Relationship between prefrontal cortex and antisocial behaviour

Relationship between prefrontal cortex and antisocial behaviour The prefrontal cortex (PFC) is an essential aspect of the frontal lobes in the brain. Executive function is carried out by the prefrontal cortex: where abilities to differentiate among conflicting thoughts and to determine what is good or bad operate. The PFC is connected very compactly with the rest of the brain which allows the PFC to be responsible for guiding features such as memory, emotion, decision-making, planning actions, and attention. If the PFC is damaged and the activity in it is minimal then this affects many things. The PFC could be damaged by lesions or even due to the misuse of drugs or alcohol (Rogers et al., 2010). In turn the damage to the PFC can lead the brain to make irrational decisions; have loss of behavioural control or even have a complete personality change: all of which explain why people may perform antisocial behaviour (ASB). Lesions in the prefrontal cortex have massive effects on decision making. (Manes et al., 2001). ASB stems from the fact that a human being has taken the decision as to whether they should act in a way that is not seen as appropriate in society: therefore, the damage to the PFC may have led them to this decision. Manes (2001) carried out a study to examine this theory. Manes found that out of several different groups he had with lesions in different parts of the brain the group with large frontal lesions was the only group to exhibit risky decision making. This contradicts most other studies: including studies by Benjamin Libet and colleagues which showed that brain activity associated with deliberate decisions can be detected shortly before we are conscious of making the decision. (Libet, 1983) Participants were asked to note when they first felt the intention of making a movement by noting the position of a dot on a computer screen. The participants were first aware of their intentions about 200 milliseconds before actually acting. This is much later than the onset of readiness potential: meaning that the decision to act in a particular way in this study was risky. This experiment was heavily criticised for its accuracy. However, recent research has proven that if anything the actual onset of conscious intention is later. (Lau, 2006). The PFC can not only change the way somebody makes decisions -many studies have proven that lesions in the PFC can cause a complete personality change, where a good mannered personality can be changed instantly to an unpleasant one. (Chow, 2000) This was substantially displayed in the accident of Phineas Gage, (Harlow, 1848) where he survived a horrific accident after a large iron rod went completely through his head, destroying much of his brains left frontal lobe. This accident resulted in a vast personality change of Gage, which raised one of the first discussions as to whether damage to the prefrontal cortex can change a persons behaviour. This then led to even more studies into this issue which resulted in one of the largest studies of patients with brain damage. Grafman (1996) found that the patients that showed an increase in aggression were most strongly associated with PFC lesions in a sample of 279 veterans of the Vietnam War. However, the higher scores were mostly associated with verbal aggression rather than physical. This, yet again, supported Harlows observation of Gage. (Grafman, 1996) The PFC is essential for behavioural control; therefore, this is why PFC lesions lead to ASB. Anti-social behaviour can be described as behaviour that is likely to cause harassment, alarm or distress to [others]. (Riley, 2007). Many studies have demonstrated the direct effect that the PFC has on determining ASB. Violent behaviour is connected with structural and functional shortages in the prefrontal cortex according to many brain imaging studies. A meta-analysis of these studies was carried out by Yang et al (2009), where 43 structural and functional imaging studies were looked at. Results showed an 11% reduction in PFC grey matter in patients with anti-social personality disorder (APD). From all of these studies it was concluded that there is reduced prefrontal structure and function in antisocial individuals. Anderson (1999) also investigated this he examined the long term consequences of PFC lesions before 16 months in two adults. It resulted in the two adults having severely impaired social behaviour despite basic cognitive abilities and also insensitivity to consequences of decisions. The two patients suffered from defective social and moral reasoning; showing attainment of complex social and moral rules had been impaired. This study explained that early prefrontal damage syndrome leads to syndrome resembling psychopathy. A great deal of empirical research demonstrates that mental illness is higher in incarcerated populations and estimates that as many as 25% of defendants evaluated for capability are medically and legally incompetent to stand trial. (Golding, 1984). With this fact in mind, many people argue that minds are simply what brains do (Minsky, 1948) If this is the case then people are controlled by their brain, therefore have little personal choice as to how they behave. It is clear that the PFC has a huge effect on behaviour of human beings. It can have such an effect that it changes a persons entire personality from positive to negative. Anything that minimises the activity in the PFC can lead to negative consequences. It can make somebody less effective at decision making; make people violent and entirely change somebody as a person. All of these things in turn lead to antisocial behaviour which raises huge debate as to whether people who are antisocial due to minimal activity in the PFC are criminals or are innocently mentally ill human beings. It is certain how important the PFC is to the brain and the research that has been carried out shows that we should not abuse the PFC (alcohol, drugs) as it is very significant to enable us to behaviour in a responsible manner.

Cognitive Psychology

Psychology has experienced many stages of development and gained momentum with many prominent psychologists attempting to map the human mind and explain the behaviors involved. These individuals have shaped the many theories of psychology and given insight to the vast complexity of the human mind in nearly all walks of life. Up until the 1960’s psychology was dominated with behaviorism and gained popularity with findings by B. F Skinners rate maze (Bjork, 2010). B. F. Skinner believed that the mind was invisible and irrelevant to scientists. He believed that concerns should be focused on end results rather than internal processes. The incomplete analysis of human behavior sparked many questions giving rise the theories of cognitive psychology, which examine the internal processes, problem solving skills, memory and language and the general mystery of how people think, remember, learn and behave (Boeree, 2006). This paper will examine four milestones in cognitive psychology and why the concepts of behaviorism cannot be ignored in the cognitive approach as it relates to human behavior. On the forefront of psychology as a scholarly study is Wilhelm Wundt. His foundation of a formal institution to study the many aspects of human behavior paved the way for the development of the many schools of thought in the field of psychology. His establishment of the first psychology lab at the University of Leipzig separated psychology as a dedicated science field of study and as thus made the development of cognitive psychology possible. Though Wundt was studying the mind through a perspective considered structuralism, his model of studying the various aspects of the human mind, presented a model to be emulated by psychologists around the world. Jean Piaget, a Swiss psychologist, was interested in the growth of human cognitive capacities. Piaget explored how children grow and develop in their abilities to reason and think. His studies were focused on how a child would reach a certain conclusion rather than whether the reached conclusion was accurate. Piaget developed the four stage process of child development and laid out a pattern of how information flows differently during the brain development of humans. These stages are vital to the understanding of physical and mental limitations in the processing of data as it enters the brain. His model of child development serves as guidance for school curriculums and education modules (Huitt, 2003) Albert Bandura initially studied human behavior through the eyes of behaviorism, but realized that the mind absorbs information differently depending on the circumstances surrounding a person, and as such the processing is equally important as the information being fed. (Boeree, 2006). He is often considered the initiator of the cognitive movement, when his realization of the various factors contributing to the retention, processing and memory of information began to emerge in the expansion of studies in psychology (Boeree, 2006). The last noted contributor to the development of cognitive psychology was George Miller. His publication of â€Å"The Lucky Number Seven, Plus or Minus Two† illustrated the limitation of the human brain and its capacity to retain and process data (Miller, 1956). Miller points out the ability to retain a data set exceeding the value of seven becomes more challenging and the average human does not have the capacity to accurately process information in excess of seven. He illustrates this theory by tying it to the numerical representation of the number seven in significant events and happenings around the world. The seven seas, the seven deadly sins, the seven days of the week and the coincidental assignment of seven-digit phone numbers serve as related findings of astonishing fascination. The value of observations in cognitive psychology can not be ignored due to the nature of cognitive psychology. It was founded on the basis of many schools of thought and as such it is the study of the mind, which functions based on external factors as well as internal happenings. Unlike a computer, which functions the same, regardless of how the information was entered, a human being will react and process the information differently. For instance, a computer will carry out a calculation in the same way, without regard to the emotional state the person enters the data. To a computer it is irrelevant how the person feels. A person will process information depending on the state he or she is in and this varying state of mind influences a person’s ability to retain data, misinterpret instructions or react to situations. This can be evident in ability to focus on simple tasks when a person is in strenuous or emotionally charged situations. The observation of behavior in cognitive psychology will give clues on the effects of mental disposition prior to receiving data and the various outcomes. This approach sheds light on the dependence of behavior and attitude towards the ability to simply process data. Without consideration of other factors the field of cognitive science would be unreliable as the physical process of data as it enters the brain results in vastly different reaction in people. This difference can be attributed to personality, experience and other factors of the human mind. Cognitive psychology is a fairly new science, though the many branches have laid the foundation of it over the past centuries. The fascination of human behavior has taken many shape and forms and given birth to the many approaches of study. Cognitive psychology has accepted the challenge to not only look at the behavior or what causes it, but also how this determination is made in the human brain. This perspective of psychology can be challenging and as such, the study will continue for many years, as the observation is not visible to the human eye. With the help of modern technology, the process of translating immeasurable data happening inside the human brain to evidential data in explaining the functions of thinking, reasoning, memory and retention has become vast and continues to inspire further interest in the exploration of the complex human mind. Boeree, George. (2006). Albert bandura. Retrieved from http://webspace. ship. edu/cgboer/bandura. html Boeree, George. (2006). Jean piaget. Retrieved from http://webspace. ship. edu/cgboer/piaget. html Bjork, Daniel. (2010). B. f. kinner (1904 – 1990) behavioral analysis, social service, educational reform. Retrieved from http://education. stateuniversity. com/pages/2421/Skinner-B-F-1904-1990. html Huitt, W. , & Hummel, J. (2003). Piaget's theory of cognitive development. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved from http://www. edpsycinteractive. org/topics/cogsys/piaget. html Miller, George. (1956). The Magical number seven, plus or minus two: some limits on our capacity for processing information. Retrieved from http://www. musanim. com/miller1956/ Cognitive Psychology Cognitive Psychology Brian Shrum Psy/360 April 11, 2013 Dr. Turner Cognitive Psychology Hermann Ebbinghaus said, â€Å"Psychology has a long past, yet its real history is short† (Goodwin, 2008, p. 28). He was referring to the belief that while the study of human thought, emotion, and behavior is firmly entrenched in philosophy, psychology as its own discipline has only been around a short time. During this short time, different branches of psychology have come out, one of them is cognitive psychology, which is only roughly 50 years old.Cognitive psychology expands upon other fields of psychology to further reveal why human beings act in the way they do. This paper will define cognitive psychology, explore key milestones in its development, and discuss the importance of observation as it relates to cognitive psychology. While human behavior has been observed since the beginnings of psychology, the different fields focused only on observable behaviors. In contrast to that, cogni tive psychology is a perspective that looks at the mental processes involved with human intelligence and behavior.These processes include thinking, speaking, perceiving, memory, and problem-solving (Willingham, 2007). This field of psychology researches the unobservable nature of these processes, and uses abstract constructs to better understand these processes (Willingham, 2007). Cognitive psychology has evolved from other fields of psychology, one of which is behaviorism. Behaviorism was a very popular field of study during the early part of the 20th century.Many well-known psychologists like Pavlov, Watson, and Skinner made their mark during this behaviorist revolution. The behaviorist movement was firmly rooted in the scientific method and relied heavily on the observable actions. While behaviorism was a useful tool in explaining behaviors based on instinct and drives, it had several large hold-ups in being useful for humans. First, most of the experiments were done using non-hu man animals such as Pavlov’s dogs, which had no real usefulness in explaining the aspects of human intelligence.The second, and most destructive shortcoming for behaviorism, was that it did not observe, nor could it explain, human language, or intrinsic drives (Willingham, 2007). From these short comings, it became evident that parts of the human psyche had to be studied, which is where cognitive psychology began to form. However, this shortcoming has not been the only development to help cognitive psychology become what it is. The metaphor comparing the human mind to a computer was a big leap for cognitive psychology.It allowed new abstract ideas to formulate on how the human brain works like an information processing center (Willingham, 2007). The basic break down of this is sensory input gives way to processing, and from processing a behavior is chosen and performed. This behavior could be internal or external dependant on what the input necessitates. For instance the comp uter currently being used to write this paper is receiving input from the keyboard. This information is translated as a bunch of zeroes and ones, which are then output to the monitor in the form of the letters being typed on the keyboard.Combine this metaphorical approach with the onset of technology, specifically neuroscience, and cognitive psychology continues to evolve. Neuroscience has tremendously helped cognitive psychology evolve. With the development of brain studying equipment such EEGs, CT scans, and MRIs cognitive psychologists, and scientists, are better able to understand how the brain is used in receiving input. A patient can be hooked up to one of these machines and be asked to perform a task, either physical or mental, and the brain patterns can be observed.While the direct process of the interaction between brain cells cannot be directly observed, the patterns can be. These observations can be used to determine if the inferences made by the observing cognitive speci alist are accurate (Willingham, 2007). Observing how the brain reacts during these experiments can show links between the structure of the brain and the associated functions performed (Willingham, 2007). Even with technology playing a key role in cognitive psychology, behavioral observation does still play a key in cognitive psychology.Behavioral observation is still vital in cognitive psychology. This is because it has shown that two different people may develop different ways to solve similar problems. Through these observations it has been suggested that how people solve problems helps to develop new cognitive skills. Also, without observation, the only tests that can be run are thinking tests, which entails a large amount of logic being applied to the results (Willingham, 2007). Observing how different people handle different situations allows for generalization to not become a problem.The continued technology movement has fueled the cognitive psychology movement. Combing experi ments with a machine that can view the brain functions while the behavior is also being observed has produced many new theories. This cognitive movement