Rollo May Theory of Personality Analysis

Rollo May Theory of Personality Analysis Rollo Reese May was born on April 21, 1909, in Ada Ohio to Earl Tittle and Matie Boughton, he was the first son and the second child of six children. Both of his parents were not well educated and there was very intellectual motivation in the household. Mays parents didnt get along and ended up getting a divorce. (Dr. C. George Boeree, 1998, 2006, p. 1) May older sister was diagnosis with schizophrenic and the father blame the illness on too much education. Growing up May was not close to his parents and really disliked his mother, he considered his mom as a bitch-kitty on wheels. He believed that his mothers behavior and his older sister schizophrenia caused him to have two failed marriages. (Rabinowitz, Good, Cozad, 1989). Mays was married three times and had two failed marriages, from his first wife he had three children a son and two daughters, he stood marry for 30 years in his first marriage due to the children, but then realized the marriage wasnt going to get better and end up divorcing his first wife, his second marriage was also unsuccessful. The last woman that he married was name Georgia Miller Johnson and was a Jungian analyst and that marriage lasted from 1988 until he died of tuberculosis, his son Robert Rollo was a director of counseling at Amherst College and his twin sister Carolyn Jane was a social worker and artist and the third child was Allegra Anne who was a documentary film writer and a single mother of two adopted multiracial children. (Bugental, 1996, p. 418). May attend college at Michigan State University and major in English and was asked to leave because he became an editor of a radical student magazine, he then transferred to Oberlin College where he received his BA in the year of 1930. After graduating, he pursued in art and was traveling through Europe with a group of artist. He stood in Europe from 1930 until 1933 and addition to his study of art, he taught at an American College in Greece where he took summer seminars that was taught by Alfred Adler in Vienna. In his second year while being in Europe, he began to question the meaning of his life when he came down with tuberculosis, While being in an sanatorium, he was faced with the possibility of death, he had a lot of time to read many literatures, he came across a literatures that was on the writer named Soren Kierkegaard, who was a Danish religious writer, a person that was inspired of existential movement. May became inspired of Soren Kierkegaard words of wisdom that it gave May the inspiration of coming up with his own theory. (Dr. C. George Boeree, 1998, 2006) Rollo Reese May was best known as an American existential psychologist and he was referred as the father of existential psychotherapy. May was associated with the humanistic psychology; he had a different way of thinking on the Human existence, then other psychologist, his human existence was sharper on the tragic dimension. According to Dr. C. George Boeree, (1998, 2006) on Mays personality Theories, stated that Rollo Reese May, used different terms and invented new words from some of existentialism old ideas, for example the word destiny is the same as thrownness and it is combined with the word fallenness, which mean that part of peoples lives that is determine for them, he also gave another example of the word courage, which was used more often than the traditional term authenticity, which meant facing ones anxiety and then raise above it. (Dr. C. George Boeree, 1998, 2006). According to Serlin, llene, Mays work was maintained by the balance between darkness and light, between the experiential and the intellectual. May considered the fundamental questions of human existence as the nature of evil, love and will and the meaning of anxiety and the important of myth. May inspired many people and it came from his ability to name the void of create in its face, to name evil but worked toward the good, to see meaningless, but to discover meaning and to face death, but create life. May was in the antiwar movement and many other social causes, he taught and mentored countless students and called himself a gentle rebel (Serlin, llene A. Tikkun, January 1995. pg. 65), in the face of an increasing dehumanized world. Rollo Reese May Theories of Personalities While being under influenced of Freud, Kierkegaard and Tillich, May developed a theory of personality that was based on existential philosophy and from that, he accepted the following terms: Dasein means a particular person in a world that is particular time and existing is under a particular set of circumstances. Mays Three Modes of Existence: Umwelt is the interaction with the physical world, Mitwelt, is the interaction with other humans and the Eigenwelt is the interaction with oneself. Alienation is when a person is estranged of aspect of the nature, which results of feeling lonely, emptiness and despair this happens because the three modes of existence is alienated from nature and from other people. Mays describe freedom, which a person can be free to choose the meaning of their own existence. Since a person is free to choose what type a person they become, they have to be responsible for what they become, another person circumstance of their fate can be praise or blamed for the nature of their existence, because we are responsible for ourselves. Ontology is the study of being. Within existentialism, ontological analysis is directed at understanding the essence of humans in general and of individual in particular. Phenomenology is the study of conscious experience as it exists for the person without any attempts to reduce, divide