develop a pre-habilitation and post-habilitation models to support patients from diagnosis to self-management.

Project: “Improving outcomes for uro-oncology patients undergoing treatment”

Project aims and objectives: To develop a pre-habilitation and post-habilitation models to support patients from diagnosis to self-management.

A summary: A well informed and prepared patient is known to have a reduction in anxiety levels and in managing diagnosis side-effects, recovery and a “new norm” of self-management.

The current service is fragmented and limited, patients have limited information provided to them. They may be physically and mentally unprepared for treatment despite to verbal and written information that they receive.

The foundation of the project will address healthy living exercise, diet, relationships, continence, and urinary and bowel diagnosis. Psychological impact in relation to body image, feminisation and cancer diagnosis will also be considered. This will also link to the concept of “surgery school”.

The patient group have diagnoses of renal cancer, bladder cancer – predominantly high grade and likely to require cystectomy.

My research: I will be looking into female patients receiving post-habilitation models to support patients in hospital settings to deal with all the impacts that radical cystectomy brings in GHNHSFT (Gloucestershire hospitals NHS foundation Trust) Uro-oncology team, as well as looking at what is available in other major cities for example Birmingham and London and the things, they offer to patients in the uro-oncology team.

The female journey involves psychological impact to body image, their diagnosis and feminisation etc.

Requirements: For this Project assessment, you will focus upon a service evaluation/quality improvement proposal topic, from Gloucestershire NHS Trusts which will influence change and innovation promoting health and best practice for service users and patients.

To articulate and evidence your knowledge, understanding and the learning inherent within it, you will write a 5000-word document which will include:

  • An introduction to the original project/piece of work and rationale for its development.
  • A brief methodology/search strategy can be placed within this section (can go in its own section).
  • A literature review of the subject/field of the project/work highlighting local and national policy and relevant current literature offering background and context for the project/work-stream.
  • Discussion of the project/work focus or theme drawing upon projected or hypothetical outcomes for service and quality improvement.
  • This may include: examples of generation of new knowledge; the (potential) impact of your project for patients and service users, the organisation and for you as you approach registration; an action plan detailing aspirational/hypothetical goals and outcomes for the project.
  • Recommendations (realistic).
  • Conclusions and Recommendations can be included together, but preferable would be separate.
  • Appendices – to include:

Additional information (only) relevant to the project.

 

Please include subheadings!

And a reference list for all this.

 

Useful resources:

 

CASP – https://casp-uk.net/

Cooke, A. et al. (2012). ‘Beyond PICO: the SPIDER tool for qualitative evidence synthesis’, Qualitative Health Research, 22(10), pp. 1435-1443.

Eriksen, M.  Frandsen, T. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality a systematic review, Journal of the Medical Library Association, 106(4), pp. 420-431.

Methley, A. et al. (2014) PICO, PICOS and SPIDER a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews, BMC Health Services Research, 14579.

 

Critically examine and appraise how changes within the National Health Service have impacted on the care delivered to a patient with diabetes mellitus.

Description
Critically examine and appraise how changes within the National Health Service have impacted on the care
delivered to a patient with diabetes mellitus. You will be expected to provide the most contemporary sources
of policy that have influenced your topic choice.
Analyse and critically synthesise relevant theoretical and contemporary research based knowledge around
your chosen topic. There is evidence of a comprehensive range of literature sources used to demonstrate that
you have read widely around your topic in order for you to demonstrate comprehensive critical syntheses, as
well as a coherent line of discussion.
Robust critical application of the evidence to support your topic and suggestions on how you can implement
change to your practice.
An action plan [as an appendix] can be included to identify how you will address these suggestions meeting
SMART criteria
Demonstrate logical and coherent development in your work. It must be clearly presented
You will have:
Structured your essay in a logical manner including an introduction and summary or conclusion
Demonstrated a coherent line of discussion
-critically examine and appraise; analysis and critical synthesis; critical application of the literatureImportant tips for diabetes assignment
Introduction to what you are going to write about and why.
Critically examine and appraise how changes within the National Health Service have impacted on the care
delivered to a patient with diabetes mellitus. You will be expected to provide the most contemporary sources
of policy that have influenced your topic choice.
Pick your topic, choose something that interests you or that you want to make a change about in practice.
e.g., diabetic foot care, look at how changes within the NHS have impacted upon care of patients with
diabetes/diabetic foot problems,.
Give your verdict upon the findings and whether and to what extent you agree with them. Consider sources
that agree with and contradict an argument and conclude; justify your thoughts with rationale and evidence.
Analyse and critically synthesise relevant theoretical and contemporary research based knowledge around
your chosen topic. There is evidence of a comprehensive range of literature sources used to demonstrate that
you have read widely around your topic in order for you to demonstrate comprehensive critical syntheses, as
well as a coherent line of discussion.
This is where you can really focus on your chosen topic – analyse (break an issue into its constituent parts;
look at depth at each part and consider arguments for and against each part)
You may choose because of word count, to focus on particular aspects of your topic (e.g., prevention of
diabetic foot problems), make this clear in your essay.
Synthesising information requires you to accurately summarise/report information; organise the information
in a clear and concise manner – weigh up all sides of the argument and evaluate its strengths and weaknesses
and connect your practice to the research findings.
Robust critical application of the evidence to support your topic and suggestions on how you can implement
change to your practice as a nurse .
An action plan [as an appendix] can be included to identify how you will address these suggestions meeting
SMART criteria.

