What are the arguments for and against focussing on skilled migration Essay

What are the arguments for and against focussing on skilled migration In answering this, specify who are the winners and losers What are the limitations of the Governments skilled immigration policy - Essay Example In 2005 for example, remittances figured $223 billion which was more than twice the rank of international aid. Public perceptions of migration and migrants play a major role in determining policy choices available to governments. The share of migrants in the global population may not be as high but its presence and visibility in terms of social, economic and political terms is felt. Migrants flow have shifted greatly in recent years with changing poles of attraction for labour migration for instance Asians find job opportunities within Asia while the Latin Americans are moving to Europe. There is a high labour participation in Europe, US and Australia. This shows that economic incentives remain high for migration to these market economies. UN confirms significant contribution of migration to population growth in Australia, US and some European countries. Immigration has been a difficult subject to government officials. This is because it raises moral choices about whom to let in the country, for how long and by what means. According to Levi (1999, p. 675) regulating entry means deporting or excluding people whose aim is to earn a living. The limitations of the government policy include one, it is impossible to influence the number of nationals entering the country it can only regulate them from accessing legal employment. Some of the nationals restricted include the Romanians and Bulgarians. The other limitation of the policy is that policy put towards asylum refugees and dependants of British system is greatly determined by considering human rights. These rights in clude rights to freedom from persecution and the right to family reunion. Consideration of these rights is beyond the governments limit though they can be modified. It is also impossible for a nation to control immigration and employment of migrants. This is because most come as visitors but overstay. Governments are therefore unable to regulate all

How good, effective communication skills is well needed in a job of Essay

How good, effective communication skills is well needed in a job of being a nurse - Essay Example That is, nurses should be able to help patients understand their medical issues and also give them in-depth instructions regarding how to care for themselves, and then when it comes to fellow professionals, they need to communicate all the treatment details and other medical related process in a clear manner, so it does not give rise to medical errors and the related eventualities. (). Thus, the focus will be on how effective communication skills are needed to ensure patient safety and importantly to optimize the caring process of the patients. In that direction, proper and clear communication skills have to be exhibited by the nurses while communicating with the fellow nurses and other personnel regarding the treatment process of the patients. That is, not only they need to communicate clearly but also receive the communication in a clear and detailed manner. For example, when giving or receiving instructions about drug administration to the patients, reporting test results, etc., i n-person or through phone, the nurses need to strongly confirm the information before initiating the relevant actions. As it is easy to misunderstand someone's words, â€Å"nurses should repeat the information to ensure they heard it correctly† and could even make the receiver to repeat the same to confirm it further. (Williams). Then, when it comes to the communication between the nurses and the patients, it has to be effective at various levels. Firstly, while providing treatments to the patients, nurses has to clearly and slowly explain about all the medications and patients they are receiving. As the nurses have more day-to-day contact with the patients than other personnel, they need to â€Å"help patients understand their diagnosis and prognosis and teach them how to participate in their recovery.† (Williams). For that, they have to tailor or customize their communication based on the patient’s educational ability, age, medical awareness, etc. In that dire ction, they need to adopt a voice tone, which will be effective to particular patients. For example, while conversing with the children, the nurses can interact with them in a soft and affectionate tone to facilitate them to undergo the necessary treatments particularly during drug administering. The nurses need to communicate to the patients not only their treatment process in the hospital environment, but also the process they have to follow in their home as well. When one focuses on effective communication in nursing, what a nurse says and also how he/she says is just a part of the communication, because non-verbal communication forms a major part of the equation between nurses and patients, and also fellow personnel. In that direction, understanding the body language particularly facial reactions of the patients and also exhibiting strong and at the same time adaptive body language can aid in making a deep connection with the patients and thereby delivering efficient care to the m. Patients’ nonverbal communication can tell the nurses how they are feeling, without the need to talk, and so the nurses should be attentive and focused on those aspects. Then, when it co

