Wednesday, October 30, 2019
Event Risk management (Summer Olympics in Brazil) Assignment
Event Risk management (Summer Olympics in Brazil) - Assignment Example Moreover, Al-Qaeda continues its underground operations. In the meantime, it is hard to know where these groups will hit next. Brazil is one of the countries with the highest number of Christian. Majority of the local population are Catholics. Terrorist groups have been using the religion aspect to try and widen the gap between the Christians and Muslim. Olympics attract people from different parts of the world. These are people who emanates from different cultural and religious backgrounds (Liotta & Miskel, 2012). This provides a platform for the terrorist group to stage an attack in order to drive a message to the whole word. The Olympics games are attended by high-level dignitaries who come from different parts of the world. Therefore, if the terrorists are able to stage an attack in such games, they can bring the whole world into a standstill due to the number of people who are likely to be affected. As a result, the organizing committee will be faced with a major problem of ensu ring that security of all those who will attend this noble event is guaranteed. Rio de Janeiro is a city that has one of the largest populations of people living in slums. In favela, drug abuse is a common practice. These are areas that are so insecure. Olympics will bring a lot of tourists in the country. Many of these people are likely to spend their time in tourist destinations such as beaches. The residents in favela are likely to take up this opportunity to rob these tourists as majority of them believe that they will have carried with them a lot of wealth. Currently, the government is already strained having spent a lot of money to host the World cup. In addition, the security apparatus are strained by the wave of violence and robbery in different parts of Brazil. Therefore, the number that can be committed to secure the areas that are likely to be visited by the tourists is very low. Therefore, problems of robbery, murder, rape, etc are likely to
Monday, October 28, 2019
The Mind Is the Best Medicine Essay Example for Free
The Mind Is the Best Medicine Essay The mind is the most powerful tool a man can use. The body is nothing without the mind. It gives us power to have a wild imagination and have infinite ideas. If the mind has delightful ideas, your body will survive and prosper. If the mind has immoral ideas, your body will stress and decay over time. Although the mind is very powerful, it is up to the person to control it. In As A Man Thinketh, James Allen elaborates on how the body is the servant to the mind. He also states how good thoughts are key to achieving a healthy body. Man can achieve prodigious health in the mind, and body, by simply having pure thoughts. Disease and health, like circumstances, are rooted in thought. Sickly thoughts will express themselves through a sickly body (Allen12). Thoughts are the foundation of the body (Chu). Our body works off of what we think and feel everyday. If you have negative thoughts, your body will be very ill. A healthy body shall not have immortal thoughts. A healthy body has positive thoughts that pass through the body. The people who live in fear for disease will usually get it. This is because of the negative thoughts running through the body affects your health. Anxiety will completely demoralize the body (Cramer), which will give disease a great chance to attack. While impure thoughts will shut down the nervous system. Strong, pure, and happy thoughts build up the body in vigor and grace. The body is a delicate and plastic instrument, which responds readily to the thoughts by which it is impressed, and habits of thought will produce their own effects, good or bad, upon it (Allen 12). Pure thoughts will clean the body of anxiety. Whenever thoughts are pure, it detoxes the body of all the negativity. The results of pure thinking will only shed good results. When the mind is pure, the body is healthy. Men will continue to have impure blood as long as they propagate unclean thoughts. Negative thoughts only harm the body, which will cause harm in the future. Change of diet will not help a man who wonââ¬â¢t changes his thoughts (Allen). Although diet is important to stay healthy, thought is much stronger than food. A man who eats ruthless will also have impure thoughts. Men who canââ¬â¢t control what they eat, usually have trouble controlling their mind. If you canââ¬â¢t control your stomach, you certainly wont be able to control your thoughts. Temptation is very strong, but you mind is even stronger. When a man makes his thoughts pure, he has no longer desire for impure food. If you would perfect your body, guard your mind. If you would renew your body, beautify your mind. Thoughts of malice, envy, disappointment, despondency, rob the body of its health and grace. A sour face does not come by chance; it is made by sour thoughts (Allen12). Having a thick face is also important for a healthy body and mind. You shouldnââ¬â¢t let others get in your way of pure thoughts. Envy is the cause of impure thoughts. You shouldnââ¬â¢t envy a person, bur rather succeed and surpass the person. Disappointment also causes impure thoughts to the body. You shouldnââ¬â¢t be disappointed but rather appreciative of what you have. All of these thoughts can be controlled by the mind. Having these feelings will cause depression, which means you canââ¬â¢t control your thoughts. Impure thoughts will slowly harm the body causing major damage to the mind. There is no physician like cheerful thought for dissipating the ills of the body; there is no comforter to compare with goodwill for dispersing the shadows of grief and sorrow. To live continually in thoughts of ill-will, cynicism, suspicion, and envy, is to be confined in a self-made prison-hole. But to think well of all, to be cheerful with all, and to patiently learn to find the good in all such unselfish thoughts are the very portals of heaven; and to dwell day by day in thoughts of peace toward every creature will bring abounding peace to their possessor (Allen 12). You donââ¬â¢t need a doctor to tell you how to use your mind. You should be your own doctor, because you are the one controlling your thoughts. Positive thoughts will keep you away from the doctor. If you have corrupted thoughts, you are just digging a whole for yourself (Cramer). If you have constant impure thoughts, the body will be under major stress. When the stress builds up so does all the impure thoughts. The body does not function efficiently with these impure ideas. Causing harm to the mind and body, one shall get rid of impure thoughts. They who have no central purpose in their life fall an easy prey to petty worries, fears, troubles, and self-pitying, all of which lead, just as surely as deliberately planned sins (though by a different route), to failure, unhappiness, and loss, for weakness cannot persist in a power-evolving universe (Allen 14). People who donââ¬â¢t know what to do in life will have impure thoughts. One who thinks of small problems will have major anxiety causing harm to the body. If you canââ¬â¢t control your thoughts, little things will tend to bother you. Even though these problems are not major, it can lead you to bigger problems. These impure thoughts ill only lead you to failure. Having small problems on your mind will only cause you to think of more problems that you already have. When all the impure thoughts build up, it will be very difficult to have any pure thoughts in your mind. A man should conceive of a legitimate purpose in his heart, and set out to accomplish it. He should mak e this purpose the centralizing point of his thoughts. It may take the form of a spiritual ideal, or it may be a worldly object, according to his nature at the time being; but whichever it is, he should steadily focus his thought forces upon the object which he has set before him. He should make this purpose his supreme duty, and should devote himself to its attainment, not allowing his thoughts to wander away into ephemeral fancies, longings, and imaginings (Allen 14). You are the one controlling yours thoughts. Another person should not be the creator of yours thoughts. You should think deeply of your thoughts and not let them go to waste. The mind is very powerful and the thoughts are its artwork. You should take your time in making a great piece of artwork. If your thoughts are impure, the art will come out with dark colors. If your thoughts are pure, your art will come out with extravagant colors. You should have a legitimate purpose for your ideas. Once a great thought has come to you, you should set forth and try to accomplish it. Thoughts are just in your head if you donââ¬â¢t do anything about it. The important part is accomplishing your pure thoughts. With great accomplishments comes a great thought. A man can only rise, conquer, and achieve greatness by uplifting his thoughts. Thinking positive is very important because it gives you a sense of direction. If a person has negative thoughts, they usually wont come up with many pure thoughts. Negative thinking can harm the body and mind to look at the downside of things. Positive thinking on the other hand, is essential to pure ideas. A positive thinker has a pathway to pure ideas. You cannot achieve a lot of things with negative thinking. Men will remain weak, and abject, and miserable by refusing to lift up his thoughts. The body is nothing without the mind. Our mind is the creator of our thoughts. Whether our thoughts are pure or impure; our body does not function properly without our mind. To sustain a healthy lifestyle, one should have pure thoughts. Your body is not healthy if your thoughts are not pure. Strong, pure, and happy thoughts build up the body in vigor and grace. The body is a delicate and plastic instrument, which responds readily to the thoughts by which it is impressed, and habits of thought will produce their own effects, good or bad, upon it (Allen 12). Impure ideas will only cause harm to the body. Impure thoughts lead the body to undergo stress, which leads to disease. One should not worry so much because harm will come to the ones who worry most. Anxiety will only cause harm, and ruin your positive thoughts. Having pure ideas is important to staying healthy. Man can achieve prodigious health in the mind, and body, by simply having pure thoughts. Works Cited Allen, James. As A Man Thinketh. White Plains, NY: Peter Pauper Press, 1970. Chu, Chin-Ning. Thick Face Black Heart. NY,NY: Warner Books , 1994. Cramer, Michael. Power moments: positive motivation and powerful inspiration. Brentwood, TN: JM Press, 2002. Deci, Edward L. Why we do what we do: the dynamics of personal autonomy. New York: Putnams Sons, 1995.
