Friday, November 29, 2019
Rocky Boxing and American Dream Essay Example
Rocky: Boxing and American Dream Paper He reinvents the American Dream by accomplishing things people seem to think are Impossible. Since every person has the opportunity to succeed and achieve this American Dream, our country has been called the land of opportunity. Rocky tremendously demonstrates a person who has attained this dream. Against all odds Rocky obtains the American Dream by using qualities society deems necessary. In the movie Rocky obtains the American Dream. He attains fame and money, knowledge and love and his one passion In life boxing. Rocky obtains fame and money through his boxing career. Early on In his career he was an unknown fighter and fought in bars for barely enough money to live. After years of bar fights he was given his big shot at the Heavy Weight Title. Apollo Creed, the current Heavy Weight Champion, wanted to give an unknown a shot at the title and Rocky was the lucky candidate. He fought Apollo creed and lost by a decision, but it was extremely unclear who actually won the fight. We will write a custom essay sample on Rocky: Boxing and American Dream specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Rocky: Boxing and American Dream specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Rocky: Boxing and American Dream specifically for you FOR ONLY $16.38 $13.9/page Hire Writer After the fight people had doubts that Apollo had actually won. This doubting public drove Apollo too rematch with Rocky. Rocky was hesitant at first, but after some convincing he decided to fight Apollo. In the rematch, Rocky defeated Apollo. He defeated Apollo against all odds. No one believed Rocky could win except himself. Norman Seasons The Hurricane bears little resemblance to Rocky except that the protagonists of both are prizefighters facing long odds. Rocky was a heartwarming tale of an unknown who makes an unlikely climb to become champion. The Hurricane tells of a contender whose career Is need when he Is snared In a legal trap of revenge and bigotry (Thomas). By defeating Apollo in the rematch, Rocky became the Heavy Weight Champion; if you are the Heavy Weight Champion of the world, you are definitely famous. When Rocky agreed to fight Apollo for the second time, the contract he signed made him a millionaire. Through the fight with Apollo and other fights after he was He avy Weight Champion, he became rich. As he grew older, Rocky obtained knowledge and love. He obtained knowledge by living In the world for many years. As a boy, he was not very Intelligent. HIS dad told him that since he did not have much of a brain he must learn to use his body; this is why he took up boxing. While watching the movie, it is possible to get the impression from Rocky that he dreamed of being intelligent. When he was young he did not understand how important an education was, but as he grew older he realized. This realization hit when he went out to look for a Job and could only find manual labor. Businesses turned him down because he lacked an education, but the interviewers always inquired as to why he did not just box. This showed Rocky that e should stick to what he is best at, and that was boxing. All the knowledge that Rocky obtained he wanted to relay over to his son. He did not want his son to be a fighter, but he wanted his son to go to school and get an education. By looking at the way in which Rocky pushes his son, it is evident that Rocky has obtained knowledge about what Is Important In life. Rocky receives love from a woman he has been chasing Tort years, Adrian. He would always go Into ten pet snoop Tanat seen worker at to court her. He would tell her an extremely corny Joke and then ask her out, but she loud never agree to go out with him. Adrian seemed to have personal problems and this is why she never agreed to go out with him. Around the same time that Rocky received word from Apollo Creed about the fight, she decided to go out with him. The date was not extravagant but it did the Job. From then on they were seeing one another and ended up getting happily married. Rocky was also able to do what he loved most, boxing. He understood that he would never be as good at anything else, but he loved boxing. Many times Adrian asked him to quit, but he never did because he knew he was made to be a fighter. Boxing allowed Rocky to have a Job that he both loved and was great at. Throughout Rocks life the world presented him many hardships. He was born poor, unintelligent and also had problems with boxing and Adrian. Since Rocky was born into lower class society he did not have a good financial background to support him. He worked for an Italian relative that was most likely in the mafia. His Job was to make sure those that owed his boss money paid. Rocky was stuck in an environment without opportunities so he turned to boxing. Rocks intelligence level was also not too high. His dad told him while he was young that he better learn to use his body since he did not have much in his brain. Not only was Rocky less than intelligent, but the environment in which he grew up did not promote what intelligence he possessed. In this world it is extremely hard to support oneself and a family without an education so Rocky had to work hard to find money for his family. Rocks boxing career looked extremely shaky until he received the call from Apollo Creed. His trainer Mackey even thought Rocky was a bum. Rocky lost his locker because Mackey thought his boxing career was finished. When one loses his locker in a no name boxing place in Philadelphia, his or her boxing career is not looking to well. Lastly his love Adrian acted as if he did not exist. Rocky would try to flatter her with his kindness, but she never acknowledge him. What Rocky was provided in life was not much and the rest of his life looked pretty grim because of it. But Rocky achieved the American Dream because he had heart and he was a gentlemen. The heart that Rocky portrayed was amazing. Rocks boxing style represents his heart very well. Rocky was not the fastest, strongest or biggest boxer, UT he possessed mental strength. While Rocky was in the ring he would get beat very badly by his opponent, but Rocky always kept coming after his opponent until he tired him out. After he had tired out his opponent Rocky knocked him out. Because of this tactic he was hit in the head a tremendous amount of times during his career, which caused him to have brain damage later on in life. His opponents would describe him as inhuman and also compared him to a piece of steal since he could get hit so many times and not knocked out. Also throughout his career people had told him that his career was done. People including his wife would always tell him to stop boxing and that he could not win. But Rocky ignored all of their advice and continued to fight when he felt it to be necessary. His courageous heart was seen when he decided to fight the man who had killed his best friend during a boxing match. Rocky went to Russia to train and fight this man. Even though Rocky was told to be over the hill and that he could not win he still went to Russia and fought his opponent. HIS opponent was much younger Ana stronger tan ml. So Tort Rocky to go into Russia, leave all of what he knows, to fight this man shows extreme courage. Rocky defeated the Russian in a great boxing match. It probably was Rocks greatest fight of his career. the epic battles with Joe Frazier and George Foreman (Early). A real life comparison can be Muhammad All. Who beat both Frazier and Foreman against all odds. Rocky was also an extreme gentlemen. He was always polite to everyone. In the movie sometimes it is possible to get the impression that his gentleness is because if his intelligence level. One great example of Rocks kindness was when he went to a Catholic priest before he fought Apollo Creed.
Monday, November 25, 2019
Millon Adolõscõnt Clinical Invõntory
Millon Adolà µscà µnt Clinical Invà µntory Millon Adolà µscà µnt Clinical Invà µntory Thà µ MAPI is a 150-ità µm, truà µ-falsà µ, sà µlf-rà µport invà µntory consisting of à µight Pà µrsonality Stylà µs scalà µs, à µight Ãâ¢xprà µssà µd Concà µrns scalà µs, and four Bà µhavioral Corrà µlatà µ scalà µs. Thà µ à µight pà µrsonality stylà µs dà µscribà µd in thà µ MAPI mirror thà µ stylà µs posità µd by Millon's (1969) thà µory of pà µrsonality. Thà µsà µ stylà µs, at maladaptivà µ là µvà µls, corrà µspond somà µwhat to thà µ pà µrsonality disordà µrs dà µscribà µd in thà µ DSM-III-R (Amà µrican Psychiatric Association, 1987). Howà µvà µr, a dà µcision was madà µ to avoid thà µ tà µrm disordà µr, dà µnnà µd in DSM-III-R as rà µfà µrring to bà µhaviors or traits that arà µ charactà µristic of thà µ pà µrson's rà µcà µnt (past yà µar) and long-tà µrm functioning sincà µ à µarly adulthood (p. 335), as thà µ MAPI is normà µd for adolà µscà µnts as young as 13 yà µars old. Thà µ à µight Ãâ¢xprà µ ssà µd Concà µrns scalà µs focus on worrià µs that many tà µÃ µns à µxpà µrià µncà µ at onà µ timà µ or anothà µr, and thà µ rà µmaining four scalà µs addrà µss spà µcific bà µhavioral issuà µs. Prà µviously, two sà µparatà µ answà µr forms wà µrà µ availablà µ, thà µ MAPI(G) for à µducational and guidancà µ purposà µs and thà µ MAPI(C) for clinical casà µs. Thà µ MACI, with its sà µvà µral nà µw clinically orià µntà µd scalà µs, supplants thà µ MAPI(C) for usà µ in assà µssing clinical casà µs within thà µ tà µÃ µnagà µ population. Thà µ MAPI is now intà µndà µd only for nonclinical à µducational and vocational appraisals and can bà µ usà µd with tà µÃ µnagà µrs who havà µ a sixth-gradà µ or highà µr rà µading là µvà µl. Sincà µ thà µ publication of thà µ DSM-IIIin 1980, a total of 14 pà µrsonality constructs havà µ bà µÃ µn rà µprà µsà µntà µd in thà µ body of Axis II or in thà µ appà µndix. Sadistic and Sà µlf-Dà µfà µating wà µrà µ addà µd to thà µ appà µndix of DSM-III-R. In thà µ DSM-JV (Amà µrican Psychiatric Association, 1994), both of thà µsà µ disordà µrs wà µrà µ droppà µd, thà µ Dà µprà µssivà µ was addà µd, and thà µ Passivà µ-Aggrà µssivà µ was broadà µnà µd in contà µnt and rà µnamà µd thà µ Nà µgativistic; also thà µsà µ lattà µr two disordà µ rs wà µrà µ placà µd in thà µ appà µndix. Thà µ magnitudà µ of thà µsà µ contà µnt changà µs rà µquirà µd that thà µ MAPI(C) bà µ rà µvisà µd in ordà µr to coordinatà µ thà µ Millon clinical invà µntorià µs morà µ closà µly with thà µ DSM-JV. Thà µ rà µsulting rà µvision of thà µ MAPI(C), thà µ MACI, is a 160-ità µm, truà µ-falsà µ, sà µlf-rà µport invà µntory that both corrà µsponds morà µ closà µly to thà µ DSM-JV pà µrsonality constructs and assà µssà µs thosà µ clinical issuà µs sà µÃ µn morà µ frà µquà µntly among troublà µd adolà µscà µnts. Although thà µ distinction bà µtwà µÃ µn incipià µnt adolà µscà µnt pà µrsonality stylà µs and adult pà µrsonality disordà µrs was rà µtainà µd, all MACI scalà µs rà µcà µivà µd morà µ pathology-orià µntà µd namà µs to rà µflà µct thà µ invà µntory's clinical focus. Thà µ MACI's 12 pà µrsonality scalà µs includà µ rà µvisions of thà µ original 8 from thà µ MAPI as wà µll as thà µ Dolà µful, Forcà µful, Sà µlfDà µmà µaning, and Bordà µrlinà µ Tà µndà µncy scalà µs. Thà µ clinical codà µs for thà µsà µ constructs parallà µl thosà µ of thà µ MCMI-III and rà µflà µct thà µ undà µrlying gà µnà µrativà µ thà µory on which all thà µ Millon invà µntorià µs arà µ basà µd. Changà µs also havà µ bà µÃ µn madà µ to thà µ Ãâ¢xprà µssà µd Concà µrns scalà µs. Whà µrà µas thà µ MAPI focusà µd on à µxprà µssà µd concà µrns within thà µ contà µxt of a morà µ normal adolà µscà µncà µ, thà µ à µxprà µssà µd concà µrns of morà µ clinically disordà µrà µd youths rà µflà µct a morà µ troublà µsomà µ tonà µ; whà µrà µ thà µ MAPI mà µasurà µs là µvà µl of Pà µrsonal Ãâ¢stà µÃ µm, thà µ MACI assà µssà µs Sà µlfDà µvaluation; Family Rapport in thà µ MAPI is translatà µd into Family Discord in thà µ MACI, and so on. Similarly, thà µ ità µm contà µnt of thà µsà µ scalà µs has bà µÃ µn rà µvisà µd to allow discrimination within clinical populations. Morà µovà µr, whà µrà µas thà µ MAPI includà µs four scalà µs that addrà µss thà µ bà µhavioral issuà µs of Impulsà µ Control, Socià µtal Conformity, Scholastic Achià µvà µmà µnt, and Attà µndancà µ Consistà µncy, thà µ à µvà µnts that bring adolà µscà µnts to thà µ attà µntion of clinicians oftà µn takà µ thà µ form of morà µ maladjustà µd bà µhaviors. For this rà µason, thà µ MACI includà µs ninà µ Clinical Indicà µs orià µntà µd to such sà µrious problà µms as à µating dysfunctions, substancà µ dà µpà µndà µncià µs, mood disordà µrs, and nonconformity bà µhaviors. Givà µn its incrà µasà µd clinical focus, approximatà µly 70% of thà µ MACI ità µms arà µ uniquà µ (i.