or compartmentalize it in anyway. Authenticity, if people live their lives in accordance with values that are freely chosen, they are living authentic lives, if however if people conform to values established by others, they have not exercised their personal freedom and are therefore living inauthentic lives, inauthentic is causally related to neurotic anxiety and guilt and the feeling of loneliness, ineffectiveness, self alienation and despair. Death because humans are mortal and because death is the ultimate state of nonbeing, awareness of ones inevitable death can cause anxiety. The source of anxiety is part of human existence and cannot be voided. The awareness of death, however, can add vitality to life by motivating a person as much out of life as possible in the limited time available. Thrownness is the circumstanced of a persons lives which it cant be control. Other existentialist referred this as thrownness and May refers it as destiny. May was the only existential psychologist that discusses certain stages, not as strict as the Freudian development. Mays Stages: Innocence is the pre self conscious stage of an infant, it is the innocent of premoral that is neither bad or good, the description that was given is like a wild animal who kills to eat and since the animal has to eat, he or she has to do what is must. Rebellion stage, the childhood and adolescent is when the ego or self-consciousness of the contrast with an adult from the no of a two years old to the no way of a teenager, which mean the rebellious person wants their freedom and does not yet understand of the responsibility that goes along with it. A teenager would like to use their allowance money on what ever they want, but still what the parent to provide the money and still complain about the parent not being fair. Ordinary stage is when the normal adult ego, conventional and a little boring, perhaps they have learned that the responsibility, but find it too demanding, and so seek refuge in conformity and traditional values. Creative is an authentic adult, the existential stage, beyond ego and self-actualizing. This is the person who, accepting destiny, faces anxiety with courage. Human Dilemma According to May (1967), the human dilemma is when people can view themselves as both the subject and the object at the same time. Mays description of the object-subject dichotomy is done in various ways, which is not always consistence. People are capable of seeing themselves as an object to things that happens to them, which are influenced by their destiny. Objectives are events of variables that are caused through stress that can cause a persons behavior, which is the stimulation that happens in certain ways and the way people respond to that certain way. Subjective is when the person is aware of the fact is happening to them and acts on the information, which gives them the determination of experience that are valuable and which one are not valuable to them and then act according to the personal formulations. (May, 1977, pp.198-201) May description of self-relatedness is distinguished of a human that rest from nature. It is mans capacity to stand outside himself, to know he is the subject as well as the object of experience, to see himself as the entity who is acting in the world of objects (May, 1967, p. 75). Humans can view the world and we can also view ourselves viewing and the self-relatedness or consciousness of our self allows the humans to escape the determinism and personal influence what we do. Humans consciousness of ones self can give us the power to stand outside of the rigid chain of stimulus and response to pause and by that pause can throw some weight on either side that can cast some decision and what the response will be, (May, 1953, p. 161). According to May feeling on these two psychologists, Skinner and Rogers, he felt that they had emphasized one side of the dilemma but was at the expense of others. Skinner had avoided the subjective of experience, May felt that people dont react to their inner experience of their environment, but they do see their environment in terms of their past experience and they do interpret the terms of their own symbols of hope and fear,(May, 1967, p. 15). Mays description of intentionality meant all mental acts are purely subjective of the way it is intended or that relates to the events that are from the outside of themselves. The example that was given, love is a subjective experience but one must love someone of something. Perception is a subject experience but one must perceive something. (May, 1969, pp. 224-225) Importance of Myth May believed that myth is the way of making sense in a senseless world, and is a narrative pattern that gives the significance to the society of existence (1991, p. 15), the problem in the society as cults, drug addiction, suicide and depression are traced of the lack of myths that can provide the individuals with a sense of their inner security. Anxiety and Guilt May was really interested in the human anxiety and guilt; he rejected Freuds interpretation of anxiety as the result from conflict that is between a persons biological needs and the demands of society. May felt that Freuds analyzed was too biological and compartmentalized and Freuds anxiety viewed his results from the conflict of the id, ego, and superego, but May approved on Kierkegaards existential definition instead because Kierkegaard theory of human freedom and anxiety went hand and hand. Normal anxiety is when a person experience the attempt to expand ones conscious or when the new values is displaced with the old ones due to changes in the person circumstances and it is an integral of a