Sunday, January 26, 2020

Unethical Practices And Conflicts Of Interest In The Pharmaceutical Industry

Unethical Practices And Conflicts Of Interest In The Pharmaceutical Industry As Healthcare Reform develops and shape regulations within the healthcare industry, unethical practices and conflicts of interest in the pharmaceutical industry affirm the need for transparency and improved traditions. Conflict of interest from a legal standpoint is a conflict between the private interests and the official or professional responsibilities of a person in a position of trust. (Merriam-Websters Dictionary of Law, 2010) From a business perspective, conflict of interest is defined as a situation that has the potential to undermine the impartiality of a person because of the possibility of a clash between the persons self-interest and professional-interest or personal-interest. (BusinessDictionary.com) With the number of physicians operating private practices in the United States, the clinical drug trial kickbacks have become common practice and the ravenous patterns have been explicitly revealed. The frequency of such behaviors and exposure of financial gain are enough to further strengthen the necessity for health care reform. Each unscrupulous circumstance that is exposed brings about further insight to the widespread unethical conduct of the pharmaceutical industry. There is an abundance of scenarios and examples depicting behaviors as well as emergent methods to circumvent such conflicts of interest. Additionally, laws and processes are in place to further develop and establish parameters around acceptable and unacceptable practices for both pharmaceutical manufacturers and physicians alike. With the objective to deter, eliminate and expose conflicts of interest, various projects, acts and charitable trusts have been developed and comprised of committees of citizens, organizat ions, and donors who vigorously advocate patient safety through improved changes in the manufacturing and marketing of prescription drugs. So how does conflict of interest play a role in clinical drug trials? When discussing conflict of interest as it relates to clinical drug trials the scenario is usually one in which a researcher has a monetary rapport and research money, with the company that manufacturers the drug being studied. There is nothing fundamentally erroneous with these types of conflicts of interest, they are practically everywhere within drug trials because most of the trials are financed by the drug companies that produce the drugs being studied. In an article written by John H. Montgomery related to the examination of conflicts of interest, research was done by Dr. Roy H. Perlis on the outcome of drug trials and the relationship that the author or industry has to that outcome. Research shows that 397 trials were reviewed and of those, 162 random trials yielded positive results that were funded by the manufacturer of the drug being studied. These results give indication that conflict of interest is common and associated to the outcome of the trials. This is just one of many examples of how common conflicts of interest arise in the healthcare industry. Another study conducted looked at randomized controlled trials of NSAIDs (non-steroidal anti-inflammatory drugs) between 1987 and 1990 (Bodenheimer). This study found that relatively all of the trials in the three-year span were sponsored by the drug producer. The research also discovered that the drug being compared to the manufactured drug was equivalent in efficiency and in s ome cases was even better than the manufactured drug in every trial. The study also reported that the manufacturer-associated drug was safer than the comparison drug in 86% of the trials (Bodenheimer). Remember, these trials were funded by the drug companies sponsoring the trials. How can conflicts of interest be avoided? First, when a patient is registered in a drug trial, full disclosure of any financial relationships with the drug manufacturer should be given. This builds trust with the patient and also fulfills the patients right to know this information so they can make the decision as to whether or not they want to participate in the study. Second, disclosure statements should be offered to the participant and ought to be clear and simple; this will often entice the patient to ask questions. Finally, research planners should be sufficiently familiar with any conflicts of interest with the investigator or the institution so that patients questions can be answered appropriately and correctly. Disclosure may not always be what most patients are looking for but the aforementioned suggestions could help satisfy the patient and trust the research process. The investigator cannot be the only responsible party though patients must also do their homework before t hey participate in a clinical trial. The issue of whether or not conflict of interest is unacceptable when drug companies perform their own clinical drug trials is becoming an increasingly hot topic in the industry today. In an article written in BMJ magazine by Goldacre this topic is discussed. Goldacre talks about the NSAIDs study mentioned above and how impossible the results of that trial were. He notes that an organized evaluation found 30 studies that investigated whether or not industry support is connected with results that are beneficial for the sponsor. The result: studies sponsored by drug companies were more than four times as likely to have outcomes favoring the funder, compared with studies with other sponsors (Goldacre). How can this partiality be allowed to take place? Perhaps it is the way the trials are planned. For instance, in some studies the opponent drug is given at an insufficient amount which raises the side effects of the drug. This in turn makes the supporters drug look more appealing. Another known issue is that there is no standard for communicating results of drug trials. The industry has the ability to print whatever they would like to report. More often than not, the negative results from clinical drug trials remain unavailable. The most alarming concern about the clinical drug trial process is that data is not only used once, in some cases data was published within the results of 14 other trials. It is inevitable that issues like this will exist in the industry when there is no formal standard by which clinical drug trials must adhere to. Though there is no standard set the FDA has published guidelines that the industry must follow regarding financial disclosure in drug trials. The FDA Guidance for Industry on Financial Disclosure by Clinical Investigators requires that anyone submitting an application to market a drug, product or device disclose any financial relationship or compensation received by all investigators involved in the trial being set up. The FDA specifies requirements about what information is required to be reported and lists actions that the agency will take if these requirements are not followed. The FDA should not be the only one addressing conflicts of interest in clinical drug trials though. Physicians should be attentive when participating in the trials or when treating a patient that is currently or is eligible to participate in one. Physicians participating in drug trials or enlisting patients for trials should be aware of the following guidelines: Physicians should only consent to participate in trials that are within their range of capability and practice and they should be appropriately trained in performing research. Physicians should be knowledgeable of ethics and should only participate in trials that they are convinced have been evaluated by a review board, the participants in the study are not at risk of being harmed, and that government policies are followed during the course of the