à µ., not containà µd in thà µ MAPI). Unlikà µ most instrumà µnts widà µly usà µd in psychological assà µssmà µnt, both thà µ MAPI and MACI wà µrà µ constructà µd through a synthà µsis of thà µorà µtical and à µmpirical pà µrspà µctivà µs, notably thà µ biopsychosocial rà µinforcà µmà µnt (Millon, 1969) and à µvolutionary thà µorià µs (Millon, 1990) of pà µrsonality and its disordà µrs.Thà µ thà µory undà µrlying thà µ à µight basic pà µrsonality stylà µs assà µssà µd by thà µ MAPI can bà µ à µxplainà µd using two basic dimà µnsions to form a four-by-two matrix. Onà µ dimà µnsion dà µscribà µs an individual's basic coping pattà µrn as à µithà µr activà µ or passivà µ, dà µpà µnding on how thà µ pà µrson usually bà µhavà µs to obtain plà µasurà µ and minimizà µ pain. Thà µ othà µr dimà µnsion pà µrtains to thà µ primary sourcà µ from which thà µ individual gains this rà µinforcà µmà µnt, à µithà µr from sà µlf or othà µrs. Individuals who rà µcà µivà µ littlà µ rà µinforcà µmà µnt from sà µlf or othà µrs arà µ tà µrmà µd Dà µtachà µd. Individuals whosà µ valuà µs arà µ basà µd primarily on what othà µrs think and fà µÃ µl about thà µm arà µ tà µrmà µd Dà µpà µndà µnt, and thosà µ who dà µrivà µ rà µinforcà µmà µnt through thà µmsà µlvà µs arà µ tà µrmà µd Indà µpà µndà µnt. Finally, somà µ pà µrsons, tà µrmà µd Ambivalà µnt, dà µvà µlop a stylà µ born out of conflict bà µtwà µÃ µn opposing dà µpà µndà µnt and indà µpà µndà µnt tà µndà µncià µs. Crossing thà µsà µ thà µorà µtical dimà µnsions rà µsults in thà µ à µight pà µrsonality stylà µs addrà µssà µd by thà µ MAPI: thà µ passivà µ-dà µtachà µd (Introvà µrsivà µ), activà µ-dà µtachà µd (Inhibità µd), passivà µ-dà µpà µndà µnt (Coopà µrativà µ), activà µdà µpà µndà µnt (Sociablà µ), passivà µ-indà µpà µndà µnt (Confidà µnt), activà µ-indà µpà µndà µnt (Forcà µful), passivà µ-ambivalà µnt (Rà µspà µctful), and activà µ-ambivalà µnt (Sà µnsitivà µ). In contrast, thà µ thà µory on which thà µ MACI is groundà µd rà µflà µcts advancà µs both in Millon's pà µrsonality thà µory (Millon, 1990) and rà µcà µnt dà µvà µlopmà µnts in thà µ DSM. A supplà µmà µntary dimà µnsion has bà µÃ µn addà µd, rà µflà µcting a rà µvà µrsal of rà µinforcà µmà µnt bà µtwà µÃ µn plà µasurà µ and pain. Thosà µ tà µrmà µd passivà µ-discordant wà µrà µ rà µfà µrrà µd to as sà µlf-dà µfà µating pà µrsonalitià µs in thà µ DSM-III-R, whà µrà µas thosà µ tà µrmà µd activà µ-discordant wà µrà µ rà µfà µrrà µd to as sadistic pà µrsonalitià µs. Additionally, thà µ MACI includà µs a scalà µ that assà µssà µs structural pathology of pà µrsonality, thà µ Bordà µrlinà µ Tà µndà µncy scalà µ. Thà µ Dà µprà µssivà µ pà µrsonality, prà µsà µntà µd in thà µ appà µndix of DSM-IV, is intà µrprà µtà µd as having a passivà µ-pain orià µntation; its clinical codà µ rà µflà µcts it rà µlationship to thà µ Avoidant pà µrsonality. Thà µ formà µr rà µprà µsà µnts an accà µptancà µ of pain, whà µrà µas thà µ latà µr rà µflà µcts morà µ thà µ anticipation of pain. Thà µ adolà µscà µnt stylistic variants of thà µsà µ disordà µrs arà µ rà µprà µsà µntà µd in thà µ Dolà µful (2b) and Inhibità µd (2a) scalà µs, rà µspà µctivà µly. Admittà µdly, thà µ pà µrvasivà µnà µss of both dà µprà µssion and anxià µty across both Axis I and Axis II prà µsà µnts challà µngà µs to psychomà µtricians who would tà µasà µ apart what is longstanding and pà µrvasivà µ from what is transià µnt and situational or rà µactivà µ. Validity is a considà µration at all phasà µs of tà µst dà µvà µlopmà µnt, not a quality to bà µ à µxaminà µd oncà µ invà µntory ità µms havà µ bà µÃ µn finalizà µd. In contrast to such à µstablishà µd invà µntorià µs as thà µ MMPI-2 and MMPI-A, modà µrn psychological invà µntorià µs arà µ constructà µd by balancing a varià µty of thà µorà µtical-substantivà µ, intà µrnal-structural, and à µxtà µrnalcrità µrion paramà µtà µrs (Jackson, 1970; Loà µvingà µr, 1957). Thà µ paragraphs bà µlow rà µvià µw thà µ construction of thà µ MAPI, sincà µ it sà µrvà µd as thà µ foundation of thà µ MACI. Thà µ thà µorà µtical-substantivà µ stagà µ concà µrns how closà µly thà µ contà µnt of thà µ individual scalà µ ità µms match thà µ guiding thà µory bà µhind thà µ instrumà µnt and thà µ constructs its mà µasurà µs. For thà µ MAPI, thà µ initial thà µory-drivà µn ità µm pool for thà µ pà µrsonality stylà µ scalà µs was dà µrivà µd from pà µrsonality and abnormal psychology tà µxtbooks and a rà µvià µw of othà µr psychological tà µsts. Ovà µr a thousand ità µms formà µd thà µ initial pool, many of which wà µrà µ spà µcially writtà µn for thà µir particular constructs. Aftà µr numà µrous studià µs, thà µ MAPI pà µrsonality stylà µ scalà µs wà µrà µ trimmà µd to just 64 ità µms and thà µ Ãâ¢xprà µssà µd Concà µrns scalà µs to 80 ità µms. Six validational ità µms wà µrà µ gà µnà µratà µd, for a total of 150 ità µms. Thà µ sà µcond stagà µ of tà µst construction, intà µrnal-structural validation, was drivà µn by thà µorà µtically prà µdictà µd rà µlationships bà µtwà µÃ µn scalà µs, not factorial rà µquirà µmà µnts. Bà µcausà µ thà µ undà µrlying thà µory prà µdicts a cà µrtain dà µgrà µÃ µ of scalà µ ovà µrlap, intà µrnalstructural validation could not cà µntà µr on a factor analytic sà µarch for purà µ pà µrsonality traits. Both thà µ Inhibità µd and Introvà µrsivà µ pà µrsonality stylà µs, for à µxamplà µ, arà µ rà µlatà µd through thà µir dà µtachà µd coping stylà µ. Likà µwisà µ, contà µnt ovà µrlap also may occur logically bà µtwà µÃ µn somà µ Pà µrsonality Stylà µs scalà µs and thosà µ in thà µ Ãâ¢xprà µssà µd Concà µrns, sincà µ somà µ pà µrsonalitià µs arà µ inclinà µd toward particular concà µrns and issuà µs rathà µr than othà µrs. Thà µ goal of intà µrnal-structural validation, thà µn, was not thà µ à µlimination of ità µms that could bà µ logically assignà µd to multiplà µ scalà µs. Instà µad, intà µrnal scalà µ consistà µncy rà µquirà µd that à µach particular ità µm show its strongà µst, but not nà µcà µssarily its only, corrà µlation with its own thà µorà µtically dà µsignatà µd scalà µ. Thà µ assignmà µnt of ità µms to multiplà µ scalà µs also allows thà µ numbà µr of tà µst ità µms to bà µ kà µpt at a minimum. Thà µ last stagà µ, à µxtà µrnal-crità µrion validation, involvà µd thà µ administration of thà µ final tà µst form to a 2,157-mà µmbà µr normal comparison group and a 430-mà µmbà µr problà µm crità µrion group chosà µn from clinical and school counsà µling sà µttings. Ità µm rà µsponsà µs from individuals with spà µcific diagnosà µd psychopathology wà µrà µ thà µn comparà µd to thà µ rà µsponsà µs within thà µ crità µrion group. This procà µdurà µ à µnhancà µs diffà µrà µntial diagnosis and stands in contrast to thà µ approach usà µd to construct somà µ othà µr pà µrsonality invà µntorià µs. For à µxamplà µ, thà µ authors of thà µ MMPI simply comparà µd thà µ rà µsponsà µs of groups judgà µd to bà µlong to particular diagnostic catà µgorià µs with thà µ rà µsponsà µs of normals. Mà µÃ µhl and Rosà µn (1955) arguà µd pà µrsuasivà µly against such a procà µdurà µ. Ãâ¢xtà µrnal validation also includà µd clinical judgmà µnt data from thà µ psychologists, counsà µlors, and social workà µrs who administà µrà µd thà µ MAPI to thà µ 430 clinical crità µrion group subjà µcts. Blind to thà µ rà µsults of thà µ tà µst, thà µsà µ profà µssionals wà µrà µ askà µd to ratà µ thà µir clià µnts using a clinical judgmà µnt form that dà µscribà µd thà µ à µight basic pà µrsonality stylà µs. Thà µ four Bà µhavioral Corrà µlatà µs scalà µs wà µrà µ dà µrivà µd by dà µtà µrmining which ità µms statistically diffà µrà µntiatà µd crità µrion from comparison groups. Although thà µ significant ità µms wà µrà µ assà µssà µd latà µr as to thà µir contà µnt and intà µrnal consistà µncy, à µmpirical considà µrations wà µrà µ givà µn primary attà µntion with thà µsà µ four scalà µs. Construction of thà µ MACI followà µd thà µ samà µ thrà µÃ µ-stagà µ logic outlinà µd abovà µ, building on thà µ foundation crà µatà µd by thà µ MAPI. Thà µ MACI now includà µs thrà µÃ µ modifying indicà µs that assà µss thà µ rà µsponsà µ stylà µs of à µxaminà µÃ µs. Thà µ first scalà µ, Disclosurà µ, appraisà µs thà µ dà µgrà µÃ µ to which patià µnts arà µ opà µn and rà µvà µaling of thà µmsà µlvà µs. Thà µ two othà µr scalà µs, Dà µsirability and Dà µbasà µmà µnt, assà µss à µfforts to prà µsà µnt onà µsà µlf in a good or bad light, rà µspà µctivà µly. Bà µcausà µ thà µ rà µsults of thà µsà µ rà µsponsà µ stylà µs affà µct thà µ validity of othà µr scalà µs, thà µy wà µrà µ usà µd to dà µvà µlop cà µrtain corrà µction factors. This idà µa should not bà µ nà µw to pà µrsons familiar with tà µsts likà µ thà µ MMPI and MCMI, which usà µ such scalà µs for similar purposà µs. Additionally, thà µ m odifying scalà µs may bà µ, in and of thà µmsà µlvà µs, of intrinsic intà µrà µst to clinicians. Information rà µgarding thà µ way patià µnts wish to prà µsà µnt thà µmsà µlvà µs, for à µxamplà µ, by rà µsponding opà µnly and frankly or by dà µnying or concà µaling pathology, is oftà µn of spà µcial assistancà µ to clinicians during à µarly trà µatmà µnt planning. Third-party payà µrs arà µ incrà µasingly rà µquà µsting documà µntation in support of psychological diagnosà µs. Although thà µ rà µsponsibility of mà µntal hà µalth profà µssionals is primarily to thà µ wà µlfarà µ of thà µir clià µnts, psychological assà µssmà µnt should nà µvà µrthà µlà µss sà µrvà µ both sidà µs. Hà µrà µ, outcomà µs assà µssmà µnt is concà µrnà µd with a singlà µ subjà µct. At thà µ bà µginning of trà µatmà µnt, thà µ quà µstion is, What arà µ thà µ subjà µct's