healthy growth, Mays theory consists that all growth of anxiety is the creation of surrender past values (May, 1967, p. 80). Neurotic anxiety is when a person hasnt met their normal anxiety on the time of the actual crisis in their growth and the threat to their values, which the neurotic anxiety ends in the result of the previous unmet normal anxiety (May, 1967, p. 80). In my understanding of Mays theory on normal anxiety and neurotic anxiety, one is when the person is having a problem, but not major and the problem can be solve. Example, when it is time to write a paper my normal anxiety kicks in and I start feeling shortness of breathe and then I cant concentrate on what I am doing and then I have to walk away for a little while to relax. Neurotic anxiety is when a person have problems and cant control their feeling and start to think that life is not going to get better for them, they start to become depress, feeling lonely and dont what to do anything with their lives, but it all depends on the circumstances the person is going through. May had four description of love and they are Sex, Eros, Philia and agape: Sex is the biological drives that can be satisfy by engaging in sexual intercourse, the same way eating a meal that can satisfy the hunger drive, which both can be triggered by the need and the availability of an object that will satisfy the need, (May, 1969, p.73). May one important wad daimons was the eros which to him was love not sex and in the Greek mythology was the minor god pictured as a young man and later the eros had transferred into an annoying little cupid, he understood that love was the need that people have to become as one with another person and was referred of an ancient Greek story that was by Aristophanes, that people was originally a four legged, four armed and a two headed creature and people became to prideful that the gods spilt the people into two, male and female and had cursed us with the never ending desire to recover the people missing in half, according to May, like any daimon, eros it is a good thing until it takes over the personality and the people would become obsessed with it. May also believe that the theory of will is another important concept and it was the ability for a person to organize their lives in order to achieve in their goals and that will is also a daimon that can have potential to take over a pe rson. Another definition of will is the ability to make a wish to come true. (Boeree, C. George, 1998, 2006) Philia is the third of love which is a friendship or a brotherly love. According to May, Eros cannot last for long without Philia because the tension of continuous attraction and passion would be too great (May, 1969). Philia is the relaxation in the presence of the beloved with accepts the others being as being; it is simply liking to be with the other, liking to rest with the other, liking the rhythm of the walk, the voice, the whole being of the other. Agape is the fourth type of loving, which May, 1969, p. 310), is the unselfishness of concern for ones partner and the aspect of love that is unconditional. New Science of Human: According to May an approach of the study on human nature, should not reduce the collection of habits, brain functions, genetically determined traits, early experiences or environmental events, all that is needed for science of humans are based on the ontological characteristic of humans and that science should take into consideration of human freedom and the importance of their phenomenological experience, the use of symbols and myths and the ability of the past, present and future in making decisions should value the process. Empirical Research are done by most existential theorists that are unconcern with the empirical validation of their concepts and believe that the place to validate their concepts is when the arena of everyday life, or in the therapeutic situation and not with a systematic laboratory or field of investigations. According to Van Kaam, (1966), an existential psychologist summarized the viewpoint: Experience such as responsibility, dread, anxiety, despair, freedom, love, wonder or decision cannot be measured or experimented with, they are simply there and can only be explicated in their givenness (Van Kaam, 1966, p. 187). May did not rejected the idea of the objective study of humans, but felt that the traditional scientific methodology was not appropriate, but he felt, what was needed was an approach of the studies of humans as whole, unique, complex beings. Many sciences welcomed Mays idea of developing of science more appropriate to the study of humans and not based on the assumptions and techniques of the natural science (Hergenhanh Olson, 2007, p. 32). Conclusion Rollo Reese May theories of Personality was inspiring, because as a psychologist, he consider the people as human beings, not just an experimental objective. His theories explain of different type of anxiety and what they meant in the human nature, he also explains the difference of love and the will to achieve in a goal. I felt that May Reese Rollo, really care for the people and once he became sick of Tuberculosis, he needed to let people know the understanding and the meaning of death and that people shouldnt be afraid of it, because one day we are going to leave the earth and we shouldnt be afraid of the word death. I remember telling my mom that I was scared of getting old and scare of dying and I didnt understand why I felt this way, but as I got older and realized that one day, we would have to leave this earth and we should enjoy the rest of our lives and shouldnt worry about dying and God would know when it is time for us to go.

