HIP DISORDERS IN THE PEDIATRIC POPULATION Assignment

HIP DISORDERS IN THE PEDIATRIC POPULATION - Assignment Example There are three main techniques for assessing whether a child is suffering from this complication. They include Ortolani test, Barrow maneuver, and Galeazzi’s test. Hip dislocation is a prevalent physiological problem in the pediatrics, which can develop before, during or after birth, but it can be diagnosed through the Ortolani test, Barrow maneuver, and Galeazzi’s test. The Ortolani test is performed by the medical examiner placing his/her hands over the child’s knees with the thumbs on the medial thigh while the rest of the fingers apply some slight pressure on the trochanter area as well as the lateral thigh. With slow abductions being performed on these areas, the dislocated hip will often reduce with a palpable â€Å"cluck.† The intensity of instability of the hip is categorized into two depending on the results of the examination. Positive Ortolani is a situation where the hip is dislocated and reducible at the same time. Negative Ortolani implies the hip of the child is dislocated, but it is irreducible (Byrd, 2012). Barrow maneuver involves the examiner guiding the child’s hip into a kind of abduction movement by applying some mild force with his/her thumbs. In the event that the bones of the child are not stable, the femoral bone will slide over the rear rim of the acetabulum bone while producing some noticeable sensation of subluxation or dislocation. Relatively, the degree of instability is measured by the results of the test. If a dislocation is evident, then the test can be said to be positive Barrow, but if the hip is characterized by mild instability, that can be termed as a subluxation or rather a negative Barrow test (Godley, 2013). In this case, the child to be examined is made to assume a supine position while his/her legs are bent at ninety degrees with the feet being kept flat over a level surface. The practitioner will examine the child to ascertain any differences between the two

Incentives and disincentives to invest in research and development Essay

Incentives and disincentives to invest in research and development - Essay Example A critical input for a firm’s success might be a derivative of its investments in R&D projects. For this reason, competition is one of the primary incentives that would influence a business to invest in R&D, which is also an essential element that can lead to the growth and profitability of a business (Atkinson & Ezell, 2014, p. 27). In this case, intellectual property rights accorded to innovative entrepreneurship provide an incentive to for the investment in innovative developments. These rights contribute to the protection of a firm’s intellectual assets, which enhances profitability and heightens the entity’s competitiveness. For instance, Gilead Sciences Inc., a pharmaceutical organisation in the United States, invested in an R&D project to develop Sovaldi (Sofosbuvir), a drug used in the treatment of Hepatitis C. This drug was introduced in the market in December 2013 (Palmer, 2015, np). The invention not only improved the profitability of the firm, but it also led to the sustainability of the firm’s competitiveness in the industry. There is a possibility of addressing market failures for R&D by influencing the incentives for a private firm. In this case, addressing issues of the appropriateness of an invention’s research results is possible by granting the inventor the monopoly over the intellectual property (Curci, 2010, p. 45). However, the disincentive of the appropriation relates to the risks and ambiguity of R&D investments. In this case, a firm can invest in an R&D project.

My Favorite Manager Essay Example for Free

My Favorite Manager Essay I worked in Strategic Centre, Consumer support services and global solution centre. I was hired as an front line operative and got promoted to Tech Lead role over time. When I was a trainer, my manager was Navin Kumar. Before working at HP, I used to work with Convergys. I was a front end operative at each of the other jobs before HP. Navin Kumar was my favorite because he had a relaxed mentality to the job but held accountability for actions. He allowed me and the other Trainers to have a say when running the Training module. He had the final say on all ideas but was open for input to improve the function of the Trainers efficiency. He was very personable and did not have the typical manager attitude. If I did my work when he wanted it completed and it was up to his level of quality his relationship was more similar to that of friends than a manager. If you failed to meet his expectations then he came down on me with a very strong force. He was not a typical manager in that sense. He set lofty expectations because he wanted me to succeed at a high level instead of setting low goals and just settling for an easy way out. He would set weekly goals and would reward the highest trainer efficiency scores that was internally maintained by HP Training team. This was motivation to test training methods and try to beat out my co-workers. He also had a level of respect for each of his employees that I never received at one of my other jobs. At HP everyone had the same level of expectations and if you did not meet them, Navin would work with that person to build up their quality of work or they would be mentored more rigorously with a clear performance improvement plan for not meeting expectations. I respected him more for being open to criticism. He would allow his trainers and senior trainers to critique him and help him improve his work quality. If I could work for Navin Kumar again I would immediately