has been founded on the failures of the past, and is growing with the technology of the future. References Goodwin, J. C. (2008). A history of modern psychology (3rd ed. ). Hoboken, NJ: John Wiley & Sons. Willingham, D. T. (2007). CognitionL The thinking animal (3rd ed. ). Upper Saddle River, NJ: Pearson/Allyn & Bacon. Cognitive Psychology Psychology has experienced many stages of development and gained momentum with many prominent psychologists attempting to map the human mind and explain the behaviors involved. These individuals have shaped the many theories of psychology and given insight to the vast complexity of the human mind in nearly all walks of life. Up until the 1960’s psychology was dominated with behaviorism and gained popularity with findings by B. F Skinners rate maze (Bjork, 2010). B. F. Skinner believed that the mind was invisible and irrelevant to scientists. He believed that concerns should be focused on end results rather than internal processes. The incomplete analysis of human behavior sparked many questions giving rise the theories of cognitive psychology, which examine the internal processes, problem solving skills, memory and language and the general mystery of how people think, remember, learn and behave (Boeree, 2006). This paper will examine four milestones in cognitive psychology and why the concepts of behaviorism cannot be ignored in the cognitive approach as it relates to human behavior. On the forefront of psychology as a scholarly study is Wilhelm Wundt. His foundation of a formal institution to study the many aspects of human behavior paved the way for the development of the many schools of thought in the field of psychology. His establishment of the first psychology lab at the University of Leipzig separated psychology as a dedicated science field of study and as thus made the development of cognitive psychology possible. Though Wundt was studying the mind through a perspective considered structuralism, his model of studying the various aspects of the human mind, presented a model to be emulated by psychologists around the world. Jean Piaget, a Swiss psychologist, was interested in the growth of human cognitive capacities. Piaget explored how children grow and develop in their abilities to reason and think. His studies were focused on how a child would reach a certain conclusion rather than whether the reached conclusion was accurate. Piaget developed the four stage process of child development and laid out a pattern of how information flows differently during the brain development of humans. These stages are vital to the understanding of physical and mental limitations in the processing of data as it enters the brain. His model of child development serves as guidance for school curriculums and education modules (Huitt, 2003) Albert Bandura initially studied human behavior through the eyes of behaviorism, but realized that the mind absorbs information differently depending on the circumstances surrounding a person, and as such the processing is equally important as the information being fed. (Boeree, 2006). He is often considered the initiator of the cognitive movement, when his realization of the various factors contributing to the retention, processing and memory of information began to emerge in the expansion of studies in psychology (Boeree, 2006). The last noted contributor to the development of cognitive psychology was George Miller. His publication of â€Å"The Lucky Number Seven, Plus or Minus Two† illustrated the limitation of the human brain and its capacity to retain and process data (Miller, 1956). Miller points out the ability to retain a data set exceeding the value of seven becomes more challenging and the average human does not have the capacity to accurately process information in excess of seven. He illustrates this theory by tying it to the numerical representation of the number seven in significant events and happenings around the world. The seven seas, the seven deadly sins, the seven days of the week and the coincidental assignment of seven-digit phone numbers serve as related findings of astonishing fascination. The value of observations in cognitive psychology can not be ignored due to the nature of cognitive psychology. It was founded on the basis of many schools of thought and as such it is the study of the mind, which functions based on external factors as well as internal happenings. Unlike a computer, which functions the same, regardless of how the information was entered, a human being will react and process the information differently. For instance, a computer will carry out a calculation in the same way, without regard to the emotional state the person enters the data. To a computer it is irrelevant how the person feels. A person will process information depending on the state he or she is in and this varying state of mind influences a person’s ability to retain data, misinterpret instructions or react to situations. This can be evident in ability to focus on simple tasks when a person is in strenuous or emotionally charged situations. The observation of behavior in cognitive psychology will give clues on the effects of mental disposition prior to receiving data and the various outcomes. This approach sheds light on the dependence of behavior and attitude towards the ability to simply process data. Without consideration of other factors the field of cognitive science would be unreliable as the physical process of data as it enters the brain results in vastly different reaction in people. This difference can be attributed to personality, experience and other factors of the human mind. Cognitive psychology is a fairly new science, though the many branches have laid the foundation of it over the past centuries. The fascination of human behavior has taken many shape and forms and given birth to the many approaches of study. Cognitive psychology has accepted the challenge to not only look at the behavior or what causes it, but also how this determination is made in the human brain. This perspective of psychology can be challenging and as such, the study will continue for many years, as the observation is not visible to the human eye. With the help of modern technology, the process of translating immeasurable data happening inside the human brain to evidential data in explaining the functions of thinking, reasoning, memory and retention has become vast and continues to inspire further interest in the exploration of the complex human mind. Boeree, George. (2006). Albert bandura. Retrieved from http://webspace. ship. edu/cgboer/bandura. html Boeree, George. (2006). Jean piaget. Retrieved from http://webspace. ship. edu/cgboer/piaget. html Bjork, Daniel. (2010). B. f. kinner (1904 – 1990) behavioral analysis, social service, educational reform. Retrieved from http://education. stateuniversity. com/pages/2421/Skinner-B-F-1904-1990. html Huitt, W. , & Hummel, J. (2003). Piaget's theory of cognitive development. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved from http://www. edpsycinteractive. org/topics/cogsys/piaget. html Miller, George. (1956). The Magical number seven, plus or minus two: some limits on our capacity for processing information. Retrieved from http://www. musanim. com/miller1956/ Cognitive Psychology Cognitive Psychology Brian Shrum Psy/360 April 11, 2013 Dr. Turner Cognitive Psychology Hermann Ebbinghaus said, â€Å"Psychology has a long past, yet its real history is short† (Goodwin, 2008, p. 28). He was referring to the belief that while the study of human thought, emotion, and behavior is firmly entrenched in philosophy, psychology as its own discipline has only been around a short time. During this short time, different branches of psychology have come out, one of them is cognitive psychology, which is only roughly 50 years old.Cognitive psychology expands upon other fields of psychology to further reveal why human beings act in the way they do. This paper will define cognitive psychology, explore key milestones in its development, and discuss the importance of observation as it relates to cognitive psychology. While human behavior has been observed since the beginnings of psychology, the different fields focused only on observable behaviors. In contrast to that, cogni tive psychology is a perspective that looks at the mental processes involved with human intelligence and behavior.These processes include thinking, speaking, perceiving, memory, and problem-solving (Willingham, 2007). This field of psychology researches the unobservable nature of these processes, and uses abstract constructs to better understand these processes (Willingham, 2007). Cognitive psychology has evolved from other fields of psychology, one of which is behaviorism. Behaviorism was a very popular field of study during the early part of the 20th century.Many well-known psychologists like Pavlov, Watson, and Skinner made their mark during this behaviorist revolution. The behaviorist movement was firmly rooted in the scientific method and relied heavily on the observable actions. While behaviorism