Motivation To International Business

Domestic market: VOSCO will still be the biggest shipping company especially in bulk and dry bulk cargo transportation while continuing to develop oil and container shipping International market: VOSCO tend to be more active and concentrate on seaborne trade within Asian Region (such as Korea, China, Indonesia†¦) as well as furthering other freight routes all over the world (Africa, Europe and America). Motivation why VOSCO want to expand their market to foreign market because Currently the demand of shipping in Vietnam is limited and just holds a minor part.So VOSCO certainly will need to enter foreign markets to get more profit and customers (sources of cargo-supply in long term) and utilize the fleet capacity (bulk, tanker and container ships) as well as reduce the inventory cost and promote economies of scale. In the near future demand for import-export from regional countries and the amount of cargo in international shipping expects to rise tremendously in the near future.A ccording to UNDESA 2012, worldwide commercial good transported by sea will increase by 36% in 2020 and double the gross tonnage by 2033, especially bulk cargo still remain as the major – which is also the strength of VOSCO fleet. The barriers to entrance foreign market are reduced or eliminated when Vietnam joined ASEAN and WTO recently: VN has been a member of WTO since 2007, commercial relations with over 220 countries and territories, sign 88 bilateral trade agreements, establish 7 FTA with 15 countries.So removes significantly trade barriers and is good condition for Vietnamese companies, specifically VOSCO to enter foreign markets. VOSCO has a lot of good competitive advantages to develop further like: low-cost and skilled crew (seafarers), good related and supporting system such as shipbuilding industry, ports†¦ (VOSCO is a member of VINALINE)†¦ Moreover the company can manage and exploit their own fleets therefore positively seek to customers and participate in international market without dependence on other partners.In addition, VOSCO officially takes part in foreign market also means the company have to deal with a lot of threat. The biggest one is the competition from much bigger rivals around us such as COSCO, Hanjin†¦ in both price and quality wars, then other threats emerging from the host country like culture, policy and currency. Now move to factors this company should consider in shaping their strategies to compete in foreign market.We did mention that China and Indonesia can be potential foreign market so let’s take a look at some external environmental analysis of them: Political Factor: both Indonesia and China are considered as stable political environment, unlikely the high political risk in Africa. Tariffs are high but on decreasing slope. The recent dispute on The East Sea between China and some countries including Vietnam may not affect too much on trade between countries. Economic Factor: both countries ar e in trillion dollar GDP club. Currently China’s economy is the second biggest economy in the world and Indonesia ranks 15th.Especially FDI plays a vital role in China and Indonesia growth rate. Trade between these two countries with other all over the world continues to rise significantly regardless of the bad impact of public debt in Europe economy. Socio-cultural Factor: Population in Indonesia and China is extremely high not only in Asia but in the world. However there’s a big difference between these culture, especially in religion(major religion in China is Buddhism but Indonesia is Muslim) Technological Factor: Transport system and Communication System in these countries are effective and highly developed compared with other in region.From this analysis we can see that the company should choose a proper method to access the market. We think the way of merger and acquisition or integration with a local freight forwarder would be efficient because setting up a new affiliate is risky (postponement). Nevertheless setting up subsidiary or using will help the firm take the initiative in linking with local customers. Beside that VOSCO should focus on its own strength in shaping other strategies.Generic competitive strategies: Focus on market niche will be a good choice because VOSCO now take advantage in dry and bulk cargo transportation. It also means mineral, grain and other agricultural product will be the major commodity. In shaping the production strategy, there are two main factors: fleet and logistics service. Like we said before, VOSCO should renew and upgrade regularly their quality and functionality fleet to meet the international transport demand. For example:Firstly, technical improvement in ship sizes and draft is required (international coal shipping require 30,000 – 70,000 DWT vessels; demand for regional rice shipping currently concentrate on under 10,000 DWT vessels but in the near future it will increase to 20,000  œ 30,000 DWT) Secondly, standardization factor (the problem of registry – Vietnamese registered vessel may satisfy the operation standard but in fact it is unfavorable in international transport because standards by VR may not strict enough). The factor of logistics activities in both home and host country is very important.Investing in logistics infrastructure such as warehouse, inland transportation†¦ in China or Indonesia should be a long-term objective. Initially it should be integration with local providers. Expanding business in foreign market certainly need to consider factors in human resources. Integration can be seen as the first step before M&A process. Initially local shipping agent and logistics provider will run totally by local employees (inpatriate) then gradually replaced by our expatriates especially the top position. Therefore selection, training and development those expatriates will play an important role (Ex: Culture: China – Indonesia).Secon dly VOSCO must set up a competitive compensation package to motivate them and finally a proper relocation policy. Move to financial issues, initially the company should not consider the financial objective as the most important. Instead, the outcome better focus on (which is reflected by customer satisfaction). Another factor is the source of fund for the subsidiary. Depend on the (high) IR and exchange rate in both China and Indonesia, it’ll be better if the fund depends on both parent company and local borrowing and they uses the most common method: dividend remittance to pay back the parent firm.Finally regular financial report to the VOSCO headquarter is necessary in order to hedge the risk and develop their own financial strategy. The last but not least is containerization. Expand the business focusing on dry and bulk cargo market doesn’t mean we skip the container market. Like I said, this is a long-term objective because the current inefficiency of VOSCO contain er vessels. Therefore, profit from bulk cargo shipping can be reinvested in developing container lines services in the future.