Festivals of Greece & Rome Essay Example | Topics and Well Written Essays - 750 words

Festivals of Greece & Rome - Essay Example The Romans theatre history shows that they had several problems especially the stage craft and the imbalanced concept of drama with stage performances. As a result the stages in the beginning were constructed based on Greek models. In fact the concept of drama was introduced to Romans only from the Greeks. In this instance Romans stand next to the Greeks not equal to Greeks. The Greeks have a mythological background for all its religious festivals. Greeks’ strong faith in the supremacy of God is evident from the worship of each God and the reason they associate with their Gods. They honored their Gods through these festivals and had a faith that they could be punished in terms of earthquake or war if they don’t honor Gods. A festival according to both Greeks and Romans is not only for them but also for other visitors and participants from other countries to take part in competitions and contests. Especially sports, music and games. The course of the festival is declared as holiday. Greeks declare their festivals honoring their Gods such as Zeus, Olympia, Hera, and Dionysus who symbolize health, fertility, vegetation etc. The Greeks looked at their Gods as personifications of spring and periods. Where as most of the Roman festivals are celebrated during summer. Women were treated with equal importance as a result a special festival is organized for women honoring the Goddess Olympia, where sports events were conducted for women. The Panathenic festival in honor of the Goddess Hera, contained contests for singers, poets and playwrights. The Athens festival was considered as the most interesting event of the year, where series of operas, symphonies and ballets were performed at the theatre of Herodes Atticus. The influence of Greek drama could be seen in all the plays of all the times. Greeks performed plays in other religious festivals also especially the Church quoted dramatic scenes to explain religious

Market structure Essay Example | Topics and Well Written Essays - 2250 words

Market structure - Essay Example Market structure is also affected by the decision of the individual firms in setting up prices within the industry & the supply of different commodities in the market. For example, when competition is high, firms tend to supply more & more in order to capture handsome market share. Barrier to entry is also an important factor to determine market structure. In a monopoly market structure, the degree of barriers to entry is much higher than in a perfectly competitive market, where the factor may have a zero percent influence. Another factor of consideration to understand market structure is market efficiency. A firm will operate more efficiently in a competitive market with a fear of losing opportunity rather than a firm operating in a monopolistic market (Cohen, 2010, pp.131 –133). Customer turnover ratio i.e. the no. of customer willing to change their consumer preferences due to change in market structure, over a period of time. This factor is an indicator of brand loyalty & reaction of marketing activities such as advertisements etc. A perfectly competitive market indicates a market condition where a large no. of buyers & sellers has the market power to set the price of homogeneous goods & services. In a perfectly competitive market, the no. of buyers & sellers are so numerous & well structured that the market price of commodities are beyond control of the individual buyers & sellers and all the monopolistic powers are eliminated from the market (Wong, 2010, pp.1174–1177). All firms are price taker, having a relatively small market share, operating on a profit maximization objective. The firms sell identical, homogeneous goods, having perfect knowledge about product quality, price & cost. In a perfectly competitive market, all firms are price taker. Seller must take the existing market price. If a single firm is charging a price above the market price, this will result in a loss of potential

Problem Identification Case Study Example | Topics and Well Written Essays - 500 words

Problem Identification - Case Study Example However, in my personal opinion, the most basic problem faced by the healthcare management today is that of the provision of primary healthcare facilities, particularly in the capacity of disaster management. Disaster Management and the provision of Primary Healthcare: Disaster management encompasses a wide array of emergency situations including civil defense, civil protection, crisis management, homeland security etc. (Emergency Management, 2011). The time frame for which the services of Disaster Management teams are employed in a particular area is known as the transition period. This transition period is not only one of physical loss rather the victims are often emotionally drained by the losses they suffer as an outcome of the disaster. It is during this time that the victims need maximum healthcare facilities that guarantee their well being. The provision of primary healthcare facilities requires the building up of strategic national and international partnerships, which unfort unately does not seem to be the priority of Public Policy developers (Mortier, Bullen, & Guillouzic, 2010, Volume 3).