study. If a physician is treating patients that are enrolled in a study or are eligible to participate in a study, they will need to make sure the patient understands that they treat them under both pretenses but as both physician and investigator. Physicians should make certain that procedure include stipulations that will support the participants health care should difficulty arise as a result of the trial. The nature and source of funding and financial incentives offered to the investigators must be disclosed to a potential participant as part of the informed consent process (Managing Conflicts of Interest in the Conduct of Clinical Trials). The physician should make certain that there is no impediment in the publication of the results of the study by the sponsor of the trial. Conflict of interest is a growing concern in the health care industry today. The issues are reported on the news and in publications more and more frequently. Bringing attention to the matter and raising awareness will aid in the development and improvement of ethics in clinical drug trials. An example of one of the reformation objectives would be eliminating the behavior of a physician who treats a patient suffering from dementia and later bills Medicare; however, this same physician does not report the adverse impact on the patient, because the physician has been promised adequate compensation for evading details and touting benefits of the drug. The patient filed a malpractice suit against the physician. The attorney during discovery learned that the plaintiff was enrolled in a study and did not meet the criteria to be included in the study. It was also discovered that the medical assistant did not have any experience or training in coordinating studies and were paid a fee for each person enrolled. The study was not in compliance or conducted in conjunction with the FDA statutes and regulations. The IRB which once approved the Protocol and Informed Consent halted the study eight months earlier. An additional $5,000 per month was paid to the physician for consulting se rvices. These same payments were paid to the physician under the Clinical Trial Agreement creating a duplication of services. Medicare was billed by the physician as well for the same items and services which including the drug that for formally paid out by the sponsor in which the physician has previously been reimbursed. The Plaintiff signed the informed consent alone without any counseling even though the sponsor knew the subject was diagnosed as suffering from dementia. Dr. Joseph L. Biederman, professor of psychiatry at Harvard Medical School and the chief of pediatric psychopharmacology at Harvards Massachusetts General Hospital poses a prime situation of drug payments going to physicians. Children as young as two years old are now being diagnosed with having bipolar disorder thanks largely to Dr. Biederman. Many of the children were treated with combinations of powerful drugs known as cocktails that were never approved by the Food and Drug Administration (FDA). The FDA must approve any children below the age of ten for any purpose in a drug study trial. Physicians may legally use only drugs that have been previously approved for a particular purpose or diagnosis, for any other purpose there must be upheld published scientific evidence before administering drugs. That was not the case for Biederman. His studies advocated the drugs that treated childhood bipolar disorder and was summarized by an article in The New York Times. Biederman was paid $1. 6 million in consulting and speaking fees from 2000 and 2007 including drugs that he advocated for childhood bipolar disorder. Similar amounts were paid two of his colleagues. The president of the Massachusetts General Hospital and the chairman of its physician organization apologized and express sympathy to its beneficiaries after the conflicts of interest were revealed. Chair of Stanfords psychiatry department and president-elect of the American Psychiatric Association Dr. Alan F. Schatzberg is another example of drug payments to physicians. Schatzberg controlled and co-founded Corcept Therapeutics in which he owned more than $6 million worth of stock. The company tested the drug Mifepristone, otherwise known as RU-486 the abortion drug as well as the drug used for the treatment of psychotic depression. Schatzberg, principal investigator on a National Institute of Mental Health grant that included research coauthored three papers on the subject of mifepriston. Schatzberg was later replaced as principal investigator to avoid a conflict of interest of misunderstanding. The most shocking case of drug payments to physician is that of Dr. Charles B. Nemeroff. Nemeroff, chair of Emory Universitys department of psychiatry along with Schatzberg, both served as coeditors of the influential Textbook of Psychopharmacology. Nemeroff served as principal investigator of the National Institute of Mental Health grant that was worth $3.95 million over five years. Emory University received $1.35 million which was used as overhead to study several drugs administered by GlaxoSmithKline. Emory University had to comply with government regulators along with the university to disclose income received from GlaxoSmithKline. Emory had to report any payments over $10,000 per year per the National Institutes of Health. This was done to ensure and eliminate the conflict of interest. Emory University compared records with GlaxoSmithKline and Nemeroff failed to disclose approximately $500,000 of speaking and consulting fees promoting the companys drugs. Emory conducted its own investigation in June 2004 and multiple violations of policies were founded on behalf Nemeroff. Nemeroff responded by issuing a memorandum at Emory stating he has been in compliance however GlaxoSmithKline reported paying Nemeroff a salary of $171,031. Nemeroff reported only $9,999 to Emory. He under reported by one dollar in which $10,000 is the threshold for reporting per the National Institutes of  Health. As a result of Health Care Reform which was passed in 2010 and initiated by President Barack Obamas administration, the Pew Prescription Project is an initiative of the Pew Charitable Trust promoting consumer safety through health care reform in the approval of manufacturing and marketing of prescription drugs. These initiatives will encourage or force evidence-based prescribing. The Pew Prescription Project conducts nonpartisan research through rigorous federal oversight in relation to drug safety. The purpose is to better illuminate problems and potential solutions in the area of prescription drugs. The Pew Prescription Act current goal includes the passage of the Physicians Payments Sunshine Act and the Independence Drug Education and Outreach Act. This includes improvements to current federal laws and regulations while improving FDA oversights and drug manufacturing. The advancement of evidence-based prescribing practices and ensuring clinical safety of drugs for children is another goal. The Physician Payments Sunshine Act has been passed within the current health care reform legislation. The provisions require drug and device companies to publicly report any gifts and payments that are made to doctors. The information must be posted on their web sites and reported to the US Department of Human Services. Companies can be fined starting at $10,000 up to $100,000. Many of the provisions must be fully operational starting in 2013. The government believes patients deserve and have the right to know if their doctors are receiving money from drug companies. Congress has added much needed transparency to the financial relationships between the pharmaceutical industry and physicians.   