Ethical Legal Dilemma Advanced Practice Nursing Case Study II Essay

Ethical Legal Dilemma Advanced Practice Nursing Case Study II Health insurance policies have set limits on what services will be paid for with a terminally ill person in the home and these limitations may conflict with the nurse’s obligation to provide care for the terminally ill patient (Fry, Veatch & Taylor, 2011). Speaking with the family of a 59 year old male with his only history being terminal lung cancer that has metastasized to the brain, they express concern that they are beginning to have increase difficulty managing this condition. The patient is receiving hospice currently in the home, but the insurance company will not cover both hospice and respite services to assist the family. Community nurses working in the homes of dying patients often encounter many forms of ethical dilemma and they need support in this demanding situation that arises during the end of a patient’s life in the home (Karlsson et al. , 2010). The community nurse is a professional to whom the patient and family turn when they have questions or want to discuss plan of care and treatment options at a critical time in the patient’s life when personal assistance is required (Erlen, 2005). Speaking with the family (son and daughter), it is now found that the patient is now incontinent of both stool and urine and they are now limiting his intake of food and fluid in the afternoon and evening, so that their father doesn’t â€Å"lay in his own wastes throughout the night†. The patient has now developed an excoriated perineum and it appears that further skin breakdown is imminent. The patient has become increasingly weak, and has fallen several times over the last few days. He requires total care with all ADL’s and IADL’s and the family verbalizes being overwhelmed with what their father requires. The patient is receiving hospice for medication administration for agitation and pain as well. Both son and daughter are at risk of losing their jobs related to missing work in order to take care of their father. The son works day shift and the sister works afternoon shift. They have each decided to return to work and this will cause their father to be left alone for almost two hours each day. This could be a case of negligence, where there is a failure to exercise a standard of care and it can be alleged when a person fails to act when a duty exists. There are five elements required to establish a case of negligence: the existence of a legal duty to exercise reasonable care; a failure to exercise reasonable care; cause in fact of physical harm by the negligent conduct; physical harm in the form of actual damages; and proximate cause, a showing that the harm is within the scope of liability (Cornell University Law School, n. d). Negligence falls under tort law and could be criminal. According to Collins English Dictionary (2009) negligence or mal-practice is defined as any immoral, unethical misconduct or neglect of a health care professional. The patient is receiving care at home from Hospice for pain and agitation medication management, which is not sufficient. There is no absolute method to avoid lawsuits; however, prevention of this case could have occurred prior to discharge with proper education of the family of their options for care regarding their father. Detailed explanation of what care their father may need as the end of life is near, may have steered the family to make alternative arrangements for their father. Hospice will have a duty to educate the family of the possible act of negligence and it will be the duty of the hospice workers to report this act made by the family, by following their policies and procedures, which will be their best defense (Grant & Ballard, 2011). Further discussion has shed light on the possibility of Human Rights being violated, under the Affordable Car Act. This is due to the patient’s insurance declining to pay for needs at home. This law alleviates according to Gable (2011) some of the hardships forced on the public’s health for those with insufficient availability of health insurance or access to health care. The Affordable Care Act bans insurance companies from placing lifetime dollar limits on health benefits, which will prevent individuals suffering from chronic diseases from having to worry about going without treatment because of their lifetime limits and it restricts the use of annual limits and bans them completely in 2014 (U. S. Department of Health and Human Services, n. d. ). The ethical principle that will be violated here is the respect for person and the concept of deontology. Deontology means that some behaviors are our duty, whether there is benefit or not (Fry, Veatch & Taylor, 2011). The Stanford Encyclopedia of Philosophy (2012), says that deontology is within the moral theories that guide and assess our choices of what we ought to do and what type of person we should be. Again, proper education to the family, prior to discharge of this patient and by the nurses within the hospice agency could have avoided this occurring. Respect for person involves autonomy, but not all individuals are able to acting autonomously. This requires the ability to set goals and make choices, and this may be compromised at times in a person’s life. Defined by the Belmont Report, respect for persons requires that these vulnerable individuals be offered special protections during periods when they cannot act autonomously. This is also a major emphasis of