How did various ideologies change the world between 1800 and 1920?

Description
The goal is to identify what you consider to be the most important ideologies we have studied in this section
of the course. How did various ideologies change the world between 1800 and 1920?
Please use the resources listed below. Other resources and information may be used but Quote from these
sources.
All sources are online
Nationalism and Conservatism
https://en.wikipedia.org/wiki/Sim%C3%B3n_Bol%C3%ADvar

_encoding=UTF8&btkr=1&asin=B00C3K6EKU&revisionId=&format=2&depth=1
https://sourcebooks.fordham.edu/mod/1791burke.asp
Liberalism and Socialism
https://www.investopedia.com/updates/adam-smith-wealth-of-nations/
https://www.marxists.org/archive/marx/works/1848/communist-manifesto/
New Imperialism
https://sourcebooks.fordham.edu/mod/1884ferry.asp
https://khasegawa.wordpress.com/syllabi/modern-japanese-history/japanese-empire-and-colonial-expansion/datsua-ron-%E8%84%B1%E4%BA%9C%E8%AB%96/
http://historymatters.gmu.edu/d/5478/
https://www.newyorker.com/magazine/2019/07/08/rudyard-kipling-in-america
Rudyard Kipling (1836 – 1936) . Kipling was the most important British writer in the 1890s, writing
extensively on British India (Remember the earlier section on the British East India Company.) In 1892, he
moved to Brattleboro, Vermont. Kipling is arguably best known for the Jungle Book (1894) and his poem
“White Man’s Burden” (1899). Read “White Mans’s Burden.” How does Kipling justify imperialism (Social
Darwinism?)
The “Age of Ideologies” provides an explanation for the outbreak of the “Great War” in 1914 (otherwise
known as the World War I) and the post-war world after 1918. Nationalism, for example, created intense
rivalries and hatreds that helped trigger and sustain the war that raged from 1914 to 1918 Other ideologies,
4/17/22, 1:26 AM Writers Hub – Freelance Writing
https://www.writershub.org/writer/orders/856433#instructions 4/5
such as Marxist socialism, led to the 1917 Revolution in Russia that led to the formation of the Soviet Union
by the early 1920s. This set the stage for a clash between liberal democracies and socialist nations for much
of the 20th century.

critically evaluate the term Building Information Modelling (BIM) in the context of local, national, and global developments.
Assessment task details and instructions

 

Background

In the context of construction, building information modelling (BIM) is the process of delivering and operating built assets using well-structured digital information that all the necessary parties have access to. It is a way of working, rather a physical object or an entity. Operating in this way – often referred to as ‘working in a BIM environment’ – requires all parties to collaborate and share the information they create in a mutually accessible online space known as a common data environment or (CDE). This way, everyone who needs to access the information can. That collection of data is known as an ‘information model’. Information models can be used to inform all stages of a built asset’s lifecycle, from inception right through to operation and renewal. British Standards Institution (BSI), Centre for Digital Built Britain (CDBB) and the UK BIM Alliance are developing resources in the form of ISO standards, guidance, an information protocol, and a learning outcomes framework to support individuals and organizations in the UK and internationally to understand the fundamental principles of information management using building information modelling in projects.

 

Scenario

Application of module material to a project/organisation

As Small and Medium Enterprises (SMEs) have yet to fully adopt BIM. This assignment is focused on the principles, potential and way forward for BIM in SMEs in the construction industry. You have been employed as a project BIM Manager by an SME to launch an extensive program for the Development of an Infrastructure project. The design and construction consultants (architects, engineers, contractors etc.) for the project have not yet been appointed.

The assignment requires the following overarching questions to be addressed:

 

A.                  As part of your role, you have been asked to critically evaluate the term Building Information Modelling (BIM) in the context of local, national, and global developments.

B.                  You should discuss the available UK standards, protocols, documentation, etc. and explain their purpose, contents, and requirements specifically to the delivery of a BIM project. Analyse the decisions necessary to be made during different stages of project lifecycle with a flow chart.

C.                  Analyse the drivers/enablers and challenges/barriers of using BIM for SMEs.

D.                 Evaluate the roles required to successfully deliver a BIM project and discuss the BIM managers role during various phases of the project lifecycle.

E.                  Identify the possible future developments within the BIM job role.

 

In addressing these overarching questions, students are required to demonstrate an understanding of BIM in the context of SMEs by:

1.      Developing a critical synthesis of the relevant background literature that incorporates the core concepts and principles studied throughout the programme (e.g. challenges and opportunities, business value/proposition, drivers and enablers, collaboration principles, etc.) in relation to BIM and SMEs

2.      Developing potential strategies for SME

 

Your report must be presented in the following format:

·         It must be word-processed, and all pages must be numbered

·         It must include a reference list and/or bibliography, listing the sources used in the preparation of the report, in addition to in-text citations

·         Use APA 7th (Harvard) style of referencing – https://www.salford.ac.uk/skills-for-learning/home/using-and-referencing-information/referencing

·         Your word count must be stated at the start of the report

 

[Pre-submission checklist]

Before submitting your assessment ask yourself the following questions, just to be sure you have met all the requirements:

·         Have I completed the written report within the word limit and stated my word count?