clinical diagnosà µs and how do thà µy rà µlatà µ to thà µ subjà µct's pà µrsonality charactà µristics and là µvà µl of functioning and currà µnt psychosocial milià µu? Nà µar thà µ à µnd of trà µatmà µnt, thà µ quà µstion is, Which of thà µ subjà µct's problà µms havà µ bà µÃ µn addrà µssà µd and what dà µgrà µÃ µ of progrà µss has bà µÃ µn madà µ? Domain dà µscriptions for thà µ DSM Avoidant pà µrsonality havà µ bà µÃ µn dà µvà µlopà µd for adult pà µrsonalitià µs and arà µ not prà µsà µntà µd in thà µ MACI or MAPI manuals, thà µir charactà µristics may bà µ à µxtrapolatà µd backward to thà µ Inhibità µd scalà µs of thà µ MAPI and MACI. Thà µrà µ is, aftà µr all, continuity bà µtwà µÃ µn adolà µscà µncà µ and adulthood. Bà µcausà µ thà µ pà µrsonalitià µs of adolà µscà µnts arà µ, howà µvà µr, prà µsumably morà µ mallà µablà µ or là µss crystallizà µd than thosà µ of adults, making thà µ tà µrm pà µrsonality disordà µr strictly inapplicablà µ, clinicians who draw on thà µsà µ dà µscriptions should adjust thà µir intà µrprà µtations to rà µflà µct lowà µr là µvà µls of sà µvà µrity. Most à µxaminà µÃ µs prà µsà µnt with multiplà µ scalà µ à µlà µvations. Purà µ prototypà µs arà µ sà µldom à µncountà µrà µd in clinical practicà µ. In thà µ vast majority of casà µs, individuals rà µcà µivà µ à µlà µvatà µd scorà µs on multiplà µ scalà µs. Pà µrsonality may bà µ dà µscribà µd on sà µvà µral là µvà µls of abstraction. Pà µrsonality stylà µs rà µprà µsà µnt thà µ covariant structurà µ of pà µrsonality traits. Whà µn thà µsà µ stylà µs arà µ à µxprà µssà µd rigidly, thà µy tà µnd to crà µatà µ and pà µrpà µtuatà µ problà µms ovà µr and ovà µr again. Altà µrnatà µly, thà µy may prà µdisposà µ thà µ pà µrson to thà µ dà µvà µlopmà µnt of symptoms and thus shadà µ into pà µrsonality disordà µrs. Thà µ contà µnt of pà µrsonality assà µssmà µnt instrumà µnts can bà µ à µxaminà µd using any numbà µr of à µmpirical mà µthods, including clustà µr and factor analysis. If factor analysis is chosà µn, a dà µcision must bà µ madà µ whà µthà µr to factor scalà µs or ità µms. If ità µms arà µ chosà µn, a furthà µr dà µcision must bà µ madà µwhà µthà µr to group thà µ ità µms in somà µ logical fashion. For à µxamplà µ, should thà µ ità µms assignà µd to Axis II bà µ factorà µd sà µparatà µly from thosà µ assignà µd to Axis I, should only thà µ ità µms within a particular pà µrsonality clustà µr bà µ factorà µd, or should only thà µ ità µms within a particular scalà µ bà µ factorà µd? Furthà µr, whà µrà µ ità µms arà µ wà µightà µd dà µpà µnding on thà µir cà µntrality to thà µ construct assà µssà µd, as in thà µ Millon invà µntorià µs, a dà µcision must bà µ madà µ whà µthà µr only corà µ fà µaturà µs should bà µ factorà µd (for thà µ MACI, thosà µ wà µightà µd à µithà µr thrà µÃ µ or two points) or whà µthà µr thà µ analysis should includà µ all scalà µs ità µms, that is, both corà µ and pà µriphà µral fà µaturà µs. Diffà µrà µnt choicà µs là µad to diffà µrà µnt rà µsults. Thus far, à µxploratory studià µs with thà µ MACI pà µrsonality scalà µs using data from thà µ normativà µ samplà µ havà µ bà µÃ µn conductà µd by factoring all thà µ ità µms within à µach scalà µ. First, thrà µÃ µ-, four-, fivà µ-, six-, and sà µvà µn-factor solutions wà µrà µ à µxtractà µd for à µach scalà µ. Nà µxt, thà µ rà µsulting ità µm loadings wà µrà µ inspà µctà µd to dà µtà µrminà µ which solution bà µst conformà µd to thà µorà µtical à µxpà µctations. Finally, thà µ intà µrnal consistà µncià µs of à µach subscalà µ wà µrà µ calculatà µd, and thosà µ found to bà µ inadà µquatà µ wà µrà µ droppà µd. Sincà µ factor analysis rà µlià µs on thà µ covariancà µ of ità µms, not thà µ ità µm wà µight, thà µ logical distinction bà µtwà µÃ µn morà µ corà µ and morà µ pà µriphà µral fà µaturà µs is lost. Ità µms that arà µ assumà µd to bà µ prototypal for thà µir constructs cannot nà µcà µssarily bà µ assumà µd to bà µ prototypal for thà µ traits à µxtractà µd through factor analysis. Morà µovà µr, thà µ rà µlativà µly largà µ numbà µr of factors rà µlativà µ to scalà µs, which alrà µady sharà µ a proportion of ità µms, mà µans that thà µ issuà µ of ità µm ovà µrlap is amplifià µd for thà µ subscalà µs. Somà µ subscalà µs sharà µ all thà µir ità µms. Thà µ surviving subscalà µs wà µrà µ thus namà µd within thà µ contà µxt of thà µ pà µrsonality stylà µ from which thà µy wà µrà µ dà µrivà µd and not on thà µ basis of ità µm contà µnt alonà µ. Thà µ advantagà µ of this mà µthod is that it providà µs a loosà µ guidà µ to thà µ contà µnt of thà µ pà µrsonality prototypà µs factorà µd. Futurà µ factor studià µs will bà µ dirà µctà µd toward comparing rà µsults for factors using morà µ cà µntral ità µms, thosà µ wà µightà µd thrà µÃ µ and two points, and factors using both morà µ cà µntral and morà µ pà µriphà µral ità µms (thà µ factors prà µsà µntà µd hà µrà µ arà µ of this lattà µr typà µ). Thà µ idà µa of using standardizà µd instrumà µnts for trà µatmà µnt planning and thà µ assà µssmà µnt of outcomà µs is controvà µrsial. According to Choca, Shanlà µy, and Van Dà µnburg (1992), somà µ maintain that thà µ most important information about a clià µnt can only bà µ obtainà µd through pà µrsonal intà µrvià µw sà µssions, whà µrà µas othà µrs contà µnd that tà µsting bà µforà µ thà µ onsà µt of or during trà µatmà µnt obfuscatà µs thà µ thà µrapà µutic rà µlationship (Dà µwald, 1967). In addition, somà µ rà µsà µarchà µrs attach littlà µ clinical significancà µ to assà µssmà µnt or diagnosà µs, but othà µrs bà µlià µvà µ tà µsting during trà µatmà µnt will almost always bà µ dà µtrimà µntal (Langs, 1973). Howà µvà µr, Choca à µt al. (1992) also cità µd sà µvà µral othà µr sourcà µs that show that assà µssmà µnt is rà µlià µd on and à µncouragà µd by a sizablà µ numbà µr of clinicians (Bà µrndt, 1983 ; van Rà µkà µn, 1981). In somà µ casà µs, thà µ individual's currà µnt psychic statà µ is such that immà µdiatà µ intà µrvà µntion is warrantà µd to protà µct thà µ subjà µct from sà µlf or othà µrs. Though thà µsà µ conditions arà µ typically assà µssà µd as part of thà µ clinical intà µrvià µw, thà µ subjà µct's status may bà µ furthà µr inspà µctà µd through thà µ à µxamination of so-callà µd notà µworthy rà µsponsà µs. Hà µrà µ, thà µ rà µsponsà µ to a singlà µ ità µm suggà µsts a condition that rà µquirà µs immà µdiatà µ clinical attà µntion, such as suicidal or homicidal intà µntions. For à µxamplà µ, Ità µm 16 statà µs, I think à µvà µryonà µ would bà µ bà µttà µr off if I wà µrà µ dà µad. Altà µrnativà µly, a notà µworthy rà µsponsà µ may suggà µst conditions that should bà µ addrà µssà µd in thà µrapy. For à µxamplà µ, Ità µm 137 statà µs, Pà µoplà µ did things to mà µ sà µxually whà µn I was too young to undà µrstan d. Most clinical casà µs, howà µvà µr, do not rà µquirà µ immà µdiatà µ crisis hospitalization. In thà µ à µra of managà µd carà µ, thà µrapy is brià µf, and thà µ most rà µlà µvant clinical goal is rà µmà µdiation of thosà µ problà µms that arà µ currà µntly most prà µssing. Although pà µrsonality providà µs an important contà µxt for thà µ dà µvà µlopmà µnt of Axis I symptoms, brià µf thà µrapy rà µquirà µs that only thà µ most troublà µsomà µ issuà µs bà µ considà µrà µd. Hà µrà µ, pà µrsonality stylà µ scalà µs arà µ dà µÃ µmphasizà µd, and à µxprà µssà µd concà µrns and clinical indicà µs bà µcomà µ thà µ propà µr focus of trà µatmà µnt à µfforts. Givà µn that only thà µ most obsà µrvablà µ and vivid problà µms will bà µ trà µatà µd, bà µhavioral or cognitivà µ-bà µhavioral intà µrvà µntions can bà µ à µxpà µctà µd to dominatà µ. Thà µ clinical quà µstion is, How can currà µnt problà µms bà µst bà µ addrà µssà µd or rà µsolvà µd? Whatà µvà µr dirà µction thà µrapy à µvà µntually takà µs, thà µ rà µlativà µly high tà µst-rà µtà µst rà µliabilitià µs of thà µ MACI scalà µs makà µs outcomà µs assà µssmà µnt a rà µlativà µly simplà µ affair. Thà µ tà µst can simply bà µ administà µrà µd again at a latà µr datà µ, and thà µ diffà µrà µncà µ bà µtwà µÃ µn bà µginning and final BR scorà µs is thà µn usablà µ as a rough mà µasurà µ of thà µrapà µutic changà µ. Whà µrà µ thà µrapy is là µss timà µ limità µd, thà µ focus shifts from immà µdiatà µ problà µms to thà µ subjà µct's charactà µristic way of vià µwing and rà µsponding to thà µ world, which bà µcomà µs trà µatà µd as thà µ major prà µdisposing factor in thà µ dà µvà µlopmà µnt and pà µrpà µtuation of psychological symptoms. Hà µrà µ, thà µ pà µrsonality stylà µ scalà µs movà µ into thà µ forà µground. Thà µ clinical quà µstion is, What charactà µristics doà µs thà µ individual possà µss that causà µ him or hà µr to pà µrpà µtuatà µ thà µ samà µ dysfunctional coping rà µsponsà µs ovà µr and ovà µr again? Rigid and à µxtrà µmà µ pà µrsonality stylà µs arà µ thus vià µwà µd as major factors incrà µasing thà µ individual's vulnà µrability to symptom dà µvà µlopmà µnt, bà µ it anxià µty, dà µprà µssion, or othà µr Axis II syndromà µs. As Choca à µt al. (1992) statà µd, In thà µ majority of casà µs wà µ sà µÃ µ, à µspà µcially aftà µr thà µ symptomatology diminishà µs, thà µ clià µnt is là µft to strugglà µ with cumbà µrsomà µ or pathological pà µrsonality traits (p. 199). An à µxamplà µ might bà µ an à µmaciatà µd anorà µxic who prà µsà µnts with à µlà µvatà µd Bordà µrlinà µ Tà µndà µncy, Idà µntity Confusion, Body Disapproval, and Ãâ¢ating Dysfunctions scalà µ scorà µs. Such a pà µrson might rà µquirà µ immà µdiatà µ mà µdical supà µrvision supplà µmà µntà µd with bà µhavioral thà µrapy. Aftà µr somà µ dà µgrà µÃ µ of physical stability has bà µÃ µn attainà µd, supportivà µ, insight-orià µntà µd, or à µvà µn family thà µrapy might bà µ administà µrà µd, dà µpà µnding on thà µ à µlà µvation and configuration of othà µr scalà µs. Thà µ construction of trà µatmà µnt plans basà µd on configural codà µs is bà µst accomplishà µd on thà µ basis of thà µ casà µ concà µptualization outlinà µd à µarlià µr. Howà µvà µr, knowlà µdgà µ of typical issuà µs that diffà µrà µnt pà µrsonalitià µs bring to thà µrapy in thà µir prototypal form can bà µ valuablà µ whà µn dà µvà µloping plans for individuals whosà µ clinical codà µtypà µs synthà µsizà µ multiplà µ scalà µs. For à µxamplà µ, bà µcausà µ an avoidant pà µrsonality's mistrust of othà µrs contributà µs to and rà µinforcà µs social withdrawal, dà µvà µlopmà µnt of a thà µrapà µutic alliancà µ prà µsà µnts a spà µcial challà µngà µ. This introductory procà µss may rà µquirà µ an à µxtà µndà µd pà µriod of supportivà µ à µnhancà µmà µnt of thà µ clià µnt's sà µlf-à µstà µÃ µm. Oncà µ thà µ bond has bà µÃ µn formà µd, thà µ sà µcond phasà µ of trà µatmà µnt may cà µntà µr on à µvoking insights rà µgarding thà µ clià µnt's uniquà µ à µtiology. Such rà µappraisal may hà µlp thà µ clià µnt rà µcognizà µ currà µnt problà µms and dà µal with thà µm morà µ à µffà µctivà µly. Thà µ following tà µchniquà µs may provà µ hà µlpful as adjuncts: (a) mà µdication and/or bà µhavior modification to allà µviatà µ strà µssà µs rà µsulting from thà µrapy and its gà µnà µralization, (b) principlà µs of cognitivà µ thà µrapy to countà µr distortà µd thinking pattà µrns, and (c) family and group thà µrapy to improvà µ social and communication skills. Unlikà µ thà µ avoidant, thà µ dà µpà µndà µnt pà µrsonality typically posà µs no thrà µat to thà µ à µarly dà µvà µlopmà µnt of thà µ thà µrapà µutic bond. Such a clià µnt usually is à µagà µr to assumà µ thà µ familiar submissivà µ stancà µ within thà µ thà µrapà µutic milià µu. Thus, although thà µ introductory stagà µ of trà µatmà µnt may movà µ quickly and smoothly, thà µ clià µnt will bà µ highly rà µsistant to thà µ thà µrapist's latà µr à µfforts to à µngà µndà µr a hà µalthy dà µgrà µÃ µ of autonomy. Dirà µctivà µ thà µrapià µs arà µ logically contraindicatà µd bà µcausà µ thà µsà µ would simply rà µinforcà µ thà µ clià µnt's dà µpà µndà µncy nà µÃ µds. Nondirà µctivà µ dynamic and humanistic approachà µs usually à µmphasizà µ thà µ importancà µ of thà µ clià µnt and, ovà µr timà µ, can bà µ à µffà µctivà µ in improving sà µlf-à µstà µÃ µm. Thà µsà µ thà µrapià µs may bà µ too anxià µty provoking for sà µvà µrà µ dà µpà µndà µnts, howà µvà µr. In thà µsà µ casà µs, mà µdication may bà µ rà µquirà µd bà µforà µ thà µ clià µnt is capablà µ of producing thà µ insight nà µÃ µdà µd for changà µ. Through additional group trà µatmà µnt, thà µ dà µpà µndà µnt may là µarn nà µw social skills and gain incrà µasà µd sà µlf confidà µncà µ. In contrast to avoidant and dà µpà µndà µnt pà µrsonalitià µs, thà µ unruly adolà µscà µnt usually arrivà µs for trà µatmà µnt at thà µ insistà µncà µ of family mà µmbà µrs or school administrators. Bà µcausà µ this clià µnt has littlà µ motivation to changà µ, prognosis gà µnà µrally is sà µÃ µn as poor. Howà µvà µr, if thà µ thà µrapist can patià µntly withstand thà µ clià µnt's disruptivà µ bà µhavior (à µ.g., attà µmpts at humiliation, bà µlittlà µmà µnt, bluff, arrogancà µ), a modicum of rapport can bà µ built in somà µ casà µs. If this is achià µvà µd, thà µ thà µrapist can act as a modà µl mixturà µ of powà µr, rà µason, and fairnà µss (Millon, 1981, p. 214) for thà µ tà µÃ µn. In addition, group thà µrapià µs can hà µlp fostà µr social and communication skills. Thà µsà µ à µxamplà µs hint at thà µ lità µrally infinità µ numbà µr of combinations of pà µrsonality stylà µ, à µxprà µssà µd concà µrns, and symptoms that adolà µscà µnts prà µsà µnt. Thà µ structurà µ of thà µ Millon invà µntorià µs parallà µls thà µ multiaxial modà µl. Clinicians should bà µ familiar with thà µ principlà µs of multiaxial assà µssmà µnt to usà µ thà µ instrumà µnts to thà µir fullà µst potà µntial. Thà µ MACI farà µs wà µll whà µn à µvaluatà µd against crità µria for à µvaluating psychological instrumà µnts as outcomà µ mà µasurà µs proposà µd by Nà µwman and Ciarlo (1994) and Nà µwman, Ciarlo, and Carpà µntà µr (1997). Whà µrà µas othà µr invà µntorià µs rà µprà µsà µnt a downward à µxtà µnsion of instrumà µnts originally constructà µd with adult populations, thà µ MACI was spà µcifically normà µd on adolà µscà µnt subjà µcts. Morà µovà µr, thà µ invà µntory was constructà µd as a multiaxial instrumà µnt coordinatà µd with both a cohà µrà µnt clinical thà µory and with thà µ DSM-IV nosology. Though somà µ adolà µscà µnts will rà µquirà µ supà µrvision, its 160-ità µm là µngth and sixth-gradà µ rà µading là µvà µl makà µ it basically sà µlf-administà µring. Thà µ invà µntory rà µquirà µs là µss than a half hour to complà µtà µ. As with thà µ othà µr Millon invà µntorià µs, scalà µ scorà µs arà µ basà µd on national samplà µs, and prà µvalà µncà µ ratà µs arà µ informà µd by clinical ratings on thà µ normativà µ population, à µxtà µrnal validity studià µs, and clinical wisdom. Corrà µction factors arà µ availablà µ to mitigatà µ thà µ influà µncà µ of rà µsponsà µ biasà µs. Assà µssmà µnts of thà µ rà µliability and validity of thà µ instrumà µnt wà µrà µ an intà µgral part of thà µ tà µst construction procà µss. Givà µn that thà µ invà µntory is still rà µlativà µly nà µw, a smallà µr databasà µ of publications is availablà µ than for thà µ MCMI. Howà µvà µr, thà µ two invà µntorià µs arà µ basà µd on thà µ samà µ clinical thà µory and wà µrà µ dà µvà µlopà µd using thà µ samà µ undà µrlying logic of tà µst construction. Computà µr scoring is availablà µ and providà µs à µithà µr a profilà µ rà µport or a morà µ comprà µhà µnsivà µ intà µrprà µtivà µ rà µport writtà µn in à µasy-to-undà µrstand languagà µ. Thà µ scalà µ namà µs arà µ dà µscriptivà µ, and scalà µ à µlà µvations bà µyond thà µ BR cutoff scorà µs indicatà µ thà µ rà µlativà µ prominà µncà µ of thà µ pà µrsonality fà µaturà µs or thà µ rà µlativà µ sà µvà µrity of Ãâ¢xprà µssà µd Concà µrns or Clinical Syndromà µ scorà µs. Though it is an implicit assumption among nosologists that là µgitimatà µ psychological disordà µrs should brà µÃ µd truà µ ovà µr timà µ, thà µ intà µraction bà µtwà µÃ µn intrinsic maturational capacitià µs and varià µgatà µd à µnvironmà µntal influà µncà µs crà µatà µs divà µrsà µ multiplà µ pathways of dà µvà µlopmà µnt that makà µ adolà µscà µnt pathologià µs à µxtrà µmà µly difficult to study. For à µxamplà µ, in assà µssmà µnts conductà µd approximatà µly 5 to 10 yà µars following hospitalization (Wà µiss Burkà µ, 1970), thà µ majority of school phobic youths wà µrà µ found to bà µ high school graduatà µs who had pà µrformà µd acadà µmically at or abovà µ thà µir à µxpà µctà µd là µvà µls. Thus, on thà µ surfacà µ, it sà µÃ µmà µd that thà µ thà µrapà µutic intà µrvà µntions had bà µÃ µn à µffà µctivà µ. Howà µvà µr, at thà µ timà µ of thà µ latà µr assà µssmà µnt, most of thà µ subjà µcts did not concà µivà µ of thà µir à µarlià µr problà µm as bà µing school phobia. Furthà µr, around half of thà µ subjà µcts wà µrà µ assà µssà µd as having madà µ inadà µquatà µ social adjustmà µnt. As with any study, rà µsà µarchà µrs arà µ advisà µd to bà µ awarà µ of multitrait-multimà µthod factors. Diagnosis and trà µatmà µnt planning should takà µ into considà µration not only sà µlfrà µports but also rà µports from parà µnts, tà µachà µrs, and othà µrs associatà µd with thà µ youth. Outcomà µs assà µssmà µnt tà µchniquà µs also must advancà µ to accommodatà µ multiplà µ mà µasurà µs from a varià µty of information sourcà µs. As morà µ information is intà µgatà µd into thà µ assà µssmà µnt, clinical basà µlinà µs bà µcomà µ succà µssivà µly morà µ qualitativà µ, là µss quantitativà µ, and là µss amà µnablà µ to à µmpirical study simply bà µcausà µ thà µ individual is undà µrstood as a uniquà µ dà µvà µlopmà µntal à µntity rathà µr than a collà µction of scalà µ scorà µs (sà µÃ µ chap. 16, vol. 3, which discussà µs thà µ MCMI). Rà µsà µarchà µrs dà µsigning outcomà µ studià µs with multiaxial instrumà µnts must first dà µfinà µ thà µ scopà µ of thà µ outcomà µ to bà µ assà µssà µd. In a managà µd carà µ sà µtting, for à µxamplà µ, pà µrsonality changà µ is oftà µn not addrà µssà µd bà µcausà µ thà µrapy is intà µndà µd to bà µ palliativà µ rathà µr than substantivà µ. Hà µrà µ, a minimal intà µrprà µtation of à µfficacy might à µxaminà µ only prà µ- and posttrà µatmà µnt scorà µs for just thà µ Ãâ¢xprà µssà µd Concà µrns and Clinical Syndromà µs scalà µs to which trà µatmà µnt is addrà µssà µd. Sincà µ thà µ raw scorà µ distributions of most MACT and MAPI scalà µs arà µ not normally distributà µd, nonparamà µtric statistics arà µ rà µcommà µndà µd as a mà µans of dà µtà µrmining thà µ statistical significancà µ of changà µ scorà µs. Most nonparamà µtric tà µsts rà µsult in only modà µst loss of statistical powà µr rà µlativà µ to paramà µtric tà µsts pà µrformà µd on largà µr samplà µs. Though prà µ- and posttrà µatmà µnt diffà µrà µncà µs on thà µ Pà µrsonality Stylà µs scalà µs would thus appà µar usà µful only with longà µr tà µrm intà µrvà µntions whà µrà µ pà µrsonality changà µ bà µcomà µs a primary goal, thà µ Pà µrsonality Stylà µs scalà µs can bà µ incorporatà µd into outcomà µ studià µs in a varià µty of ways. Ãâ¢là µvations on thà µ Pà µrsonality Stylà µs scalà µs could bà µ inspà µctà µd to assist subjà µct sà µlà µctionto hà µlp sà µlà µct primarily narcissistic subjà µcts, for à µxamplà µ, or to dividà µ thà µ samplà µ into contrast groups with high and low là µvà µls of sà µlf-rà µportà µd pà µrsonality pathology on thà µ basis of thà µir BR scorà µs. If a largà µ samplà µ is availablà µ, thà µ raw scorà µs of thà µ pà µrsonality scalà µs could bà µ factor analyzà µd and prà µand posttrà µatmà µnt scorà µs could bà µ comparà µd on thà µ rà µsulting factors. If thà µ outcomà µ assà µssmà µnt is intà µndà µd for a singlà µ subjà µct, MACI scorà µs can bà µ usà µd to documà µnt trà µatmà µnt à µfficacy. Rà µsà µarch donà µ with thà µ MCMI has shown that for somà µ subjà µcts thà µ BRs of cà µrtain scalà µs actually incrà µasà µ in rà µsponsà µ to thà µrapy, namà µly, thà µ Histrionic, Narcissistic, and Compulsivà µ scalà µs. This is likà µly to bà µ thà µ casà µ for thà µ MACI as wà µll. Thà µsà µ thrà µÃ µ constructs possà µss normal variants that arà µ oftà µn highly adaptablà µ in modà µrn socià µty. Thà µ sà µlf-confidà µncà µ of thà µ normal-rangà µ narcissist, for à µxamplà µ, is sà µÃ µn as positivà µ and motivating, whilà µ thà µ sociability of thà µ normal-rangà µ histrionic is a positivà µ form of à µxtrovà µrsion. For thà µsà µ scalà µs, thà µ rà µlationship bà µtwà µÃ µn scalà µ scorà µ and pathology is nonlinà µar. Too littlà µ sà µlf-confidà µncà µ is bad, too much is bad, but a cà µrtain là µvà µl is valuà µd and à µvà µn à µnvià µd. Although thà µ rà µpà µatà µd administration of invà µntorià µs is quà µstionà µd by somà µ, many clinicians find follow-up assà µssmà µnts to bà µ usà µful. Furthà µrmorà µ, insurancà µ companià µs, lawyà µrs, consumà µr intà µrà µst groups, and othà µrs arà µ incrà µasingly calling for documà µntation that supports thà µ valuà µ of trà µatmà µnt. Thà µ BR thrà µsholds built into thà µ instrumà µnt providà µ rà µfà µrà µncà µ points against which thà µ à µfficacy of trà µatmà µnt for a singlà µ subjà µct may bà µ judgà µd. Sincà µ a scorà µ of BR 75 indicatà µs thà µ prà µsà µncà µ of pathology for most scalà µs, posttrà µatmà µnt scorà µs that drop bà µlow BR 75 suggà µst pathologià µs that havà µ bà µÃ µn trà µatà µd into thà µ subclinical rangà µ. This doà µs not mà µan that no furthà µr basis for trà µatmà µnt à µxists, sincà µ thà µ scalà µs that arà µ oftà µn thà µ focus of outcomà µs assà µssmà µnt arà µ thosà µ rà µlatà µd to Axis I-likà µ conditions. Likà µwisà µ, posttrà µatmà µnt scorà µs that drop from abovà µ BR 85 to thà µ BR 7584 rangà µ may indicatà µ that thà µ sà µvà µrity of a particular disordà µr has subsidà µd, though aspà µcts of thà µ disordà µr (whà µthà µr Axis I or Axis II in naturà µ) will likà µly nà µÃ µd continuà µd trà µatmà µnt. Bà µcausà µ thà µ MACI is a multiaxial instrumà µnt, thà µ focus of trà µatmà µnt should bà µ undà µrstood in advancà µ bà µforà µ rà µsults arà µ communicatà µd. For à µxamplà µ, thà µ bà µst indà µx of rà µcovà µry for a patià µnt rà µfà µrrà µd for thà µ trà µatmà µnt of dà µprà µssion is thà µ changà µ scorà µ in thà µ Dà µprà µssivà µ Affà µct scalà µ. Thà µ pà µrsonality profilà µ and its ovà µrall à µlà µvation and rà µlation to thà µ subjà µct's symptoms may bà µ intà µrà µsting, but if thà µ issuà µ is thà µ disposition of thà µ rà µfà µrral issuà µ, cà µrtain scalà µs may not bà µ rà µlà µvant. Sincà µ thà µ MACI is a rà µlativà µly rà µcà µntly publishà µd instrumà µnt, an important dirà µction for rà µsà µarch is thà µ usà µ of thà µ MACI as an instrumà µnt in outcomà µ studià µs. Thà µ rà µliability of thà µ MACI scalà µs, thà µir basis in a cohà µrà µnt thà µory of pà µrsonality and psychopathology, and thà µir coordination with thà µ DSM-IV should bà µ attractivà µ to rà µsà µarchà µrs sà µÃ µking to quantify outcomà µs in adolà µscà µnt groups. At thà µ samà µ timà µ, thà µ availability of intà µrprà µtivà µ rà µports is of assistancà µ to clinicians sà µÃ µking to documà µnt basà µlinà µs and progrà µss in thà µ thà µrapy thà µy providà µ to patià µnts.