Views of Hobbes, Locke and Rousseau Essay Example for Free

Views of Hobbes, Locke and Rousseau Essay Thomas Hobbes, John Locke and Jean-Racques Rosseau were philosophers who stated their belief of human nature and how we should govern mankind. Although Rousseau was born a different time than Hobbes and Locke, they all had a very strong influence on the way governments should function. They created a revolutionary idea of the state of nature, the way men were before a government came into play. Each philosopher developed guidelines and responsibilities that the government is obliged to. Although proposing different views and ideas, they all contributed significant ideas to society. Thomas Hobbes, Jock Locke and Jean-Jacques Rousseau all differed on their views of government. Thomas Hobbes described the state of nature for man is nasty, brutish and short. In order to escape this, people must give up freedom to receive peace and order by the protection of the government. Hobbes believed in an absolute monarchy. Order could only be established with a ruler holding absolute power. The state was there to prevent people from attacking and killing each other. His structure of a government was to prevent chaos and violence. Just like Hobbes, John Locke believed there was a need to establish order; however, he saw a different way to achieve this. He had a more optimistic perspective on human kind. People should give up some rights to attain protection, like Hobbes outlook of the social contract, but if the government does not fulfill its duty, the people must change it. Rebellion was only justified if the ruler lost the consent of his people. Hobbes believed that it was never justified. John Locke believed in any type of representative government such as a republic, constitutional monarchy or democracy. Jean-Jacques Rousseau had been considered by some the prophet of democracy. Rousseau believed in the General Will, the decision of the majority, because what is best for all is best for an individual. He said people enslaved in the law. All rights of people are given up to the General Will in order to be incorporated through the legislature. The state is there to enact the General Will. Society embarked on with the state of nature. The English Civil War was influential to Hobbes and Locke. It made Locke object violence. Hobbes believed that to put an end to the war, an absolute monarchy must be established. Rousseau was influenced by emotion and not reason. This was the origin of Romanticism. The three philosophers vision of the state of nature was contrasting in terms of things like property and freedom. Hobbes believed that man was essentially evil, bad and corrupt. His view of depravity of human nature was influenced by the English Revolution. He believed that humans would constantly fight if left alone, especially over property which was a limited source that was competed for. Thomas Hobbes essentially believed that humans were not good and order was established by depriving humans of their rights and freedom. According to Hobbes, state of nature was state of war. John Locke believed people were born with a blank slate or mind and their surroundings and environment made them good or evil. Like Rousseau, Locke believes that people are equal, not in ability but in rights. People are born entitled to natural rights, life liberty and property. He stated, Man is born free, and everywhere is in chains† was said by Rousseau. He also thought that men were born free and are good and that it is society that is corrupt. In order to accomplish this objective, society must eliminate all titles. His understanding was that the title of nobility should be abolished. Noble savage was a concept he admired very much. Humans are just like any other animal. These philosophers agreed that things must be sacrificed to advance society. Despite their differences, Hobbes, Locke and Rousseau could all comply that Government should not be through the Church. This contradicted the concept of Divine Right, which is the belief that a monarch received their power only from God. To determine what society should be, a clean slate was needed which included freedom of religion. Thomas Hobbes believes that the state must be only one religion in order to be united. John Locke declares that the state should have religious toleration. Rousseau does not repudiate God but is disgusted with religion, especially Christianity. Hobbes, Locke and Rousseau all acknowledge that before men were to govern, we lived in a state of nature. They all constructed their own adaptation of what a government should be and how society should work. All of them recognize that the government should not be through the church and differ on human nature and the form of government. Their ideas were inspiring and spread to many places constructing new governments. Hobbes, Locke and Rousseau were revolutionary.

