Childhood Is The Social Construction Of Children - 1606 Words

Childhood is the social construction of children, where they develop and understand different relationships and cultures in their society. Children grow up during their childhood, when they realise their â€Å"sense of meaning in their lives† (Layard and Dunn 2009, p.9), by socializing and personal development. Childhood starts with a family, which is the beginning of life. Family is where children first learn about the world. In children’s perspective, as long as family members love each other, it is a happy family. Family is simply where children experience love and care of their parents, through their emotional and physical needs. Family has an influence of children’s childhood when babies are born. The childhood development of infants can†¦show more content†¦Most of the infants belong to the Secure Attachment, when their caregivers return, they become positive and cheerful again. For the Avoidant Attachments, the return of caregivers is ignored by the infants - it is due to the conflicting care, which means that the children’s desires are rejected by the caregivers or parents. In the Resistant Attachment situation, the infants feel contradicted on the return of their caregivers as they want to ask for proximity but they will be rejecting the caregivers for interaction, as they feel unsecure and ambivalent. (McLeod 2008, 2014) Both the Avoidant and Resistant Attachment can be explained by the failure to develop secure feelings with the caregiver and the inconsistent response from their caregivers - it could affect the children’s childhood, as this will make them feel lost since their wills are disagreed and ignored constantly. There is possibility that they will start to lose their self confidence as well. Due to the fact that no one takes notice of their needs, they might become autism and will be refusing to trust others or to build relationships, in order to protect themselves. The Strange Situation Test shows evidence that infants or children can become accustomed to unfamiliar situations if they feel secure in their relationship with the caregivers or parents. The feeling of being safe and protected relies on the link between the infants and the caregivers in theShow MoreRelatedAssess the Sociological Explanation That Childhood Is a Social Construction.1499 Words   |  6 Pagesexplanation tha t childhood is a social construction. Childhood is the time of a person’s life when they are a child. Childhood is said to be socially constructed, meaning that it has not been influenced by nature but has been shaped by the quality of family life and the culture within society. The social construction of childhood points out that childhood is dependent on a number of social factors rather than a biological stage. Sociologists argue about what the term ‘childhood’ actually means. TheyRead MoreSocial Construction of Childhood Essay1286 Words   |  6 Pages1. Introduction Social constructionism gives meaning to phenomenon in social context and connections between culture and society build up realities in their circumstances. The studies of this idea have been conducted more than thirty years by a number of North American, British and continental writers (Burr, 1995). However, in childhood studies this notion appears later on. It is mostly held universally, childhood is a stage that biologically existing in human life in early years. It should be consideredRead MoreCo Constructive Environments Create Learning Opportunities For Children927 Words   |  4 Pages Co-constructive environments create learning opportunities for children. The learning strategy of co-construction is an extension of the philosophy of constructivism that maintains interpretation is required to â€Å"make meaning† of the world (Schwandt, as cited in MacNaughton Williams, 2009). The early childhood setting often bases their program on the developmental play curriculum as this relates to Piaget’s theory of children’s cognition. This approach is about the child constructing their ownRead MoreSocial Construction Of Childhood Essay770 Words   |  4 Pagesmeaning of social construction of childhood. I am very familiar with the history of psychology and children’s literature. My grandmother used to live with us when I was a young, and she told me many stories of the past. For this reason, I am able to link the materials I study to the real world. The social construction of childhood is somehow new to me. Especially the way Postman (1999) expre sses social construction of childhood. For example, he stated, â€Å"In the twentieth century, childhood began toRead MoreTo What Extent Can Childhood Be Considered a Social Construction?1489 Words   |  6 Pageswhat extent can childhood be considered a social construction? This essay will analyse the major experiences by which childhood is constructed: one determined by the society and the other examined personally. Following this approach will be explained socially constructed childhood that asserts children’s attitudes, expectations and understandings that are defined by a certain society or culture. Furthermore various aspects of childhoods will be taken into account in relation to social, economic, historicalRead MoreHow Childhood Has Changed over the Centuries1220 Words   |  5 Pagesideas about childhood over the centuries, there are several points of discussion that arise. Many ideas surrounding the change and evolved over the centuries, ideas such as the views towards education and the impact of the industrial revolution on westerns societies views towards childhood, due to the limited space, this essay will focus on two underlying issues which have contributed greatly to the changing ideas about childhood over the centuries, which are ; the recognition of childhood and innocenceRead MoreExamine How Social, Historical and Spatial Constructions of Childhood and or Youth Inform the Design, Practices and Values of a Selected Institution of Childhood or Young People.733 Words   |  3 PagesExamine how social, historical and spatial constructions of childhood and or youth inform the design, practices and values of a selected institution of childhood or young people. Childhood is not a biological state, unlike infancy (Postman) it is a construction placed upon a group of humans by society (James and Prout). Differing societies have different views of what a child is and should be. The ideas surrounding children and childhood not only differ within different societies there are alsoRead MoreChildren Are Wearing Christmas Hats And Doing Cooking797 Words   |  4 PagesIn the image, three children are wearing Christmas hats and doing cooking (Bykhunenko, 2013). It seems that they are represented as competent and active learners and their childhood seems colourful as they are given opportunity to experience different activities such as cooking. The potential purpose of the representation is that children are competent and active learners and they enjoy activities include cooking. The conception of the child as competent and active learners is a generally believedRead MoreEssay on Social Construction of Child and Childhood1406 Words   |  6 Page sSocial construction of child and childhood To start with an overview of social constructionism in very general terms leads to build understandings of child and childhood in a social world more explicitly. Notion of social construction is defined in diverse disciplines and instead of generating a description there are a number of thoughts. â€Å"It is sometimes called a movement, at other times a position, a theory, a theoretical orientation, an approach; psychologists remain unsure of its status (StamRead MoreThe Un Convention On The Rights Of Children789 Words   |  4 Pagesthe Rights of children defines a child as â€Å"everyone under the age of 18 years, unless under the law applicable to the child majority is attained. The UK has a number of laws protecting children and guaranteeing them basic rights The changing ideas about children have led many scientists to claim that childhood is a social construction. The scientists use this term to mean that â€Å"understandings of childhood are not the same everywhere and that while all societies acknowledge that children are different

French Pluperfect or Past Subjunctive Tense

The French pluperfect subjunctive is the least common literary tense - its the literary equivalent of the past subjunctive.Like all literary tenses, the pluperfect subjunctive is used only in literature, historical writings, and other very formal writing, so it is important to be able to recognize it but chances are that you will never in your life need to conjugate it.The pluperfect subjunctive has an identical twin, the second form of the conditional perfect, which is used in literary si clauses. The French pluperfect subjunctive is a  compound conjugation, which means it has two parts: imperfect subjunctive  of the  auxiliary verb  (either  avoir  or  Ãƒ ªtre)past participle  of the main verb Note:  Like all French compound conjugations, the pluperfect subjunctive may be subject to  grammatical  agreement: When the auxiliary verb is  Ãƒ ªtre, the past participle must agree with the subjectWhen the auxiliary verb is  avoir, the past participle may have to agree with its direct object French Pluperfect Subjunctive Conjugations   AIMER  (auxiliary verb is  avoir) j eusse aim nous eussions aim tu eusses aim vous eussiez aim il,elle et aim ils,elles eussent aim DEVENIR  (à ªtre verb) je fusse devenu(e) nous fussions devenu(e)s tu fusses devenu(e) vous fussiez devenu(e)(s) il ft devenu ils fussent devenus elle ft devenue elles fussent devenues SE LAVER  (pronominal verb) je me fusse lav(e) nous nous fussions lav(e)s tu te fusses lav(e) vous vous fussiez lav(e)(s) il se ft lav ils se fussent lavs elle se ft lave elles se fussent laves

Islam, The Ottoman And Safavid Empire - 1528 Words

Islam, the Ottoman and Safavid Empire Every empire that has ever been created constantly evolves. They will grow or they will diminish. Many empires cease to exist and some even start over under a different name. Throughout history, faith and religion have been at the core of almost every successful empire. There are a lot of factors that play into their faith. Two of the greatest empires to ever exist were the Ottoman and Safavid Empire. The Ottoman Empire was so large that it spanned from the Iranian frontier in the east to Algeria. One of the central values that contributed to both empire’s success was religion: Islam specifically. Religion was key to their successes because it not only united people of all different religious backgrounds, but it also played a central role in the millet system, which was implemented by Suleyman the magnificent. Islam is a monotheistic faith founded by the prophet Mohammad. His followers, called Muslims, spread the religion throughout the Middle East, Asia and parts of Europe and Africa. The religion was founded in the Arabian Peninsula, a desert with little fertile soil and farming. Most of the Arabs lived in desert tribes, which were centered around family and ruled by clans. Mohammad was born in Mecca, now a holy city to billions of Muslims, and was orphaned at a young age and raised by his grandparents. Mohammad grew up to be a successful and honest merchant. In 610, the angel Gabriel told Mohammad that he was a prophet sent to earthShow MoreRelatedDifferences Between The And The Islamic World1446 Words   |  6 Pagesworld. Though the tribes separated, all three of the greatest empires to grace the Islamic world began with Turkic roots. Over the years they developed into distinct cultures of their own, with unique religious interpretations and ideas of leadership. Each founding emperor had a different claim to leadership. The Ottomans of Anatolia relied on their military success, especially the unlikely victory against the Byzantines. The Safavids of Iran relied on religion to legitimate their rule. SpecificallyRead MoreIslam And Its Influence Throughout Prominent Kingdoms1274 Words   |  6 PagesMarsh 13 November 2015 World History, pd. 7 Islam and Its Influence Throughout Prominent Kingdoms Ottoman Empire The Ottoman Empire, one of the most valiant world powers of its time, received heavy influence from the spread of Islam through Europe and Asia Minor. Culture, military, and politics also held a stranglehold on the Ottoman Empire. Emerging as one of the many Turkish states in Asia Minor from the decline of the Seljuk Turk Empire, the Ottoman Turks began to engulf surrounding states, gainingRead MoreEssay on The Ottoman, Safavid, and Mughal Empires869 Words   |  4 PagesThe Ottoman, Safavid, and Mughal societies all relied on bureaucracies that drew inspiration from the steppe traditions of Turkish and Mogol people and from the heritage of Islam, they adopted similar policies, they looked for ways to keep peace in their societies which were made up of different religious and ethnic backgrounds, and they were associated with literary and artistic talents. Military and religious factors gave rise to all three of these empires. The Ottoman Empire: The OttomanRead MoreThe Transformation of Islam and Judaism and the Introduction of Mysticism in the Early Modern World1272 Words   |  5 PagesIslam and Judaism were comparable religions both before and after the early modern era. Jews and Muslims believed in the same God and recognized each other’s prophets. Both even denied the resurrection of Jesus, which was a strong bonding factor in a time of impending Christian dominance. During the early modern period, it was not uncommon for Jews and Muslims to interact with one another. Jews even lived in Muslim lands to flee from Christian prosecution and forced conversion. Jews and Muslims,Read MoreCompare and Contrast the Ottoman, Safavid, Munguhl Empires Essays1007 Words   |  5 PagesThe Ottoman, Safavid, and Mughals were all gunpowder empires. The purpose of this essay is to compare and contrast the differences between all of these empires mentioned. Each fall into five different categories. Socially, the Ottoman Turks were each millet, or a nation, inside the empire and had separate social customs in accordance with the religion of the millet. Muslim women had harsh restrictions as with Islamic law, but the non-Muslim women were subject to separate laws. Even Muslim womenRead MoreIslam Project, Shah, The Empire Of The Safavid Empire1427 Words   |  6 PagesAlix Barry CC Period 6 Islam Project, Shah Ismail of the Safavid Empire Ismail I lived during a turbulent time in Iran’s history. It was a period of â€Å"political fragmentation and decentralization† [Richard C. Martin]. He was the founder of the Safavid Empire. In 1501, he named himself the Shah, king, of the empire and proclaimed Twelver religion the official religion of state. It took him almost over a decade to consolidate his control over all of Iran, where most of the Persian population stillRead More King Lear Essay1056 Words   |  5 Pages The Islamic Empires nbsp;nbsp;nbsp;nbsp;nbsp;In early modern history, there were three major Islamic empires that became prominent. The Ottoman Empire, the Safavid Empire, and the Mughals. We will descuss the Development of these empires by listing their similarities and differences, and their political, social and cultural backgrounds. Next, we will get into the three empires reign of power and also give a discription of some of the great leaders of these empires and their legacy. nbsp;nbsp;nbsp;nbsp;nbsp;AllRead MoreChapter 12 World History Study Guide1158 Words   |  5 Pagesfaith Daily prayer Yearly donation Fasting Pilgrimage The origins of Islam: how it started and who started it Muhammad goes and prays in a cave. Angel from God comes and tells him Recite! Recite! Muhammad becomes a prophet and spreads his teachings through Islam. The spread of Islam: how it was spread, conquering nations, tolerance, religious conversion. Goes from Mecca to Medina, northern Mecca. Other Arab tribes accept Islam. Defeated Persian, Byzantine, Central Asia, Northern India, and SpainRead MoreThe Ottoman Empire Essay1146 Words   |  5 PagesThe Ottoman Empire Around 1293 the chieftain of a nomadic Turkish tribe named Osman, founded an empire that would endure almost six hundred years. As this empire grew by conquering lands of the Byzantine Empire and beyond, it came to include, at its height, all of Asia Minor, Albania, Greece, Bulgaria, Yugoslavia, Romania, Egypt, Crete, Cyprus, Palestine, and North Africa through Algeria; parts of Hungry, Austria, Russia, Iraq, Saudi Arabia, Oman, U.A.E., and Syria. The elite tactics and fearsomeRead MoreIslamic Empires970 Words   |  4 PagesThere were three major Islamic Empires called the Ottoman, Safavid and Mughul. These Empires were alike in many ways, being Muslim. The Ottomans and Mughul’s viewed Iranians as cultural superiors. The Ottoman were inter-communal meaning they desired to have harmony between religious groups. This great empire is known as having one of the longest reigns, not breaking for 36 generations, was ruled by Suleyman the Magnificent. He was a fierce leader known for his brutality but effective ways. The

Mary Shelley s Frankenstein As A Gothic Novel - 1042 Words

Mary shelley uses Spooky castles, mystery, and suspense: these are all elements of a Gothic novel. Mary Shelley’s Frankenstein was written in the early 19th century, the novel certainly contains many components of a Gothic novel. Shelley uses various literary devices to support the element of a supernatural event, dreams, emotions, and metonymy of gloom, which classify Frankenstein as a Gothic novel. Immediately after Frankenstein’s supernatural creation, Victor’s horrifying dream foreshadows Elizabeth’s death to come in Chapter Twenty-Three. The ominous dream, a common component of Gothic novels, serves as a presage of the monster’s savage homicide of Victor’s true love. Victor dreams that he â€Å"saw Elizabeth, in the bloom of health, walking†¦ I embraced her, but as I imprinted the first kiss on her lips, they begin livid with the hue of death† (35). This portentous dream that eventually becomes reality is a consequence of V ictor’s desertion and society’s rejection of his creation. Gothic literature can be defined as a literature that uses, as its main driving force, a combination of the supernatural, the grotesque, and the absurd in order to convey its point to the reader. Furthermore, the elements of the gothic work are not some random congregation of obscenities and meaningless calamity. The elements are cleverly calculated, and calamity never occurs simply for the sake of calamity.Gothic literatures have that certain something thatShow MoreRelatedMary Shelleys Frankenstein: A Gothic Novel1595 Words   |  7 Pages Mary Shelly’s Frankenstein is one of the greatest Gothic novels to come out during the Romantic Period. Frankenstein is a prime example of what a Gothic novel should present to its reader through the genre’s twisted themes. Even though it was written in the Romantic period, Mary Shelley still wrote Frankenstein to be a Gothic work of literature. Many characteristics of Gothic novel can be seen within this novel. Mary Shelleyâ€⠄¢s outstanding novel Frankenstein is a prime example of a Gothic novelRead MoreMary Shelley and Flannery OConnor: Gothic Isolationists1724 Words   |  7 Pages Gothic fiction is a genre of literature that combines fiction, horror and Romanticism with a particular focus on the mysterious and supernatural aspects. Gothic fiction originated in England during the latter half of the 18th century. This distinctive genre of literature soon developed into a 19th century phenomenon. The success of this dominant genre in England is frequently attributed to Mary Shelley. Despite its success during this time period, gothic fiction ceased to be a dominant genre byRead MoreSublime In Frankenstein Essay1497 Words   |  6 PagesMost Gothic novels aim to show the sinister side of human nature. They depict the dark terrors which lie beneath the reader s mentality. The term Gothic suggests a genre which deals with frightening and mysterious settings by giving connotations of ghostly castles and s upernatural events. The Sublime experience as stated by the critic Longinus is, à ¢Ã¢â€š ¬Ã‚ ¦a matter of treatment. The particular form of the sublime experience that requires prepossessing objects is not only the form; it is simply theRead MoreGothic Literature : A Dark Atmosphere967 Words   |  4 PagesMrs. Schroder English IV Honors 8 December 2016 Gothic Literature Gothic literature has been popular since the 19th century and has given readers the opportunity to look at romantic movement that focuses on a darker horror like imagination. Some of these involve a combination of extreme landscapes, icy wastes, and extreme weather, horrifying events or the threat of such happenings, as well as supernatural manifestations, and presenting evil. Gothic literature gives us a way of looking more depthRead MoreWhat Makes Frankenstein A Gothic Novel?877 Words   |  4 PagesDecember 4, 2016 What makes Frankenstein a gothic novel? Mary Shelley creates a sense of gloom, mystery, and suspense, in her novel Frankenstein. The book generates these perceptions though the setting and the terrible events that go on throughout the book. Gothic novels came from the English genre of fiction popular in the 18th and 19th centuries. Gothics are defined by the mysterious and horrific atmosphere, similar to that of Mary Shelley’s writing. Frankenstein is a gothic novel because of the combinedRead MoreFemale Gothic The Monsters Mother Essay1534 Words   |  7 PagesFemale Gothic: The Monster’s Mother In Ellen Moers’ critical essay Female Gothic: The Monster’s Mother (1974) on Mary Shelley’s novel Frankenstein, she argues that Mary Shelley’s story is greatly influenced by her experience of motherhood. This essay uses the historical approach, biographical, and formalist approach at point. Moers references the cultural context of the novel, Mary Shelley’s experience as a woman and mother and how that influenced her writing, and focuses on the genre of the novelRead MoreFrankenstein As A Gothic Classic Written By Mary Shelley Essay1417 Words   |  6 PagesToday, we all see Frankenstein as a gothic classic written by Mary Shelley. Though that was not the case during the early 1800s. When Frankenstein, a novel that tells the story of a young man that creates a monster by assembling body parts, was anonymously published, many believed that the author of the novel was Percy Bysshe Shelley rather than his wife Mary Shelley. Mary Shelley, previously Ma ry Wollstonecraft Godwin, was the only daughter of William Godwin and Mary Wollstonecraft, two noted writersRead More Significance of Chapter 5 in Mary Shelley’s Frankenstein Essay1212 Words   |  5 PagesComment on Chapter 5’s significance in Mary Shelley’s Frankenstein. Famous writer, Mary Shelley was born in London in 1797. She was the daughter of writer William Godwin and Mary Wollstonecraft. Shelley’s mother sadly died while giving birth to her. This was an influence included in the later successful novel ‘Frankenstein’. At 19, she married poet Percy Shelley, who she married in 1816. Together, Mary and Percy had five children, but only one survived past childhood. This tragedy, alongRead MoreMary Shelley s Novel And Exotic Beautiful Places Essay2160 Words   |  9 Pages Frankenstein was a novel written by author Mary Shelley in 1818. The novel tells the story of a scientist named Victor Frankenstein who creates a grotesque creature. The novel is a mix of Gothic and romantic literature. Shelley sets her novel and exotic beautiful places, which is an example of romanticism. She also uses gothicism by focusing on the death and gruesome macabre. Throughout the novel Shelley uses both romantic and Gothic elements in the setting ,characterization ,subject matter ,andRead MoreAlexandra Giambruno. Mrs.Schroder. English Iv Honors. 231030 Words   |  5 Pages2016 Frankenstein Frankenstein is considered a gothic novel that has different elements that combine to create what the story is. The story of Frankenstein has mysterious aspects that help the main character Victor create the monster. In a gothic novel, there are a ton of abstract thoughts that can be in play pertaining to the type of story that the author creates. Power and Constraint is one point that plays a lot in the novel itself, it all started with the main creator. Victor Frankenstein had

Health Needs Assessment Process Health And Social Care Essay Free Essays

