Medical Miracles On The Horizon :: essays research papers

Medical Miracles on the Horizon The world and its inhabitants will face a multitude of problems in the 21st Century, including drug addiction, deadly disease, violent crime, warfare and hostility, hunger, and homelessness to name a few. All of these critical issues have been present to some extent in the 20th Century and, left unsolved, will continue to plague society and mankind as we enter the new millennium. As we rapidly approach the next era, new issues of equal or even greater importance for mankind will almost certainly arise. I personally envision health issues, concerns related directly to medicine, as the central, most critical and comprehensive problem facing leaders of the 21st Century.   Ã‚  Ã‚  Ã‚  Ã‚   In my opinion, physicians and others associated with the medical profession will participate in one of the most vital and urgent roles entering into the new era. This is one of the reasons that I intend to pursue a career in the medical field after I graduate from The University of Tennessee. Of all occupations in the next millennium, medicine will be perhaps the most important and influential in combating the problems of mankind and in solving them.   Ã‚  Ã‚  Ã‚  Ã‚   People in the field of medicine will continue, as they have in this century, to address and participate in almost all concerns. For example, methadone is currently being used as a therapeutic intervention for some drug addictions. In addition, various medications are now being given in the treatment of criminals, like anti-psychotic drugs to curb aggressive or violent behavior in schizophrenics. A new and improved group of antidepressants is also being used to treat and reduce the growing rate of suicide in all ages of our society. Because a very high percentage of homeless people suffer from psychological problems and/or drug addictions, doctors may also eventually play a larger role in prescribing medication for these individuals. Concerning warfare that may be present into the 21st Century, the medical community will be required to detect and treat a variety of injuries and illnesses, just as they have had to decipher and work on patients who fell victim to the Gulf War Syndrome. Any future wars may have even more insidious side-effects due to the use of lethal chemicals. Cures have been found for many illnesses, such as polio, smallpox, and various childhood diseases in the present century, but other health concerns are manifesting rapidly. One of the most important task doctors and research scientists may face is to fight new strains of deadly diseases in the coming years. Outbreaks of eboli and the emergence of diseases that are drug-resistant to antibiotics threaten the survival of mankind.

Clinical Psychologists In India Health And Social Care Essay

This paper discusses the blank in current ethical criterions in the pattern of clinical psychological science in India followed by a suggested working paradigm of ethical criterions. Mental wellness services in India are plagued with fiscal restraints, deficiency of acknowledgment of clinical psychologists, widespread superstitious notion or ignorance, hapless educational preparation, and the deficiency of an organized and unified organic structure for the promotion of clinical psychological science. With due accent to these restraints, an moralss codification exemplar based on the four general rules of the Universal Declaration of Ethical Principles for Psychologists ( UDEPP ) ( 2010 ) is suggested. Culture specific criterions are referenced and included from bing criterions in India, and the American Psychological Association ( APA ) moralss codification ( 2002 ) . Keywords: Ethical motives, Clinical Psychology, India. Unified Ethical motives Code for Clinical Psychologists in India This paper discusses the blank in current ethical criterions in the pattern of clinical psychological science in India. A paradigm of a working moralss codification is suggested, with mention to the bing criterions in India, the Universal Declaration of Ethical Principles for Psychologists ( UDEPP ) ( 2010 ) and the American Psychological Association ( APA ) Ethical motives Code ( 2002 ) . The paper is divided into four subdivisions. Section 1 affirms the importance of holding an ethical codification for pattern. Section 2 delineates the present province of ethical behavior in India. Section 3 lists the structural and milieu considerations for pattern in India. Finally, subdivision 4 nowadayss a working paradigm of an ethical codification for pattern in India. The paper concludes with restrictions and suggestions for future work.Section 1: Importance of an Ethical motives codification: Why do we necessitate an moralss codification?The being of an moralss codification maintains public assurance ( Agarwal and Gupta, 1999 ; Fisher 2003 ) , educates professionals about outlooks of ethical and unethical behavior ( Fisher, 2003 ) , leads to allow intercessions ( Agarwal, 2010 ) , encourages grudges resort ( Fisher, 2003 ) , decreases external ordinance ( Fisher, 2003 ) and presents a line of defence in the instance of external engagement ( like jurisprudence ) ( Fisher, 2003 ) . Furthermore ethical pattern instills compassion and bravery, taking to a rewarding vocational and personal life ( Koocher and Keith-Spiegel, 2008 ) . An ethics codification is an indispensible tool for quality attention.Section 2: Ethical motives in India: PresentThis subdivision elucidates the current province of ethical pattern in India. Access to allow information was limited by scarceness of consistent and electronic information. The information presented here reflects available information. Overall there is limited consciousness about the services of clinical psychologists, yet there hav e been important betterments in handiness of clinicians in multiple scenes like general infirmaries, rehabilitation and mental wellness centres, vocational and educational organisations ( Prasadarao and Sudhir, 2001 ) . Three organisations that lay out some signifier of ethical rules for mental wellness practicians in India are the Indian Psychiatric Society ( IPS ) , the Indian Association of Clinical Psychologists ( IACP ) and the Rehabilitation Council of India ( RCI ) . The IPS adopted the ethical codification in 1985 and loosely divides the ethical rules into behavior between professionals and behavior of professionals with patients, important others and 3rd parties ( Agarwal and Gupta, 1999 ) . The IACP drafted a short and direct codification of behavior in 1993 and borrowed from the APA moralss codification ( Isaac, 2009 ) . The RCI lists clinical psychologists as one for the many rehabilitation professionals and adopted a codification of behavior in 1992, with generic guidelines. Common issues addressed by all three organisations are referrals, sentiments, consent, competency, confidentiality, client public assistance, 3rd party interactions, development and to a lesser extent research, adve rtizement and promotion ( Isaac, 2009 ; Agarwal and Gupta, 1999 ; RCI, 1992 ) . Other relevant statute laws are the Consumer Protection Act ( 1986 ) and People with Disabilities Act ( 1995 ) ( Prasadarao and Sudhir, 2001 ) that attempts to protect clients as consumers of mental wellness services. Overall, there are minimum resources to turn to ethical ailments in all three organisations. The moralss commission could either non be located on the web site or no formal grudge procedure was listed. Although IPS has made the most headway in puting up ethical criterions, ethical pattern is constrained by inadequacy in preparation and research ( Agarwal, 2010 ) . Nevertheless, IPS maintains some control over the ethical pattern of its members since head-shrinkers have to obtain a licence for pattern. In the sphere of clinical psychological science, there is incompatibility in the being of and entree to an ethical codification due to multiple psychological science related organisations ( IACP, RCI, National Academy of Psychology etc ) , without equal inter organisational communicating. More significantly, there is no legal, licensing and accreditation organic structure for clinical psychologists ( Isaac, 2009 ; Prabhu and Shankar, 2004 ) . It is impossible to enforce an ethical codification of behavior unless the enrollment, licensing, legal position and accreditation of preparation plans are unified. Apparently, RCI is supposed to be the authorization for clinical psychologists fo r official pattern ( P. Padakannaya, personal communicating, October 19 & A ; 21, 2010 ) . However, the voluntary nature of engagement with the RCI acts as a hindrance to practicians who can pattern even without this association. The deductions of unmonitored pattern can be terrible, doing irreversible injury to clients.Section 3: Ethical motives in India: FutureThis subdivision delineates the considerations required at assorted degrees to assistance in the development of a incorporate moralss codification in India.Degree I: Structure:The hereafter of a incorporate ethical codification for India Clinical Psychologists rests on two factors. First, there is a demand for a primary organic structure for clinical psychological science that oversees professional enrollment, licensing and preparation. Isaac ( 2009 ) considers it to be incumbent on the IACP to keep professional criterions. This may be appropriate since this is a specific organisation for the promotion of clinical psychologi cal science. The IACP can promote inter organisational communicating and muster resources for national acknowledgment. This is a gigantic undertaking sing the bureaucratic set up of India. Second, most Indian universities tend to hold their ain moralss commissions ( P. Padakannaya, personal communicating, October 19 & A ; 21, 2010 ) . An attempt towards inter university consistence in bring forthing general guidelines can be started at the same time. Professionals