Thursday, October 31, 2019

Three Questions Case Study Example | Topics and Well Written Essays - 500 words

Three Questions - Case Study Example As the paper stresses there are certain HR. principles that have materialized into strategic practices at the organization. One of them is the principle of training human resources continuously to save on financial resources of the firm. This tenet has been implemented as a strategy in that the firm sends various heads of departments to benchmark or attend training conferences with discussions for instance, about improved methods of technical and scientific revolution. The firm also employs the services of a company psychologist to assist employees cope with their different stressing issues.  From this case study it is clear that in line with the principle of employee motivation, differentiation and establishment of remuneration according to the weight or intensity of work coupled with qualitative and quantitative performance, the firm ensures that hardworking employees are acknowledged and rewarded. For instance, the firm has a policy of recognizing the employee of the month. This is usually the worker who has successfully completed most projects and has done them well. The corporation has also made an effort to provide its workers with health insurance coverage in case of any medical emergencies that they and/or their families may encounter. This is in accordance to the fundamental principle of human resource management or labour protection if employees are faced with the risk of accidents or illnesses in the line of work.

Tuesday, October 29, 2019

The level of the different agencies in the administrative structure of Term Paper

The level of the different agencies in the administrative structure of the Federal Government - Term Paper Example The United States of America has different categories of agencies which ease the operation of the federal government given the nations’ size and population. Each of the agencies has its own line of operation which makes a significant contribution the government duties. It also provides support to the department of defense under which it is formed. The US Bureau of Land Management is an executive department agency found within the Department of The Interior. This agency is responsible for administering public lands in the United States of America. It has an office of law enforcement and security which is also a Federal Law enforcement agency in the federal government of the United States. The Environmental Protection Agency of the United States is an independent agency of federal government. This agency is responsible for protecting both the environment and human health. It does this through writing and also enforcing regulations derived from the laws made by the US congress. T he United States Secret Service Agency is an executive agency. It is also a law enforcement agency which is found in the department of Homeland Security of the United States as suggested by Gaines (2001). Appropriation Subcommittees Responsible for Jurisdiction over Each Agency’s Budget Request The Appropriation subcommittees usually work off the budget request of the administration and the previous year’s bills expenses while including any of the upcoming congress priorities. There are twelve appropriation subcommittees each comprising of twelve members. ... Each year it is the mandate of the congress to pass appropriation bills for water and energy development. This budget incorporates funding, studies maintenance and the construction of particular projects. The House Interior and Environment Appropriations subcommittee is responsible for the budget request of the bureau of Land Management as suggested by Congress (2003). The Interior and Environment appropriations Committee has jurisdiction over the Environment protection agency of the us regarding the age n cy’s budget request. The Interior and Environment appropriation committee is under the chairmanship of Mike Simpson. The committee constantly criticizes the agency’s budget to ensure that it is in line with planned projects. It hand les issue such as handling interior bills as it is one of the tough bills the congress needs to pass. The homeland and security appropriations committee is responsible for jurisdiction over United States Secret Service agency’s budg et request. The committee is also responsible for other agencies related to homeland d security such as transport security administration, United States coast guard among others. It is also responsible for fun ding state and other local preparedness efforts. The budget from the subcommittees usually forms approximately twelve percent deduction of the President’s budget proposal. The homeland security appropriation subcommittee is currently chaired by Mary Landieu who is a democrat from Louisiana. The Environment Protection agency is also under Interior and Environment appropriation committee chaired by Mike Simpson. The subcommittee here approves annual spending bills of he environment al protection agency.

Sunday, October 27, 2019

Disorders of the Respiratory and Circulatory System

Disorders of the Respiratory and Circulatory System Neusha Bakhtiari Aghmasjed Asthma Asthma is an allergic response which affects the bronchial tubes and can result in coughing, wheezing or breathlessness. It leads to the inflammation of airways, causing them to tighten, resulting in difficulty of breathing. Asthma is not classified as an infectious disease and it is rather an allergic condition which cause is not fully understood. It is usually triggered when the person with asthma comes in contact with: House dust mitten, animal fur, some medicines (Nsaids), pollen, tobacco smoke, exercise, stress, cold air, chest infections. When the immune system receives an inflammatory response, white blood cells release histamine and this result in the contraction of smooth circular muscle of bronchioles as well as restriction of airways. (Bronchoconstriction). More mucus is then secreted by the epithelial cells and as the result the airways are blocked even more. This condition reduces the rate of ventilation through tightened bronchioles therefore less gas exchange will take place in the alveoli and cellular respiration in the body. This condition causes breathing difficulty, coughing and wheezing as the lungs want to get rid of the built up mucus in them. There is no cure for asthma. However, there are different ways to control the condition. These methods are applied in two ways. One is to Treat/Relieve symptoms and the other is to prevent any future symptoms/attacks. The procedure includes a combination of medicines, lifestyle advice and understanding the asthma triggers. The Asthma medicines are normally given by inhaler which supplies the drug directly to airways through mouth. It is effective as it delivers the drug directly to the lungs. There are number of conditions which increase the risk of developing Asthma such as: If your parents have asthma If you are overweight If you have certain allergic conditions If you smoke or exposed to second hand smoke If you are exposed to any type of pollution or chemicals used in the industry. There are 5.4 million people in UK receiving treatment for asthma which means that 1 in 12 adults or 1 in 11 children are currently receiving treatment for their condition. In adults, asthma is more common in women than men. Assessment Criteria 1.4 Discuss disorders of the respiratory system Pulmonary Tuberculosis Pulmonary Tuberculosis is a contagious bacterial infection that can spread in areas where large amount of blood and oxygen exist such as the lungs as well as other organs in the body. This disease is caused by a type of bacterium named Mycobacterium Tuberculosis. It spreads when a person who has active TB in their lungs breaths out the germs when sneezing, laughing, coughing, singing or talking and then the other person breathe in the germs. The common symptoms of Active TB in the lungs are Cough which contains bloody mucus for two weeks or more, weakness and tiredness, sudden weight loss and loss of appetite, difficulty when breathing and chest pain or fever. TB disease can affect many organs in our body such as kidneys, bones and brain but it usually affects human lungs. There are two main stages in the process of this infectious disease. In the first stage which commonly lasts for the duration of several months, the bacteria cells attack the epithelial cells of the alveoli and bronchioles. Then they start to multiply in fibrous capsule which spreads around that area. Here the human immune system becomes stimulated and starts to resist the disease. Before this invasion is over, a few bacteria might escape into the bloodstream and develop in other body organs. If the body’s immune system is successful, this disease never develops and is known as TB infection. However, if it remains untreated it develops into the second stage where it becomes an active disease. In the second stage of this disease the germs start to multiply and destroy the epithelial cells of the lungs. In some cases, although it seems that the disease has been cured, but after a while it comes back and becomes active. This occurs mostly when the immune system of the body becomes weak. The second stage of this disease is presented through the consumption of the tissue of lungs which leads to the destruction of the alveoli. Here the person starts to manifest the symptoms such as continues cough. The risk factors that increase the possibility of a person getting infected by this disease are named below: Being in contact with/ living with an infected person. Living or working is crowded places where there is a possibility of coming in contact with people with untreated active TB. These places can be prisons, nursing homes or homeless shelters. Having a poor diet which affects the immune system of the human body. Pasteurisation of milk and cultivation of animals as this used to be a common cause of transmission of TB by Cows. Assessment Criteria 2.3 Discuss disorders of the circulatory system Hypertension (High Blood Pressure) The human heart is designed to pump the blood around the body through causing pressure. However, if the blood is pumped around the body with an increased amount of pressure than normal, the arteries and the heart itself can be seriously damaged or even it can lead to heart failure if they both stop because of the strain. High blood pressure can cause microscopic tears in the walls of the arteries which turn into scar tissue. The damaged artery can trap more plaque as the scar tissues formed in it accommodates plaques (Fat, cholesterol, etc). This causes the arteries to become narrower and as a result conditions such as Coronary Artery Disease appear. Two main conditions control the blood pressure: One is the amount of force generated when the heart pumps the blood around the body and the other is how relax or narrow the arteries are: HBP can damage the arteries: Our arteries in their healthy state are flexible strong and elastic. Its smooth internal lining is where the blood can flow freely and provide different nutrient and Oxygen gas to our tissues and organs. High blood pressure damages these cells. In the case of arteriosclerosis which causes damage to the artery by blocking it, organs such as kidneys, brain, arm and legs can be affected. These damages can lead to stroke, heart failure and kidney failure. In some cases the continues pressure of blood in already weakened artery can lead to enlargement of its walls and formation of aneurysm which can bring about life threatening complications such as internal bleeding. This complication usually takes place in our aorta. Can damage the heart: It can lead to diseases such as coronary artery disease. This happens when arteries are narrowed by coronary artery disease and do not let the blood to move freely through our arteries. It can cause chest pain, heart attack or irregular heartbeat if the blood doesn’t flow freely to the heart. It can also lead to enlarged left heart as high blood pressure leads the heart to pump blood with excess pressure around the body and causes the left ventricle to thicken. Can damage the brain: The brain has to receive blood which contains nourishing substances in order to be able to carry out its function. However, in some cases if the blood clotting takes place as the result of high blood pressure it can cause Transient ischemic attack (TIA), Stoke or Dementia. Symptoms related to HBP are headache, sleepiness or confusion. The risk factors of hypertension: Family history, obesity, smoking, type 1 2 diabetes, kidney disease, alcohol abuse, having high amount of salt in the diet, lack of physical activities (exercise) and medicines such as steroids About 10 million in the UK are diagnosed with hypertension. This means that one out of five has high blood pressure. Assessment Criteria 2.3 Atherosclerosis Atherosclerosis is the built up of plaques which is made up of fatty deposit around the wall of the arteries. After a while these fatty deposits of cholesterol and smooth muscle cells form Atheroma which causes the arteries to lose their elasticity as well as becoming narrow. This reduces the amount of blood flow through the arteries and blood vessels hence reducing the oxygen supply. It can take a long time until atherosclerosis is hardened and narrowed. However, when the arteries are considerably damaged, different conditions may occur such as: Thrombus: The arteries can be blocked if blood clots on the plaque made of cholesterol around its walls and as the result the blood flow will be restrained and the tissues will not receive the required nutrient. The atheroma on the walls of the arteries is covered by protective cells from the blood which flows in the artery. If this protective cell barrier is broken down, the blood will be exposed to high concentration of cholesterol on the wall of the artery and this generates the blood clotting system. This process can lead to the blockage of the artery and prevention of blood flow to the organ it supports therefore, depending on the organ; it can cause stroke, heart attack and angina. Heart failure: When the artery is narrowed, it causes damage to the muscle of the heart. High blood pressure and renal failure when the arteries which exist in the kidney are affected. Many people are affected by atherosclerosis. It is possible that it starts from the age of 20. The reason behind its occurrence is still unknown but the reasons given below can be considered as risk factors: Family history of atherosclerosis Having high amount of LDL cholesterol in the blood or low amount of HDL in the blood. High blood pressure The rate increases if the person smokes. Diabetes: In people with type 1 diabetes atherosclerosis can take many years to appear but in people with type 2 diabetes it can appear within a few years. Kidney failure Excess weight A diet with high amount of fat in it Race: People from south Asia are more likely to develop Atherosclerosis. According to the British Heart Foundation, at least 2.6 million people in the UK suffer from Atherosclerosis. Bibliography Dr. Patrick Davey, Dr Sabine Gill, Dr Carl J Brandt and Dr Steen Dalby Kristensen . (2012).Atherosclerosis (arteriosclerosis – hardening of the arteries).Available: http://www.netdoctor.co.uk/diseases/facts/atherosclerosis.htm. Last accessed December 2013. Dr. Patrick Davey, Dr Sabine Gill, Dr Carl J Brandt and Dr Steen Dalby Kristensen . (2011).High blood pressure (hypertension).Available: http://www.netdoctor.co.uk/diseases/facts/hypertension.htm. Last accessed December 2013. Elea Carey . (2012).Pulmonary Tuberculosis.Available: http://www.healthline.com/health/pulmonary-tuberculosis?toptoctest=expand. Last accessed December 2013. Jatin M. Vyas. (2012).Pulmonary tuberculosis.Available: http://www.nlm.nih.gov/medlineplus/ency/article/000077.htm. Last accessed December 2013. Kim Ann Zimmermann. (2012).Circulatory System: Facts, Function Diseases.Available: http://www.livescience.com/22486-circulatory-system.html. Last accessed December 2013. Mayo Clinic staff. (2011).High blood pressure dangers: Hypertensions effects on your body.Available: http://www.mayoclinic.com/health/high-blood-pressure/HI00062. Last accessed December 2013. Mayo Clinic Staff. (2012).Asthma risk factors.Available: http://www.mayoclinic.org/diseases-conditions/asthma/basics/risk-factors/CON-20026992. Last accessed December 2013. Unknown. (2008).Tuberculosis (TB).Available: http://www.mckinley.illinois.edu/handouts/tuberculosis.html. Last accessed December 2013. Unknown. (2013).TB.Available: http://www.healthunit.org/infectious/tb/tb_spread.htm. Last accessed December 2013. Unknown. (2011).Tuberculosis (TB) What Increases Your Risk.Available: http://www.webmd.com/lung/tc/tuberculosis-tb-what-increases-your-risk. Last accessed December 2013. Unknown. (2012).Asthma Causes.Available: http://www.nhs.uk/Conditions/asthma/Pages/causes.aspx. Last accessed December 2013. Unknown. (2012).Asthma.Available: http://www.nhs.uk/conditions/asthma/Pages/Introduction.aspx. Last accessed December 2013. Unknown. (2012).How we’re fighting heart disease.Available: https://www.bhf.org.uk/heart-matters-online/december-january-2011-12/research/atherosclerosis.aspx. Last accessed December 2013. Unknown. (2012).Heart and Artery Damage and High Blood Pressure .Available: http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/WhyBloodPressureMatters/Heart-and-Artery-Damage-and-High-Blood-Pressure_UCM_301823_Article.jsp#. Last accessed December 2013.