The reporting requirements in the health care legislation will better protect patients and will help restore trust in our health care system. This new legislation will enhance the safety of consumers by increasing transparency while in no way restricting business or limiting innovation. (Jewett) Though pharmaceutical marketing strategies has taken a new enlightened turn in the world of advertising, previous tactics of physicians actually promoting through accompanying pharmaceutical sales representatives has resulted in essential stimulated scrutiny. Less face-to-face interaction between pharmaceutical sales representatives and physicians is underway to aid in eliminating the engagement as well as the hint of unethical proposals and initiatives. Rewarding physicians with branded-name gifts, meals, apparel, etc., did in fact strengthen the marketing concept and played a significant impact on the positive profitability of many pharmaceutical companies. However, the proof is in the patient. Other marketing techniques have included persuasive testimonials from respected physicians claiming to have realized improvements in their patients prognoses. Further marketing techniques consist of published promotional reporting from trusted colleagues where the tracking of physicians like s and dislikes are captured and substantiate biographical purchasing data. Prescribing under the influence is a term used as a result of the drug reps intoxicating the physicians, residents and interns with breakfast, lunch, pens, and other pharmaceutical logo branded apparel, etc. The general idea is for the pharmaceutical sales representatives to be granted another opportunity to educate physicians about the targeted drugs, which is part of substantiating marketing strategies. The pharmaceutical reps take advantage of the physicians empty stomachs with an offer of free lunch or breakfast and prey on their wandering eyes with the fancy pens, notebooks, calendars and other items that coerce physicians to agree to their objectives in increasing sales. However, when a physician is questioned about the effectiveness of this type of marketing they often respond, It doesnt influence me at all. Theyre not going to buy my soul with a laser pointer. (Morreim) Many studies support that this kind of advertising has proven vital to the steady increase in pharmaceutical sales. So, perhaps physicians need to reexamine just how much they are persuaded by the irresistible allure of free fresh baked cookies or the tiny thin tubes that hold inks that we all know as a pen. Often a doctor is not going to prescribe medication that they barely know anything about; its the responsibility of the drug representative to educate the physicians on the name of the drug and drug facts so that they can then feel comfortable prescribing it to their patients. Drug representatives have basically been buying physicians time with whatever little inexpensive knick knack and kick-back it may take to get the name of the drug into the physicians brain and onto his prescription pad. Whats even worse is that most physicians will not give the drug representatives the time of day without some type of bribe or induction that is surprisingly not considered a kickback (in ter ms of legalities). A letter in the Journal of American Medical Association attests to just how intoxicating the advertising of the drug reps can be. The story describes a patient who came into the emergency room for an insect bite. The patient was originally seen by an intern who wanted to prescribe an inexpensive antibiotic, however the decision to prescribe the inexpensive antibiotic was overruled due to the fact that another resident recommended prescribing an new antibiotic that cost $183 per day. This incident was investigated by the attending physician who supervised the house officers and found out that this particular intern had recently wined and dined the day before by a drug rep from the manufacturer of the new expensive antibiotic prescribed. This type of behavior validates the enormous impact that marketing has on gifts of persuasion. In a story posted in the New York Times magazine, titled Dr. Drug Rep. a well respected physician Dr. Joseph Carlat shares his experience in being solicited by Wyeth Pharmaceutical Company to be a spokesperson for their drug Effexor XR, which is used for treating depression. They made him an enticing offer, and told him that all he would have to do is speak with his fellow colleagues about the features and benefits of the drug. Wyeth would provide all the information and materials that he needed to educate the other physicians about the drug and in return Dr. Carlat would be paid $500 for a one-hour training session or $750 if he had to drive for an hour. Dr. Carlat thought this would be easy enough. He was reputable; he had a busy private psychiatry practice specializing in psychopharmacology. He was quite familiar with drug Effexor and had read different studies pertaining to its effectiveness. The drug Effexor was being promoted by Wyeth as a dual reuptake inhibitor meaning that it increased both serotonin and norepinephrine, another neurotransmitter. The theory promoted by Wyeth was that two neurotransmitters were better than one, and that Effexor was more powerful and effective than S.S.R.I.s. (Carlat) Because he had already prescribed Effexor to several patients and it seemed to work, Dr. Carlat did not feel like there was anything unethical about him talking to other doctors about the drug. Dr. Carlat subsequently attended a full, expense paid physicians conference in Boston. When he began socializing at the conference there were other physicians functioning as spokespersons for other drugs and pharmaceutical companies. One physician that stood out was Dr. Michael Thase, the researcher who single-handedly put Effexor on the map. Thase presented evidence from clinical trials of Effexor being more effective than any other antidepressant. He rebutted criticisms of him being a paid consultant of Wyeth quite convincingly which was important. He explained to the attendees that he had requested and received complete information, both advantagess and disadvantages of the research data and not just the advantages. This was a significant point, because companies sometimes withhold negative data from publication in medical journals. For example, in 2004, GlaxoSmithKline was sued by Eliot Spitzer, who was then the New York attorney general, for suppressing relevant data that hinted Paxil caused suicidal thoughts in children. The company settled the case and agreed to make clinical-trial results public. (Carlat) Was I swallowing the message whole? Certainly not. I knew that this was hardly impartial medical education, and that we were being fed a marketing line. But when you are treated like the anointed, wined and dined in Manhattan and placed among the leaders of the field, you inevitably put some of your critical faculties on hold. I was truly impressed with Effexors remission numbers, and like any physician, I was hopeful that something new and different had been introduced to my quiver of therapeutic options. At the end of the last lecture, we were all handed envelopes as we left the conference room. Inside were checks for $750. It was time to enjoy ourselves in the city. (Carlat) However, after a year of pharmaceutical detailing Dr. Carlat became disturbed concerning feedback that Effexor caused hypertensions in a small but significant percentage of patients. For that reason, amongst other ethical reasons, Carlat decided to sever ties with Wyeth. Looking back on the year he spent speaking for Wyeth, he asked himself, Did I contribute to faulty medical decision making? Did my advice lead doctors to make inappropriate drug choices, and did their patients suffer needlessly? He admitted that there was a huge financial incentive for physicians to partner with