the principle of justice which requires that the vulnerable be extended special protections with regard to the distribution of the benefits and burdens of research (Yale Human Subject Research Resource & Education Program, 2006). Legal reasoning is evident in two forms, legislative drafting and application of rules to cases and it involves an acceptance and spirit of working within law, which gives it some bias towards maintaining existing rules (Peterson, n. d. ). This does not always mean that law is always just and practical, and judges avoid applying rules that would result in less than desired outcomes. According to Peterson (n. d. ), legal reasoning contains many examples of efforts to changing the legal system and returning to the law making process. Coherence in legal reasoning is where law makes sense as a whole, and is a form of supportive rationality (Bertea, 2009). The coherence part of legal reasoning may be weaker than the logical part. Coherence of a set of legal norms is made by there being a realization of some common value or some common principle (Dickson, 2010). Logic in legal reasoning is the reasoning involved in interpreting constitutions, statutes, regulations, balancing fundamental principles, adopting and modifying legal rules, while applying those rules to cases and evaluating evidence, prior to making decisions (Walker, 2007). Case law is the legal principles embodied in judicial decisions that are derived from applying areas of law to the facts of individual cases. Case law is a dynamic and constantly developing body of law, where each case contains part of the facts of the controversy and an explanation of how the judge arrived at a conclusion (The Free Dictionary by Farlex). Lastly is legal analysis, which requires proving each element of a rule to be true or false and it refers to a statement by a court, judicial officer, or legal expert as to the legality or illegality of an action, condition, or intent (Connelly, n. d. ). The function of ethical reasoning revolved around the fact that much of human behavior has consequences for the welfare of others. People can act toward others in such a way as to increase or decrease the quality of their lives and we are capable of helping or harming. We are empathetic and therefore can recognize when we are doing one or the other. The role of ethical reasoning is to decipher acts that either enhances the well-being of others and those that harm or diminish the well-being of others. Developing one’s ethical reasoning abilities is crucial because there is in human nature a strong tendency toward egotism, prejudice, self-justification, and self-deception which has sociocentric influences (Elder & Paul, 2011). The problem of pseudo-ethics is that one cannot develop as ethical persons if we cannot face the fact that everyone is prone to egotism and prejudice. Flaws in human thinking are the cause of much human suffering and only developing fair-mindedness, honesty, integrity, self-knowledge, and deep concern for the welfare of others can provide foundations for sound ethical reasoning (Paul & Elder, 2009). According to Paul and Elder (2009), ethical reasoning involves doing what is right while avoiding selfish desires and to live an ethical life, is to develop command over our native egocentric tendencies. The elements of ethical reasoning include awareness, independent problem solving, supported problem solving, and decision and outcome evaluation, while effective ethical reasoning requires sensitivity, problem solving skills, and the motivation and determination to act on decisions (Kenny et al. , 2007). The logic of ethical reasoning involves moral theory derived from meta-ethics and evolutionary ethics. The fundamental problem is that evolutionary ethics is a scientifically based theory while meta-ethics is a philosophically based and logic related to human behavior is cannot convey the complexity of human experience, so moral terminology such as good and moral have evolved from billions of social issues over centuries of time that are related to human behavior (Bromberg, 2011). The advantages and disadvantages of ethical reasoning start with the fact that ethical reasoning assumes that everyone will make choices that will cause no harm. This would mean that an ethical society will prohibit unethical actions, but ethical reasoning excludes actions that are based on spiritual or social customs and does not persecute any specific group for their beliefs. Ethical reasoning is meant to determine actions that are in the best interest of everyone, but the course of action is not always clear-cut. Ethical reasoning is simple, all things are not equal, and determining the true ethical route can be difficult and subjective (Mayers, n. d. ). Summary Some cultures continue to practice rituals that are illegal in other counties. Those things that are ethically acceptable in one culture, many times aren’t with other cultures. Laws are based on rules within cultures. Rules are things that citizens must obey in order to prevent persecution by governing authority. Ethical reasoning is based on what people believe is morally right or wrong, whereas legal reasoning is based rules made within cultures. Many times things that are illegal coincide with things that are believed to be unethical within a culture; however, an illegal act by a health care practitioner is always unethical, but an unethical act is not necessarily illegal. Ethics involves standards of behavior and the concept