Friday, October 25, 2019

The Crucilbe: Theater Project. Includes Directorial, Set, Sound, And C

I chose Arthur Miller’s The Crucible because of the plot’s dark history and suspense. Also because of the play’s reflection of McCarthyism. The so called â€Å"witch-hunts† for communist brought on by Senator Joseph.   Ã‚  Ã‚  Ã‚  Ã‚  The play is set in Salem, Massachusetts, 1692, where suspicions of witchcraft were floating around the town air. Act 1 starts out in early spring and ends in Act 4 when it is late fall. The play opens with Betty Parris sick in bed, and Reverend Parris tending to her, and wondering what made her so sick. Soon Abigail Williams saunters in, and through much probing, Reverend Parris eventually finds out that she, Tituba, Susanna Walcott and Betty were all involved together in a secret practicing of witchcraft. Abigail tells of a dance around a cauldron in the woods, and says that was all that happened. But, when Reverend Parris reveals how he was in the woods at that particular time, and saw the dances, Abigail gradually explains what went on, while leaving herself out as the main practitioner. She says she was forced into it all by the other girls and Tituba. Now the stage is set for a variety of unexpected accusations, scandals and tribulations.   Ã‚  Ã‚  Ã‚  Ã‚  The main characters are Abigial Williams, the â€Å"trouble maker† of the play, is the niece of Reverend Parris. Though only 13 years old she manages to get the whole village in an uproar. With the help of the other girls in the village, she fools the Salem council into thinking that the devil has inhabited certain citizens. Reverend Parris is the minister for Salem. He is a paranoid, power hungry man. He is more concerned about his reputation than his daughter and niece's souls when the first rumors of witchcraft get under way. However, he quickly learns to take advantage of the witch craze for his own personal gain.   Ã‚  Ã‚  Ã‚  Ã‚  John Proctor had an affair with Abigail when she was his household servant. He hates hypocrisy, and his hidden sin causes him a great deal of moral anguish. He hesitates to expose Abigail as a fraud because he knows his own conscience is unclean. He does not try to expose her as a liar until it is too late. He is accused of witchcraft and convicted. He suffers a moral dilemma over the decision to confess or not to confess to witchcraft. He confessed his affair before Danforth and Hathorne because he refuses to a... ...o show that she was a servant and wasn’t clothed in the same clothes as her masters.   Ã‚  Ã‚  Ã‚  Ã‚  Last is sound. This play didn’t have any chances for back ground music except for the end of each act. The ending song for Act 1 is called â€Å"Pulse† which is performed by The Kroumata Percussion Ensamble located on the C.D. â€Å"The 2nd Construction†. It contains light xylophone, snare drum, timpani and bells. Act 2 opens with the living room and Elizabeth singing in the back ground. It also had a fire place so I wanted the sound of the fire crackling randomly through the scene. Then we hear the neighing of a horse and John proctor arrives.   Ã‚  Ã‚  Ã‚  Ã‚  Act 3 ends with the uproar from John proctor and I chose another piece from The Kroumata Percussion Ensamble entitled â€Å"Soldier’s Song† which is a series of drum rolls, base drum crashes and timpani rolls. Act 4 leads us to the jail cell where the fall moon is shining through the window and the sounds of frogs and crickets can be heard. The scene ends with John being taken away to the hallows. For this scene I wanted a constant percussion ensemble of sounds and to get increasingly louder as the curtain falls.

Thursday, October 24, 2019

Malls Are Actually a Haven for Crime

Imagine getting out of your car to go shopping at the mall. You do not plan on staying long; you just have some more Christmas shopping that you need to do. You have your budget, your list of items to buy, and you are in a hurry to get it all done by the time the mall closes. You are proud of yourself for how organized you are. It seems that you have everything planned according to what you need, however, that is not the case.   As you walk into the first store on your list, you reach for your wallet and realize that it is gone. You dig in your pockets, but find no trace. While you were in the mall, someone had stolen your wallet. One thing that you did not plan on was to be a victim of a mall crime. Although malls seem fun and relatively safe, the rate of crime that occurs at malls is growing higher and higher. From credit card theft to sex crimes, the mall is no longer a place that you can stroll through without any worries. The mall is now a haven for crime. In this argument, we will review the amount of crimes that occur in malls, the people who are targeted, and how the crimes may be prevented. Because the rate for crimes in malls seems to be increasing with each year, many people are afraid to go out shopping anymore. Although internet shopping is growing more and more popular, the cost of shipping alone is enough to make you brave your busy mall for those single items that you need. Though the crime rate is high at malls, customers must not forgo their mall experience simply out of fear. On the contrary, they must become more aware of themselves while at the mall and must simply be careful. The amount of crimes that occur in malls is astounding. In Pittsburgh, Pennsylvania, for example, there have been twenty-six assaults at the Monroeville mall within the last two years, eleven burglaries at the Station Square mall, nine robberies at the Monroeville mall, three-hundred-fifty-two thefts at the Monroeville mall, ten sex crimes at the Robinson mall, fifteen drug crimes at the Robinson mall and seven gun crimes at the Monroeville mall. These numbers are relatively low compared to statistics throughout the country (www.thepittsburghchannel.com). Mall security and store owners both know that the crime rate is higher when the mall has more visitors. Although large crowds often bring in large amounts of money, they also bring in a larger number of those who are up to no good. A large reason that the crime rate is so high in shopping malls is that, according to www.beverlypd.org, a website designed to prevent mall crime, sixty-five percent of malls are located in high crime areas. Twenty-five percent of malls are located in places that have almost three times more than the national crime risk. Though the statistics are unnerving, knowing who is targeted can help decrease risk of becoming a victim. When it comes to the question of who can be the victim of a mall crime, the answer would be anyone. There are, however, those who are more likely to be victimized. Consequently, according to the U.S. Department of Justice website about victim information (www.ojp.usdoj.gov), the highest rate of victimization is those who are between the ages of twelve and twenty-four. Although elderly theft seems like it would be the highest, possibly due to media influence, the amount of elderly who have been victims of theft has gone down considerably. Young people are seen as being less cautious as old people, thus they may be targeted more than anyone else. They are also less likely to report a crime than older people. Although the rate of mall crime is high with the specific age range, there are steps that anyone can practice the next time they visit the mall. Several tips for shoppers were provided by www.kevincoffee.com and www.signonsandiego.com: 1.Never put your purchases down inside of the mall. They can be snatched before you have time to react. 2.Try to put your purchases in one or two bags, so that you are not juggling them to the point that you are not paying attention to your purse or wallet. 3.Before leaving the mall, make sure that you have your keys out so that you do not have to fumble with them as you are walking to the car. 4. Avoid going to the mall at night. Daylight is your best option. However, if it is unavoidable, then before exiting the mall at night, park your car in a well lit area and when you are through shopping ask a security guard to escort you to your car. You do not know who could be lurking nearby. 5.Put your purchases in the trunk of your car. Nothing is more appealing to a thief than a pile of shopping bags that are visible in a car. While the mall has crime rates that perhaps few people know about, the key to being safe is to know the facts. Everyone deserves the basic right of shopping in the mall without having to worry about being the victim of a crime. It takes effort, however, to gain that right back.   If everyone would follow the basic steps above, a large percentage of the mall crime rate could be decreased. Although the percentages may seem like numbers, remember that every number is simply a representation of a person and that the next time, the person could be you. Read also: Snatch Theft Essay Works Cited Coffey, Kevin. â€Å"Avoiding Pickpockets.† Detective Kevin Coffey. 2006. 11 Dec. 2006 . David, Kristina. â€Å"To Make Your Spirits Bright, Avoid Theft.† Sign on Sandiego. 25 Nov. 2006. 11 Dec. 2006 â€Å"Office of Justice Programs.† Bureau of Justice Statistics. 2006. 11 Dec. 2006 â€Å"Local Mall Crime Rates Increase.† The Pittsburgh Channel. 17 Dec. 2006. 11 Dec. 2006 . â€Å"Shopping Mall Crime Prevention.† Beverly Pd. 2006. 11 Dec. 2006 .                           

