Monday, September 30, 2019
What Is the Best Way of Explaining Football Hooliganism?
What is the best way of explaining football hooliganism? ââ¬Å"Serious sport has nothing to do with fair play. It is bound up with hatred, jealousy, boastfulness, disregard of all rules and sadistic pleasure in witnessing violence. In other words: it is war minus the shooting. â⬠(Oswell, 1945) The best way to explain football hooliganism is to perceive it in the same context as war. Like war, football hooliganism has different factors that all contribute to the overall goal.Although the goal of each is initially considered as overtly different ââ¬â war, to some, is demonstrated as a positive thing, especially within the social movement of futurism, while football hooliganism is, as a whole, a negative as portrayed mostly by the media ââ¬â there are however, similarities among the two that have yet to be further explored. To demonstrate this I will gain further insight into, what I believe are, the similarities of war and football hooliganism. I will do this by studying and explaining the three main attributes of each, which are; Territory, masculinity, and the moral codes each social group follows.With territory I will compare how the two groups defend and protect their ââ¬Ëhomelands' and how they achieve a sense of pride by claiming someone else's land. Although they conduct this in different ways, I will hopefully be able to present how similar their process of achieving this are. Through the study of masculinity, I will explore the symbolic meaning that each present, in order to achieve a high status of being a ââ¬Ëreal man'. How they vilify their rivals is also studied, in order to make them feel less worthy or ââ¬Ëmanly', including how fashion and uniform play an important role.Before concluding my findings, I will explore how moral codes set internal ââ¬Ëlaws' within each social group, to which each must abide in their realms of fighting, focusing specifically on the rule that non-combatants or ââ¬Ëcivilians' are not to be ha rmed during combat, and how each group distinguishes combatants and civilians from one another. I will support my claims by using my own methodological research ââ¬â in which I interviewed an anonymous football hooligan, who we will name as ââ¬ËDarren' ââ¬â I will also use Anthony Kings' The post-modernity of football hooliganism (1997) journal article, T. W.Reesers Masculinities in theory: An introduction, and Michael Byers' Understanding international law and armed conflict ââ¬â War Law (2005). By using the various sources, as said above, I hope to be able to support my claim that football hooliganism can be explained in the same context as war, through three important components ââ¬â Territory, masculinity and moral codes ââ¬â in which I have identified similarities among the two social groups. ââ¬Å"â⬠¦ Hooliganism's central confrontation involved the ââ¬Ëtaking of the ends', where fans would seek to infiltrate the opponent's terrace and assert the ir claim to the space.This ritualistic combat was hyperbolically described as war (between nations) by many fans, but rarely involved the conquest of a complete terrace. â⬠(King, 1997) The above quote ââ¬â taken from Anthony Kings' article on the post-modernity of football hooliganism ââ¬â shows us that the idea of hooliganism has similarities with the concept of war. This is not only shown through my own evidence, but also by football hooligans themselves. During colonisation, the British army would claim other territories in different countries and claim them as part of Britain.They would do this by capturing towns and cities, and forcing the surrender of the national people. The ultimate aim was to protect Britain and also show the world that we were a strong, independent country, with a powerful army, that could take over other nations with ease. Today, war is conducted differently. Colonisation is a thing of the past, instead of taking over and claiming other nati ons, the British army demonstrate their presence in other countries, and set up base camps within foreign towns as their own to claim these as part of their territory.Football hooligans use a technique similar to that of the colonisation period. On a match day, hooligans will show their strength and power by attempting to claim something of the oppositions. This varies from terraces to pubs, and sometimes to streets. During my interview with ââ¬ËDarren', he supported this claim by stating, when asked for an explanation of football hooliganism, ââ¬Å"â⬠¦ Just taking liberties, going to other people's manors, in their pubs, taking over, calling them out, defending our territory, and taking over theirsâ⬠¦ â⬠(Darren, personal interview, Jan 2012).Most hooligans will confirm that the method of taking ââ¬Ëenemy' territory is trashing the place they have ââ¬Ëcaptured'. This is significant to the process of claiming territory as it places a mark on the oppositions nam e, letting them and other ââ¬Ëfirms' know that they the ability to control, sometimes with the use of specialised stickers with the perpetrators signature (which is usually the clubs emblem and a short message). In terms of similarities with war, when the British army would claim a territory for their own, they would mark it with the union jack flag, showing that they were now ââ¬Ëin charge' so to speak.As shown above, in terms of territory, we can see the similarities between war and football hooliganism through the way in which they both mark their territory and set about claiming oppositions territory. Within both social groups, soldiers and hooligans both have the belief that they are fighting for something, a higher being than themselves: for soldiers it is for Queen and country; for hooligans it is for their team and local area. They both organise, plan and prepare for the execution of their actions, both knowing the risks of their actions, and are willing to take the ri sks to fight for what they believe is the ultimate cause.According to T. W. Reeser (2010), one way in which to view masculinity is to look at it as an ideology, instead of an individualised creation. Observing masculinity within this context allows us to see various concepts of masculinity within different institutions and groups. This theory can work on many levels and can be associated with many institutions such as the army, sports and the business world. If we view the ideology of masculinity within the army, it shows us that the state needs the army to present themselves as the best they can be, an example being the army's slogan ââ¬â ââ¬Ëarmy, be the best'.The way in which soldiers are disciplined and taught how to present themselves is all part of their training in masculinity. As a soldier, the uniform is what sets you apart from the public. It is the symbolic meaning of the uniform and weapon that a soldier possesses that is important in showing others their ideology of masculinity. When we, as the public, see a male soldier, in camouflage uniform holding a gun, we instantly see what is meant to be a ââ¬Ëreal man'. The uniform, particularly honorary medals, shows us that the person has served his country and fought against others in battle.The uniform represents the country that the soldier is fighting for and the gun is his weapon that he uses against the opposition, to disarm and hurt them. They affirm their masculinity through organised and planned attacks, when they succeed in disarming the opposition, or a bullet that reaches its target, is a soldiers way of removing the oppositions masculinity and building on their own. Football hooligans follow the same ideology of masculinity that soldiers do. They learn from their peers how to behave and act, and have a ââ¬Ëuniform' to abide by, which, like soldiers, is a symbol of their masculinity.The uniform football hooligans wear is not as much a statement of authority, but a statement of fa shion. The uniform is known as the ââ¬Ëcasual look', which involves wearing top brand names of polo t-shirts, jumpers, jeans and trainers, and in some cases what is known as the goggle coat, a coat which disguises your face but allows the hooligan to see through a