was a useful tool in explaining behaviors based on instinct and drives, it had several large hold-ups in being useful for humans. First, most of the experiments were done using non-hu man animals such as Pavlov’s dogs, which had no real usefulness in explaining the aspects of human intelligence.The second, and most destructive shortcoming for behaviorism, was that it did not observe, nor could it explain, human language, or intrinsic drives (Willingham, 2007). From these short comings, it became evident that parts of the human psyche had to be studied, which is where cognitive psychology began to form. However, this shortcoming has not been the only development to help cognitive psychology become what it is. The metaphor comparing the human mind to a computer was a big leap for cognitive psychology.It allowed new abstract ideas to formulate on how the human brain works like an information processing center (Willingham, 2007). The basic break down of this is sensory input gives way to processing, and from processing a behavior is chosen and performed. This behavior could be internal or external dependant on what the input necessitates. For instance the comp uter currently being used to write this paper is receiving input from the keyboard. This information is translated as a bunch of zeroes and ones, which are then output to the monitor in the form of the letters being typed on the keyboard.Combine this metaphorical approach with the onset of technology, specifically neuroscience, and cognitive psychology continues to evolve. Neuroscience has tremendously helped cognitive psychology evolve. With the development of brain studying equipment such EEGs, CT scans, and MRIs cognitive psychologists, and scientists, are better able to understand how the brain is used in receiving input. A patient can be hooked up to one of these machines and be asked to perform a task, either physical or mental, and the brain patterns can be observed.While the direct process of the interaction between brain cells cannot be directly observed, the patterns can be. These observations can be used to determine if the inferences made by the observing cognitive speci alist are accurate (Willingham, 2007). Observing how the brain reacts during these experiments can show links between the structure of the brain and the associated functions performed (Willingham, 2007). Even with technology playing a key role in cognitive psychology, behavioral observation does still play a key in cognitive psychology.Behavioral observation is still vital in cognitive psychology. This is because it has shown that two different people may develop different ways to solve similar problems. Through these observations it has been suggested that how people solve problems helps to develop new cognitive skills. Also, without observation, the only tests that can be run are thinking tests, which entails a large amount of logic being applied to the results (Willingham, 2007). Observing how different people handle different situations allows for generalization to not become a problem.The continued technology movement has fueled the cognitive psychology movement. Combing experi ments with a machine that can view the brain functions while the behavior is also being observed has produced many new theories. This cognitive movement has been founded on the failures of the past, and is growing with the technology of the future. References Goodwin, J. C. (2008). A history of modern psychology (3rd ed. ). Hoboken, NJ: John Wiley & Sons. Willingham, D. T. (2007). CognitionL The thinking animal (3rd ed. ). Upper Saddle River, NJ: Pearson/Allyn & Bacon. Cognitive Psychology Cognitive Psychology Brian Shrum Psy/360 April 11, 2013 Dr. Turner Cognitive Psychology Hermann Ebbinghaus said, â€Å"Psychology has a long past, yet its real history is short† (Goodwin, 2008, p. 28). He was referring to the belief that while the study of human thought, emotion, and behavior is firmly entrenched in philosophy, psychology as its own discipline has only been around a short time. During this short time, different branches of psychology have come out, one of them is cognitive psychology, which is only roughly 50 years old.Cognitive psychology expands upon other fields of psychology to further reveal why human beings act in the way they do. This paper will define cognitive psychology, explore key milestones in its development, and discuss the importance of observation as it relates to cognitive psychology. While human behavior has been observed since the beginnings of psychology, the different fields focused only on observable behaviors. In contrast to that, cogni tive psychology is a perspective that looks at the mental processes involved with human intelligence and behavior.These processes include thinking, speaking, perceiving, memory, and problem-solving (Willingham, 2007). This field of psychology researches the unobservable nature of these processes, and uses abstract constructs to better understand these processes (Willingham, 2007). Cognitive psychology has evolved from other fields of psychology, one of which is behaviorism. Behaviorism was a very popular field of study during the early part of the 20th century.Many well-known psychologists like Pavlov, Watson, and Skinner made their mark during this behaviorist revolution. The behaviorist movement was firmly rooted in the scientific method and relied heavily on the observable actions. While behaviorism was a useful tool in explaining behaviors based on instinct and drives, it had several large hold-ups in being useful for humans. First, most of the experiments were done using non-hu man animals such as Pavlov’s dogs, which had no real usefulness in explaining the aspects of human intelligence.The second, and most destructive shortcoming for behaviorism, was that it did not observe, nor could it explain, human language, or intrinsic drives (Willingham, 2007). From these short comings, it became evident that parts of the human psyche had to be studied, which is where cognitive psychology began to form. However, this shortcoming has not been the only development to help cognitive psychology become what it is. The metaphor comparing the human mind to a computer was a big leap for cognitive psychology.It allowed new abstract ideas to formulate on how the human brain works like an information processing center (Willingham, 2007). The basic break down of this is sensory input gives way to processing, and from processing a behavior is chosen and performed. This behavior could be internal or external dependant on what the input necessitates. For instance the comp uter currently being used to write this paper is receiving input from the keyboard. This information is translated as a bunch of zeroes and ones, which are then output to the monitor in the form of the letters being typed on the keyboard.Combine this metaphorical approach with the onset of technology, specifically neuroscience, and cognitive psychology continues to evolve. Neuroscience has tremendously helped cognitive psychology evolve. With the development of brain studying equipment such EEGs, CT scans, and MRIs cognitive psychologists, and scientists, are better able to understand how the brain is used in receiving input. A patient can be hooked up to one of these machines and be asked to perform a task, either physical or mental, and the brain patterns can be observed.While the direct process of the interaction between brain cells cannot be directly observed, the patterns can be. These observations can be used to determine if the inferences made by the observing cognitive speci alist are accurate (Willingham, 2007). Observing how the brain reacts during these experiments can show links between the structure of the brain and the associated functions performed (Willingham, 2007). Even with technology playing a key role in cognitive psychology, behavioral observation does still play a key in cognitive psychology.Behavioral observation is still vital in cognitive psychology. This is because it has shown that two different people may develop different ways to solve similar problems. Through these observations it has been suggested that how people solve problems helps to develop new cognitive skills. Also, without observation, the only tests that can be run are thinking tests, which entails a large amount of logic being applied to the results (Willingham, 2007). Observing how different people handle different situations allows for generalization to not become a problem.The continued technology movement has fueled the cognitive psychology movement. Combing experi ments with a machine that can view the brain functions while the behavior is also being observed has produced many new theories. This cognitive movement has been founded on the failures of the past, and is growing with the technology of the future. References Goodwin, J. C. (2008). A history of modern psychology (3rd ed. ). Hoboken, NJ: John Wiley & Sons. Willingham, D. T. (2007). CognitionL The thinking animal (3rd ed. ). Upper Saddle River, NJ: Pearson/Allyn & Bacon.