Friday, November 22, 2019
The completion of the Severn Tidal project on the coastline between Essay
The completion of the Severn Tidal project on the coastline between England and Wales - Essay Example The essay discusses that currently, 450 million litres of water passes through the Severn Estuary on the coastline between Wales and England. This water is a collection of inland rivers and waterbodies that deposit their flow into the Sea at this point. It provides a great opportunity for a power generation facility at that would tap energy for users in Wales and England. The government and key stakeholders including members of the international community have agreed that Britain should cut its carbon emission to just 20% by the year 2050. This means that Britain will have to cut its carbon emission by 80% in the next four decades. There is therefore the need for the people of the United Kingdom to identify alternative means of producing energy. The consumption of petroleum products and hydrocarbon fuels increased at a very fast rate after the Second World War. The Kyoto Protocol identified that Britain accounts for about 5% of the world's carbon emission into the atmosphere. This is highly disproportionate to the size of Britain which is relatively small. Since the trend of global warming is an international matter, Britain has come under severe pressure to identify ways of cutting down on its reliance on hydrocarbons. Thus, the proposition of the British government to cut down emissions by 80% in 2050 has become more of a serious objective now than ever. One of the core solutions to the problem is to identify renewable energy options for the United Kingdom. Tidal power generation is one of the options available to a nation like Britain in her bid to identify an alternative to the reliance on hydrocarbons. The Climate Change Act gives legitimacy and force to the plans of the UK government to cut down on CO2 emissions. This means that the state has a tougher legal obligation to put its resources to use to produce a strong and potent method of dealing with climate change. The UK government has been involved with some key stakeholders in an attempt to find soluti ons to this problem. The main stakeholders who have been involved in discussions on providing solutions are: 1. The UK Government 2. Private Sector Energy Companies 3. The UK Public 4. Environmental Groups in practice and academia. These groups have been involved in various degrees of consultation and discussions on the matter. The Severn coastline offers one of the greatest opportunities for the establishment of a renewable energy system. This can be done by creating dams, barrages or some other facilities that will make use of the energy generated by the movement of the water on the coastline. These stakeholders have spent two years undertaking feasibility studies about the creation of an energy generation system on the Severn coastline. These feasibility studies has taken an number of core issues into account. The findings of the Severn consultation activities indicate that the project is capable of providing 15% of Britain's energy needs. This means that a dam on the estuary can potentially provide a significant solution to the carbon emission targets that has been set by the UK government in the Climate Change Act. This will obviously curb the volume of carbon emission and reduce the effects of pollution emanating from the United Kingdom. In the process, the stakeholder group collected a total of 10 proposals about how a power generation system could be set up at the Severn coast of the United Kingdom. These ten proposals were assessed on the basis of benefits,
Wednesday, November 20, 2019
Module 5 case assignment Coursework Example | Topics and Well Written Essays - 1250 words
Module 5 case assignment - Coursework Example This paper aims at analyzing the feedback loops and organizational learning opportunities for the Whole Foods, an American based foods supermarkets chain. As noted earlier, reinforcing feedback loop makes an organization to acquire significant growth thus putting at bay its rivals in the market while at the same time enjoying product diversification. Additionally, reinforcing loop takes place when an original change is reinvested to further bring about change in the future (Bellinger, 2004). One of the notable aspects of the reinforcing loop is that they create a momentum. In this way, they ensure that activities within the firm are kept in motion thus ensuring there are limited delays and the consumers can get their brands on a regular basis. In their efforts to satisfy the needs of the customers, firms use the feedback from their consumers to improve the quality of their brands. Given the need to attract more customers, Whole Foods Market is focused at establishing new lower cost store as a way of serving the younger perennial shoppers. According to the management, once the new store is launched, and extensive promotion is undertake n, more potential consumers will encounter fresh foods, which will be the major products in the store. Through the word of mouth marketing, more Whole Foods adopters will ultimately emerge in the future. Another example of a reinforcing feedback loop that is applied by Whole Foods Market is based on the high US population. As the population is high, more children will be born who are potential consumers. Once they become adults, these children will also bear children. This implies that the demand for the supermarket products will continue to expand. On its part, the balancing feedback loop, which entails circles of cause and effect, has the objective of countering a change that includes a push in the opposite direction. As the push is made harder, the system on its part pushes back resulting to the
Monday, November 18, 2019
Walmex Research Paper Example | Topics and Well Written Essays - 1500 words
Walmex - Research Paper Example A year later the company commemorated fifty years of service to Mexican citizens. 2009 ended with the acquiring of Wal-Mart de Centro America by the Wal-Mart de Mexico giant expanding its service to six countries (Kojadinovc 41). There are credible reports that Wal-Mart the largest retailer in the world was aware that one of its branches, wal -mart de Mexico used bribes coerce foreign officials to allow their operations. The bribes were paid to acquire permits for the Mexico stores establishments in desirable places such as the Teotihuacan. Alleged bribes are said to have been given to the Teotihuacan Municipal Council and the National institute of Anthropology and Historyââ¬â¢s director. Handsome Bribes were also orchestrated in relation to zoning laws and environmental permits that would have been hurdles in the companyââ¬â¢s expansion. It is also under scrutiny for subverting democratic governance such as public votes, transparent procedures and open debates and the same bribes to offset competition. This is against compliance to the mandated foreign Corrupt Practices Act which prohibits an American company from offering bribes to foreign officials. In a response to the claims, Wal-Mart stated that it has been conducting extensive investigations in relation to the allegation cases and that they are non-tolerant to non-compliance to the law anywhere at any level of the companyââ¬â¢s branches and is diligent to provide necessary contribution. In a separate statement the spokesman reiterated that the company has divulged substantial resources dedicated to this effort. Corruption and bribery are vastly permeated notions in Mexico. The justice system in the city is feeble and I can be manipulated with ease. Further, bribery is fuelled by the relatively low salaries paid to the local public workers. Hence it was not shocking for Wal-Mart to have its way through the law. Wal-Mart de Mexico was an insistent and crafty corruptor offering humungous bribes to get
Saturday, November 16, 2019
Healthcare Affordability in the US
Healthcare Affordability in the US Advanced Nurse Practitioner Scope of Practice Issues Marina Bukhrashvili New York State needed an additional 1,200 physicians to address the shortage by 2012, according to a 2012 Haneyââ¬â¢s survey by the Healthcare Association of New York State (Verdon, Ritchie, Marbury Mazzolini, 2014). The scope of Certified Nurse Practitioner (CNP) practice is currently debated in some states. In New York State, the Nurse Practitioners Modernization Act will allow those nurses who have more than 3,600 hours of experience to treat patients without the supervising physicianââ¬â¢s signed practice agreement (Farmer, 2014).This act will become law on January 1, 2015. This act may fill that void; however, various New York physician advocate groups continue to argue that patient safety will be compromised because of the gap in training of CNPs (Verdon et al., 2014). The United States (U.S.) health care system faces many challenges due to demographical, economic and political shifts. There are existing gaps in quality and accessibility of care and patient safety. U.S. population is aging rapidly and it is estimated that about 18 percent of the U.S. population will be 65 years old or older by 2025 (U.S. Census Bureau, 2012). With growing number of Medicare beneficiaries, there will be more demand for primary care providers. It is estimated that by 2020, the U.S. nation will require 40 percent more primary care providers (Hauer et al., 2008). U.S people 65 and older will have more than one chronic disease and physiciansââ¬â¢ shortages will not meet the demands that are expected (Centers for Disease Control and Prevention, 2012). The National Governors Association (NGA) reviewed of the literature and summarized that CNPs can reduce disparities in access to care, promote cost effectiveness through policy advancement, patient advocacy and the development of innovative models of care to improve patient care (NGA, 2013). The push for giving CNPs more autonomy continues with the shortage of primary care physicians on the rise. The American Academy of Family Physicians (AAFP) is not supporting the idea of allowing CNPs the full scope of practice without working under the physicianââ¬â¢s supervision. One of the reasons cited is that family physicians have extensive training and education, which would ensure patientsââ¬â¢ safety and provide the best quality of care (American Academy of Family Physicians, 2012). The scope of CNPsââ¬â¢ practice is currently debated in some states. Researchers studied care provided by both nurse practitioners and physicians and showed that while quality of care was similar for both providers, patientsââ¬â¢ results were same or better for NPs as compared to physicians (Bauer, J. 2010). In addition, it was found that nurse practitioners provide care at a lower cost as well as more disease prevention counseling, health education, and health promotion activities than physicians (Mehrota et al., 2009). Another study which used data from the Association of American Medical Collegesââ¬â¢ Consumer Survey showed that consumers are open to the idea of obtaining medical care from NPs (Dill, Pankow, Erikson Shippman, 2013). Compared to physicians, CNPs traditionally are reimbursed at a lower Medicare rate for delivery of the same services. Yet, while our healthcare desperately needs to reduce cost, it is estimated that a cost savings would remain, even if CNPs were to receive equivalent reimbursement, because they utilize fewer resources than physicians (Health Policy Brief, 2012). In 2009, on average, it cost 20% less to visit a nurse practitioner than to visit a physician (Eibner, Hussey, Ridgely Glynn, 2009). In Massachusetts, after the insurance reform was implemented, it was shown that the state could save from $4.2 to $8.4 billion over a 10-year period when nurse practitioners use was increased (Eibner et al., 2009). Accountable care organizations (ACA), community and nurse-managed health centers, patient-centered medical homes success will require that CNPs have full scope of practice to have the ability to practice independently without restrictions (Fairman, Rowe, Hassmiller, Shalala, 2011). Organizational barriers exist for reimbursements of care provided by CNPs. Notwithstanding that the quality and standards of preventing care established in the ACA are met by these providers, their current rate of reimbursement for Medicare services to residents in long term care (LTC) facilities is only 85 percent of the rate that physicians charge for the same services (American Association of Nurse Practitioners, 2013). The unlimited contribution of CPNs will be even more important considering that with the implementation of the ACA, millions of newly insured Americans will seek the access to healthcare. Expanding the scope of practice of advanced practice nurses can possibly translate to an increased access to healthcare for many current and future patients, especially in underserved areas (National Governors Association, 2012). There is a need for the uniform standards for practice and to eliminate the difference in the level of practice among CNPs from one state to another (NGA, 2012). The scope of practice will establish which activities are reimbursed by third party payers and will have direct impact on the independent practice of CNPs (NGA, 2012). When CNPs are required to collaborate or to be supervised by the physician, they are less likely to be selected by insurers and are unable to directly bill for the services they render (NGA, 2012). Instead, the bill for their services is coded under the physicianââ¬â¢s provider number. If the requirement for physician involvement is dropped, CNPs would be allowed to be credentialed as providers and directly reimbursed for their services. This is also important if a physician moves or does not want to collaborate with a CNP. Another issue related to scope of practice is the lack of universal, federal recommendations for mobility across states for practitioners involved in telemedicine. The significant discrepancy in CNP scopes of practice across states limits the ability of expert CNPs to work as consultants in a different state, which may limit the access of individuals to specialty consultations that may not be available locally. In their study of nurse migration, it was reported that nurses, including CNPs, move to states with less restrictive scopes of practice. Migration of CNPs may contribute to the shortage of primary care providers, especially in disadvantaged areas (Kalist, Spurr, Wada, 2010). Nurses are restricted to certify in some state to do health care visits or stay in skilled nursing facilities, admit patients to hospitals or prescribe medications without physicianââ¬â¢s supervision and because of that nurses move to less restrictive states, and from primary to specialist care, a resu lting loss of access to care a lot of patients (Eibner et al., 2009). With millions of people signing up for health care under the Affordable Care Act, the aging population and number of chronic illnesses growing, the demand for primary care services is projected to grow. NPs will play a significant part in expansion and shaping of health care delivery. The looming shortage of primary care practitioners can be alleviating by integrating into health care delivery primary care nurse practitioners and physicians assistants. Medical profession should have an active interest in advancing the role of NPs and making sure that the high standards of the profession are intact. While NPs should not be a replacement for doctors they should be allowed to practice to the full extent of their training. Relaxing the scope of practice laws that prevent nurse practitioners from playing the important role in providing basic primary health care services is the first step that should be undertaken. References American Association of Nurse Practitioners (2013). Issues at-a-glance: Full practice authority.à Retrieved from: http://www.aanp.org Association of Advanced Nursing Practice Educators. (2009).Universities and advanced practiceà programmes. Retrieved fromà http://www.aanpe.org/AANPEHEIsMembers/AANPEMemberUniversitiesCoursesProgrammes/tabid/469/language/en-US/Default.aspx Bauer, J. (2010). Nurse practitioners as an underutilized resource for health reform: Evidence-based demonstrations of cost-effectiveness. Journal of the American Academy of Nurseà Practitioners 22 (2010), 228-231. Centers for Disease Control and Prevention (2012). Chronic diseases and health promotion.à Retrieved from: http://www.cdc.gov/chronicdisease/overview/index.htm Dill, M., Pankow, S., Erikson, C., Shipman, S. (2013). Health Affairs. Retrieved fromà http://content.healthaffairs.org/content/32/6/1135.abstract The Role of Nurse Practitioners in Meeting Increasing Demand for Primary Care. (2012)à Retrieved fromà http://www.nga.org/cms/home/nga-center-for-best-practices/center-publications/page-health-publications/col2-content/main-content-list/the-role-of-nurse-practitioners.html The, O. C., Pr, N. (2012). Education and Training: Family Physicians and Nurse Practitioners.à Retrieved fromà http://www.aafp.org/dam/AAFP/documents/news/NP-Kit-FP-NP-UPDATED.pdf Eibner, C.E., Hussey, P.S., Ridgely, M,S., McGlynn, E,A. (2009). Controlling health careà spending in Massachusetts: an analysis of options. Retrieved fromà http://www.rand.org/pubs/technical_reports/2009/RAND_TR733.pdf Fairman, J., Rowe, J., Hassmiller, S., Shalala, D. (2011). Broadening the scope of nursingà practice. New England Journal of Medicine 364(3), 193-196.à doi:10.1056/NEJMp1012121 Farmer, R., (2014) Milestone New York legislation eases practice restrictions on NPs.à Retrieved fromà http://news.nurse.com/article/20140505/NY02/305050020#.VGAJdMnsoh0 Hauer, K.E., Durning, S.J., Kernan, W.N., Fagan, M.J., Mintz, M., Oââ¬â¢Sullivan, P.Sâ⬠¦.Schwartz,à M.D. (2008). Factors associated with medical students career choices regarding internalà medicine. JAMA, 300(10), 1154-1164. Kalist, D., Spurr, S., Wada, T. (2010). Immigration of Nurses. Industrial Relations: A Journalà of Economy and Society, 49(3), 406-428. Mehrota, A. et al. (2009). Comparing Costs and Quality of Care at Retail Clinics with that ofà Other Medical Settings for 3 Common Illnesses. Annals of Internal Medicine, 151, 321-323. Nurse Practitioners and Primary Care. (2013). Retrieved fromà http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=79 Sealey, G. (2014). U.S. Elderly to Double in 25 Years. Retrieved fromà http://abcnews.go.com/US/story?id=91943page=1 U.S. Census Bureau, Statistical Abstract of the United States: 2012 (131st Edition) Washington,à DC, 2011. Retrieved from: http://www.census.gov/compendia/statab/. Verdon, D., Ritchie, A., Marbury, D., Mazzolini, C. (2014). (Slideshow) Scope of practiceà debate in primary care spreads to 8 states. Retrieved fromà http://medicaleconomics.modernmedicine.com/medical-economics/content/tags/midlevel-providers/slideshow-scope-practice-debate-primary-care-sprea?page=full
Thursday, November 14, 2019
Underlying Messages in Everything That Rises Must Converge and Good Cou
Underlying Messages in Everything That Rises Must Converge and Good Country People à à à à à à Flannery O'Connor's "Everything That Rises Must Converge" and "Good Country People" have extremely complex story lines. What makes these stories so involved is how the characters relate to others. Discovering who the characters in the stories are and what they represent becomes the reader's purpose and goal. In order to truly understand her stories the reader must look deeper than the surface. The underlying messages must be searched for as a person looking for hidden treasure. à à à à à In the first story the character Julian is the key to unlocking the meaning behind the story. Julian has gone to college and has developed his mind. Because of this he views himself as superior to those around him, especially his mother. The mother, although given to prejudices, has a kind heart. This seems to be the main difference between these two characters. Julian puts more stock in how educated a person is and the importance of having a well-developed mind. He sees his mother as lost in the past. He says to her, "You haven't the foggiest idea where you stand now or who you are" (1081). Her sky-blue eyes are described as "innocent and untouched by experience as they must have been when she was ten" (1080). Although Julian's mother is proud of his education, she knows a heart full of love is more important than a head full of empty knowledge. He believes that it is foolish to let feelings get in the way of facts. He believes that he is "unafraid to face f acts" (1085). Is he really though? He has cut himself emotionally free from his mother and from society in general; but is he completely objective? According to Way... ...hey had been educated, they saw the rest of the world as inferior. In reality they were blind to the real world. Their education only made it harder for them to see what was going on around them. In both cases it took something drastic and terrible in order for them to break out of the fetters of education that were holding them captive. à à Works Cited à Booth, Wayne C. "A Rhetorical Reading of O'Connor's 'Everything That Rises Must Converge.'" The Story and Its Writer. 5th ed. Ed. Ann Charters. Boston: Bedford/St. Martin's, 1999. 1634-37. à O'Connor, Flannery. "Everything That Rises Must Converge." The Story and Its Writer. 5th ed. Ed. Ann Charters. Boston: Bedford/St Martin's, 1999. 1080-91. à ---. "Good Country People." The Story and Its Writer. 5th ed. Ed. Ann Charters. Boston: Bedford/St. Martin's, 1999. 1091-1105.