Self monitoring and intervention for ring fidgeting habit

Self monitoring and intervention for ring fidgeting habit Habits are said to form when utilizing the same behavior regularly and consistently in a similar situation for the same purpose. They are performed with minimal thinking and little deliberation; and can be considered an automatising of behaviour. While efficiency in cognitive capabilities is achieved; habits cause information to be ignored, never influencing performance of the habit; as outcomes as a result of the habit are overly satisfactory. It has been suggested that good intentions are not acted upon if interfered by the habit; meaning the short term rewards become opposing to long term intentions. It is then that behaviours are identified as bad habits, habits that involve actions providing positive outcomes in the short term, but causing negative outcomes in the long run; including nervous habits, motor tics and stuttering. Nervous habits are defined as unchanging, automatic behaviours that do not serve any social purpose. Examples include hand to head habits such as nail biting or hair pulling; oral habits such as lip or tongue biting; or any repetitive movement such as scratching or object manipulation. Hansen, Tishelman, Hawkins Doepke (1990) and Woods, Miltenberger, Flach, (1996), suggest that hand to head and oral habits are most prevalent in the general population. In a study of college students, Woods et al. (1996) reported that 15% of students engaged in hair manipulation, 10% nail biting, 22% chewing of their mouth or lips, while 22% reported manipulating objects such as pens or jewelry. Fidgeting is defined as engaging in actions that are peripheral or nonessential to ongoing focal tasks or events (Mehrabian Friedman, 1986); involving engagement in actions, movement or manipulation of ones own body or implementation of actions onto other objects; and can hereby be categorized as a nervous h abit. Woods and Miltenberger (1996) concluded that habits such as hair and face manipulation were present in anxiety- provoking conditions; while object manipulations were recorded when participants felt bored. Three potential explanations exist in relation to how such habits are developed and maintained. Firstly, habits are said to be negatively reinforced by decreasing tension, due to automatic negative reinforcements, such as reduction in anxiety and stress. Secondly, habits provide self- stimulatory advantages, such as increase in concentration or focus, therefore aiding in production of reinforced outcomes. Nervous habits are also hypothesized to represent a group of behaviours that are caused by schedule-induced or adjunctive behaviours occurring as a result of time-based schedules such as fixed-time or fixed-interval schedules (Miltenberger, Fuqua, Woods, 1998), possibly to fill time between reinforces and other behaviours. However, habits do not tend to interfere greatly in a persons functioning, as in some cases they may help the individual focus, concentrate or feel aroused; but are known to cause annoyance to the individual or those around them. In some cases, where the frequency may become excessive; numerous negative outcomes can be attributed to nervous habits. For instance hand related habits can lead to risk of infection; while others cause negative social consequences, such as little or no social acceptance. It is when habits occur frequently or intensely that treatment is sought. Several new behavioural technologies have been developed; through the assessment of treatments using group treatment- outcome and single participant designs as well as several case study experiments; with the latter seen inadequate for drawing valid, scientific interpretations. Controlled single and group experiments, specifically those using repeated, objective measures with reversal or multiple base line designs have been shown to have scientific merit (Peterson, Campise and Azrin, 1994), detailing impacts of treatments on the behaviour. Such treatments have been effective in reducing the frequency of habit disorders by over 90% and eliminating them in 40 to 70% of the cases (Peterson et al., 1994); with habit reversal treatment (HRT) found to be consistent in demonstrating high effectiveness and applicability to a range of habits. Habit reversal involves several components aimed at increasing habit awareness, developing competing responses, building and sustaining motivation and compliance; as well as incorporating operant and anxiety management techniques (Piacentini Chang, 2005) to effectively treat habits. Azrin and Nunn (1973) successfully treated 12 clients who exhibited habits for up to 7 years, through the implementation of the 4 key stages of HRT: awareness training, competing response training, habit control motivation and generalized training. Awareness training included components such as: response description, where clients are asked to describe the details of the habit behaviour; response detection where therapists reported occurrences of the habit to the participant almost immediately after occurrence; an early warning procedure where clients became aware of the earliest signs of the habit and situation awareness where an analysis was implemented to name high-risk situations where the habit may occur. Competing response practice involved the client developing a short and socially acceptable behavioural pattern opposite to