in the field, and university moralss commissions can be encouraged to direct in ethical quandary encountered to the centralized organic structure ( IACP ) , as was done in the creative activity and alteration of the APA moralss codification ( Fisher, 2003 ) . This is to a great extent dependent on the co-operation among universities and professionals ; yet another dimension of being a ego regulating profession.Level II: Foundational Milieu:Moral and spiritual beliefs along with assistance from the legal system and human ri ghts Torahs have been used as ethical determination devising theoretical accounts in India ( Sharma, 2003 ) . The Supreme Court has intervened to reform the distressing conditions of institutionalised patients, and the human rights Torahs have brought in international monitoring ( Sharma, 2003 ) . Persons routinely fall back on the Hindu construct of â€Å" karma † or transmigration of psyche whereby an person ‘s destiny is dependent on good workss in past and present lives, and mental wellness is seen as an result of bad workss ( Sethi, Gupta and Lal, 1977 ) . Indiscriminate acceptance of a western moralss codification is inappropriate due to cardinal differences in constructs of enduring. Suffering as cardinal and cosmopolitan in the E is in resistance to the individualisation of mental unwellness in the West ( Neki, 1975 ) . Further, struggles between ego subject ( east ) and self look ( west ) means appropriate accommodations in western psychotherapeuticss that rely on consciousness and look ( Neki, 1975 ) .Level III: Basis:Three resources are used to develop a incorporate and working theoretical account of an moralss codification for Indian clinical psychologists: Existing ethical criterions in India ( IPS, IACP and RCI ) . The four guidelines set Forth in the Universal Declaration of Ethical Principles ( UDEPP ) ( 2010 ) . ( Respect for the self-respect of individuals and peoples ; Competent attention ; Integrity and Professional and Scientific Responsibilities to Society ) . The UDEPP is used as it was drafted in audience with assorted states ( including India ) and reflects cosmopolitan values in ethical pattern. Furthermore, the UDEPP was drafted to help in the development and alteration of moralss codifications all over the universe ( Gauthier, Pettifor and Ferrero, 2010 ) and is easy accessible. The APA Ethics Code ( 2002 ) . APA guidelines have informally influenced Indian ethical criterions ( Agarwal, 2010: Isaac, 2009 ) turn outing its utility.Section 4: Prototype of Ethical Standards of Practice in IndiaDue to the extended diverseness ( rural/urban, socioeconomic position, faith, caste etc ) , the appropriate place for India to follow is universalism whereby there are certain implicit in similarities in persons, but differences in manifestation ( Leach and Harbin, 1997 ) . Universalism besides represents the nucleus foundation of the UDEPP ( 2010 ) whereby similarities across civilizations have been translated into ethical guidelines. Hence, the format of the APA moralss codification ( 2002 ) which lists the wide general rules followed by more specific behavioural guidelines is worthy of emulation in India. Professionals can try to closely follow the aspirational values as a map of this diverseness. The four rules of the UDEPP ( 2010 ) are used as the steering foundation al values. The relevant rules of the IPS, IACP and RCI and embedded within these wide values. This paradigm represents the bare basic to turn to uniformity and consistence in ethical pattern.Respect for People ‘s Rights and DignityThis is the most cardinal and cosmopolitan criterion found across cultural and professional boundaries ( Gauthier, Pettifor and Ferrero, 2010 ) justifying inclusion. This standard promotes encompassing diverseness ( i.e. riddance of favoritism based on an person ‘s age, gender, faith, ethnicity, abilities etc ) and esteeming the worth of an person ( Gauthier, Pettifor and Ferrero, 2010 ) . Specifically, this standard addresses privateness, confidentiality and informed consent. Privacy and confidentiality. Agarwal ( 2010 ) emphasizes the intimate nature of client information, and informing the client of complete confidentiality except in certain state of affairss. Family plays an of import function in intervention and hence attention should be taken to obtain informed consent before discoursing information with the client ‘s household or the client can be encouraged to confide in the household ( Agarwal, 2010 ) . This is a developing construct as the person is treated as a portion of a unit instead than being completely independent. Widespread technological restrictions in the mostly agricultural society create complications with electronic medium and confidentiality. Breaching confidentiality in the instance of exigencies and tribunal orders with accent on documenting principle for action are borrowed from the APA moralss codification ( 2002 ) ( Agarwal, 2010 ) . Informed consent. This country is