Disabilities in Society

 Disabilities in Society

 

Contents

Introduction. 3

Theoretical Framework. 4

The Sociology of Childhood. 4

The social relational model of disability. 5

Literature Review.. 7

Disabilities in Learning Institutions. 7

Attitude towards Disability. 11

Disability and the Right to Full Human Development 14

Material Barriers. 15

Practical Application. 16

Social Policy. 17

DI and SSI. 19

Americans with Disabilities Act- ADA.. 20

Conclusion. 20

Reference: 22

 


Introduction
Disability may take two different approaches depending on the frame of reference or the circumstances. The meaning of disability may take a bio-medical approach or a functional approach. For the purpose of this research paper, disability shall be assessed on two main points of view. First, a disability shall be defined as any condition that when judged on the basis of function, it renders an individual impaired in comparison to the typical or standard way of functioning. Statistically, disability can be understood as a condition that renders an individual’s performance or functioning in a particular area to fall below the population average or the average performance of the general group in the same area. This impairment may be cognitive, intellectual, physical, mental disability, or some types of chronic diseases.

Disabilities are everywhere in the society. In learning institutions, there are students with learning disabilities. At the workplace there are individuals or employees with disabilities. While some disabilities originate from childhood or childhood experiences, some originate from the adulthood when an individual is already in the working-age. This research paper explores both scenarios and makes an attempt to draw a connection between them consequently assessing the policy implications of disabilities in the society and the practicability of these social policies in achieving their objectives. The main aim of this research paper is to explore disability on a wider perspective and examine it with respect to the society’s attitude to disability then explores policy implications of the experiences of the disabled members of the society with a more inclination on the learners and those in the working-age.


 

Theoretical Framework

The theoretical framework used in this research paper is based on the framework developed by Connors (2007), which traces disability in the society from the sociology of childhood and through the social relationship model while at the same time incorporating the aspect of difference in the model. Even though the Connors’ theoretical was basically focused on exploring the experiences of children with disabilities in the society, the model is fit for this particular study since it gives an appropriate approach to the roots of disability and provides a better understanding of the experiences disabled members of the society experience from childhood to adulthood. Therefore, the theoretical framework of this paper is developed on the basis of the social model of disability and the social relational model of disability and incorporates the concept of difference to explore the subject of disability in the society. One part puts emphasis on the importance of the environment on the participation while the other puts emphasis on the significance of the quality of life.

The Sociology of Childhood

The majority of previous childhood studies have dwelled mainly on exploring and researching on the development of the child and the main areas of focus have been the child’s psychological development, social development and physical development. it is important to trace disabilities in the society from a childhood perspective because most disabilities originate from early days of human development. However, as has been mentioned, the studies on childhood development did not put into consideration the disabilities that children acquire or are born with and which they live with into their adulthood. The studies mainly viewed children in adult eyes thereby giving children a passive role in their development. They were therefore viewed by the society as adults in training (Mayall 2002). The notion that childhood, as opposed to biological immaturity, could be a result of socially constructed aspect that results from the interplay of factors like social class, individual’s gender and ethnicity only came to materialization in the course of the ‘sociology of childhood’. A number of studies (e.g. Mayall 2002 and James 1993) recognized that children possess a distinctive perspective and dynamically shaping their own lives. These studies, which have provided a clearer picture of children’s accounts of their experiences, have enabled the society to realize and appreciate that the lives of the children in the society are not homogenous. This lack of homogeneity therefore necessitates studies that look at the children all their diversity (Brannen and O’ Brien 1995). Studies must pay special attention to the children’s experiences if at all the general themes in the lives of children should be understood. This approach, according to Colver (2005) in his paper  on social model of disability, brings out greater potential for understanding the social model of disability and integrating the understanding with the sociology of childhood and this in turn allows a better understanding of the experiences of the disabled children. The social model accentuates the significance of the environment to participation.

The social relational model of disability

Connors’ work (2005) was principally important to the achievement of this paper’s objective because of the extensive work laid out in the study relating to the experiences of the disabled people in the society. The author provides an extensive relationship between unequal social relationship and disabilities in the society. The author further likens this relations hip and its origins in the society to that or racism and sexism, which both result in social impositions of restrictions “of activity on the impaired people by the non-impaired members of the society” (Connors 2005). These imposed restrictions could be through creation of barriers to the individual to do something or to being someone. Barriers could be created and imposed on the disabled individual to do something that is physical or economic. Such barriers could also be material barriers such as inaccessibility to buildings, transport, and these by nature will restrict the disabled person from undertaking activities related to the barriers created. This point is further reinforced by the study carried by Bradbury et al (2001), who reiterate that creation of socio-economic barriers to the disabled members of the society is an impetus to prevalence of apathy and the notion that disabilities are a tragic accident and a mess to the enforcement of socio-economic policies.

 


 

Literature Review

Disabilities in Learning Institutions

Learning disability affects the intelligence quotient of the individual. It is a condition that leads to fall in individual’s intelligence quotient below the normal range. Brain is affected adversely which makes the individual unable to perform very well in various activities. Children with learning disabilities encounter difficulties in sensory information processing which in turn impacts on the ability of the individual to interpret various activities in the learning institution. Learning disability limits individual ability to see, hear and properly understand what is been imparted to them in school like other normal students. It is important to take care of these persons in order to avoid severe impacts.

Duquette (1998) provides an explorative assessment of the various teaching techniques that should be used in the learning institutions that have students who have learning disabilities. It is imperative to understand the fact that children with learning disabilities are not very attentive, cannot realize their dreams by their own. They have to be assisted to learn various ways of doing things.  Learning disabilities generally affect the process of information relay in the nervous system. This affects the way information is received, processed or communicated.

Allyn and Bacon (2007) posit that instruction intermarried with effectual teaching for students with learning disabilities calls for expert familiarity in the areas of spoken language and reading and proficiency in writing as well as specialized knowledge in handling math. This further calls for evidence based teaching within each area as proposed by Summer (2007).

As an instructor, it is important to realize that there are learning disabilities which encumber learners of average or above-average acumen in easily and reliably processing a range of types of information.  For instance learners with dyslexia exhibit a perceptual deficit that scuttles sequences of letters or numbers. For this reason, it would be a big achievement for the teacher to understand how the learning disability exhibits itself and the methods that the student previously used to handle the disability in the past. The instructor will only gain the knowledge of that if he discusses with student about the issue. In addition, it is vital that the instructor appreciates that learning disabilities do not stem from a learner’s intelligence (Allyn and Bacon 2007). They also don’t result from physical or emotional health of the student; neither are they as a result of the student’s cultural background or socioeconomic   circumstances.  It is possible for learning disabilities to exist amid other disabilities. For example learners who have head injuries that are brought about by traumatic accidents may require adjustments (accommodations) similar to those provided to persons with learning disabilities.

Secondly, as supported by Hartman’s study (2008), there are a number of universal teaching techniques which may be very supportive and helpful in making learners with disabilities experience the necessary comfort in the classroom hence show maximum performance possible. First and foremost, while preparing the syllabus, it is important to incorporate a statement learning disability accommodation. For instance it would take something like: “If you have a disability and would wish to have specific accommodations, kindly discuss this issue with the professor.” Such a statement would clearly act as an indicator to the students with disabilities that the instructor, mentor, tutor or teacher is at ease to discuss the potential need for accommodations. Additionally, it acts as a fillip to the students by encouraging them to talk about accommodations prior to the actual need for them. The instructor carries the tool that can create an amicable environment for learning. For this reason, the instructor should inform the students in every meeting of every class about the Centre for Special Services (for students with disabilities), if any. The instructor may also be obliged to discuss privately with the students with learning disabilities more so those that have disclosed their condition and hence go further to ask them how the course could be made a good learning experience for them (Allyn & Bacon 2007). This would be helpful in bringing confidence in them. Students with disabilities may most likely have a problem with time management. To help them out of this, the instructor should issue sufficient notice concerning due dates for assignments. The students may also find reading and writing to be quite hectic and time-consuming. The instructor should therefore allow for extensions for assignments so that such students do not feel punished for their disabilities.

It is not only in the classroom that the people with learning disabilities will have problems. Even in examinations and undertaking of assignments. Duquette (1998) advices that the instructor should consider alternate methods for the exams as well as the assignments so that the students with disabilities are permitted to have input into the dialogue about alternate methods (for instance allow for handing in of electronic exams for hard copies). If the instructor encourages the students to play an active role in the classroom, it would be an impetus to their self- confidence and give them an opportunity to make it evident to others that they are not academically disabled. This would further enhance the student’s own learning (Abbott et al 2004).

For those students with visual impairment, it is appropriate for the instructor to address the particular student with his/her name. Apart from that, the students with visual impairment especially those with low vision should be provided with copies of overheads and board work. For easier follow-up of the lectures by the students, the instructor should allow them to audiotape the lectures. There are names whose spelling may not strictly follow conventions. Such proper names should be spelt out by the instructor for clarity to the students.