pair of inbuilt goggles. They use this uniform to tell each other apart, a way of knowing who is there to fight and who is not. ââ¬Å"The casual look, its a way of telling people apart, you know who is who. (Darren, personal interview, Jan 2012) Darren supports this in the above quote. The casual look is a uniform which symbolises their masculinity to others around them. As soldiers will use their guns as another sign of masculinity and to vilify their opponents, hooligans instead will use their chants and songs. The chants and songs are specifically created to vilify their rivals, and mostly speak of the opposition as being sexually perverse, diminutive phallic references and mocking their sexual performance.This is s upported by Anthony King in his article on the post-modernity of football hooliganism. ââ¬Å"Through the support of a football team, the male fan affirms his status as a man (in the eyes of his peers and himself) and also articulates the nature of that manhood. A central practice in the re- constitution of manhood in football is the communal chanting in which fans participate. Through these songs, male fans re-affirm and re-negotiate the partially sub-conscious idea of their masculinity. â⬠(King, 1997)In terms of masculinity within the army and football hooliganism, we can see that the similarities are, the way each uses a uniform and weapon as a symbol of their masculinity. Although the uniform and weapons are different, the way each presents themselves within their uniform and the way they use their weapon to vilify and remove their rivals masculinity is similar. It is a way in which each know who their rivals are. Which also links in with the moral codes that each social g roup abides by. Any armed conflict involves two broad categories of individuals: Combatants and non-combatants (who are also referred to as civilians). International humanitarian law protects both categories of person, though non-combatants are shield more than those who take up armsâ⬠(Byers, 2005) In the above quote, Michael Byers explains the humanitarian law that armies around the world are expected to follow. The British army abide by these and use them as a moral code as well as a law. The harming of civilians is prohibited, and only other combatants can be return fired at.As said in terms of masculinity, the army uses uniforms and weapons as a means of telling combatants and non-combatants apart. The harming of an innocent civilian can prompt an official prosecution of the soldier who open fired, unless there is reasonable evidence to claim that they believed the individual was in fact a combatant. Football hooligans also follow a strict moral code similar to that of the army. Football hooligans distinguish each other through the clothes they wear and the chants they use.It is an unspoken rule that if someone is not part of the hooligan culture then they cannot be harmed or made to participate in the battles that take place. This is shown in a quote from Darren's interview ââ¬Å"The casual look, its a way of telling people apart, you know who is who ââ¬â We don't just kick the f**k out of a random person, only people who want to have a row back. â⬠(Darren, personal interview, Jan 2012) This sets football hooliganism apart from just random street fights. With the presence of moral codes, we can see that football hooliganism is more developed and strategically balanced then first thought.It is not simply about fighting like primitive men in the streets, but about the preparation and planning that surround it, the certainty that where you are going will not be surrounded by civilians who do not want to be part of this culture. The consequenc es of a civilian being harmed is most likely the shame that will be burdened upon you by your peers, and in some cases, ââ¬Ëtaught a lesson' in that you will be expected to receive punishment through violence by your peers who are ranked more superior then you.Continuing on the theme of similarities, the humanitarian laws and moral codes that both social groups follow is similar in the way that each are expected to abide by rules that prevent them from harming civilians who are not involved in their particular conflict. The consequences of their actions, should they breach this, is the prosecution of themselves through court marshals and/or violent punishment from their superiors. As presented above, we can see that war and football hooliganism have various similarities.This shows us that we can explain football hooliganism in terms of war using three attributes; Territory, masculinity and the humanitarian law/ moral codes that both must abide by. Although the ultimate goal can b e seen as directly different, it is the way in which both of these social groups plan and participate in their battles. The taking of territory and confirming their presence is similar in that both mark the territory claimed with the use of a flag or sticker.The uniform and weapon is symbolic for both, in the way it presents and confirms their masculinity, whilst causing a negative impact on their oppositions masculinity. When fighting, both will abide by the same rules that civilians are not to be harmed in any way, or face the consequences of going against these rules, which involves being persecuted by others superior than themselves. Although soldiers fighting in wars are labeled as passionate heroes, whilst football hooligans are vilified as thugs, we can notice the similarities of the two social groups when placed in the context of war.The addictive adrenaline buzz associated with each group during battle is what spurs them on, gives them the power to keep fighting, and is wha t keeps them going back for more. ââ¬ËDarren' describes this buzz as ââ¬Å"Better than sex. â⬠(Darren, personal interview, Jan 2012) Throughout this essay, masculinity has made a continuous appearance, in some cases it is more disguised, but still apparent. This shows us that masculinity, and proving they have an adequately sized manhood, is the real connection behind war and football hooliganism.Overall, the best way to explain football hooliganism is in the same context as war through territory, humanitarian law/ moral codes and of course, masculinity. BIBLIOGRAPHY Byers, M (2005). War Law: Understanding international law and armed conflict. London: Atlantic books. p. 9. King, A. (Dec 1997). The Postmodernity of Football Hooliganism. The British Journal of Sociology. 48 (4), p. 576-593. Orwell, G (1945). The Sporting Spirit. London: Tribune. Reeser, T. W (2010). Masculinities in theory: An introduction. London: Blackwell Publishing. Chapter 1.
Sunday, September 29, 2019
Differentiate Between Hazard and a Risk Essay
* Differentiate between hazard and a risk. Hazard is anything that causes injury, disease, or death to humans, or damage to personal or public property, or deterioration or destruction of environmental components. Risk is suffering injury disease, death, or some other loss as a result of exposure to a hazard. (Boorse) * What risks from Figure 17-16 and Table 17-3 surprise you and why do they surprise you? In figure 17-3 the aids rate is what surprised me I didnââ¬â¢t think it would be that low. If anything I thought it would be at the top of the list, but I also thought that alcohol us would be higher than that since it is some many people that use alcohol. (Boorse) * Differentiate between hazard and outrage? Give an example of a low hazard risk but a high outrage risk. A hazard is a chance of being injured or harmed and outrage is an act of extreme violence or viciousness. Example: You see a person crossing a highway full of speeding traffic coming both ways and are filled with hesitations. This is because of perceived risk to his/her life because of an incoming traffic at a high speed. But the man/women themself perceives no risk as he feels he is in control of the situation and will easily cross the highway before the cars arrives. The hazard to the life of the person remains the same but you are outraged more than the person and this is why you feel a greater risk than the person himself. This is a concept that explains why some risks are felt greater than others.