Rhenium Oxide (ReO3) and Highly Applied Pressure

Rhenium Oxide (ReO3) and Highly Applied Pressure Describe the symmetry characteristics of the ReO3 polymorphs and their relationship to applied pressure. Rhenium Oxide also known as ReO3 has been researched and looked into detail widely with the use of highly applied pressure. ReO3 is described as a non distorted structure at surrounding pressure levels. Accurate and precise measurements of the pressure-volume relationship crafted by Batloff showed that the transistion pressure was at a value of 5.0kbar and also presented that volume strain is related to (P-PC)2/3. Differences in volume strain was evidently great when comparing with other materials that went through the same process.The reason for this large difference was due to the buckling of the Re-O-Re bonds while ReO6 continued to be firm and strong. With the assumption that octahedral rotation is always as rigid units,stress on rotations that are small will be directly related to the square of the rotation angle, Ø that leads to Ø2. This in turn would allow the polymorph to transform into various phases. The curvature behaviour which was found by Razavi starts at low temp eratures with pressure level of 3kbar.M3 phonons being triply degenerate allows the surrounding temperature of ReO3 with a ambient pressure to have a Pm-3m symmetry. At this current stage it will undergo a transition to a structure that contains a Im-3 symmetry. When changed to a tetragonal form, it will be P4/mbm at 5.2kbar and cubic Im3 at 7.3kbar at increased levels of pressure. The Im3 structures were formed with the process known as condensation from one, two or three M3 phonons. With this transformation, the cubic structure will go through a rhombohedral phase with the symmetry structure of R-3c. The current R-3c will morph again to a rhombohedral phase. ReO6 being a octahedral undergoes a distortion at high pressure, giving a rotation angle of (P-PC) ÃŽ ² where ÃŽ ²=0.322(5) (ÃŽ ² describes the large critical region where the rotation angle is more than 14Â º) that is valid from pressure levels of 5.0 to 27.4kbar. Pressure measurements are mainly done to identify different h igh pressure formations of the ReO3 and the quantity of these formations. Particularly with the use of the time of flight Laue method, when the pressure formation reaches a value of 15 kbar, the structure deduced as a cubic Im3. Despite, the discovery there was a downturn which was the values tabulated was only at a single pressure point. Therefore the entire formation of the breakdown of the structured could not be figured out. Describe the metrical relationships between the polymorph unit cells and ReO6 octahedral tilting. Use the CIF files to create ATOMS drawings that support your analysis. The malformation of perovskite structures can be acquired with reference from the Pm3m structure by rotating the octahedral about the cubic axes. High tension and stress arrangements can be identified and elaborated with the aid of 23 various rotating arrangements that was discovered by Glazer. Respective symmetry groups for high stress transitions include the P4/mbm and Im3 where both groups are homogenous with the M3 phonon condensation. The element Re is fixed in the 8c position in the Im3 space group with only 2 thermal values whereas the oxygen atoms is found to be at the 24g position with 4 thermal values. With a increased in the loading added to the P4/mbm structure will create a deceasing strain that may deform the structure. P4/mbm being a 7 lattice point structure has a normal way of placing the positions of the elements found in ReO3. The Rhenium element is located in the 2b position while the oxygen atom would be fixated in the 4h and 2a position. In the presence of surro unding atmospheric pressure, the direct dependency of the oxygen atoms is fairly lower in the Im3 group than the one found in the Pm3m.In the Im3 unit cell for the ReO3, rotation was done around the coordinates of (111) for the eight sided compound. Evidently P4/mbm produces a nonzero seven sided pull that creates a positive and negative strain value. This rotation created the process of condensation that affected all three M3 phonons. Deformation in the eight sided ReO6 produces two different Re-O bond distances in the P4/mbm formation while there would only be a single Re-O bond found in the Im3 strucutres.Re-O bonds parallel with the c axis will remain in a pressed state when turned whereas Re-O bond that are normal to the c axis will not be in a pressed position but instead arranged in an order where there are gaps.However both formations include double O-O corners of the octahedron that is used to quantify any errors in ReO6.However the O-O distances found in the Im3 and P4/mbm are varied at a pressure value of 27.40kbar that leads to certain abnormalities but can be ignored as trivial. Explain the distortion of the ReO6 octahedra with pressure and quantify the ReO6 octahedral titlting. The deformation and the distortion of the ReO6 octahedron is usually found in the P4/mbm and Im3 structures. Starting with the P4/mbm, there are two symmetry Re-O bonds which are not equal in nature. With the process known as the powder neutron diffraction , the results obtained shows the in depth structural details of the transformation with the function of pressure and thus this confirms that at least 2 high pressure phases are present. When the ReO6 octahedra are rotated they are observed more with ease through the neutrons than the x rays. The method known as Rietveld method of the structural refinement with the high resolution powder data produces the single-crystal neutron diffraction study and this would allow the pressure dependence of the distortion to be measured with sufficient accuracy to state that the order parameter exponent ÃŽ ² where Ø is proportional to the (P-Pc) ÃŽ ² presents the pressure dependence of the rotation angle. This pressure based on the rotation ang le is illustrated well by the law of power in the formula Ø~(P-Pc) ÃŽ ².Ø against the pressure and the curve is plotted with this reference. The result from the exponent ÃŽ ² was obtained with the linear gradient of the slope of the lnØ against the ln(P-Pc) curve that produces the value of ÃŽ ²=0.322(5). Through the discrepancies Ø is always continuing with the stress value of 5 kbar despite the direction of the rotation axis that would vary from (100) to (111) during the change from P4/mbm to the Im3 phase (5.3kbar). With condensation of one, two or three M3 phonons would increase the phase transition from Pm3m to P4/mbm to I4/mm and lastly to the Im3 that have usually been seen in Nax WO3 during the M3 phonon condensation upon cooling. The parameter for the phase transition would be a three component order with the Ø as the magnitude of the rotation angle surrounding the direction of the rotation aixs. The transformation from Pm3m to any of the groups between the P4 /mbm, I4/mmm and Im3 would be the first order that would produce from the rotation around a axis. Abnormalities in the lattice during the transformation would have been seen in the Nax WO3.