Wednesday, October 23, 2019

Disability and Rehabilitation: an Ethnography of the “Center for the Rehabilitation of the Paralyzed” in Bangladesh

WATER FOOD DIABETES AYURVEDA GENETICS POVERTY YOGA STDS HISTORY SEX SOCIETY FAMILY PLANNING CASTE GENDER RIOTS RELIGION HEALTH DEMOCRACY FLOODING WASTE-MANAGEMENT UNANI PSYCHOLOGY FOLK MEDICINE AFFIRMATIVE ACTION GLOBALISATION BIOCHEMISTRY OLD AGE REPRODUCTIVE HEALTH MALARIA POLICY HIV AIDS WHO MEDICOSCAPES COLONIALISM PHARMACY RELIGION LEPROSY BOTOX DEHYDRATION NGOs AYUSH†¦ Disability and Rehabilitation: An Ethnography of the â€Å"Center for the Rehabilitation of the Paralyzed† in Bangladesh by Farjina Malek Health and Society in South Asia Series, no. edited by William Sax, Gabriele Alex and Constanze Weigl ISSN 2190-4294 Disability and Rehabilitation: An Ethnography of the ‘Center for the Rehabilitation of the Paralyzed’ in Bangladesh. Master Thesis in partial fulfillment for the award of a Master of Arts degree in Health and Society in South Asia at Heidelberg University 26th February, 2010 Submitted by Farjina Malek Supervisors: Dr. Gabriele Alex Prof. Dr. William S. Sax Name, first name – Malek, Farjina DECLARATION For submission to the Examination CommitteeRegarding my Master’s Thesis with the title: Disability and Rehabilitation: An Ethnography of the ‘Center for the Rehabilitation of the Paralyzed’ in Bangladesh. I declare that 1) it is the result of independent investigation 2) it has not been currently nor previously submitted for any other degree, 3) I haven’t used other sources as the ones mentioned in the bibliography. Where my work is indebted to the work of others, I have made acknowledgement. Heidelberg, 26. 02. 10 (Candidate’s signature) AcknowledgmentI would like to express my heartfelt gratitude to all those who helped me to complete this thesis. I am deeply obliged to my supervisors Prof. Dr. William S. Sax and Dr. Gabriele Alex for their assistance and valuable suggestions. Also I would like to thank Constanze Weigl for helping me from the beginning to the end of my thesis. I want to thank all the members of CRP for their logistic supports during my fieldwork. My deepest thanks would go to the patients and staff of half way hostel at CRP; particularly to Aminul, Lokman and Rakib Vai.My deepest appreciation to all my friends and classmates of Masters of Arts in Health and Society in South Asia (MAHASSA); especially to Gen. She edited my thesis proposal. For editing the whole thesis, I would like to thank to my three friends name Mohi, Ratul and Munif. They did a wonderful job by reading and correcting my grammars. I would also like to thank everybody who was important for this thesis, as well as expressing my apology that I could not mention personally one by one. I am deeply indebted to my husband Labib for his continues support in my work.He is a great inspiration for my work. Table of Content a) Declaration b) Acknowledgement c) Table of contents ——————————————— ;————–i-ii d) Abstract ———————————————————————-iii-iv 1. Chapter One: Introduction 1. 0 Introduction ———————————————————————– 1 1. 1 Research Objectives ————————————————————– 1 1. 2 Preliminary Work on the Research Topic ————————————- 2 1. Literature review and the rationalization of the study ———————- 3-10 1. 4 Chapter plan of the study ——————————————R 12;——– 10-11 2. Chapter Two: Data Sources and Data Collection Methods 2. 0 Introduction ———————————————————————– 12 2. 1 My field ————————————————————————– 12-15 2. 2 Entering to the field ————————————————————— 15 2. 3 Data collection technique —————————————————— 16-20 2. The limitation and the advantage of my field ——————————- 20-21 2. 5 Sample size and time frame ——— ;——————————————— 22 2. 6 Ethical considerations ————————————————————- 22 2. 7 Conclusion ————————————————————————— 23 3. Chapter Three: Daily Life in CRP; Living with Disability 3. 0 Introduction ————————————————————————– 24 3. Expression of Pain ————————————————————— 24-26 3. 2 Everyday Recreation in CRP: Entertainment and fun ————&# 8212;——- 26- 29 3. 3 Gender and Disability ———————————————————– 30- 31 i 3. 4 Emotional Desire ————————————————————- 31-32 3. 5 Conclusion ———————————————————————— 32 4. Chapter Four: Disability in the Half Way Hostel 4. 0 Introduction: ———————————————————————– 33 4. The care giver at half way hostel ———————————————33-34 4. 2 Disability in discussion and the enco unters ———————————35- 36 4. 3 Expression of Pain and Language to indicate the disabilities ———— 36- 37 4. 4 Outing and Cultural Program: the formal entertainment of CRP——— 37- 38 4. 5 Occupational therapy and the occupation of the patients ——————– 38 4. 6 Conclusion ———————————————————————– 38- 39 5.Conclusion: Chapter Five: Conclusion 5. 0 Discussion ———————————————————————— 40-43 5. 1 Conclusion ——————————————————————&# 8212;— 43-44 Bibliography————————————————————————– 45-48 ii Abstract: In my research, I engaged in an ethnographic study at the Center for the Rehabilitation of the Paralyzed (CRP), Bangladesh, where the daily life of the disabled people and their experiences of their situation was my main focus.I evaluated their physical and mental situation by the language used by the patients, their relatives and the therapists and staff at CRP. Here language refers the representation of the physical condition (what is the synonyms and antonyms they use to indicate disabilities), and the way that patients, relative and doctors relate disability both formally and informally. My research question is ‘what is the cultural shape of disability at half way hostel of CRP’? CRP is a huge area to cover, I therefore have chosen one part of CRP and that is the ‘Half Way Hostel’.This is the patients’ pre-discharged hostel. As a data collection technique, I used participant observation. I got myself involved in their daily activities. I took part as well as observed their daily life. In addition, I took interviews and daily notes. The thesis is divided in five chapters; the first chapter’s aims were to introduce the argument, research question and then discuss different relevant literature. My argument is ‘each and every culture has its own way of understanding disability. One should not consider disability from the universal point of view’.From this argument, my research question is, ‘what is the cultural shape of disability at half way hostel of CRP, Bangladesh? ’ In the same chapter, I have also discussed how disability has been discussed in different time and literature. The second chapter is based on the description of the field and the data collection methods. I n this chapter, I described my field; mainly the physical infrastructure of CRP, I discussed the method I have used as well as the limitations and advantage of those methods and I discussed my field experiences.As a volunteer, I got an easy access to my field; which was a plus point. On the other hand, for the same reason, my informants always kept a distance with me. It was a challenge for me to overcome the distance. The third chapter has focused on different events in CRP. These events have taken place at half way hostel in different time where the fun, frustration, every day conflict, love and joy of disabled people and their relatives is pictured. This chapter also focused some patients’ case study, which is iii elpful to understand the events as well as the patients’ background. My forth chapter is the description of deferent points, where the holistic scenario of disability in half way hostel has been described. Apart of the patients, the other actors of half wa y hostel are more focused in this chapter. These other actors are the relatives of the patients, the discussants of the half way hostel, the therapists, the care giver of half way hostel and the other facilitator of the half way hostel. The concluding chapter of this study is based on the discussion of the study.The main findings of the study is the conflicts of CRP’s advocacy and patients’ own agency, the fun and frustration of the patients, the daily reaction of the relatives of the patients and also patients’ everyday language. By the whole study, I have shown a culture of half way hostel, where disability plays a very influential role. iv Chapter One: Introduction 1. 0 Introduction: The ‘Disability and Rehabilitation: WHO Action Plan 2006-2011’ notes that 10% of the total world population is physically disabled (WHO 2005: 1). Most of the literatures published by development organizations who work with the disabled quote similar values.There has recently been established an international convention regarding the human rights of people with disabilities. These two topics – the generalization of disability concept and the universal rights of disabled people, despite the differences in socio-economic conditions – motivated me to study the different cultural shape of disability and associated rehabilitation. My argument is that every disability has its own cultural shape. Moreover in a culture the disability may get different shape with the influences of age, gender, economic situation, and so on.To prove my argument in my research, I concentrated on, how disability gets its own shape in a small scale situation like half way hostel1 of CRP2. From this perspective, my research question is: ‘What is the cultural shape of disability at half way hostel of CRP? And how the different actors act to construct this cultural shape? ’ The subjects of my research, whom I refer to as actors, are comprised of CRP p atients, the relatives of patients, the doctors, nurses, and other staff who work at the CRP, and others who are either in direct or indirect contact with the CRP. . 1 Research Objectives: The cultural shape of disability at the CRP is the central focus of my research. In this context, I want to know how disability is encountered by different actors at the half way hostel of CRP. This research is focused on the understanding of how patients, therapists, workers, and relatives of patients at the CRP interact with the After getting treatment patients used to stay in half way hostel for two weeks. Here patients learn to take therapy independently; they learn how to cope with their community in a new physical condition. CRP is a national NGO of Bangladesh founded in 1979. This NGO is focused on spinal cord injured patients. CRP treats the patients as well as works for their rehabilitation in the community. 1 1 Chapter One: Introduction greater society and among themselves, as well as th e role that disability and rehabilitation plays in their daily lives. In order to address my central research question, I investigated several sub questions: †¢ What is the daily routine of a disable person and his care giver at the half way hostel of CRP? How do the patients relate their physical condition by their verbal language as well as their body languages both in formal discussion and in informal discussion or chatting. †¢ †¢ How do the relatives of the patients describe the patient’s situation? What are the differences among those disabled based on their gender, age and economic condition? 1. 2 Preliminary Work on the Research Topic: My first university3 is about 3 kilometers away from CRP. I personally first sought assistance from the CRP for back pain in 2003.As an outpatient, I had to go there several times. There were many things that interested me about the organization. First of all, they have many workers there who are physically disabled themse lves, especially the people who work at the cash counter. Later, I found a shop in the CRP compound where they sell many crafts made by the disabled in-patients. The goods of the shop really impressed me, and I wanted to know about their makers; I came to know that most of them live in the compound. As an out-patient, I knew only a small area of the much larger ground.I returned to CRP in 2006 for a severe problem with my leg (I fell down and suffered a torn ligament). I came regularly to the CRP for several days and I came to know some of the patients more closely in this time. I became interested in their lives, their perceptions of their bodily constitutions, and so on. My first university is Jahangirnagar University, which is in Savar, Dhaka. I did my bachelor and masters degree in ‘Geography and Environment’ in that university. That is why, I stayed there for 6 years from 2002 to 2008. 