Saturday, September 28, 2019
Goal Setting Assignment Example | Topics and Well Written Essays - 250 words
Goal Setting - Assignment Example A community health promotion will help improve this situation if the program sets and adheres to its objectives, as this essay suggests (Diffley, J. & Parker). In order to eliminate inequalities in healthcare provision among Philadelphians, and reduce gap between rich and poor, the healthcare providers will ensure that they offer their health services, to all; including poor and rich, thus the economically challenged patients will have equal access to healthcare. The rich have had an advantage in accessing quality health in the area, increasing poor health among the economically challenged. Therefore, access to quality healthcare will cease to base on economic status of a person (Green & Tones, 2010). Secondly, the community healthcare promotion will ensure that all the people participate in health promotion and strive toward their own empowerment. Through community mobilization, the people will be encouraged to take control of their lives, by making the right decisions in life, as the more empowerment they have, the more power they have to make decisions influencing their health. Public participation in health promotion will be ensured by challenging Philadelphians to be responsible for themselves, and take personal steps to address their life problems and improve their living conditions (Ludovici-Connolly, 2010). The third goal of this health promotion is to bring various influential partners on board. Factors of health promotion are wide, thus one party cannot achieve the goals alone, but with collaboration with different companies, the public, civil society, and private companies. Proposal writing inviting various partners to come on board will help in development of stronger strategies, and funding to ensure quality health among all Philadelphians (Green & Tones, 2010). Different obstacles have existed among Philadelphians, in their way to quality health. This community health promotion
Friday, September 27, 2019
Continuing Academic Success Essay Example | Topics and Well Written Essays - 750 words
Continuing Academic Success - Essay Example of objective formulation in education can be metaphorically represented by a destination which without, an individual may find the purpose of travelling thus would consider either going back home or wonder aimlessly. In this program, my goal is to get aâ⬠¦Ã¢â¬ ¦. grade, which will be a significant improvement from the previous termââ¬â¢sâ⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦. grade. Setting up an objective does not end by a merely stated idea. However, the essentiality of the set goal will only be marked when proper measures and schedules are structured to act as a guide for achieving the set goal. In this light, the measures that I consider essential in meeting up my goal of improving my grade are to spend more time in the library. Spending more time will not mean going to relax in the library; rather it will mean spending more time for personal studies as well as more research on the units I am undertaking. Initiating effective consultations is also important as it will allow me to engage more with the teachers at an individual level and get help in key academic areas that may prove a challenge in attaining the set target. Knowing and keeping to the identified style of learning would not only help me in my academic achievements, but will also be of significance to my future career pursuits. This will be in line with my ability to do personal work without supervision hence enhancing my productivity at the workplace. I consider the writing process very important in the advancement of my education as well as in my career advancement. The scope of applying effective writing is very wide, and is mainly associated with the need for effective communication. In my educational program, writing marks the main mechanisms through which my development is evaluated in relation to the progress that I make towards my career dreams. Effective communication through writing up my papers enables the teachers to determine how well I am growing and provides the foundation through which they can offer advice
Thursday, September 26, 2019
Applied Economics Essay Example | Topics and Well Written Essays - 1750 words
Applied Economics - Essay Example There is a positive correlation between the aggregate demand and the changes in monetary policy. 'If the government wants to increase the quantity or the supply of money in its economy then it undertakes an "expansionary monetary" policy and similarly if it wants to reduce the quantity of money in the economy it adapts a "contractionary monetary policy. (Case & Fair, 2002)"'3 This means that if the quantity of money increases in the economy then the aggregate demand shifts outwards or to the right, i.e. more output is demanded at the same price. Conversely, if the supply of money shrinks in the economy then the aggregate demand shifts inward or to the left as a result of a decrease in demand of output at all the various levels of price in the economy. Graphically it can be as follows: 'Case & Fair (2002) explain that when the quantity of money increases in the economy then the interest rates fall due to which the cost of carrying out planned investment decreases and therefore there is higher investment expenditure. This in turn increases the output at each price level and the opposite happens when the quantity of money decreases in the economy.'4 The government also demands the output in terms of goods and services. ... 'If the government wants to increase the quantity or the supply of money in its economy then it undertakes an "expansionary monetary" policy and similarly if it wants to reduce the quantity of money in the economy it adapts a "contractionary monetary policy. (Case & Fair, 2002)"'3 This means that if the quantity of money increases in the economy then the aggregate demand shifts outwards or to the right, i.e. more output is demanded at the same price. Conversely, if the supply of money shrinks in the economy then the aggregate demand shifts inward or to the left as a result of a decrease in demand of output at all the various levels of price in the economy. Graphically it can be as follows: 'Case & Fair (2002) explain that when the quantity of money increases in the economy then the interest rates fall due to which the cost of carrying out planned investment decreases and therefore there is higher investment expenditure. This in turn increases the output at each price level and the opposite happens when the quantity of money decreases in the economy.'4 Therefore, the changes in the AD can be summed up as follows according to the changes in the quantity of money: Increase in the supply of money - Aggregate Demand shifts to its 'right.' Decrease in the supply of money - Aggregate Demand shifts to its 'left.' 3. Fiscal Policy Fiscal policy includes two components: Government spending and expenditure. Changes in the taxation policy by the government. 3.1 Government spending and expenditure The government also demands the output in terms of goods and services. Therefore, a change in the government spending or purchases influences the aggregate demand. Government spending and
Wednesday, September 25, 2019
Car Difting Essay Example | Topics and Well Written Essays - 500 words
Car Difting - Essay Example I am fascinated by high speed endeavors; high speed car drifting is one of them, though not very many people like or approve it. Car drifting improves my abilities to concentrate and control. I like car drifting because of a host of reasons. Since I was born, I have always liked to express myself in motorsports. I have watched racing movies and racing competitions for so long. I wished time would come when I get to position myself at the steering wheel and maneuver through corners at speeds not many people would dare. When I finally got a car that could enable me to drift with the least negative consequences, I made car drifting a routine activity. My liking is so great that I am willing to overlook the costs of burned tires and damaged car parts. Though it is an extremely dangerous and costly affair, I am always thrilled to step in the car and drift my way around corners or other bent parts of the road. I also like drifting because of it, I have leant many drifting techniques and the physics of racing. The feeling I get when adrenaline is rushing through my blood is great. Iââ¬â¢ve always wanted to be in control. I like control that comes from concentrating on a particular activity. Once I realized that car drifting improves my levels of concentration and helps me gain a lot of control in driving, I have never been detached from it. This, among other aforementioned reasons is why I like car drifting even if it is dangerous and non-appealing to the majority of the population. It is clear to me that I not only get thrilled by car drifting, but also learn to control and concentrate. Quite frankly, my judgment derived from car drifting enables me to control other vehicles despite the terrain. I can have my way with many cars as a result of my liking for car drifting. Evidently, my liking for car drifting surpasses the consideration for negative effects of car drifting. This is
Tuesday, September 24, 2019
SWOT Anaylsis on France Essay Example | Topics and Well Written Essays - 500 words
SWOT Anaylsis on France - Essay Example The government interferes in all business affairs, discouraging the businesses to take up further projects or innovate at their own will. The government provides protection to all the employees hence suppressing the competitive spirit required for growth. Furthermore, the system makes it highly difficult for a young talented worker to climb the corporate ladder unless he has the required experience and is part of the hierarchy. The political framework is semi-presidential i.e. both the prime minister and president show involvement in the workings of the system. The reason why this democracy stands out is its origination as a social democracy. The people are allowed to vote for their representatives while also being able to enjoy economic equality. Moreover, the French political system is associated with a noticeable economic advantage. Since the government controls all the businesses, i.e. all businesses have been nationalized, the working class gains in the form of cheaper healthcare and other benefits. To a certain extent, this form of governance also allows the business to consider the overall progress of the society thereby encouraging them to incorporate the best business practices that is going to benefit the larger population.