string(116) " accent on the joint attempts of persons, the province of their ain wellness and besides their households ‘ \." Public wellness is concerned with the local population ‘s wellness and takes into consideration the economic, societal and environmental factors of both communities and persons. Health visitants clearly have a major portion to play in the function of public wellness, which has become a high precedence over the last decennary ( Cowley, 2008 ) . There has clearly been a move off from a medical theoretical account towards a societal theoretical account of attention which requires wellness visitants to hold specialised accomplishments and cognition in order to measure a household holistically. We will write a custom essay sample on Health Needs Assessment Process Health And Social Care Essay or any similar topic only for you Order Now Through a wellness needs appraisal, the wellness visitant can place the demands of a population and so concentrate on an intercession that would profit the population ‘s unmet demands ( Peterson and Alexander 2001 ) . The purpose of this assignment will be to place, utilizing the wellness needs assessment procedure, an issue that needs readdressing. The identified wellness demand will be analysed and so a service or intercession will be created in order to cut down wellness inequalities and better wellness ( Health Development Agency 2004 ) . The National Institute for Clinical Excellence ( Cavanagh A ; Chadwick, 2005 ) provides an in deepness model to follow which will assist to turn to the chosen wellness demand. Using the model, and a combination of grounds taken from epidemiology and theory, will heighten the determination devising procedure. The population chosen to concentrate on will be female parents who suffer from postpartum depression. A population can be geographical, a client group or people with peculiar wellness jobs ( Calman, 1999 ) . The appraisal will look at the demands of these female parents. The chief purpose will be to supply an intercession that reduces the strength of the unwellness and the figure of female parents enduring from postpartum depression. The principle for taking this population is that postpartum depression can be seen as a important public wellness job ( Sharp et al, 2010 ) . It can besides hold a important negative impact on the lives of the female parents, their babes and their households. Beck ( 2006 ) writes how postpartum depression is, ‘ †¦ a serious temper upset that can stultify a adult female ‘s first few months as a new female parent. ‘ There appears to be a deficiency of services available for female parents with postpartum depression and we need to see, ‘Is there any point in placing adult females with PND if we have no services to offer them? ‘ Public wellness is defined in the Acheson study as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts of society. ‘ ( Acheson, 1988 ) . This definition clearly reflects the indispensable focal point of today ‘s public wellness. Ten old ages subsequently Acheson completed a farther study which looked at inequalities in wellness ( Acheson 1998 ) . Both these studies have been the development and consequence of many public wellness associated paperss. Oliver and Nutheam ( 2003 ) point out that these new authorities policies have been developed to ‘explicitly turn to bing wellness inequalities, ‘ following the election of the new Labour authorities in 1997. Health publicity can be seen as a comprehensive political and societal method. It is non merely aimed at bettering an person ‘s capablenesss and accomplishments, but besides looking at doing alterations to environmental, societal and economic issues in order to cut down their impact on both single and public wellness ( WHO, 1998 ) . Mitcheson ( 2008 ) suggests that wellness publicity is about assisting people to hold the capablenesss and resources to take control of and better their wellness demands. A phrase by Milio, ( 1986 ) , suitably sums up wellness publicity by stating ; ‘Making the healthy pick the easier pick. ‘ Acheson ( 1998 ) negotiations about the ‘upstream ‘ and ‘downstream ‘ public wellness schemes in which wellness publicity can be seen as an upstream attack, concentrating on preventive steps. As wellness publicity is reasonably complex, there are a figure of different wellness publicity approaches that can be used. The pick of attack can depend on the wellness need assessment and the purposes ( Ewles A ; Simnett, 2003 ) . Models, which are a type of theoretical model, can be utile for planning, implementing and measuring intercessions. The wellness publicity theoretical account is defined by Naidoo A ; Wills ( 2000 ) , as ‘ †¦ .a manner of associating thoughts and demoing the relationship between theory and pattern. ‘ There have been a assortment of different writers that have produced theoretical accounts for wellness demands appraisals such as Tones and Green, 2004 ( wellness belief theoretical account ) and Tones and Tilford, 2001, ( wellness action theoretical account ) . Roden ( 2004 ) criticises the wellness belief theoretical account by stating that it focuses on a medical attack to wellness publicity instead than a holistic position. A series of paperss and documents on wellness and wellbeing, have emerged from the Department of Health and other associated authorities sections. Several of these paperss highlight the importance of the function of the wellness visitant for advancing mental wellness. Initially in 1997, The New NHS ; Modern, Dependable ( DoH, 1997 ) , this focuses on the authorities ‘s vision to do the necessary alterations to better and undertake sick wellness and inequalities. Other paperss that are comparative to this assignment include: The NHS Plan: Switching the balance of power ( DoH, 2000 ) , Making a Difference ( DoH, 1999a ) , Our Health, Our Care, Our Say ( DoH, 2006 ) , Choosing Health ( DoH, 2004 ) , Report of the Chief Medical Officer ‘s Undertaking to Strengthen the Public Health Function, ( DoH, 2001 ) , Salvaging Lifes: Our Healthier Nation ( DoH, 1999b ) , discusses the demand to diminish the hazards associated with different mental unwellnesss and besides highlights the effects of depression on both the female parent and kid. Every Child Matters ( DfES, 2004 ) and Procuring Good Health for the Population ( Wanless, 2004 ) . A definition that reflects authorities policy has been provided by Wanless as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts and informed picks of society, administrations, public and private communities and persons, ‘ ( Wanless 2004, p.3. ) . This definition appears to be more appropriate for the twenty-first century as it puts more accent on the joint attempts of persons, the province of their ain wellness and besides their households ‘ . You read "Health Needs Assessment Process Health And Social Care Essay" in category "Essay examples" The definition besides has the extra construct of informed pick and duty for administrations to work collaboratively in order to advance public wellness. This can be seen as a manner of auth orising communities. It can be seen that persons, communities and all wellness professionals have a portion to play in public wellness publicity, bar of sick wellness and wellness protection. These are indispensable demands for the function of the wellness visitant. The Standards for Proficiency for the specializer community public wellness nurse ( NMC, 2004 ) and the wellness sing rules defined in the, Council for the Education and Training of Health Visitors ( CETHV, 1977 ) , place the four chief spheres that define the needed proficiencies. These are: ‘the hunt for wellness demands, influence on policies impacting wellness, facilitation of wellness heightening activities and the stimulation of the consciousness of wellness demands. ‘ From these rules, and including the 10 occupational criterions for public wellness ( Prime R A ; D Ltd for Skills for Health 2003 ) , it can be seen that overall the purpose is to advance and protect the wellness of the population. Health visitants have ever had an of import function to play in the publicity of public wellness in the community. Over the old ages, the Numberss of wellness visitants has declined. The public wellness curate, Anne Milton ( 2010 ) , admits the profession ‘has been eroded dramatically over the past decennary. ‘ Since the study of the decease of Victoria Climbie ( Laming, 2003 ) , and aboard this the new Children ‘s Act ( 2004 ) there has been acknowledgment of the difference that wellness visitants can do. This has had a considerable consequence on the wellness visitants ‘ function. Health visitants are seen as cardinal confederates in primary attention for implementing new statute law and bettering results for the immature and vulnerable. However Thornhurst ( 2009 ) , writes how the wellness visitants ‘ function has become so centred around kid protection that there is now less clip for them to work in the community, deciding the societal issues that co ntribute to the kid protection instances. This appears to be a go oning public wellness argument. Prior to doing any alterations to better wellness, we need to get down by happening out what the wellness demands are and how, within a population, they can be assessed. Health needs appraisal is defined by Wright et Al ( 2006 ) , as ‘ †¦ . a systematic method of placing unmet wellness and wellness attention demands of a population and doing alterations to run into these unmet demands. ‘ The purpose of the wellness demands appraisal is to look at current informations and information gathered from different beginnings. The information will so be analysed to find any alterations that may necessitate to be made in order to run into the identified wellness demand. It besides involves a assortment of professionals every bit good as the general populace ( Haughley, 2008 ) . Decisions will be made in order to accomplish good results for the population ; resources available will necessitate to be considered. A needs appraisal can assist with doing determinations. The Nationa l Institution for Clinical Excellence ( NICE, 2005 ) provides a model that is robust and it provides systematic cues to steer you through the wellness needs assessment procedure.The model was produced by Cananagh and Chadwick, ( 2005 ) . One of the strengths of the model is that it ‘s an easy and simple procedure to follow ( Coverdale and Lancaster, 2006 ) . This model should non be used entirely but in concurrence with other theoretical accounts as this will assist steer practicians through the procedure. Haughey ( 2008 ) describes the wellness needs appraisal as a manner of garnering parts in order to finish a ‘jigsaw. ‘ The essay will now see the chosen population within the writer ‘s country of pattern and a wellness needs appraisal will follow. Through observation in pattern, it is clear that the wellness visitant is good placed to place any early symptoms of postpartum depression ( DOH, 2003 ) . The National Service Framework for Mental Health ( DOH, 1999c ) recommends that wellness visitants need to utilize their everyday visits for accessing postpartum depression and for handling the identified milder instances. However, recent research suggests that due to cuts in the Numberss of wellness visitants and the deficiency of clip available to go to excess preparation for measuring depression and psychological support attacks, most wellness visitants are unable to to the full back up down female parents ( Brugha et al, 2010 ) . Despite the well known grounds to demo the impact of postpartum depression on the female parent and her household every bit good as the long term impact on the babe, less than 50 % of station natal instances are indentified. A qualitative reappraisal of 40 surveies revealed that a adult females ‘s inability to uncover their existent feelings proved to be a general barrier for seeking aid ( Dennis A ; Chung-Lee, 2006 ) . Beck, ( 2006 ) writes how wellness practicians fail to observe postpartum depression as they ‘do n’t cognize what to look for. He besides suggests that female parents frequently hide their depression. For the instances where postpartum depression is identified, there appears to be a deficiency of services to back up them ( Hewitt et al, 2009 ) . Raising consciousness of the demand to place and back up female parents with postpartum depression includes the function of the SCPHN and is besides highlighted in the public wellness definition. Epidemiology is the survey of diseases of populations and is a major scientific discipline that underpins public wellness. Epidemiology allows us to understand diseases and the causes, place groups that are peculiarly affected and understand the effectivity of intercessions for undertaking identified jobs ( Heller et al, 2001 ) . Epidemiology of postpartum depression appears to be ill understood. Up to day of the month official national figures for postpartum depression have proved hard to garner and the information that is available gives conflicting figures. There is a certain sum of statistical grounds around the prevalence of mental unwellness but a limited sum of statistics that focus on postpartum depression. The information that will be used for the intent of this paper and which has been most often quoted, has been sourced from the NHS ( 2009 ) , which suggests that 1 in 10 adult females will endure from postpartum depression and MIND ( 2008 ) which besides suggests 1 in 10 a dult females, the NICE guidelines ( 2006 ) and the NSF – MH figures ( DOH, 2007c ) , show a prevalence of 10-15 % of adult females with postpartum depression. In England and Wales, this is between 64,000 and 94,000 adult females a twelvemonth. Health visitants are unable to name postpartum depression, if they detect, utilizing a scope of showing tools, or recognize marks and symptoms of station natal depression so this information can be recorded in the female parent ‘s maternal wellness subdivision. No caseload informations can be collected to demo the prevalence or badness of postpartum