3 2Chapter One: Introduction In 2008, I came to Heidelberg for my MA in Medical Anthropology. As a part of our study, we visited various UN organizations in Geneva, Switzerland in April, 2009. Autonomously, I sought out Handicap International and spoke with a few members of that organization. I also went to the CBR (Community Based Rehabilitation) Project of the WHO. This study excursion increased my interest in the lay perspective of disability because I found the agendas and work policies of these two organizations to be very grounded in universality.These organizations function holistically on a single concept of disability for all different cultures and apply the same policies for disabled people all over the world. There is not even a differentiation in prescribed rehabilitation process for different cultures. I am very interested in how a universal idea can work in a local setting. To meet my interest, I sifted through different kinds of literature, to include books, articles and many reports of the organizations who work with disability issues. This lite rature review is a fundamental part of my preliminary work for my field research. 1. Literature review and the rationalization of the study: My research is focused on how the concepts of disability are encountered in different contexts, both of which need defining the terms. Defining ‘disability’ is problem because of its intricacy and multidimensionality. As a result, a global definition of disability that fits all contexts, though desirable, is nearly impossible in reality (Slater et al. 1974). Both scholars and different (national and international) organizations try to define disability with simple statements, theoretical models, classification schemes, and even through different forms of measurements.Altman observed that ‘‘there is no neutral language with which to discuss disability, and yet the tainted language itself and the categories used influence the definition of the problem† (Altman 2000:97). He also argues that defining disability has â €˜â€˜contributed to the confusion and misuse of disability terms and definitions, particularly when operationalized measures of disabilities are interpreted and used as definitions† (Altman 2000: 96). However, the concept 3 Chapter One: Introduction f disability covers its definitions, the role of the ‘experts’ (leaders in different organizations who are working with disabled people), the place of experience, and the nature of local politics at that time. Altman argues that ‘‘when trying to make sense of this variety of ideas and forms, it is necessary to take consideration the structure, orientation, and source of the definition† (Altman 2000: 96). Therefore, clarifying the variety of definitions, analyzing their sources and understanding their conceptual strengths and weaknesses in different contexts are the three objectives of y literature review. There are four basic historical categories of attributes toward disability: the individual model of disability, the environmental model of disability, the social model of disability, and the model of the interaction between the individual and social concepts of disability. In the individual model, disability was systematically identified as a characteristic of the individual person (Fougeyrollas and Beauregard 2000). Due to the functional difference of his body, it was the responsibility of that person to overcome any obstacle that he encountered.Any person with significant impairment was labeled handicapped or disabled, resulting in social exclusion and stigmatization. This conception of disability has progressively changed since the 1960s, when several people questioned this reductionist representation of disability; these voices led to the emergence of the disability rights movement (Fougeyrollas and Beauregard 2000). Despite much advancement, there is no consensus as to the determining factors of disability, notably with regard to the environment (the second model), even today.In fact, it would be more accurate to say that there is consensus on the importance of the environment but disagreement on the exact role that factor plays. On the one hand, there is a social model that attributes disability entirely to the environment, ignoring the factors related to the person. On the other hand, there is the biomedical model that mainly focuses on the person and resists consideration of environmental factors.This resistance is notably manifested within the scope of the ICIDH-1 (International Classification of Impairment, Disabilities, and Handicaps) published by the WHO (World Health Organization) 4 Chapter One: Introduction in 1980. The ICIDH-1 conceptual framework is based on the trilogy of body, person, and society (WHO, 1980). The ICIDH-1 model presents a cause-effect relationship between impairment, disability, and handicap. In this model, disease or disorder is shown as intrinsic and causing of impairment, which ultimately results in disability.F inally, both disability and impairment can be causes of handicaps. In the social model, impairment is considered to be an ‘exteriorized’ situation, disability is an ‘objectified’ situation, and handicap is a ‘social’ situation. Thus, an injury that leads to the impairment of an organ’s functions and structures, which then leads to a disability in the person’s behavior and activities, ultimately generates one or many handicaps or disadvantages concerning social or survival roles.Since the dissemination of the ICIDH and its experiment application within diverse fields of study, the problems identified, the critiques, and the adaptation to the conceptual model and classification manual have stimulated for the search for knowledge: â€Å"the most passionate debate is related to the critique of the linearity of the ICIDH model and the work that attempt to explicitly introduce the systematic approach and environmental dimension into th e conceptual model† (Fougeyrollas and Beauregard 2000: 176).The modifications brought forth by these emergent conceptual models aim to illustrate the person-environment relationship in the construction or prevention of ‘handicap’. Thus in 1992, Minaire proposed his concept of the ‘situational handicap’, defined as the result of the confrontation between the functional disability presented by an individual and the situation encountered in daily life (Minaire 1992). In that time, he published an improved version of the conceptual model, explicitly integrating diverse categories of environmental aspects analyzed in terms of situation.According to Minaire (1992), environmental aspects are both social and physical dimensions that determine a society’s organizations and context. In physical factors, he mentioned nature and the development of a society. Here, nature is defined as the physical geography, climate, time, sound, etc. , and development is manifested in the architecture, technology, and national and regional 5 Chapter One: Introduction advancement. Minaire (1992) also broke social factors into in two parts: one is the politico-economic factors and socio-cultural factors.Politico-economic factors are comprised of government systems, judicial systems, economic systems, health systems, etc. , and socio-cultural systems mean social rules, norms, and social networks. Minaire (1992) specified that one is handicapped not in the absolute but with the reference to something. In his opinion, the situational handicaps model completes the dimensions of the WHO model by integrating the person within his/her environment (Minaire 1992). Thus, a handicap is a characteristic not of the person but of the interaction between the person and his environment. In this way, Minaire refutes the linearity of the WHO classification.Following Minaire, several authors: notably Badley (1987), Chamie (1989), and Hamonet (1990) elaborated upon conce ptual models that integrated the concept of environment as a determining factor in the disablement process. The ICIDH-1 was published during a period that also a witnessed the International Year of Disabled Persons, (proclaimed in 1981 by the United Nations) and the Decade of Disabled Persons, which ended in 1992. This period was characterized be the preparation, adoption and application of policies and legislative measures aiming to promote and ensure the exercise of the rights of disabled people (UN 1983).Despite its innovative conception at the beginning of the 1970s, with the introduction of the social concepts of handicap to the biomedically oriented WHO, the ICIDH and its conceptual framework failed to become the international reference tool for persons with disabilities (Barry 1989). A worldwide disability movement, Disabled People’s International (DPI), rejected the ICIDH-1 definitions in 1981 and adopted definitions that are known as those of the ‘Social Model of Disability’ (Oliver 1996).According to this model, disability is exclusively caused by the presence of barriers within the environment and occurs because the environment does not succeed in adapting to the needs of people who have certain impairments. To improve the life situation of the people with disabilities, one must remove the environmental factors that create obstacles to their integration; the model pays little interest to their organic and functional 6 Chapter One: Introduction differences (Enns 1989; Hurst 1993). The DPI defines impairment and disability as follows: â€Å"Impairment is the functional limitation with the ndividual caused by physical, mental and sensory impairment. Disability is the loss or limitation of opportunities to take part in the normal life of the community on an equal level with others due to physical and social barriers† (DPI 1982: 3). Within a political paradigm, the social model has insisted that there is no causal relationship between disability and impairment. The achievement of the disability movement has been to break the link between bodies and social situations and to focus on the real cause of disability: Discrimination and prejudice (Shakespeare and Watson 1997).The concept of equalization of opportunities, meaning the process by which society is modified to become accessible for people with disabilities, is putting the social model into action; it was first used in a United Nations document, Decade of Disabled Persons 1983-1992: World Program of Action Concerning Disabled Persons (UN 1983). These radical changes in the early 1980s were largely the result of a partnership between the disability movement and various governments (e. g.Canada and Sweden), who adopted the new principle of participation. This new outlook of disability has influenced the development of legislation like The Charter of Rights and Freedoms in Canada and The Americans with Disabilities Act (Enns 1998: xii). From this perspec tive, disability is a political issue. Disability right activists consider that the social environment structurally creates social disadvantages and discriminatory situations experienced by people with disabilities (Driedger 1989; Hahn 1985).Disability is socially constructed and manifested in situations experienced by environmental barriers and causality is no longer placed within the body and functional limitations but in the systemic inadequacy to adapt to their specific needs and oppression (Oliver 1990). It is important to note that the adoption and application of social policies and legislation ensuring the rights of the basic human rights and equal opportunities constitute modifications of the 7 Chapter One: Introduction environment that have had an obvious impact on the disability and rehabilitation process. The impossibility of monitoring the evolution and mpact of these factors through biomedical and compensation models is centered on an inside-theindividual model of disab ility. This fact has led numerous government planners and decision-makers to support the movement for the defense of human rights in the critique of the ICIDH and the inclusion of environmental variables for monitoring and measuring the impact of socio-economic policies in the field of rehabilitation, de-institutionalization, and social participation. This change is wellexemplified within the UN standards for the equalization of persons with disabilities (Barry 1995).Another major criticism of the ICIDH-1 was its lack of conceptual clarity and overlap between the concepts of impairments, disabilities, and handicaps (Nagi 1991). This oversight is mentioned by the Committee on a National Agenda for the Prevention of Disabilities in its report, â€Å"Disability in America,† in order to explain the rejection of the ICIDH as a conceptual framework. The committee preferred the concept used by Nagi (1991), wherein the disabling process is made up of four elements: Pathology, impairm ent, functional limitations, and disability (Pope an Tarlov 1991).After much criticism, WHO changed the ICIDH-1 model. The introduction of the ICIDH-2 states that, â€Å"The overall aim to the ICIDH-2 classification is to provide a unified and standard language and framework for the description of human functioning and disability as an important component of health† (WHO 1999: 7). The classification covers â€Å"any disturbance in terms of functional states associated with health conditions at body, individual and social levels† (WHO 1999: 7).The new draft of the ICIDH-2 proposes three dimensions of the concept of disability: body functions and structure, activities in the individual level, and the participation of the individual in society; it also includes a list of environmental factors. The title of the classification has been changed to ICIDH-2 International Classification of Functioning and Disability (‘functioning’ and ‘disability’ are defined as umbrella terms). 