Saturday, October 26, 2019
Having Our Say by Sadie and Bessie Delany Essay -- Having Our Say Lite
Having Our Say by Sadie and Bessie Delany The social, cultural and political history of America as it affects the life course of American citizens became very real to us as the Delany sisters, Sadie and Bessie, recounted their life course spanning a century of living in their book "Having Our Say." The Delany sistersââ¬â¢ lives covered the period of their childhood in Raleigh, North Carolina, after the "Surrender" to their adult lives in Harlem, New York City during the roaring twenties, to a quiet retirement in suburban, New York City, as self-styled "maiden ladies." At the ages of 102 and 104, these ladies have lived long enough to look back over a century of their existence and appreciate the value of a good family life and companionship, also to have the last laugh that in spite of all their struggles with racism, sexism, political and economic changes they triumphed (Having Our Say). Of all the ten children of Henry and Nanny Delany, Sadie and Bessie developed a bond of companionship from childhood to the end of their lives. They were even able to complete each otherââ¬â¢s thoughts, because they shared what Karl Mannheim described as a "common location in the social and historical process" that "predisposes them for a certain characteristic mode of thought and experience." They therefore, corroborated some of Mannheimââ¬â¢s discussions on "location" and its effect on a generation (Karl Mannheim, The Sociological Problem of Generations, pp. 290-91). Further, throughout the book, Sadie and Bessie continuously reminds the reader of the strong influence family life had on their entire lives. Their father and mother were college educated and their father was the first black Episcopal priest and vice principal at St. Augustine Co... ...ieth century America. The majority of blacks during that era, did not possess the family status and class structure that surrounds the Delany sisters and, therefore, it would virtually be impossible for them to succeed at the level the Delanys did. But the Delanys still had their share of personal troubles which was influenced by public issues but they survived and in their own unique, humorous way lived to say: Weââ¬â¢ve outlived those old rebby boys! Thatââ¬â¢s one way to beat them! Thatââ¬â¢s justice! Works Cited Delany, S., Delany, A., and Hearth, A. Having Our Say. New York: 1967. Mannheim, K., Essays on the Sociology of Knowledge. Routledge & Kegan Paul Ltd. 1952. Bennett, L. Jr. A History of Black America. Sixth edition, Penguin Books: 1993. Franklin, J., Moss, A. Jr. From Slavery to Freedom. Seventh edition, McGraw Hill, Inc.: 1994.
Thursday, October 24, 2019
Chaucers Canterbury Tales - Enslavement and Freedom in the Knights Ta
Enslavement and Freedom in the Knight's Taleà à à à à à In the Knight's Tale, Palamon and Arcite's lives are filled with adversityà and enslavement .à Not only do they live inà physical imprisonment, bound as prisoners of war in a tower, but they fall into Love's imprisonment, which leads them to suffer the decrees of cruel classical gods .à Cooper writes that there "can be no moral or metaphysical justice in the different fates that befall them; yet one dies wretchedly wounded, while the other lives out his life with Emily 'with alle blisse' " (76). One might compare their destinies with that of Jacob and Esau: one is blessed, and the other cursed in order that the providence of God might stand . This essay will argue (1) that even though Palamon and Arcite are enslaved as prisoners of war, prisoners of love, and prisoners of Saturn's decree, both knights are still responsible for their actions, and (2) that Arcite's death brings unity and restores order in Athens. à Palamon and Arcite are introduced into the tale as the only two surviving knights in Creon's army.à Once found by the scavengers, they are brought before Theseus and he sends them to "dwellen in prisoun/Perpetuelly" (1023-4). It is through their physical imprisonment in the "chembre an heigh" (1065) that leads them to 6xsee Emily and to fall into Love's imprisonment.à But Love's imprisonment works on Palamon and Arcite in different ways.à Arcite "falls in love with her irresistibly, by natural necessityà . . .à [whereas for Palamon, the] love of Emelye is a matter of choice rather than nature, as is shown by his repeated demand that Arcite simply stop loving her (1142-43, 1593-95, 1731)" (Roney 62).à But even though their view of love is different, they ar... ... à Elbow, Peter. "How Chaucer Transcends Oppositions in the Knight's Tale." Chaucer Review. Vol. 7. No. 2. Ed. Robert Frank. Pennsylvania: Pennsylvania State University, 1972. à Finalyson, John. "The Knight's Tale: The Dialogue Of Romance, Epic, And à Philosophy." Chaucer Review. Vol. 27. No. 2. Ed. Robert Frank. Pennsylvania: Pennsylvania State University, 1992. à Frost, William. "An Interpretation of Chaucer's Knight's Tale." Chaucer Criticism. Vol. 1. Ed. Richard Schoeck. Notre Dame: University of Notre Dame Press, 1960. à Miller, Robert. Chaucer: Sources and Backgrounds. New York: Oxford University Press, 1977. à Roney, Lois. Chaucer's Knight's Tale and Theories of Scholastic Psychology.à à Tampa: University of South Florida Press, 1990. à Spearing, A.C. The Knight's Tale. London: Cambridge University Press, 1966. à Chaucer's Canterbury Tales - Enslavement and Freedom in the Knight's Ta Enslavement and Freedom in the Knight's Taleà à à à à à In the Knight's Tale, Palamon and Arcite's lives are filled with adversityà and enslavement .à Not only do they live inà physical imprisonment, bound as prisoners of war in a tower, but they fall into Love's imprisonment, which leads them to suffer the decrees of cruel classical gods .à Cooper writes that there "can be no moral or metaphysical justice in the different fates that befall them; yet one dies wretchedly wounded, while the other lives out his life with Emily 'with alle blisse' " (76). One might compare their destinies with that of Jacob and Esau: one is blessed, and the other cursed in order that the providence of God might stand . This essay will argue (1) that even though Palamon and Arcite are enslaved as prisoners of war, prisoners of love, and prisoners of Saturn's decree, both knights are still responsible for their actions, and (2) that Arcite's death brings unity and restores order in Athens. à Palamon and Arcite are introduced into the tale as the only two surviving knights in Creon's army.à Once found by the scavengers, they are brought before Theseus and he sends them to "dwellen in prisoun/Perpetuelly" (1023-4). It is through their physical imprisonment in the "chembre an heigh" (1065) that leads them to 6xsee Emily and to fall into Love's imprisonment.à But Love's imprisonment works on Palamon and Arcite in different ways.à Arcite "falls in love with her irresistibly, by natural necessityà . . .à [whereas for Palamon, the] love of Emelye is a matter of choice rather than nature, as is shown by his repeated demand that Arcite simply stop loving her (1142-43, 1593-95, 1731)" (Roney 62).à But even though their view of love is different, they ar... ... à Elbow, Peter. "How Chaucer Transcends Oppositions in the Knight's Tale." Chaucer Review. Vol. 7. No. 2. Ed. Robert Frank. Pennsylvania: Pennsylvania State University, 1972. à Finalyson, John. "The Knight's Tale: The Dialogue Of Romance, Epic, And à Philosophy." Chaucer Review. Vol. 27. No. 2. Ed. Robert Frank. Pennsylvania: Pennsylvania State University, 1992. à Frost, William. "An Interpretation of Chaucer's Knight's Tale." Chaucer Criticism. Vol. 1. Ed. Richard Schoeck. Notre Dame: University of Notre Dame Press, 1960. à Miller, Robert. Chaucer: Sources and Backgrounds. New York: Oxford University Press, 1977. à Roney, Lois. Chaucer's Knight's Tale and Theories of Scholastic Psychology.à à Tampa: University of South Florida Press, 1990. à Spearing, A.C. The Knight's Tale. London: Cambridge University Press, 1966. Ã