Monday, September 23, 2019
Death of a Salesman Research Paper Example | Topics and Well Written Essays - 1500 words
Death of a Salesman - Research Paper Example Out of the many themes like nostalgia ,opportunity, madness, gender differences, growth, capitalism and hazards of modernity, the most interesting and important one is ââ¬Ëcapitalismââ¬â¢ which leads to unprecedented consumerism and the growth of an infectious thought that money is important than everything else in life. Willy Lowman, the hero of the play is a victim of ruthless capitalism. His end is tragic and he is the representative of millions of helpless people who are thrown out by a system whom they have served for a lifetime. In the beginning of the play we see him as an exhausted man of 60 years, who has been fired out of his company for making no profit. This event itself points to the corporate world which gives no place for sentiments or personal relationship. Willy Lowman is the cross section of an ordinary American salesman who had to earn his living by the smile of his face and the shine of his shoes. The most touching moments of the play are though his efforts were mercilessly denounced by the capitalist world, he continues to be loyal to the system until his death. Another pathetic reality is that nobody attended Willyââ¬â¢s funeral. ... The dark shades of capitalism and business have been projected throughout the play. When Willy is fired from his job, his boss Howard says ââ¬Å"you gotta admit, business is businessâ⬠(Act II, 65). This comment of Howard shows that profit is what matters and there is no room for friendship or sentiments. Willy argues in vain ââ¬Å"you canââ¬â¢t eat the orange and throw the peel away, a man is not a piece of fruitâ⬠(67). In this scene Miller blames the inhumane and impersonal nature of capitalism. Even though Howard very well knows Willyââ¬â¢s financial situation that he has no salary and no commissions, his wife does not work, and he is a travelling salesman who cannot drive any longer, Howard still encourages Willy to by a wire recorder. This scene brings out the ridiculing attitude of the capitalist society toward someone who is now useless, forgetting their long term service and sincerity that built up the corporate domain. Miller does not attempt to attack cap italism in his play. But he blames Willyââ¬â¢s unprofessional attitude for his failure. Willy is incompetent to be a good salesman anymore. He has lied to Howard to cling on to the office as well as he says Bernard will not succeed as he lacks charm. As Sterling points out, time proves that Bernard earns a successful life due to his hard work and personality and charm takes his two sons ââ¬Ënowhere in the business worldââ¬â¢ (6). The play revolves around the objective of making money, and in that rat-race everything else is trivialized. In the attempt to actualize the American dream, it gets corrupted by a visionless society filled with poverty and suffering. The play shows the mentality of people driven by
Sunday, September 22, 2019
Longitudinal method compared with 5 other methods in text book Research Paper - 1
Longitudinal method compared with 5 other methods in text book - Research Paper Example In essence, longitudinal studies usually allow tracking of people; therefore, different longitudinal surveys given people are less likely to be the true reflection of cultural or behavior different over a given period (Jin and Rounds, 2012). Longitudinal research methods allow observation of changes in a more accurate way; therefore, it can be applied in different fields particularly business field among other fields (Bryman, 2012). Notably, longitudinal studies often allow accurate observation of changes that occur during the study in numerous fields. In nursing and medicine fields, the study is often designed to reveal the predictors of certain diseases. In marketing, the same study is often applied to identify the needed changes to advertisements due to attitude and behavior changes within the targeted audience. Longitudinal studies are classified among the observational studies; thus, it its application cannot allow the manipulation of variables of the study (Lee and Xia, 2011). In some instances, it has been noted that the longitudinal studies are less powerful to detect any causal relationship between variables than other experimental research methods (Wagner, 2010). However, due to their repeated observations at individual levels, longitudinal studies are more powerful than other cross-sectional observational studies. Additionally, longitudinal studies are capable of excluding time invariants within the unobservable individual difference, and they allow temporal observation of order of events (Morrow, 2011). Nonetheless, the longitudinal studies are every expensive since they take a longer period to be accomplished; thus, making it less convenient research method. Additionally, longitudinal studies may lack accuracy since sometimes they experience changes in variables especially in case of death of a particular data set. These underlying differences and similarities between longitudinal research studies allows to compared with
Saturday, September 21, 2019
Master of Suspense Essay Example for Free
Master of Suspense Essay Alfred Hitchcock has been called the Master of Suspense, considering Psycho state how effectively he achieves the element of suspense in this film. Alfred Hitchcock is known as the master of suspense. After the shocking triumph of his 1960 masterpiece Psycho, there was much demand for the classic stalk and slash horror film. The real question is: What is Suspense? The dictionary definition of suspense is:- 1. The condition of being insecure or uncertain 2. (i) Mental uncertainty (ii) anxiety 3. Excitement felt at the approach of a climax Collins English Dictionary Suspense can be shown in many ways. Music can psychologically affect the way we think of this. The pitch and line frequency of music affects the way that our brain thinks about certain situations. For Example: If you were watching a horror film, such as, Psycho you would be more afraid if the background music was a high pitch shrieking sound rather than if it was a calm pleasant tune. We associate different sounds with different moods. A piece of music played in a minor key is considered sad, compared to the same piece played in a major key which would then be considered happy. Hitchcock selected high pitch, shrieking music, which is mostly played in minor keys. This promotes the audience to become terrified as the shrieking symbolizes screaming. By choosing such dramatic and emotional music Alfred Hitchcock has created a gripping and beguiling film. Hitchcocks film Psycho is about a young girl called Marion who steals $40,000 in hope to pay off her boyfriends debts. She stays the night in The Bates Motel and is brutally murdered by an anonymous killer. The story line quickly changes from a thriller about Marion stealing the money to a stalk and slash horror film. Marions disappearance is investigated by private detective Arbogast who is murdered later on in the film by what looks like an old woman. Marions sister then sneaks into the house to investigate. She snoops round the rooms until she comes across the fruit cellar where she finds Norman Batess mothers corpse which had been down there for at least a decade. Norman Bates turns out to have a spilt personality of which he plays both himself and his mother. He is then locked in a mental institution. The shower scene is probably the key scene in Hitchcocks movie. This is the point were the movie starts to divide itself into two separate story lines. Hitchcocks moral beliefs are reflected in his films. At the beginning of the film, Marion is seen in white underwear, which symbolizes purity and innocence. During the shower scene this is changed to black underwear, which means to the audience that she has committed a crime and will be punished. In truth, Janet Leigh should not have been wearing a brassiere. I can see nothing immoral about that scene and I get no special kick out of it. But the scene would have been more interesting if the girls bare breasts had been rubbing against the mans chest. Alfred Hitchcock 1962 This quotation shows that there are huge moral differences between today and back in 1962 and it tells us that censorship at the time was very strict and were not able to have blur effects to conceal any unwanted images. Alfred Hitchcock used 70 different camera set-ups for 45 seconds of footage. These sharp and short images create an effect to which the audience doesnt know what theyre going to see next. This effect creates an enormous amount of suspense for the audience. The shrieking music yet again adds to the feeling of suspense that is created during the scene. Throughout the scene the killers face remains carefully concealed thus increasing fear and suspense as the true nature of the scene is left in the audiences imagination. During the footage each cut of the knife seems to coincide with cut in the film. The effect of this on the audience is intriguing. It draws the audience into the film thus creating a visual effect on the viewers mind. Hitchcocks intention for the shower scene was to suggest and not to show. During the stabbing incident you never actually see the victim (Marion) being stabbed. You assume that she is being stabbed due to the movement of the knife and the blood dripping in the bath and the stabbing sound, which is actually a knife being stabbed into a melon. and not an actual bare breast or plunging knife is to be found in the final cut, just illusion through montage. The Hitchcock Collection Hitchcock used thousands of different camera shots. In Arbogasts murder he used a High Angle shot when the killer approached Arbogast and murdered him; this stopped the audience seeing the killers face, making the scene more exciting and intriguing. When Arbogast is walking up the hill towards the house, the background music continuously goes up an octave each one or two steps he takes up the hill. This effect simulates walking. You could listen to the film and not watch it and still know that there was a ascending camera shot.. Hitchcock had to make the house and the surroundings look disturbing in order to convince the audience that the film and the overall setting is disturbing. The weather coincides with the setting and the mood of the act. Each time when something grim or bad was about to happen, it would either rain or a storm could be heard in the background. This builds tension into the audience The architectural contrast between the vertical house and the horizontal motel makes a pleasing sight to the eye. It adds to the eeriness of the house and shows how disturbing the house is compared to a basic structure such as the motel. I chose that house and motel because I realized that if I had taken an ordinary low bungalow the effect wouldnt have been the same. I felt that type of architecture would help the atmosphere of the yarn.