better formulated when compared to all other ethical criterions. Agarwal and Gupta ( 1999 ) raise the issue of â€Å" medical paternalism † where audience is considered as consent to intervention and the professional is expected to do determinations for the client. Blanket consent is rampant ( Agarwal, 2010 ) as most clients are sick informed about the nature of mental unwellness. The informed consent procedure so becomes built-in to chase awaying myths instead than as a defensive to legal liability in the US ( Agarwal, 2010 ) . Though there are standard written informed consent processs that bring in consistence in pattern, there is no information on the utility of these paperss. Emphasis on leaving comprehensive information to the client and relations so they can do an â€Å" sceptered determination † is desirable ( Koocher and Keith-Spiegal, 2008 ) . The burden of finding the client ‘s competency to take portion in informed consent ever rests with the clinician ( Agarwal and Gupta, 1999 ) . The Mental Health Act of India ( 1987 ) permits the consent of relations for intervention and nonvoluntary hospitalization if the client is found incompetent ( Agarwal and Gupta, 1999 ) . The Mental Health Act of ( 1987 ) lists the standards of nonvoluntary hospitalization as danger to self or others, benefit from hospitalization and incompetency of the patient ( Agarwal, 2010 ) . This is a clear case of the influence of jurisprudence in the mental wellness sphere ; the deductions being an addition in judicial engagement to the hurt of a ego regulating profession.2. Competent attentionThe act of bettering hurt is dependent on the professional ‘s capablenesss and therefore this standard warrants inclusion. The professional is expected to be good informed, monitor boundaries of competency and seek updated information from clip to cli p ( Fisher, 2003 ) . Competence includes attending to beneficence and non maleficence in behavior of human dealingss ( APA moralss codification, 2002 ) and personal competency. Harmonizing to beneficence and non maleficence, the professional is expected to move in the best involvement of the client by making no injury or minimising injury ( Fisher, 2003 ) . Harmonizing to Agarwal and Gupta ( 1999 ) , a head-shrinker has the duty to make no injury to the patient emotionally, physically and sexually. Sexual activity with a client, client ‘s important others and former clients is unethical ( Agarwal, 2010 ) . Agarwal ( 2010 ) further suggests avoiding a non curative relationship with the client wholly. The Indian criterions are conservative when compared to the APA ethical criterions of a two twelvemonth moratorium period before originating sexual contact. Future Indian ethical pattern demands to turn to countries of concern with clients and multiple function relationships in smaller communities as extensively addressed by the APA moralss codification ( 2002 ) . Indian professionals will frequently meet restrictions in competency due to a deficiency of r elevant diverseness preparation. Compulsory rural and urban practicum preparation may assist fix the professional. Veereshwar ( 2002 ) mentions the historical and culture-specific â€Å" guru-shishya † paradigm in therapy that equates a clinical psychologist to a friend, philosopher and usher, whereby the â€Å" guru † gives penetration to the â€Å" shishya † . There is some disagreement between the paradigm of â€Å" guru shishya † and allowing liberty to the client, which is complicated by medical paternalism. Indian professionals have to do a conjunct attempt to bifurcate information from direct suggestions. Personal competency or self care whereby professionals are to place state of affairss in which their personal issues interfere with their work ( Fisher, 2003 ) may be limited due to the famine of mental wellness professionals. IACP recommends referrals as appropriate ( Isaac, 2009 ) .3. IntegrityHarmonizing to UDEPP ( 2010 ) , professionals participate in unfastened and honest communicating to keep public assurance and judiciousness in keep backing information to protect safety and confidentiality ( Gauthier, Pettifor and Ferrero, 2010 ) . The Indian moralss codifications have specifically focused on psychiatric diagnosings as a possible are of concern. Agarwal and Gupta ( 1999 ) strongly promote the usage of psychiatric diagnosing merely for clinical appraisal and intervention. This is in visible radiation of the abuse of diagnosing to hold undue power over the client ( Agarwal, 2010 ; Agarwal and Gupta, 1999 ) . This dimension is non listed in the APA moralss codification ( 2002 ) and UDEPP ( 2010 ) perchance due to the overdone stigma and ill informed multitudes in India. Agarwal ( 2010 ) high spots alone state of affairss whereby important others ‘ of patients have inquiries about client ‘s matrimony, the consequence of mental unwellness on work, household, and the communicability of the unwellness. He cautions against publishing certifications of saneness