Wednesday, October 23, 2019
Affirmative Action Racism And Discrimination Essay
America is called ââ¬Å"the land of opportunityâ⬠however, most of the countries citizens are not able to enjoy the benefits that the title provides. Being able to accomplish scholastic goals, attend a four-year college, and to have an influential career, are not obtainable for many, even though they work hard. Our nation has long been plagued by an ugly occurrence. An occurrence that finds its origins at the very core of our society. It is a problem familiar in some ways to all of us regardless of which side of the argument we find ourselves, and yet it remains unsolved. To verify that a problem exists, as Beverly, Tatum explains, we must first understand, racism as a system of advantage based on race, and white privilege as unjust enrichment through racial oppression,(Tatum,pg 10, 115). Next we must look at the steps taken to level the playing field of advanced racial groups. In America racism and discrimination is a cruel reality. For centuries now, local, state, and federal governments have been proactive in protecting or expanding the system of racial discrimination. White government officials and programs have often favored the racial and political-economic interests of white Americans. Government programs historically provided much access to homesteading land and numerous other valuable resources exclusively to white Americans (Feagin, 2010, p. 143). In an affords toward concern for equality, Affirmative action was created. It was designed to counteract the effect that discriminatory practices have embedded in the American culture. Affirmative action refers to policies that take factors including ââ¬Å"race, color, religion, gender, sexual orientation, or national originâ⬠into consideration in order to benefit an under represented group ââ¬Å"in areas of employment, education, and businessâ⬠, usually justified as countering the effects o f a history of discrimination. The term ââ¬Å"affirmative actionâ⬠was first used in the United States in Executive Order 10925 and was signed by President John F. Kennedy on 6 March 1961; it was used to promote actions that achieve non-discrimination. In 1965, President Lyndon B. Johnson enacted Executive Order 11246 which required government employers to take ââ¬Å"affirmative actionâ⬠to hire without regard to race, religion and national origin. In 1968, gender was added to the anti-discrimination list. A lively debate with sparks flying within racial group exists over the importance of the Affirmative action process. Some would argue that affirmative action undeservingly rewards minorities, and takes away from whites in effect causing reverse discrimination. Not long ago, Senator Bob Dole, a Republican presidential candidate, spoke in a television interview of ââ¬Å"displacedâ⬠white men who compete with black workers because of affirmative action. He said that he was not sure that ââ¬Å"people in Americaâ⬠(he meant ââ¬Å"whitesâ⬠) should be paying a price for discrimination that occurred ââ¬Å"before they were bornâ⬠. (Feagin, 2010, p. 15). Taking this evidence into consideration, should this influence the direction taken regarding affirmative action? University of California Regent Ward Connerly believes that affirmative action is used as a crutch that is ruining the relationship between blacks and whites. If this were true, would this be a good reason to halt government involvement in affirmative action programs? Would people identify these issues and take steps to make changes? Historically this has not been the case. Affirmative action programs have been successful in making social change. Minorities that have previously been excluded from opportunities have been afforded opportunities to achieve through affirmative action programs. Initially, affirmative action was a policy primarily aimed at correcting institutional discrimination where decisions, policies and procedures that are not necessarily explicitly discriminatory have had a negative impact on people of color. Affirmative action policies address and redress systematic economic and political discrimination against any group of people that are underrepresented or have a history of being discriminated against in particular institutions. Beneficiaries of these programs have included white men and women, people with disabilities, and poor working class people, but their primary emphasis has been on addressing racial discrimination (Kivel, P) If our goal is to eradicate discriminatory practices, then our government must continue to mandate legislation, and fund programs to address these issues. Following this conclusion it is clear to see that all evidence supports the benefits of affirmative action. What we have before us is a society with the possibility to make great strides in regards to changing the system of inequality. It is important that government lead in the direction that supports affirmative action programs. Government needs to see this as the biggest problem on their social agenda, and it will take a significant effort to mandate change, but the benefit for everyone will be extraordinary. References Feagin, J. (2010). Racist America Roots, Current Realities, and Future Reparations New York: Routledge Press. Tatum, Beverly Daniel. (2003). â⬠Why Are All the Black Kids Sitting Together in the Cafeteria? New York: Basic Books. Executive Order 11246. (2012, July 2). In Wikipedia, The Free Encyclopedia. Retrieved 17:23, October 30, 2012, from http://en.wikipedia.org/w/index.php?title=Executive_Order_11246&oldid=500344831 Montgomery, A. (2000, march 27). A ââ¬Å"poisonâ⬠divides us, salon.com, Kivel, P. (1997, November,17) Affirmative Action Works! Motion Magazine
Tuesday, October 22, 2019
Hypno-psychotherapy techniques can be extremely useful not only in the context of psychological treatment but also for medical, surgical and dental treatment. The WritePass Journal
Hypno-psychotherapy techniques can be extremely useful not only in the context of psychological treatment but also for medical, surgical and dental treatment. 1-Introduction Hypno-psychotherapy techniques can be extremely useful not only in the context of psychological treatment but also for medical, surgical and dental treatment. 1-Introduction2-The history of hypnosis2.1 Franz Anton Mesmer (1734-1815):2.2 Marquis de Puysegur (1751-1825):2.3 Abbe de Faria (1756-1819:3-The history of hypnosis used in surgery3.1 John Elliotson (1791-1868):à 3.2 James Esdaile (1808-1859):à 3.3 James Braid (1795-1860):à 4-The decline of hypnosis in surgery4.1 Sigmund Freud (1856-1939):4.2 Behaviourism:à 4.3 Cognitive Therapy:à 4.4 Cognitive-Behavioural Therapy:5-Leading names in hypno-psycotherapyà 5.1 Alfred Adler (1870-1937):à 5.2 Carl Gustav Jung (1875-1961):à 5.3 Milton Erickson (1901-1980):à 5.4 Friedrich (Frederick) Salomon Perls (1893-1970):5.5 Carl Rogers (1902ââ¬â1987):6-Techniques used in practice6.1 Hypnosis:à 6.2 Suggestion:à 6.3 Paradoxical injunction:6.4 Distraction:6.5 Time distortion:6.6 Hypnotic suggestion for pain releif:6.7 Displacement:6.8 Dissociation:6.9 Systematic desensitisation:à 7-The application of hypno-psychotherapy in medicine and dentistry7.1 Treatment in surg ery:7.2 Treatment for cancer patients:à 7.3 Treatment in obstetrics and gynaecology:à 7.4 Treatment in dentistry:à 8-Conclusion8.1 Modern day acceptability:à 8.2 Advantages and disadvantages:à 8.3 Future possibilities:à Reference:Related 1-Introduction Hypno-psychotherapy techniques can be extremely useful not only in the context of psychological treatment but also for medical, surgical and dental treatment.