Comparing Language and Identity in Pygmalion and Educating Rita :: comparison compare contrast essays

Pygmalion and Educating Rita:   Language and Identity  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This essay is based on the reading of two literary plays, George Bernard Shaw’s Pygmalion and Willy Russell’s Educating Rita. Language and identity are two expressions that need to be explained. English is the official language in several countries; Chinese is the language spoken by Chinese people and Danish is how Danes speak. But languages could also be described as different ways of talking due to social background, education, profession, age and sex. A person’s language is connected to his social situation. Eliza, the cockney flower girl from the gutter does not speak the same language as professor Higgins, even if English is their common mother tongue. They speak differently because they belong to different social worlds. Identity can signify the very special characteristic of a person, something that makes him differ from others. EDUCATION AND IDENTITY CHANGES Eliza and Rita, the principal characters of the two plays are both objects of identity change in the course of the stories. Are these changes identical or can we find differences? The two young women originally come from intellectually poor circles. Eliza is a young flower girl who speaks a gutter language. She talks in the following way: "Aint no call to meddle with me, he aint." (1) Her manners are crude, and her cockney accent leaves her feeling as if she is a second-class citizen. She is treated that way. Still, she seems to be proud of herself, "I’m a good girl, I am." (2) Rita is a twenty-six-year-old, brash, earthy hairdresser, married to a Liverpudlian beerdrinker who demands her to have children and to be a good wife. She feels unsatisfied with her marriage. At the hairdressing salon where she works, she gets tired of the daily listening to women who talk a lot without saying any important. "They never tell y’things that matter." (3) The story of the two plays tells how the education of the women changes their lives. There are remarkable progresses in their studies and the result is an obvious change of their lives. INTERNAL AND EXTERNAL CHANGES I would guess that many readers and spectators of the two plays regard them as about the same story. As a matter of fact, they are not. There is at least one important difference. The changes are not the same. One of them is external while the other is internal.