·         Have I correctly referenced all the sources which I have used?

·         Have I used a spell checker and proofread my work?

 

 

 

Knowledge and Understanding

 

 

 

 

 

Practical, Professional or Subject Specific Skills

 

 

 

 

Transferable/Practical Skills and other Attributes

 

Assessed intended learning outcomes

On successful completion of this assessment, you will be able to:

 

1.      Critically appraise the role of Building Information Modelling (BIM) in collaborative-built environment design and construction processes and practices.

2.      Apply integrated BIM in complex construction projects.

3.      Interpret benefits in adopting BIM in projects.

4.      Critically describe how BIM supports collaboration, design integration, energy efficiency and sustainability through the design and construction processes.

5.      Analyse interoperability and other technical issues.

 

1.      Demonstrate a critical awareness of the key theories, principles and concepts of BIM and the digital built environment to deliver whole life value.

2.      Demonstrate a high-level competence in the critical appraisal of Building Information Modelling (BIM) in relation to delivering the whole-life value of the digital built environment.

 

1.      Demonstrate high level and independent research, design, and problem-solving skills.

2.      Achieve competence in applying theoretical and methodological concepts in integrated digital built environment projects.

3.      Manage self and learning thereby analysing own personal strengths and weaknesses and formulating strategies for improvement.

Module Aims 1.      To develop a systematic understanding of knowledge and a critical awareness of the concepts and principles of BIM.

2.      To develop a systematic understanding of knowledge and a critical awareness of how the traditional nature of the construction industry needs to transform to encompass the main benefits that can be realised from the adoption of BIM.

3.      To develop a systematic understanding of knowledge and a critical awareness of data structures and standards, describing data exchange and interoperability needs in different use cases including an understanding of the requirements for the UK BIM framework.

4.      To develop a systematic understanding of knowledge and a critical awareness of BIM to facilitate the design, construction, and operation of the digital built environment through collaborative multidisciplinary/interdisciplinary practices including communication with the key project stakeholders, coordination and clash detection, integration and management of people, processes, and information.

 

evaluate the role Ecuador’s constitution of 2008 has played in shaping its developmental trajectory.

Description
My paper is evaluating the role Ecuador’s constitution of 2008 has played in shaping its developmental
trajectory. Like the rest of Latin America, in the early 2000’s governments rejected Neo-liberalism in favour
of post-liberalism and neo-extractivism that looks toward social development. I have done a difference in
different analysis using SPSS (which I shall attach below), for the HDI using Ecuador and Bolivia as the
treatment group, and Latin America as the control group. In the Methodology, I need this method as well as
the use of HDI explaining and justifying. I also need a limitations section. as I understand, I will have an
opportunity to communicate with whoever it is that will be writing this, so hopefully I can clear anything up
then. Thanks in advance!

Draft an analytical essay that examines the audience, context, and purpose of the advertising image you’ve chosen.

: Informative Essay Draft

ASSIGNMENT: Select one of the following writing prompts and draft a 3-5 page (approximately 800-1300 words) informative essay. As a part of your completed draft, complete the color coding activity described below. In addition, answer the “Think About Your Writing” questions on a separate sheet of paper and include it with your draft submission.

Note: Touchstone 3 will be a revision of the draft that you submit for Touchstone 2.2.

Sample Image Analysis Essay: Prompt A
Sample Extended Definition Essay: Prompt B In order to foster learning and growth, all essays you submit must be newly written specifically for this course. Any recycled work will be sent back with a 0, and you will be given one attempt to redo the Touchstone.

A. Instructions

Choose one of the following prompts for your informative essay.

PROMPT A: IMAGE ANALYSIS: Although we look at print advertisements every day, we often do not consider the ways in which they affect us. Visual images in ads can influence and persuade us, so it is important to evaluate them critically to understand their meanings. Good image analysis involves examination of the components of an image to gain an understanding of the whole.

Select an advertisement image to analyze. The advertisement you choose should be a single image directed towards a specific audience. To identify the intended audience, think about the members of the potential audience for the advertisement that you have chosen. Who are they? Ads for a beauty product, for example, may be aimed at young girls; ads for a deodorant might target men; a diaper ad is likely intended for new parents; ads for cruise trips might be aimed at retirees. You can use any academically-appropriate advertisement to complete this assignment, as long as its intended audience is clearly identified.

Your thesis must inform the reader of your topic and purpose. Because you are writing in the informative mode, use objective language and a neutral point of view.

Draft an analytical essay that examines the audience, context, and purpose of the advertising image you’ve chosen. Read the article by Jenna Pack titled “Breaking Down an Image” found in the “Model Informative Essays” tutorial for ideas about how to write an image analysis. Your analysis should lead to a conclusion about the ad’s effectiveness, based on examination of its components. Include the image with your draft.

PROMPT B: EXTENDED DEFINITION: Define or redefine one of the following words:

  • Family
  • Success
  • Courage
  • Art
  • Beauty

In your draft, briefly explain how society, or the dictionary, defines the word you’ve selected, and then explain your unique or extended definition of the word. Provide examples and explanations to support your definition. Your thesis must inform your readers of your new definition and, because you are writing in the informative mode, you must use objective language.

Draft an extended definition essay that defines or redefines a word or concept. Read the article by Dan Richards titled “Digital Ethics” found in the “Model Informative Essays” tutorial for ideas about how to write an extended definition essay.