à Techniques can be used to control acute and chronic pain which can help patients during for example, childbirth, minor and major operations, dental treatments, or simply to help with pain associated in minor ailments such as back pain, headaches and irritable bowel syndrome. Not only can techniques be useful in medicine and dentistry for pain reliefà as described above but can also be used to deal with the anxiety connected with varying procedures and help with the patients state of mind which in turn can speed healing.à This can be of great advantage before, during and after any surgery or treatment. In this dissertation I would like to discuss in more depth the use of hypno-psychotherapy techniques specifically in medicine and dentistry firstly looking at the history of hypnosis, leading names in the integration of psychotherapeutic techniques over the years looking at their theories, describe the varying techniques which can be useful in medicine and dentistry and look at how these can be applied in practice as a qualified hypno-psychotherapist.à à In conclusion there will be a discussion of any advantages, disadvantages and limitations of the use of these techniques and a brief look into future possibilities. à 2-The history of hypnosis à The origins of hypnosis can extend back to ancient Greece where there were temples devoted to Aesculapius, the Greek god of healing.à In these temples which were built in pleasant surroundings usually near water, there would be music prayer and incantations.à Sleeping patients believed the Gods were visiting them.à However, the true precursor of hypnosis begins with the practice of mesmerism. à 2.1 Franz Anton Mesmer (1734-1815): A German physician and astrologist, who invented what he called animal magnetism and other spiritual forces often grouped together as mesmerism. He was the first person to devise a system which could induce a trance.à The evolution of Mesmers ideas and practices led Scottish surgeon James Braid, later discussed in section 3.3, to develop hypnosis in 1842. à Mesmer hypothesized that the force of animal magnetism had to do with the movement of the sun, planets and stars.à He would use magnets in an attempt to heal his patients. 2.2 Marquis de Puysegur (1751-1825): A former student of Mesmer, described his patients in a state of artificial somnambulism which differed from the mesmeric trance.à He was the first practitioner to identify the importance of psychological factors in illness and healing which lead to recognition of these factors in mesmerism and hypnosis.à His more patient centred approach was later used by Freud, discussed in section 4.1 in the psychoanalytic technique of free-association and indeed in many techniques used today. 2.3 Abbe de Faria (1756-1819: Unlike Mesmer who claimed hypnosis was mediated by animal magnetism, Faria believed it worked purely by the power of suggestion.à Also unlike Puysegurââ¬â¢s somnambulism, Faria believed this state was lucid sleep.à He was the first to document individual differences, the first to state that the process would only happen if the subject was susceptible and not solely down to the powers of the mesmerist and also the first to use the verbal suggestion of sleep for his induction instead of using objects such as magnets etc. 3-The history of hypnosis used in surgery à Up until the 1940ââ¬â¢s when hypnosis was still known as mesmerism, medical and dental surgeries were performed without anaesthetic because it was not available at this time.à John Elliotson, a professor of practical medicine, and James Esdaile, a medical officer reported a large number of surgeries performed painlessly, with the mesmeric trance as the only form of pain relief used. 3.1 John Elliotson (1791-1868):à Senior Physician at University College Hospital in London and Professor of the practice of Medicine at the University of London, Elliotson was a student of phrenology and mesmerism.à He hoped that his development of mesmerism would lead to new therapeutic applications in medicine and advocated its use in surgery. à When the New Orleans Medical and Surgical Journal asserted that, compared to ether, mesmerism could perform a thousand times greater wonders and without any of the dangers [2] British Medical Surgical Journal, (1846).à Elliotson agreed, however lost his chair because of his advocation of mesmerism in surgery. 3.2 James Esdaile (1808-1859):à Best known as a Scottish surgeon and pioneer in the use of hypnosis for surgical anaesthesia, Esdaile used mesmerism with patients at a British medical facility in India. à He performed over three hundred surgeries using hypnotic techniques including radical operations such as tumour removal and amputations. At that time the mortality rate for major operations by fellow surgeons was 50%.à In 1961 Esdaileââ¬â¢s mortality rate averaged 5%. 3.3 James Braid (1795-1860):à A Scottish physician and surgeon, specialising in eye and muscular conditions, Braid was an important and influential pioneer of hypnotism and hypnotherapy.à The three main contributions Braid made were the introduction of the term ââ¬Å"Neurypnologyâ⬠or nervous sleep, secondly his induction technique now known as ââ¬Å"Braidismâ⬠or the Braid technique where the subject fixes their gaze on a point above eye level until the eyes close and the subject enters hypnosis, and thirdly his theories suggesting hypnosis was caused by visual fatigue.à It is from Braids influential work that others derived the term hypnosis in the 1880s although he himself did not use this term.à Similar to how techniques are used today, Braid believed that patients should be considered on an individual basis and hypnotic suggestion should be used in conjunction with other medical and chemical techniques and not as a sole cure. ââ¬Å"Although Braid believed that hypnotic suggestion was a valuable remedy in functional nervous disorders, he did not regard it as a rival to other forms of treatment, nor wish in any way to separate its practice from that of medicine in general. He held that whoever talked of a universal remedy was either a fool or a knave: similar diseases often arose from opposite pathological conditions, and the treatment ought to be varied accordingly. He objected being called a hypnotist; he was, he said, no more a hypnotic than a castor-oil doctor.â⬠à à [3] John Bramwell, 1910. 4-The decline of hypnosis in surgery à Despite both Dr. Elliotson and Dr. Esdailes successes they were condemned by their fellow doctors.à à Also the introduction of chloroform and esther brought about the decline in interest of using mesmerism as anaesthia. These, among other chemical procedures, could be used by every surgeon, on everyone patient, were less time-consuming and required little-to-no knowledge of human psychology and therefore chemical anaesthetics became regularly used in dentistry, surgery and obstetrics.à Another reason for the decline of hypnosis was the rise of behaviourism.à Before looking at these schools of thought it is important to mention that hypnotherapy is still a very useful tool if required for simple relaxation therapy, however, in order to be of use for the more complex psychological and physical conditions presented in both Medical and Dental procedures, psychotherapeutic techniques must also be applied.à It is by the integration of these varying schools of thought which wi ll be discussed, and adaption of their techniques that hypno-psychotherapy can be very useful in medicine and dentistry today. 4.1 Sigmund Freud (1856-1939): Freud, a neurologist and psychiatrist wrote of his rejection of hypnosis in Studies of Hysteria written with Joseph Breuer in 1895.à Although Freudian theory has been criticised by many has regardless been studied and continuously developed for more than forty years. à Freud is best known for his theories on the structure of the mind, levels of consciousness, instinct theory, psychosexual stages and the defence mechanisms of repression and tranference.