the habit, usually through a shaping technique. In the case of nervous habits involving hands; clients were instructed to place his/her hands down by the sides, and to clench their fists until they could feel tension in their arms and hands (Azrin and Nunn, 1973). Motivational procedures such as habit inconvenience and social support procedures were used; with reviews of the inconveniences, embarrassment or suffering experienced implemented; while family members positively reinforced the individuals efforts when habit free periods was noted. Clients were asked to perform the CR correctly in the presence of a councilor, while also taught a symbolic rehearsal technique, where clients imaged habit eliciting situations, their detection of the habit behaviour and performance of the appropriate CR for a required 15 minutes. Clients were also reinforced and remi nded of their habit under more casual situations, and were required to elicit the CR for 3 minutes, a technique known as generalized training. The study reported a significant reduction in habit occurrence of 90% after a single session, with an increase to 99% three months after treatment. Similarly, Azrin, Nunn, and Frantz (1980) investigated the effects of HRT on habits, comparing it to negative practice; a technique similar to HRT, but different, as the habit was performed for 30 second periods over an hour period, each day until four days after the habit was undetectable; while participants were telling themselves they should not be doing the habit. It was reported that the HRT was more effective, as HRT reduced habits by one third. Woods, Miltenberger Lumley (1996) reviewed the effectiveness of awareness training, self-monitoring, social support, and competing responses in 4 children. Woods et al. concluded that, while all stages were successful, self-monitoring should be used as the initial stage in treatment, with other components implemented after awareness has been detected. Additionally, the use of anxiety and operant techniques, have also proven successful in treatment of habits. Anxiety management techniques, such as breathing exercises, muscle relaxation and imagery have been implemented as increases in stress and anxiety lead to concomitant increases in tic frequency, intensity and duration (Cohen, Friedhoff, Leckman, Chase, 1992). Although unsuccessful individually, benefits have been detected in multi-component treatments such as HRT. Similarly, operant techniques, in forms of contingency management, entail the manipulation of environmental contingencies so that tic-free intervals are positively reinforced, and tic behaviors are punished (Piacentini Chang, 2005).They should only be used in instances where a clear relationships between the habit and the environmental contingencies are observed. The aim of this study is to suggest an effective intervention or treatment to reduce the occurrence of object fidgeting in a 19 year old female. It is hoped that through the implementation of this HRT, the habit in question is effectively treated, hereby providing the client with a long term solution. Method Participant The participant of this study was a 19 year old Western, middle class, female undergraduate psychology student who expressed interest in reducing the frequency of a nervous habit, specifically the habit of fidgeting in form of manipulation of an object. Operational definition Fidgeting, in this instance, was the engaging in one particular action, non-essential and external to ongoing tasks. Focus was primarily upon the manipulation of an object; in this case the action of fidgeting with a ring. Actions involved the individual using their right hand or left hand fingers to turn the ring into a circle around the finger of which the ring was present. The instance where the individual may have been moving the ring back and forth while on the finger was also counted. Taking the ring on and off the finger; meaning the individual took the ring off and put the ring back on was not taken into account. Ring fidgeting can be classified as an excess nervous behavior; that is unwanted, and therefore should be decreased in frequency, duration or intensity. This behavior was monitored due to its relative high frequency in Participant Xs everyday life. Selection and justification of monitoring method Assessment of the behavior was achieved through the method of an event recording, self- monitoring method. The participant was asked to record the frequency of the habit over a period of 14 days as well as the time the behavior occurred, when and where it occurred, who was around and what happened before and after the habit was detected. Event recording measures the occurrence, either frequency or duration of a low to medium occurring behavior during a specific time interval. This method was used as event recording has been proven effective when wanting to increase or decrease the occurrence of a habit or behavior, while also allowing the behavior in question to be clearly identified as having a beginning and an end. In this case also the habit did not happen at such an extreme high rate that the event itself was difficult to record. Similarly, a self-monitoring method, while less costly and convenient, could prove ineffective as it is possible the act of self behavioural assessment may actually reduce the frequency of the habit, with the individual becoming highly aware of the behavior; and as a