of right and wrong, over that which is legal in a given situation. Moral values are formed through the influence of the family, culture, and society and form one’s ethical reasoning basis (Judson & Harrison, 2012). I feel any ethical decision model must involve individual employees, as well as their supervisors in order to be effective. Shared decision making, between health care professionals, is vital to arrive at what best meets the employee’s needs. I think an ethical reasoning tool needs to involve the employee and the supervisor so the problem can be addressed. The use of an integrative model can develop confidence and justification in making ethical decisions. Preferences and values come into effect during the process of an integrated ethical decision making model and principles of patient-centeredness and shared-decision making must be integrated (Sestini, 2010). An integrated model of ethical reasoning highlights the integration between ethics and decision making, where ethics is a tool that brings positive aspects of the reasoning process. The model is composed of three major elements: the ethical component; the decision making component; and the contextual component (Grundstein-Amado, 1991). Park (2012), reviewed available structured ethical reasoning and decision-making models and developed an integrated model consisting of six steps: 1. the identification of an ethical problem 2. the collection of additional information to identify the problem and develop solutions 3. the development of alternatives for analysis and comparison 4. the selection of the best alternatives and justification 5. the development of diverse, practical ways to implement ethical decisions and actions 6. the evaluation of effects and development of strategies to prevent a similar occurrence. The best ethical reasoning should be determined by putting efforts from all health care professionals involved and although it will not guarantee ethically right or good decisions, it will likely improve a process and outcomes of clinical ethical decisions (Park, 2012). Applying this model to the situation of 59 year old male with his only history being terminal lung cancer that has metastasized to the brain. Applying the chosen model: 1. the identification of an ethical problem: They have each decided to return to work and this will cause their father to be left alone for almost two hours each day. 2. the collection of additional information to identify the problem and develop solutions: families concerns: Increased difficulty managing this condition Patient is receiving hospice but the insurance company will not cover both hospice and respite services to assist the family. patient is now incontinent of both stool and urine and they are now limiting his intake of food and fluid in the afternoon and evening patient has now developed an excoriated perineum The patient has become increasingly weak, and has fallen several times over the last few days. requires total care with all ADL’s and IADL’s and the family verbalizes being overwhelmed 7. Both son and daughter are at risk of losing their jobs related to missing work in order to take care of their father. 3. the development of alternatives for analysis and comparison: this would involve the family’s input into the situation. Possible another family member could be available for the two hours. There could be a possibility to withdrawal from hospice and pursuing home health care to be used for respite services. 4. the selection of the best alternatives and justification: Again this would have to involve the family’s input to see what best meets their needs, as well as their father’s needs. Justification to the family regarding their father being left alone for two hours at a time, as well as withholding fluids and food from him can be done through education. 5. the development of diverse, practical ways to implement ethical decisions and actions: Deontology means that some behaviors are our duty, whether there is benefit or not (Fry, Veatch & Taylor, 2011). This is also a major emphasis of the principle of justice which requires that the vulnerable be extended special protections with regard to the distribution of the benefits and burdens of research (Yale Human Subject Research Resource & Education Program, 2006). As a case manager, I need to work with family on awareness, independent problem solving, supported problem solving, and decision and outcome evaluation. 6. the evaluation of effects and development of strategies to prevent a similar occurrence: this would be done post intervention, and then determination could be made of whether the end result was effective. Evaluating the effects of the interventions will allow the health care professional to adapt future encounters with similar situations. Recommendations Further research revealed the U. S. Department of Health & Human Services said federal hospice investigations have increased drastically over the last few years. A Medicare oversight report in 2009, found nearly a third of hospice patients were not getting services of treatment in care plans, nor were they getting visits providers had promised to provide (Bloomberg News, 2011). This would lead to the first recommendation to the family. It can be recommended that they ask the visiting hospice to review the overall care plan with them. The case manager needs to ask for a copy of the care plan, so it can be reviewed with the family. Once the care plan is reviewed, services being received can be