Monday, November 11, 2019
Decision of the Union of India Essay
The validity of the decision of the Union of India to disinvest and transfer 51% shares of M/s. Bharat Aluminium Company Limited (hereinafter referred to as ââ¬ËBALCOââ¬â¢) is the primary issue in these cases. BALCO was incorporated in 1965 as a Government of India Undertaking under the Companies Act, 1956. Prior to its disinvestment it had a paid-up share capital of Rs.488.85 crores which was owned and controlled by the Government of India. The company is engaged in the manufacture of aluminium and had plants at Korba in the State of Chhattisgarh and Bidhanbag in the State of West Bengal. The Company has integrated aluminium manufacturing plant for the manufacture and sale of aluminium metal including wire rods and semi- fabricated products. The Government of Madhya Pradesh vide its letter dated 18th March, 1968 wrote to BALCO stating that it proposed that land be granted to it on a 99 years lease subject to the terms and conditions contained therein. The letter envisaged giving on lease Government land on payment of premium of Rs.200/- per acre and, in addition thereto also to provide tenure land which was to be acquired and transferred on lease to BALCO on payment by it the actual cost of acquisition plus annual lease rent. Vide its letter dated 13th June, 1968 BALCO gave its assent to the proposal contained in the aforesaid letter of 18th March, 1968 for transfer of land to it. BALCO intimated by this letter that the total requirement of land would be about 1616 acres. Thereafter, in addition to the Government land which was transferred, the Government of Madhya Pradesh acquired land for BALCO under the provisions of the Land Acquisition Act, 1894 on payment of compensation. The District Collector, Bilaspur also granted permission under Section 165(6) of the M.P. Land Revenue Code, 1959 for acquiring/transferring private land in favour of BALCO. As a result of the aforesaid, BALCO set up itââ¬â¢s establishment on itââ¬â¢s acquiring land from and with the help of the State Government. Since 1990-91 successive Central Government had been planning to disinvest some of the Public Sector Undertakings. In pursuance to the policy of disinvestment by a Resolution dated 23rd August, 1996 the Ministry of Industry (Department of Public Enterprises) Government of India constituted a Public Sector Disinvestment Commission initially for a period of threeà years. The Resolution stated that this Commission was established in pursuance of the Common Minimum Programme of the United Front Government at the Centre. The Commission was an independent, non-statutory advisory body and was headed by Shri G. V. Ramakrishna who was to be its Full-time Chairman. The Commission had four part-time Members. Paras 3, 4 and 5 of the said Resolution are as follows: ââ¬â ââ¬Å"3. The broad terms of reference of the Commission are as follows: I. To draw a comprehensive overall long term disinvestment programme within 5-10 years for the PSUs referred to it by the Core Group. II. To determine the extent of disinvestment (total/partial indicating percentage) in each of the PSU. III. To prioritise the PSUs referred to it by the Core Group in terms of the overall disinvestment programme. IV. To recommend the preferred mode(s) of disinvestment (domestic capital markets/international capital markets/auction/private sale to identified investors/any other) for each of the identified PSUs. Also to suggest an appropriate mix of the various alternatives taking into account the market conditions. V. To recommend a mix between primary and secondary disinvestments taking into account Governmentââ¬â¢s objective, the relevant PSUs funding requirement and the market conditions. VI. To supervise the overall sale process and take decisions on instrument, pricing, tim ing, etc. as appropriate. VII. To select the financial advisors for the specified PSUs to facilitate the disinvestment process. VIII. To ensure that appropriate measures are taken during the disinvestment process to protect the interests of the affected employees including encouraging employeesââ¬â¢ participation in the sale process. IX. To monitor the progress of disinvestment process and take necessary measures and report periodically to the Government on such progress. X. To assist the Government to create public awareness of the Governmentââ¬â¢s disinvestment policies and programmes with a view to developing a commitment by the people. XI. To give wide publicity to the disinvestment proposals so as to ensure larger public participation in the shareholding of the enterprises; and XII. To advise the Government on possible capital restructuring of the enterprises by marginal investment, if required, so as to ensure enhanced realisation through disinvestment. 4. The Disinvestment Commission will be advisory body and the Government will take a final decision on the companiesà to be disinvested and mode of disinvestment on the basis of advice given by the Disinvestment Commission. The PSUs would implement the decision of the Government under the overall supervision of the Disinvestment Commission. 5. The Commission while advising the Government on the above matters will also take into consideration the interests of stakeholders, workers, consumers and others having a stake in the relevant public sector undertakings.â⬠It may here be noted that by a Resolution dated 12th January, 1998 the earlier Resolution of 23rd August, 1996 was partly modified with deletion of paras 3, 4 and 5 and by substitution of the same by the following: ââ¬Å"3(i) The Disinvestment Commission shall be an advisory body and its role and function would be to advise the Government on Disinvestment in those public sector units that are referred to it by the Government. 3(ii) The Commission shall also advise the Government on any other matter relating to disinvestment as may be specifically referred to it by the Government, and also carry out any other activities relating to disinvestment as may be assigned to it by the Government. 3(iii) In making its recommendations, the Commission will also take into consideration the interests of workers, employees and others stake holders, in the public sector unit(s). 3(iv) The final decision on the recommendations of the Disinvestment Commission will vest with the Government.â⬠According to the Union of India, it laid down the broad procedures to be followed for processing the recommendations of the Disinvestment Commission. It was, inter alia, decided that : i. The Ministry of Finance (now Department of Disinvestment) would process the recommendations of the Disinvestment Commission, by inviting comments from the concerned administrative machinery; ii. Submit the recommendations to the Core Group of Secretaries for Disinvestment for consideration; iii. The recommendations of the Core Group of Secretaries would then be taken to Cabinet for decision; iv. It was also decided that the Core Group of Secretaries would be headed by the Cabinet Secretary and its permanent members would be Finance Secretary, Revenue Secretary, Expenditure Secretary, Secretary Department of Public Enterprises, Secretary Planning Commission and Chief Economic Advisor, Ministry of Finance, and v. To implement the decisions, an Inter-Ministerialà Group headed by the Secretary/Joint Secretary of the Administrative Ministry and consisting of Joint Secretaries of Department of Economic Affairs, Department of Public Enterprises, alongwith the Chairman and Managing Director of the Companies as Members and Director (Finance) of the company as the Convenor. In case of BALCO, the IMG consisted of Secretary level Officers and was headed by Secretary (Mines). On 10th December, 1999 the Department of Disinvestment was set up and the responsibilities which were earlier assigned to the Ministry of Finance have now been transferred to this Department. The Disinvestment Commission in its 2nd Report submitted in April, 1997 advised the Government of India that BALCO needed to be privatised. The recommendation which it made was that the Government may immediately disinvest its holding in the Company by offering a significant share of 40% of the equity to a strategic partner. The Report further advised that there should be an agreement with the selected strategic partner specifying that the Government would within two years make a public offer in the domestic market for further sale of shares to institutions, small investors and employees thereby bringing down its holding to 26%. The Commission also recommended that there should be an on-going review of the situation and the Government may disinvest its balance equity of 26% in full in favourà of investors in the domestic market at the appropriate time. The Commission had recommended the appointment of a Financial Advisor to undertake a proper valuation of the company and to conduct the sale process. The Commission had categorised BALCO as a non-core group industry. The Chairman of the Disinvestment Commission wrote a letter dated 12th June, 1998 to the Secretary, Ministry of Mines, Government on India drawing the Governmentââ¬â¢s attention to the recommendation of the Commission for sale of 40% of equity in BALCO and to bringing down of the Government holding to 26% within two years. This letter then referred to the 5th Report of the Commission wherein it had reviewed the question of strategic sale and had suggested that the Government may keep its shareholding below the level of investment being offered by the strategic buyer and its divesting some portion of equity to other entities. This letter noted that in these circumstances, it may be difficult to get in a multilateral financial institution to act fast inà taking up share of BALCO. The Chairman of the Commission then recommended that ââ¬Å"in keeping with the spirit of the recommendations of the 5th Report, you may now kindly consider offering 51% or more to the strategic buyer along with transfer of management. This sale will enable a smooth transaction with the participation of more bidders and better price for the shares. This will also be in keeping with the current policy as announced by the FM in his recent budget speechâ⬠. The Cabinet Committee on Economic Affairs had, in the meantime, in September 1997 granted approval for appointment of a technical and financial advisor, selected through a competitive process, for managing the strategic sale and restructuring of BALCO. Global advertisement was then issued inviting from interested parties Expression of Interest for selection as a Global Advisor. The advertisement was published in four financial papers in India and also in ââ¬ËThe Economistââ¬â¢, a renowned financial magazine published abroad. Eight Merchant Banks showed their interest in appointment of the Global Advisor. The lowest bid of M/s. Jardine Fleming Securities India Ltd. was accepted and approved by the Cabinet Committee on Disinvestment on 9th March, 1999. The Cabinet Committee on Disinvestment also approved the proposal of strategic sale of 51% equity in respect of BALCO. The decision of the Government to the aforesaid strategic sale was challenged by the BALCO Employeesââ¬â¢ Union by filing Writ Petition No. 2249 of 1999 in the High Court of Delhi. This petition was disposed of by the High Court vide its order dated 3rd August, 1999. On 3rd March, 2000, the Union Cabinet approved the Ministry of Minesââ¬â¢ proposal to reduce the share capital of BALCO from Rs.488.8 crores to Rs.244.4 crores. This resulted in cash flow of Rs.244.4 crores to the Union Government in the Financial Year 1999-2000. A formal Agreement between Jardine Fleming, the Global Advisor and the Government of India was executed on 14th June, 2000. The Scope of work of the Global Advisor, inter alia, included the development, updating and review of a list of potential buyers of the stake; preparing necessary documents; assisting the Government of India in sale negotiations with potential buyers and to advise on the sale price; to coordinate and monitor the progress of the transaction until its completion. Thereafter, on 16thà June, 2000 the Global Advisor, on behalf of the Government of India, issued an advertisement calling for ââ¬Å"Expression of Interestâ⬠in leading journals and newspapers such as the Economist, London, the Mining Journal, London, the Economic Times, India, Business Standard, India and the Financial Express, India. The invitation was to Companies and Joint Ventures which may be interested in acquiring 51% shares of the Government of India in BALCO. The last date for submitting the expression of interest was 30th June, 2000 and the interested companies were required to submit their expression of interest together with their Audited Annual Reports and a profile describing their business and operations. Eight companies submitted their Expression of Interest. These companies were as follows: ââ¬Å"i. Sterlite Industries (India) Ltd. ii. Hindalco Industries Ltd. iii. Tranex Holding Inc. iv. Indian Minerals Corporation Plc. v. VAW Aluminium AG, Germany vi. ALCOA, USA vii. Sibirsky, Russia viii. MALCOâ⬠M/s. Jardine Fleming, Global Advisor made an analysis of the various bids on the basis of the financial and technical capability, familiarity with India and overall credibility. Thereupon two companies, namely, Indian Minerals Corporation Plc. and Tranex Holding Inc. were rejected. The Inter-Ministerial Group (hereinafter referred to as IMG) set up by the Union of India, accepted the expression of interest of six out of eight parties and it also decided that the bids of Sterlite and MALCO be treated as one. Thus there remained five prospective bidders but two, namely, VAW Aluminium AG, Germany and Sibirsky, Russia dropped out and the remaining three, namely, ALCOA, USA Hindalco and Sterlite conducted due diligence (inspection) on BALCO between September to December, 2000. The IMG considered the drafts of the Shareholdersââ¬â¢ Agreement and the Share Purchaseà Agreement and had discussions with three prospective bidders and ultimately the said drafts were finalised on 11th Januar y, 2001. For the purpose of carrying out the asset valuation of BALCO, the Global Advisor shortlisted four parties from the list of Registered Government Valuers approved by the Income-Tax Department. On 18th January, 2001, BALCO invited quotations from the four Registered Valuers, so short listed, and the quotation of Shri P. V. Rao was accepted. Shri P. V. Rao was a registered valuer of immovable property and his team mates were Government Registered Valuers authorised to value plant and machinery. They were assisted in the work of valuation by officers of the Indian Bureau of Mines for assessing the values of existing mines. Pending the receipt of the valuation report from Shri P. V. Rao, the Global Advisor on 8th February, 2001 requested the three bidders to submit their financial bids alongwith other necessary documents by 15th February, 2001, which was later extended by one day. On 14th February, 2001 Shri P. V. Rao submitted his asset valuation report to M/s. Jardine Fleming. On 15th February, 2001, an Evaluation Committee headed by the Additional Secretary (Mines) was constituted. This Committee was required to fix the reserve price of 51% equity of BALCO which was to be sold to the strategic party. The three contenders, namely, Alcoa, Hindalco and Sterlite Industries Ltd. submitted their sealed bids to the Secretary (Mines) and Secretary (Disinvestment) on 16th February, 2001. It is thereafter, that M/s. Jardine Fleming presented its valuation report together with the asset valuation done by Shri P. V. Rao to the Evaluation Committee to work out the reserve price. The range of valuation of BALCO that emerged on various methodologies was as follows:- (i) Discounted Cash Flow ââ¬â Rs. 651.2 ââ¬â 994.7 crores (ii) Comparables ââ¬â Rs. 587 ââ¬â 909 cores (iii) Balance Sheet ââ¬â Rs. 597.2 ââ¬â 681.9 crores Thus, the range of valuation by all these methods came between Rs.587 and Rs.995 crores for 100% of the equity. Ipso facto, for 51% of the equity, the range of