Research on Art Therapy Treatment for Schizophrenia

Research on Art Therapy Treatment for Schizophrenia CHAPTER I INTRODUCTION Schizophrenia is a common psychiatric disorder. One to one point five percent of the total population suffers from schizophrenia. The severity of the symptoms and chronic patterns of schizophrenia often causes a high degree of disability. Most of those affected by schizophrenia respond to drug therapy and many are able to lead productive and fulfilling lives. Studies have shown that genetics, neurobiology, environmental, psychological and social factors are important contributory factors of schizophrenia. Some of the recreational activities and medications might cause or worsen symptoms. Researchers in the psychiatric field are now focused on the role of neurobiology, but no single organic cause has been found. Genetic causes could put a person at higher risk for developing schizophrenia and stressful life events could trigger onset of the symptoms. (Sahebarao mahadik, 2008) Schizophrenia is characterized a constellation of distinctive and predictable symptoms. The symptoms that are not commonly associated with the disease are called positive symptoms and negative symptoms. These symptoms will lead to isolation in the patients. Most of them have no insight in to their illness. So they need effective treatment. Complete cure is difficult in case of schizophrenia. So preventive measures and early detection can be focused. The treatment success rate with antipsychotic medications and psychosocial therapies can be high. Early diagnosis intervention in psychosis including promotion of early help-seeking behavior will promote better out come in schizophrenia. The main preventive measures for schizophrenia are decreasing the maternal stress during pregnancy, avoiding x-ray exposure during pregnancy and lowering the level of stress for child while growing up. (Yung AR, 2009). A combination treatment of anti psychotic medication and therapies such as creative art therapy can be used in schizophrenia. One in four people with the illness completely cure within five years. Psychological therapies are the important pathway to treatment. For most patients, symptoms can be decreased and well being can be increased. Creative Art Therapy is especially effective in schizophrenic patients. Art therapies combine the use of art materials with psychotherapeutic techniques that aim to encourage self- expression and promote self-awareness. They appear to be popular with patients and may result in improved mental health; especially reductions in negative and general symptoms of schizophrenia. Which are those least responsive to pharmacological interventions. (Mike j Crawford, 2008). NEED FOR THE STUDY The schizophrenia patients have disturbances in thought and cognitive impairment and one of the most disabling and emotionally devastating illness known to man. Schizophrenia affects up to one in a hundred people at some point and can cause hallucinations, delusions, loss of energy and motivation.Creative psychological interventions such as Creative Art Therapy are widely used in combination with drugs. In world wide 1 to 1.5% population were suffering with schizophrenia. It is often a chronically disabling condition therefore this condition is highly responsible for the population’s morbidity. The incidence rate of schizophrenia is 12-60 in 10000 per year as of 2011, its peak age of onset for men and women are 20-25 and 25-30 respectively. Schizophrenia occurs in all societies regardless of class, colour, religion and culture. (Dr.Robin Murray, 2009). Schizophrenia ranks among the top 3 causes of disability in developed countries worldwide. The main leading cause of mental disability is schizophrenia. The prevalence rate for schizophrenia is 1.1% of the population. It means at any one time 51 million people worldwide suffer from schizophrenia, including 6-12 million people in China, 4.3-8.7 million people in India, 2.2 million people in USA, 285,000 people in Australia, 280,000 people in Canada, 250,000 diagnosed cases in Britan. Rates of schizophrenia are generally similar from country to country about 0.5 to 1% of the population. Another way to express the prevalence of schizophrenia at any given time is the number of individuals affected per 1000 total population. In india,prevalence rate of schizophrenia is 7 per 1000 population. The number of people who will be diagnosed as schizophrenia in a year is about one in 4000. So about 1.5 million people will be diagnosed with schizophrenia in one year, worldwide.(WHO,2012). STATEMENT OF THE PROBLEM A study to assess the effectiveness of Creative Art Therapy on positive and negative symptoms among schizophrenic patients in selected psychiatric hospital, Coimbatore. OBJECTIVES To assess the positive and negative symptoms in experimental and control group. To assess the effectiveness of Creative Art Therapy in experimental group. To compare the effectiveness of Creative Art Therapy between experimental group and control group. To associate the findings with selected demographic and clinical variables. OPERATIONAL DEFINITIONS Effectiveness: It refers to the outcome of creative art therapy in terms of reducing the positive and negative symptoms of schizophrenia. Creative art therapy: Creative art therapy is a form of expressive Psychotherapy that uses art materials which encourages self-expression of patients in the presence of therapist. Schizophrenic patients: Patient who are in the age group between 20-50 years, suffering from schizophrenia with interference of thinking, emotion and perception in their day today life. Positive and negative symptoms: Positive symptoms of schizophrenia are hallucination, delusion, excitement, aggressive behavior and suicidal tendencies. Negative symptoms of schizophrenia are anhedonia, avolition, blunting affect and alogia. ASSUMPTIONS Schizophrenic patients may face difficulties with positive and negative symptoms. Schizophrenic patients may not be aware of Creative Art Therapy. Creative Art Therapy will be helpful in reducing positive and negative symptoms of schizophrenic patients. HYPOTHESIS H1: schizophrenia patients who receive Creative Art herapy will show a significant reduction in positive symptoms than the patients who do not receive it. H2: schizophrenia patients who receive Creative Art Therapy will show a significant reduction in negative symptoms than the patients who do not receive it. LIMITATIONS The study is limited to, Schizophrenic patients admitted in kongunadu Mananala Arakattalai. Methodological limitations such as small sample size and purposive sampling technique. Schizophrenic patients in the age of 20-50 years. PROJECTED OUTCOMES The study will help the patients to gain a positive attitude towards creative art therapy. The study would enhance the patients to actively involve in the activities. The study will help the patients to reduce the positive and negative symptoms and enhance the healthy life patterns. CONCEPTUAL FRAME WORK The concept is a thought, idea or mental image framed in mind on response to learning something new. A frame work is a basic structure supporting anything. Conceptual frame work deals with abstraction which is assembled by nature of their relevance to a common theme. (Christenson j Paula, 2002). A conceptual frame work is global ideas about the concept in relation to a specific discipline. Conceptual modes are made up of concepts which describe the mental image of phenomena and integrate them in to a meaningful configuration. It is a visual diagram by which the research explains the specific area of interest. One of the important purposes of conceptual frame work is to communicate clearly the relationship of various concepts. (Kerlinger K N, 2002). In this study the researcher adopted modified j w Kenny’s open system model (1991) as a basis for conceptual frame work. according to j w Kenny ,all living systems are open and their in continuous exchange of matter,energy and information,which result in various degree of interaction with the environment from which the system receives input and gives back output in the form of matter,energy and information. System model consists of three phases ie,input throughput and output. Input Based on j w Kenny input can be matter energy and information from the environment. In the present study, environment refers to hospital and input refers to positive and negative symptoms in experimental and control group of patients by using PANSS and collection of demographic data and clinical data from both the group. Throughput According to the theorist, the matter, energy and information is continuously processed through the system, which is also called complex, transformations known as throughput. Process is the use of input i.e. energy and information for the maintenance of homeostasis of the system in the present study. Process includes the providing creative art therapy to experimental group and no intervention to the control group. [[ Output J.W.Kenny noted after processing the input, the system returns to the output (matter, energy and information) to the environment in an altered state. Change is a feature of the process that is observable and measurable as output, which should be different from that which is entered in to the system. In the present study, output is difference in the positive and negative symptoms. Feedback According to the theorist, information of environmental responses to the system, output is utilized by the system in adjustment, correction and accommodation to the interaction with the environment. The effectiveness of Creative Art Therapy on reduction of positive and negative symptoms is considered as the difference observed and expected. 1

