis it seems unlikely that a single intervention will have the desired effect of meeting all the clients needs. Kemp (2007) supports this finding an improvement in substance misuse when MI and CBIT were combined. Due to this there has been a shift towards the integration of interventions delivered by mainstream mental health services (DOH 2002, 2006;Rassool 2002; Ziedonis et al. 2005). Some of the strongest treatment effects have come from combining a number of approaches (Barrowclough et al 2001; Bellacket et al. 2006).

Essay --

Vivian Nguyen Amicangelo 8Celtics 22 February 2014 JOSEPH STALIN Joseph Stalin was a man who many people had mixed feelings for. Some say he was a dictator and a tyrant, but others say that as a ruler, he shaped Russia and pushed it in the right direction. Both sides are correct, and there are many examples to back them up. Stalin did accomplish benefiting Russia‘s image, but he was a man who killed many. Stalin was born as Iosif Vissarionovich Dzhugashvili (later became Joseph Stalin) on December 18, 1879 and his parents were Besarion Jughashvili (father) and Ketevan Geladze (mother). When he was young, his father, Beso, had beaten his mother and him several times. They had a troublesome marriage and often argued about Stalin’s future. His mother wanted him to be a priest because she thought he was smart, so she did everything to get him a good education. His father wanted him to be a cobbler, and said that since he [Stalin’s father] was a cobbler, Stalin would follow the family job and become a cobbler. Fortunately, Stalin‘s mother defeated her husband and she even humiliated him. Stalin ended up doing what his mother wanted-- for a while (Radzinsky 17-31). Stalin is a very interesting man who always changed how he thought of everybody (he also called himself Stalin because â€Å"stalin† means steel) (Montefiore 30 â€Å"Young Stalinâ€Å").He had a huge effect on Russia; in a bad way. When Stalin used to work with Lenin and Trotsky, it wasn’t a competition of who was the best and who should control the country of Russia, but then it all changed. After that, he got people to turn against them and got rid of t... ...lowing him. Another reason was identity. Napoleon only represented Stalin, and that really brought out his characteristics. Since Napoleon was meant to represent Stalin, all of Stalin’s traits, most of his bad deeds, and events occurred in the book. For example, in Animal Farm, Orwell made Snowball seem smarter than Napoleon, but made Napoleon more powerful. This is true in real life because Lenin was a lot more educated than Stalin, but Stalin ended up with the power (Radinsky 97) Although Stalin had been tyrannical and crazy, he made Russia seem stronger, and is still seen as a good person today. Many people look at him like he was a murderous person, but other look at him as the man who made Russia better. He was a great leader, in a way, but that only depends on what the Russians believed in, and whether or not they (or someone they know) worked for Stalin. Essay -- Vivian Nguyen Amicangelo 8Celtics 22 February 2014 JOSEPH STALIN Joseph Stalin was a man who many people had mixed feelings for. Some say he was a dictator and a tyrant, but others say that as a ruler, he shaped Russia and pushed it in the right direction. Both sides are correct, and there are many examples to back them up. Stalin did accomplish benefiting Russia‘s image, but he was a man who killed many. Stalin was born as Iosif Vissarionovich Dzhugashvili (later became Joseph Stalin) on December 18, 1879 and his parents were Besarion Jughashvili (father) and Ketevan Geladze (mother). When he was young, his father, Beso, had beaten his mother and him several times. They had a troublesome marriage and often argued about Stalin’s future. His mother wanted him to be a priest because she thought he was smart, so she did everything to get him a good education. His father wanted him to be a cobbler, and said that since he [Stalin’s father] was a cobbler, Stalin would follow the family job and become a cobbler. Fortunately, Stalin‘s mother defeated her husband and she even humiliated him. Stalin ended up doing what his mother wanted-- for a while (Radzinsky 17-31). Stalin is a very interesting man who always changed how he thought of everybody (he also called himself Stalin because â€Å"stalin† means steel) (Montefiore 30 â€Å"Young Stalinâ€Å").He had a huge effect on Russia; in a bad way. When Stalin used to work with Lenin and Trotsky, it wasn’t a competition of who was the best and who should control the country of Russia, but then it all changed. After that, he got people to turn against them and got rid of t... ...lowing him. Another reason was identity. Napoleon only represented Stalin, and that really brought out his characteristics. Since Napoleon was meant to represent Stalin, all of Stalin’s traits, most of his bad deeds, and events occurred in the book. For example, in Animal Farm, Orwell made Snowball seem smarter than Napoleon, but made Napoleon more powerful. This is true in real life because Lenin was a lot more educated than Stalin, but Stalin ended up with the power (Radinsky 97) Although Stalin had been tyrannical and crazy, he made Russia seem stronger, and is still seen as a good person today. Many people look at him like he was a murderous person, but other look at him as the man who made Russia better. He was a great leader, in a way, but that only depends on what the Russians believed in, and whether or not they (or someone they know) worked for Stalin.