requested by household to assistance in work and matrimony procedures. Isaac ( 2009 ) recommends cautiousness and equal coaction in these issues. False promises or keep backing information to minimise the agony of the patient frequently dud ( Agarwal, 2010 ) . Integrity besides involves turning away of unwise or ill-defined committednesss ( Fisher, 2003 ) .4. Professional and Scientific Responsibilities to SocietyHarmonizing to UDEPP ( 2010 ) , this criterion provides the larger context for the pattern of clinical psychological science wherein a duty towards the society is ingrained ( Gauthier , Pettifor and Ferrero, 2010 ) . This duty can be reflected in parts to research, continuing highest ethical pattern, and developing ethical consciousness ( Gauthier, Pettifor and Ferrero, 2010 ) , which makes for an accountable professional. The People with Disabilities Act ( 1995 ) efforts to supply equal instruction, employment and lodging chances for the mentally sick therefore incorporating mental wellness consumers into mainstream society. Meanwhile, sensitisation to ethical issues at educational institutes will lend to self monitoring persons. Isaac ( 2009 ) identifies the deficiency of answerability as the primary issue in India. This in bend is dependent on the being of an enforceable ethical codification for clinical psychologists which is obstructed by the deficiency of a incorporate government organic structure.DecisionThe suggested paradigm is limited by deficiency of specificity. However puting up a simplified, incorporate and enforceable papers is the first precedence . This is in bend dependant on the puting up of a centralised professional organisation. Meanwhile the suggested paradigm is developed to bring forth involvement and highlight the importance of ethical pattern as portion of quality attention. In the absence of clear, enforceable and applicable ethical rules, Agarwal ( 2010 ) suggests staying by the aureate regulation of â€Å" Do unto others † . Isaac ( 2009 ) recommends consciousness of one ‘s philosophical place to counter twenty-four hours to twenty-four hours ethical quandary irrespective of the ethical guidelines.

Stability and Support Operations in Vietnam - 2370 Words

Introduction Stability and Support Operations (SASO) covers a wide variety of missions performed by the United States military. According to DoD Instruction 3000.05, â€Å"Stability operations are a core U.S. military mission that the Department of Defense shall be prepared to conduct with proficiency equivalent to combat operations†.1 The military has evolved from an â€Å"either-or† point-of-view, to an all inclusive method of conducting operations.2 Prior to the Vietnam War, â€Å"There was no organization in the United States government trained and equipped to perform this mission, and little incentive for existing institutions to adapt to meet the need for such an organization even if that need had been widely recognized.†3 This evolution has†¦show more content†¦Information Agency.22 Komer knew the importance of coordinating the U.S. efforts for pacification in Vietnam.23 Bringing together all of these personnel, from all these agencies, was a sign ificant advantage for the success of CORDS and Komer. Deployment CORDS had â€Å"unified civil-military advisory teams in all 250 districts and forty-four provinces.†24 The newly implemented program had the full support of the U.S. ambassador to Vietnam and the Government of Vietnam (GVN).25 Initially, CORDS had 4,000 military and 800 civilian personnel.26 Most of the CORDS personnel â€Å"†¦were advisors to GVN organizations and had counterparts in positions of authority within the organizations they advised.†27 This enabled communication between the U.S. and Vietnamese sides of the program to be more efficient than in the past. The advisors offered advice, monitored performance, and provided funding and supplies.28 Komer had organized CORDS in a way that enabled the program to run with military efficiency, with military support, but had the civilian leeway to accomplish the mission. He had the ability to draw supplies, troops, and transportation assets from MACV.29 This allowed him to get CORDS integrated throughout theShow MoreRelatedWhy Has America Stopped Winning Wars Essay782 Words   |  4 Pagescourt of public opinion. Additionally, Tierney fails to differentiate between the tactical, operational and strategic level of war. It is presumed that he is focused on the strategic level of war. If so, then strategic objectives defined for Korea, Vietnam, Iraq and Afghanistan serve as a necessary metric for this debate. Tierney does not seem to realize that conflict termination often fails to delineate victor from vanquished. Second, Tierney fails to realize that â€Å"great powers haven’t engaged inRead MoreThe Communist Party Of Vietnam Essay983 Words   |  4 PagesType of Government The Socialist Republic of Vietnam is a one-party communist state in Southeast Asia. The Communist Party of Vietnam (CPV) arguably the most important political entity in the country comprises of Party Congress, Central Committee and Politburo. The political hierarchy starts with the Party Congress that has 1,510 members from all over Vietnam that in turn elects the 175 full and 25 alternate members of the Central Committee. In turn, the Central Committee vets and chooses membersRead MoreWhy Did the United States Lose in Vietnam? Essay1344 Words   |  6 PagesThe United States intervention in Vietnam is seen by the world as America’s greatest loss and longest war. Before the start of the war in Vietnam, the thought of the United States losing this war was unheard of because America was technologically superior, no country in south East Asia could contend with them. Lyndon B. Johnson announced that he would not be the president to allow South East Asia to go Communist . Why the United States lost the war has been a huge debate since the end of the warRead MoreVietnam s Economic Growth On The Economy1320 Words   |  6 Pagesconstruction field in Viet Nam and the situation of Coteccons company – leading const ruction company. 1.1 Overview of Viet Nam economy and construction field: Vietnam has changed from one of the poorest countries in the world to a lower middle-income country over three decades. Moreover, Vietnam has been becoming a â€Å"new dragon† of ASIAN area. Vietnam s economy may grow between 7 percent and 8 percent annually from 2011 to 2015, according to a report on the government s website that cited draft measuresRead MoreThe Reason USA got Involved in Vietnam1430 Words   |  6 PagesThe Reason USA got Involved in Vietnam At the beginning of World War 2 Vietnam, a small country to the south of China, was under the control of the French. However, The Chinese had control before the war. The Chinese rule had influenced the Vietnamese who based their everyday lives on the Chinese ways of life. E.g. Language, as the French took power Vietnam had to take a dramatic change in the way that they lived. They had to become Catholic, like the French, which wasRead MoreWhy Vietnam Invaded Cambodi Political Culture And The Causes Of War By Stephen J. Morris1286 Words   |  6 Pagescommence, I decided to read historical novels associating with the Cambodian-Vietnamese Conflict. The Martin Luther King Jr. Library was the only library I could think that held historical chronicles. Primarily, I wanted to find a book called Why Vietnam Invaded Cambodia: Political Culture and the Causes of War by Stephen J. Morris. By quickly finding and examining the book on the Internet, this novel book was perfect for my topic; the title of the book was even a large giveaway for my topic. HoweverRead MoreInfluence of the Media in the Anti-War Movement of the 60s and 70s1600 Words   |  7 PagesDuring his testimony to the Senate Committee of Foreign Relations, John Kerry mentioned that in his opinion, â€Å"there is nothing in South Vietnam which could have happened that realistically threatens the United States of America.† I n that same testimony, Kerry discussed that most people â€Å"did not even know the difference between communism and democracy. They only wanted to work in rice paddies without helicopters strafing them and bombs with napalm burning their villages and tearing their country apartRead More Soldier Suicide as Political Statement Essay1218 Words   |  5 Pagescarrying out the duties expected of them during war. During the Vietnam war, in an order to stop the war machine from the ground up, activists attempted to shift the moral conscience of the nation towards peace by stripping away the myths of the glory of war to reveal its abject brutality. They held individual soldiers, even draftees, accountable for violent acts done in the course of war. Soldiers returning from Vietnam did not receive a heros welcome. Without the heroic warrior mythsRead More Carl Von Clausewitz2222 Words   |  9 Pagesevil†¦Ã¢â‚¬  (Clausewitz, 80) There are many examples that support his theory that defeated belligerents will wait for another opportunity to achieve their objectives. There are also examples of belligerents who, under certain conditions and through deliberate actions, made their victory more permanent. Those belligerents who made their wartime victory more permanent did so with effective civil-military (civ-mil) relationships and with the popular support of the people. Under these c onditions, they successfullyRead MoreThe Vietnam War: A Brief Analysis1396 Words   |  6 PagesCold War is over, there are many reasons why the history of the Vietnam War should remain fresh and the effort to grasp both the war and the antiwar opposition remain essential. The Vietnam War is, of course, an episode in military history. The episode’s setting is during the Cold War in Vietnam and the central theme of the episode was to pit capitalism and or democracy against communism. In light of this, the movement against the Vietnam War could be said as one of the greatest triumphs in democracy