pharmaceutical companies. (Carlat) Although he still allows drug reps to visit his office because it helps him stay abreast of the growing trends, he keeps the visits short and does not accept their offers and invitations. Who says this type of marketing isnt effective? Do other physicians really think they are invincible from the powers of persuasion? How many doctors actually engage in this type of marketing for drug companies? What role do ethics play in the decision to speak or not to speak on behalf of the insurance company? The truth is that previously many physicians engaged in this type of pharmaceutical detailing. While the median physician salary of 140,000 annually may be representative of a good salary, the additional $30,000 in supplemental income is quite alluring. In addition, to the monetary earnings earning respect based on reputation is important among colleagues. At least 25% of U.S. doctors are still receiving drug money for lecturing to physicians or assisting drug companies in other ways. Many physicians engage in this type of career appendage and perhaps go in with the purest of intentions; nonetheless, ethics are being violated when the physicians are not relaying accurate and appropriate information about the new medications that they are pushing, and much of the information that they are giving is provided to them from the pharmaceutical companies. PhRMA, Pharmaceutical Research and Medical Practices of America are part of an ongoing effort to ensure that pharmaceutical marketing organizations practice with the highest ethical standards. In January 2009, the voluntary PhRMA Code on Interactions with Healthcare Professionals took effect and its focus was developed to keep representatives from drug companies and healthcare professionals centered on patient care. It is committed to making sure that drug representatives are provided with the most current, accurate, and reliable information to assist in their decision making on drug selection. Amongst its changes, prohibits distribution of no-educational items (Such as pens, mugs and other reminder objects typically adorned with a company or product logo). It prohibits company sales representatives from providing restaurant meals to healthcare professionals, but allows them to provide occasional meals in healthcare professionals offices in conjunction with informational presentation s. The Code also reaffirms and strengthens previous statements that companies should not provide any entertainment or recreational benefits to healthcare professionals. It includes new provisions that require companies to ensure that their representatives are sufficiently trained about applicable laws, regulations, and industry codes and practice. Companies are also asked to periodically access whether or not the representatives are abiding by the codes. (PhRMA) CEOs and Compliance Officers will have a process in place patterned after the Sarbanes Oxley compliance, other changes to the code reflects PhRMas support of transparency in relation to healthcare professionals. There is necessary education offered to interested parties regarding marketing techniques and physicians outlooks on pharmaceutical products, diagnoses and expected and proven outcomes. Since Pharmaceutical products must be marketed differently than other healtcare industry products for sale and there are distinct diversions for implementing successful marketing. The potential user or patient, must be granted a prescription from the prescribing physician. Proper use of the pharmaceutical is key which provides favorable or unfavorable outcomes. Within the public health sector, determinations on accessible drugs may very well be taken based on politics, which undoubtedly broadens the scope of advertising and marketing strategies in this field, replacing advertising by appealing via petitions through lobbyism. Various marketing schemes play into different levels of interests such as financial, scientific gain or even personal. Academic conferences and medical journals provide varying me diums for exposure. Ethical pharmaceutical trials developed arguments depends on knowledge, outcomes and concrete unbiased facts. This type of knowledge requires transparency, a level of transparency being sought after throughout the healthcare industry as a whole. The pharmaceutical industry requires skilled marketing experts to ensure that all aspects of reaching targeted audiences effectively are exceeded, not just met. Those regulations developed by the Pharmaceutical Research and Manufacturers of America and nofreelunch.org, which are not law, were developed to promote transparency. A doctor as a pharmaceutical representative shares his personal story about lecturing on a particular drug. There are ethical guidelines developed specifically for the healthcare industry that includes the pharmaceutical industry. AdvaMeds Code of Ethics, in particular, is a model for appropriate ethical behaviors within the healthcare industry that outlines specific recommendations for the drug industry. AdvaMed addres ses parameters covering educational grants, modest meals and hospitality, faculty expenses, and advertisements. In presenting the issues of unethical behaviors, it is imperative to understand the prevalence based on historical and current behaviors in society and the ever-evolving methods developed to discourage physician kickbacks in the pharmaceutical industry. Though AdvaMeds Code of Ethics regulations do not mandate their guidelines be adhered to, health care organizations are strongly urged to utilize and enforce their codes can assist in eliminating and curtailing unethical behaviors that lead to lawsuits that actually develop in to Case Studies. As long as viable codes of ethics are followed, fear of transparency can be removed. Acceptably ethical behaviors will indeed help aid in the inevitable reformation efforts that this nation continues to experience.

Saturday, January 18, 2020

Internal and External Sources of Finance Essay

Internal sources of finance for Tesco Tesco’s main internal source of income will be their retained earnings. Retained earnings are the amount of net income that Tesco have retained and not paid out. Retained earnings are what are paid to the business owners. Fixed assets are another form of an internal source of finance; this form of finance is a lot harder to convert into cash as fixed assets tend to be things such as vehicles, machinery, buildings and factories. Fixed assets can take a while to convert into cash so Tesco would not rely on them to be a short-term access to finance. Current assets are a key source of finance for Tesco; current assets are cash and things that are easy to convert into cash. The things that can be converted into cash easily are things such as stock; once the stock has been sold earning will be retained by Tesco. Tesco have to ensure current assets are no lower than current liabilities as this may prevent them from paying off any possible debts they may have. External sources of finance for Tesco As Tesco are a large company some forms of external finance do not apply to them, things such as loans, credit cards and bank overdrafts will be of no interest to Tesco as they are too financially significant to benefit from them. However, the sources that do apply to Tesco are investments from shareholders, Tesco have many competitors all competing for the same thing, to be the biggest supermarket within the UK. For Tesco to take that title they will need as much investors as possible. An average loan from the bank would not benefit Tesco as the loan is likely to be small; however, if Tesco needed a quick source of finance of a large quantity, things such as a government grants would be beneficial; it would be beneficial as the grant is likely to be large.