depression. A diagnosing will trust on the female parent taking to go to an assignment with her G.P.. Following a meeting with one of the local G.P.s, in the writer ‘s country of work it was discovered that the primary attention databases that G.P.s usage have a assortment of ‘read codifications ‘ to separate diagnosings and symptoms, nevertheless the read codification that high spots postpartum depression requires the G.P. to travel on and finish a drawn-out questionnaire with the female parent. For a female parent with postpartum depression this might intend that the G.P.s are taking other read codifications, for illustration, anxiousness where no questionnaire is required. This could be seen as a possible barrier for placing female parents with postpartum depression. Many wellness visitants do non hold entree to the G.P.s notes. If a female parent has seen her GP and postpartum depression has been identified so unless there is good communicating between the GP and the wellness visitant the female parent may be left without the full aid and support that she may necessitate. Postnatal depression will hold the same characteristic symptoms as clinical depression, such as weepiness, loss of enjoyment in life, low temper, loss of assurance, kiping jobs, feelings of guilt, self blame and sometimes self-destructive ideas. For a diagnosings to be made three or more of these symptoms ( which have persisted for at least two hebdomads ) will be identified ( Davies, 2000 ) . There does non look to be a individual cause of postpartum depression, some experts consider it is due to hormonal alterations whilst others suggest a combination of psychological and societal factors ( Clinical cognition sum-ups, 2010 ) . Postnatal depression usually develops during the first three postpartum months ( Cox et al, 1993 ) . Research shows that for the female parent, PND has considerable wellness deductions, it can besides consequence her long term relationships, have an inauspicious consequence on the male parents and perchance the remainder of the household ( Stein et al 2008 ) . There is besides significant research grounds to demo that the effects on the babe can include disturbed forms of communicating, expose unresponsive or retreat behavior and longer term damages in cognitive and emotional development ( Meredith A ; Noller, 2003 ) . Following the grounds, prevalence and the possible major wellness deductions of postpartum depression, the accent sited by NICE for the demand of early designation, diagnosing and intervention of postpartum intervention, during both the antenatal and postpartum period appears to be wholly justifiable ( NICE, 2007a ) . The most recent comprehensive reappraisal on identifying and measuring methods used to place PND was by NICE ( 2007b ) . Following this reappraisal, clinical counsel was produced on the direction of antenatal and postpartum mental wellness. Designation of adult females with postpartum depression may hold already been completed during an prenatal visit. During a visit a female parent can be asked about her history and if she has experienced any old episodes of depression. However, due to the deficit of wellness visitants, heavy work load and because of other committednesss, it may be that non all female parents are seen for prenatal assignments, ( Shakespeare, 2001 ) . Holocene and up to day of the month research continues to corroborate the effectivity of the function of wellness visitants in cut downing postpartum depression ( Brugha et al, 2010 ) . The Edinburgh Postnatal Depression Scale is a client centred attack that helps to bring out postpartum depression in female parents tha t might otherwise travel undetected. It uses a ego coverage, 10-item questionnaire that focuses on how the female parent felt the old hebdomad. A mark of 12 or over is considered ‘probable depression ‘ , whilst a lower mark of 9/10 suggests ‘possible depression, ‘ ( Cox et al, 1987 ) . Following a recent survey to place methods for accessing postpartum depression, the EPDS was the most often explored, simple, precise, safe and preferable cost-efficient tool ( Hewitt et al, 2009 ) . The Community Practitioners and Health Visitors ‘ Association recommends that along with the EPDS, the wellness visitant besides needs to include her ain clinical appraisal. A late published qualitative survey by Slade et. Al. ( 2010 ) , reports how ‘symptom designation ‘ through the usage of the EPDS has helped adult females to see that the wellness visitant is ‘there for them, ‘ every bit good as the babe. However one of the ascertained negative issu es sing the EPDS is that adult females from other civilizations have troubles understanding and make fulling in the questionnaire, even though there are some EPDS sheets translated into other linguistic communications. ‘Depression ‘ is non ever culturally recognised in other states ( Barclay A ; Kent 1998 ) . Once a female parent has been identified by the wellness visitant or diagnosed by the GP for postpartum depression, so consideration can be explored into why some female parents fare better than others in mental good being. Health determiners can be utile to see, Dahlgren and Whitehead ‘s theoretical account ‘Determinants of Health, ‘ can be utile to assist research and construct a profile of a local community. Health results and inequalities can be greatly influenced both positively or negatively by persons and communities. Health can be strongly influenced by the manner people live their lives including the conditions in which they live and work, by household, friends and societal webs, ( Marmote A ; Wilkinson, 2003 ) . For illustration a societal determiner such as a deficiency of household or community support might exacerbate or negatively impact on a female parent with postpartum depression. However, good support could hold a powerful and positive impact on a n person ‘s wellness. Step three of the HNA will now follow. This portion of the procedure will direct the practician to set up a helpful and acceptable intercession. Literature environing postpartum depression appears to concentrate on the effectivity of support groups ( Alakus et al, 2007, Dennis A ; Chung-Lee, 2006 ) . The Royal College of Psychiatrists, et Al ( 2000 ) compose how support in the prenatal period can cut down the badness of PND. More late, Dennis et Al ( 2004 ) writes that PND can be hard to foretell antenatally and suggests that preventive methods have chiefly proved uneffective. Cox in 1986 wrote how support groups during the postpartum period can be ‘one of the most successful agencies of intervention. ‘ Dennis, et Al, ( 2009 ) writes how support groups are good acknowledged in literature as valuable for cut downing and handling depression. For this wellness needs appraisal, it seems that a pilot postpartum support group would be appropriate. In the country where the writ er works there is presently no group running to back up female parents with postpartum depression. The complexness of PND and the attention required can be complex, so a whole squad attack will be needed, alternatively of an single 1. This will guarantee the attention needed will be successfully provided. When sing the wellness needs intercession a squad will be required to take it. Ideally the squad would dwell of the wellness visitant, G.P.s, baby’s room nurses and a community mental wellness nurse. For the intercession to be successful so the squad will necessitate to hold: a shared vision, an apprehension of each other ‘s functions within the squad, a well-thought-of leader to drive the intercession frontward, a sound action program, flexibleness, and the ability to work collaboratively ( Hill et al, 2007 ) . Collaborative working has been greatly emphasised over the last few old ages in a assortment of paperss and is besides considered an of import function of the SCPHN ( NMC, 2004 ) who works within a community, aboard multidisciplinary bureaus to better wellnes s and good being, this is besides reflected in the last portion of Acheson ‘s definition, ‘ †¦ through the organized attempts of society. ‘ There are frequently barriers that can negatively impact effectual collaborative working such as, deficiency of communicating, clip limitations, differing positions and values and frequently troubles even obtaining a room to run into in, ( Almond A ; Cowley, 2008 ) . The support group will be a good illustration to show collaborative working between professionals and services utilizations. Once a squad had been brought together, a locale would be decided for the support group. The local certain start kids ‘s Centre would be an ideal locale. Certain start Centres are a authorities enterprise which purpose is to give kids the best possible start in life, ( DOH, 2007 ) . The country the writer works in is a rural location with limited public conveyance. Many of the female parents with PND live in stray parts, so for these female parents, free conveyance will be provided. However, if support at the local kids ‘s Centre is cut this may hold a negative impact on this service being offered for the group or any future groups. Leting the female parents with PND, who live in stray countries, the opportunity to go to the support group can hold a important, positive consequence on their depressive symptoms ( Hunker, et Al, 2009 ) . It will be of import to utilize a locale with child care installations. The certain start Centre has been used for a assortment of groups i n the yesteryear and offers a non-stigmatising locale ; a warm and friendly environment. Mothers identified with postpartum depression will be referred to the group and during a place visit, information will be provided so the female parents can make up one’s mind whether they want to come. A telephone call prior to the group will besides be made. Empowering people, leting them to do informed picks and bettering their life accomplishments, which are needed for doing alterations, are all portion of the wellness publicity procedure ( Naidoo A ; Wills, 2000 ) . Many female parents with PND will be in the contemplation phase described in Prochaska and DiClemente ‘s Stages of Change Model ( 1983 ) , where they are cognizant that there is a job but may non be certain or motivated to do the alterations needed. This theoretical account involves the individual traveling through a series of phases when turn toing debatable behavior. Peoples will go through through different phases at their ain gait. Prochaska and DiClimente ( 1982 ) compose how identifying where a in dividual is within the theoretical account will enable the practician to accommodate their intercessions to run into their single demands. This might intend that the wellness visitant offers the female parent listening visits at place ( HCP, 2009 ) until she feels ready to go to the support group. The support group would run over eight hebdomads for one and a half hours and a creche will be provided run by the baby’s room nurses. The wellness visitant and community mental wellness nurse will jointly run the group and will be trained suitably. The purpose of the group will be for female parents to derive support from other female parents in similar state of affairss and with similar experiences ( Alakus et al, 2007 ) . The purpose will be for the female parents to experience less down, better their self-esteem, self-worth, addition assurance, make friendly relationships and develop get bying schemes. To assist the female parents achieve this, the hebdomadal support group will offer both instruction and besides a assortment of taster Sessionss. For illustration, cognitive behavioral therapy, exercising, babe massage and holistic therapies. The beginning of the group will let female parents to portion any events of the past hebdomad. Exercise can be an effectual intervention for postpartum depression every bit good as increasing the female parent ‘s sense of good being and can be a offered in the group as a combination of both exercising and relaxation techniques. Two recent clinical tests found that many adult females are loath to utilize medicine for intervention of PND. The survey besides revealed that exercising can relieve depression every bit efficaciously as medicines, ( Daley, et Al, 2007 ) . Research has shown that infant massage in group work can cut down emphasis endocrines, significantly lessen depression symptoms and besides aid female parents to better relationships with their babes ( Heh, et al 2008 ) . For adult females sing PND cognitive behavioral therapy is the intervention of pick ( NICE, 2007 ) . The Sessionss will assist female parents to dispute negative ideas and modify beliefs specifically associating to motherhood. CBT helps people to prosecute in activities and has been shown to cut down symptoms, better a individual ‘s quality of life and better map ( NICE, 2009 ) . Evaluation is an of import portion of a wellness needs appraisal and rating of any intercession needs to be considered, as highlighted in the clinical administration rules ( Adams A ; Forester, 2002 ) . There are a assortment of assessment methods. To mensurate the effectivity of the group the female parent ‘s original EPDS tonss would be recorded and so they would be asked to make full in another 1 at the terminal of the 8 hebdomads to see if their tonss had improved. Improved EPDS tonss and a decrease in PND could intend that the group could go on to run. Long term effectivity of the group, if it continues, will be seen in the bar or hold of ‘morbidity or mortality, ‘ ( Mitcheson, 2008 ) This may finally take to the decrease of cost for handling people with PND. An effectual manner of measuring the intercession could be through a SWOT appraisal, a technique credited to Humphrey ( 1960-1970s ) . SWOT is a structured method used to place strengths, failings, chance s and menaces. To reason, it can be seen that by working through the phases of a wellness needs appraisal that the demand for an intercession in the writer ‘s country was clearly identified. The literature reviews provided information to help with the apprehension of PND and the effects it can hold on the female parent, household and babe. There is clearly a demand for a more accurate and consistent manner of placing PND and so entering and utilizing the information. For the group to be effectual, it was identified that good collaborative working was indispensable. As the function of the wellness visitant has changed over the old ages, it is of import to show how they can better wellness and cut down inequalities through successful, choice intercessions. Word count 4, 378. How to cite Health Needs Assessment Process Health And Social Care Essay, Essay examples