8 Chapter One: Introduction This final conceptual scheme shows that the individual’s health condition disorder or disease) depends on the aforementioned three basic concepts, which are inter-related themselves. These inter-relations again depend on the environmental factors and one’s personal orientation. The body thus has a role in disability at any level of human life (Fougeyrollas and Beauregard 2000). The ICIDH-2 was the result of various influences. It indicates positive change because it recognizes disability within various contexts and cites socio-political and environmental models as essential for counterbalancing the biomedical and economic model based on solely the individual (Bickenbach 1993).Here, the importance of environmental factors are recognized, but there is resistance to making this a separate and full fourth conceptual dimension. The systematic nature of disability phenomenon is acknowledged, but the explanation is made even more confusing by the proposal of a complex conceptual framework that fails to clearly identify the interaction between the individual and the environment as a central factor.The importance of the individual was recognized, but as an unclear contextual factor, creating some confusion with regard to environmental factors (Fougeyrollas and Beauregard 2000). In 2006, Tom Shakespeare published his book entitled ‘Disability Right and Wrong’, wherein he critiqued the ICIDH-2 social model. He thinks that, ‘‘[social model] approaches reject an individualist understanding of disability, and to different extents locate the disabled person in a broader context† (Shakespeare 2006: 9). This social model has also been counterposed to the medical model, a limitation of the former.Shakespeare (2006) stresses three points in order to understand disability and the rehabilitation processes of disability: Social and environmental barriers, the individual concept and sufferings, and the medicalization of disability. To understand the perception of disability and rehabilitation of a particular area, it is important to know the local culture and social settings, the disabled person’s concepts, the treatment procedure for disabled person, and the political systems regarding disabled. 9 Chapter One: IntroductionIn this context of disability study, I want to focus on a particular institution, which is working with disability. I want to examine their understanding about disability and review this understanding with the aforementioned models. However, in my research, I do not take disability as a universally define phenomena, rather the local cultural understandings of disability is important. Therefore, this research is to compare the different models to CRP’s experiences of disability, arguing that culture plays a role to construct the idea of disability. 1. 4 Chapter plan of the study: This chapter describes the overall idea of the stu dy.The argument of the study is ‘every disability has its own cultural shape’. To prove this argument this research selected a small scale area name ‘half way hostel’ the pre-discharged hostel of CRP, Bangladesh. After getting treatment patient come and stay in half way hostel for two weeks to learn therapy and other works, those are important and appropriate for their physical condition. They create a temporary territory there, which have a unique cultural shape. This study is an ethnographic description of that culture, where the disability plays a vital role to give a shape of that culture.Apart of this chapter, this study has four more chapters. The second chapter is focused on the description of field and methodology. I collected information by observing and participating in the daily life of half way hostel, which is my field. This chapter is a description of the experience of entering to the field, the advantage and limitation of my field. At the sam e time, this chapter conveys the gap within the planned methodology (what was in my mind before going to the field) and the methods, what I used in my field.Third chapter is based on the daily events at my field. The aim of this chapter is to get the picture of the culture of half way hostel through the daily life activities. The argument of this chapter is, with the influences of different kind of people; like patients, relatives, doctors, and therapists, half way hostel got a unique 10 Chapter One: Introduction culture. Moreover, this unique culture is always changing due to the age, gander, and socio-economic variation of these actors.The forth chapter is more focused on the particular issues in half way hostel; for instance, discussion that take place there, type of care giver of the patients, outing and gardening for the patients and so on. The aim of this chapter is to show the contradiction between CRP’s discipline and patients’ self agency. Finally the fifth ch apter is the conclusion of the study. This chapter has drawn the conclusion by showing the contradiction between different models of disability and the scenario of disability at half way hostel. 11 Chapter Two: Data Sources and Data Collection MethodsChapter Two: Data Sources and Data Collection Methods 2. 0 Introduction: In my methodology section, I will first describe my field, which will not only cover the geographical location of my field, but also my informant types, the events that take place in my field, and my experience to enter the field. Then, I will discuss which methods I used to collect the necessary data, the sample size & time frame. At last I will stress on my ethical position at the field. 2. 1 My field: I knew CRP before as a patient1. CRP has its several centers for treating and rehabilitating of paralyzed patients in Bangladesh.CRP's headquarters are in Savar, approximately 25km far from Dhaka, the capital city of Bangladesh. This headquarter was my field. There are several buildings and facilities in that compound (100-bed hospital, Operation theatre, Physiotherapy Department for in-patients and out-patients, halfway hostel where patients prepare for returning to their home communities, vocational training centers, etc. ). I had a limited idea of CRP from my past visits at CRP and CRP’s website. However, when I went to CRP for my field work, I was checked by the security. They asked me, where I wanted to go. I want to meet with Mizan Vai (Mizanur Rahman is the volunteer coordinator of CRP)’ I replied. Security asked quickly, ‘which Mizan? Wheelchair-Mizan? Or Crutch Mizan? ’ It was clear to me that both of the Mizans are disabled. I replied that I was looking for the volunteer coordinator and I did not see him before. Two guards discussed together and suggested me to go to BHPI (Bangladesh Health Professionals Institute) building to find out I have been living in Jahangir Nagar University campus from 2002 t o 2008 for my bachelor and masters. This university is about 3km far away from CRP.I first went CRP for my back pain in 2003. I had to go several time there for that reason. 1 12 Chapter Two: Data Sources and Data Collection Methods ‘wheelchair-Mizan’. I passed the gate and then the out-patients area. There were around 25 out-patients in that big hall room. The two side of that hall room were open and other two sides were closed by the Doctors room. I saw one young girl was howling in pain. She fall down from the tree just an hour ago and got hurt in the back. Her father was busy to fill up the appointment form and they are waiting for the doctor. I passed them to meet with Mizan Vai.I went to the Speech and Language Therapy Department in BHPI. Mizan Vai is the lecturer of that department and the volunteer coordinator of CRP. He told me that CRP offers nine courses in BHPI; bachelor degree In Physiotherapy, Occupational Therapy, Speech and Language Therapy, Nursing Dipl oma and also some other diploma and assistance courses. There is no ramp in BHPI building; however Mizan Vai has the ability to use the stairs with his hands and knees. He got another wheelchair in the ground floor. We went together to the main administrative building to fill up my volunteer form.The administrative building was situated directly opposite to the BHPI building. In the main administrative area, we got a ramp. I filled up the form and then we moved around CRP; the In-patients area, the clinical physiotherapy, occupational therapy and speech & language therapy department, half way hostel, vocational training centre, staff quarter, inclusive school and the big hall room name Redda Way Hall. For my field work, I choose the half way hostel. I knew the concept of half way hostel before from the website of CRP. I showed my interest to work there. I got an ntroduction of half way hostel and started to work there. There were twenty beds for the patients, one office room, t hree toilets, one tube-well, one office room and one hall room in the half way hostel. Three permanent staff work there; a physiotherapist, an occupational therapist and a caretaker. Most of the other works are done by the other staff of CRP; for instance, in discussion period one councilor come and then goes back to his own work or in individual therapy’s time one or two physiotherapists come and after the session they go back to their previous work.Patients come in the half way hostel after getting treatment as in-patients. The concept of half way hostel is to make patients more independent. Patients learn here how to take therapy, how to cope off with their old environment, how to do daily work more independently. This hostel runs by its 13 Chapter Two: Data Sources and Data Collection Methods daily routine. Every day from 8 am to 8. 