Friday, January 10, 2020

Authoritative Parenting Model Essay

Establishing discipline through authoritative parenting is an effective style because it displays secure emotional development, allows a higher quality of supportive peer relationships and enhances problem-solving skills for the child. Research has shown that authoritative parenting is the most effective style of parenting. Authoritative parenting is the one style that promotes equal involvement between the parent and child. (Cherry, 2013a). The parent displays fair discipline, warmth and nurturing, effective communication with the child and sets certain expectations on behavior and maturity. This parenting style promotes a â€Å"democratic† model in which parents are  responsive to the child’s needs, thoughts and concerns. These parents will listen to questions the child may have on expectations set. Simply put by these parents are direct but not over bearing. (Cherry, 2013b). They reason instead of just punishing the child. Parents of this model want their children to be self-assured, socially approachable and cooperative. This furthermore, clearly defines that the authoritative style allows open communication between parent and child, love, guidance, nurturing, explanation of discipline and balance for the child. The authoritative parenting style is about setting limits, reasoning with kids, and being responsive to their emotional needs. (Dewar, 2013). These types of parents offer children a great deal of emotional support. While setting high standards for a child, parents who practice the authoritative style are responsive to the needs of children, demand children to show respect as well as provide a nurturing environment. In setting limits, children will often comply with respect to their parents and act responsibly. When children misbehave, the authoritative parent provides discipline as well and pointing out and discussing the misbehavior. The parent further provides reasoning to the act. In addition, parents allow for verbal responses and communication  from the child that promotes a sense of balance. As Dewar further states, there is evidence that this style helps kids become more empathic, helpful, conscientious, and kind to others. Dewar also suggests, authoritative parents are both highly responsive and very demanding. Overall, this is one of the best ways to define the authoritative parenting style. Evidenced  research provides several conclusions that children raised by authoritative parents are more likely to become independent, socially accepted by peers, academically productive, and well mannered. (Dewar, 2013). Children often become more supportive, reliable, and thoughtful to family and peers. Authoritative parents promote secure attachments and allow children to communicate their concerns and feelings. In doing so, children are less likely to internalize problems. Talking with a child will allow them to verbalize both good and bad, learning from these better choices and avoiding future mistakes. In the end, children will become better with problem solving skills and positive emotional well-being. Authoritative parenting offers secure emotional development of a child. These parents exhibit respectable emotional understanding and control, encourage children to manage their own emotions and learn to understand others as well. (Cherry, 2013b). The authoritative parenting style focuses on parents listening to what their children have to say, place reasonable limits that have set consequences for certain behaviors and encourage an independent child. Parents are warm and welcoming to discuss anything with the child but do not do this in a robust manner. This parent is consistent with discipline but expects the child take responsibility for their actions. The parents do not judge or place immediate blame, they listen to what the child has to say. In return, these children tend to be capable of making appropriate decisions, have a sense of pride and happiness with themself and achieve goals set for them effectively. In other words, the authoritative parent encourages a child to set expectations of their own to succeed,  work through problems, develop their own skill sets and accomplish a strong sense of confidence. Diane Baumrind’s research shows that these children display a happier disposition, have effective control of their emotions, exhibit s social interaction and are self-starters in learning new things. (Cherry, 2013a). Multiple studies have been done that prove authoritative parents score high on measures of warmth and responsiveness and high on measures of control and maturity demands (Spera, 2005). This is likely due to the parent’s warm and responsive manner in which the child is approached by the parent. The parents due demand a high level of maturity from the child, but do so with balance, affection, and bidirectional communication to nurture relationships. The parent gives explanation of why a child should act a certain way in social or serious situation. Parents also help the child to prioritize what is important to succeed socially and academically. This is referred to as the demandingness/responsive model. (Spera, 2005). Demandingness refers to the demands parents make on their children to become unified with family and united in society with others. Parents hold certain levels of demand for their children, but provide direction, and discipline when appropriate. Responsiveness refers to parental actions that purposefully encourage individuality, self-confidence and contention of the child. With parental responsiveness, parents are receptive and understanding of the child’s needs. Parenting in this manner and with warmth and understanding, this can make a child’s temperament more calm, happy, adaptable, regulate sleeping and eating habits, set a positive mood and encourage interest in new experiences. Research has found that the best-adjusted children have parents with an authoritative style (Gurian, 2011). These parents are able to balance with definitions, place high demands with emotional responsiveness and maintain respect for their child’s independence. Parents need to remember though; children also have their own style and temperament. They do  react differently in given situations and parents must recognize those differences, especially in families with many siblings. Differences in these types of children are the easy going, calm, happy child who possess healthy habits, is generally in a good mood at all time and is interested in many different activities. In contrast, difficult child may be fussy, negative, and emotionally weak and get upset easily. Authoritative parents must understand the given situation and find a good â€Å"fit† to meet the child’s demands. Being consistent is key as well. Setting limits on the child, providing ongoing encouragement, recognizing accomplishments, discussing solutions to problems and consistent communication is a must. Constructive conversation and encouragement with balance develop a strong relationship. Parents need to gain and maintain respect from their children to be able to teach them how to develop strong social relationships. Parents are the influential to child as they set limits and rules with respect to each individual in the family. A warm parent is full encouragement, bi directional communication, and love. (Harkey, 2012). The authoritative style is obviously the one that parents should