The First World War (WWI) :: World War 1 I One

During World War One, the role of airplanes and how they were used changed greatly. At first planes were only used for sport, but people started realize that not only could airplanes be useful but they could even influence an outcome of the war greatly. Soon the war was filled with blimps, planes, and tethered balloons. By the end of the war, planes became a symbol of fear, but they were not always treated with such respect. In the time leading up to the war, the general feeling about planes was, they were a sneaky, unfair tactic that should not be used in warfare. During The 1899 Hague Peace Conference it was put on record that the dropping or shooting of any projectiles or explosives from the air during a time of war was forbidden and was considered a crime of war. It was also decided that airplanes could only be used for reconnaissance or spying missions. (Villard-227) â€Å"The airplane may be all very well for sport, but for the army it is useless† (Quoted in Villard-227) Even by the beginning of the war in 1912, the use of planes in war was still prohibited by the War Office. Shortly thereafter this changed, people awakened to the possibilities of air warfare. The world soon started to realize the effectiveness of planes in war and how the control of the skies could influence the outcome. Although the French were the first to have a working, conscripting air force and to license fliers, their trust in airplanes still was not up to par. Their lack of trust was justified, for the planes had no armaments, too many wires, and no reliable motor. (Villard-228) Soon all countries in the war effort had their own little air force, built hangers, and started to train pilots. The first bombing occurred in November 1911. Although the first bomb was dropped by the Italians, soon all countries were involved in bombing raids. (Villard-229) It was followed by the first aerial dogfight in 1912. This consisted of a primitive exchange of pistol fire between British and German planes . (Harvey-95) The first flying experience for the United States occurred in 1862, during the Civil War. General McClellan went into battle against the South with a balloon corps floated by hydrogen and pulled by four horses. (Saga-51) Literary fiction started to breed ideas about the use of planes in warfare. The most famous writer to explore the idea was H.G. Wells. He wrote The War In The Air, a book about the future in which battle is conducted with planes. (Wohl-70). In Germany, literary fiction preceded the actual development of warfare in the air.