Sunspots Essay -- Essays Papers

Sunspots Our Sun continuously converts hydrogen into helium and with this process it provides the essentials for life processes. In doing this it controls â€Å"our climate, provides light, raises tides, and drives the food chain† (Schaefer 34). Our Sun also has influenced many beliefs now and in the past. History has documented Sun worshipping religions while many current societies use solar calendars (Schaefer 34). Because the Sun is so influential, imperfections of the Sun, such as sunspots will continue to impact life on Earth. The discovery of sunspots is correlated with the invention of the telescope in 1608, although there are earlier recordings of sunspot like activity from China (Schaefer 35). Galileo was one of the astronomers who decided to publish his findings and use sunspots in one of his theories of Chief World Systems (Schaefer 35-6). Today many patterns including real estate sales to fluctuations in the climate have been attributed to the cycle of sunspots. These fluctuations may be an explanation of the decline of Sun worship in India due the increased sunspot activity during the time of the Medieval Maximum. Throughtout history these fluctuations have been omens (e.g. a slave revolutionists incited a riot when he interpreted the site of a large black area on the Sun as the black taking over the white) (Schaefer 38). There are also modern examples of solar fluctuations affecting the Earth like the delayed launch of the Hubble Telescope (Schaefer 38) and the disruptions in electrical and radio technology during solar flares due to increased activity of sunspots at the last solar maximum in 1989. Sunspots are the most apparent features on the Sun’s surface or photosphere. Anyone could use a filter such as a welder’s helmet to observe groups of sunspots. A sunspot consists of two regions, the umbra and the penumbra. The temperature of the umbra can be as low as 4,000 K and the penumbra that surrounds the umbra has a temperature of about 5,500 K which contrasts to the photospheric temperature of 6,000 K. The difference in temperatures makes the sunspots appear dark against the brightness of the photosphere (Nicolson 123). A sunspot’s average size is comparable with the Earth. They form in regions of concentrated magnetic fields. These fields hamper the flow of energyn to the affected area. The magnetic fields on... .... This project will hopefully enable scientists to learn more about sunspots and other properties of the Sun. Understanding more about sunspots, their cycle, radiation, and magnetic properties will facilitate scientists to unlock the mysterious workings of the Sun. With today’s technology this understanding will come more quickly. Knowledge of sunspots may lead us to be able to predict when solar activity could affect the Earth like it did during the solar max in 1989. Information like this could eventually allow us to be able to protect ourselves from solar radiation. Works Cited â€Å"Analyzing Variation in the Sun’s Radiation†. USA Today. 26 2637 (1998) : 11-12. Nehru, K.V.K. Glimpses Into the Structure of the Sun—Part 1 The Nature of Stellar Matter. March 22, 2001. . Nehru, K.V.K. Glimpses Into the Structure of the Sun—Part 2 The Solar Interior and the Sunspot. March 22, 2001. Nicolson, Iain. Unfolding Our Universe. New York: Cambridge University Press, 1999. 123-4; 276+ Philips, Tony Dr. â€Å"The Sun Does a Flip.† SpaceScience. Feb. 15, 2001. March 19, 2001. . Schaefer, Bradley E. â€Å"Sunspots that changed the World.† Sky & Telescope. 93.4 (1997). 34-38.