Friday, September 20, 2019
The application of systems theory
The application of systems theory The Application Of Systems Theory To a Case Study Introduction The following case study will detail an intervention with a 32-year old service user who was referred with a range of presenting issues and needs. It was apparent that a complex array of family, social and agency networks existed, indicating that the focus of any intervention would necessitate the addressing of these various components and their role in the service userââ¬â¢s functioning. It was decided that employing systems theory would be the most efficacious approach in managing the service userââ¬â¢s needs. General systems theory was first proposed by von Bertalanffy (1968) as a universal theory of the organisation of parts into wholes. A system was defined as ââ¬Å"a complex of interacting elementsâ⬠. Although this paradigm was initially applied to the physical world (mathematics, biochemistry, etc), it was adopted by the therapeutic community in order to formulate an understanding of systems comprising individuals and organisations. Some of the ideas and concepts systems theory has brought to the field include: Families and other social groups are systems having properties which are more than the sum of the properties of their parts. Every system has a boundary, the properties of which are important in understanding how the system works. Changes within systems can occur, or be stimulated, in various ways. Communication and feedback mechanisms between the parts of a system are important in the functioning of the system. Events such as the behaviour of individuals in a family are better understood as examples of circular causality, rather than as being based on linear causality. Systems are made up of subsystems (e.g. parental, marital, siblings) which are themselves parts of larger suprasystems (e.g. extended family, the neighbourhood, hospital). (Beckett, 1973). The service user was a 32-year old male of Afro-Caribbean origins, with a diagnosis of schizoaffective disorder dating back to his early teens. He had been residing in a semi-secure forensic unit for more than two years and was detained under Section 3 of the Mental Health Act. In terms of family history, he had been conceived through rape and fostered by distant relatives in Trinidad. Upon the death of his foster mother, his natural mother arranged for him to leave Trinidad and enter the UK. Shortly after this, he became involved with the mental health system and the criminal justice system. Subsequently, his mother had refused all contact with him and would not engage with any of his care. The sole family contact had been his maternal grandmother. A genogram is a useful adjunct within assessment and treatment when utilising systems theory (e.g. Guerin and Pendagast, 1976), in that it gives a concise graphic summary of the composition of the systems surrounding an individual. A genogram depicting DEââ¬â¢s particular systems was prepared and is illustrated in Figure 1. Within the genogram, DEââ¬â¢s familial relationships are illustrated, showing the existing subsystem with his maternal grandmother. Other subsystems include, DEââ¬â¢s relationships with the criminal justice system, mental health services and with myself, his social worker. With regard to using systems theory in my assessment and intervention of DE, this would encompass developing a hypothesis concerning the nature of the relationships DE has with aspects of his system and how this impacts upon his functioning. In addition, circular questioning would be employed to test this hypothesis and promote change (e.g. Selvini Palazzoli, Cechin, Prata and Boscolo, 1980a). Each of DEââ¬â¢s presenting needs will be explored within the context of his wider system and the methodology inherent to systems theory employed in my intervention. Figure 1: A genogram of DEââ¬â¢s case. The Referral DE was a statutory referral which was accompanied by a challenge from his legal representatives to the local authority, claiming that they had failed in their duties towards DE as he was medically fit for discharge and did not need to be detained under Section 3 of the Mental Health Act. Although discharge from Section 3 was agreed, no plans were presented to the mental health tribunal by the local authority regarding the arrangement of appropriate accommodation. From the perspective of the social worker, plans were therefore required to implement Section 117 and organise appropriate after care and accommodation. In order to do this, it was necessary to identify DEââ¬â¢s wishes and preferences as far as possible, in addition to managing any risk perceived by the multidisciplinary team and the mental health tribunal. A transfer CPA to the community team was organised in order to maintain DE in the community and facilitate his recovery. Adhering to the notion of ââ¬Å"goodness of f itâ⬠, inherent to systems theory (Payne, 2002), that is enhancing the match between the individual and their environment, ways of developing, maintaining or strengthening supportive interventions and reducing, challenging or replacing stressful systems were explored. Assessment An assessment of DEââ¬â¢s presenting needs was conducted in order to formulate a hypothesis based upon the information available which would then provide a starting point and guide to subsequent interventions. According to Selvini Palazzoli et al. (1980a), a hypothesis is ââ¬Å"neither true, nor false, but more or less usefulâ⬠. Therefore, it was important to maintain this stance when considering the circumstances surrounding DEââ¬â¢s case. By seeking information from DE and others within his system, I was able to obtain as many perspectives as possible and construct an understanding, or story, as to how he had come to be ââ¬Å"stuckâ⬠and enable him to move in a more helpful direction. Both DE and the multidisciplinary team involved in his care agreed that he required 24 hour residential care, as previous supported accommodation had not been able to facilitate his needs and he had relapsed, leading to his admission to hospital under section. Additional presenting concerns reported by DE included an impoverished family support network and poor finances. Drug and alcohol misuse were also evident, acknowledged by DE and verified by a positive test for cocaine. DEââ¬â¢s keyworker recounted how DE frequently disengaged with him and displayed challenging behaviour, including breaking rules of the care home and absconding. Indicators of relapse described by staff included a preoccupation with insect infestation, delusions of the devil attacking him and homophobic fears of male staff sexually assaulting him. In addition, non-compliance with his care plan was recognised as a precursor to relapse. Using circular questions to derive new information about DEââ¬â¢s situation and the interconnectedness of the systemââ¬â¢s components, a pattern emerged which suggested possible indicators of relapse. A principal feature of circularity is the capacity of the therapist to consider feedback from the systems involved and to invite each part of the system to relate their perspectives of other subsystems, thereby metacommunicating (Selvini Palazzoli et al. 1980a; Byng-Hall, 1988; Cecchin, 1987). Further crucial principles of circularity are asking about specific behaviours that occur, rather than feelings or interpretations and ranking behaviours in order to highlight differences (Barker, 1998; Dallos and Draper, 2000). So, for example, DEââ¬â¢s keyworker was asked: ââ¬Å"what does DE do when he breaks the rules in the houseâ⬠, ââ¬Å"when you believe DE is relapsing, how do you know? What does he say or do?