Health Needs Assessment Process Health And Social Care Essay Free Essays

string(116) " accent on the joint attempts of persons, the province of their ain wellness and besides their households ‘ \." Public wellness is concerned with the local population ‘s wellness and takes into consideration the economic, societal and environmental factors of both communities and persons. Health visitants clearly have a major portion to play in the function of public wellness, which has become a high precedence over the last decennary ( Cowley, 2008 ) . There has clearly been a move off from a medical theoretical account towards a societal theoretical account of attention which requires wellness visitants to hold specialised accomplishments and cognition in order to measure a household holistically. We will write a custom essay sample on Health Needs Assessment Process Health And Social Care Essay or any similar topic only for you Order Now Through a wellness needs appraisal, the wellness visitant can place the demands of a population and so concentrate on an intercession that would profit the population ‘s unmet demands ( Peterson and Alexander 2001 ) . The purpose of this assignment will be to place, utilizing the wellness needs assessment procedure, an issue that needs readdressing. The identified wellness demand will be analysed and so a service or intercession will be created in order to cut down wellness inequalities and better wellness ( Health Development Agency 2004 ) . The National Institute for Clinical Excellence ( Cavanagh A ; Chadwick, 2005 ) provides an in deepness model to follow which will assist to turn to the chosen wellness demand. Using the model, and a combination of grounds taken from epidemiology and theory, will heighten the determination devising procedure. The population chosen to concentrate on will be female parents who suffer from postpartum depression. A population can be geographical, a client group or people with peculiar wellness jobs ( Calman, 1999 ) . The appraisal will look at the demands of these female parents. The chief purpose will be to supply an intercession that reduces the strength of the unwellness and the figure of female parents enduring from postpartum depression. The principle for taking this population is that postpartum depression can be seen as a important public wellness job ( Sharp et al, 2010 ) . It can besides hold a important negative impact on the lives of the female parents, their babes and their households. Beck ( 2006 ) writes how postpartum depression is, ‘ †¦ a serious temper upset that can stultify a adult female ‘s first few months as a new female parent. ‘ There appears to be a deficiency of services available for female parents with postpartum depression and we need to see, ‘Is there any point in placing adult females with PND if we have no services to offer them? ‘ Public wellness is defined in the Acheson study as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts of society. ‘ ( Acheson, 1988 ) . This definition clearly reflects the indispensable focal point of today ‘s public wellness. Ten old ages subsequently Acheson completed a farther study which looked at inequalities in wellness ( Acheson 1998 ) . Both these studies have been the development and consequence of many public wellness associated paperss. Oliver and Nutheam ( 2003 ) point out that these new authorities policies have been developed to ‘explicitly turn to bing wellness inequalities, ‘ following the election of the new Labour authorities in 1997. Health publicity can be seen as a comprehensive political and societal method. It is non merely aimed at bettering an person ‘s capablenesss and accomplishments, but besides looking at doing alterations to environmental, societal and economic issues in order to cut down their impact on both single and public wellness ( WHO, 1998 ) . Mitcheson ( 2008 ) suggests that wellness publicity is about assisting people to hold the capablenesss and resources to take control of and better their wellness demands. A phrase by Milio, ( 1986 ) , suitably sums up wellness publicity by stating ; ‘Making the healthy pick the easier pick. ‘ Acheson ( 1998 ) negotiations about the ‘upstream ‘ and ‘downstream ‘ public wellness schemes in which wellness publicity can be seen as an upstream attack, concentrating on preventive steps. As wellness publicity is reasonably complex, there are a figure of different wellness publicity approaches that can be used. The pick of attack can depend on the wellness need assessment and the purposes ( Ewles A ; Simnett, 2003 ) . Models, which are a type of theoretical model, can be utile for planning, implementing and measuring intercessions. The wellness publicity theoretical account is defined by Naidoo A ; Wills ( 2000 ) , as ‘ †¦ .a manner of associating thoughts and demoing the relationship between theory and pattern. ‘ There have been a assortment of different writers that have produced theoretical accounts for wellness demands appraisals such as Tones and Green, 2004 ( wellness belief theoretical account ) and Tones and Tilford, 2001, ( wellness action theoretical account ) . Roden ( 2004 ) criticises the wellness belief theoretical account by stating that it focuses on a medical attack to wellness publicity instead than a holistic position. A series of paperss and documents on wellness and wellbeing, have emerged from the Department of Health and other associated authorities sections. Several of these paperss highlight the importance of the function of the wellness visitant for advancing mental wellness. Initially in 1997, The New NHS ; Modern, Dependable ( DoH, 1997 ) , this focuses on the authorities ‘s vision to do the necessary alterations to better and undertake sick wellness and inequalities. Other paperss that are comparative to this assignment include: The NHS Plan: Switching the balance of power ( DoH, 2000 ) , Making a Difference ( DoH, 1999a ) , Our Health, Our Care, Our Say ( DoH, 2006 ) , Choosing Health ( DoH, 2004 ) , Report of the Chief Medical Officer ‘s Undertaking to Strengthen the Public Health Function, ( DoH, 2001 ) , Salvaging Lifes: Our Healthier Nation ( DoH, 1999b ) , discusses the demand to diminish the hazards associated with different mental unwellnesss and besides highlights the effects of depression on both the female parent and kid. Every Child Matters ( DfES, 2004 ) and Procuring Good Health for the Population ( Wanless, 2004 ) . A definition that reflects authorities policy has been provided by Wanless as, ‘the scientific discipline and art of forestalling disease, protracting life and advancing wellness through the organized attempts and informed picks of society, administrations, public and private communities and persons, ‘ ( Wanless 2004, p.3. ) . This definition appears to be more appropriate for the twenty-first century as it puts more accent on the joint attempts of persons, the province of their ain wellness and besides their households ‘ . You read "Health Needs Assessment Process Health And Social Care Essay" in category "Essay examples" The definition besides has the extra construct of informed pick and duty for administrations to work collaboratively in order to advance public wellness. This can be seen as a manner of auth orising communities. It can be seen that persons, communities and all wellness professionals have a portion to play in public wellness publicity, bar of sick wellness and wellness protection. These are indispensable demands for the function of the wellness visitant. The Standards for Proficiency for the specializer community public wellness nurse ( NMC, 2004 ) and the wellness sing rules defined in the, Council for the Education and Training of Health Visitors ( CETHV, 1977 ) , place the four chief spheres that define the needed proficiencies. These are: ‘the hunt for wellness demands, influence on policies impacting wellness, facilitation of wellness heightening activities and the stimulation of the consciousness of wellness demands. ‘ From these rules, and including the 10 occupational criterions for public wellness ( Prime R A ; D Ltd for Skills for Health 2003 ) , it can be seen that overall the purpose is to advance and protect the wellness of the population. Health visitants have ever had an of import function to play in the publicity of public wellness in the community. Over the old ages, the Numberss of wellness visitants has declined. The public wellness curate, Anne Milton ( 2010 ) , admits the profession ‘has been eroded dramatically over the past decennary. ‘ Since the study of the decease of Victoria Climbie ( Laming, 2003 ) , and aboard this the new Children ‘s Act ( 2004 ) there has been acknowledgment of the difference that wellness visitants can do. This has had a considerable consequence on the wellness visitants ‘ function. Health visitants are seen as cardinal confederates in primary attention for implementing new statute law and bettering results for the immature and vulnerable. However Thornhurst ( 2009 ) , writes how the wellness visitants ‘ function has become so centred around kid protection that there is now less clip for them to work in the community, deciding the societal issues that co ntribute to the kid protection instances. This appears to be a go oning public wellness argument. Prior to doing any alterations to better wellness, we need to get down by happening out what the wellness demands are and how, within a population, they can be assessed. Health needs appraisal is defined by Wright et Al ( 2006 ) , as ‘ †¦ . a systematic method of placing unmet wellness and wellness attention demands of a population and doing alterations to run into these unmet demands. ‘ The purpose of the wellness demands appraisal is to look at current informations and information gathered from different beginnings. The information will so be analysed to find any alterations that may necessitate to be made in order to run into the identified wellness demand. It besides involves a assortment of professionals every bit good as the general populace ( Haughley, 2008 ) . Decisions will be made in order to accomplish good results for the population ; resources available will necessitate to be considered. A needs appraisal can assist with doing determinations. The Nationa l Institution for Clinical Excellence ( NICE, 2005 ) provides a model that is robust and it provides systematic cues to steer you through the wellness needs assessment procedure.The model was produced by Cananagh and Chadwick, ( 2005 ) . One of the strengths of the model is that it ‘s an easy and simple procedure to follow ( Coverdale and Lancaster, 2006 ) . This model should non be used entirely but in concurrence with other theoretical accounts as this will assist steer practicians through the procedure. Haughey ( 2008 ) describes the wellness needs appraisal as a manner of garnering parts in order to finish a ‘jigsaw. ‘ The essay will now see the chosen population within the writer ‘s country of pattern and a wellness needs appraisal will follow. Through observation in pattern, it is clear that the wellness