title: Distributed computing

text: The word "distributed" in terms such as "distributed system", "distributed programming", and "distributed algorithm" originally referred to computer networks where individual computers were physically distributed within some geographical area. The terms are nowadays used in a much wider sense, even referring to autonomous processes that run on the same physical computer and interact with each other by message passing.


title: Distributed computing

text: While there is no single definition of a distributed system, the following defining properties are commonly used as:


title: Distributed computing

text: A distributed system may have a common goal, such as solving a large computational problem; the user then perceives the collection of autonomous processors as a unit. Alternatively, each computer may have its own user with individual needs, and the purpose of the distributed system is to coordinate the use of shared resources or provide communication services to the users.


title: Distributed computing

text: The terms "concurrent computing", "parallel computing", and "distributed computing" have much overlap, and no clear distinction exists between them. The same system may be characterized both as "parallel" and "distributed"; the processors in a typical distributed system run concurrently in parallel. Parallel computing may be seen as a particular tightly coupled form of distributed computing, and distributed computing may be seen as a loosely coupled form of parallel computing. Nevertheless, it is possible to roughly classify concurrent systems as "parallel" or "distributed" using the following criteria:


title: Distributed computing

text: The figure on the right illustrates the difference between distributed and parallel systems. Figure (a) is a schematic view of a typical distributed system; the system is represented as a network topology in which each node is a computer and each line connecting the nodes is a communication link. Figure (b) shows the same distributed system in more detail: each computer has its own local memory, and information can be exchanged only by passing messages from one node to another by using the available communication links. Figure (c) shows a parallel system in which each processor has a direct access to a shared memory.


title: Distributed computing

text: The situation is further complicated by the traditional uses of the terms parallel and distributed "algorithm" that do not quite match the above definitions of parallel and distributed "systems" (see below for more detailed discussion). Nevertheless, as a rule of thumb, high-performance parallel computation in a shared-memory multiprocessor uses parallel algorithms while the coordination of a large-scale distributed system uses distributed algorithms.


title: Distributed computing

text: The use of concurrent processes which communicate through message-passing has its roots in operating system architectures studied in the 1960s. The first widespread distributed systems were local-area networks such as Ethernet, which was invented in the 1970s.


title: Distributed computing

text: ARPANET, one of the predecessors of the Internet, was introduced in the late 1960s, and ARPANET e-mail was invented in the early 1970s. E-mail became the most successful application of ARPANET, and it is probably the earliest example of a large-scale distributed application. In addition to ARPANET (and its successor, the global Internet), other early worldwide computer networks included Usenet and FidoNet from the 1980s, both of which were used to support distributed discussion systems.


title: Distributed computing

text: The study of distributed computing became its own branch of computer science in the late 1970s and early 1980s. The first conference in the field, Symposium on Principles of Distributed Computing (PODC), dates back to 1982, and its counterpart International Symposium on Distributed Computing (DISC) was first held in Ottawa in 1985 as the International Workshop on Distributed Algorithms on Graphs.


title: Distributed computing

text: Various hardware and software architectures are used for distributed computing. At a lower level, it is necessary to interconnect multiple CPUs with some sort of network, regardless of whether that network is printed onto a circuit board or made up of loosely coupled devices and cables. At a higher level, it is necessary to interconnect processes running on those CPUs with some sort of communication system.


title: Distributed computing

text: Distributed programming typically falls into one of several basic architectures: client–server, three-tier, "n"-tier, or peer-to-peer; or categories: loose coupling, or tight coupling.


title: Distributed computing

text: Another basic aspect of distributed computing architecture is the method of communicating and coordinating work among concurrent processes. Through various message passing protocols, processes may communicate directly with one another, typically in a master/slave relationship. Alternatively, a "database-centric" architecture can enable distributed computing to be done without any form of direct inter-process communication, by utilizing a shared database. Database-centric architecture in particular provides relational processing analytics in a schematic architecture allowing for live environment relay. This enables distributed computing functions both within and beyond the parameters of a networked database.


title: Distributed computing

text: Many tasks that we would like to automate by using a computer are of question–answer type: we would like to ask a question and the computer should produce an answer. In theoretical computer science, such tasks are called computational problems. Formally, a computational problem consists of "instances" together with a "solution" for each instance. Instances are questions that we can ask, and solutions are desired answers to these questions.


title: Distributed computing

text: Theoretical computer science seeks to understand which computational problems can be solved by using a computer (computability theory) and how efficiently (computational complexity theory). Traditionally, it is said that a problem can be solved by using a computer if we can design an algorithm that produces a correct solution for any given instance. Such an algorithm can be implemented as a computer program that runs on a general-purpose computer: the program reads a problem instance from input, performs some computation, and produces the solution as output. Formalisms such as random-access machines or universal Turing machines can be used as abstract models of a sequential general-purpose computer executing such an algorithm.