strive for when parenting. When this type of parenting is accomplished a child will be happy, content and successful. Children will strive for balance and selfconfidence to develop strong peer relationships. Authoritative parents practice demandingness and response. They balance control and empathy that results in a thriving relationship with the child. These parents also do not put more on a child then they feel the child can handle. Again, they listen to the child’s needs and help them to make better decisions. Authoritative parent practices  increase the importance of peer relationships for adolescents. This parenting style encourages a variety of positive outcomes for adolescents with quality, supportive friendships. (Beck, 2011). Peer friendships are important to all children especially in the adolescent years. Support from friends helps to develop a higher self-esteem  during this time and makes teens feel important. The authoritative parenting style promotes this as parents discuss school events, peer relationships and emotions with the child. Studies show that strong peer relationships are related to better social skills and develop leadership qualities in teens. (Beck, 2011). Parents encourage teens to become involved in these types of relationships. Parents encourage externalized communication, involvement in teen activities, questions about their peer relationships and strong communications. At the same time, parents demand certain behaviors and will not tolerate inappropriate teen behaviors. Parents must remember not to wait to form these bonds with children in the adolescent years; these bonds must being in early childhood and continued throughout the early adulthood years. Parents must also recognize that teens may begin to reference peers for advice and problem solving skills. Parent involvement without being over bearing is essential to maintain a balanced relationship with the child. Authoritative parenting is effective for positive outcomes of the child in problem solving skills as well as success with peer relationships (Spera, 2005). Spera reviews findings that speak to research of children from authoritative parenting styles and that are associated with positive school  outcomes. In his review of such research he suggests that authoritative parents provide many idea dynamics that lead to high academic performance. Authoritative parents provide a high level of emotional security. This allows the child a sense of comfort and helps them to succeed in their school and peer relationships. Spera also defines that authoritative parents provide their children with explanations for their actions. Explanations provide children with a sense of interpretation and mindfulness of their parents’ values, morals, and goals. These are the building blocks to success in academic and social performance. Authoritative parents participate with the child in bidirectional communication. This style furthermore promotes better skills in interpersonal relations, sets a higher level of confidence and more popular children. These  interpersonal skills are a direct reflection of how a child will succeed in school, both socially and academically. Authoritative parents take a different, more moderate approach that emphasizes setting high standards, being nurturing and responsive, and showing respect for children as independent, rational beings. The authoritative parent expects maturity and cooperation, and offers children a lot of emotional support. Quality parenting is ongoing and offers warm and secure bonds between the parent and child. Children raised in this environment are less likely to internalize their feelings as authoritative parents encourage the child to talk about their thoughts and feelings. Also when a child makes a mistake, the parents must approach the situation in a caring manner vs. a blaming tone. This can  provide openness and solutions to problem solving and in turn children will become more effective learners from this process. Studies prove that encouraging independence in children reflect better problem solving skills and healthy emotional beings. (Dewar, 2010). This can provide the appropriate means for a child to become more helpful to others, caring and giving. In doing so, children will be viewed by peers as being kind, approachable and sometimes popular. The best-adjusted child, particularly in terms of social competence, has parents who utilize the authoritative, moderate parenting style. (Gurian, 2011). Gurian examines and compares the parenting styles researched for many years by Diane Baumrind that speaks to three different styles. These styles are authoritative, authoritarian and permissive parenting. Authoritative parenting, provides a balanced approach, demands expectations of appropriate behaviors, allow children to think through decisions and develop a sense of autonomy. Authoritarian patenting on the other hand, emphasizes strict discipline and severe punishment. Also, there is little affection shown. Permissive parenting, displays passionate warmth but this parent is hesitant to enforce rules. Gurian further explains that children from authoritative  families tend to be emotionally sound, well behaved and competent in academic performance. This makes them resourceful, and socially adept in all aspects of life. In reference to children from authoritarian families, they are fairly well behaved but lack social skills. Also these children tend to  suffer from anxiety, unhappiness, and lack of self-confidence. Children from permissive families may hold a high self esteem but tend to get involved in problem behaviors such as drug or alcohol abuse and are poor performers in academics. Findings show that among all the components of personality, there is a direct and significant relationship between openness personality trait and authoritative parenting style. (Mohammad, Nasirudin, Samadzadeh and Amini, 2012). It aims to explore the difference in parenting styles and personality dimensions. This leads children to broaden their scope of curiosity and wisdom, which helps them with problem solving skills. The authors of this abstract (Mohammad, Nasirudin, Samadzadeh and Amini, 2012) clearly research and study over 272 students from a national university. They used random sampling and a questionnaire to gather the information to be reviewed from these students as the authoritative parenting style is one compared to the others that improves secure being, focus, knowledge, and develops problem solving. Also, in this study it reflects that the authoritative parenting style is the one compared to the others that improves secure being within the child, focus, and knowledge and develops problem-solving skills. Results of this study also showed that parent’s educational manners and styles are effective on the development of children’s personality behaviors. Parents play an important role in meeting a child’s needs. It is imperative that a parent provides a healthy relationship with child using the authoritative style of open communication, warmth and love. Self-confidence for child throughout life is significant in decision-making. Children with authoritative education style have higher social-emotional growth and better academic  achievement. Parents display social support, mutual relationships, approachability, responsiveness and satisfaction towards children with an authoritative parenting style. This in turn results in the