B. Think About Your Writing

As a part of your completed draft, complete the color coding activity and include answers to all of the questions below your draft.

PART 1: Color Coding Activity

Using the color codes provided, evaluate your draft as follows:

  • Use red text to indicate your thesis statement.
  • Use green text to indicate the topic sentence of each body paragraph.

PART 2: Questions

1. What is the significance of your essay? Why should readers care about what you have written? (2-3 sentences) Sophia says: Think about why you decided to analyze this particular image, or why you picked the word you chose to define. Your interest in in your subject matter should be clear to readers.

2. Which areas of your draft do you think will benefit most from revision? (2-3 sentences) Sophia says: Consider the organization, style, focus, development, and conventions of your draft. Which areas did you struggle to complete?

3. Consider the strengths and weaknesses of your writing. How can you capitalize on your strengths and improve on your weaknesses in future essays? (3-4 sentences) Sophia says: Think about what was easy about writing the draft, and what was more difficult. For example, if you write paragraphs with strong topic sentences, but repeatedly use the same type of sentence to provide supporting details, you can improve your paragraphs by varying sentence structure.

C. Informative Draft Guidelines

DIRECTIONS: Refer to the checklist below throughout the writing process. Do not submit your Touchstone until your draft meets all of the guidelines.

Essay Prompt: Image Analysis

❒ If you chose the image analysis prompt, have you analyzed and interpreted – and not just described – the ad’s design?
❒ Have you made conclusions about the audience and effectiveness of the ad?
❒ Did you include the image in your draft?
❒ Did you complete the color-coding activity?
❒ Is your draft 800-1300 words long?

Essay Prompt: Extended Definition

❒ If you chose the extended definition prompt, did you indicate how society defines the word you selected, and then explain your definition (or an extended definition) of it?
❒ Have you included examples and explanations to support your definition?
❒ Did you complete the color-coding activity?
❒ Is your draft 800-1300 words long?

Working Thesis

❒ Have you included a clear, focused, and detailed thesis statement?
❒ Does your thesis state the topic and purpose of your essay?
❒ Is your thesis a single sentence, and is it located in the introductory paragraph?

Focus and Organization

❒ Is there an adequate number of body paragraphs, each with a clear topic sentence?
❒ Is there a conclusion paragraph that makes a concluding statement?
❒ Are your draft paragraphs sequenced properly?
❒ Have you used transitions to connect ideas between sentences and paragraphs?
❒ Can your draft be described as having a good flow?
❒ Does your draft have a clear focus?
❒ Are all supporting details relevant?

Style and Tone

❒ Is the tone of your draft unbiased and informative?
❒ Is it clear that the purpose of your essay is to inform readers about your topic?
❒ Have you carefully considered your word choices?

Conventions

❒ Have you checked your draft for grammatical errors?
❒ Have you used Spell-Check or another method to check spelling?
❒ Have you punctuated your draft correctly?

Before You Submit

❒ Have you included your name, date, and course at the top left of the page?
❒ Have you completed the “Think About Your Writing” questions and color coding activity?
❒ Is your draft between three and five pages long (approximately 800-1300 words)

What is policy management, and why is it important in information technology

Policy Management in Information Technology

       I.            Introduction

  1. What is policy management, and why is it important in information technology
  2. Thesis statement: – Good police management strategies in computing and technology are the keys to safeguarding companies and people from exploitation while guaranteeing better and faster system functioning.

    II.            Body

  1. Policy management in the computing and technology world (Clark & McDonald, 2005)
  2. The intended impact that the policy management aims at achieving or bringing about in the technology field
  3. The primary purpose of having policies in place in organizations
  4. The process followed to achieve sound policy management (Knoepfel et al., 2011)
  5. The factors barring policy management introduction and implementation (Crosby, 1996)
  6. The technology fields/ areas that need policy management instituted
  7. The advantages that come about from having good policy management strategies (Mugwagwa et al., 2015)
  8. The disadvantages that come about from having poor policy management strategies (Hudson et al., 2019)

 III.            Conclusion

  1. Summarize the topics discussed by giving your opinion on policy management in computing and technology and whether it is doing any good or bad.

Restate the thesis statement

  1. The paper will tackle the impact and influence that having policies implemented in IT has helped society by making it secure and safe and safeguarding the companies’ processes and stakeholders. The paper will also discuss the type of policies implemented. How the government has taken action to make sure the policies stay in place and nobody is affected by them by coming to fair compromises with the IT companies. The advantages, challenges, and disadvantages will also be discussed to bring a holistic concept of policy implementation and to know what drives policies to be made and the process taken to achieve these policies.

 

 

References

Clark, J. A., & McDonald, J. (2005). An Introduction to Policy Management. BT Technology Journal, 23(2), 118–129. https://doi.org/10.1007/s10550-005-0011-8

Crosby, B. L. (1996). Policy implementation: The organizational challenge. World Development, 24(9), 1403–1415. https://doi.org/https://doi.org/10.1016/0305-750X(96)00050-2

Hudson, B., Hunter, D., & Peckham, S. (2019). Policy failure and the policy-implementation gap: can policy support programs help? Policy Design and Practice, 2(1), 1–14. https://doi.org/10.1080/25741292.2018.1540378

Knoepfel, P., Larrue, C., Varone, F., & Hill, M. (2011). Policy implementation (pp. 187–218). https://doi.org/10.1332/policypress/9781861349071.003.0009

Mugwagwa, J., Edwards, D., & de Haan, S. (2015). Assessing the implementation and influence of policies that support research and innovation systems for health: the cases of Mozambique, Senegal, and Tanzania. Health Research Policy and Systems, 13(1), 21. https://doi.org/10.1186/s12961-015-0010-2

 

How effective was my choice of nursing model in carrying out a holistic assessment of a patient?