à He also developed the clinical practice of psychoanalysis for treating patients through dialogue, known as free-association and the use of interpretation of dreams and fantasies as sources of insight into the unconscious.à à Freud also used regression hypnotherapy which was sometimes known as hypnoanalysis, analytic hypnotherapy, or psychodynamic hypnotherapy. Freud was the founder of the modern day psychotherapeutic interview and not only this but many other aspects of Freudian theories and techniques are integrated and applied to patients in practices today. 4.2 Behaviourism:à The behaviorist school of thought maintains that behaviors can be described scientifically without taking into account internal physiological events or looking at theories of hypothetical constructs such as the mind and it is thought that all behaviour is learned. ââ¬Å"Give me a dozen healthy infants, well formed, and my own specified world to bring them up in and Iââ¬â¢ll guarantee to take any one at random and train him to become any type of specialist I might select ââ¬â doctor, lawyer, artist, merchant-cheif, and, yes, even beggar-man and theif, regardless of his talents, penchants, tendencies, abilities, vocations and race of his ancestors.â⬠[4] J B Watson, 1931. à à à Behavioural techniques remain implemented by psychotherapists today.à These techniques are based on the phenomena of classic conditioning, operant conditioning and observational learning.à It is believed that behaviour can be improved by the use of certain techniques, such as altering an individuals behaviours and reactions to stimuli through positive and negative reinforcement of adaptive behaviour and/or the reduction of maladaptive behaviour through its extinction, punishment and/or therapy. Systematic desensitisation is a technique based on classic conditioning which can be of great use to medical and dental procedures to deal with anxiety which will be discussed in greater detail in section 4.3 Cognitive Therapy:à One of the major pioneers of CT was American psychiatrist Aaron T. Beck.à The pure cognitive therapies focus on changing certain thought patterns. The theory is that the way we perceive situations influences how we feel emotionally, and so by changing thoughts, then behaviours will also change.à The basic procedures in CT are educating patients with information about the nature of certain feelings, e.g. panic and anxiety, identifying salient thoughts, challenging the thoughts and beliefs, identifying distortions, cognitive restructuring and testing reality. Albert Ellis was the other major pioneer of cognitive therapy who developed Rational Emotive Behavioral Therapy (REBT), a therapeutic approach that stimulates emotional growth and teaches people to replace self-defeating thoughts and actions with more effective ones. REBT gives individuals the power to change the unhealthy behaviors that interfere with their ability to enjoy life. 4.4 Cognitive-Behavioural Therapy: Cognitive behavioural therapy (CBT) aims to help manage problems by changing how the individuals think and act.à CBT encourages talking about how clients think about their selves, the world and other people and focuses on how actions can affect thoughts and feelings.à By talking, CBT can help change thoughts (ââ¬Ëcognitiveââ¬â¢) and actions (ââ¬Ëbehaviourââ¬â¢). Unlike other talking treatments, such as Freudââ¬â¢s free association, CBT focuses on the problems and difficulties in the here and now, rather than issues from the past. It looks for practical ways to improve the state of mind on a daily basis. 5-Leading names in hypno-psycotherapyà à Traditional hypnotherapy has since integrated many more psychotherapeutic approaches such as Freudââ¬â¢s from many other varying schools of thought.à Examples of these influences are Adler and Jungââ¬â¢s theories, Erickson hypnotherapy, Fritz Perls Gestalt therapy and Carl Rogers Humanistic approach.à These historical influences combined with techniques used in cognitive and behavioural therapy resulted in the integrative approach, termed hypno-psychotherapy.à These techniques are often applied in order to modify a subjects behavior, emotional content, and attitudes, as well as a wide range of conditions including dysfunctional habits, anxiety, stress-related illness, pain management, and personal development. 5.1 Alfred Adler (1870-1937):à An Austrian medical doctor and psychologist, was the founder of the school of Individual Psychology.à In collaboration with Sigmund Freud and a small group of Freuds colleagues, Adler was among the co-founders of the psychoanalytic movement as a core member of the Vienna Psychoanalytic Society. He was the first major figure to break away from psychoanalysis to form an independent school of psychotherapy and personality theory. à Adlerââ¬â¢s main theoretical contributions are the importance of birth order in the formation of personality, the impact of neglect or pampering on child development, the notion of a self perfecting drive within human beings, and the idea that one must study and treat the patient as a whole personâ⬠. 5.2 Carl Gustav Jung (1875-1961):à A Swiss psychiatrist and the founder of analytical psychology.à Though not the first to analyze dreams, he has become perhaps one of the most well known pioneers in the field of dream analysis. He considered the process of individuation necessary for a person to become whole. This is a psychological process of integrating the conscious with the unconscious while still maintaining conscious autonomy.à Individuation was the central concept of analytical psychology.à Many pioneering psychological concepts were originally proposed by Jung, including the Archetype, the Collective Unconcious, the Complex, and synchronicity.à Jung believed individuals had psychological types which were known as Jungian Typology. à A popular psychometric instrument, the Myers-Briggs Type Indicator (MBTI), has been principally developed from Jungs theories. 5.3 Milton Erickson (1901-1980):à An American psychiatrist and psychologist, Erickson developed many ideas and techniques in hypnosis that were very different from what was commonly practiced. His style, commonly referred to as Ericksonian Hypnosis, has greatly influenced many modern schools of hypnosis. He was an important influence on neuro-linguistic programming (NLP), which was in part based upon his working methods.à He is noted for his approach to the unconscious mind as creative and solution-generating.à He is known for using the handshake induction, uses indirect and confusion techniques and also takes into account factors such as resistance. 5.4 Friedrich (Frederick) Salomon Perls (1893-1970): Better known as Fritz Perls, he was a German born psychiatrist and psychotherapist of Jewish descent.à Perls coined the term Gestalt Therapy to identify the form of psychotherapy that he developed with his wife Laura Perls in the 1940s and 1950s.à The core of the Gestalt Therapy process is enhanced awareness of sensation, perception, bodily feelings, emotion and behavior, in the present moment. Relationship is emphasized, along with contact between the self, its environment, and the other.à Gestalt therapy is firmly rooted in the philosophies of Existentialism and Phenomenology and can be described as a holistic and psychodynamic therapy. 5.5 Carl Rogers (1902ââ¬â1987): An American psychologist and among the founders of the humanistic approach to psychology. Rogers is widely considered to be one of the founding fathers of psychotherapy research.à Rogers developed his person-centered therapy theories to understanding personality and human relationships which resulted in its wide application in psychotherapy and counseling.à His techniques make use of Empathy, Congruence and unconditional positive regard and he believes free will and self responsibility are paramount.à He describes his therapeutic approach as supportive. 