visitant is good placed to place any early symptoms of postpartum depression ( DOH, 2003 ) . The National Service Framework for Mental Health ( DOH, 1999c ) recommends that wellness visitants need to utilize their everyday visits for accessing postpartum depression and for handling the identified milder instances. However, recent research suggests that due to cuts in the Numberss of wellness visitants and the deficiency of clip available to go to excess preparation for measuring depression and psychological support attacks, most wellness visitants are unable to to the full back up down female parents ( Brugha et al, 2010 ) . Despite the well known grounds to demo the impact of postpartum depression on the female parent and her household every bit good as the long term impact on the babe, less than 50 % of station natal instances are indentified. A qualitative reappraisal of 40 surveies revealed that a adult females ‘s inability to uncover their existent feelings proved to be a general barrier for seeking aid ( Dennis A ; Chung-Lee, 2006 ) . Beck, ( 2006 ) writes how wellness practicians fail to observe postpartum depression as they ‘do n’t cognize what to look for. He besides suggests that female parents frequently hide their depression. For the instances where postpartum depression is identified, there appears to be a deficiency of services to back up them ( Hewitt et al, 2009 ) . Raising consciousness of the demand to place and back up female parents with postpartum depression includes the function of the SCPHN and is besides highlighted in the public wellness definition. Epidemiology is the survey of diseases of populations and is a major scientific discipline that underpins public wellness. Epidemiology allows us to understand diseases and the causes, place groups that are peculiarly affected and understand the effectivity of intercessions for undertaking identified jobs ( Heller et al, 2001 ) . Epidemiology of postpartum depression appears to be ill understood. Up to day of the month official national figures for postpartum depression have proved hard to garner and the information that is available gives conflicting figures. There is a certain sum of statistical grounds around the prevalence of mental unwellness but a limited sum of statistics that focus on postpartum depression. The information that will be used for the intent of this paper and which has been most often quoted, has been sourced from the NHS ( 2009 ) , which suggests that 1 in 10 adult females will endure from postpartum depression and MIND ( 2008 ) which besides suggests 1 in 10 a dult females, the NICE guidelines ( 2006 ) and the NSF – MH figures ( DOH, 2007c ) , show a prevalence of 10-15 % of adult females with postpartum depression. In England and Wales, this is between 64,000 and 94,000 adult females a twelvemonth. Health visitants are unable to name postpartum depression, if they detect, utilizing a scope of showing tools, or recognize marks and symptoms of station natal depression so this information can be recorded in the female parent ‘s maternal wellness subdivision. No caseload informations can be collected to demo the prevalence or badness of postpartum depression. A diagnosing will trust on the female parent taking to go to an assignment with her G.P.. Following a meeting with one of the local G.P.s, in the writer ‘s country of work it was discovered that the primary attention databases that G.P.s usage have a assortment of ‘read codifications ‘ to separate diagnosings and symptoms, nevertheless the read codification that high spots postpartum depression requires the G.P. to travel on and finish a drawn-out questionnaire with the female parent. For a female parent with postpartum depression this might intend that the G.P.s are taking other read codifications, for illustration, anxiousness where no questionnaire is required. This could be seen as a possible barrier for placing female parents with postpartum depression. Many wellness visitants do non hold entree to the G.P.s notes. If a female parent has seen her GP and postpartum depression has been identified so unless there is good communicating between the GP and the wellness visitant the female parent may be left without the full aid and support that she may necessitate. Postnatal depression will hold the same characteristic symptoms as clinical depression, such as weepiness, loss of enjoyment in life, low temper, loss of assurance, kiping jobs, feelings of guilt, self blame and sometimes self-destructive ideas. For a diagnosings to be made three or more of these symptoms ( which have persisted for at least two hebdomads ) will be identified ( Davies, 2000 ) . There does non look to be a individual cause of postpartum depression, some experts consider it is due to hormonal alterations whilst others suggest a combination of psychological and societal factors ( Clinical cognition sum-ups, 2010 ) . Postnatal depression usually develops during the first three postpartum months ( Cox et al, 1993 ) . Research shows that for the female parent, PND has considerable wellness deductions, it can besides consequence her long term relationships, have an inauspicious consequence on the male parents and perchance the remainder of the household ( Stein et al 2008 ) . There is besides significant research grounds to demo that the effects on the babe can include disturbed forms of communicating, expose unresponsive or retreat behavior and longer term damages in cognitive and emotional development ( Meredith A ; Noller, 2003 ) . Following the grounds, prevalence and the possible major wellness deductions of postpartum depression, the accent sited by NICE for the demand of early designation, diagnosing and intervention of postpartum intervention, during both the antenatal and postpartum period appears to be wholly justifiable ( NICE, 2007a ) . The most recent comprehensive reappraisal on identifying and measuring methods used to place PND was by NICE ( 2007b ) . Following this reappraisal, clinical counsel was produced on the direction of antenatal and postpartum mental wellness. Designation of adult females with postpartum depression may hold already been completed during an prenatal visit. During a visit a female parent can be asked about her history and if she has experienced any old episodes of depression. However, due to the deficit of wellness visitants, heavy work load and because of other committednesss, it may be that non all female parents are seen for prenatal assignments, ( Shakespeare, 2001 ) . Holocene and up to day of the month research continues to corroborate the effectivity of the function of wellness visitants in cut downing postpartum depression ( Brugha et al, 2010 ) . The Edinburgh Postnatal Depression Scale is a client centred attack that helps to bring out postpartum depression in female parents tha t might otherwise travel undetected. It uses a ego coverage, 10-item questionnaire that focuses on how the female parent felt the old hebdomad. A mark of 12 or over is considered ‘probable depression ‘ , whilst a lower mark of 9/10 suggests ‘possible depression, ‘ ( Cox et al, 1987 ) . Following a recent survey to place methods for accessing postpartum depression, the EPDS was the most often explored, simple, precise, safe and preferable cost-efficient tool ( Hewitt et al, 2009 ) . The Community Practitioners and Health Visitors ‘ Association recommends that along with the EPDS, the wellness visitant besides needs to include her ain clinical appraisal. A late published qualitative survey by Slade et. Al. ( 2010 ) , reports how ‘symptom designation ‘ through the usage of the EPDS has helped adult females to see that the wellness visitant is ‘there for them, ‘ every bit good as the babe. However one of the ascertained negative issu es sing the EPDS is that adult females from other civilizations have troubles understanding and make fulling in the questionnaire, even though there are some EPDS sheets translated into other linguistic communications. ‘Depression ‘ is non ever culturally recognised in other states ( Barclay A ; Kent 1998 ) . Once a female parent has been identified by the wellness visitant or diagnosed by the GP for postpartum depression, so consideration can be explored into why some female parents fare better than others in mental good being. Health determiners can be utile to see, Dahlgren and Whitehead ‘s theoretical account ‘Determinants of Health, ‘ can be utile to assist research and construct a profile of a local community. Health results and inequalities can be greatly influenced both positively or negatively by persons and communities. Health can be strongly influenced by the manner people live their lives including the conditions in which they live and work, by household, friends and societal webs, ( Marmote A ; Wilkinson, 2003 ) . For illustration a societal determiner such as a deficiency of household or community support might exacerbate or negatively impact on a female parent with postpartum depression. However, good support could hold a powerful and positive impact on a n person ‘s wellness. Step three of the HNA will now follow. This portion of the procedure will direct the practician to set up a helpful and acceptable intercession. Literature environing postpartum depression appears to concentrate on the effectivity of support groups ( Alakus et al, 2007, Dennis A ; Chung-Lee, 2006 ) . The Royal College of Psychiatrists, et Al ( 2000 ) compose how support in the prenatal period can cut down the badness of PND. More late, Dennis et Al ( 2004 ) writes that PND can be hard to foretell antenatally and suggests that preventive methods have chiefly proved uneffective. Cox in 1986 wrote how support groups during the postpartum period can be ‘one of the most successful agencies of intervention. ‘ Dennis, et Al, ( 2009 ) writes how support groups are good acknowledged in literature as valuable for cut downing and handling depression. For this wellness needs appraisal, it seems that a pilot postpartum support group would be appropriate. In the country where the writ er works there is presently no group running to back up female parents with postpartum depression. The complexness of PND and the attention required can be complex, so a whole squad attack will be needed, alternatively of an single 1. This will guarantee the attention needed will be successfully provided. When sing the wellness needs intercession a squad will be required to take it. Ideally the squad would dwell of the wellness visitant, G.P.s, baby’s room nurses and a community mental wellness nurse. For the intercession to be successful so the squad will necessitate to hold: a shared vision, an apprehension of each other ‘s functions within the squad, a well-thought-of leader to drive the intercession frontward, a sound action program, flexibleness, and the ability to work collaboratively ( Hill et al, 2007 ) . Collaborative working has been greatly emphasised over the last few old ages in a assortment of paperss and is besides considered an of import function of the SCPHN ( NMC, 2004 ) who works within a community, aboard multidisciplinary bureaus to better wellnes s and good being, this is besides reflected in the last portion of Acheson ‘s definition, ‘ †¦ through the organized attempts of society. ‘ There are frequently barriers that can negatively impact effectual collaborative working such as, deficiency of communicating, clip limitations, differing positions and values and frequently troubles even obtaining a room to run into in, ( Almond A ; Cowley, 2008 ) . The support group will be a good illustration to show collaborative working between professionals and services utilizations. Once a squad had been brought together, a locale would be decided for the support group. The local certain start kids ‘s Centre would be an ideal locale. Certain start Centres are a authorities enterprise which purpose is to give kids the best possible start in life, ( DOH, 2007 ) . The country the writer works in is a rural location with limited public conveyance. Many of the female parents with PND live in stray parts, so for these female parents, free conveyance will be provided. However, if support at the local kids ‘s Centre is cut this may hold a negative impact on this service being offered for the group or any future groups. Leting the female parents with PND, who live in stray countries, the opportunity to go to the support group can hold a important, positive consequence on their depressive symptoms ( Hunker, et Al, 2009 ) . It will be of import to utilize a locale with child care installations. The certain start Centre has been used for a assortment of groups i n the yesteryear and offers a non-stigmatising locale ; a warm and friendly environment. Mothers identified with postpartum depression will be referred to the group and during a place visit, information will be provided so the female parents