50 am they have group therapy. The patients and the therapists select a group leader from the patients. The leader has to know the therapy. T hey have Physiotherapy for every parts of the body.After 10 minutes break, discussant from different departments like social welfare or vocational training institute, come and discuss with the patients on three days in a week. In every Saturday, the patients got the idea of half way hostel and the other three days (Sunday, Tuesday and Thursday) they discuss on various topics, such as hygiene, pressure sore, the home environment, use of wheelchair, future profession, and social relationship. Monday and Wednesday are days for gardening. Patients do gardening under the supervision of the staff of half way hostel.Though in rainy season, they have to pass their time inside the hall room. After one hour of discussion or gardening patients start to do the individual therapy. If any patient requires special kind of therapy they can learn that in this period. The care givers of the patients also learn how to give therapy in this time. At 12 pm patients go to the vocational training centre. C RP offer six types of vocational training; tailoring, computer training, electronics servicing, shop keeping, and painting training. In the half way hostel the most training is the shop keeping.A person without one leg and one hand runs this training. I did find this training is too much effective. I saw the trainees were dissatisfied with the training. I asked one trainee, who is a member of half way hostel about the training. He told me ‘look sister, I have to laugh with the customer and I will be well-mannered to them; this is not a matter of learning rather this is a matter of common sense. ’ I got only four patients out of twenty who were regular in the vocational training on that particular time. The patients, who don’t attend in the vocational training, have to go to the Redda way hall of CRP.Every day from 12pm to 1pm, patients work to produce the package and the bandage for CRP’s internal necessities. Then, they get the launch break for one and ha lf hour. They come back at 2. 30 pm from their break. In different days of the week, patients get different work on that time. On every Saturday there is a cultural program, In-door games on Sunday and Tuesday, film show on every Wednesday and Monday is for discussion. CRP has three selected film for the half way hostel’s patients; Radio Vai (Radio brother), Bihongo (The birds) and Wheel Chair.All the 14 Chapter Two: Data Sources and Data Collection Methods films are produced by CRP. After this cultural program session, patients go to the ‘wheel chair skill’ for half an hour. For this ‘wheel chair skill’ training CRP made an intricate ground. With Three trainer wheel chair users go through the ground. Before going back to the hostel, patients join in the outdoor sports for an hour. As a volunteer, I maintained the office time of CRP. From Saturday to Wednesday, I had to stay in half way hostel from 8am to 5pm and on Thursday 8am to 1. 30 pm.Very ofte n I stayed after 5pm to collect more data in their chatting time. 2. 2 Entering to the field: I entered to my field as a volunteer. Many Anthropologists face the problem to enter to the field. Dr. Shahaduzzaman did his hospital ethnography in a Bangladeshi hospital (Zaman, 2005). He got a huge problem to omit his identity as a doctor. At the same time, he was not like a patient. As a result, in the beginning it was a challenge for him to gain the faith from his informants (Zaman, 2005). I did not have this kind of problem to enter in the field.CRP always recruits a good number of volunteers. Like the other volunteers, I did not get attention from the staff and patients. However, as a volunteer, I had to do many things which are not directly related to my research topic; for instance, maintaining the attendance of the patient’s daily activities, counseling the patients, helping them in the extra curriculum activities and so on. In the beginning, I thought these duties are not relevant with my thesis. Later I discovered that irrelevant activities are very important to get a clear picture of my field.By doing these kind of works, I got a high status to the patients, in one hand which is good. I did not have any problem to collect the data; patients and their relatives were eager to give me information. On the other hand, they always behaved formally with me, which was a disadvantage for my field work. It took couple of days to break this formal relationship. 15 Chapter Two: Data Sources and Data Collection Methods 2. 3 Data collection technique: Participant observation was the fundamental method of my research: I was in the field as a volunteer for two months.I stayed in the CRP hostel, which is inside CRP premises. As a result I frequently visited half way hostel even after office time. I tried to participate in their daily life. However, the concept ‘participant observation’ broad itself; Singha (1993) mentioned four possible roles for a par ticipant observer: 1) a complete participant, 2) participant as observer, 3) observer as participant 4) a complete observer. As a volunteer, I was not able to be a complete participant, as I could not completely involve myself in the daily lives of the patients.Thus, I will not be a complete observer either. My plan was to fall into the second and third categories: I was a participant as an observer and at the same time an observer as a participant. However, many anthropologists even doubt the term ‘participant observation’. Geest and Sarkodie wrote that, â€Å"participant observation is not an easy thing to do, or to be more precise, it is impossible. Participant observation is a dream, an ideal, and a contradiction in term† (Geest and Sarkodie 1998: 1373).Therefore, I observed daily life at CRP through my work and through building an informal relationship with my informants on the site. I have used many different methods to collect the qualitative and quantitat ive data to supplement my participant observation. For the convenience of data collection, I have divided the information into three categories: place (the half way hostel), people (the patients, staff and the relatives of the patients) and events (the daily life of the hostel). For the place part, I have collected both quantitative and qualitative data.With regard to the people, my focus was on the qualitative data gathered from the patients, their relatives and the people who work there. Here, I have used different tools; In-depth interviews, case studies, mind- map, observation, Semi- structured interviews, and conversation. For the third part of my data, I gathered primarily quantitative information on the daily schedules and events at CRP and then descriptive information on each and every event of half way hostel at CRP. The following tables and the explanation, shows detail of the 16Chapter Two: Data Sources and Data Collection Methods information or the data what I need for m y research and which method I will use for collecting this information. Table 1: the Place: Half Way Hostel Place Types of information Data collection methods Potential informants/ sources of information CRP Location and history of CRP, existing facilities, staff strength, number of patients, physical environment, building arrangement. Half-way hostel Number of rooms, room arrangement, existence facilities inside the hostel Observation, conversations, secondary source.Members and workers of halfway hostel, relatives of the member Patients’ access area Vocational Training, outdoor sports, nursing service, social welfare unit’s service Observation, semi-structured and in-depth in interviews. In-patients, relatives of inpatients, workers and therapist of CRP Staff rooms Facilities inside the room, the activities that take place in the rooms. Observation, interviews. Therapists, Workers, administrative officers Observation, secondary source and semistructured interview. CR P library, staff of CRP, website of CRP, Local people 7 Chapter Two: Data Sources and Data Collection Methods To get the information on my study place, I mainly used secondary sources. CRP’s publications, website, documentaries on CRP were some of my secondary sources. Apart of these secondary sources, I took interview, observed the facilities and talked informally with all type of people at CRP. Table-2: The people People Patients Types of information Data collection tools interviews, studies/ life Social background, daily activities and In-depth accessed area in CRP, communication case ith the staff, perception about their life, histories, mind- map, views about the center and the observation treatment, Doctors Therapists / Activities of different doctors/ therapist, Observation, interaction with other staff members, structured interaction with the patients, perception in-depth of disability. Staff (excluding doctors therapists) Relatives the patients and conversation Semii nterviews, Semiinterviews, interviews, Activities of different staff; interaction Observation, with the other with staff the member, structured communication patients, conversation, erception about the patients of Relationships with the patients, Observation, case in-depth perceptions about the disease of patient, studies, experience that gathered for having interviews, disabled person in a family, interaction conversation with the CRP’s staff 18 Chapter Two: Data Sources and Data Collection Methods Three kinds of people were my target; first- the patients. I wanted to know how they describe their physical and mental condition. I focused on their language. I tried to observe which words they use for their condition and which words for the opposite condition.I participated in their daily life; I observed their work and their participation in different work at half way hostel. I took 15 interviews to know details about them. I also used mind mapping to understand disabled peopl es’ daily accessed area. My plan was to provide them pen and papers and tell them to draw CRP. From their drawing, I thought I could find the accessed area of patients at CRP. The mind mapping idea was not useful for my field because most of the patients could not use the pen and some of them got paralysis in hand so they could not even move their hand.However, all the other methods I used were useful enough. My second target people were the employees, who work for those patients. Each patient evaluates his life with a special concentration, but the employees have to deal with many patients in a day. My interest was to know their feeling on disability; how they describe the condition of a disabled person. I observed them; we discussed together on different issues of the patients and we worked together for the patients. As a result, it was easy for me to get the data from the employees of half way hostel.My final target group was the relatives of the patients. The patients, wh o cannot move their hands and legs, have to bring their relatives. At the same time other patient’s relatives very often come and rent a home outside CRP. They were also my informants. I talked to them, observed their reaction in the discussion, therapy and the other time. Very often, I participated on their evening gathering time. They discussed on different events of the following day, which was a very important source of my information. 19 Chapter Two: Data Sources and Data Collection MethodsTable 3: The Events Events Types of information Data collection tools Doctor’s/ therapist’s daily round in the half way hostel Admission and discharge of patients Discussion Dressing, distribution of medicine, washing and meals Sports, vocational training, gardening and the other extracurricular activities Interactions and the participations of the patients Procedures, interactions Procedures, interactions Procedures, interactions Observation Observation Observation and c onversation Observation and conversation Procedures, interaction ObservationThe information of different events was the most important part of my research. I attended in the regular events of the half way hostel. I saw the patient’s participations in the event, their interaction with the event and their reaction on different matter of that event. In the leisure period, I often asked to the patients and their relatives on a particular event and observed their reaction. Observation and conversation were the main methods to collect the information on the events of half way hostel. 2. 