MY CHOICE OF MODEL –
The ‘Activities of Living’ Model – Roper et al (1980)
Summative Assignment Guidelines: NURS4011 Foundations of nursing Word limit 3000
words
Assignment title –
How effective was my choice of nursing model in carrying out a holistic assessment of a
patient?
Scenario –
Evelyn
Evelyn is an 87-year-old woman with hypertension and rheumatoid arthritis. She lives at home on
her own in a semi-detached four bedroom house in a residential part of a city in the South East of
England. She is an owner-occupier. Evelyn is a retired secondary school (English) teacher and her
husband James died (from bowel cancer) 5 years ago. They had been married for sixty two years.
Evelyn takes pride in her appearance and she likes to dress neatly and keep her hair well tended. She
enjoys reading, doing crossword puzzles and talking with her good friend Gladys on the phone a
couple of times a week. She used to like gardening outdoors but can no longer do that. However, she
can still tend to her impressive range of indoor plants which she thoroughly enjoys.
Evelyn’s daughter (Matilda) works full time and lives 35 miles away (in the countryside) and visits her
mum weekly (travelling by car) on Saturdays. Matilda helps her mum with shopping and laundry
when she visits. Evelyn also receives daily support from a care worker to help with activities of daily
living. Evelyn manages to put on her clothes with dressing aids that the domiciliary Occupational
Therapist (OT) provided her with, but she needs help with washing her back and legs (which the
carer does for her). Evelyn also has a hairdresser who visits to wash and set her hair once a week.
She is currently prescribed the following medication:
· Bendroflumethiazide 2.5 mg daily
· Lisinopril 10 mg daily
· Simvastatin 40 mg at night
· Methotrexate 20 mg once weekly on a Wednesday
· Folic acid 5 mg daily except on Wednesday
· Paracetamol 1 g four times daily when needed.
On Friday evening, an on-call (out-of-hours) GP visits Evelyn because she has been feeling unwell
with symptoms of urinary frequency, dysuria and urge incontinence for a few days. The GP diagnoses
a urinary tract infection (UTI) and prescribes Trimethoprim 200 mg twice daily for 3 days. During her
weekly visit the next day ( Saturday), Matilda picks up the Trimethoprim from the chemist for her

Recovered memories are almost always false memories’. Critically discuss this assertion through reference to research and practice in counselling and forensic psychology.

Task: To produce an essay based on Block 5

Recovered memories are almost always false memories’. Critically discuss this assertion through reference to research and practice in counselling and forensic psychology.

Word limit: 2000 words.

Focus of the assignment

TMA 05 is intended to assess your skills in discussing practice and research in counselling and forensic psychology and to employ appropriate evidence to construct an argument and draw conclusions. For this assignment you have a choice of writing an essay based either on topics covered in Week 25 on ‘Prevention’ or topics covered in Week 22 on ‘Memory’.

The question invites you to consider whether a statement has evidence to support its claim or not. You can construct an argument that might favour one position more than another, but you should try to provide a balanced evaluation and not be dismissive of the opposite view.

For this TMA, it is important that you draw on additional material beyond that contained within the module website and textbook; this must consist of at least two articles that you have found through a citation search that you have conducted in Week 25 Activity 3.2.

REFERENCING MUST BE ……….. CITE THEM RITE- HARVARD STYLE

The most relevant module materials are listed in the following pages. Remember that you should also find relevant material through your independent studies, and can include material from elsewhere in the module if you think it is relevant to the question.

You are advised to be careful not to include too much background history and description in your essay. The focus should be on critically evaluating the evidence, ideas and research that is directly relevant to the essay question.

 

Relevant material

 

False and recovered memories

  • The most relevant module materials are listed in the following pages. Remember that you should also find relevant material through your independent studies, and can include material from elsewhere in the module if you think it is relevant to the question.
  • You are advised to be careful not to include too much background history and description in your essay. The focus should be on critically evaluating the evidence, ideas and research that is directly relevant to the essay question.

Chapter 17 • As Chapter 17 ‘Memory’ (pages 253–266 in Mad or Bad: A Critical Approach to Counselling and Forensic Psychology) focuses on the debate about false and recovered memories, the whole chapter is relevant. Be careful not to include too much background history and description in your essay, and instead focus on the evidence, ideas and research that is directly relevant to the essay question.  You will find the chapter frames the debate between false memories and recovered memories as ‘the memory wars’. You will find a great deal of relevant material here.

Week 22 • The key materials from Week 22 are located in Section 2 The Memory Wars?, which discusses the nature of the debate about recovered memories and false memories. It might be useful to note the significance of all this to the criminal justice system and how the media have played a key role. These elements are discussed further in Section 2.2 ‘Discussing the Memory Wars’, particularly in the audio where two experts provide their take on the debate. We strongly suggest listening to this audio as it provides a useful insight into the debate. Section 2.1 ‘Experimenting with False Memories’ is also useful in that it provides an example of the type of methods used to explore the phenomenon of false memories.