Abbott et al (2004) argue that visual aides may be necessary if the concerned students have hearing impairment (this may call for items like acetates and slides). Secondly, the instructor should make use of a microphone in a large room and understand that while such a student with hearing impairment speech-reads, she or he does not see the instructor’s lips and therefore the instructor should talk while facing the class rather than the chalkboard. The instructor has a responsibility to extend his or her teaching expertise to the laboratory and in the fieldwork too. To achieve this, the instructor should ensure that when assigning group lab projects, it is done in such a manner that allows every individual of the group to contribute in accordance to individual member abilities. The laboratory equipment should be arranged in a way that makes them accessible to every individual and visible by everyone (Duquette 1998).

According to Summer, (2007), it is very important to employ appropriate teaching technique so as to ensure that students with specific learning disabilities can also get equal learning opportunity. These techniques are applied under different situations. Moreover, Hartman (2008) reiterates that these depend entirely on place where learning process is being carried out such as classroom, laboratory, examinations room and field work as discussed above. The technique to be used is predetermined to ensure efficiency (Hartman, 2008).  When students are in classroom, it is important for the institution to select courses in advance to enable the students with learning disabilities get enough time to translate them to audiotape or large print. The teachers should make syllabus in advance, short assignment sheets so that they can be used by these students (Duquette 1998). The lecturers should give lectures in very supreme way in that they write key phrases and lecture outlines on the overhead projector.

As Hartman (2008) adds in his paper on student disability paper, when students are going to learn in the laboratory, it is recommendable that the students with learning disability are permitted to take a tour in advance so that they can learn safety concerns so as to avoid injuries. Lab projects should be assigned according to abilities so as to enable all students undertake their projects efficiently and complete in time. The institution should ensure that the lab equipment is arranged in a manner that all students can access all the equipments necessary for learning. Lecturers should give oral or written lab instructions.

Some past studies have recommended that students with learning disabilities should undertake their exams in an environment free of distractions (e.g. Summer 2007 and White et al 2000). The exams should focus on the skills and abilities of each student (Hartman 2008). Students with learning disabilities should be given extra time during the time of examination. Exams should be composed in a way that disabled students can easily access them and that they are clearly typed in large black letters with spaces between lines (Duquette 1998). The items in between should be double or triple spaced so as the students can easily read.

Teachers should be very sensitive to students with learning disabilities who may not be able to read aloud due to certain impairments. Teachers and lecturers have the obligation to discuss ways in which students with learning disabilities can participate in class work upon realizing their deficits. Some of the most powerful tools that an instructor can develop include respect to the students, positive attitudes, flexibility and acceptance (Summer 2007, and Hartman 2008). In situations where the students are faced with teachers who mistrust them or who are not flexible, they (students) become disheartened and may easily fail to maximize on their performance.

Attitude towards Disability

Studies have shown that research into the area of disabilities in the society would be meaningless if the studies cannot lead to a quantitative contribution to the subject by creating a positive attitude towards disability and people with disabilities (Connors, 2005, and Hannon, 2010). In the study by Hannon (2010), the author posits that the key to improving the efficacy of the efforts pit into addressing the negative experiences of the disabled people in the society should focus on changing the attitudes to people with disabilities. Hannon further observes that there have been persistent negative attitudes to disability around the world though the trend is improving with more awareness being put into action and governments as well as other stakeholders investing considerably in the creation of awareness in the area of disabilities in the society.

In another research study, White, Jackson and Gordon (2006) explore the implicit and explicit attitudes toward sportspersons with disabilities and they reiterate that there is a positive relationship between the attitude and the experiences of the athletes with disabilities. Their study further show that the prevalent attitudes, which are negative in nature, provide evidence that the members of the society that have disabilities are not yet fully integrated into the society especially given that they are expressed towards intimate relationships for the individuals with disabilities.

Studies have indicated that more positive attitudes are expected when individuals who have disabilities voluntarily get together with other members of the society who have disabilities. Negative attitudes among the people with disabilities deserves special attention since it is likely to slow progress towards equality when  it is the disabled people who have negative attitudes about disability. It means policy making also slows down since the campaigns must target the negative attitudes from the individuals without disabilities and those with disabilities. The campaign is all about the change of the mindset.

The attitudes could be related top employment where barriers have been created to enhance the socially constructed boundaries within the workplaces or the society in general. Appropriate support mechanisms have been explored by Hannon’s study (2010) as a way that can help employers to have positive attitudes towards those with disabilities and disability as a whole. Hannon (2010) argues that if such mechanisms are put in place the welfare of workers that have intellectual and mental health can be improved. To support this idea by Hannon, Corrigan and Gelb (2006) argue that the welfare of the mentally incapacitated individuals can be improved through the mass approaches that target employers and the society in general through specific group targets.

Throughout the body of research that has been carried out in the past it is evident that a number of interventions techniques are common for all the authors in the studies. These intervention techniques have been proposed to influence attitude formation in the society and they include direct contact with the members of the society with disabilities and those that do not have disabilities (Connors, 2005, Hannon, 2010 and Blessing et al, 1999).

The study by Blessing et al (1999) specifically mentions legislation and providing support for the participation of the people who have disabilities and they should be encouraged and supported to participate in all spheres of the society. Besides this support, another intervention technique is to ensure that the society is void of any structures of segregation and discrimination against disability or individuals with disabilities. Encouraging increased political organization and extensive debate and discussion in academic and public realms focusing on disability issues.  Since each of the interventions proposed by the studies is targeted to play a particular and vital role in generating positive attitudes to disability in the society, every effort must be made to translate research evidence into actual practice.

Disability and the Right to Full Human Development

All reasonable advances to attaining the full participation of individuals with disabilities incorporate doing away with all the socially constructed obstacles to achieving human potential. These obstacles may take various settings that include environmental, political or psychological constructions. They may also be educational in nature, institutional and social.

Doing away with these barriers provides the people with disabilities with access to the fundamental conditions needed to operate as independent and responsible people. These essential conditions include education, housing, working conditions, impartial and fair remuneration for work, justice, impartiality and the chance to be involved in civic and other socio-cultural aspects in day-to-day life. This has been documented as a proper way of ensuring socio-economic security and social inclusion of the individuals with disabilities.

Social integration is an important aspect of the human development and this can be facilitated through participation of the individuals with disabilities in physical activities and sports. According to Hannon (2010) social integration of the disabled members of the society through such events as sports and physical activities also helps in bridging the cultural boundaries that create barriers in human interaction and bolsters efforts that aim at overcoming prejudice or discrimination in the society against that have diverse characters.  It is through these social interaction opportunities that the individuals (whether those who have or who don’t have disabilities) can learn social issues such as fair play and teamwork and gain more knowledge on solidarity as a strength. In addition Rosenbaum (2009) while looking at childhood disability and social policies argues that social interactions that involve many members of society coming together help the members of the society to understand and appreciate the needs of the other. These perspectives echo those taken by O’Toole (2006), who argues that socio-cultural and civic participation are more profound to the aspect of human development than most individuals may just think of culture as a part of going or not going to the movie theater.  O’Toole supports the idea of these interactions being important in supporting human development by arguing that sport is essential in improving education while paving the way for more integration between and among members of the society and cultures.

Material Barriers

The disabled members of the society may be faced with situations that seem to create a social barrier that hinders them from achieving an objective that would help them in fulfilling their fundamental needs in the society (Swain et al 2004). Studies have showed that social barriers have a very restricting aspect and need to be identified to a particular setting of the external social world such as in the employment environment, in educational setting (institutions of learning), transport and housing among other settings.  In their study, Connors and Stalker (2003) focused on the barriers that are restricted to learning institutions environment and came up with four barriers they considered significant in impacting the lives of the disabled students negatively. The researchers noted that lack of access to recreational facilities and clubs is a major barrier more so for teenagers. Another factor that plays a major role as a barrier is the transport difficulties. Scarcity of after-school activities that the disabled in learners can creatively engage in is also a major barrier in the learning environment. Communication being a major element in human interactions, it also becomes a barrier the disabled individuals do not get the support they need to communicate effectively and this  further affects ability to interact hence limiting extent of human social development. Apart from the learning institutions, barriers can also be seen in the employment environment or the workplace (Swain et al 2004).

 

Practical Application
While the government or the society may come up with social policies to address the plight of people with disabilities and their rights, the society is not stagnant but a constantly changing and dynamic that the relevance of a policy may have to be revised from time to time to incorporate some of the realities that come up as these changes in the society are embraced. The practical application of effective disability policy is impeded by a number of hurdles. Some of these hurdles relates to the working of the social policies while some challenges lie in the implementation. Coming up with a consistent policy goal has been an obstacle to the effectiveness of the social policy programs that address the rights of the individuals with disabilities.

Prior to the passing of the Americans with Disabilities Act, it was commonly believed and held as wisdom that working-age people who have disabilities were not able to work and therefore not expected to work. The Act however challenged this notion based on a key input from proponents who contended that the chief barrier to employment was the unequal access to jobs and not a worker’s impairment as was commonly construed. These proponents felt that to say a worker is disabled was to fail o accommodate particular citizens in the society by constructing a social barrier that had multifaceted impact on the society. The impact could be economic, unequal wealth distribution, unequal access to employment that creates huge disparities in income among other factors. According to the proponents of the ADA, social policies addressing the rights of the disabled in the society had a practical application if everyone is provided equal rights in all spheres of the society because the disability-transfer population would be zero. However, an important and equally disturbing question is whether the disabled members of the society should categorically be expected to work and this question concerns the rights and responsibilities of the disabled people who are of the working-age.