maturity of these mechanisms within children. Family is definitely the main support of a child’s personality traits and growth. Parenting styles are patterns for children’s enhancement that is formed by the consistent communication of parent/child and how they response to children’s behavior. Authoritative parents demand maturity and accountability from the child, but approach them in a kind way with explanation at all times. Various studies discussed by (Mohammad, Nasirudin, Samadzadeh and Amini, 2012) speak to the committed relationship and authoritative parenting style that has a direct reflection on academic achievement in children. It also has a positive impact on the well-being and mental health of the child. These parents guide direction and provide explanation and solutions for further success of these children and therefore have a direct reflection on problem solving of adolescent issues. The article by (Spera, 2005) evaluates the information on the relationship among parenting practices, parenting styles, and adolescent school achievement. Spera speaks to research completed by Diane Baumrind that authoritative parents have high maturity demands and set expectations for achievement of their children. However, they foster maturity requests through bidirectional communication and encouragement of independence. The review of the practical research indicates that parental involvement and monitoring are strong predictors of adolescent achievement. Furthermore, the review specifies that authoritative parenting styles are often associated with advanced areas of student achievement. Parents find social skills important and entwine them in daily discussions with children. These topics can include social, academic and peer topics for discussion. Volunteering at school, helping children with homework and attending school events such as extracurricular activities are the many ways parents can stay  involved with child. Parents must initiate this type of involvement with children, as it will result in positive outcomes for the child. Moreover, Spera speaks to studies with adolescents that have found that parental assistance with homework is positively related to the amount of time adolescents spend on their homework. Parents who value the education as their child will result in those child to succeed in their academic practices as well as social interaction with peer groups (Spera, 2005). This results in personal and professional growth of the child. It also teaches children to respect their studies and understand why education is to be valued. Setting goals together can prove effective. Also, mature and self-confident children succeed with an authoritative parent if bidirectional communication is maintained. The abstract by (Turner, Chandler, and Heffer, 2009) also provides information about the effectiveness of appropriate parenting styles in relation to academic performance. The results of the current study of college students concludes that parenting characteristics such as concern, love and warmth continue to play an important role in prompting a student’s academic performance while in college. It also speaks to self- esteem as it relates to success in college students. In doing so, it discusses research and studies that tested the interaction between child self-efficacy and authoritative parenting. In general, an authoritative parenting style emphasizing both responsiveness and demandingness appears superior in fostering higher academic performance. This provides reasoning as to why authoritative parenting is effective in the child’s progress through adolescence and early adulthood. Several other studies by Diane Baumrind have indicated that there is a positive link between authoritative parenting style and academic performance. These children are motivated constantly by their parents and provide ongoing  reassurance of goals and values. Authoritative parents encourage a high self-esteem and promote the ability for the child to mature, organize and achieve goals in a warm, secure way. These positive actions build success and growth for the child as they learn to work through problems, difficult scenarios and achieve success academically. Self-efficacy is strongly related to academic achievement especially at the college level. Again parents play an important role to assist in the development of maturity and self-assurance of the child beginning early in life. As children mature and begin on their own at the college levels, parents still can play an important role on the continued success. According to studies reviewed in the article of (Turner, Chandler, and Heffer, 2009). Students who come from an authoritative parenting style not only achieve overall academic success but tend to have a higher GPA. Ongoing research over the years shows that establishing discipline through authoritative parenting is one of the most effective styles because it provides secure emotional development, allows a higher quality of supportive social relationships and enhances problem-solving skills for the child. The authoritative parenting style is one in which parents display warmth, rationalization and understanding that provide a sense of security and self-perseverance of the child. These parents allow child involvement with an emphasis on bidirectional communication. Parents provide ideal problem  solving skills at all ages for future success by demanding maturity from the child but provide a positive and encouraging approach with balance to a develop strong peer relationships. Authoritative parents provide warmth, understanding and love to promote a child’s self confidence for overall academic and personal achievement throughout life. REFERENCES Beck, K. (2011). The role of mothers’ authoritative  parenting in adolescent attachment and social relationships. [Abstract]. Cherry, K. (2013a). Parenting styles: the four styles of parenting. About.com Psychology. Retrievedfrom http://psychology.about.com/od/developmentalpsychology/a/paren ting-style.htm?r=et. Cherry, K. (2013b). What is authoritative parenting? About.com Guide to Psychology. Retrieved from http://psychology.about.com/od/childcare/f/authoritativeparenting.htm Dewar, G. (2013, March). The authoritative parenting style: Warmth, rationality, and high standards. A guide for the science-minded parent http://www.parentingscience.com/authoritative-parenting-style.html Dewar, G. (2010). Parenting styles: A guide for the science-minded http://www.parentingscience.com/parenting-styles.html Gurian, A. (2011, July). Parenting styles/children’s temperaments: the match. NYU Child Study Center. Retrieved from http://www.aboutourkids.org/articles/parenting_styleschildren039s_temperaments _match Harkey, N, & Jourgensen, T. (2012). Parenting by temperament: Authoritative parenting [Kindle edition]. Retrieved from Amazon.com Mohammad, M. Javidi, N., Samadzadeh, M. & Amini. M. ( 2012, September). 3332 Indian Journal of Science and Technology Vol. 5 No. 9 Spera, C. (2005). A review of the relationship among parenting practices, parenting styles, and adolescent school achievement. Educational Psychology Review, 17(2), 125-146 Turner, E., Chandler, M., Heffer, R. (2009, May/June). The influence of parenting styles, achievement motivation, and self-efficacy on academic performance in college students. Journal of College Student Development, Volume 50, (3), 337-346. Published by The Johns Hopkins University Press.