reviewed to match what is promised to take place. A second recommendation to the given situation includes involvement of the case manager. The case manager needs to ask the family to discuss options with the patient and consider his preferences as well as special physical, emotional and psychosocial needs. A final recommendation is that the case manager assist the family to evaluate how much support can be provided by other family members and friends. For help determining the best option, they may need to talk with the health care team. Caring for their father, according to research, may have left them no time for self-care; drained them of energy and enthusiasm; and affected interactions with other family and friends (Joad et. al, 2011). References Bertea, S. (2009). The argument from coherence. Available at http://ivr-enc. info/index. php? title=The_Argument_from_Coherence Bloomberg News. (2011). Hospice care grows as do patient negligence concerns. Retrieved from http://www. ltlmagazine. com/news-item/hospice-care-grows-do-patient-negligence-concerns Bromberg, S. E. (2011). The evolution of ethics: An introduction to cybernetic ethics. Retrieved from http://www. evolutionaryethics. com Collins English Dictionary (2009). Negligence. Retrieved from http://dictionary. reference. com/browse/malpractice. Connelly, A. (n. d. ). Legal analysis and reasoning from precedent. Retrieved from http://www. law. uky. edu/files/docs/clinic/legal_analysis. pdf Cornell University Law School. (n. d. ). Negligence. Retrieved from http://www. law. cornell. edu/wex/negligence Dickson, J. (2010). Interpretation and coherence in legal reasoning. In The Stanford Encyclopedia of Philosophy online. Retrieved from http://plato. stanford. edu/archives/spr2010/entries/legal-reas-interpret/>. Elder, L. & Paul, R. (2011). Ethical reasoning essential to education. Retrieved from www. criticalthinking. org Erlen, J. (2005). When patients and families disagree. Orthopedic Nursing, 24(4), 279–282. Fry, S. , Veatch, R. , & Taylor, C. (2011). Case studies in nursing ethics (4th ed. ). Sudbury, MA: Jones & Barlett Learning. Gable, L. (2011). The Patient Protection and Affordable Care Act, Public Health, and the Elusive Target of Human Rights. Journal of Law, Medicine & Ethics. 39(3), 340-354. doi:10. 1111/j. 1748-720X. 2011. 00604 Grant, P. D. , & Ballard, D. C. (2011). Law for nurse leaders: A comprehensive reference. New York, NY: Springer Publishing Company. Grundstein-Amado, R. (1991). An integrative model of clinical-ethical decision making. Theoretical Medicine, 12(2), 157-170. Retrieved from http://link. springer. com/article/10. 1007%2FBF00489796 Joad, K, Mayamol, T. C. & Chaturvedi, M. (2011). What does the informal caregiver

A View on Cross-Cutural Communication Essay - 642 Words

My View on Cross-cultural Communication in Todays World Have you seen the latest Hollywood movie War of the worlds? Have you visited the Disneyland that is newly opened in Hong Kong? As the world has become smaller day-by-day, the cross-cultural communications are taking place more frequently. However, in spite of the amusements, have you ever considered the gains and loses in this communication? So today I am going to talk about pros and cons of cross-cultural communication in todays world, and how to overcome the defects and make progress in it. In my point of view, the cross-cultural communication can be divided into two parts: One plays active role, which I call win-win communication. And the other with the adverse effect,†¦show more content†¦With each group that is uprooted or assimilated, a culture vanishes. Linguists estimate that every two weeks a language dies, taking with it unique ways of thinking, communicating, and living--and generations of irreplaceable knowledge. Thus, how to repel culture invasion without holding back the win-win cross-cultural communication? Firstly, the self-consciousness in native culture is the premise of communication. The features of a nations culture make his passport in global communication. Compare the cross-cultural communication to a fair, where various cultures are traded. Only by the awareness of advantages can we keep our culture distinctive and make up our sell points. Without the solid foundation of native culture, we have nothing to communicate with the foreign culture, which only leads to the wholesale acceptance or worship of everything foreign. On the other hand, as long as we realize the disadvantages of the culture and feel oblige to improve the native culture; the self-consciousness will be the motivation in our communication. Secondly, the platform of equals shall be the foundation of cross-cultural communication. All cultures, despite the power of their nations, should share the same status. If you set yourself on a pedestal, you will not be able to discover the excellence of foreign culture. And that will turn a communication into conservativeShow MoreRelatedIntercultural Abilities Nurses Should Have951 Words   |  4 PagesCultural views of individuals influence their perceptions and decisions of health attitudes and health cares; in order to care for people across different languages and cultures, nurses need to develop cultural sensitivity, awareness, competence, and humility (Creasia Parker, 2007). Among these, cultural competent and humility are the foundation to provide optimal quality care within diverse groups of people. Overview of Cutural Sensitivity, Cultural Awareness, Cultural Competence, and Cutural Humility