Social Policy
The society is highly dynamic and the first step in having a social policy for disability is the creation of a common understanding of the terms and related terms. By having legal definitions of disability and other terms such as impairment, it creates a common point of reference since the society understands disability very differently from the way the policy documents would put.  Therefore, social policy programs have their definitions of disability and these definitions provide boundaries of who is covered under the program. For instance, Americans with Disabilities Act and Disability Insurance policy both have definitions of disability that allows them to cover a given set of individuals with disabilities. The society’s understanding is different and that is why special efforts must be put into action to ensure negative attitudes to disability are dispelled. For this reason, the government must, from time to time to ascertain that there are measures guaranteeing the social and economic welfare of the disabled members of the society. Since the advent of the pragmatic social policy and particularly between 1989 and mid 1990 several changes were made that actually showed how disability policy is a changing and dynamic aspect of the society. The government issued three key documents and made other far-reaching proposals targeting the economic welfare of the disabled in the society and their social welfare as well. Nevertheless, the disabled people have not had homogenous reactions to the social policy changes made in past. For instance, in the United Kingdom, some changes were made in 1990 which aimed at extending the benefits to the disabled people in the UK by proposing to take care of the extra costs of disability and provide other supplementary allowances to the disabled people who work in low-paid work (Hannon 2010). In the same country, there was the caring for people policy document, which focused on procedures for evaluating “the social care needs of disabled people and the development of care packages set against the background of local authorities’ limited resources” (Hannon 2010).

In the United States, the rights of the disabled people in the society are protected by the American with Disabilities Act- ADA of 1990.  This Act extended civil rights protection for the disabled people against being discriminated against at the place of work and in employment. The passage of the ADA-1990 characterized a clear effort to transform the spotlight of US disability policy further than income transfers for individuals with disabilities who stayed out of the labor market (Oliver 1999). The focus was rather put on the employment support for people with disabilities who faced disability-related barriers at their places of work that impeded employment. The point underlying this change in focus was that by eliminating disability- related obstacles to employment, people with disabilities would have increased freedom to opt for work over the benefits receipt that disability attracted. In spite of these efforts, the biggest influence of federal government social policy on individuals with disabilities is still being felt through the Disability Insurance (DI policy) and through Supplemental Security Income (SSI). While the DI is a social insurance plan that targets the regularly employed members of the society who might experience a disability that could entirely prevent them from working and SSI is a categorical welfare plan that offers benefits to those who are completely prevented from working by their disability; both programs were founded under the Social Security Act (1935) even though SSI was created under  Title XVI while DI under Title II of the Act.

Despite the good intention of the social policy programs in addressing the issues that affect the disabled people with respect to employment, there have been some arguments that some evidence indicate that these programs have not had considerable impact on improving the employment opportunities of the individuals living with disabilities (e.g. Burkhauser & Daly 2002). The authors have argued using the 1990s data, which shows that employment rate among people of the working-age, plunged while the benefits rolls and expenditures went up. The authors call this circumstantial evidence nevertheless.

Social policy that targets disability in the US incorporates two main components one of which is the employment protection. The other component comprises transfers. The federal disability transfers are limited only to those individuals who have disabilities that prevent them from functioning in a substantially gainful way. However, ADA (1990) provides a much broader employment protection for those with disabilities and also targets a broader group of individuals with disabilities. It includes even individuals who have the capacity and ability to work in the labor market. The following analysis looks at the social policy in terms of the transfers and employment protection on the basis of the available social policy programs.

DI and SSI

These two policies trace their origins to the 1935 Social Security Act of 1935. The two social policy programs are managed by the Social Security Administration that provides qualifications for eligibility. According to the SSA, “the inability to engage in substantial gainful activity, by reason of a medically determinable physical or mental impairment that is expected to result in death or last at least 12 months” (Social Security Administration, 2000). Therefore, to qualify for eligibility, an applicant must be impaired such that they cannot in any area that is recognized within the economy and for which hold qualifications with respect to their age, education and experience in the area of work. In addition, the programs only start issuing benefits after a mandatory five–month waiting period. Upon request for application for disability consideration, the officials and the applicant gather sufficient information and then the applicant feels the appropriate form after which the application is passed over to state agency for determination verification of the disability. The criterion for determining eligibility for disability benefits is homogenous across all the states while the results of the process vary from one state to another. The two programs have different goals even though they share same administration center and eligibility criteria. The object of the Disability Insurance is to offer qualified members with “earnings replacement insurance” when they exit the labor market due to disability. The benefits of this program are provided through a special tax on the payroll and contributed by the employer and the employee.

Americans with Disabilities Act- ADA

This Act provides a broader definition of disability hence covers a broader set of individuals with disabilities. According to the Act, disability is considered to be any physical or mental impairment that significantly limits an individual or individuals key life activity, a verification of such an impairment, or being considered as having such an impairment. To this effect, Title I of the Act obliges employers to make reasonable considerations to employees with disabilities except where such accommodations would cause unwarranted hardship on the normal operation of business.

Conclusion

The results of this research shows that the reaction of the society towards disabilities and individuals with disabilities plays a major role in determining the success in elimination of the social barriers that are constructed by the same society and which impede the achievement of equity within the workplace, political environment, learning environment, civic and social arena. The research further established that the effective practical application of the social policies and other social initiatives established by non-governmental institutions depends on the seriousness with which the policies are passed and implemented. For the students and learners with disabilities, most of policy changes that need to be made are explored within the literature with reference to the various studies that have focused on the improvement of the welfare of the students and learners with disabilities. The changes include making accommodations within the curriculum and teaching techniques.

 


 

Reference:

Allyn & Bacon, G. (2007). Contemporary Issue in Curriculum. London: Trade paperback Publisher, 131-167

Bradbury B, Norris K, & Abello D. Socio-economic disadvantage and the prevalence of disability. Social Policy Research Centre. 2001. www.sprc.unsw.edu.au/reports/Report1_01.pdf.

Colver A. (2005). A shared framework and language for childhood disability. Journal of Developmental Medicine Child Neurology, 47(11):780-4.

Connors, C. and Stalker, K (2003) The views and experiences of disabled children and their siblings: a positive outlook. (London, Jessica Kingsley)

Connors, C. and Stalker, K. (2003) Barriers to ‘being’; the psycho-emotional dimension of disability in the lives of disabled children, paper presented at Disability Studies: Theory, Policy and Practice, University of Lancaster, 4-6 September.

Corrigan, P., Gelb, B. (2006) Three Programs That Use Mass Approaches to Challenge the Stigma of Mental Illness. Journal of  Psychiatric Services, 57, 393-398

Dowling, M. and Dolan, L. (2001) Disabilities – inequalities and the social model. Journal of  Disability & Society, 16 (1), 21-36

Duquette, C., (1998). Teaching Students with Disabilities. Journal of Teaching Technologies 2(3)

Hannon, F (2010). Literature Review on Attitudes towards Disability. Dublin: University College Dublin, University of Westminster Press.

Hartman, R. (2008). Disabled Students’ Program. New York (NY): Merrill Trade Publishers

Rosenbaum, P (2009) Childhood disability and social policies. British Medical Journal, 338 (1020)

Summer, C. (2007). Student Disability Programs. Texas: Texas Tech University Press.

Swain, J, French, S, Barnes, Colin & Thomas, C (2004).  Disabling Barriers, Enabling Environments. London: Sage Publications

Watson, N., Shakespeare, T., Cunningham-Burley, S., Barnes, C., Corker, M., Davis, J. and Priestley, M. (2000) Life as a disabled child: A qualitative study of young people’s experiences and perspectives:  final report to the ESRC, Department of Nursing Studies, University of Edinburgh

White, M.J., Jackson, V., Gordon, P.J. (2006) Implicit and Explicit Attitudes toward Athletes with disabilities. Journal of Rehabilitation 72 (3) 33-40

 

 

Federal government programs

Federal government programs

  1. Analyze three current federal government programs related to health informatics

With the aim of realization of health informatics, the federal government has set up the Health Information Technology for Economic and Clinical Health Act (HITECH Act) which ensures that healthcare providers implement electronic data recording in their systems.(DerGurahian, 2010). The federal government has set up programs whose function involves creation and maintenance of the electronic recording system and ensuring that quality service and efficient functionality is maintained. Regulatory bodies, whose aim is to achieve realization of a complete and fully equipped informatics system, govern the programs implemented by the federal government. The act achieves its goal by restructuring of the healthcare system to incorporate electronic and technological fields with a plan of increasing effectiveness and customer care. Three of these programs that the federal government has set up are the Office of the National Coordinator, Centers for Medicare and Medicaid Services and the Health IT Standards Committee.