Nineteenth Century: the Beginning of Modern Europe

Modern Europe started at the opening of the nineteenth century which brought a lot of changes to Europe. The ambition to colonize territory grew stronger in order to support the increasing needs for raw materials. Capitalism abolished feudalism and many Europeans ventured to make a living in the New World. These unrests was the result of the industrial advancements like the introduction of big steam ships and the opening of two major canals that bridged oceans and made traveling efficient. However, unrest was not just felt in Europe but also in the colonies. The opening of the two major canals opened up the colonies to the ideas of the social contract philosophers and these triggered the colonies to seek independence from the mother country. However, the old view of racial superiority and manifest destiny seemed to decline. The slave trade was abolished. However, in nineteenth century Europe, major imperialist still did not desire to get loose of their colonies and the competition to discover and colonize seemed renew. Many battles were fought between countries specifically Britain, France, Spain, Portugal and Germany regarding disputes between territories. Yet, many European statesmen in the nineteenth century had already expressed unwillingness to support further expansion and agreed to ultimately grant liberty to the colony. Moreover, the nineteenth century was also the start where women asserted their right s to suffrage and many privileges that only men held in the past. Nineteenth century was the stage where meaningful transformations in women occurred. Society started to acknowledge the contributions that women brought to the society. Women started to unraveled themselves and freely spoke their ideas unlike in the sixteenth century where women used to employ male names in order to persuade the society to hear their ideas just like the case of the Bronte sister. Moreover, in the nineteenth century, the church became less and less powerful. Church -derived morality were already unpopular. Morality in the nineteenth century appeared to be no longer derived from religious affiliations but to social groups where a person belongs. Science had also improved a lot. Many discoveries further improved the lives of many European. Standardizations of measures were also instituted. The British had claimed the suppose position of the prime meridian were standard time will be calculated. The start of the nineteenth century was also the start of modern Europe. This is the time where totally deviant ideas were observed to have begun, flourished and grew. This is also the time where Europe started to take on new identities and became open to the view of other races.

Gender Stereotyping And Gender Stereotypes - 848 Words

Gender stereotyping is one of the most controversial topics in the field of education. Professionals are constantly trying to find efficient and effective ways to monitor not only teachers and administrators, but the students as well, to be sure that gender stereotyping and gender biases are kept to the minimum within the school environment. With the goal of neither gender biases nor gender stereotyping in the school system, higher educational professionals constantly seek and research to find ways to prevent and cure biases that are developed to ensure equal rights to all students. A group of five higher education students were introduced to this topic and became curious as to what they would find if they tested different interventions that were designed to make elementary students and teachers more aware of equity issues. Catherine E. Matthews states in the article â€Å"Challenging Gender Bias in Fifth Grade† that fifth graders from a new school in Guilford County, North Ca rolina were selected to participate in the study. Before the students completed any observations, they hypothesized and soon found themselves to be correct. They found that elementary teachers often unwittingly play a part in creating an environment that promotes equality which in turn, leads to many other issues such as class participation not being equal between boys and girls or one gender not feeling as comfortable as the other in the classroom or in the teachers presence. Joachim Tiedmann wrote theShow MoreRelatedGender Stereotyping And Gender Stereotypes1504 Words   |  7 Pagesto be more on soft, shy and pretty side of the spectrum. These associations are known as gender stereotypes. The textbook definition of gender stereotyping follows the ideal of overgeneralizing characteristics and attributes of a person solely based on the gender of the person without viewing them as an individual (Nobullying.com). From the moment new parents find out the sex of their child, gender st ereotyping beings. Typically, most little girls are dressed up in pink frilly outfits with nurseriesRead MoreGender Stereotyping : The Development Of Gender Stereotypes1565 Words   |  7 PagesVery few people understand the development of gender stereotyping and how it impacts the younger generation. Gender stereotypes are social expectations of how female and males should act. They are cultural interpretation about how females should be characterized as feminine and like pink, and how boys are stereotyped to be masculine and like the color blue. However, these stereotypes are not natural because they are socially constructed. Social construction is an idea or practice that a group ofRead MoreMedia And Stereotyping On Gender Stereotypes1395 Words   |  6 Pagesportrayals of women in these ads were never seen by any of the informants as sexist or inappropriate, contrary to the researcher s own introspection. Dominant Culture Stereotyping on Pinterest | Gender Stereotypes ... It was about time someone addressed the phrase â€Å"like a girl†. It’s full of negativity and perpetuates the stereotype that the way women do things is inferior to the way men do them. So, hold high the foam finger of feminism for this advert that was screened in the Super Bowl, for tacklingRead More A Tale of Two Cities - Breaking Gender Stereotypes and Stereotyping854 Words   |  4 Pages nbsp;Breaking Gender Stereotypes in A Tale of Two Cities nbsp; The men and the women of A Tale of Two Cites are violent, loving, cowardly, brave, and ruthless.nbsp; Some people are weak and spoiled, while others are badly treated and vindictive.nbsp; Many contrasts between men and women can be found within this story.nbsp;nbsp; nbsp; nbsp;nbsp;nbsp;nbsp; A Tale of Two Cities clearly portrays very distinct divisions in the behavior of men.nbsp; The aristocrats, or upperclassmenRead More We Must Put an End to Gender-related Stereotypes and Stereotyping1629 Words   |  7 PagesWe Must Put an End to Gender-related Stereotypes I have heard it said many times and by many women, I wish that I were a man. Men have it so easy. . . It is a statement which stems from the fear and anger that comes from so many years of oppression and abuse; a statement which stems from the pressure to meet the present impossible standards of beauty and bodily perfection. At times it seems to be an understandable statement to make. Admittedly, I have found myself wishing that very absurdityRead MoreStereotyping : Stereotypes And Stereotyping1494 Words   |  6 PagesStereotyping In Education Stereotyping is when you treat people unfairly just because they have characteristics of a certain group (Merriam Webster Dictionary). In education stereotyping is something you come in touch with every single day, it is so common we don’t even know it is happening. In everyday life Stereotypes are used, they are directed towards ethnicity, gender, and education. â€Å"In ethnicity, we have the ideas that each race is a certain way† (Aronson. The impact of stereotypes). HereRead MoreThe Role Of Gender And Stereotyping Of The Sexes Essay972 Words   |  4 PagesIn this paper I will discuss how the role of gender and the stereotypes of the sexes relate. I will also discuss the child’s perception of their male and female superiors and in the way they carry out their own behavior in regards to what has been introduced to them. In this paper I want to also expand on the basic stereotypes that we as individuals portray toward a gender. Gender and stereotyping is among a broad spectrum. There is an expansive amount of content, but the concept still remains theRead MoreMovie Analysis : The Four Young Boys 1520 Words   |  7 PagesAmerican society, gender stereotypes and the topic of stereotypes remain a central focus of art and indivi dual discussion. Rob Reiner addresses stereotypes in Reiner’s film Stand by Me when he sheds light on multiple stereotypes in society. Throughout the film, Gordon, Chris, Vern, and Teddy, the main characters in the movie, frequently describe each other with derogatory terms, which characterize stereotypes in American culture. In Reiner’s movie, the four young boys follow the stereotypes that societyRead MoreThe Influence Of Gender Roles1404 Words   |  6 Pages The Influence of Gender Role Stereotyping Shawn Berkley Santa Fe College Abstract Study on gender role stereotypes has shown that there are several negative effects of stereotyping. The study on how gender role stereotyping effects children is not as prevalent because most believe that it doesn’t matter, since children are just forming their stereotype so children do not care. However, some psychologists have done some research on it, and from their researchRead More Gender Differences and Gender Stereotypes from a Psychological Perspective1085 Words   |  5 PagesGender Differences and Gender Stereotypes from a Psychological Perspective Gender Differences and Gender Stereotypes Gender differences and gender stereotypes are fascinating in that one must sift through the theories, assumptions and inevitable confusion to distinguish the reality from the assumption. Men and women are obviously different, especially inherently, but how? And why? And which differences are more individualized than generalized? Even more interesting is to observe how the