President of the United States Essay

The President of the United States, the chief executive officer of the federal government, the leader of the executive branch, and the commander in chief of the armed forces has certain constitutional powers. How much power does he really have? Does he have too much? Does he have too little, or not enough? In my opinion, I believe that the President of the United States of America has just enough power to run our country, deal with foreign and domestic policies, and fight the War on Terror In this essay, I will discuss my opinion, what the president’s powers are under the Constitution, and whether or not the president’s role has expanded beyond these powers in domestic and foreign policy. Under Article II, Section 2 and Section 3 of the Constitution, it outlines the powers and duties of the president. The President holds two main roles: he is the Head of State and is the Chief of Government. The powers and duties that fall under these roles are identified as two main sources of power; his expressed powers and his delegated powers. The expressed powers are specifically defined powers that cannot be revoked by Congress or any agencies without an amendment to the Constitution. The delegated powers are the powers given to the president by Congress. Examples of expressed powers are the authorization to make treaties, grant pardons, and nominate judges and other public officials. The president also has the power to receive ambassadors and command the military forces of the United States. The delegated powers under Article II of the Constitution state that the President â€Å"shall take Care that Laws be faithfully executed†. These powers delegate that the President will only have the authority to carry out decisions through identification and development. Out of every country in the world, our president is the only one with both roles as the Head of State and Chief of Government. A third power, that is not stated in the Constitution, but is claimed occasionally by the President are inherent powers. The inherent powers are said to stem from â€Å"the rights, duties and obligations of the presidency†. These powers are exercised by presidents in times of war or national emergency. One of the President’s biggest powers that are applied as part of his inherent powers is the power to declare war. The President’s express powers are divided into five categories. The five categories are: Military, Judicial, Diplomatic, Executive, and Legislative. Beneath the Military category, it affirms that under Article II, Section 2; the President is provided the power as â€Å"Commander in Chief of the Army and Navy of the United States and of the militia of the several States, when called into the actual Service of the United States. † Beneath the Judicial category, it affirms under Article II, Section 2; the President is provided the power to â€Å"grant Reprieves and Pardons for Offences against the United States, except in Cases of Impeachment.† Beneath the diplomatic category under Article II, Section 2; the President is provided the power â€Å"to make Treaties by and with the Advice and Consent of the Senate. † Additionally, under Article II, Section 3; the President is provided the power to â€Å"receive Ambassadors and other Public Ministers. † Beneath the Executive category, it affirms under Article II, section 3; the President is authorized to see to it that all laws are faithfully executed. Additionally, Section 2 gives the chief executive power to appoint, remove, and supervise all executive officers and to appoint all federal judges. Under the Legislative branch, it affirms under Article 1, section 7 and Article II, Section 3 that the President has the power to participate authoritatively in the legislative process. The military authorities granted to the President are amongst the most important powers granted to someone leading the United States of America. As the President of the United States, you are granted the position as commander in chief. The position of commander and chief deems the President the highest military authority in the United States with control of the entire defense establishment. Additionally, the President is head of the nation’s intelligence network, which includes the CIA, NSC, NSA, and the FBI, which are among the most well regarded intelligence networks in the world. The constitution is the main principle in giving President’s the power to declare war; however, many Presidents’ decide to capture this power for themselves without consulting Congress. This is a resolution of Congress that the President can send troops into action abroad only by authorization of Congress, or if American troops are already under attack. For example, when President Bush responded to the attacks on the World Trade Centers in New York on September 11th, 2001 he ordered a major military campaign to overthrow the Taliban regime in Afghanistan. Again in 2002, President Bush ordered a huge American campaign against Iraq to overthrow the Iraqi dictator, Saddam Hussein, whom he believed had links to the terrorist network that attacked the United States. President Bush publically made it a point to state that he did not need Congress’s authorization to declare war against organizations deemed an imminent threat against the United States of America. This is what is called the War Powers Resolution. The Judicial Powers granted to the President of the United States give him or her power to grant reprieves, pardons, and amnesties. Additionally, it involves power over all individuals who may be a threat to the security of the United States. Presidents may use this power to grant a reprieve on behalf of a particular individual. An example of reprieve for one particular individual would be when President Gerald Ford granted a pardon for former President, Richard Nixon, for â€Å"all offenses against the United States which he †¦ has committed or may have committed.† The Diplomatic Powers declare that our President is also our countries â€Å"Head of State†, or its chief representative when dealing with other countries. The title of Head of State grants the President the power to make treaties for the United States. The power of receiving Ambassadors and other Public Ministers was pushed through Congress under President Washington’s leadership in 1793. This power allows the President almost unrestricted authority to review the claims of any new ruling groups to determine whether they indeed control the territory and population they claim is theirs. The Executive Power, which is another one of the most important power’s as chief executive states that the President must ensure that all laws are faithfully executed. Additionally, this appoints the President to assign, remove, and supervise all executive officers and federal judges. These powers, under the Constitution, basically appoint the President as the true Chief Executive Officer of the United States. Another component the President is granted as chief executive is â€Å"executive privilege†. Executive privilege claims that confidential communications between the President and close executives are to be kept confidential and are not to be revealed without express permission for the President. The Legislative Power is broken down into two Constitutional provisions. The first of these provisions is under Article II, Section 3 of the Constitution and it states that the President â€Å"shall from time to time give to the Congress information of the State of the Union, and recommend to their consideration such measures as he shall judge necessary and expedient.† The second provision states the President has the power to veto. The veto is the President’s constitutional power to turn down acts of Congress. Other powers that are granted to the President are his â€Å"Delegated Powers. † These powers are not found in the Constitution but are product of congressional statutes and resolutions given to the President over the last century. The delegation of powers has been an almost inescapable consequence of the expansion of government activity in the United States. In conclusion, my belief is that the president has just enough power to run our country, deal with foreign and domestic policies, and fight the War on Terror. Because of the President’s two main sources of power, which are his express powers and delegated powers, it enables him to fulfill his duties and obligations without having too much power over our government and legislation.