  1. Evaluate how each current program is impacted by licensure, certification or accreditation standards.

In the CMS program, the achievement of a national network for providers in sharing electronic health data is implemented by giving out grants and incentives for utilization of electronic health records in a meaningful manner (SearchHealthIT, 2010). These programs ensure a continuous and consistent implementation of electronic records. Healthcare providers are each given a time limit within which they are expected to have fully implemented the informatics system. Failure to which they are penalized for failure to utilize the grants allocated for implementation. This eventually ensures that healthcare systems achieve realization of a finished and functional informatics system among its various constituents. One of the functions of the programs set up is the creation of accreditation standards determining what meaningful utilization of electronic data is, which in turn determines whether the healthcare provider is entitled to receive incentives and reimbursement.

The second program is the Office of the National Coordinator for Health Information Technology (ONC), which develops rules used in certification of technology to be used in the new healthcare information systems. The ONC must consult with the head of the National Institute of Standards and Technology in order to accept the health electronic records certification programs. This is done through temporary or permanent EHR certification programs. For the temporary certification, the ONC serves as the accreditation body, accrediting technologies that are consistent with the goals of the HITECH Act and technologies that ensure realization of improvement in healthcare quality service provision (Haux, 2010). For the permanent program, the work of testing and certification is separated. A private-sector accrediting group is approved by ONC, and the set accreditation standards have to be achieved.

The third program is the Health IT Standards Committee. The function of the Health IT Standards Committee is creation of recommendations for standards, implementation, and certification of electronic health data exchange systems. This committee consists of all the members of the healthcare ecosystem, that is providers, health technology providers, federal agents hence their recommendations are comprehensive and cover all the requirements of the system. They submit these recommendations to ONC to be used in the certification, licensing and accreditation programs set up. (SearchHealthIT, 2010).

Predict how each current program will impact the following:

  1. Clinical quality
  2. Reimbursement for services
  3. Patient access to care

The Office of the National Coordinator for Health Information Technology (ONC), would impact positively on clinical quality considering that with the set standards, clinical quality is also raised. The ONC uses two EHR certification programs. This is also bound to positively impact on clinical quality. ONC also impacts on reimbursement for services, resulting in high quality services influenced by the accreditation body. Service is thus positively impacted depending on accreditation. Patients also access better care if a healthcare station has achieved the standards set by ONC. This means that the incentives and funds were utilized in the right way.

The Centre for Medicare and Medicaid services is tasked with governance of issuance of grants. Thus, clinical quality is improved in that electrification of data management by providers because of increased delivery and quality to the patients. CMS is responsible in administering incentive payments. Reimbursement of services will be impacted positively in the case that the healthcare providers meet the set standards. Better access to care for patients is also impacted positively considering CMS is tasked with issuance of incentives, so patients will definitely get better access to healthcare. The Health IT Standards Committee develops recommendations for standards; implementation and certification of electronic health data exchange systems, and submits them to the ONC (SearchHealthIT, FAQ, 2010). Clinical quality is attained because of the large scope of information brought in by the numerous individuals that make up the committee. This ensures quality is preserved. Services are also reimbursed in a better way as different individuals serve to bring in the shortcomings of a healthcare provider. In addition, with adequate incentives disbursed to the right healthcare provider, services are also improved. Patients also access care faster and more efficiently, as the healthcare providers’ shortcomings have already been addressed by the committee and funds or incentives disbursed to cover the shortcomings.

Explain how each current program supports the NHIN.

The National health Information System (NHIN) is tasked with improving the healthcare system by setting better standards for the healthcare providers. The Centre for Medicare and Medicaid (CMS) has the responsibility of weighing which healthcare providers are to be given a certain amount of funds and incentives. CMS improves healthcare by appropriately distributing funds and incentives to different healthcare providers and this in turn works in line with improving the standards of the healthcare providers and eventually the healthcare system.

The Health IT Standard Committee, is responsible for forwarding the recommendations for licensing, certification and accreditation standards. This committee represents the interests of the healthcare providers, which usually involve the increase in customer care quality. Hence, the standards set up to determine the acceptable healthcare information technology results in the overall improvement of healthcare service provision by increasing the service quality (Al Gallant, 2010). This, therefore, leads to a better healthcare system.

The Office of the National Coordinator for Health Information Technology (ONC), by being in charge of certification and licensure of information technology, is the lead organization in the creation of a national system for the exchange of health data (U.S Department of Health and Human Services, 2010). By setting high standards for technology to be implemented into the healthcare system, the ONC can bring about better service standards in the healthcare systems.

Evaluate the roles of health informatics professionals in operationalizing each of your selected federal government programs by doing the following:

  1. Discuss the roles health informatics professionals have performed in each federal government program.

In the Office of the National Coordinator for Health Information Technology (ONC), health informatics professionals are actively used to promote widespread acceptance of health IT and create a national system for exchange of health data (SearchHealthIT, 2010).

In the Centers for Medicare and Medicaid, the health professionals’ work is in creating guidelines along which incentives and funds are distributed to the healthcare providers. They therefore play a big role in ensuring that healthcare system is up to the required standards.

In the Health IT Standards Committee program, health professionals are tasked with creating recommendations for standards that are to be met by the various healthcare providers. They are composed of about 20 members from different fields; this ensures that the healthcare system is running in an ideal manner.

Analyze how each federal government program could impact the health informatics workforce.

Office of the National Coordinator for Health Information Technology (ONC),  promotes adoption of Health IT and creates a national system for exchange of health data. The workforce is tasked with ensuring the implementation of the temporary and permanent EHR certification programs. By certifying quality electronic systems to be installed in the healthcare center, this programs impact the workforce involved in healthcare provision by ensuring that the quality of service they provide is high. These programs make data recording and recovery more efficient hence reducing the occurrence of errors and irregularities.

Centers for Medicare and Medicaid are tasked with accreditation of service based on the achievement of electronic health records (Kudyba, 2010). The Health informatics workforce is therefore keen on the realization of an electronic health recording system. The mandate to maintain an efficient operations system and electronic health data recording system will ensure that the personnel are efficient in the operations. The electronic system also ensures that data transfer is faster and accurate hence retrieval of information by healthcare personnel will be possible, enabling the realization of better healthcare quality. Health IT Standards Committee program has the mandate of developing recommendations for standards. The federal programs therefore strive to create standards that will be achieved by every healthcare provider.

 

 

References

Al Gallant. (2010). NHIN standards for health data exchange ease physical storage burden.    SearchHealthIT. Retrieved from: http://searchhealthit.techtarget.com/tip/NHIN-standards-for-health-data-exchange-ease-physical-storage-burden

DerGurahian, J. (2010). HITECH Act regulations, backbone of health reform are here to stay. SearchHealthIT. Retrieved from: http://searchhealthit.techtarget.com/news/2240026144/HITECH-Act-regulations-backbone-of-health-reform-are-here-to-stay

Haux, R. (2010). “Medical informatics: Past, present, future”. International journal of medical informatics 79: 599–610. Print.

Kudyba, S. (2010). Healthcare informatics: Improving efficiency and productivity. Boca Raton: CRC Press. Print.

SearchHealthIT. (2010). FAQ: Which federal agencies administer the HITECH Act? Retrieved from: http://searchhealthit.techtarget.com/tutorial/FAQ-Which-federal-agencies-administer-the-HITECH-Act

U.S Department of Health and Human Services. (2010). the Office of the National Coordinator for Health Information Technology: Proposed Establishment of Certification Programs for Health Information Technology. Retrieved from: http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=1746

 

Human Factors and Ergonomics

Human Factors and Ergonomics

Background

Since time immemorial, human beings have devised tools to help them in carrying their daily activities. The complexity of the equipments has grown with time. According to Stephen (2006), the interface, between human beings and machines, has brought about “opportunities and challenges” which need to be addressed.

According to Chapanis, in 1940, psychologists and engineers started the human factors engineering whose principal goal was to find out how human beings interacted with machines (as cited by Stephen, 2006). For example, the design should consider the easy with which the body parts can handle a given device under harsh conditions. Hand motions, for instance, should be taken into account while designing a cockpit (Karl, & Kroemer-Elbert, 2010).

The discipline of Human factors (or ergonomics as it is also called) takes users to be central in the development of systems (Carl Sandom, 2004). Clause 4 of the Standard BS EN ISO 13407 explains that taking into account human beings in developing systems ensures systems (as cited by Carl Sandom):

  1. that users can easily understand and use reducing the cost of training and support
  2. that can satisfy users and ease stress
  3. improve the output of users and reduce operational costs of organizations
  4. help improve the quality of the output making an organization have a competitive advantage in the market

According to Neville (2005), Human Factors covers analyses such as “…human interaction with devices, to the design of tools and machines, to team working, and to various other general aspects of work and organizational design.” Ergonomics is not restricted to any one of factors, but it is concerned with a wide range of aspects.

Introduction

Human factors engineering is associated with engineering and psychology. According to Robert W Proctor, Kim-Phuong L. Vu, Robert W. Proctor (2005), the goal of ergonomics is to optimize the output of machines that human beings use to make their work easier. The understanding of this aspect is fundamental for any designer to be able to produce high-efficient tools. This paper presents information from various sources that have been written about human factors in performance at the workplace. It discusses the issue of human error and its effect on performance. It also discusses the application of user trials and computer-human interaction in creating efficient devices.