4 The limitation and the advantage of my field: There is a metal and wood workshop behind the half way hostel.CRP makes its wheel chairs, special seats for the patients, and the other metal things in their own metal workshop. The noise of welding machine of that metal workshop made the workshop area and the half way hostel polluted. It was impossible for me to tape the voice inside 20 Chapter Two: D ata Sources and Data Collection Methods the half way hostel due to this noise pollution. Often I took my interview outside the half way hostel. Another limitation of my field is that CRP works for the spinal cord injured patients. As a result, I got a particular type of disabled people there. It is indeed a limitation of my work.On the other hand, I could only focus on a specific type of informants. However these patients come at CRP just after their accident. That is why they could not imagine the loneliness of a disabled person in their local community. This is another limitation of my work. I got the informants, who are used to see too many disabled people around them at CRP. Language played a vital role in my thesis. First of all, to understand my informant’s daily speech, I needed to know the local dialect. Though my native language is Bengali, but some of the patients speak in hard dialect which is tough to understand.Moreover, to understand their jokes and silent langu age, I needed to understand the cultural context of those people. Then the problem rises with the data representation. Many things are easy to understand in Bengali and tough to translate and represent in English. Furthermore, there are many jokes, fun and frustration, which could be translated, but hard to realize the meaning because of the cultural gap. I got many advantages in my field as well. First of all I got many disabled person at a time in one area, which is a big advantage for my fieldwork. Second thing was my residence at CRP’s volunteer guest house.I could stay at half way hostel as long as I wanted as I did not have to worry about the distance between my workplace and residence. At the same time, I stayed there with twenty more volunteers. Many of them came for their study (like research, placement, and internship). I shared many things with them, and we discussed different issues, that discussions were very helpful for getting a clear understanding on the parti cular issue. 21 Chapter Two: Data Sources and Data Collection Methods 2. 5 Sample size and time frame: Before going to the field, I did not have any sample size as I wanted to do a participant observation.However after my field work I got a number of informants including their different quantitative information, which will be helpful to get an overall idea of those patients (Annex-1). I was in Half Way Hostel for two months (from 1st of August to 1st of October, 2009). During my field work period, I got 62 patients and 35 care giver in the half way hostel. Out of these 62 patients, only 10 were women. I have taken 15 in-depth interviews of the patients and had conversation with all of them. I had also 5 semi-structured interviews with the staff of CRP.Out of 5, three of them were therapists, 2 were assistant of the therapists. 2. 6 Ethical considerations I worked with the paralyzed patients at CRP. Naturally, they are more sophisticated than ‘normal people’ (according t o biomedicine), as the greater part of the society discriminates them, even with regard to standard daily movement (lack of wheelchair accessibility to facilities, or in busses, trains, or cars), education (special schools for disabled people are only for secondary level), and jobs (lower education levels mean fewer job opportunities).In my research, ethical consideration is very important because I was working with their daily experience, daily feelings, and daily reaction with the existing facilities. I also worked with the rehabilitation process and its limitations or usefulness from the point of view of the patient. Here, I will be very careful to maintain confidentiality of their information, knowing that if the CRP authorities knew that the patient was dissatisfied and complaining, that result in consequences for the patient himself. I asked all of my informants about their preference for interview methods.I used my tape recorder with their explicit. Finally, I wanted to provi de a written and signed statement of confidentiality that I would honor until they personally ratify its content. However, they all gave me the permission to write on their life and to mention their name. 22 Chapter Two: Data Sources and Data Collection Methods 2. 7 Conclusion: The focus of this chapter was to show the field and the data collection technique from the field. My field was half way hostel of CRP (Centre for the Rehabilitation of the Paralysed), Bangladesh. Half way ostel is one of the rehabilitation areas of CRP. Patients come to the half way hostel after completing their treatment from CRP. They stay usually two weeks there. I was in the half way hostel for two months. I participated in their daily life and observed their life. I collected the information by participant observation. To supplement this participant observation I have used many different methods like interviews, mind maps, case studies, and life histories. 23 Chapter Three: Daily life in CRP; Living with Disability Chapter Three: Daily Life in CRP; Living with Disability 3. Introduction In my research question, I have noted that I want to know the cultural shape of disability. This cultural shape of disability can be understood from everyday life of disable person. Disable people express their situation to the care givers; care givers at the same time express their reactions. These reactions and responses are there in the everyday life of half way hostel, which are important to understand cultural shape of disability. In this chapter I will focus on this issue. 3. 1 Expression of Pain: ‘Oh God take me, take me (Allah, tui amare nia ja)’ Ershad was shouting with this sentence.He was the only one patient in that hall room. Most of the patients went to the sports. His wife and me were sitting behind him. His wife is not too old but her face seems older and rude. There were two more patients few minutes ago; Khokon and Mofizur. I was playing chess with them; suddenly Ersha d started to cry and his wife was a bit careless. Khokon vai told me ‘look madam, how rude the wife is’. I asked, ‘what happened? ’ ‘Ershad Ershad is a 24years young married man. His home town is in Tangail, which is about 100 km far from Dhaka. He was a farmer. One day he was carying a load of paddy tree.Suddenly he fell down in a rat hole. He got hurt in his neck. His bone in neck broke. Ershad was taken directly to the district hospital and that hospital referred him to CRP. According to the assessment of the therapists, he has to use wheel chair for ever. However, the topography of his area is not plain; the area is full of up and low land. He has a house in a high land and paddy field in a low land. The low land goes under water during the rainy season at least for four months. As a wheel chair person, movement is so difficult for him. Moreover, in the rainy season, it is impossible.On the other hand he took shop keeping training from CRP and wan ted to give a shop in the market. When I asked whether it is possible to maintain a shop with this circumstance, he did not give any answer. peed in his lungi (lungi is like a skirt, but mostly the male of south Asia wear it), so his wife behaved rudely with him. Mofizur vai was leaving the room and saying himself, ‘how bad women she is, no respect for husband†¦Ã¢â‚¬â„¢. Khokon Vai react as 24 Chapter Three: Daily life in CRP; Living with Disability well ‘my wife is 100 times better than this woman, I shout a lot, but she never reacts or behave rudely’.However, the wife of Khokon Sharder (32): He is a very talkative man at half way hostel. Before accident, he was a line man of Polly Bitdut (A company for electricity supply). He had to climb electric poles for maintenance purpose. One day he falls from the electric pole and got hurt in back. He took the shop keeping training and wants to build a shop of electronic products back in home. Ershad was careless lik e before. She was starting to do her task in a rude and quiet way; she changed Ershad’s lungi, cleaned the body, and rubbed the lower part of the body.Aminul vai, the care taker of half way hostel came and tried to make her understand ‘look don’t misbehave with your Mofizur Rahman (22): he was laying under his truck, checking its wheel, all of a sudden the truck started to move. A child had climbed up onto the truck, turned the key and got it moving towards his chest. Thus the truck driver Mozifur Rahman got his chest crushed. After having spent several months at the medical care division of CRP-Savar, Mozifur went back to his home in Khulna division to try to live the life in his wheelchair with his parents, sisters and brothers, wife and his four years old son.He would also try to find out ways to earn living for himself and his family. He would decide whether he would work as a shop keeper or earn money from renting out his parents property. He supposed to go back to his home after couple of weeks at CRP for his vocational training, but he did not leave even after three months. husband, if God wants you might become disabled in a second, who knows what is going to happen with us! ’ The woman replied that they don’t have fan in their room. Her husband could not sleep last night at all and make her awake and after a long sleepless night how could she control her temper.Aminul vai left the room and the women took a seat next to the patient. Then Ershad, the patient, started to cry again. He was splitting repeatedly. Feeling pain in the chest and could not take breath. Some patient’s relatives came by this time; they were suggesting the women to go to the nursing station. The woman was trying to pick him up to the wheel chair, but failed. I hesitated to help her not only because he was dirty but also as a Bangladeshi female it is tough for me to take a man on my arm. There were no male around. At last with the help 25 Ch apter Three: Daily life in CRP; Living with Disability f some other women, his wife picked up him on the wheel chair. Ershad was crying and shouting ‘I am dying, I am dying, call my parents, my sister, I am dying. ’ They came back after 20 munities and then the wife was shouting ‘look sister, all blamed me. Now see, he trough out the pill by vomit and again make dirty everything. I will die by cleaning and cleaning. ’ By shouting she was helping her husband to transfer him wheelchair to bed. The patient was shouting at the same time as well, ‘take me to my home, I will die. Call my sister over phone. Tell them to take me home’.Slowly the patients and the therapists came back from the field. One therapist name Lockman asked Ershad, ‘what happened to you? ’ He replied, ‘Sir, please save my life. I am dying. My two legs are burning. Please give me some ice. Lokman vai heard all the events and said to Ershad, ‘if I give you ice you will get a cold then, do you want this? This is very normal to have some pain in this time. ’ The other patients also voted in this regard. Heamayet Fakir, another patient, said ‘you don’t know how much pain I have tolerated every day. You have to adjust with it. Don’t behave like a woman. Ershad’s wife came to me and whispered ‘sister, he got a bad wind. When you get this type of bad wind, you have to suffer three times. Previously, he got injured two times and this is his last time. But this time his neck broke. I came here to treat this broken neck, but now we need to go back to kaviraj (traditional healer in Bangladesh, they mainly use the herbal medicine and very often they recite mantra for the patient’s well being). The kaviraj will give him back the strength of his hands and legs’. I asked ‘why three times of suffering? Why not more or less sufferings? ’ She replied ‘this is the rule’.He r husband kept crying. The therapist came back to him and said ‘is the pain still there? ’ Ershad cried out ‘sir someone is cutting my legs from me’. The therapist moved around to the patients and replied, ‘do you hear the sound of metal workshop, the welding sound? I ordered a pair of leg for you, don’t worry. ’ 3. 2 Everyday Recreation in CRP: Entertainment and fun There is a one hour cultural program in every Saturday at half way hostel. Normally patients get admission on Saturday in every week. Thi