â⬠, ââ¬Å"who is most worried about DE using drugs/alcohol?â ⬠. Similarly, DE was asked such questions as: ââ¬Å"when you abscond from the care home, who is most concerned? â⬠¦ and then who?â⬠, ââ¬Å"when you are worried about the devil attacking you, what do you do?â⬠, ââ¬Å"what would your keyworker say was most important for you to get sorted out?â⬠. A specific use of circular questioning is to define the problem (Bentovim and Bingley Miller, 2002). Hence, members of DEââ¬â¢s system, including his key worker, other multidisciplinary team workers, available family members and DE himself were questioned as to ââ¬Å"what is the problem? What do you think DE/keyworker/etc would say is the problem? Who agrees with DE? Who disagrees? Who is it most a problem for?â⬠etc. Such information served to enrich the hypothesis that was being formulated of DEââ¬â¢s needs. Over time, a systemic hypothesis evolved which incorporated the role of impaired family functioning and an early sense of abandonment by DEââ¬â¢s natural mother combined with the loss of his secondary, foster mother contributing to the development of a schizoaffective disorder. A further contributing factor may have been DEââ¬â¢s move to the UK following his bereavement and the sense of confusion and alienation this may have instilled. A pre-existing vulnerability to his mental health problems may have been activated by DEââ¬â¢s use of drugs and alcohol, possibly his coping mechanism to manage the previously described stressors. In terms of DEââ¬â¢s behaviour within his care home, it would be important to consider physiological factors many of the concerns reported. The literature associated with schizoaffective disorders has suggested that the onset of the illness can produce cognitive deficits, including memory impairment, planning, social judgement and insight (Randolph, Goldberg and Weinberger, in Heilman Valenstein, 1993; James and Murray, 1991). These deficits, combined with the lack of family support and underlying psychological issues, could have resulted in the issues with compliance and rule-breaking reported by the professionals involved in DEââ¬â¢s care. However, within a systemic approach, it is important to consider the dynamic interplay between the individual and the various components of their system when conceptualising the problem. In DEââ¬â¢s case, it appeared that the effects of his drug and alcohol use and of rejection issues had not been fully considered by staff at the care home and therefore the consequences of these had been able to escalate into relapse. Furthermore, it may have been that an over-critical attitude towards DE prevailed within his care home, as has been described in the concept of expressed emotion (Leff, 1994). This has generally been reported as existing within the families of those with schizoaffective disorders and is thought to represent deficits in communication and overinvolvement. The function of the problem is also a vital element within a systemic formulation (Reder and Fredman, 1996; Bilson and Ross, 1999) and in DEââ¬â¢s case his presenting issues appeared to represent both a communication of internal conflicts (loss, abandonment, etc) and as a solution to the problem perceived by him as inappropriate accommodation. Thus, his behaviour could be conceptualised as an attempt to resolve both internal and external discordance. However, clearly DEââ¬â¢s perceived solution only served to escalate and maintain the essential difficulty, that of his lack of engagement with help and disruptive behaviour. Intervention There were various strands to my intervention with DE, within which I attempted to address the issues outlined in the above hypotheses. Initially, the issue of accommodation was addressed. In concordance with a systemic approach, DEââ¬â¢s needs and preferences, as well as opinions derived from members of the multi-disciplinary team, were matched with available accommodation. Three suitable placements were identified which were concomitant with the needs identified in DEââ¬â¢s care plan, that is: 24 hour residential accommodation with staff to supervise his medication, encourage independent living skills and monitor his activities and behaviour to identify relapse indicators. DEââ¬â¢s opinions on the three potential placements were sought and a decision reached on the most suitable. In view of DEââ¬â¢s history of lack of engagement with keyworkers, it was felt that regular meetings with his care co-ordinator would be vital in exploring his concerns and potential barriers t o compliance with his care plan. The use of circular questioning could be usefully extended in such meetings, in reframing DEââ¬â¢s perception of his concerns and enabling him to recognising the effects of his behaviour on himself and others. Specific aspects of DEââ¬â¢s presenting problems were managed by referral to appropriate agencies, thus widening his system of support. For the substance misuse reported he was referred to a drug and alcohol worker. A referral to psychological services was made to address his rejection and bereavement issues. The involvement of DEââ¬â¢s grandmother and uncle was also an integral part of discussing his difficulties and it was postulated that at some point in the future, systemic family therapy might be helpful in providing some cohesion to DEââ¬â¢s family structure and enabling communication with this part of his system. Once the initial concerns had been addressed, my role turned towards care management and a reasonable price for the accommodation was negotiated, along with the development of a comprehensive care plan which was presented to the agencyââ¬â¢s funding panel. The funding was agreed and a discharge and transfer of care CPA was arranged. Throughout the ensuing discussions of plans, DEââ¬â¢s opinions were sought. In order to best meet the needs identified and ensure an optimal rehabilitation programme, DEââ¬â¢s care plan incorporated day care activities, psychological and community forensic input. In accordance with the principles of a systems intervention, a non-judgemental stance was maintained throughout (Goldenberg and Goldenberg, 2004) and the notion of partnership was promoted (Dallos and Draper, 2000). Additionally, the strategy of facilitating sustained change whilst not being an expert about the system was adopted (Fleurida, 1986), although this presented certain challenges as will be discussed in the following sections. In terms of implementing DEââ¬â¢s placement, it was agreed that a gradual transfer which allowed him to adjust to the new setting would ameliorate his opportunities for rehabilitation. Therefore, overnight stays and extended stays for a week prior to discharge were arranged. Initially, difficulties were experienced with DEââ¬â¢s compliance with some house rules and I arranged a meeting with DE and the house manager in order to discuss and negotiate these in order to prevent a breakdown of the placement. Once more, circular questions were used to elucidate the problem and identify possible routes for change. For example, DE was asked, ââ¬Å"when you donââ¬â¢t comply with this rule, who is most upset?â⬠and ââ¬Å"what prevents you sticking to the rules?â⬠. The house manager was asked questions such as, ââ¬Å"What does DE do instead of sticking to the rules?â⬠and ââ¬Å"what reasons do you think he has for not complying?