6-Techniques used in practice There are many different techniques which can be applied for each patientââ¬â¢s specific requirements in medicine and dentistry, most of which will firstly require the patient to be in a trance like state or under ââ¬Ëhypnosisââ¬â¢ where the patient is thought to be more open to suggestion.à ââ¬Å"The brain seen in a hypnotic state is quite different from that seen in normal waking or sleeping.â⬠[14] Carter,R (1998).à Smilar studies have also shown that there is increased activity in the brain during hypnosis which can help patients with heightened mental imagery.à A study by R.J. Croft suggests when under hypnosis a patient is able to dissociate and focus internally instead of on the pain they may otherwise experience. [15] R.J. Croft (2002). 6.1 Hypnosis:à Before looking at the techniques which can be used in medicine and dentistry we must look at how the therapist can prepare their patient to enter this heightened state of awareness.à Described below is the basic backbone of what is required when treating a patient using hypnosis however each of these steps will be described in more depth. Prepare the patient. The induction of the hypnotic state or trance. Deepening of the above. Therapy, namely suggestions and imagery-based techniques. Alerting Posthypnosis discussion. The use of self-hypnosis by the patient between sessions. [8] John Hartland, 2002. When preparing the patient is not possible in many situations to completely eliminate noise and distractions, especially in medicine and dentistry, but this need not pose a problem.à The main point to remember when preparing the setting is that the patient is comfortable.à This can be achieved by providing a chair or somewhere to lie down if appropriate and making sure the temperature is comfortable.à It is important that the patient feels relaxed and at ease with the therapist.à The therapeutic allience can be a very important part of the treatment in alleviating pain [16] Shapiro 1964.à Carl Rogersââ¬â¢s supportive approach could be used for this purpose. The induction and deepening can be achieved through a series of instructions and suggestions which will help the patient to enter a trance like experience.à There are many different ways to achieve this, for example using the Braid technique described in section 3.3 or another example is using Ericksonââ¬â¢s handshake induction mentioned earlier in section 5.3.à The handshake induction is a confusion technique where the therapist begins to shake hands with the patient then interrupts the flow of the handshake in some way. à If the handshake continues to develop in a way which is out-of-keeping with expectations, a simple, non-verbal trance is created, which may then be reinforced or utilized by the therapist. All these responses happen naturally and automatically without telling the subject to consciously focus on an idea. For the purpose of medical and dental procedures, to help the patient undergo uncomfortable or anxiety provoking treatments, the use of distraction (section 6.?) and relaxing imagery (section xxx) can be extremely useful.à These techniques may also help the patient tolerate pain.à The induction and deepening is thought to enhance the patientââ¬â¢s responsiveness to the suggestions which will follow in the next stage, which is the therapy.à To ensure the patient is in a trance like state the therapist may ask for a signal off the patient and use an ideomotor response to get the patient to raise a finger.à This will show the patient is ready for the next stage (Please refer to section 6.2 ââ¬â 6.? For techniques used during therapy). When alerting the patient suggestions of wakefulness and mental alertness are given.à This is also a good time for a post hypnotic suggestion, in the case of dentistry the therapist could say ââ¬Å"You will find that in the future every time you experience these procedures you will become even more easily relaxed, even more quickly than this time, and into an even deeper state of relaxation.â⬠à The patient is then asked to be fully alert of their surroundings and to open their eyes (if shut), this can be achieved by counting the patient up or down suggesting increased awareness with each count. Once the patient is alert again this is when the therapist can discuss with the patient how they feel and make a plan for future sessions.à Time should always be given for the patient to adjust back to their surroundings, awaken all their senses and discuss any worries they may have had about their session.à The therapist may wish even at this stage to include some positive suggestions.à Before concluding the session self hypnosis can be taught to the patient for help between treatments which will also go towards helping the patient relax faster at future sessions.à A CD can also be given for use in between treatments to reinforce suggestions made. The following chapters will describe some of the techniques which can be applied in practice to control pain for medical and dental procedures.à The patient would firstly go through all the preliminaries described above, with the technique itself being integrated into the ââ¬Ëtherapyââ¬â¢ stage. 6.2 Suggestion:à Much of the practice of hypnosis entails giving suggestions directly or indirectly which will promote the desired change, an example of this is saying ââ¬Å"Gradually you are feeling the pain easing away, as it is becoming more and more comfortableâ⬠or for a post-hypnotic suggestion and example would be ââ¬Å"After your operation, you will feel stronger each day; any discomfort you feel will not really bother you, and you will have little bleeding.â⬠[13] John Hartland, 2002.à Ego-strengthening is always used during therapy which is achieved by repeating positive suggestions (similar to positive reinforcement descibed in section 4.2) to the patient to reinforce any progress being made and to enhance feelings of self confidence and self worth.à This will give the patient the feelings they have the strength and resources to deal with the situation they are in now and after therapy. à Imagery NLP Anchoring 6.3 Paradoxical injunction: Hypnotic imagery (section 6.?) is widely used in pain management ââ¬â particularly for longer-term pain conditions. One approach is to ask the client in hypnosis to create an image of a scale or dial (or something similar) going from 1-10 to represent their current experience of pain. It is then possible to suggest that they use the dial to ââ¬Ëturn the pain downââ¬â¢.à If the client increases the pain then a reassuring suggestion could be given that if you can control the pain in one direction then you can also control it in the other to lesson the pain. 6.4 Distraction: Distraction techniques, similar to Ericksonââ¬â¢s ââ¬Ëconfusionââ¬â¢Ã are often used in medicine and dentistry while performing uncomfortable procedures, however, for the purpose of hypnosis, imagery is again utilised.à The client is to engage their attention on something which appeals to them therefore distracting their attention from the pain. 6.5 Time distortion: Direct suggestions can be given during hypnosis to condense the experience of time if experiencing pain.à An example of this would be to say to the client ââ¬Ë1 minute seems to pass as fast as a secondââ¬â¢.à An example of when this could be used is in minor surgery when a procedure is being preformed without anaesthetic.à This technique would be used alongside relaxation and distraction techniques.à This could also be useful in a post-hypnotic suggestion to alter the patientââ¬â¢s memory of how long the actual procedure took. 6.6 Hypnotic suggestion for pain releif: This can be coupled with suitable imagery to give sensations of numbness and insensitivity.à à A technique called ââ¬Ëhand analgesiaââ¬â¢ can be used in minor surgical, medical and dental procedures and also in childbirth.