title: Distributed computing

text: The field of concurrent and distributed computing studies similar questions in the case of either multiple computers, or a computer that executes a network of interacting processes: which computational problems can be solved in such a network and how efficiently? However, it is not at all obvious what is meant by "solving a problem" in the case of a concurrent or distributed system: for example, what is the task of the algorithm designer, and what is the concurrent or distributed equivalent of a sequential general-purpose computer?


title: Distributed computing

text: The discussion below focuses on the case of multiple computers, although many of the issues are the same for concurrent processes running on a single computer.


title: Distributed computing

text: In the case of distributed algorithms, computational problems are typically related to graphs. Often the graph that describes the structure of the computer network "is" the problem instance. This is illustrated in the following example.


title: Distributed computing

text: Consider the computational problem of finding a coloring of a given graph "G". Different fields might take the following approaches:


title: Distributed computing

text: While the field of parallel algorithms has a different focus than the field of distributed algorithms, there is much interaction between the two fields. For example, the Cole–Vishkin algorithm for graph coloring was originally presented as a parallel algorithm, but the same technique can also be used directly as a distributed algorithm.


title: Distributed computing

text: Moreover, a parallel algorithm can be implemented either in a parallel system (using shared memory) or in a distributed system (using message passing). The traditional boundary between parallel and distributed algorithms (choose a suitable network vs. run in any given network) does not lie in the same place as the boundary between parallel and distributed systems (shared memory vs. message passing).


title: Distributed computing

text: In parallel algorithms, yet another resource in addition to time and space is the number of computers. Indeed, often there is a trade-off between the running time and the number of computers: the problem can be solved faster if there are more computers running in parallel (see speedup). If a decision problem can be solved in polylogarithmic time by using a polynomial number of processors, then the problem is said to be in the class NC. The class NC can be defined equally well by using the PRAM formalism or Boolean circuits—PRAM machines can simulate Boolean circuits efficiently and vice versa.


title: Distributed computing

text: In the analysis of distributed algorithms, more attention is usually paid on communication operations than computational steps. Perhaps the simplest model of distributed computing is a synchronous system where all nodes operate in a lockstep fashion. This model is commonly known as the LOCAL model. During each "communication round", all nodes in parallel (1) receive the latest messages from their neighbours, (2) perform arbitrary local computation, and (3) send new messages to their neighbors. In such systems, a central complexity measure is the number of synchronous communication rounds required to complete the task.


title: Distributed computing

text: This complexity measure is closely related to the diameter of the network. Let "D" be the diameter of the network. On the one hand, any computable problem can be solved trivially in a synchronous distributed system in approximately 2"D" communication rounds: simply gather all information in one location ("D" rounds), solve the problem, and inform each node about the solution ("D" rounds).


title: Distributed computing

text: On the other hand, if the running time of the algorithm is much smaller than "D" communication rounds, then the nodes in the network must produce their output without having the possibility to obtain information about distant parts of the network. In other words, the nodes must make globally consistent decisions based on information that is available in their "local D-neighbourhood". Many distributed algorithms are known with the running time much smaller than "D" rounds, and understanding which problems can be solved by such algorithms is one of the central research questions of the field. Typically an algorithm which solves a problem in polylogarithmic time in the network size is considered efficient in this model.


title: Distributed computing

text: Another commonly used measure is the total number of bits transmitted in the network (cf. communication complexity). The features of this concept are typically captured with the CONGEST(B) model, which is similarly defined as the LOCAL model, but where single messages can only contain B bits.


title: Distributed computing

text: Traditional computational problems take the perspective that the user asks a question, a computer (or a distributed system) processes the question, then produces an answer and stops. However, there are also problems where the system is required not to stop, including the dining philosophers problem and other similar mutual exclusion problems. In these problems, the distributed system is supposed to continuously coordinate the use of shared resources so that no conflicts or deadlocks occur.


title: Distributed computing

text: There are also fundamental challenges that are unique to distributed computing, for example those related to "fault-tolerance". Examples of related problems include consensus problems, Byzantine fault tolerance, and self-stabilisation.


title: Distributed computing

text: "Coordinator election" (or "leader election") is the process of designating a single process as the organizer of some task distributed among several computers (nodes). Before the task is begun, all network nodes are either unaware which node will serve as the "coordinator" (or leader) of the task, or unable to communicate with the current coordinator. After a coordinator election algorithm has been run, however, each node throughout the network recognizes a particular, unique node as the task coordinator.


title: Distributed computing

text: The network nodes communicate among themselves in order to decide which of them will get into the "coordinator" state. For that, they need some method in order to break the symmetry among them. For example, if each node has unique and comparable identities, then the nodes can compare their identities, and decide that the node with the highest identity is the coordinator.