The advantages and disadvantages of Opera Reservations System (ORS), by MICROS systems Inc, for hotels and restaurants Free Essay Example, 1750 words

ï » ¿Advantages for Restaurants using Opera Reservation Systems The hotels and restaurants operating in the service sector have earned large scale dynamism owing to the extended use of the Opera Reservation Systems Software. The use of such software especially in regards to its Sales and Catering department have led the company manage the database pertaining to both customers and inventory in an effective manner. Moreover the use of such software has helped the company in earning the potential in managing the accounting systems in an overall manner in regards to the concern and also in properly administering control over the several departments. Opera Reservation Systems also happens to render specialised services to the restaurants and hotels by designing different software like that for the Sales and Catering department. The Opera Reservation Systems also happens to enhance the potential of service quality rendered by the hotel and restaurants through the high amount of incorporation of different types of innovative tools. This tool helps the hotels and restaurants in generating effective services to the customers through maintaining effective relationship based services with them. We will write a custom essay sample on The advantages and disadvantages of Opera Reservations System (ORS), by MICROS systems Inc, for hotels and restaurants or any topic specifically for you Only $17.96 $11.86/pageorder now Again the tool also helps the hotels in effectively maintaining the guest rooms and also helps the corporation in adequately working out resources meant for organising events. The software also helps the hotels and restaurants in effectively tracking the sales pertaining to the different departments and also in tracking the highest sales figure in regards to the different items. Opera Reservation Systems software also helps in regulating the inventory pertaining to the different category of guest rooms in the hotel. Acting like an effective planning tool the software helps the hotel in arranging for the food and beverages meant for domestic and international guests. The software also helps the hotels in effectively meeting the different bills pertaining to banquet and other room services rendered to the guests. Opera Reservation Systems also acts as an effective forecasting tool for the hotel and restaurants in helping the companies estimate the ris e in the number of guests and the sales pertaining to the different categories of services and products rendered. The operating system also helps the hotels in effectively analysing the margins pertaining to the cost and the profits emanating out of the services of the company. Having said the essential features and services rendered by the software to the hotel it can be easily understood that such services tend to make the people much effective in rendering continuous services to the customers.