can make up one’s mind whether they want to come. A telephone call prior to the group will besides be made. Empowering people, leting them to do informed picks and bettering their life accomplishments, which are needed for doing alterations, are all portion of the wellness publicity procedure ( Naidoo A ; Wills, 2000 ) . Many female parents with PND will be in the contemplation phase described in Prochaska and DiClemente ‘s Stages of Change Model ( 1983 ) , where they are cognizant that there is a job but may non be certain or motivated to do the alterations needed. This theoretical account involves the individual traveling through a series of phases when turn toing debatable behavior. Peoples will go through through different phases at their ain gait. Prochaska and DiClimente ( 1982 ) compose how identifying where a in dividual is within the theoretical account will enable the practician to accommodate their intercessions to run into their single demands. This might intend that the wellness visitant offers the female parent listening visits at place ( HCP, 2009 ) until she feels ready to go to the support group. The support group would run over eight hebdomads for one and a half hours and a creche will be provided run by the baby’s room nurses. The wellness visitant and community mental wellness nurse will jointly run the group and will be trained suitably. The purpose of the group will be for female parents to derive support from other female parents in similar state of affairss and with similar experiences ( Alakus et al, 2007 ) . The purpose will be for the female parents to experience less down, better their self-esteem, self-worth, addition assurance, make friendly relationships and develop get bying schemes. To assist the female parents achieve this, the hebdomadal support group will offer both instruction and besides a assortment of taster Sessionss. For illustration, cognitive behavioral therapy, exercising, babe massage and holistic therapies. The beginning of the group will let female parents to portion any events of the past hebdomad. Exercise can be an effectual intervention for postpartum depression every bit good as increasing the female parent ‘s sense of good being and can be a offered in the group as a combination of both exercising and relaxation techniques. Two recent clinical tests found that many adult females are loath to utilize medicine for intervention of PND. The survey besides revealed that exercising can relieve depression every bit efficaciously as medicines, ( Daley, et Al, 2007 ) . Research has shown that infant massage in group work can cut down emphasis endocrines, significantly lessen depression symptoms and besides aid female parents to better relationships with their babes ( Heh, et al 2008 ) . For adult females sing PND cognitive behavioral therapy is the intervention of pick ( NICE, 2007 ) . The Sessionss will assist female parents to dispute negative ideas and modify beliefs specifically associating to motherhood. CBT helps people to prosecute in activities and has been shown to cut down symptoms, better a individual ‘s quality of life and better map ( NICE, 2009 ) . Evaluation is an of import portion of a wellness needs appraisal and rating of any intercession needs to be considered, as highlighted in the clinical administration rules ( Adams A ; Forester, 2002 ) . There are a assortment of assessment methods. To mensurate the effectivity of the group the female parent ‘s original EPDS tonss would be recorded and so they would be asked to make full in another 1 at the terminal of the 8 hebdomads to see if their tonss had improved. Improved EPDS tonss and a decrease in PND could intend that the group could go on to run. Long term effectivity of the group, if it continues, will be seen in the bar or hold of ‘morbidity or mortality, ‘ ( Mitcheson, 2008 ) This may finally take to the decrease of cost for handling people with PND. An effectual manner of measuring the intercession could be through a SWOT appraisal, a technique credited to Humphrey ( 1960-1970s ) . SWOT is a structured method used to place strengths, failings, chance s and menaces. To reason, it can be seen that by working through the phases of a wellness needs appraisal that the demand for an intercession in the writer ‘s country was clearly identified. The literature reviews provided information to help with the apprehension of PND and the effects it can hold on the female parent, household and babe. There is clearly a demand for a more accurate and consistent manner of placing PND and so entering and utilizing the information. For the group to be effectual, it was identified that good collaborative working was indispensable. As the function of the wellness visitant has changed over the old ages, it is of import to show how they can better wellness and cut down inequalities through successful, choice intercessions. Word count 4, 378. How to cite Health Needs Assessment Process Health And Social Care Essay, Essay examples

Carl Rogers and His Theory of Personality free essay sample

Mainly covering topics such as his philosophy of theory, his theory of personality, how we acquire dysfunction and how we treat dysfunction. Carl Rogers’ approach has often been called the ‘Third Force’ in psychology (Casemore, 2011). The development of his theory stemmed from Rogers’ own experience of being a client, and his experience of working as a therapist. This gave rise to the views he developed about Behaviourism and the Psychoanalytical approach to therapy. These approaches are viewed as the other two forces in psychology; the first force to psychology being Freud and his psychoanalysis and the second being the Behaviourists such as Pavlov, Skinner and Watson. Rogers strongly challenged these two views of human nature as he believed that Behaviourists seemed to take the view that all human beings are organisms that only react to stimuli and that they develop habits learned from experience. Behavioural theorists also maintain that humans are helpless and are not responsible for their own behaviour (Casemore, 2011). Rogers also thought that Freud and his psychoanalytical approach had shortcomings due to the belief that human beings are never free from primitive passions orienting in their childhood fixations and that they are solely the product of powerful biological drives. The psychoanalysts emphasised a ‘dark side of human nature’ (Casemore, 2011:5) to which humans seemed to have no control over. Both of these theories have commonalities in that they are deterministic in nature and do not believe that humans have free will (Thorne, 2003). Rogers disagreed with these two theories and developed his own theory which is non-deterministic and views humans as has having free will. This approach is called the person centred approach. The person centred approach was developed from three philosophical beliefs, phenomenology, existentialism and humanism. Phenomenology refers to the way in which individual’s perceive and interpret their own individual events (Merry, 2002). It is not the actual event which causes people to behave in a certain ways it is the way in which people uniquely perceive themselves that determine their responses (Casemore, 2011). This concept in person centred theory is called the internal frame of reference; this is also a main theory of humanism. Rogers had said that only individuals themselves can really know what is going on it their own subjective world (Dryden and Mytton, (1999). A main existentialist concept is that every person has the right to make their own choices based on experiences, beliefs and biases, and that these choices are unique to us. Existentialists believe that there are no guidelines for most decisions and that there are no rules to which we have to live by (Casemore, 2011). The underlying concepts of existentialism are that humankind has free will, life is a series of choices creating stress, few decisions are without negative consequences and that some things are irrational with no explanation as to why (Merry, 2002). Humanistic philosophy is based on the concept that people are rational beings who possess within themselves the capacity of truth and goodness. Humanist approaches also emphasises the dignity and worth of each individual and that individual growth is based on the person striving to create, achieve or become (Casemore, 2011). The need for self- actualisation is a concept in humanist theories and is regarded as a fundamental human drive. Self-actualisation is a key concept in the work of Maslow and his hierarchy of needs model. The hierarchy of need model identifies five basic human needs. The first of these is the physiological need, those basic needs for continuing life, for example, water, oxygen, bodily elimination, avoidance of pain and sexual expression. The second is safety and security, the third is love and belonging, the forth is self-esteem and the fifth is to self-actualise (Hough, 2010). In developing his person centred approach Rogers was highly influenced by Maslow and the concept of Self-actualisation. Self-actualisation is a person’s basic desire is to be all that they are capable of becoming. The actualising tendency is the term which Rogers used to describe this human urge to grow, to develop and to reach maximum potential (Kirshenbaum, 1989). In the words of Dryden and Mytton (1999:67), ‘Plants have an innate tendency to grow from a seed towards their full potential, flowering and bearing fruit’. Rogers believed that the same is true for all human beings. He believed that the actualising tendency is a positive, formative, instinctual and developmental tendency inherent in all human beings, and other organisms, from birth onwards. An infant knows what good and bad experiences are, they embrace positive experiences and avoid experiences in which are bad for them. Rogers also believed that the actualising tendency in humans can be supressed and twisted by our experiences, although if given the right conditions and the right opportunities the infant will stride towards autonomy and self-direction (Rogers, 1961). The actualising tendency, despite every kind of opposition or hindrance, will insure that individuals will continuously try to grow towards their maximum potential (Mearns and Thorne, 2007). Individuals who are blessed with a loving and supporting environment throughout their childhood will receive the necessary reinforcement to guarantee the nourishment of their actualising tendency. If this ideal environment were present, the individuals organismic valuing process would be in good order, this would be enable them to ‘move through life with a sense of satisfaction and fulfilment’ (Mearns and Thorne, 2007:12). The individual would be on their way to becoming a fully functioning, or a fully actualised person. The development of the self and the self-concept plays a big part in Rogers’ actualising tendency. Rogers states that as the infant develops, they begin to recognize a portion of their private world as ‘I’ ‘Me’ ‘Myself’. These elements that the infant controls from their experiences are part of the self. If they don’t control these experiences they become less part of the self (Simanowitz, 2003), the ‘self’ is said to be the ‘real inner life of a person’ the organismic self (Dryden and Mytton, 1999:71). As children develop, a self-concept emerges that is often different from the ‘real’ organismic inner self. The self-concept is the individual’s personal construction of themselves, which has developed in response to significant others (Simanowitz, 2003). As parents, carers and teachers praise or blame, show warmth or repress and criticize, the child begins to believe these evaluative messages and they start to accept them as an integral part of themselves (Dryden and Mytton, 2007). The organismic valuing process is a concept which is of great importance to Rogers’ person centred theory, and as well as the actualisation tendency it s on-going throughout an individual’s life. It is a biologically driven valuing process to which each of us have to assess our own experiences of which are enhancing or/and maintaining our organismic needs. For example it is a biological human drive to crave food when hungry and water when thirsty, when we feel theses sensa tions we are motivated to feel and satisfy the sensations by seeking food and water (Gillon, 2007). As the individual grows older they value their experiences as to whether they are going to pleasure or provide for them (Merry, 2002). If the individual is getting positive outcomes such as maintenance or enhancement from their experiences, they are going to view them positively. If the individual feels as though their development is being threatened then they will view this experience as being negative (Merry, 2002). With regards to the organismic valuing tendency and weighing up positive or