Nature Based Therapy

Introduction Nature based therapy is not a new concept, our well – being and association with nature is part of the never-ending human quest of who were are and just where is our place in this vast environment which surrounds us. In order to better grasp the topic of nature based therapy or ecotherapy, studies consulted were those pertaining to our connection with nature and our wellbeing. Just how does nature connectedness affect our experiencing of a good life is the subject of the first paper reviewed, by Howell, J. A. , Dopko, R. L. , Passmore, H. , Buro, K. (2011).The second paper by Jordan & Marshall (2010) describes a the changes to the traditional therapy frame in a the uncertain environment of the outdoors. In taking therapy outside, we work with nature as one of the variables in the therapeutic relationship. The integrative, often experiential approach of nature- based therapy or ecotherapy, is gaining rapid ground in the field of counselling and psychotherapy. My fi nal research paper aims at looking further into this growing field and how it can help those suffering from anxiety, burnout and depression. Article Review A Howell, J. A. , Dopko,R. L. Passmore, H. , Buro, K. (2011). Nature connectedness: Associations with well- being and mindfulness. Personality and Individual Differences, 51 (2), 166-171. Howell, Dopko, Passmore and Buro (2011) delve deeply into the question of our connectedness with nature and how it can be measured as a reflection of our mental well- being. The authors, all from the Grant MacEwen University in Edmonton Alberta conducted two empirical studies evidencing this association with data demonstrating that connection to nature may be more beneficial to our emotional and social well- being that previously realized.Drawing from the Biophilia hypothesis argued by Harvard evolutionary biologist E. O Wilson in 1984, that human beings have an instinctive, emotional and genetic need to be in contact with nature, Howell et al. , thus hypothesize that â€Å"higher levels of nature connectedness would be associated with higher levels of well-being and with greater mindfulness. † Many studies have been conducted on the subject with various results. Howell et al. , describe a study conducted by Mayer and Franz in 2004 which showed a â€Å"significant correlation between trait nature connectedness and life satisfaction† (p. 66). They are careful to define the word trait and provide a seemingly through review of the qualitative variables in current literature, discussing the changes in definition of well- being by various theorists (Nisbert, Zelenski and Murphy, 2011). The team from Alberta builds upon current research by probing further into the question of the â€Å"whether trait nature connectedness was associated with feeling well †¦ and with functioning well †¦ as well as the relations among nature connectedness and a second index of positive mental health, mindfulness† (p. 6 7). Howell et al. , review a large amount of research, define terminology and uncover new holes in the theories, they then go on to pose the hypotheses: â€Å"are higher levels of nature connectedness associated both with higher levels of well being and with greater mindfulness? † Methodology Howell et al. , conducted two studies using quantitative methods. In the first study, data was collected from 452 university students, primarily female, with â€Å"81. 1% identifying Canada as their country of birth† (p. 167).Using a variety of questionnaires including Mayer and Franz (2004) 14- item Connectedness to Nature Scale, Keyes' (2005) 40- item, measure of well being and Brown ; Ryan's (2003) Mindful Attention Awareness Scale (MASS). In order to ensure objectivity of results, Howell et al. , balanced these scales by using Paulhus's (1994) Balanced Inventory of Desirable Responding which serves to filter out â€Å"unintentionally inflated self-descriptions and impression management† (p 168). In the second study 275 students participated, all students of similar age and demographic as thefirst study.Howell et al. , used a few of the same questionnaires adding the Allo-Inclusive Identity Scale (Leary, Tipsord ; Tate, 2008) as well as the Philadelphia Mindfulness Scale (PMS) (Cardaciotto, Herbert, Forman, Moitra, Farrow, 2008). In an attempt to provide consistency and validity to the results, Howell et al. , provide succinct definitions and examples for some of the questions on these scales in order that the reader better understand the subtle differences in the descriptive statistics of the variables.Results Variables such as connectedness to nature, nature relatedness, allo inclusive identity, emotional well being, psychological well being, social well being, MAAS, PMS awareness and PMS acceptance showed correlations between nature connectedness and well being. Descriptive statistics were measured and then correlated among variables using confi rmatory factor analysis (CFA). Howell et al. , also provided models with hypothesized correlations between nature connectedness, well -being and mindfulness.In the first study â€Å"associations between nature connectedness and well- being and between well- being and mindfulness were significant; however, the association between nature connectedness and mindfulness was not† (p. 168). In the second study , correlations were significant with respect to psychological and social and emotional well being and with the added test scores added to the soup, nature connectedness was found to be significantly correlated to mindfulness. Discussion Howell et al. are satisfied with their consistent findings and that most results of their two studies support their hypothesis and suggest that † nature connectedness is associated with the extent to which people are flourishing in their private, personal lives† (p. 170). Howell et al. do admit that some of the findings were inconsi stent with their hypothesis and that future research could examine â€Å"moderators and mediators of the relationship between nature connectedness and mental health† (p. 170).They go onto discuss future research possibilities and challenges, including how nature could be incorporated into other activities to produce maximum therapeutic results. Howell et al. , produced convincing research into the relationship between connectedness to nature and well being. They took into account multiple scales of affect in order to collect their results and carefully described their differences and their impact on the final results. I feel their downfall is in their sample size and demographic and suspect results may be different depending on age