Cognitive Human Factors in a Working Place

System designers need to consider cognitive, human factors when designing systems and tools. According to Kerm Henriksen et al (2008), if the designers do not take into consideration the human assets and weak points then it will render tools puzzling, hazardous, unproductive, and difficult to use. System engineers, while creating the devices, should take into account the work settings. They should also consider the issues that relate to work. This will enable them to develop systems that are user friendly. Kern Henriksen et al argue that some of the issues that are work-related include disruption and stress, which “…lead to unnecessary fatigue.”

Human factor research is necessary at any workplace as it provides information about human abilities and limitations. This will enable system designers to create equipment and provide environments that are human friendly. The favorable conditions will then ensure safer, more efficient and more productive workplaces.

Human factor research is an essential aspect especially in complex systems. In such settings, the success of operations depends on a variety of components. Such operations could be in an oil refinery, a health center, an air operation or any transport system. In such cases, a human error or any malfunction could lead to serious repercussions.

Musculoskeletal disorder is a disorder that is work-related and its symptoms are, mainly, persistent pain. Sometimes they can be too adverse to cause absenteeism at work. Some jobs are likely to cause these disorders more than others are. Human factors researchers can gather data to identify jobs and work environments that are difficult. The information derived from the research can be used to reduce workers’ damages expenses, increase output, and increase employee retention.

According to David, Woods, Sidney Dekker, Richard Cook, Leila Johannesen, Nadine Sarter (2010), human error is the main contributor or “cause of incidents and accidents.” Human error leads to unwanted or unexpected result in any activity. It results in unexpected products or outcomes. Human errors might be minor or substantial. Minor errors have effects that are, in most cases, insignificant while serious errors may result in very costly consequences.

Pascale Carayon (2012) explains that people have always applied “Stop Rule” in while trying to understand the cause of an error. This is where the people applying the rule stop searching for any other possibilities when they find an acceptable cause for a happening. For instance, if an error occurs in a health care organization, then the healthcare provider who was present will be blamed for it, and this is an example of Stop Rule (Carayon, 2012).

However, many studies have appreciated the fact that not all problems or unexpected results are products of human error. Different components of systems can contribute to various errors in any activity. In systems with multifaceted components, accidents can be because of “human, technical, or environmental” factors (Strauch, 2004).

Efficiency at workplace cannot be achieved through the development of systems that are capable of reducing errors and increasing efficiency but because of personal initiatives and preferences. Administrators and service providers should take into consideration human factors in the design of tools (Henriksen et al, 2008).

According to Henriksen et al (2008), some of the factors that affect the efficiency of devices are individual characteristics (skills, training, knowledge, experience, education, physical state among others) and work characteristics (teamwork, functioning of equipment, and workflow). The physical environment, user interface, organizational environment (such as local practices, morale, norms among others), management (for example poor decisions by the management), and the external environment are other factors cited by the authors.

The idea of human-computer interaction originates from the fact that systems need to be user friendly. That is, before designers develop a system, they should consider its usefulness and usability to the potential and actual users. The designers must keep in mind the needs and capabilities of the users, of the system before they embark on its actual development. Pinker argues about this, as “The proper label for the study of mind informed by computers is not Artificial Intelligence but Natural Computation” (as cited by Serengul Smith-Atakan, 2006). Developers should design systems that will aid the human mind carry out its normal functions.

Human-computer interaction focuses on how human beings relate with computer systems (Serengul Smith-Atakan, 2006). Rather than focus on technologies that were applied in developing systems, human-computer interaction focuses on the system’s ability to add value to its users. Human-computer interactions are, in most cases, determined through the application of user trials.

A good system with a proper user interface should have “control objects” that can easily be distinguished without causing confusion to the users (Monica Sebillo, Giuliana Vitiello, Gerald Schaefer, 2008). The designers should correctly label the control systems correctly labeled using simple language that even novice users can understand.

If efficiency is to be attained and errors reduced or avoided, then systems must be easy to use and be regulated. According to Henriksen et al, if healthcare processes are regulated, nurses will have ample time to attend to patients who have “specialized needs.” The authors add that if designers created systems while considering the users, then the users will use them with ease and they will readily detect and avoid errors. Creators of equipment should consider the environmental, technical, and social factors. Rather than blaming the human error for accidents, investigators should dig into the underlying problems and address them, as this is just a symptom and not a cause.

“User trials” is one of the ways of ensuring that designers develop products that will increase efficiency at workplace. According to John (2003), during user trials, the item to be developed or designed is given to the potential and actual users of the item for testing. They will be required to use the product and then give feedback on their own. In addition to the product to be tested, designers will provide users with questionnaires that will be useful in giving feedback. The users will test the product give their own observations on the use of the system by noting down on the questionnaires provided. Users can also give their own views, in addition to the structured guidelines, given in the questionnaires.

User trials are not limited to new products only (John, 2003). Designers can also use them to assess systems that are already in the market. Old users of the product will give their opinion on what they feel about the product.

Users can do trials either in a controlled environment or a natural setting. A natural setting is more effective because no one observes the user while trying the product (John, 2003). In a natural setting, the product is tried where it will be used hence gives more reliable results.

To ensure that designers put into account the human factors, they should involve the services of human factors engineers. According to Gavriel (2012), the function of human factors engineers is to ensure that the human-computer interaction optimizes results. They should be consulted before the system is developed. The activities of human factors include function distribution, job planning, and assignment examination, place of work design, planning of support materials, and designing of the interface (Gavriel, 2012).

Although human factor and ergonomics research methods are valuable resources for addressing workplace issues, they have their limitations. First, user trials can be expensive. They take time and many resources are required to make them a success (Stephanidis, 2011). However, according to John (2003), the cost will depend on “the number of participants involved, the number of products being tested and the complexity of these products.”

Second, Stephanidis (2011) argues that user trials may not represent all groups of users, especially when a developer is designing inclusive interfaces for people with exceptional needs. It is difficult for designers to get a representation of the human population with special need during the trials. The opinion of this special group may be overlooked. This, however, does not mean that their opinions are less important than others’ are.

Third, the study periods are usually long. If the participants are not patient, most probably they will quit. Their goodwill is paramount here.

Conclusion

“Human factors” is a very important phenomenon that any design should consider. If people are able to recognize and understand similarities and differences among people, then the resulting systems will be very effective (Wong, 2007). Having more knowledge and understanding of the human factors is important in increasing the “…ability to cope, influence and motivate.” More studies in the area will be meaningful in understanding how a number of factors affect the performance of an individual.

 

References

Clarkson, J. (2003). Inclusive design: Design for the whole population. London [u.a.: Springer.

Henriksen K, Dayton E, Keyes MA, et al (2008). Patient Safety and Quality: An Evidence-Based

Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality

(US); Retrieved from: <http://www.ncbi.nlm.nih.gov/books/NBK2666/>

Kroemer, K. H. E., Kroemer, H. J., & Kroemer-Elbert, K. E. (2010). Engineering physiology:

Bases of human factors engineering/ergonomics. Berlin: Springer.

Pascale Carayon (2012).Handbook of Human Factors and Ergonomics in Health Care and

Patient Safety. Boca Raton: CRC Press.

Robert W Proctor, Kim-Phuong L. Vu, Robert W. Proctor (2005). Handbook Of Human Factors

In Web Design. New Jersey: Lawrence Eribaum Association, Inc.

Salvendy, G. (2012). Handbook of human factors and ergonomics. Hoboken, NJ: Wiley.

Sandom, C. (2004). Human factors for engineers. London: Institution of Electrical Engineers.

Smith-Atakan, S. (2006). Human-computer interaction. London: Thomson.

Stanton, N. (2005). Human factors methods: A practical guide for engineering and design.

Aldershot, England: Ashgate Pub. Co.

Stephanidis, Constantine. (2011). Universal Access in Human-computer Interaction. Users

Diversity: 6th International Conference, Uahci 2011, Held As Part of Hci International

2011, Orlando, Fl, USA, July 9-14, 2011, Proceedings. Springer-Verlag New York Inc.

Stephen Guastello J. (2006).Human Factors Engineering and Ergonomics: A Systems Approach.

New Jersey: Lawrence Eribaum Associates, Inc.

Strauch, B. (2004). Investigating human error: Incidents, accidents, and complex systems.

Aldershot, England ; Burlington, VT: Ashgate.

VISUAL 2008, Sebillo, M., Vitiello, G., & Schaefer, G. (2008). Visual information systems:

Web-based visual information search and management ; 10th international conference,

VISUAL 2008, Salerno, Italy, September 11-12, 2008 : proceedings. Berlin: Springer.

Wong, Z. (2007). Human factors in project management: Concepts, tools, and techniques for

inspiring teamwork and motivation. San Fransisco: Jossey-Bass.

Woods, D.D. (2012). Behind human error.Farnham: Ashgate.