result consciously or subconsciously decrease the act of the behaviour. Results Results obtained from the self-monitoring of Participant Xs ring fidgeting habit over the 14 day, self monitoring period are illustrated in Figure 1 below. As the graph illustrates, participant Xs mean of ring fidgeting (M = 3.93) over the 14 day period proves relatively low. A range between extreme scores of 7 was obtained, while the lowest number of fidgets occurred on Day 14 and the highest on Day 7 of monitoring. It is hypothesized that due to the participants preoccupied nature, no incidences were recorded on day 14 of monitoring. It is possible that the reason for high detection of fidgets on Day 7 could be as a result of Xs high levels of stress and fatigue and anxiety associated with her university lifestyle. The frequency of the behavior increased for the first three days, decreased for a day, increased for the following three days, reaching its peak on Day 7. The behavior then decreased abruptly, occasionally increasing, before leveling off for two days and finally becoming undetectable by the last day of monitoring. Of all days, day 14 proved to be different to the other days of monitoring, with no detection of the habit recorded. Contextual Studying for university exams; recalling facts and information, usually when alone Working on assignments and essays; mainly when researching or planning, even writing, usually alone On the train/ waiting for train to go to university in the morning and afternoon- around people Feeling tired after long day at university or after long day studying; around people and when alone When not really doing anything; waiting to get home on the train, or waiting for the train Immediate Feeling stressed or worried about; exams, too many assignments; a lot to do, little time to do it in Feeling overwhelmed and stressed about amount of work needed to be done for university- things like assignments, studying for exams Frustration when not able to recall facts and information for exams Feelings of boredom when not doing much; usually when knows has much to do- specially when on the train to university or back home; as most of the time it is very busy and cannot do much university work- feels like she is wasting time Feeling annoyed about what is happening in life, even in the rest of the world (war etc)- annoyed at the fact that she may not be doing enough in regards of her assignment work or studying; some instances annoyance may be due to hearing something on the news or reading about something that she may not agree with Feeling tired- usually effects the participant in terms of lack of concentration and allows the patient to lose focus on the task The participant sometimes lacks self-confidence, sometimes feels anxious and uncertain when doing assignment work, university work or when in situations where things seem to go wrong unexpectedly The participant sometimes experiences feelings of overwhelm, annoyance and frustration when unable to do certain tasks; most prominently task relating to her university career Believes that she needs to do well at university and therefore is mindful of what she is required to do; must perform well in order to gain excellent qualifications and therefore build a relatively worthwhile career Knows that her university life depends on her ability to study efficiently; to produce high standard assignments for her psychology courses Also highly believes that what is happening in the world now is going to affect everyone and everything; including her family, her friends and herself- somehow hopes to make a difference which may lead again to the pressure which the patient feels when it comes to her career or in this case- how her university exams and assignments (grades) will impact on her ability to get to that level = pressure = anxiety, stress, frustration and feelings of overwhelm Ring Fidgeting Fidgeting, in this instance, was defined as engaging in one particular action, non-essential and external to ongoing tasks. Focus was primarily upon the manipulation of an object; in this case the action of fidgeting with a ring. Actions involved the individual using their right hand or left hand fingers to turn the ring into a circle around the finger of which the ring was present. The habit was observed during the participants waking hours. Immediate Reduction in anxiety and stress levels = feels calmer and peaceful Reduction in levels of frustration or disappointment Reduction in boredom = preoccupation- has a distraction from her anxiety provoking thoughts; feels like she is doing something and able to fill time Increase in ability to recall facts and information for university exams, ability to work efficiently and faster on assignments Increase in ability to focus and concentrate on the task at hand and make good progress on the task No reduction in level of tiredness; still reports to feel fatigue Reduction in self-consciousness Allows the patient to take time out from her busy life and reflect, possibly clear her thoughts Long Term Possible damage to surrounding skin areas Risk of infection if the behaviour becomes excessive As a result of above consequence; possible inability to write or type Possible loss of feeling if the behavior is excessive As a results of all these, the individual could experience little social acceptance meaning that as a result of the damage to skin areas, which does not look nice