2.10 The failure of CAM therapeutic relationships: sexual abuse and exploitation Another issue that can cause a therapeutic relationship to break down is the failure to maintain appropriate personal or professional boundaries, to the extent that it constitutes serious abuse. A broad spectrum of activities can be called abuse. The term ‘abuse’ originates from the Latin meaning ‘a departure from the purpose (use)’ (Rutter, 1990, p. 41). Given this meaning, clearly some of the boundary issues mentioned above are on the fringes of the category of abuse within CAM. Muc
2.3 Changing notions of the therapeutic relationship and responsibility The shift in practitioner-patient relationships in the last 30 years was described earlier in this book. In addition, Budd and Sharma note that in industrialised societies the nature of the majority of illnesses presented to doctors has changed from acute to chronic and, along with this, the nature of the healing relationship has also changed (1994, p. 11). For many long-term conditions, orthodox treatment can provide only short-term gains. Instead, the key issue is the management of symptoms
1.6 Models of health care delivery: the biomedical model 1.1 Introduction Since the Second World War, health has come to signify much more than an absence of physical disease for many people in western societies. Interest in health now includes concerns about food, the strength of social networks and the quality of the environment. The stresses of modern living are recognised as a serious health issue. Personal choices are positively or negatively charged, depending on whether they are ‘good for you’ or ‘bad for you’. Most newspapers and magazines publish n Acknowledgements The content acknowledged below is Proprietary (see terms and conditions). This content is made available under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Licence. Couse image: B References Keep on learning   There are more than 800 courses on OpenLearn for you to 2.1 The nature of the social work task Social work is a responsible and demanding job. Practitioners work in social settings characterised by enormous diversity, and they perform a range of roles, requiring different skills. Public expectations, agency requirements and resources and the needs of service users all create pressures for social workers. The public receives only a snapshot of a social worker's responsibilities and, against a background of media concentration on the sensational, the thousands of successful outcomes and 5.1.1 Linking supply and demand But apart from these relatively few enlightened examples, the efficiency with which humanity currently uses its energy sources is generally extremely low. At present, only about one-third of the energy content of the fuel the world uses emerges as 'useful' energy, at the end of the long supply chains we have established to connect our coal and uranium mines, our oil and gas wells, with our energy-related needs for warmth, light, motion, communication, etc. 5.1 Energy services Except in the form of food, no one needs or wants energy as such. That is to say, no one wants to eat coal or uranium, drink oil, breathe natural gas or be directly connected to an electricity supply. What people want is energy services – those services which energy uniquely can provide. Principally, these are: heat, for warming rooms, for washing and for processing materials; lighting, both interior and exterior; motive power, for a myriad of uses from pumping fluids to lifti 4.3.2 Wave power When winds blow over the world's oceans, they cause waves. The power in such waves, as they gradually build up over very long distances, can be very great – as anyone watching or feeling that power eventually being dissipated on a beach will know. Various technologies for harnessing the power of waves have been developed over the past few decades, of which the 'oscillating water column' (OWC) is perhaps the most widely used. In an OWC, the rise and fall of the waves inside an enclosed 4.2 Solar energy Solar energy, it should firstly be stressed, makes an enormous but largely unrecorded contribution to our energy needs. It is the sun's radiant energy, as noted in Box 2, that maintains the Earth's surface at a temperature warm enough to support human life. But despite this enormous input of energy to our civilisation, t 4.1 What are renewable energy sources? Fossil and nuclear fuels are often termed non-renewable energy sources. This is because, although the quantities in which they are available may be extremely large, they are nevertheless finite and so will in principle 'run out' at some time in the future. By contrast, hydropower and bioenergy (from biofuels grown sustainably) are two examples of renewable energy sources – that is, sources that are continuously replenished by natural processes. Renewable energy sources a 3.6 Summary This section has described how fossil fuels provide the majority of the world's energy requirements, with bioenergy, nuclear energy and hydropower also making major contributions. The other 'renewable' energy sources currently supply only a small fraction of world demand, although the contribution of these 'renewables' seems likely to grow rapidly in coming decades, as we shall see in the following section. 3.5 Hydroelectricity Another energy source that has been harnessed by humanity for many centuries is the power of flowing water, which has been used for milling corn, pumping and driving machinery. During the twentieth century, its main use has been in the generation of hydroelectricity, and hydropower has grown to become one of the world's principal electricity sources. It currently provides some 2.3 per cent of world primary energy. However, the relative contribution of hydroelectric power (and of other electri 2.1 What is energy? 'Energy is Eternal Delight' William Blake, 1757–1827 (1994) What do we mean by 'energy'? What does the concept of 'sustainability' entail? And what, for that matter, do we mean by the 'future' in this context? 6.4.5 Complexity The final concept, discussed in Case Study 3, is the complexity of interactions between society, technology and environment, illustrated by Figure 14. A simple technical fix to a problem, such as the introduction of a harmless gas (Freon), or a new predator (the Cane Toad), can have many unintended 6.4.4 Environmental limits There are many different definitions of what sustainable development means; you were given one in Section 5.3, and how this should guide policy. The underpinning concepts are: equity for human development, and limits on the capacity of the environment. The idea of environmental limits on the ability of the Earth's biophysical systems to cope with and adapt to pressures from human activity, whether from demand for natural resources, the waste products of modern economies, or from habitat modif 6.3 Sustainable development The third approach to balancing human needs with environmental protection is to try to come to grips with what we mean by sustainability. The most widely quoted definition of sustainable development is the one used by Gro Harlem Brundtland in the highly influential book Our Common Future (Brundtland, 1987): 'Sustainable development is development that meets the needs of the present withou 5.4 Discussion We seem to have travelled a long way from the Industrial Revolution in Europe, but many of the impacts on New Zealand's ecosystems described here can be traced, in part at least, to reverberations from these developments. What lessons can be drawn from this example? Perhaps I should start by emphasising this is not meant to be a complete account of the environmental history of New Zealand. For example, I have not discussed any responses from the population once they realised that harm w
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