 

The Great Depression and New Deal

The Great Depression and New Deal

The effects associated with the Great Depression were enormous across United States and the whole world. One of the greatest achievements that were facilitated by Great Depression was the New Deal and the Germany’s extremism that facilitated World War II.  There are five main causes of Great Depression. Firstly, the crash of Stock market of 1929 was considered by stakeholders as the cause of Great Depression. As it occurred on a Black Tuesday—that is on 29th October—most of the stakeholders lost their investments of a total of $40 billion and above. Though the economy and the stock market later recovered from the loss, the disaster had already happened. Secondly, is the bank failures where more than 9,000 banks had uninsured bank deposits, and investors lost their hard-earned savings (Roark et al., 2011). The banks that survived were unwilling to create or issue new loans, thereby, leading to reduced expenditures.

Thirdly, purchasing power was reduced across the globe. With the crash in the stock market, most of the people across the globe were not willing to purchase shares. As such, it reduced the economic plausibility of the economy. The production capacity lessened making most of the companies to lay-off workers in a bid to reinstate its economic activities. The rate of unemployment rose to about 25%, therefore, necessitating less spending in the economy. Fourthly, the economic policy employed by European on America began to fail, as the government enhanced the creation of Smoot-Hawley tariff in an attempt to necessitate protection of American companies. The Tariff’s structure was designed to realize high amount of tax revenues from trade involving America and the foreign nations. Finally, drought conditions that were evident in Mississippi denoted that the residents of the region were not able to meet their obligations, for instance taxation and debts, thus, the government was forced to forego one of the tax revenue region.

In reacting to this crisis, President Hoover summoned business executives and declared that wage cutting was not a solution but to be optimistic on the economic trends that were in place. When the strategy proved to be unrealizable, the president became inactive and believed that the situation would correct itself. The organization of international cessation on reparations and war debts ensured that the depression was mitigated. This was followed by Reconstruction of the various Finance corporations with an aim of bringing assistance to businesses and banks; the recovery process was not realized (Roark et al., 2011). President Hoover attempted economic ideas that were conventional, and the system collapsed in the long run.

The effect of depression was sustained after period of three decades when the federal government incorporated key policies that had a positive impact on Wall Street and financial institutions. In the case of Agricultural Adjustment Act (AAA), farm production was reduced in order to raise prices of commodities. The National Industrial Recovery Act (NIRA) was implemented in order to enhance fair distribution of business practices and functions across the society. It recognized labor rights for instance wages, working hours, and preferred conditions. On the other hand, enactment of public works administration (PWA) act ensured that private industries were allowed acquire loans which they used in construction and development of public amenities such as ports sewage plants, dams, among others. Civilian Conservation Corps (CCC) enhanced relocation and provision of jobs to young men. Finally, Works progress administration (WPA) established strategies that ensured that men were offered jobs that were useful to the public. All these policies and strategies were aimed at facilitated recovery of New Deal.

 

 

 

Reference

Roark, J., Johnson, M., & Cohen, P. (2011).  Understanding the American Promise, Volume 2: from 1865: A brief history of the United States, MA: Bedford.

Psychology of the Individual and Society

Psychology of the Individual and Society

Friedrich Nietzsche and Sigmund Freud have both made important contributions to the understanding of an individual and his relationship with the society. They both argue on how individuals think and how the mind causes them to behave in certain ways that influence them to behave in certain ways, in their relationship with other people. Sigmund Freud addresses these issues through Psychoanalysis and Civilization and its Discontents while Nietzsche addresses these issues in The Gay Science through aphorisms.

Sigmund Freud is best understood for his theories of the unconscious mind and the defense mechanisms of repression. Despite the fact that there are certain ideas brought up by Freud that have been refuted, there are two related but distinct issues that are influential in understanding an individual and his relation to the society. Freud developed a theory of the organization of the human mind and the internal operations that go on in the mind. Secondly, he theorized that human behavior is conditioned and is a consequence of how the mind is organized. These theories help in the understanding of individuals because they help reveal the information about one’s thoughts (Freud 12).

In Civilization and its Discontents, Freud makes a comparison between psychoanalysis and other accepted scientific theories. Through Civilization and its Discontents, Freud describes that human beings are made of three parts that include ego, super-ego and the id. He states that these three parts fight over one another to rule a human being. However, a human being must get these three parts to work in harmony and live in a state of equilibrium. The super-ego signifies the conscience part and the moral impositions that have been placed on individuals since childhood. This part represents the voice of authority, control, regulation and moral judgment. It is the part that keeps most of the societal rules and has the ability of punishing individuals with guilt. In this case, guilt is the part that calls an individual’s attention to his or her failure. It is harsh and aggressive. Freud sees the super-ego both as individual and collective. In understanding the self and the relationship of the self to society, the super-ego determines the manner in which a person behaves because it is the part that internalizes all the rules and moral standards defined by the society, for its inhabitants. This is the part that determines how an individual relates with others because it understands what the society needs and what the society do not.

The ego is the part that signifies individuality. It represents personal capacity as a rational being and the ability to make rational decisions. It represents the civilized individual. The ego, therefore, is essential in understanding the individual and his or her relations to the society. This part is important because for an individual to relate with others well in the society, he or she must make decisions and rational choices to be able to effectively do this. Therefore, the id is imperative for both the individual and his relationship to the society (Freud 45).

The id is the part that symbolizes the lowest instincts of an individual including his or her primary desires hunger, love, rest and all the primary needs of an individual. This determines the understanding of an individual as a human being.

Civilization and its Discontents seeks to understand the individual and his relationship to the society by replacing the metaphysical framework with a psychological one. Here, Freud does not consider societal institutions, behavior civilization or culture in an abstract way but as they exist in reality. Therefore, the birth of civilization is linked to the individual. People are born in a world that has negative things that should be avoided, for instance, to find pleasure and avoid pain. This means that the basis of civilization is egoism. Therefore, several individuals come together to create a culture or civilization. This means that the individuals who understand one another have constant relationships and coexist closer to one another. However, individuals are different and change their interests, something that creates different social institutions.

The theory of Psychoanalysis seeks to understand the conscious thought and behavior through studying the unconscious. In psychoanalysis, Freud gives prime importance to dreams as the means to understanding the unconscious. Psychoanalysis emphasizes that an essential factor that operates the unconscious is repression. Freud believed that human beings hide painful memories deep inside their unconscious mind and that repression is different among individuals. Freud also emphasized that people are unaware that they have repressed traumatic experiences in their mind. Therefore, Psychoanalysis was Freud’s idea of understanding individuals and helping them regain from illnesses caused by bad and traumatic memories.

Friedrich Nietzsche is one of the philosophers that focused on the relationship of body and mind and the nature of human beings in the society. Nietzsche sought to understand the causes of the actions of individuals, their reaction to stimuli and the overall patterns of behavior portrayed by individuals. One of the most notable conclusions that he made out of his study is that the strongest individuals are those who respond to their bodily instincts truly and have control over their minds. The opposite of the strongest individuals are those who react to conventions brought about by the society, as opposed to instincts that are created and ruled over by laws of nature.

In the Gay Science, Nietzsche presents various aphorisms that show his understanding of the individual and the relationship of the individual to the society. From his aphorism of love and sex, Nietzsche states that an individual who understands that he is loved but does not love betrays the importance of love. The issue of using senses does not help in the growth of love to the extent that it makes its origins weak. Love causes human beings to do things that are beyond the judgment of good and evil. Nietzsche states that from love of man, an individual can, in certain cases, embrace other individuals at random because an individual cannot embrace everyone. At the end of it all, an individual loves his or her desire instead of what should be desired. Therefore, when individuals live closely to one another, their relationship always ends in disgrace. People never see the beauty of the original love they shared. In this aphorism, Nietzsche posits that individuals behave according to how they are treated by other individuals in the society. However, new experiences that individuals have with others, such as love do not often last forever (Nietzsche 34).

In another aphorism, the intellectual conscience, Nietzsche states that he does have similar experiences and keeps resisting this. This is similar to every other individual who does not want to believe these experiences despite the fact that it is palpable. The most important issue here is that most people do not have intellectual conscience. He states that individuals never want to believe issues and live by them without giving themselves reasons to believe or not to believe or even troubling themselves with these issues later. Most people who are gifted and seen as noble also do this. Therefore, there is no refinement or good heartedness when people cannot display this in their judgments or their faith. Nietzsche shows that most individuals in the society do not have intellectual conscience as it is believed.

Another aphorism that shows Nietzsche’s understanding of the individual and his relation to society is the moral skepticism in Christianity. He states that Christianity has effectively spread moral skepticism effectively. He states that Christianity has destroyed the faith that individuals had on virtues. As such, individuals spread moral skepticism in the sense that irrespective of the fact that Christianity teaches the moral treatises of the ancient times, it also teaches a sense of superiority, which is not a virtue. Nietzsche shows that irrespective of the fact that Christianity teaches individuals to be virtuous in the society it makes these individuals moral skeptics by making them feel more superior to other people (Nietzsche 108).

In conclusion, both Freud and Nietzsche depict an understanding of the mind and the understanding of the relation of the individual to society. Freud relies on Psychoanalysis, Civilization, and its Discontents to show an understanding of the mind and how it influences the way, an individual acts in the society. The ego, super-ego and id determine ones behavior. On the other hand, Nietzsche relies on his aphorisms in The Gay Science to show that the mind works to influence behavior depending on the influences that are presented on to the mind. In the society, individuals act according to the things that their minds are exposed to.