negative experiences Dryden and Mytton (2007:69) had the following to say: In order to satisfy the actualising tendency (the drive to grow physically and psychologically), we need to know what is of value to that growth. Person centred theory calls this ability to weigh up and value experiences positively or negatively, the organismic valuing process. The individuals own organismic valuing process becomes distorted when they start to value expressions of positive regard towards them from somebody significant in their lives. Infants will begin to believe that they are only accepted as long as they feel, think and behave in ways which are positively valued by significant others (Merry, 2002). Rogers had said this need was ‘persuasive and persistent’ (Rogers, 1959:223). The individual is in conflict as their own actualising tendency prompts them to be open to all experiencing, but their need to retain positive regard from others makes them absorb values which conflict the actualising tendency into their ‘self-concept’. This process happens without the individual being aware of it (Merry, 2002). Infants begin to evaluate these negative experiences from others accordingly, and because they need to retain positive regard they acquire conditions of worth (Gillon, 2007). Children may sometimes only receive positive regard from significant people, notably their parents when they meet certain conditions. For example, a child may feel that he is loved when hes told that he is being a ‘good boy’ but not when he has misbehaved. This creates conditions of worth, where the child feels that he becomes worthy of love only when his actions are consistent with what is expected of him (Merry, 2002). If an individual only receives unconditional positive regard they would develop no conditions of worth. Their need for positive regard from others and their need for positive self-regard would not ‘come into conflict’ (Merry, 2002). Tony Merry in his book ‘learning and being in person centred counselling’, states that this situation is only ‘hypothetically possible, and never occurs in reality’ (2002:27). Humans will always acquire conditions of worth in their lives at some stage, whether it is because they want to feel good about themselves, want to be loved, or are seeking approval for something (Thorne, 2003). If hypothetically the individual should not develop any conditions of worth the self-concept would not distort or reject any of the experiences that the individual has had, they would be their ‘authentic self’ (Merry, 2002). They would then be on their way to becoming a fully functioning person, the ‘real’ unconditioned self. Rogers described a fully functioning person as someone who is open to experiences which in the past have been too threatening. They also trust in their own organism because they can deal with the consequences of their decisions, and if the wrong decision is made they are able to correct it. They also express feelings freely, act independently, are creative and live a richer life, these concepts are described as ‘the good life’ (Rogers, 1961:184). Rogers had said that the fully functioning process is on-going and does not indicate an end point of an individual’s development (Merry, 2002). As it is only a hypothetical theory that a child could develop no conditions of worth, a question could be asked about, what happens when the imposition of conditions of worth does happen? Merry (2002) described this as the child not being their true or organismic self, but instead being a ‘false’ or ‘conditioned’ self. As said in a previous paragraph the child is conditioned to feel and behave the way in which they think others want them to behave, this can then lead to an introjection of values. An introjection of values can occur when the values and beliefs of an over powering significant other bear nothing in comparison to that of an individual’s organismic self (Thorne, 2003). It is a constant struggle for the individual to gain positive regard from their significant other, due to the apposed values, and due to a total lack of self-regard the organismic roots in which the individual started life with become further away. The introjections lead to conditions of worth which make it almost impossible for them find their authentic self (Merry, 2002). Rogers had said that if an individual has lost touch with their actualising tendency because they have been with little positive regard or high conditions they will have a weak or external ‘locus of evaluation’ (Simanowitz, 2003). People with a weak or external frame of reference will not have faith in their opinions or decisions, individuals will no longer trust their inherent conditions of worth. They will also have a low esteem and will find it hard to make their own decisions (Thorne, 2003). Due to a continuous and persistent need for positive regard an incongruity emerges over a period of time between the self which is conditioned and the authentic organismic self (Thorne, 2003). This incongruity makes the individual vulnerable, which in time will lead to them feeling anxious and confused as they are uncertain as to whether certain experiences are incongruent with their self- concept. If the individual feels their self- concept is under threat defence mechanisms of denial or distortion will take place. An individual’s defence mechanisms will protect them from the anxiety and confusion that they feel. They will deny their learnt conditions of worth into their awareness and only let in experiences that are ‘consistent with their self-concept’ (Merry, 2002:28), they will confront experiences that do not make sense in terms of their self-concept. This process of internalising conditions of worth by using defence mechanisms can result in what Rogers (1951:248) terms a ‘state of disorganisation’ within the self. The above paragraphs have focused on how individuals acquire dysfunction through not receiving unconditional positive regard. Subsequent sections will focus on how Rogers viewed how these dysfunctions should be treated. In 1957 Rogers accepted an appointment at the University of Wisconsin and published a paper called ‘The Necessary and Sufficient Conditions of Therapeutic Personality Change’. In this paper he proposed that there were six necessary and sufficient conditions which need to be present in order for his clients to experience a positive psychological change (Gillon, 2007). These conditions are (Rogers, 1957:96): 1. Two persons are in psychological contact. 2. The first, whom we shall term the client, is in a state of incongruence, being vulnerable or anxious. 3. The second person, whom we shall term the therapist, is congruent or integrated in the relationship. 4. The therapist experiences unconditional positive regard for the client. 5. The therapist experiences an empathic understanding of the client’s internal frame of reference and endeavours to communicate this experience to the client. 6. The communication to the client of the therapist’s empathic understanding and unconditional positive regard is to a minimal degree achieved. Rogers stated that as long as these six conditions exist in the relationship throughout a period of time then the process of ‘constructive personality change will follow’ (Rogers, 1957:96). It was during his time as Wisconsin that Rogers had his chance to lead a project and see if his hypothesis about the necessary and sufficient conditions of personality change would work (Thorne, 2003). The clients in whom he would help during this project were mainly suffering from schizophrenia, and the results from the project were not very satisfactory. Rogers had described this as ‘without doubt the most painful and anguished experience of my whole professional life’ (1972:62). After the disappointment of the Wisconsin project Rogers realised that one of the major limitation of the study was that in order for there to be a constructive personality change the client must be able to perceive the therapists’ attitudes; these attitudes would not have been perceived by a schizophrenic client due to the very nature of the mental health condition. If the necessary and sufficient conditions exist in the therapeutic relationship then the client will be on their way to dissolving there conditions of worth, which will lead them towards being a fully functioning person. The psychological environment is also important for there to be personality change. If the psychological environment is right then then clients will ‘discover for themselves, the resources they need for change and growth’ (Merry, 2002:56). Rogers believes that the therapist should be non-judgemental, accepting and empathetic, these attitudes must be firmly rooted and not just adopted. If these three conditions are apparent in the relationship then the client will experience unconditional positive regard (UPR). The client has their conditions of worth because they had not experienced UPR from their significant other. If they receive UPR from the therapist then this will be a ‘corrective experience’, this will in time help the client develop an increase in positive self-regard (Merry, 2002). If UPR is present the client will feel they can be truthful and feel safe when exploring sensitive issues. Empathy is also a fundamental therapeutic condition in the treatment of dysfunction. Empathy has been described as ‘a fearless exploration of another’s inner world’ (Tolan, 2003:18). In order to be empathetic and to see the world from the clients ‘frame of reference’, the therapist should adopt the frame of reference of the client. They should experience their client’s inner world by experiencing the client’s events from their frame of reference; they can sense how the client is feeling about the events in which they talk about (Mearns and Thorne, 2007). The therapist should do this without getting lost in their clients world; this is called maintaining the ‘as if’ factor. Empathy is important as it shows that the therapist fully understands what the client is experiencing. Congruence is another important aspect to the clients personality change. Congruence can also be described as genuineness (Tolan, 2003). Rogers believed that all therapists should possess the qualities of sincerity, authenticity and honesty. The counsellor has to be themselves in the relationship by not putting on any pretences or facades. The therapist should be a ‘whole’ person; they must be self-aware and comfortable with their own experiences. Without congruence it would not be possible to form attitudes of openness and honesty in relation to the clients. Rogers said that it is important for the therapist to not convey false images because then the client will not have any miss conceptions of the therapist being superior and having the answers (Mearns and Thorne, 2007). This essay has discussed how Rogers derived his theory from three philosophical beliefs. These are Phenomenology, Existentialism and Humanism. Rogers was highly influence by Maslow and his concept of self- actualisation, a person’s basic desire to be all that they are capable of becoming. From this Rogers developed his theory of the actualising tendency, which is that all humans strive to reach maximum potential. The self and the self-concept are two important aspects of Rogers’ theory, the self being the real authentic self. The self-concept develops throughout a child’s life; it is their own personal construction of themselves which develops in response to significant others. The organismic process is also important to Rogers’s theory. It is a biologically driven valuing process in which we weigh up experiences positively or negatively depending on whether the experiences enhance or maintain us. This can be distorted by significant other due to our need for positive regard which in turn can lead to conditions of worth. Rogers believed that if hypothetically no conditions of worth were present then the individual would be on their way to being a fully functioning person. If the individual does have conditions of worth it can lead to an introjection of values, a low locus of evaluation and they will become vulnerable. The vulnerability will make the individual feel anxious or confused and they will develop defence mechanisms such as denial or distortion. It can be said that if the individual has the above conditions that this will lead to dysfunction. Rogers said that in order for dysfunction to be treated there must be six necessary and sufficient conditions involved in the therapeutic relationship. He said that in order for there to be personality change the counsellor must be congruent, empathetic and that the client must receive unconditional positive regard. If all of the above are conditions exist in the relationship then the clients conditions of worth can start dissolve and in time the client will be on their way to becoming a fully functioning person.