Social Security Warns of ID Theft Scams

Almost 70 million Americans depend  on Social Security benefits. Sadly, whether you are already receiving benefits or not, your Social Security account is a tempting target for scammers. The sheer complexity of this mainline federal assistance program makes Social Security accounts particularly vulnerable to hacking by cyber attackers. As a result, the Social Security Administration has identified some particularly dangerous scams you should be aware of whether you are already receiving benefits or plan to in the future. Online Social Security Account Scam The Social Security Administration (SSA) strongly urges all current and future beneficiaries to set up a personal â€Å"My Social Security† account on its website. Opening a My Social Security account allows you to check the size of your current or future benefits and change your bank account direct deposit information or mailing address without having to visit your local Social Security office or wait on hold to speak to an agent. The bad news is that scammers also take advantage of many My Social Security accounts. In this bit of awful, scammers set up My Social Security accounts in the names of people who do not already have them, thus allowing them to transfer the victims’ current or future benefits to their own bank accounts or debit cards. While Social Security will reimburse victims of this scam, it can take months and leave you without benefits during that period. How to Prevent It Scammers can only set up a bogus My Social Security account in your name if they already know your Social Security Number and other personal information, which in today’s data-breach-of-the-week environment is all too likely. So, the thing to do is set up your account as soon as possible. Anyone over age 18 can set up a My Social Security account. Even if you do not intend to start drawing benefits for years, a My Social Security account can be a valuable retirement planning tool. When you set up your account, be sure to choose the â€Å"Add Extra Security† option on the online signup form. This option will cause a new security code to be sent to your cell phone or email ever time you try to access your account. You will need to enter the code in order to log on. It is sort of inconvenient, but far better than having your benefits stolen. The Fake Social Security Employee Scams There exists a whole set of scams in which the perpetrator—posing as a Social Security â€Å"agent—calls victims regarding their benefits. For example, the scammer may claim the SSA needs to verify the victim’s direct deposit information. In another more complex scam, the victim is told that their Social Security benefits are being cut because they have inherited a house from a relative; an event that would not result in a reduction of their Social Security benefit. To help perpetrate the fraud, the caller then places the recipient on hold and plays the same on-hold recordings actually used by Social Security. When the scammer comes back on the line, the victim is that told proceeds from the sale of the house will be sent to them if they pay the back taxes. Of course, there are no inherited houses or back taxes. How to Prevent It The SSA recommends taking extreme precautions before giving out personal information. â€Å"You should never provide your Social Security number or other personal information over the telephone unless you initiated the contact, or are confident of the person to whom you are speaking,† says the agency. â€Å"If in doubt, do not release information without first verifying the validity of the call.† Which you can do by calling Social Security’s toll free number at 1-800-772-1213 to verify the legitimacy of the call. (If you are deaf or hard of hearing, call Social Securitys TTY number at 1-800-325-0778.) Also be aware that scammers have also perfected the black cyber crime art of â€Å"caller ID spoofing,† so even if your caller ID says, â€Å"Social Security Administration,† it is probably just another scammer. The Data Theft Scare Scam Given the number of actual government data breaches these days, this scam is particularly believable and dangerous. The scammer – again pretending to work for Social Security – tells the victim that the agency’s computers have been hacked. In order find out if the victims account has been compromised, the scammer says he needs to verify that the SSA has the victim’s correct bank account information. To set the hook, the scammer gives the victim account information he knows is incorrect. In the end, the victim is tricked into giving the scammer their correct bank account information. Bad, very bad. How to Prevent It The SSA recommends ignoring calls and emails regarding account data breaches. The agency never initiates contact with beneficiaries by phone or email.Even letters regarding data breaches can be scams as scammers have gotten very good at making envelopes and letters look â€Å"official.† If you get such a letter call the real Social Security Administration at 800-772-1213 to find out if the letter is legitimate. If the letter gives any other number to call, do not call it. The No COLA For You Scam While it hasn’t happened since 2014, Social Security adds a cost of living adjustment (COLA) in most years based on the rate of inflation. But, when there is no increase in the consumer price index (CPI), as was the case in 2015 and 2016, there is no COLA for Social Security recipients. Scammers—again posing as SSA employees—take advantage of these non-COLA years by calling, emailing or sending letters to victims stating that the SSA had apparently â€Å"forgotten† to apply the COLA increase to their accounts. As with other scams, victims are given a form or link to a website where they can â€Å"claim† their COLA increase by providing their Social Security Number and bank account information. By now, you know what happens next. Tell your money goodbye. How to Prevent It Ignore the letters, calls or emails. When and if they are given, Social Security applies COLAs automatically and without fail to the accounts of all current beneficiaries. You never have to â€Å"apply† for them. The New, Improved Social Security Card Scam In this one, the scammer, again posing as an SSA employee, tells the victim that the agency is replacing all old paper Social Security cards with new high tech, â€Å"ID theft proof† computer chips embedded in them. The scammer tells the victim that they will not get any more benefits until they have gotten one of the new cards. The scammer then claims that he can â€Å"expedite† the replacement card if the victim provides their identity and bank account details. Clearly not the smart thing to do. How to Prevent It Ignore the claims. The SSA has no plans, desire or money to replace millions of old Social Security cards or to start issuing high-tech cards. In fact, the SSA recommends you not even carry your Social Security card with you due to the threat of identity theft. Instead, memorize your Social Security number and put the card in a safe, secret place. Report Suspected Scams The SSA’s office of inspector general asks Americans to report known or suspected incidents of scams. Reports can be submitted online at the SSA’s Report Fraud, Waste or Abuse website. Reports can also be submitted by mail to: Social Security Fraud Hotline​P.O. Box 17785Baltimore, Maryland 21235 In addition, reports can be submitted by telephone to 1-800-269-0271 from 10:00 a.m. to 4:00 p.m. Eastern Standard Time (TTY: 1-866-501-2101 for the deaf or hard of hearing.)