 

Work Cited

Freud, Sigmund. Civilization and Its Discontents. United Kingdom: Penguin Books Limited, 2002.

Nietzsche, Friedrich. The Gay Science. New York: Knopf Doubleday Publishing Group, 1974.

 

Healthcare differences between Cubans and Haitians in Miami

Healthcare differences between Cubans and Haitians in Miami

  1. Introduction
  2. Background Information

The United States of America is well known for having the largest number of immigrants in the world. Immigrants select this country because of the hope for a better future in the States as opposed to the kind of life they had in their native countries. Immigrants come from several countries like Mexico, Cuba and Haiti. Haitians and Cubans are two completely different but similar groups, which have immigrated into the United States over the years. These immigrants have settled all over the country but it has been noted that the state of Miami has the highest number of Haitian and Cuban immigrants. This data has been obtained from census information that pertains to the state.

  1. Thesis statement

Between 1980 and 2000, several differences have been noted in the kind of treatment that the Cuban and Haitian nationalities receive in the country. The main push factor that led to the migration of these two immigrant groups were the political situation in their respective countries. Both countries were experiencing problems with the regime that was in power. In Haiti, there were common occurrences of rebellions against the government and violations of human rights in the country. In Cuba, the government in power was oppressive to the citizens of the country. Other push factors that added to the citizens frustrations was the subsequent deterioration of the economies in both countries, decrease in the standards of living and that their countries were very unsafe due to the several uprisings that plagued the countries.

For a very long time, Cubans were treated better than the Haitians were. The reasons behind this discriminatory treatment vary but most of them are rooted on the financial capabilities of the two groups of people. Most Cubans were well educated and belonged to the middle class. On the other hand, the Haitians had high levels of illiteracy and were not as comfortable as the Cubans were economically. This difference in economic status is said to be the reasons behind the discriminatory treatment that existed between the Cuban and Haitian citizens (N.A, 2012).

  1. Body
  2. Support paragraph 1

Haitians migrated from their native country due to the problems that they were encountering there. Citizens in Haiti lived in horrible conditions and often faced rebellions against the government, which was very oppressive. From the late1950’s, Francois Duvalier was the leader of Haiti. His regime was characterised with oppression that greatly displeased the people of Haiti. Subsequent years during his reign led to severe economic hardship in the country that led to migration of most of the citizens. “From Duvalier’s fall until December 1990, the country experienced. Human rights violations, desperate poverty, and government corruption remained an integral part of everyday life. As a result, the number of Haitians seeking refuge in the United States climbed. “(Haitian Immigration: 20th Century).

They migrated because they hoped to get better conditions than those they faced in their homeland. The United States of America was a country that held the conditions that the Haitian immigrants were in search of since it had a thriving economy and their citizens lived comfortably. However, after Duvalier’s fall, the number of immigrants from Haiti considerably reduced as noted in government documents pertaining to immigration, “With Duvalier out…the flow of refugees into South Florida noticeably declined, although the United States continued in an ongoing effort to deter Haitians from coming to this country.”   (Haitian Immigration: 20th Century). Cuban citizens were also facing such circumstances in their home country. This is why the two immigrant groups are very similar as they are different. Cubans were under a similar regime that exposed the citizens to poverty and economic hardships, which was very similar to the conditions that the Haitians were facing in their native home country (McHugh, Ines & Skop2012).

  1. Support paragraph 2

Picture of refugees arriving in Florida (Sladky, 2004)

Migration for the Cubans was due to the regime that was ushered in by Fidel Castro. Castro brought about many changes to the country but the most notable one was the conversion of the state to a communist country as opposed to being a capitalist state. The dramatic change that was unplanned for had a huge impact on the economy of the country. Cubans, therefore, opted to migrate to other countries to avoid the poverty that they were facing in their country. The change in the type of government was one of the push factors that lead to the Cuban migration into the United States. Such a transformation affected the private entrepreneurs in the country since they were not allowed to own anything privately. This resulted in their withdrawal from the country that led to the subsequent poor economy this then led to lower standards of life for the Cuban citizens. Cubans also migrated from their native country because it had become very unsafe for them because of the several rebellions that arose against Castro’s government. Another push factor for the migration was Miami was a favourable location for the Cuban immigrants because of a number of reasons. First, it was close to Havana, which made it very easy for the Cubans to travel there from their country. Second, it already had an established Cuban exile community and this encouraged the immigrants to settle here (Camarota, 2011).

Finally, Miami had always had connections with Cuba. The connections were political, economic and social and this made it easy for the Cuban immigrants to settle in Miami. Some immigrants held the belief that the exile was only for a short while, that is until Castro’s regime ended. However, a larger majority knew that there was no possibility of reclaiming the old Cuba that existed before Castro came into power. A television camera operator Mr.Suarez who said, “We had one major advantage, we knew from the beginning that there was no way back to Cuba, and even more to Pre-Castro Cuba”, evidences this (New York Times, 2012).

Generally, the situations that led to the migration of both the Cubans and Haitians were similar since they were all because of the presence of oppressive governments. For this reason, the immigrants in question had to resort to dubious methods in order to escape from their native countries; such methods included the use of rafts.

  1. Support paragraph 3

Both the Haitians and the Cubans arrived in Florida manly by water transport. This is because the Florida Straits offered a very easy means of transportation and Miami has a port. In the case of the Cuban immigrants for example, it was easier to travel through the straits since it was only ninety miles away from Havana. Data has revealed that the Florida has the highest number of Haitian immigrants in the U.S. Florida has over 250,000 Haitians which accounts for about 46% of the total number of immigrants in the country.. Other states with a considerable number of Haitians are New York with over 130,000 Haitian immigrants, New Jersey (43,000), Massachusetts (37,000), Georgia (13,000) and Maryland (11,000) (Leonard, Bouvier & Martin, 1995).

Immigration has had some effects on the state of Florida. One of the most significant effects has been that the state has acquired new cultures from the new immigrants who immigrated into the area. Cubans in the region make up an estimated 44% of the population of foreigners in Florida; the Haitians who comprise of 19% closely follow them. Such a large number of immigrants have made it a prime location for other immigrants migrating into the States. Between 1985 and 1990, there were about 350, 000 immigrants who moved into Florida. This number has been gradually increasing ever since. This has been proven by the censuses that took place. They showed that the number of Haitians by 1990 was about 18,000, which showed a significant increase in their numbers.

Cubans on the other hand constituted of about 75% of the foreign population on Florida. This increase in the number of immigrants was made even more prominent by the low birth rate that was recorded in the region. Miami was therefore considered as a new homeland for the Cuban population whose hopes of returning to their country were dashed. Haitians also considered Miami as a home away from home and consequently created ‘Little Haiti’, which was a small community that was based in South Florida. Little Haiti became the hub of all Haitian Life and became their territory and has continued to be until now. Statistics show that about 60% of the Haitian immigrants who moved into the U.S. did so in the 1980s with 40% of them arriving between 1980 and 1984 (Rees, 2012). Miami had quickly become a safe haven for both the Haitian and Cuban immigrants; they were received quite differently in the United States.

  1. Support paragraph 4

Ever since the period of immigration, Haitians were considered inferior to the Cubans and as a result were treated badly. Eventually, the Haitians were able to achieve treatment that is equal. Up until 1995, Cubans in Florida obtained special treatment over the other immigration groups in the region. Proof of this was in the number of Cubans legally admitted into the United States while compared to the other nationalities. In addition to this, the number of Cubans deported from the U.S. was lower than the rest of the nationalities in the region. Statistics with regard to this show that over 31, 000 Haitians are deported compared to 19,000 Cubans (Volsky, 2012).

These values may seem insignificant but one should keeping mind that the Cubans are the majority of the population in Florida. Evidence of the presence of mistreatment between these two nationalities was evidenced when one Congresswoman stated “I have always believed that Haitian children should be treated the same as Cuban children” (Seal, 2012). This statement sheds light on the matter of discrimination that existed between the Haitians and the Cubans in Florida. The alleged reason behind the unequal treatment of the two nationalities is assumed that the Cubans were still facing persecution in their native country while the Haitians were not.

This was very unfair to them since the government was expected to offer them more consideration. This was primarily because they were also facing some persecution from their country. Another reason behind this unfair treatment was that the Haitians were believed to have AIDS. Statistics in the early 1980 has showed that the Haitians were at a higher risk of infection while compared to the Cubans. As a result, when the Congress passed an immigration law that” permitted many Central Americans to obtain legal immigration, the Haitians were left out” (Henken, 2012).This went a long way in contributing to the discrimination that they received.

Cuban treatment was better than that of the Haitians but they also had their problems. For instance, special immigration officers for them to obtain permanent residence in the United States interviewed the Cuban immigrants daily. Any opposition to this interview would jeopardize the chances that they had of acquiring citizenship in the U.S. For this reason, they persevered with this exercise to ensure that they gained citizenship because they knew if they did not, they would be forced to go back to the poor living conditions that they were escaping in the first place.