à The therapist simply suggests a feeling of coolness then numbness in the hand and the patient can then apply this feeling to the necessary part of the body.à Imagery techniques can also be used to create a metaphorical or symbolic image of the pain which can then be modified to experience pain relief.à One example of how this can be used is if a patient experienced arthritic pain they may imagine this as ââ¬Ëgrating cogwheelsââ¬â¢, an image which can be helped by ââ¬Ëoiling the cogwheelsââ¬â¢ helping to relieve the pain. 6.7 Displacement: Peripheral pain can often be more bearable than centrally located pain therefore a suggestion can be made that the pain is located in another part of the body.à Reinterpretation is another technique similar to this where the patient can either imagine the pain is being caused by a positive activity, possibly sport, or they can convert the experience of pain to something more pleasurable like warmth. 6.8 Dissociation: In some patients this occurs naturally as a defense technique for pain such as in severe widespread pain or cardiac resuscitation where the patient may have an out-of-body experience.à Suggestion can be used by the therapist so the patient can imagine the pain is being separated from the part affected, perhaps to another part of the room, or even the affected part itself is separated. 6.9 Systematic desensitisation:à Systematic desensitisation, used primarily to treat phobias related to one particular issue, is also a simple process whose effectiveness depends on practice. Essentially you create an anxiety hierarchy (a graded list of anxiety-provoking items) and then proceed to pair each item with the feeling of being deeply relaxed. Eventually this training process allows you to remain relaxed even when thinking about the anxiety-provoking situation. Finally, you learn to confront the real situation while remaining calm and relaxed. 7-The application of hypno-psychotherapy in medicine and dentistry Pain relief is one of the main ways patients can benefit from hypno-psychotherapy techniques in medical and dental procedures.à Neuro-physiological work has shown if subjects are asked to imagine pain increasing or decreasing, the anterior cingulate cortex which registers pain changes accordingly whereas the somatosensory area which registers the sensory component, is unchanged [6] Rainville et al 1997.à Differing from these results studies have also shown that highly susceptible subjects who can relieve themselves from all perception of pain appear to be able to diminish the sensory component by absorbing themselves in some other cognitive activity.à [7] Crawford, 1994.à The other main way these techniques can benefit patients is through the reduction in anxiety throughout many procedures.à Described below are some of the many procedures where hypno-psychotherapy techniques are applied in medicine and dentistry. à 7.1 Treatment in surgery: Uncomfortable minor surgical procedures where pain releif can be aided through hypnotherapeutic techniques include injections, blood taking, stitching and their removal, opthalmic surgery, dressing of burns, removal of drain tubes and many more.à Entire operations have been reported where hypnosis was the only method of analgesia, however, the main use is in facilitating major surgery and general anaesthesia.à Applications include relaxing the patient in the preoperative period, thus reducing preoperative sedation, muscle relaxants, and general anaestetic requirements and facilitating intubation. [9] Kessler, 1997.à Also with the use of positive suggestion the patient is instilled with thoughts of a successful outcome leading to reduction in post-operative pain and anxiety and need for chemical pain relief. Techniques have also been successful for the control of blood loss.à There are many metaphors which can be used for this, for example, blood vessels being tied with a ââ¬Ëmagic threadââ¬â¢. 7.2 Treatment for cancer patients:à There are many ways in which Hypno-psychotherapy techniques can help cancer patients.à General relaxation, the control of negative emotions and the sense of control over the disease can be achieved using techniques such as self hypnosis and ego strengthening.à Chemotherapy and radiotherapy can often take several months before completion of treatment, by enhancing future rehearsal the therapist can replace the any negative thoughts about their illness with a positive future outlook of their lifestyle.à Similar to its use in general surgery, techniques can be used to alter the patients state of mind pre and post-operatively and help with pain relief. 7.3 Treatment in obstetrics and gynaecology:à Hypno-psychotherapy techniques can be used before pregnancy using relaxation techniques to help with infertility treatment, during pregnancy using ego-strengthening, self hypnosis, imagery and relaxation to help with morning sickness, hypertension and premature labour or miscarriage caused by anxiety, and after pregnancy to help with bonding with the baby and post natal depression. Anxiety during pregnancy can affect blood flow and fetal stress and can lead to complications such as pre-eclampsia, forceps delivery, prolonged labour, clinical fetal distress and primary postpartum hemorrhage [10] Crandon 1979.à It is not only reducing stress and anxiety however which can help during pregnancy, analgesia in childbirth using hypnotherapy can be used which reduces and can sometimes even remove the need for chemical analgesia and other medication which can be potentially harmfull to both mother and baby.à Methods which can be used are ââ¬Ëhand analgesiaââ¬â¢, the use of imagery, or dissociation which has been previously mentioned in section 6.à Some painful gynaecological conditions may also be helped by hypnotic pain management techniques such as dysmenorrhoea, endometriosis, vulvodynia and idiopathic pelvic pains. 7.4 Treatment in dentistry:à Hypnosis has been used in the dental industry as far back as the 19th century when John Elliotson (section 3.1) used mesmeric passes for analgesia for many surgical procedures.à As mentioned earlier pain management and reduction of anxiety are the main advantages to using these techniques, however in dentistry the treatment of anxiety is extremely important.à This is one of the main problems in dental surgery and not surprisingly one adult in three has a moderate to severe fear of dental procedures [11] British Dental Association 1995. Techniques commonly used by dentists are relaxation (combined with anchoring), imagery, distraction, ego-strengthening and in some cases self hypnosis to aid future treatments.à Hypnoanalgesia can be achieved similar to the way it can in childbirth by using the hand analgesia technique (section 6.5) where this can not only be successful giving a numbing sensation in the required area but can also demonstrate to the patient that the technique works, which will in turn leave them more open to suggestion.à Desensitisation (MAKE SURE ITS IN!!) can also be extremely successful if used building up to the treatment.à Control of bleeding can sometimes be achieved by direct suggestions of ââ¬Ëless bleedingââ¬â¢ or ââ¬Ëthe ice cold sensation is consticting blood vesselsââ¬â¢.à The most important technique to include in hypnosis and dental surgery is to give the patient control over the treatment they are being given and this can be achieved by using a signal such as rai sing the hand or finger similar to the ideomotor response mentioned in section 6, so the patient can stop the procedure immediately if need be.à Dental phobias can often stem from a bad experience in the dental surgery [12] Ãâ"st 1985, or from hearing horror stories as children, or from deeper routed experiences where psychodynamic approaches can be of great use. 8-Conclusion à 8.1 Modern day acceptability:à In 1955, the Brittish Medical Association was sufficiently interested in hypnosis to set up an enquiry, the second one in its history (the first being in 1892), which reported favourably on hypnosis as a therapeutic medium, even recommending that hypnosis should be taught at medical schools and on courses for psychiatrists, and possibly anaesthetists and obstetricians [5] John Hartland, 2002.