and is not very attractive- people around the individual may never make friends or even maybe marry This may lead to depression- as such a problems as being cast out of a social groups, or possibly never having a partner or friends can lead to the patient becoming depressed- feeling down, or feeling like everything may pointless and not worth it Negative reinforcement Negative reinforcement Negative Reinforcement Positive Reinforcement Positive Reinforcement Positive Punisher Negative reinforcement Positive Reinforcement Positive Punisher Positive Punisher Negative Punisher Negative Punisher Negative Punisher Positive Punisher As seen in the Table 1 above, participant X is a 19 year old female who has suffered from habitual ring fidgeting for the last year and a half. Historically, X reports the habit to have begun recently; possibly since the commencement of her university life. The behavior may also be as a result of observations, while her busy university lifestyle and lack of sleep may elicit, but not directly cause the occurrence of the habit. Contextually, Xs habit occurs during times when completing university assignments, studying for university tests at home, travelling to and from university or when really not doing anything; and reports feelings of anxiety, stress, worry, annoyance, frustration, fatigue or boredom when performing the behavior. She describes herself as lacking self-confidence, feeling pressured and uncertain at times about her university work, believing that she must perform well, while highly regarding current world events to play a part in her future. X reports that when fidget ing she experiences relief from anxiety, frustration, boredom and self-consciousness; and experiences increased ability to recall facts and information, concentrate and focus and to clear and reflect on her thoughts, but report little change in her level of tiredness. Long term consequences in this instance were not detected; as the client has experienced the habit for a short time. Hereby, based on the immediate consequences it can be said that the relief and increase in abilities which X feels when fidgeting appears to surpass any sort of immediate negative outcome the habit may impose. Discussion The aim of this study was to implement an effective treatment to reduce the occurrence of object fidgeting of a 19 year old female. It is hoped that through the implementation of this treatment the habit in question is effectively reduced and controlled by the participant. Frequency monitoring of the habit suggests that ring fidgeting in this case was not severe, as the mean fidgets over the 14 days were relatively low. The participant reports that she feels stressed, worried, annoyed, frustrated, tired or bored when performing the behavior; but reports that as a result she experiences relief from anxiety, frustration, boredom and self-consciousness; as well as increased ability to recall facts and information, concentrate and focus on the task at hand; but reports little change in her level of tiredness. The findings seem consistent with the literature outlined previously. As pointed out by Woods and Miltenberger (1996), nervous habits are prevalent in anxiety- provoking conditions; with object manipulation habits recorded when participants feel bored. In this case, the habit seemed to have been present in both types of situations, with immediate stimuli including feelings of anxiety, frustration and boredom. Overall, it is evident that in this case the habit was negatively reinforced by a decrease in tension, mainly through negative reinforcements, such as reductions in anxiety, stress and boredom. Additionally, the participant also reported self-stimulatory advantages, with an increase in focus and concentration. Nervous habits were also hypothesized to be caused by schedule-induced or adjunctive behaviours occurring as a result of time-based schedules such as fixed-time or fixed-interval schedules (Miltenberger et al., 1998). It is possible that Xs habit may be a way to fill in time between behaviours in everyday life and normal reinforces, or be due to the specific stimuli or events. Severe and long term consequences due to the habit could not be detected; but it can be postulated that were the habit to occur excessively, X would possibly be at risk of infection, could experience little social acceptance and as a result possibly depression. The frequency of ring fidgeting in this case was relatively small, causing no severe damage or impairment in the short term. But because of the possibility of it becoming over excessive, a modified version of habit reversal treatment could be implemented to reduce the habit. This method is proposed for this case as HRT has been successful in decreasing frequency of habits by 90% after implementation, with further increase after treatment. X will be exposed to the 3 stages of HRT: awareness training, competing response training and habit control motivation; as well as operant and anxiety reducing techniques. X will be exposed to response description, where she will be asked to describe and demonstrate in detail the actions and behaviours of the habit; response detection where those around X would report the occurrence of the habit immediately after each occurrence; an early warning system where the client will be taught to be aware of even the earliest signs of fidgeting and finally s ituation awareness training