â⬠. Consequently, specific barrier s and obstacles were identified and it was possible to negotiate a way in which DE could assert his individuality within the placement setting, whilst behaving in ways which were acceptable to staff and other residents. Thus, the ââ¬Å"fitâ⬠between DE and this particular system was enhanced. Review and Ending During my work with DE a dynamic, fluid hypothesis was formed which was based on systemic principles, in that it was circular, addressed relationships, was expressed in terms of what people do and believe rather than what they are and included all members of the system (Reder, 1983). The hypothesis was continually monitored and reframed during the intervention phase, which facilitated change and enabled new perspectives and solutions to be considered. Other parts of DEââ¬â¢s system were also modified by posing circular questions as they allowed the various professionals and agencies involved to consider how helpful or unhelpful the strategies they employed to manage the exigencies of DEââ¬â¢s case were and to gain different perspectives. It is important to note that this approach is distinct from merely providing instruction or information, in that it facilitates change through the process of thinking and reasoning. The initial focus of intervention ââ¬â to provide appropriate accommodation ââ¬â was successfully completed. This was rendered smoother by the gradual transition to his new setting. By the end of the intervention, I believe that DE was able to engage in a more useful way with the various components of his system and was more settled in his placement as a result. Reports from the house manager and other professionals also indicated that this was the case. Referrals to other agencies (psychology and drug and alcohol services) which comprised a vital component of the intervention, enabled an expansion of DEââ¬â¢s systems and the meeting of previously unconsidered needs. His progress with these agencies was ongoing. DEââ¬â¢s engagement with community forensic services was valuable in gaining further perspectives into his care. Discussion Within systems theory, the questions themselves form a substantial part of the intervention (Tomm, 1988), as they are believed to lead towards a constructive change in the problematic experiences and behaviours of service users. In addition, questions constitute a much stronger invitation for users to become engaged in a conversation and process than do statements, instructions of information and provides stimulation to think through problems alone, thus promoting autonomy and a sense of personal achievement (Payne, 2002). In continually seeking the views of DE and perspectives from other parts of his system, it was possible to create a clearer picture of the characteristics of the problem and to foster a sense of ownership on the part of DE. That is, because he felt part of the process of change, he would be more likely to feel comfortable with its parameters. A further part of promoting DEââ¬â¢s compliance with his care plan was to use positive connotation, another important principle of systems theory (Oââ¬â¢Brian and Bruggen, 1985). Positively connoting DEââ¬â¢s behaviour consisted not only in reinforcing and praising his attempts to change, but also in acknowledging that his problem behaviour was serving to express his dissatisfaction with the situation he was in. An important aspect of intervention therefore was to communicate an understanding of how things had come to be the way they were. Only through doing this was it possible to challenge the existing belief system, suggesting new an d different definitions of relationships. Therefore, by acknowledging the pain of DEââ¬â¢s abandonment by his mother with a referral to a psychologist, it enabled him to explore a different way of interacting with this part of his system. Similarly, by considering the role of drugs and alcohol in mediating his distress and enabling him to cope with his situation, other means of coping were explored. The use of systems theory was congruent with mental health policy guidance for CPA in that it was person focused, involved all relevant agencies and required a recognition of needs in order to facilitate the movement of service users through CPA. The identification of unmet needs in DEââ¬â¢s case, as well as involving multiple agencies was crucial in managing his care effectively. As DE was on enhanced CPA, it was important to consider multiple care needs and to recognise that he was more likely to disengage with care. Once more, a holistic assessment and a comprehensive, multi-disciplinary, multi-agency plan which encapsulated his wider system was necessary. Systems theory requires strategic thinking about the possibilities and limitations for change in the different systems affecting the userââ¬â¢s environment, as well as an understanding of the possibilities for intervention in each system (deShazer, 1982; Penn, 1982), therefore considering DEââ¬â¢s behaviour in specific settings and with specific individuals and agencies was a useful strategy. In addition, possessing an understanding of the possibilities for intervention within each system enabled me to think creatively about different courses of action and potential outcomes (Byng_Hall, 1988). Review and Evaluation In general, systems theory was a useful tool in working with DE, in that its principles guided many aspects of the assessment and intervention towards a beneficial outcome. The basic tenets of systems theory, of being respectful of all perspectives and attempting to empower the service user to implement change, are congruent with the CPA model of working. However, the principle of maintaining neutrality (i.e. forging an alignment with all parts of the system) and a non-judgemental, non expert stance (Selvini Palazzoli et al. 1980a; Fleurida, 1986) proved to be more challenging. As DEââ¬â¢s care co-ordinator it could be expected that a greater alliance would be formed with him and also that I would possess, in this role, information and knowledge pertaining to a variety of issues, such as financial assistance available to him. Clearly in this case, I was unable to maintain a non-expert stance. Furthermore, being non-judgemental in relation to all DEââ¬â¢s presenting needs (for e xample, his drug and alcohol misuse) was very difficult and whilst my approach could encompass the evolution of a shared understanding of this behaviour, ultimately the negative impact on DEââ¬â¢s mental health and stability of his placement would need to be acknowledged. Therefore, it could be said that there was a juxtaposition between CPA care management and using systems theory. However, it was possible to separate the two aspects of my role with DE and apply systems theory accordingly. In terms of what I would do differently, I believe that a greater involvement of DEââ¬â¢s family would have been beneficial in order to assist him in constructing a different story or narrative around his history, which would have enriched his and perhaps othersââ¬â¢ understanding of why problems were presenting themselves. Applying systems theory to a service user such as DE, who may have the cognitive deficits previously described, raises some important ethical issues. Firstly, regarding the ability to give consent to such an approach being employed and to the seeking of perspectives from other parts of the system, such as family members and other workers. The potentially harmful influence of labels has been described in the literature of systems theory (e.g. Benson, Long and Sporakowski), however the use of labels such as ââ¬Å"schizoaffectiveâ⬠and ââ¬Å"enhanced CPAâ⬠would seem unavoidable when working within a multidisciplinary team which necessitates communicating with equivalent language. However, the use of systems theory creates space for thinking about the meaning and impact of these labels and is, therefore, at the very least a valuable and functional adjunct to the repertoire