Disaster Preparedness and Response - 7600 Words

Disaster Preparedness and Response Measures and Actions for Specific Disasters Preparing for Emergencies (General) Prepare For Disaster * Set up a place to meet after a disaster. Choose an out-of-state emergency contact person. * Know different ways to get out of your home. * Be ready to help your neighbors. Ask them to make sure you are alerted in a disaster. * Have disaster plans for work, school and child care. * Keep emergency supplies in your house and car. Check them every six months and restock if necessary. * If you have an infant, keep extra formula. * Tag your pet and keep extra pet supplies. * Know how to turn off your gas, water and electricity. * If you use medical equipment,†¦show more content†¦Give first aid if trained. * Remember to help your neighbors who may require special assistance--infants, elderly people, and people with disabilities. * Listen to a battery-operated radio or television for the latest emergency information. * Remember that flooding may occur after a mudflow or a landslide. * Check for damaged utility lines. Report any damage to the utility company. * Check the building foundation, chimney, and surrounding land for damage. * Replant damaged ground as soon as possible since erosion caused by loss of ground cover can lead to flash flooding. * Seek the advice of geotechnical expert for evaluating landslide hazards or designing corrective techniques to reduce landslide risk.47 Preparedness for Hurricanes Hurricanes can be dangerous killers. Learning the hurricane warning messages and planning ahead can reduce the chances of injury or major property damage. BEFORE Plan an evacuation route. Contact the local emergency management office or American Red Cross chapter, and ask for the community hurricane preparedness plan. This plan should include information on the safest evacuation routes and nearby shelters. Learn safe routes inland. Be ready to drive 20 to 50 miles inland to locate a safe place. Have disaster supplies on hand. * Flashlight and extra batteries * Portable, battery-operated radio and extra batteries * First aid kit and manual *Show MoreRelatedEmergency Preparedness and Disaster Response956 Words   |  4 Pagesï » ¿ Emergency Preparedness and Disaster Response Crystal Lusk Walden University Family, Community, and Population-Based Care 4011-12 March 19, 2014 Emergency Preparedness and Disaster Response A disaster is an event that is a natural or man-made occurrence that can disrupt or destroy the lives of those it affects (Stanhope Lancaster, 2014). Management of a disaster includes four phases; prevention, preparedness, response and recovery (Stanhope Lancaster, 2014). Hawaii’s isolationRead MoreEmergency Preparedness and Disaster Response in Schools979 Words   |  4 PagesEmergency Preparedness and Disaster Response in Schools Jennifer Cox Walden University NURS 4010 Section 06, Family, Community, and Population-Based Care May 5, 2013 EMERGENCY PREPAREDNESS AND DISASTER RESPONSE IN SCHOOLS The professional nurse uses clinical judgment and decision making skills to provide appropriate nursing care and collaborates with other health care professionals responding to the emergency or disaster. The purpose of this paper is to outline the professional nurse’sRead MoreEmergency Preparedness : Planning For Disaster Response1100 Words   |  5 Pages Emergency Preparedness: Planning for Disaster Response Karoline H. Maes Thomas Jefferson University College of Nursing Abstract For many years the population suffers with unpreparedness during an emergency. Disasters occur all around the world and health care executives need to guarantee that their organization develops an all-hazards emergency plan relevant to the type of organization and their location. Also, regulation and implementation of an effective plan that providesRead MoreEmergency Preparedness And Disaster Response Efforts2465 Words   |  10 Pagesthe idea of Health Information Adoption (HIT) is considered for larger clinics, hospitals, and physician offices only; but the smaller Community Health Clinics (CHC) play a major role in a communities capabilities for both emergency preparedness and disaster response efforts. HIT is making its way into more and more healthcare organizations and the benefits are clearly seen with improved patient safety, organizational efficiency, and patient satisfaction in healthcare. These are just a handful ofRead MoreDisaster Management : Preparedness, Response, Re covery, And Mitigation2071 Words   |  9 Pages Many claimed that the federal government was slow to meet the needs of the hundreds of thousands of people affected by the storm. This paper will examine the four elements of disaster management – preparedness, response, recovery, and mitigation – as well as an analysis on the data presented. Before we discuss disaster management, it is important to briefly sum up the events of the events that began on August 25, 2005 to fully understand the brevity of the situation. Meteorologists began warningRead MoreThe Role Of Women s Disaster Preparedness And Response Planning3510 Words   |  15 Pagesâ€Å"Natural disasters are a tragedy in their own right but in countries with existing gender discrimination women are the worst hit. While most disasters cannot be prevented, policy makers, international and humanitarian organizations must develop better policies to address the special needs of women in the wake of large-scale natural disasters.† - Neumayer (LSE, 2006) This essay will seek to justify that the inclusion of the role of women in disaster preparedness and response planning is imperativeRead MoreFood Festival s Disaster Preparedness And Emergency Response Plan954 Words   |  4 PagesEmergency Management Agency, n.d, pg.3). Therefore, the committee will develop an emergency action plan to address the potential risk associated with the particular event. The following sections of the Charlotte Food Festival’s disaster preparedness/emergency response plan will detail the various techniques and strategies to address the risks associated with food safety and illness prevention, alcohol, crowd control, weather, fire, violent threats, and various emergencies. The presence of alcoholRead MoreDisasters Caused Destruction On The Health Of The Public1290 Words   |  6 Pagescaused destruction, various injuries and death. Preparation for the disasters and effective response actions when the disaster occurs can help minimize the long-term effects of the disaster. Today, disasters are of even greater concern than in the past. The frequency of disaster events has increased, due to, in part increasing technology. Human communities are also much more condensed, increasing the potential for exposure to disasters. Furthermore, due to increasing population size and new technologiesRead MoreOccupational Health And Safety Policies1680 Words   |  7 PagesEmergency Response including Fire Safety Introduction Emergency Preparedness is the discipline of dealing with and avoiding both natural and manmade disasters. It involves mitigation, preparedness, response and recovery in order to lessen the impact of disasters. Emergency management requires a partnership among all levels of employees inside factory. Successful preparedness requires detailed planning and cooperation among each section. Objective The objective of emergency preparedness is to developRead MorePreparedness and Emergency Management1355 Words   |  6 PagesTransfer Between Preparedness and Emergency Management Thomas R. Hamblin University of Massachusetts at Lowell Abstract This paper examines a case study about the transfer of knowledge between preparedness and emergency response as conducted by Kerstin Erikkson of Lund, Sweden University. Erikkson (2009) conducted the case study by analyzing emergency response following Gudrun, a storm with hurricane force wind gusts that struck the South of Sweden in January 2005. This disaster caused significant

Use of Inhaler With and Without Spacer-Free-Samples-Myassignment