and culture.Perhaps new rating scales would need to be developed in order to reflect these differences. Essentially, nature can benefit us all and regardless of the outcome being present within a natural environment will help you learn to experienc e the moment and perhaps even a renewed vitality in life. Article Review B Jordan, M. , ; Marshall, H. , (2010). Taking counselling and psychotherapy outside: Destruction or enrichment of the therapeutic frame? European Journal of Psychotherapy and Counselling, 12 (4), 345-359We all know that nature can help us feel better, but just how can we take a traditional therapeutic frame outdoors? What would be the challenges and what is the potential of this upcoming field of ecotherapy? Ecotherapy represents â€Å"a new form of psychotherapy that acknowledges the vital role of nature and addresses the human nature relationship† (p. 354) Martin Jordan and Hayley Marshall use relational therapy concepts in order to investigate mutuality and asymmetry and how they may be experienced differently in the great outdoors.Both Jordan ;Marshall are practicing registered psychotherapists and by using their own experiences, they explore both the successes and challenges to the traditional fram ework of a therapeutic session. Jordan ; Marshall address many fundamental questions including how confidentiality would be addressed in public settings and how timing or the therapeutic session is affected by practicing counselling and psychotherapy outside. They believe that the challenges to the traditional framework could be sorted out between client and therapist and in fact become part of the process .A flexible contract could be drawn up, one open to change. Jordan ; Marshall are careful to provide several definitions of a therapeutic frame, from eh uber- conservative â€Å"Psychotherapy should be carried out in a soundproof consulting room, in a private office in a professional building† (Langs 1982), to â€Å"being seen as a transgression or a dual relationship for the therapist† (Zur 2001). But there are others who believe that the therapeutic boundary should be a dynamic process (Hermansson, 1997) or that the flexibility in the frame is an opportunity for â €Å"deepening the therapeutic work and relationship† (Bridges, 1999).Jordan ; Marshall seem to be covering all bases with their own summary of a therapeutic boundaries,† Working outdoors can throw new light on these traditionally more fixed ideas concerning boundaries and invite an increasingly flexible perspective on issues concerning power and mutuality within the therapeutic relationship† (p. 347). They examine the changes in client therapist relationships and how mutuality must not be equated with equality in terms of the therapeutic relationship. Jordan ; Marshall are not prescribing a recipe for therapy outdoors nor are they saying therapy is better outdoors.Their goal with this paper is to present their experiential findings and observations regarding the challenges various forms of outdoor therapy impart on the traditional therapeutic frame as well as on the relationship between therapist and client. Methodology The qualitative method devised to learn more about the impacts of taking the therapeutic frame outdoors was simple. Jordan ; Marshall began to hold sessions outdoors with their existing clients. They used two types of interactions outdoors: 1. taking the traditional therapeutic frame of one hour into ‘ nearby nature' and 2. aking clients on excursions where the frame is extended to over a weekend or more. Relational theory concepts were used in order to better understand how the traditional frame of psychotherapy elements such as â€Å"confidentiality and timing of therapeutic work, weather, containment and power dynamics† (p. 347), would be challenged by unpredictable natural environment. The variables of mutuality and asymmetry were also studied in terms of the expanding boundaries in the client – therapist relationship. One case study (in two parts) is presented in order to better grasp the challenges and potential of nature – based therapy.Results Jordan ; Marshall found many potential challenge s in taking the therapeutic frame outdoors. In particular, they found that the boundaries between client and therapist, could become challenged. The outdoors provided a neutral environment which fostered mutuality but maintaining some asymmetry in the relationship could be difficult. In taking this frame outdoors, Jordan ; Marshall also found that the structure of the frame itself may need to be reshaped and become more flexible; perhaps the frame becomes an open process, rather than an ultimate set of rules.They also found that sometimes the unpredictability of the environment created more anxiety, both in the client and the therapist and that the establishment of a therapeutic container or the ‘building of a home in nature' (Berger, 2006) was successful in overcoming some of these obstacles. Discussion The purpose of Jordan ; Marshall's paper was to provide information on the potential and challenges of taking traditional therapy practice outdoors. Jordan & Marshall consulte d a vast reference list including one of the founders of nature- based therapy, Ronen Berger and this provided interesting insight into this emerging field.At times the paper felt disorganized and the case presentation split in two halves was confusing. Results were scattered throughout the paper and the methodology was vague and seemingly structureless. Nevertheless, Jordan & Marshall got to the gist of the subject and were honest with their results, reporting their own struggles with mutuality and asymmetry when taking clients outside of the traditional hour long frame; â€Å"both clients and therapists can experience a blurring of the boundaries between what is therapy and what is social space† (p357).Jordan & Marshall did not however, provide much data as to how many clients they had seen and under what circumstances. Their observations are keen and easily related to when thinking about the traditional therapeutic frame, nevertheless a concrete chart or model, using the r elational as well as other theories or approaches, would have been welcome and interesting. ConclusionOverall I found both these articles fascinating and extremely pertinent to my final research paper. Simply being present within a natural environment can help us feel better. Perhaps when taking therapy outdoors and as nature becomes a dynamic third in the therapeutic relationship, the traditional frame will come alive with an emergent creativity and mindfulness nudging us all towards our own true nature.