of strategies for managing complex cases. Summary and Conclusion The work carried out with DE attempted to illustrate how individuals function as a part of many systems ââ¬â they are affected by these systems and they, in turn, affect the systems. I believe that the circular nature of DEââ¬â¢s presenting issues and needs was highlighted effectively and the intervention took into consideration this dynamic interchange and the consequences that changes in one part of a system will have for other parts. Fundamentally, I have learned that many problems arise due to a mismatch between individuals and the systems of which they are a part and the role of a social worker is to enhance the fit between the individual and the systems affecting them. References Barker, P., 1998. Basic Family Therapy, 4th Edition. Oxford: Oxford University Press. Beckett, J.A., 1973. General Systems theory, psychiatry and psychotherapy. International Journal of Group Psychotherapy, 23, pp. 292-305. Benson, M.J; Long, J.K. and Sporakowski, M.J., 1992. Teaching psychopathology and the DSM-III R from a family systems therapy perspective. Family Relations, 41 (2), pp. 135-140. Bentovim, A. and Bingley Miller, L., 2002. The Assessment of Family Competence, Strengths and Difficulties. London: Pavillion. Bertalanffy, L. von, 1968. General Systems Theory: Foundations, Development, Application. New York: Braziller. Bilson, A. and Ross, S., 1999. A history of systems ideas in social work. In, Social Work Management and Practice. London: Jessica Kingsley, 2nd Edition. Byng-Hall, J., 1988. Scripts and legends in families and family therapy. Family Process, 27, pp. 167-179. Cecchin, G., 1987. Hypothesizing, circularity and neutrality revisited: an invitation to curiosity. Family Process, 26, pp. 405-413. Dallos, R. and Draper, R., 2000. An Introduction to Family Therapy. Buckingham: Open University Press. de Shazer, I., 1982. Patterns of Brief Family Therapy: An Ecosystemic Approach. New York: Guildford Press. Fleurida, C. et al., 1986. The evolution of circular questions. Journal of Marital and Family Therapy, 12 (2), pp. 112-127. Goldenberg, I. and Goldenberg, H. , 2004. Family Therapy: An Overview, 6th Edition. London: Brooks/Cole. Guerin, P.J. and Pendagast, E.G., 1976. Evaluation of family system and genogram. In, P.J. Guerin, ed. Family Therapy. New York: Gardner Press. James, P. and Murray, R.M., 1991. The genetics of schizophrenia is the genetics of neurodevelopment. British Journal of Psychiatry, 158, pp. 615-623. Leff, J., 1994. Working with the families of schizophrenic patients. British Journal of Psychiatry, 164 (suppl. 23), pp. 71-76. Oââ¬â¢Brian, C. and Bruggen, P., 1985. Our personal and professional lives: learning positive connotation and circular questioning. Family Prcess, 24, pp. 311-322. Payne, M., 2002. Systems and Ecological Perspectives. In, Modern Social Work Theory, 3rd Edition. Basingstoke: Palgrave MacMillan. Penn, P., 1982. Circular questioning. Family Process, 21, pp. 267-280. Randolph, C., Goldberg, T.E. and Weinberger, D.R., 1993. The neuropsychology of schizophrenia. In, K.M. Heilman and E. Valenstein, eds. Clinical Neuropsychology, 3rd Edition. Oxford: Oxford University Press. Reder, P., 1983. Disorganised families and the helping professions: ââ¬Å"Whoââ¬â¢s in charge of what?â⬠. Journal of Family Therapy, 5, pp. 23-36. Reder, P. and Fredman, G., 1996. The relationship to help: interacting beliefs about the treatment process. Clinical Child Psychology and Psychiatry, 1 (3), pp. 457-467. Selvini Palazzoli, M.S., Cechin, G., Prata, G. and Boscolo, L., 1980a. Hypothesising-Circularity-Neutrality. Three guidelines for the conductor of the session. Family Process, 19 (1), pp. 3-12. Selvini Palazzoli, M., Boscolo, L., Cecchin, G. and Prata, G., 1980b. The problem of the referring person. Journal of Marital and Family Therapy, 6, pp. 3-9. Tomm, K., 1988. Interventive interviewing: part III. Intending to ask lineal, circular, strategic or reflexive questions. Family Process, 27, pp. 1-15. Reflective Diary Analysis I applied the theory of psychoanalysis to the practice situation in order to explore underlying issues which had made ME so dependent upon her partner, JM. This appeared appropriate as it would provide an opportunity to gain information about any past experiences which had contributed to her present state, in particular, the nature and origin of her anxieties and fears. Uncovering this information would then inform my practice with ME and JM and provide structure to any intervention. The overall purpose of psychoanalysis derives from the Freudian assumption that psychopathology develops when people remain unaware of their true motivations and fears and they can be restored to healthy functioning only by becoming conscious of what has been repressed (Bower, 2005). Freud believed that the unconscious conflicts he uncovered ââ¬â in dreams, in memory lapses, in neurotic symptoms ââ¬â always referred to certain critical events in the individualââ¬â¢s early life. His observations of his patients led him to conclude that all human beings experience a largely similar sequence of significant emotional events in their early lives and that it is this childhood past that shapes their present (Freud, 1905). Although Freud cautioned against the use of psychoanalysis in schizophrenia, as he believed that sufferers of schizophrenia had regressed to a state of ââ¬Å"primary narcissismâ⬠, a phase early in the oral stage before the ego has differentiated from the id (Freud, 1905), more contemporary psychoanalysts have adopted a different approach. Primarily followers of Melanie Klein, they have taken the position that the schizoid position, or splitting between ââ¬Å"goodâ⬠and ââ¬Å"badâ⬠objects, was a normal stage of development and that schizophrenia was the late consequence of not negotiating this stage properly (Salzberger-Wittenberg, 1970). Thus, the flow of unconscious material (e.g. delusions, hallucinations and thought disorder) were actively encouraged, explored and participated in. In MEââ¬â¢s case, a formulation of her presenting issues included the role of specific anxieties and fears. Anxiety has been conceptualised psychodynamically as a state of helplessness and ââ¬Å"psychic painâ⬠, which results from the perceived discrepancies between oneââ¬â¢s ideal self (or ego ideal) and oneââ¬â¢s actual self (Freud, 1926, cited in Brown and Pedder, 1991). These painful discrepancies cannot then be easily assimilated into our conscious view of ourselves and the world because of the anxiety they arouse and the consequence is a ââ¬Å"defence mechanismâ⬠activated to subdue this psychic pain. Using open-ended questions with ME, such as ââ¬Å"how are you feeling?â⬠and allowing her to respond freely revealed a little of her state of mind, ie. ââ¬Å"very low, always tired and very sadâ⬠. It was interesting to note MEââ¬â¢s partner, JMââ¬â¢s, explanation of MEââ¬â¢s low mood, ââ¬Å"the weatherâ⬠, a subject he had mentioned at the outset of the encounter. This may indicate an attempt to avoid, or defend against, speaking of difficult issues and furthermore, may represent his own coping strategy. Further questions to elicit MEââ¬â¢s emotional state included ââ¬Å"has it made a difference?â⬠(regarding the use of anti-depressants) and ââ¬Å"how do you feel about quitting smoking?â⬠An inherent principle of psychoanalysis is the use of transference and countertransference within any clinical encounter (Casement, 1985; Salzberger-Wittenberg, 1970). Transference is the conveyance of past feelings, conflicts and beliefs into present relationships and situations, spe
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