Question: Disuss about the Use of Inhaler with and without spacer. Answer: The work conducted by Berger et al. has shown that the use of inhaler with or without spacer rarely has any significant effect on the patients. He had conducted an experiment to study the bronchodilator effects by the use of MF/F 100/10g with the use of spacer or without spacer. In comparison to placebo, it was found that indeed the medication had better broncho-dialatory effects in the participants in comparison to placebo but the presence of spacer did not make a significant impact. It was seen that when MF/F was used with spacer, it resulted in larger change in mean FEV1AUC012hr versus placebo that provided a mean difference of about 124 ml. Again when MF/F was used without spacer, it also brought successful effects over placebo and there was ultimately a main difference of 102 mL in mean adjusted FEV1AUC012hr . Therefore, the author had suggested that it did not bring out any difference with or without the use of spacer as the difference that had been noticed are not statisticall y significant. The difference is so small that it cannot be suggested to make a difference if used. However, the author had not denied any works which have showed that spacers are indeed more helpful than without the use of spacer with inhalers. In such explanations, he has provided data where he believed that modern spacers bring out more effects the non conventional spacers. However in his work, he had got the results that broncho-dialation was larger in patients with the addition of spacers than without the use of spacer but without any significant effect. He had suggested that proper clinical teaching of the patients to correctly use inhalers also has positive effects reducing the chances of use of inhalers. The authors had conducted an extensive study where they used the pressurized metered dose inhalers called pMDIs with the presence of spacers. It was earlier beloved that these combined methods are very much helpful for coordinating inhalation with actuation. The method that they selected here mainly consisted of using of the spacer with that of either extra-fine or fine articles inhaled corticosteroids called ICSs. Experiments were conducted by the use of extra-fine particles ICS with and without spacer in about 2090 participants. The next set of experiments used the 2 arms of fine particles ICS cohort study using 444 participants. In the previous case of the use of extra-fine particles no differences in rate was observed between spacer as well as non spacer arms and similar such occurrence also took in case of the fine particles ICS. These made them to conclude that no evidence is found which would support the fact that the use of spacers improved asthma outcomes for both the extra- fine as well as fine particles of the ICS administered by the pMDI. These had helps the researchers to stand against the long standing assumptions that spacers are able to improve the pMDI effectiveness. They also reject the thinking that there is also a need of pragmatic trials of spacers in clinical practices. Work or Levi et al. (2013) had a different take on the entire scenario for the experiment that he conducted had separate set of results which were not in lieu of the findings of the above two articles proposed by famous researchers. The scientists have actually selected participants where certain portion was taking pressurized metered dose inhalers after a good amount of training. Separations of the participants were done where they used pMDIS alone and the other groups used breath actuated pMDIs with the use of spacers. They had analyzed the results which have shown a striking result different for the other two. It showed that a greater proportion of the patients who have utilized the spacers along with their pMDIS have much better control over their conditions in comparison to those who have used the pMDIs alone. Another important fact that came out, which although not important in the assignment, is that breath actuated pMDS brings better result than conventional pMDIs. They have found that although patients who used breath-actuated pMDIs and spacers are low, a statistically significant difference in the numbers attaining asthma control is noted that proves the efficiency of the intervention. Therefore, researchers are of the opinion that those patients, who are not being benefitted from the training of using pMDIs alone, should definitely use spacers with them to increase the efficiency. Rahmati, H., Ansarfard, F., Ghodsbin, F., Ghayumi, M. A., Sayadi, M. (2014). The effect of training inhalation technique with or without spacer on maximum expiratory flow rate and inhaler usage skills in asthmatic patients: a randomized controlled trial.International journal of community based nursing and midwifery,2(4), 211. Rahamati et al., have stated in the year 2014 that the utilization of proper inhaling technique and proper knowledge of the patients about the rise of the inhalers are far much important that the controversy of the use of Metered Dose Inhaler (MDI) with or without the use of spacers. He mainly conducted a very simple research where he took patients suffering from asthmatic attacks often and grouped them into three. The first group was the control group, the second groups had people where training was given to handle only MDIs and the other the third group were the patients whom training was given to use MDIs and spacer together. After assessing their knowledge and functional skills in handling the techniques if inhalation of medication, they were given three training sessions. After that, their ability to use MDI was assessed. A quantitative data analysis showed striking results which still carried in the confusion of the efficiency if the use of spacers. It showed that the process t o take education through inhalers developed to a large extent due to the training and therefore the results shown by the second and third group was much higher than the control groups who showed poor efficiency rate in the skilled taking of the medication. No difference between the second and third group in the health of the patient was noticed. The intervention providing skills developed in the two groups but both the methods showed similar results which means that the combined provision of MDI with spacer did not bring any additional benefit than the use of MDI alone when both the groups become skilled enough to use the inhalers properly. This study conducted by Crane et al. (2014) has revealed that the participants who were mainly aged and over 55 years old, it was helpful for them to use spacer along with that pMDIs. This is because the results from the study have shown that patients who only took education in using pMDIs did not do better than those who used the device along with the spacer. The study also showed that dry powdered devices brought the best results after training programs. However, in the context of the discussion, the researcher had clearly stated that spacer use along with pMDIs bring out more additional benefits and are therefore more advantageous to the older citizens. Reflection: The use of PICO framework is immensely helpful in finding the right types of articles which will provide us with the best and authentic information. This framework basically acts as a filtering media which helped me to correctly choose the articles which were proper covering the criteria that I wanted to include in the bibliographies. I also got a large amount of help from the framework as it helps me to clearly understand and note down what my main motive was to incorporate in the study and helped me to develop a mind map about how to include all the specific details that were needed to support the scenario provided to us. It helped me to set p a comparative mode of discussion where the articles were searched entirely in a way which matched with the search question set by the Pico. In short, it narrowed my search, clearly depicted what I needed to check out for and how I could find the correct articles with the help of the question set. References: Levy, M. L., Hardwell, A., McKnight, E., Holmes, J. (2013). Asthma patients' inability to use a pressurised metered-dose inhaler (pMDI) correctly correlates with poor asthma control as defined by the global initiative for asthma (GINA) strategy: a retrospective analysis.Primary Care Respiratory Journal,22, 406-411. Guilbert, T. W., Colice, G., Grigg, J., van Aalderen, W., Martin, R. J., Israel, E., ... Evans, J. M. (2017). Real-Life Outcomes for Patients with Asthma Prescribed Spacers for Use with Either Extrafine-or Fine-Particle Inhaled Corticosteroids.The Journal of Allergy and Clinical Immunology: In Practice. Berger, W. E., Bensch, G. W., Weinstein, S. F., Skoner, D. P., Prenner, B. M., Shekar, T., ... Teper, A. A. (2014). Bronchodilation with mometasone furoate/formoterol fumarate administered by metered?dose inhaler with and without a spacer in children with persistent asthma.Pediatric pulmonology,49(5), 441-450. Berger, W. E., Bensch, G. W., Weinstein, S. F., Skoner, D. P., Prenner, B. M., Shekar, T., ... Teper, A. A. (2014). Bronchodilation with mometasone furoate/formoterol fumarate administered by metered?dose inhaler with and without a spacer in children with persistent asthma.Pediatric pulmonology,49(5), 441-450. Crane, M. A., Jenkins, C. R., Goeman, D. P., Douglass, J. A. (2014). Inhaler device technique can be improved in older adults through tailored education: findings from a randomised controlled trial.NPJ primary care respiratory medicine,24, 14034. Guilbert, T. W., Colice, G., Grigg, J., van Aalderen, W., Martin, R. J., Israel, E., ... Evans, J. M. (2017). Real-Life Outcomes for Patients with Asthma Prescribed Spacers for Use with Either Extrafine-or Fine-Particle Inhaled Corticosteroids.The Journal of Allergy and Clinical Immunology: In Practice. Levy, M. L., Hardwell, A., McKnight, E., Holmes, J. (2013). Asthma patients' inability to use a pressurised metered-dose inhaler (pMDI) correctly correlates with poor asthma control as defined by the global initiative for asthma (GINA) strategy: a retrospective analysis.Primary Care Respiratory Journal,22, 406-411. Rahmati, H., Ansarfard, F., Ghodsbin, F., Ghayumi, M. A., Sayadi, M. (2014). The effect of training inhalation technique with or without spacer on maximum expiratory flow rate and inhaler usage skills in asthmatic patients: a randomized controlled trial.International journal of community based nursing and midwifery,2(4), 211.