 

Week 22 info

This week we will be exploring one role that memory plays in therapy, and that has particular consequences when considered in forensic contexts. Many people seek therapy because they are experiencing difficulties, such as emotional problems or feelings of not being able to cope effectively with others or everyday life, but are not aware of what the cause of these difficulties might be. The therapeutic process explores the difficulties the person is experiencing and the client and therapist work together to help the client improve their well-being, which can involve trying to locate the cause of any problems. In some cases, this can involve recovering memories, often from childhood, that the client had repressed due to the original event being traumatic. Childhood sexual abuse is an example of such a trauma, and one that has received considerable attention from therapists, researchers and the media. In this week of the module we will focus on recovered memories of childhood sexual abuse, that usually involve a family member or other adult known to the child, and the debate that has surrounded them (so please do bear in mind what we said in the Block 5 introduction  about considering how you engage with the material).

Although uncovered through the therapeutic process, and subsequently forming part of the therapy, these memories are of a criminal act. If the client alerts the police to the offence, and they decide to investigate, the memories of the client that were originally part of the therapeutic process are now also the basis of formal evidence within the criminal justice system. This week we explore what happens when these two quite different systems with very different aims are brought together.

During this week, you will:

  • read and makes notes on Chapter 17 from the textbook Mad or Bad: A Critical Approach to Counselling and Forensic Psychology
  • listen to an audio discussion about the memory wars
  • watch videos and take part in activities about memory in cases where the perpetrator is not known by the victim.

1.1 The nature of human memory

Before you get going with this week, it is worth revising a little of what psychological research has told us about human memory (or being introduced to it if you have not studied the psychology of memory before). Our subjective experience of memory is often that we either remember something accurately, whether it be a name, event or fact, or are unable to bring the information to mind. In essence, we might see our memory as being very similar to that of a computer, but one that occasionally takes a while to find a specific piece of data, or fails to find it at all. Although this might be how we experience memory, it is most decidedly not how it actually works.

Unlike a computer, who we are has a significant impact on how we see the world around us and an even larger impact on how we remember it. It is entirely possible for two people to view the same scene or read the same paragraph and remember different things. It is also possible for us to form memories of events that we did not experience or that did not happen. The reason for this is that human memory is based upon interpreting and understanding the world around us, while a computer stores information in its raw form and does not need to understand it first.

This was demonstrated neatly in a classic psychological study conducted by Frederic Bartlett in 1932. Bartlett asked participants to read and remember a Native American folk tale called ‘The War of the Ghosts’, and not only found that people often recalled details incorrectly, but sometimes remembered something that was not part of the original story at all (Bartlett, 1932). Bartlett suggested these errors were because the participants were interpreting the information they read based on their own cultural background, and that this caused them to remember the meaning of the story as they understood it, rather than the words as they were written. He suggested that memory was ‘reconstructive’ in nature, which is to say that our memories are not perfect representations of what we experienced, read or learned in the past, but instead are affected by:

  • who we are and how our identities and previous experiences affect how we see the world
  • what we have learned that is of relevance to the information in question since we first encountered it
  • the conditions under which we are trying to recall the information.

Such an approach undoubtedly helps us to make sense of the world and to predict what will happen based on previous experience, but can cause significant problems for the criminal justice system when trying to use human memory to provide evidence in an investigation and trial.

At this point we invite you to read Chapter 17 ‘Memory’, pages 253–266 in Mad or Bad: A Critical Approach to Counselling and Forensic Psychology. As you read, make some notes as this will help you with the online activities in this week.

When you go on to read about ‘The Memory Wars’ through your independent studies, you will not usually see the question mark that we have used in the title of this section. We have included it here as we do not want to take for granted that this debate can, or should, be characterised as a war.

Although it provides a catchy and provocative title, it can be unhelpful in describing two different approaches as being completely at odds with one another, when the reality is that the relationship between any two perspectives dealing with the same issue will always be more complex, and involve agreement and complementarity as well as disagreement. However, it is also clear that for some individuals, whether client, therapist or researcher, the experience of the recovered vs false memory debate may well have seemed war-like. Indeed, even some of the researchers involved peripherally in the debate had a very stressful time as a result. Our suggestions for independent study include the experiences of James Coan, one of the students that assisted Elizabeth Loftus with the famous ‘Lost in the Mall’ study (Loftus and Pickrell, 1995) described in Information Box 17.1 in the Memory chapter.

A second problem with the conceptualisation of the debate as a ‘war’ is that this tends to conjure an image of two sides, when arguably there are at least four in this case, all with different goals and agendas. As you read in Chapter 17 ‘Memory’, at the heart of the debate are therapists working with adult clients who recover memories of childhood sexual abuse and academic researchers working with the false memory paradigm. However, one should not underestimate the role of the formal criminal justice system, both police forces and courts, nor the impact of the media. The adversarial nature of UK and, particularly, US court systems can tend to polarise expert opinion. Even when guidelines and systems attempt to mitigate such polarisation, defence teams will tend to select experts and evidence that will acquit their client, whilst prosecution teams will do the opposite. Elements of the press, and unfortunately often those that account for the largest audiences, also tend to polarise debates to create stories that follow easy to understand narratives and to produce sensationalist headlines.