valuation came out as Rs.300 to Rs.507 crores. The Evaluation Committee then deliberated on the various methodologies and concluded, asà per the affidavit of the Union of India, that the most appropriate methodology for valuing the shares of a running business of BALCO would be the Discounted Cash Flow method. It decided to add a control premium of 25% on the base value of equity (although the Advisor had viewed that the premium should range between 10-15%) and then add the value of non-core assets to arrive at a valuation of Rs.1008.6 crores for the company as a whole, 51% of which amounts of Rs.514.4 crores which was fixed as the Reserve Price. According to the respondents, the Evaluation Committee felt that Asset Valuation Report appeared to have over valued the fixed assets of the company at Rs.1072.2 crores. The committee further observed that the fixed asset valuation method was only a good indicator of the value that could be realised if the business was to be liquidated, rather than for valuing the business as a going concern. Furthermore, the asset valuation method did not take intoà account the liabilities and contingent liability that go with the business. When the financial bids were opened, it was found that the bid of Sterlite Industries was the highest at Rs.551.5 crores, the bid of Hindalco was Rs.275 crores while ALCOA had opted out. The report of the Evaluation Committee for acceptance of the bid which was higher than the reserve price was considered by the IMG which recommended the acceptance of the bid of Sterlite Industries to the core group of Secretaries. This core group in turn made its recommendation to the Cabinet Committee on Disinvestment which on 21st February, 2001 approved/accepted the bid of Sterlite Industries at Rs.551.5 crores. The Governmentââ¬â¢s decision was communicated to Sterlite Industries on that date. The announcement of the decision to accept the bid of Sterlite Industries led to the initiation of legal proceedings challenging the said decision. On 23rd February, 2001 Dr. B. L. Wadhera filed Civil Writ Petition No. 1262 of 2001 in the Delhi High Court. This was followed by Writ Petition No. 1280 of 2001 filed by the employees of BALCO on 24th February, 2001 also in the High Court of Delhi. On that very date, i.e., on 24th February, 2001 another employee of BALCO, namely, Mr. Samund Singh Kanwar filed Civil Writ Petition No. 241 of 2001 in the High Court of Chhattisgarh. While the aforesaid writ petitions were pending there was a Calling Attention Motion on Disinvestment with regard to BALCO inà the Rajya Sabha. Discussions on the said motion took place in the Rajya Sabha on 27th February, 2001 and the matter was discussed in the Lok Sabha on 1st March, 2001. The motion ââ¬Å"that this House disapproves the proposed disinvestment of Bharat Aluminium Company Ltd.â⬠was defeated in the Lok Sabha by 239 votes to 119 votes. Soon thereafter on 2nd March, 2001, Shareholders Agreement and Share Purchase Agreement between the Government of India and Sterlite Industries Limited were signed. Pursuant to the execution of sale, 51% of the equity was transferred to Sterlite Industries Limited and a cheque for Rs.551.5 crores was received. It is not necessary to refer to the terms of the agreement in any great detail except to notice a few clauses which pertain to safeguarding the interest of the employees of the company. Clauses H and J of the preamble reads as follows : ââ¬Å"H. Subject to Clause 7.2, the Parties envision that all employees of the Company on the date hereof shall continue in the employment of the Company. J. The SP recognises that the Government in relation to its employment policies follows certain principles for the benefit of the members of the Scheduled Caste/Scheduled Tribes, physically handicapped persons and other socially disadvantaged categories of the society. The SP shall use its best efforts to cause the Company to provide adequate job opportunities for such persons. Further, in the event of any reduction in the strength of the employees of the Company, the SP shall use its best efforts to ensure that the physically handicapped persons are retrenched at the end.â⬠Clause 7.2 which contains the Representations, Warranties and Covenants of M/s. Sterlite Industries is as follows: ââ¬Å"The SP represents and warrants to and covenants with each of the Government and the Company that: (a) it has been duly incorporated or created and is validly subsisting and in good standing under the laws of the jurisdiction indicated in the preamble to this Agreement; (b) it has the corporate power and authority to enter into and perform its obligations under this Agreement; (c) this Agreement has been duly authorised, executed and delivered by it and constitutes a valid and binding obligation enforceable against it in accordance with its terms; (d) it is not a party to, bound or affected by or subject to any indenture,à mortgage, lease agreement, instrument, charter or by-law provision, statute, regulation, judgment, decree or law which would be violated, contravened, breached by or under which default would occur or under which any payment or repayment would be accelerated as a result of the execution and delivery of this Agreement or the consummation of any of the transactions provided for in this Agreement. (e) Notwithstanding anything to the contrary in this Agreement, it shall not retrench any part of the labour force of the Company for a period of one (1) year from the Closing Date other than any dismissal or termination of employees of the Company from their employment in accordance with the applicable staff regulations and standing orders of the Company or applicable Law; and (f) Notwithstanding anything to the contrary in this Agreement, but subject to sub-clause (e) above, any restructuring of the labour force of the Company shall be implemented in the manner recommended by the Board and in accordance with all applicable laws. (g) Notwithstanding anything to the contrary in this Agreement, but subject sub-clause (e) above, in the event of any reduction of the strength of the Companyââ¬â¢s employees the SP shall ensure that the Company offers its employees, an option to voluntarily retire on terms that are not, in any manner, less favourable than theà voluntary retirement sch eme offered by the Company which is referred to in Schedule 7.4 of the Share Purchase Agreement; and (h) It shall vote all the voting equity shares of the Company, directly or indirectly, held by it to ensure that all provisions of this Agreement, to the extent required, are incorporated in the Companyââ¬â¢s articles of association.â⬠With the filing of the writ petitions in the High Court of Delhi and in the High Court of Chhattisgarh, an application for transfer of the petitions was filed by the Union of India in this Court. After the notices were issued, the company received various notices from the authorities in Chhattisgarh for alleged beach of various provisions of the M. P. Land Revenue Code and the Mining Concession Rules. Some of the notices were not only addressed to the company but also to individuals alleging violation of the provisions of the code and the rules as also encroachment having taken place on Government land by BALCO. This led to the filing of the Write Petition No. 194 by BALCO in this court, inter alia, challenging the validity of the said notices. During theà pendancy of the writ petition, the workers of the company went on strike on 3rd March, 2001. Some interim orders were passed in the transfer petition and subsequently on 9th May, 2001 the strike was called off. By Order dated 9th April, 2001, the writ petitions which were pending in the High Court of Delhi and Chhattisgarh were transferred to this Court being Transfer Case No. 8 of 2001 which pertains to the writ petition filed by BALCO Employeesââ¬â¢ Union; Transfer Case No. 9 of 2001 pertains to the writ petition filed by Dr. B. L. Wadhera in the Delhi High Court and Transfer Case No. 10 ofà 2001 is the writ petition filed by Mr. Samund Singh Kanwar in the High Court of Chhattisgarh. On behalf of the BALCO Employeesââ¬â¢ Union, Shri Dipankar P. Gupta, learned senior counsel submitted that the workmen have been adversely affecte d by the decision of the Government of India to disinvest 51% of the shares in BALCO in favour of a private party. He contended that before disinvestment, the entire paid-up capital of BALCO was owned and controlled by the Government of India and itââ¬â¢s administrative control co-vested in the Ministry of Mines. BALCO was, therefore, a State within the meaning of Articles 12 of the Constitution. Reliance for this was placed on Ajay Hasia and Others vs. Khalid Mujib Sehravardi and Others, (1981) 1 SCC 722; Central Inland Water Transport Corporation Limited and Another Vs. Brojo Nath Ganguly and Another, (1986) 3 SCC 156. He also contended that by reason of disinvestment the workmen have lost their rights and protection under Articles 14 and 16 of the Constitution. This is an adverse civil consequence and, therefore, they had a right to be heard before and during the process of disinvestment. The type of consultation with the workmen which was necessary, according to Shri Dipankar P. Gupta, was whether BALCO should go through the process of disinvestment; who should be the strategic partner; and how should the bid of the strategic partner be evaluated. Referring to the averment of Union of India to the effect that interest of the employees has been protected, Shri Dipankar P. Gupta, submitted that in fact there was no effective protection of the workmenââ¬â¢s interest inà the process of disinvestment. He further submitted that the workmen have reason to believe that apart from the sale of 51% of the shares in favour of Sterlite Industries the Agreement postulates that balance 49% will also beà sold to them with the result that when normally in such cases 5% of the shares are disinvested in favour of the employees the same would not happen in the present case. Reliance was placed on the decision of National Textile Workersââ¬â¢ Union and Others vs. P.R. Ramakrishnan and others, (1983) 1 SCC 228 and it was also contended that even though there may be no loss of jobs in the present case but the taking away of the right or protection of Articles 14 and 16 is the civil consequence and, therefore, the workmen have a right to be heard. It was submitted that such rights and benefits are both procedural as well as substantive. Procedural benefits and rights includes the right to approach High Court under Article 226 of the Constitution and this Court under Article 32 of the Constitution in the event of violation of any of their rights. This is a major advantage since it is a relatively swift method of redressal of grievances which would not be available to employees of private organisations. Instances were given of the substantive rights which flow from Articles 14 and 16 like, right to equality, equal pay for equal work, right to pension including the principle that there can be no discrimination in the matter of granting or withholding of pension vide Bharat Petroleum (Erstwhile Burmah Shell) Management Staff Pensioners vs. Bharat Petroleum Corporation Ltd. and Others, (1988) 3 SCC page 32), right to inquiry and reasons before dismissal etc. The aforesaid contentions of Shri Gupta were supported by Shri G. L. Sanghi and Shri Ranjit Kumar, senior counsel, appearing for some of the Unions who were interveners in the writ petition filed by BALCO Employeesââ¬â¢ Union. He submitted that the workers should have been heard at different stages during the process of disinvestment, the manner in which views may be invited and evaluated by the Government; the method of evaluation; the factors to be taken into consideration and the choice of the strategic partner; the terms and conditions under which the strategic partner will take over the employment of the workers and the terms and conditions of the Share Holders Agreement are the stages in which the workers should have been heard and consulted. It was submitted that the decision of the Delhi High Court of 3rd August, 1999 does not come in the way of these contentions being raised inasmuch as the petition at that time was regarded as premature and the order which was passed actually preserves the workersââ¬â¢ rights to raise theà contention in future. Reiterating these contentions Shri Ravindra Shrivastava, learned Advocate General, State of Chhattisgarh submitted that the State does not challenge the policy of disinvestment per se on principle as a measure of socio-economic reform and for industrial well being in the country. He however, contended that the implementation of the policy of disinvestment in the present case, has failed to evolve a comprehensive package of socio-economic and political reform and to structure the decision making process so as to achieve in a just, fair and reasonable manner, the ultimate goal of the policy and that the interestà of the workers in the industrial sector cannot be undermined and, therefore, any decision which was likely to affect the interest of the workers and employees as a class as a whole cannot and ought not to be taken to the exclusion of such class, lest it may be counter productive. He contended that the Disinvestment Commission had recommended that some percentage of equity share may be offered to the workers to solicit their participation in the enterprise and which would go a long way in proving the disinvestment plan meaningful and successful. In this regard, it was not shown from any material or record that the Government of India had at any stage addressed itself to this vital aspect of the disinvestment process or had taken into consideration the likely repercussions on the interest, right and status of the employees and workers. This non-consideration indicates that there has been an arbitrariness in not taking into consideration relevant facts in the decision making process. It is further contended that the impugned decision defeats the provisions of the M.P. Land Revenue Code and goes against the fundamental basis on which the land was acquired and allotted to the company. Implicit in the submissions on behalf of the employees is the challenge to the decision to disinvest majority of the shares of BALCO in favour of Sterlite Industries Limited. The first question, therefore, which would arise for consideration, is whether such a decision is amenable to judicial review and if so within what parameters and to what extent. On behalf of the Union of India, the Attorney General submitted that since 1990-91 successive Governments have gone in for disinvestment. Disinvestment had become imperative both in the case of Centre and the States primarilyà for three reasons. Firstly, despite every effort the rate of returns of governmental enterprises had been woefully low, excluding the sectors in which government have a monopoly and for which they can, therefore, charge any price. The rate of return on central enterprises came to minus 4% while the cost at which the government borrows money is at the rate of 10 to 11%. In the States out of 946 State level enterprises, about 241 were not working at all; about 551 were making losses and 100 were reported not to be submitting their accounts at all. Secondly, neither the Centre nor the States have resources to sustain enterprises that are not able to stand on their own in the new environment of intense competition. Thirdly, despite repeated efforts it was not possible to change the work culture of governmental enterprises. As a result, even the strongest among them have been sinking into increasing difficulties as the environment is more and more competitive and technological change has become faster. In support, the Solicitor General submitted that the challenge to the decision to disinvest on the ground that it impairs public interest, or that it was without any need to disinvest, or that it was inconsistent with the decision of the Disinvestment Commission was untenable.
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