à This was followed in 1958 by the American Psychological Association forming a specialty in hypnosis and establishing a certifying board of examiners in both clinical and experimental hypnosis.à At a formal meeting of the American Medical Association (AMA) in 1959, hypnosis was granted official status of an adjunctive tool.à Also, in 1961, the AMA recommended that medical professionals receive 144 hours of training in hypnotherapy.à Hypnosis has become represented by numerous professional organizations and leading national and international journals have been established for publishi ng research. A committee commissioned by the British Medical Association formally concluded that: In addition to the treatment of psychiatric disabilities, there is a place for hypnotism in the production of anaesthesia or analgesia for surgical and dental operations, and in suitable subjects it is an effective method of relieving pain in childbirth without altering the normal course of labour. [17] (BMA, Medical use of hypnotismââ¬â¢, BMJ, 1955, vol. I, 190-193) 8.2 Advantages and disadvantages:à 8.3 Future possibilities:à For conclusion see page 363 in Hartland. For advantages and disadvantages see pages 390-391.à Also the case study on page 403. Reference: 1. Mesmer, Franz (1980). Mesmerism. Los Altos: W. Kaufman 2. British Medical Surgical Journal (1846)35:à Page 542. 3. Bramwell (1910) Hypnotism and treatment by suggestion.à Page 203. 4. Watson, J B (1931) Behaviourism.à London:à Kegan Paul.à Page 104. 5. Hartland, John (2002) Hartlandââ¬â¢s Medical and Dental Hypnosis. à Fourth edition. Page 14. 6. Rainville P, Duncan G H, Price D D et al (1997) affect encoded in human anterior cingulated but not somatosensory cortex.à Science 277:à Pages 968-971. 7.à Crawford H J (1994) Brain dynamics and hypnosis:à Attentional and disattentional processes.à International Journal of Clinical and Experimental Hypnosis 42:à Pages 204-232. 8.à John (2002) Hartlandââ¬â¢s Medical and Dental Hypnosis. à Fourth edition. Page 61. 9.à Kessler R (1997) The consequences of individual differences in preparation for surgery and invasive medical procedures.à Hypnosis:à Swedish Journal for Hypnosis in Psychotherapy and Psychodynamic Disorders 24:à Pages 181-192. 10.à Crandon A (1979)à Maternal anxiety and obstetric complications.à Journal of Psychosomatic Research 23:à Pagesà 109-111 11.à British Dental Association 1995 Dental Phobia.à Fact File, June.à British Dental Association, 64 Wimpole Street, London WIM 8A. 12.à Ãâ"st L G 1985 Mode of acquisition of phobias.à Acta Universitatis Uppsaliensis (Abstracts of Uppsala Dissertations from the Faculty of Medicine) 529: 1-45 13.à John (2002) Hartlandââ¬â¢s Medical and Dental Hypnosis. à Fourth edition. Page 84. 14.à Carter R (1998) Mapping The Mind. Phoenix. London. Page 318. 15.à Croft, R.J., Williams, J.D., Haenschel, C. and Gruzelier, J.H.,(2002) Pain perception, hypnosis and 40 Hz oscillations.à International journal of Psychophysiology.à Vol. 46 Issue 2.à Pages 101-108. 16.à Shapiro (1964) Page 134à xxxxxxxxxxxxxxx get proper ref off diss by Karen H!! 17.à BMA, Medical use of hypnotism, BMJ, 1955, vol. I.à Pages 190-193.
Monday, October 21, 2019
Economic Reasons for Legalizing Marijuana
Economic Reasons for Legalizing Marijuana The war on drugs- no matter how you feel about it- is undoubtedly expensive. A great deal of resources go into catching those who buy and sell illegal drugs, prosecuting them in court, and housing them in jail. Critics of the war on drugs believe these costs are especially exorbitant when it comes to marijuana, a substance that is widely used and, according to numerous scientists, no more harmful than legal drugs such as tobacco and alcohol. Theres another cost to the war on drugs, too- the revenue lost by governments that cannot collect taxes on the sale of illegal drugs. In a 2010 study for the Fraser Institute, economist Stephen T. Easton attempted to calculate how much tax revenue the Canadian government could gain by legalizing marijuana. In 2018, for many of the reasons Easton outlined in his study, Canada passed the Cannabis Act, which legalized the adult use of recreational marijuana. Revenue From Marijuana Sales Eastons study estimated that the average price of 0.5 grams (a unit) of marijuana sold for $8.60 on the black market, while its cost of production was only $1.70. In a free market, a $6.90 profit for a unit of marijuana would not last for long. Entrepreneurs noticing the great profits to be made in the marijuana market would start their own grow operations, increasing the supply of marijuana, which would cause the street price of the drug to fall to a level much closer to the cost of production. Of course, this doesnt happen because the product is illegal; the prospect of jail time deters many entrepreneurs and the occasional drug bust ensures that the supply stays relatively low. We can consider much of this $6.90 per unit of marijuana profit a risk-premium for participating in the underground economy. Before Canada legalized cannabis, this risk premium was making a lot of criminals, many of whom had ties to organized crime, very wealthy. Marijuana Taxes Easton argued that if marijuana were legalized, the excess profits produced by the risk-premium could be transferred to the government: If we substitute a tax on marijuana cigarettes equal to the difference between the local production cost and the street price people currently paythat is, transfer the revenue from the current producers and marketers (many of whom work with organized crime) to the government, leaving all other marketing and transportation issues aside we would have revenue of (say) $7 per [unit]. If you could collect on every cigarette and ignore the transportation, marketing, and advertising costs, this comes to over $2 billion on Canadian sales and substantially more from an export tax, and you forego the costs of enforcement and deploy your policing assets elsewhere. Supply and Demand One interesting thing to note from such a scheme is that the street price of marijuana stays exactly the same, so the quantity demanded should remain the same as the price is unchanged. However, its quite likely, in places where cannabis use is currently criminalized, that legalization would change the demand for marijuana. We saw that there was a risk in illegally selling marijuana, but since drug laws often target both the buyer and the seller, there is also a risk (albeit smaller) to the consumer interested in buying marijuana. Legalization would eliminate this risk, causing the demand to rise. From a public policy standpoint, this is a mixed bag: Increased marijuana use can have ill effects on the health of the population, but the increased sales bring in more revenue for the government. By legalizing marijuana, governments can have some control over how much marijuana is consumed by increasing or decreasing taxes on the product. There is a limit to this, however, as setting taxes too high will cause marijuana growers to sell on the black market to avoid excessive taxation. When considering legalizing marijuana, there are many economic, health, and social issues to analyze. Although one economic study should not be the basis for a countrys public policy decisions, Eastons research does conclusively show that there are economic benefits to the legalization of marijuana. With governments scrambling to find new sources of revenue to pay for important social objectives such as health care and education, you can expect to see more leaders exploring the idea of legalization.
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