Although the Loftus and Pickrell (1995) ‘Lost in the Mall’ study is probably the most iconic, and powerful, demonstration of implanting a false memory in an experimental setting, it requires a great deal of research about the individual participants, not to mention several interviews. Unfortunately, these practical concerns mean we cannot use the study as a demonstration that you could participate in. Instead, Activity 1 gives you the opportunity to take part in a much simpler experiment on memory based on the Deese, Roediger and McDermott (DRM) paradigm (Roediger and McDermott, 1995).

The DRM paradigm demonstrates that people can remember things (in this case a word) that they did not see, and also be confident that they had seen it. Obviously, there is a world of difference between memory of a word and memory of a more complex event, such as childhood sexual abuse.

The Loftus and Pickrell (1995) study uses more complex stimuli and methodology and does find that people are suggestible to forming false memories of entire events. Given the limitations that ethics places on research, such studies are probably as close as controlled experimentation will ever get to replicating the scenario involved in recovered memories.

As well as issues of realism, it is important to remember that the relevant experiments are designed to study how suggestible our memories might be. However, it is not common practice for a therapist to suggest to a client that they may have been sexually abused, and indeed it is a myth that therapy works along such lines.

The gulf of difference between the experience of someone recovering memories of sexual abuse in therapy and of remembering events in an experiment has, and continues to be, one of the central issues in the memory wars.

Eyewitness memory

Our exploration of memory has, so far, focused on adult clients who recover memories of childhood sexual abuse in therapy, but this is just one type of offence, and memory is an important component in many others too. Indeed, the experiments conducted using the false memory paradigm are part of a much larger body of research that has attempted to assess the accuracy of human memory in relation to a broad array of crimes and criminal investigation.

In addition to the involvement of a therapeutic setting and the length of time that had passed between the (alleged) offence and any subsequent investigation, another aspect that tends to differentiate recovered memories from other uses of memory in the criminal justice system is that the perpetrator is usually known to the victim. In such cases, the identity of the perpetrator is not in question and the investigation focuses on whether that person did, or did not, commit the alleged crime. This is also the case in any sexual or physical assault in which perpetrator and victim know one another. If the victim does not know the perpetrator, however, then one of the most important elements of the investigation is determining the identity of the perpetrator.

Psychological research has contributed a great deal to our understanding of how accurately an eyewitness (whether a victim or bystander) can recall the details of a crime, particularly the accuracy with which they can identify the perpetrator. Unfortunately, the overwhelming conclusion from such research is that human memory is not a reliable source of information, and that witnesses are prone to identifying the wrong person.

Research on eyewitness identification has found witnesses to be susceptible to suggestion. In the activity above you may have found yourself wanting to pick someone from the line-up simply because you were given the instruction ‘Who is it?’, which suggests that the perpetrator was one of the images, even though it wasn’t. Some of the earliest research in this area, for example Loftus and Palmer (1974), examined such suggestibility, which helps us to understand why it was that the same researchers thought it possible that memories recovered during therapy might not be accurate.

 

One of the most emotive elements of the debate over recovered and false memories involves balancing the rights of the victim and the accused. We have seen previously in the course that the justice gap means that far too many victims of sexual abuse are let down by the criminal justice system as their cases are not investigated fully. A typical component of a high proportion of such cases, and of cases involving recovered memories, is that the alleged perpetrator is someone known to the victim. The matter then becomes one of whether the accused did commit the crime.

As we explored through the eyewitness identification task in Activity 3, remembering the identity of a perpetrator not known to the victim or other witness can be difficult. An important question then becomes ‘how often does inaccurate eyewitness memory lead to an innocent person being convicted of a crime they did not commit?’, and this is the question we will address in the next activity.

In the following activity, you are provided with eight factors that have contributed to wrongful convictions (based on data from research conducted by Scheck, Neufeld and Dwyer, 2000). Can you work out which is the most problematic?

Of course, the data in Activity 4 indicates the relative frequency with which various factors lead to an innocent person being convicted, which is not the same as knowing how often miscarriages of justice occur. Calculating this latter figure is extremely problematic, because it would essentially require retrying every case again, but somehow utilizing a procedure less error prone than that used by the court system. Either that, or inventing a time machine to discover who committed the crime and how it took place.

Attempts have been made to look at the accuracy of specific types of evidence, including eyewitness identification evidence. Clark and Godfrey (2009), estimate that 20% (or 1 in 5) of suspects placed in an eyewitness identification procedure (such as a lineup) are innocent of the crime they are being accused of. Surprisingly, the views of the police produce a similar estimate, with a survey of officers involved in obtaining eyewitness identification evidence finding that the average estimate was that 21% of suspects appearing in identification procedures were innocent (Pike and Harrison, 2015).

The Innocence Project is a US organisation dedicated to exonerating wrongfully convicted individuals through DNA testing. Many of their cases involve an investigation conducted prior to the standard use of forensic DNA testing, but where physical evidence still exists which can now be analysed. Using this technique, at the time of writing The Innocence Project has aided 348 successful exonerations, including 14 who served on death row. The average time served in prison was 14 years.