Tuesday, October 22, 2019

Uniforms in High School †Education Essay

Uniforms in High School – Education Essay Free Online Research Papers Uniforms in High School Education Essay The idea of a uniform in schools has been debated for years. Those opposed often use the lack of creative freedom as the main fault of a uniformed environment, saying a uniform stifles creativity by limiting one’s â€Å"expression of self†. But how I see it, self expression is definitely not limited to appearances, and you can be your own unique individual and not have to use your appearance to do so. In fact, appearing tthe same as others would spark more of a need to be individual to â€Å"stand out† as who you are, which is far more beneficial for developing character. Looking the same on the outside challenges you to find out how you’re unique as a person, and uniforms can do that. Uniforms have benefits other than sparking your internal individual. When clothes are used to â€Å"define yourself† they are used as tools for making yourself â€Å"superior†, and become tools for belittling others. Bullying always is and always has been a large problem in high schools. Among young women especially, clothes and the message they carry are a large factor. Uniforms eliminate all the competition of labels and trends and creates a haven from all the superficial judgement that clothes can carry. After all, school is a place for education and development and that competitive dynamic of appearances is not something that should be mixed with either of those. All of this negative competition with appearances can definitely diminish your self esteem or body image, if you cannot meet the expectations of the latest trend. The â€Å"one size fits all† attitude of a uniform levels the playing field as far as appearances go. Learning to get to know people for who they are beyond how much their outfit cost is imperative for developing your character for the future. Not judging people by what they’re wearing is extremely important for entering society as an adult so you don’t judge people by their image and appearance and you yourself don’t expect to be evaluated solely on that either. Uniforms also teach you to not rely on appearances and regulates a strong character and personality. I would rather know I am appreciated for my character and personality than any image I am projecting or my clothes, which brings on the issue of the role appearance and image play in society. Physical appearance is dominant in our society and the idea of a uniform in high schools seems like a refreshing relief from all of that judgment and actually enforces good values and priorities. Uniforms make you focus on the person, their mind, which is why you’re at school, to improve your mind, not your clothes. Appearances can be deceiving, be used as a tool to do so, or to belittle others. They can make you feel inadequate in so many ways, so why not remove all that negativity from high school, where impressionable young adults go to learn values for life? The purpose of school is to get an education, and until you’re graded on your shoes, wearing a uniform is the best way to do that. Research Papers on Uniforms in High School - Education EssayStandardized TestingHip-Hop is ArtPersonal Experience with Teen PregnancyWhere Wild and West MeetResearch Process Part OneThe Spring and AutumnGenetic EngineeringPETSTEL analysis of IndiaInfluences of Socio-Economic Status of Married MalesAnalysis of Ebay Expanding into Asia

Monday, October 21, 2019

Discuss the Importance of Visual Perception Essays

Discuss the Importance of Visual Perception Essays Discuss the Importance of Visual Perception Essay Discuss the Importance of Visual Perception Essay Simply because something seems or is supposed to be a certain way due to ones societal expectations, does not mean that it always will be. Things are not always the way they appear and it takes much greater knowledge and understanding to accept people for what they are, even if it does not go along with what one learned. Keywords: Gender, male and female, hormones, environment Sexual Development Everyone possesses a gender identity, which most often matches ones anatomic appearance. Ones sexual development can be either male or female or even something In between. Is sexual development truly so Important or does It not play that significant of a role? Maybe this example will help everyone come too better conclusion about this subject. A healthy baby boy was born to very happy parents. However, about eight months into his life, something happened and his genitals were horrifically destroyed. His biggest male appearance at that age, his penis, did not exist anymore. His parents, completely disturbed by the accident, heard about a psychologist who was able to assign sex to children whose genitals were destroyed or not there for another reason. According to Culbertson (2009), If it is not created, then the child will be assigned a grammatical gender (in the Western world, all hillier must be either a boy or a girl), which may or may not match that childs social gender as It evolves over the course of childhood (Para. 14). Very often, when a parent chooses the sex for his or her own child due to the circumstances, It seems to work very well. However, prenatal hormones also Influence these factors In either working or not. Nevertheless, it did not work in this case and this boy began to live an unhappy life as a girl. Time went by and many problems occurred until she saw another psychologist. Her parents finally told her what happened and she began the transformation into a male. It seems like being a male made him happier once again and he even married and became a stepfather. However, this story does not have a successful conclusion, as David Reamer committed suicide at the age of 38 (New York Times, 2004). This tragic story shows that ones sexual development matters. It also explains that there is more than one factor that contributes to ones sexual development. Therefore, the author of this paper will try to provide a better understanding Into how gender identity and sexual development happens. The interaction between hormones and behavior will be explained and what role It plays In finding his or her own gender Intently In sexual development. As usual, It will also use the help of physiology and the environment to provide a better answer Tort ten reader. I nee autumn nope Tanat ten reader wall not only straddles a deeper knowledge about this subject but mostly that he or she will walk away with more understanding for individualism. Determination of Sexual Development Many different factors come into play determining ones final sexual development. It is very important to acknowledge that not everything that appears a certain way also will perform as such. Ones anatomy might indicate being a male or female; however, this does not mean that this is actually how a person views him or herself. Chromosomes play a very important role in developing sexual organs. Sexual chromosomes, such as XX and XX, help determine sexual differentiation. For instance, XX chromosomes will lead to the development of a female while XX chromosomes develop a male. In addition, the sexual X chromosome and non-sexual chromosomes can do more and possess the ability of developing either sexual genitals. This is why the exposure to hormones before and after one is born is so significant. Hormones are responsible for ones biological development. Therefore, it is very interesting to find out that the Y chromosome directs the glands to releases male sex hormones. Furthermore, hormones present during pregnancy will most likely affect the nervous system. It is important to acknowledge that every embryo is bisexual and has the ability to develop into a male or female until the end of the first trimester and the ability of hormones, which will the determine the kind of system, the Mlearn system or Wolfram system, one develops (Carlson, 2007). It is clear that hormones influence sexual development and help one to not only view him or her as male or female but also feel as such. For instance, hormones also influence feminine and masculine characteristics. As stated by Beer (2004), Masculine and androgynous children and adults have higher self-esteem, whereas feminine individuals often think poorly of themselves, perhaps because many of their traits are not highly valued by society'(p. 263). Children and Sexual Development One is not born knowing everything about him or herself. The way one is brought p, the environment, and different beliefs, Just to mention few, all help one come to that conclusion. Children are not born with the knowledge of what his or her anatomy and gender identity is; they learn it at a certain age. To be even more exact and according to Rather, Envied, Fischer-Rather (2008) Most children first become aware of their anatomic sex by about the age of 18 months. By 36 months, most children have acquired a firm sense of gender identity (p. 167). Therefore, ones social learning and cognitive development also affect gender identity and sexual development. Children are influenced first by their parents and then by other authorities, peers and even the media. Another very important theory that should be considered in how one comes to their gender identity is the gender schema theory. This theory knows the strong influence ones cognitive development and the environment play together. This happens by setting either masculine or feminine categories with which one can identify more. So for instance, boys play only with specific toys and girls do the same. Either gender is criticized by not following these rules or these rules are even pre-set by others. Parents buy gender specific toys and stores even categorize their sections by age and gender. These examples show how much other factors help one choose his and her gender identity and therefore influence ones sexual development (Beer, 2004, p. 63). Still, even though ones appearance normally goes along Walt ones preference, tenure are times when tins does not happen. Maybe this is one of the reasons why it takes so many to open up and let everyone know how he or she truly feels. This may also be one of the reasons why so many never say anything and hurt themselves or even end their lives. This is why it is especially important for parents and other authorities roles to avoid stereotyping and allow the possibility of acceptance even if it does not go alone with ones thinking and the social agreement. Furthermore, this can be explained by examining the behavior of intellectuals. Intellectuals gonads differ from their sexual appearance yet they are brought up by how they look. However, many express difficulty indemnifying with being either male or female. This provides the clear evidence of the interplay of biological factors and the environment contributing to ones sexual development (Rather, Envied, Fischer-Rather, 2008). However, indemnifying with either one seems to be important. Quoted by Gross: Both males and females reported that gendered expectations at home involved educational success. For females, gendered expectations at school involved being interested in fashion and boys. For males, gendered expectations at school involved being interested in girls and participating in non-academic activities like sport (Gross, 2009). Biological Psychology Biological psychology plays an important role and considers different factors when explaining what and how sexual differentiation and sexual development is determine. It acknowledges that a persons brain influences ones behavior; this behavior resembles male or female characteristics and will be categorized as such. However, biological psychology also knows that it is not so simple explaining a human and there are many other important aspects in ones life, which cause certain things to occur. Therefore, not only the brain but also, hormones, heredity, the environment, cultural upbringing, and ones choices will determine either a rotational or a non-traditional role with which one can better identify. Determination of Greater Influence As everyone differs from each other, so too differ each individuals influence. For instance, someone could have been exposed to prenatal hormones that normally would determine how one turns out to be, but then they were prone to the influences of his or her environment and turned out completely opposite. Therefore, saying which has the greater contribution is a difficult decision to make. There is evidence for both such as, being raised as a male and resembling one should surely let one now that is how they should feel. That does not happen all the time. If the answer would be so clear, then one should be able to know what causes female homosexuals to have higher levels of testosterone, as human biology or a certain lifestyle can increase the level. This is why it is, most likely, the interplay of both that contribute to this occurrence, leading to uncertainty of the main cause. Conclusion Ones looks do not indicate how one feels and certain important factors contribute to ones sexual differentiation, gender identity, and sexual development. Surely, it taters to try to find the correct answers because they may provide more understanding to human nature. So maybe one day, much clearer resolutions can be provided. However, in the mean time, one should always keep in mind that every Uninominal trees to De Nils or near Test Ana to De acknowledge Is want, In ten end, counts and makes a truly good person. One way of doing so is by making it illegal to discriminate in employment, public accommodation, credit, housing and education based on a persons sexual orientation or gender identity'( Journal of Property Management, 2007).