where the client will be made aware of the high risk situations in which fidgeting may occur. It is known that awareness training would be effective in this case by making the occurrence of the tic an aversive event (via evaluation or demand characteristics) or that monitoring activities serve as punishers for tic expression (Piacentini Chang, 2005), while also reducing frequency of the habit. Participant X will also be asked to develop a short, acceptable competing response, performed on each occasion when the participant feels the urge to fidget; implemented through shaping. In this case the action of placing her hands down by her side, simultaneously clenching her fists until tension is felt in both arms and hands, could serve as her CR. Shaping allows expression of the habit, while not blocking it but rather weakening the severe aspects of the habit behaviour. Appropriately, the habit could be shaped into more normal behaviours, meaning the CR should be designed to slow down the frequency of the habit, with X not eliciting the habit, but rather something different and appropriate, while also providing X with a different physical expression contingent, still allowing the reduction in negative feelings and positive outcomes. As more control is gained over the habit, the CR becomes increasingly more forceful with the ultimate goal of greater tic control (Piacentini Chang , 2005), and therefore fidgeting would be eliminate. In addition, several motivation procedures, including habit inconvenience and social support procedures are suggested. Reviews will be conducted in regards to the inconveniences experienced; allowing a breakdown of symptoms, while also enhancing motivation for treatment and serving as a step forward in the acceptance of the habit. Close individuals will also be asked to reinforce each habit free period and correct use of techniques. In addition to the 3 intervention stages discussed; X will also be exposed to several operant techniques, preferably through the manipulation of environmental contingencies. As there is a clear relationship between the habit and numerous contingencies, the participants habit free intervals, in the contexts where the habit is most frequent; will be positively reinforced each time; through a rewards system; boosting compliance, while ring fidgets would be pointed out but not rewarded. In addition, strategies of reducing anxiety and stress should be introduc ed as a clear relationship exists between stress and anxiety triggers and habit frequency. The participant should be taught possible relaxation techniques, such as deep breathing or muscle relaxation, asked to monitor her relaxation levels and instructed to use them before anxiety provoking or stressful events, hereby possibly never eliciting the habit or reducing it greatly. While the above intervention could be used in its entirety, it must be pointed out that the habit of ring fidgeting is was not overly severe. Results did indicate a relatively low mean for the behaviour, which does indicate the habit as present, but only in relatively low frequencies over 14 days. All stages of the treatment above would have been more appropriate if the participant may have actually experienced severe long term consequences, or possibly more punishers in terms of contingencies. As most of the contingencies proved to be reinforces of reductions in negative feelings, it is possible that anxiety management individually, would serve appropriate, as a clear relationship exists between stress and anxiety triggers and habit frequency. Operant techniques and reinforcement of fixed-habit free periods could also prove successful, as X would learn, after some time that a reward would be given each time the desirable behaviour occurs, in this case the absence of the habit. Aware ness training could also have been successful individually, as awareness of the habit to be an aversive event could reduce the habit and also serve as a possible punisher to the participant; hereby decreasing the habit and achieving the goal of this study. Because of the habit was detected as relatively low in frequency, possibly due the fact that X has only experience the habit for a short time; a general HRT treatment would be considered to be inappropriate as such treatment has been successful at treating more long term and highly excessive habits. Additionally, subjective self-monitoring and SORCK analyses used to analyze the patterns of antecedents and consequent events may not serve as valid in this case. Self monitoring in particular could prove ineffective, with a possibility that the act may actually reduce the frequency of the habit, with the individual becoming highly aware of the behavior; and as a result consciously or subconsciously decreasing the act of the behaviour. Similarly, SORCK analyses were in turn based on self- monitoring and recording, and could be deemed equally as subjective. This study was based on the habit frequency of one subject and not a population of the individuals experiencing ring fidgeting. As this is the case, it is highly hypothesized that the data itself could be rather subjective and non representative of the whole population. Many individuals who self monitor may do so incorrectly and subjectively, as some habits are engaged in without awareness and can be missed, while it is also possib le that participants could also underestimate overestimate occurences.