Below you will watch a video featuring Jennifer Thompson-Cannino, a rape victim whose identification evidence helped send an innocent person, Ronald Cotton, to prison for more than 10 years. Ronald was later exonerated with help from The Innocence Project. Jennifer has since become a campaigner against wrongful convictions and her story is a powerful illustration of how dangerous it can be to rely on evidence provided by an eyewitness. Please bear in mind three things:

  • to remember to go gently as you engage with this material, and bear in mind the advice at the beginning of the block
  • that Jennifer did not know her attacker, and this case is about the problems of eyewitness identification and is not about issues to do with the justice gap and victims of sexual offences who know their attackers
  • that we are in no way placing any blame on Jennifer for the wrongful conviction. The video also features one of the detectives involved in the case, and we are likewise not blaming him. Indeed, the video and activity are not about blame, and should we think in that direction it is clear that the fault lies broadly with the construction of our justice system and modes of investigation and conviction.

Watch the interview with the victim/witness in the Cotton Case.

The Cotton Case

One can only admire Jennifer’s bravery in putting herself in the public eye in order to draw attention to the problem of wrongful convictions. We would suggest that if you have time, that now would be a useful moment to explore The Innocence Project as part of your independent studies, and discover more about miscarriages of justice and how they occur. You can also use the website to find out more about The Cotton Case.

Hopefully the activities and research we have explored so far this week has shown you how dangerous it can be to rely on eyewitness identification evidence. This may have come as no surprise to you, after all, if you watch crime fiction on TV or read crime novels, you would be forgiven for thinking that contemporary investigations rely on forensic evidence!

Remember, though, that the analysis of miscarriages of justice which showed misidentification to be a factor in 75% of such cases, also showed that forensic science featured in 23% of the wrongful convictions. This may appear to be a surprising result given the way forensic science is portrayed in crime fiction. As you will see in Activity 5, the issue is that many forensic techniques still rely on the opinion of a human expert, and others are not based on sound scientific principles.

As you saw from Activity 5, the evidence used in criminal investigations and trials is not as reliable as we are led to believe from crime fiction. The discrepancy between fact and fiction has led legal professionals and researchers to refer to the ‘CSI Effect’, wherein juror’s knowledge of forensic science gained from crime fiction may lead them to overestimate its reliability, leading to a tendency to convict if any forensic science is presented by the prosecution and to acquit if none is used.

Summary of Week 22

This week we explored how memory is important in both therapeutic and forensic justice settings, and focused on the tensions and problems that can occur when memories that are first recalled as part of therapy are then used as evidence in the criminal justice system.

An additional dichotomy explored was that between recovered and false memories, which not only speaks to tensions between therapy and criminal evidence, but between how memory is conceptualised by counselling psychologists and experimental psychologists. Part of this dichotomy involves a differential focus on the rights of victims and those accused, although whether the victim and alleged offender knew each other or were strangers is a key element when exploring this dichotomy. When the perpetrator is unknown to the victim, any subsequent investigation often relies on the memory of the victim to establish the identity of the perpetrator. Psychological research has revealed that our memories are frequently not accurate enough to provide reliable evidence in this regard, though other forms of identification using forensic science can also be error prone.

5 Independent study

Lost in a shopping mall

You can read about the experiences of James Coan in the Memory Wars through an article he authored: Lost in a Shopping Mall: An Experience With Controversial Research.

You might also want to follow up some of the references made in the article.

The Innocence Project

Explore the website of The Innocence Project, which is an invaluable source of information on miscarriages of justice: The Innocence Project.

Identifying Ivan

Although published in 1988, meaning the coverage of research and practise is now rather dated, the book ‘Identifying Ivan’ nonetheless remains a seminal and fascinating read. It describes the experiences of Willem Wagenaar (a Dutch psychologist and expert on identification) who gave expert testimony for the defense in the trial of John Demjanjuk, who was accused by an Israeli court of being Ivan the Terrible, and sentenced to death for crimes against humanity including the murder of 850,000 Jews in Treblinka.

Wagenaar, W.A. (1988). Identifying Ivan: A case study in legal psychology, Harvard University Press.

 

 

Compare or contrast two cities you’ve visited or that you’ve lived in
  1. Instructions

Choose one of the topics below and write a comparison/contrast essay.

You will need to compare or contrast two or three primary points about the two subjects you choose to write about, resulting in an essay with either four or six body paragraphs, an introductory paragraph, and a conclusion.

  • Compare or contrast two cities you’ve visited or that you’ve lived in
  • Compare or contrast two members of your family
  • Compare or contrast two sources of news
  • Compare or contrast two singers in different music genres
  • Compare or contrast two historical figures
  • Compare or contrast two artists (for example, Vincent van Gogh and Pablo Picasso or Keith Haring and Andy Warhol)
  • Compare or contrast two eras in time
  • Compare or contrast two television series
  • Compare or contrast two types of technologies (for example, Android and Apple phones or PlayStation and Xbox)
  • Compare or contrast two medical topics (for example, traditional medicine and modern medicine or doctors and midwives)

Remember that the two subjects you choose should have a meaningful connection so that you can draw comparisons or contrasts between the two.

Your thesis should convey the main idea of the essay and clearly articulate what two topics you are comparing/contrasting. Because you are writing in the informative mode for this essay, you should use objective language. Remember that for this essay, you are not trying to persuade or convince the audience that one thing is better or worse than the other; you are instead informing the reader about the similarities or differences between the two subjects in an objective manner.

Your Essay should include at least 4 scholarly sources cited in APA format.