This unequal; and discriminatory treatment of the immigrants was considered a small crisis initially but is soon developed into a Caribbean and then global crisis that required immediate attention. Due to the pressure that the United States Government obtained from the other countries, they rectified their laws. These amendments, which took place in 1995, lead to the equal treatment of the Haitian and the Cuban immigrants. The problems that faced the immigrant were many but they persevered for the hope of a better future than what awaited them in their various countries.

  • Conclusion
  1. Key points summarization

Both the Haitians and Cubans left their countries because of similar reasons. In both cases, the leadership regime that was in power had subjected the citizens of the respective countries to oppression and subsequent economic downfall. In Cuba, the reign of Fidel Castro was the cause of the sudden migration of the Cuban citizens from their countries. Haiti at this period was headed by Francois Duvalier and was characterized by rebellions against the government. Due to the situations in their countries, citizens from these two countries decided to migrate to the U.S., which offered better living conditions than their native countries, did.

They moved to Miami specifically because it was near their countries and the presence of the Florida Straits made it easier for them to travel to the country. When the immigrants reached America, they were received differently. Cubans were able to fit into the American society with ease as compared to their Haitian counterparts. Haitians faced a lot of discrimination and were treated inferiorly while compared to the Cubans. They encountered several attempts to send them away from the States. However, this changed in 1995 when they were able to attain equal treatment with the Cuban immigrants who were treated better than then before.

The situation in other states all over the country was not similar to that in Miami. For instance in New York, the Haitians were not discriminated against as they were in Miami. New York has the highest number of Haitian immigrants. This is probably the reason why they were treated equally. For the Cubans, there was no discrimination for them either in New York even if their numbers were not as large as those in Miami were. In terms of economic development, the Cubans are more comfortable while compared to the Haitians especially in Miami. Cuban immigrants have thrived in Miami more than in all the other states that they occupy in the U.S.

However, it is important to note that Miami is among the poorest states in the country because most of the families are below the poverty line. Most Hispanic households in Miami have an income of about $35,000 which is below the recommended national average of $42,000.  Some Haitians in the United States lead comfortable lives and earn above the recommended national average. However, the majority of these immigrants earn below the national average (French, 2012). This is probably because of the number of well-educated Haitians is rather low making them ineligible for some jobs.

In addition to this, most of the immigrants are not does proficient in the English language and this limits the job opportunities that they get. Immigration to the United States of America has existed for a very long time. People move to the U.S. because it has several opportunities to offer. Citizens from Cuba and Haiti are examples of the immigrants who migrated to the country. The difference in treatment between the two groups of people has caused a lot of controversy. Equality was attained in 1995, which ended the debate. Presently, both groups live in Miami peacefully though they occupy different regions and they are treated equally.

References

Sladky, Lynne. (2004). Cuban Rafters Arrive in Florida. APImages.comWeb. 21 Nov 2012. .

Henken, Ted. (2012)”Balseros, Boteros, and El Bombo; post-1994 Cuban Immigration to the United States and the persistence of Special Treatment.” Palgrave Macmillan

Seal, Geoff. (15 Nov. 2012).”Helping the Haitian Children: Congresswomen Meeks works for Fair Immigration Treatment.” Sacramento Observer

French, Howard W. (15 Nov. 2012)”Poised In Haiti: 2 Kinds of Refugee With a Single Goal.” New York Times

Volsky, George. (15 Nov. 2012) “Cuban Refugees Adapt to Life in U.S.” New York Times.

Rees, G. Joseph. (2012, November 15). “To the Rescue?” New York Times.

Camarota .A. Steven (2011). Fact Sheet on Haitian Immigrants in the United States. U.S.A. Center for Immigration Studies.

Leonard, William, Bouvier. F. & John L. (1995). The Effects of Immigration Martin U.S.A. Center for Immigration Studies. Shaping Florida: 1970-2020.Web. 21 November. 2012.

McHugh, E., Ines M. & Emily H. Skop. (2012) “The Magnetism of Miami: Segmented Paths in Cuban Migration.” LatinAmericanStudies.org. Web. 21 Nov. 2012.

N.A. “Haitian Immigration: 20th Century.” In Motion the African American Migration Experience. Web. 21 Nov. 2012. .

 

 

 

 

Messianic Movements

Messianic Movements

A messianic movement is a name given to the movement of people following a militant Jewish king or leader who attempted to take the rule of Israel out of foreign holds and give it back to Jewish hands. A messianic movement cannot continue as a radical cult and succeed demographically. It is important to understand that there are Messianic pretenders among messianic personalities.

Different types of messianic movements came into existence through several ways. The attempts by various charismatic leaders to present themselves as the messiah and bring back the Davidic kingdom and Jewish independence in Israel gave rise to a messianic movement. This type of messianic movements were characterized by age-old yearn for the promised messiah, homelessness of the Jews and the sense of exile in Glut, desire for revived sovereignty and religious persecution. Here, the messianic movements were restricted to power. Another type of messianic roles are found in the bible for instance in the roles suggested for Hezekiah and Zerubbabel. Despite the fact that these messianic roles were not from Davidic ancestry, the Hasmoneans had aroused certain Messianic expectations. The birth of anti-Jewish persecution helped in the development of new Messianic movements (Giles, 2002).

An atmosphere of armed struggle that became extremely militant characterized the rise of Islam and the messianic movements related to it. These movements included the ones led by Abu Isa al-Isfahan and Yudghan in Persia during the eighth century. These arose to combat Muslims and were revolutionary and sectarian. The messianic movement established by David Alroy in Kurdistan had its strength from the turbulence brought about by the conflict between Christendom and Islam. Shabbateanism messianic movement was also brought about by the thirty years war (1618-48). The cabbalists believed that the year 1648 was a messianic year. Shabbetai Tsevi provoked the Smyrna Rabbinate with his messianic claims during the early 1650s and established himself as the most charismatic and messianic pretender existent at that time. Another messianic movement is the Habad movement that identified with Lubavitcher Rebbe Schneersohn. When he died many of his followers did not recognize his death, but stated that he was a messiah who would return in flesh. Another messianic movement is the Unification Church that was established by reverend SUN Myung Moon. This messianic movement assimilated the aspect of realized eschatology and demythologizing as important elements. Reverent Moon claims to be the Lord of the Second Advent and that he fulfills the prophesy of Parousia of Jesus Christ (Module 4: Dynamics of Messianism with a focus on Moonies and Muslims).

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Clifford Geertz describes religion to be a cultural system of symbols that are used in the management of adversity, ignorance, and injustice. He states that life in general is full of these three aspects but people cannot be used to them. He states that people seek an answer by appealing to imagined and unseen realms that are not found in the visible world. He states that people believe that the sad issues about death, suffering, and oppression will be addressed or explained out there, up there, in heaven or better still in the future (Module 4: Dynamics of Messianism with a focus on Moonies and Muslims).

Clifford Geertz theory can be used to explain the issue of cults. People who appear charismatic, confident, powerful, and convincing form cults. They attract believers to their cultic movements with the promise that their adversities, ignorance and injustices will be solved by the powerful beings that these cults lay their believes on. Many cults focus on convincing they followers that the problems they encounter have an end, but can only end when they join the cults and do what the cults require them to do. Messianic movements operate this same way.

 

References

Giles, G. W. (2002). MESSIANIC MOVEMENTS OF THE FIRST CENTURY.

http://douglasjacoby.com/attachments/Mess.Movements.pdf.

Module 4: Dynamics of Messianism with a focus on Moonies and Muslims.

GREAT DEPRESSION AND NEW DEAL

GREAT DEPRESSION AND NEW DEAL

The Great Depression did not have its origins in the United States, even though its effects were deeply felt here. Write a detailed essay of at least 2 or 3
pages detailing the major causes of the Depression. How did President Hoover and the Republicans respond to the crisis? How did Franklin D. Roosevelt and the New Deal change the course of American History? Be sure to discuss the specific solutions put forth by FDR, including the AAA, NIRA, PWA, CCC,WPA, FERA. You will need to read chapters 23-24 for this essay

Cite book: “The American Promise-A compact history – from 1865”-3th ed. by Roark, Johnson, Cohen.

Sarah Saartjie Baartman under the name Hottentot Venus and Beyonce Knowles.

Please be very critical and consider ALL similarities and differences between the two women from the perspective of race, class, gender, colonial/post-colonial discourses, sexuality, and cultural capital.

And please answer these questions:
Who are their primary audiences?
What is their appeal?
Why are they famous? (When you explore Beyonce- how is she different from someone like Erykah Badu?)

If Beyonce is so rich and powerful compared to Baartman – then why does she still commodify her body?
Is there a parallel there with Baartman? Think critically about this.

Human Factors and Ergonomics

Coursework Title: How does an understanding of cognitive human factors support development of safer, more efficient, and more rewarding workplaces? – The answer must refer to psychological theories and findings, and illustrate these with practical examples. – These should preferably be drawn from your everyday occupational experience. – Compare and contrast 2-3 topics. But don’t try to cover all course content in the essay. Course content 1. Human errors 2. Systems 3. Anthropometry 4. Input & output for humans 5. User trials 6. Human computer interaction 7. Attention, vigilance & performance