Thursday, January 2, 2020

Education In Animal Farm, By George Orwell - 1537 Words

In a society where an elite elegance has gotten rid of tools that the rulers do not allow because an this elite institution of people often use this gear to dominate and oppress society. In George Orwell’s story, Animal Farm, Orwell demonstrates that education is a powerful weapon and is a device that can be used to at least one’s benefit. Living in a world where strength is a straightforward to benefit, the pigs quick use education to govern the relaxation of the animals on the farm to serve themselves worked to their advantage. This story in shows the underlying message that first, training is important to all tiers of society, subsequent, for when it is not, society is stratified, ensuing in the masses struggling. The pigs are the†¦show more content†¦Orwell is in a position to reveal how education is not given to all, its far too easy for people with it to abuse it for extra power. Now that the pigs have the preliminary benefit over the opposite animals, the future holds plans of using it as a private device to oppression. After the pigs have educated themselves, they hold to discredit the others schooling and exchange positive policies to claim their elite dominance. After Napoleon has gotten rid of Snowball to have all power to himself, he is taking away all the strength from the other animals as properly. Napoleon announces to all the animals: From now on the Sunday Morning Meetings might come to an cease... [also] all questions regarding the running of the farm could be settled via a unique committee of pigs, presided over through himself. These might meet in private and afterwards talk their choices to the others...[additionally] there could be no greater debates.† (21) Through having Napoleon claim that â€Å"there could be no more debates,†Orwell is able to portray that the pigs are silencing their subjects to be able to preserve energy for themselves. Napoleon’s training makes it viable for him to expect all strength via manipulation. Napoleon’sShow MoreRelatedThe Value Of Education In Animal Farm, By George Orwell1363 Words   |  6 Pagesoften use these tools to dominate and oppress society. In George Orwell’s story, Animal Farm, Orwell demonstrates that education is a powerful weapon and is a tool that can be used to one’s advantage. Living in a world where power is easy to gain, the pigs quickly use education (or lack thereof) to manipulate the rest of the animals on the farm to serve themselves. This story ultimately reveals the underlying message that   first, education is important to all levels of society, next, for when it isRead MoreEducation And Success In Animal Farm By George Orwell1012 Words   |  5 Pages Education and success are two directly related concepts. It is well-known that people who are able to read and write get certain privileges over the illiterate. Getting an education is one of the most important things one can obtain, as it could be the difference between being taken advantage of and being the one with the advantage. In George Orwell’s Animal Farm, a group of pigs lead a rebellion against human farm-owners in support of animal superiority. Throughout this process, the pigs learnRead MoreAnimal Farm, By George Orwell1545 Words   |  7 Pagesallow because an this elite institution of people often use this gear to dominate and oppress society. In George Orwell’s story, Animal Farm, Orwell demonstrates that education is a powerful weapon and is a device that can be used to at least one’s benefit. Living in a world where strength is a straightforward to benefit, the pigs quick use education to govern the relaxation of the animals on th e farm to serve themselves worked to their advantage. This story in shows the underlying message that   firstRead MoreWhat Is The Importance Of Ignorance In Animal Farm1558 Words   |  7 Pagesallow because of this elite institution of people often use this gear to dominate and oppress society. In George Orwell’s story, Animal Farm, Orwell demonstrates that education is a powerful weapon and is a device that can be used to at least one’s benefit. Living in a world where strength is a straightforward benefit, the pigs quick use education to govern the relaxation of the animals on the farm to serve themselves worked to their advantage. This story in shows the underlying message that   first,Read MoreThe Literary Impact Of George Orwell . George Orwell, Born1375 Words   |  6 Pages The Literary Impact of George Orwell George Orwell, born as Eric Arthur Blair, was a British journalist and author. His works were compelling, especially, when it comes to his strong political beliefs. He is considered one of the most widely admired English-language essayists of the twentieth century. As Elkins points out, he is best known for the two novels that were written toward the end of his life: the anti-utopian political allegory Animal Farm and the dystopian novel Nineteen Eighty-FourRead More Biography George Orwell Essay1135 Words   |  5 Pagesopinions like George Orwell. Orwell got to express his opinions in his writings. He wrote about the sociopolitical conditions of his time. For a man whose career started as a dishwasher, he came a long way to be known as the great author he is known as today. In this paper George Orwells early life, his variety of jobs before becoming a writer, his many successes and failures and some of his best known novels and critiques of them, and his sad death will all be d iscussed. George Orwell was born inRead MoreThe Works of George Orwell1347 Words   |  5 PagesGeorge Orwell How did George Orwell, an author who died over 50 years ago, suddenly rocket to the top of the best sellers list? George Orwell was able to show peoples all over the world about dangers that not only pertained to people of his time period but to multitudes of future generations. He used his literary knowledge to write books that were incredible influential in both their literary skill and the message they portrayed. George Orwell greatly influenced British society through his literaryRead MoreHow Does Orwell Explore the Theme of Education in Animal Farm?1413 Words   |  6 PagesHow Does Orwell Explore The Theme Of Education In Animal Farm? ‘All animals are equal but some animals are more equal than others’. George Orwell writes this toward the end of his highly acclaimed allegory, Animal Farm. From this single statement we can tell quite a bit about Orwell’s views on education which he puts across strongly throughout the novel. A message I see that this statement portrays is that everyone has the right to an education but some people were getting a better education than othersRead MoreAnalysis Of George Orwell s The Great Gatsby 1285 Words   |  6 PagesMr.Booth Period 6 English 12/3/14 Author Study of George Orwell George Orwell was a literary tactician who won two major awards because of hia advanced and intriguing use of propaganda. At first glance, his books appear to be stories about animals, however, they contain much deeper and influential meanings. Orwell is most recognized for his portrayal of dystopian societies and how they parallel present society. Through intense allegories, Orwell unintentionally crafted novels that are applicableRead MoreAnimal Farm By George Orwell1479 Words   |  6 Pages 2015 Animal Farm Animal Farm, by George Orwell, demonstrates how animals who were mistreated by humans and could no longer endure the pain. One night the animals take over a farm because they are frustrated about being mistreated and forgotten. The animals run the humans off the farm and change the name from Manor Farm to Animal Farm . The oldest pig, Old Major, is the one that starts the rebellion. He gives the other animals an idea of what a farm should look like, how animals should be