title: Distributed computing

text: The definition of this problem is often attributed to LeLann, who formalized it as a method to create a new token in a token ring network in which the token has been lost.


title: Distributed computing

text: Coordinator election algorithms are designed to be economical in terms of total bytes transmitted, and time. The algorithm suggested by Gallager, Humblet, and Spira for general undirected graphs has had a strong impact on the design of distributed algorithms in general, and won the Dijkstra Prize for an influential paper in distributed computing.


title: Distributed computing

text: Many other algorithms were suggested for different kinds of network graphs, such as undirected rings, unidirectional rings, complete graphs, grids, directed Euler graphs, and others. A general method that decouples the issue of the graph family from the design of the coordinator election algorithm was suggested by Korach, Kutten, and Moran.


title: Distributed computing

text: In order to perform coordination, distributed systems employ the concept of coordinators. The coordinator election problem is to choose a process from among a group of processes on different processors in a distributed system to act as the central coordinator. Several central coordinator election algorithms exist.


title: Distributed computing

text: So far the focus has been on "designing" a distributed system that solves a given problem. A complementary research problem is "studying" the properties of a given distributed system.


title: Distributed computing

text: The halting problem is an analogous example from the field of centralised computation: we are given a computer program and the task is to decide whether it halts or runs forever. The halting problem is undecidable in the general case, and naturally understanding the behaviour of a computer network is at least as hard as understanding the behaviour of one computer.


title: Distributed computing

text: However, there are many interesting special cases that are decidable. In particular, it is possible to reason about the behaviour of a network of finite-state machines. One example is telling whether a given network of interacting (asynchronous and non-deterministic) finite-state machines can reach a deadlock. This problem is PSPACE-complete, i.e., it is decidable, but not likely that there is an efficient (centralised, parallel or distributed) algorithm that solves the problem in the case of large networks.


title: Consumerism

text: Consumerism is a social and economic order that encourages the acquisition of goods and services in ever-increasing amounts. With the Industrial Revolution, but particularly in the 20th century, mass production led to overproduction—the supply of goods would grow beyond consumer demand, and so manufacturers turned to planned obsolescence and advertising to manipulate consumer spending. In 1899, a book on consumerism published by Thorstein Veblen, called "The Theory of the Leisure Class", examined the widespread values and economic institutions emerging along with the widespread "leisure time" at the beginning of the 20th century. In it, Veblen "views the activities and spending habits of this leisure class in terms of conspicuous and vicarious consumption and waste. Both relate to the display of status and not to functionality or usefulness."


title: Consumerism

text: In economics, consumerism may refer to economic policies that emphasise consumption. In an abstract sense, it is the consideration that the free choice of consumers should strongly orient the choice by manufacturers of what is produced and how, and therefore orient the economic organization of a society (compare producerism, especially in the British sense of the term).


title: Consumerism

text: Consumerism has been widely criticized by both individuals who choose other ways of participating in the economy (i.e. choosing simple living or slow living) and experts evaluating the effects of modern capitalism on the world. Experts often assert that consumerism has physical limits, such as growth imperative and overconsumption, which have larger impacts on the environment, including direct effects like overexploitation of natural resources or large amounts of waste from disposable goods, and larger effects like climate change. Similarly, some research and criticism focuses on the sociological effects of consumerism, such as reinforcement of class barriers and creation of inequalities.


title: Consumerism

text: The term "consumerism" has several definitions. These definitions may not be related to each other and confusingly, they conflict with each other.


title: Consumerism

text: In a 1955 speech, VP of Ford John Bugas coined the term "consumerism" as a substitute for "capitalism" to better describe the American economy:


title: Consumerism

text: Bugas's definition aligned with Austrian economics founder Carl Menger's vision (in his 1871 book "Principles of Economics") of consumer sovereignty, whereby consumer preferences, valuations, and choices control the economy entirely (a concept directly opposed to the Marxian perception of the capitalist economy as a system of exploitation).


title: Consumerism

text: Vance Packard worked to change the meaning of the term "consumerism" from a positive word about consumer practices to a negative word meaning excessive materialism and waste.


title: Consumerism

text: The ads for his 1960 book "The Waste Makers" prominently featured the word "consumerism" in a negative way.


title: Consumerism

text: While some claim that change was propelled by the growing middle-class who embraced new ideas about luxury consumption and about the growing importance of fashion as an arbiter for purchasing rather than necessity, many critics argue that consumerism was a political and economic necessity for the reproduction of capitalist competition for markets and profits, while others point to the increasing political strength of international working-class organizations during a rapid increase in technological productivity and decline in necessary scarcity as a catalyst to develop a consumer culture based on therapeutic entertainments, home-ownership and debt. The "middle-class" view argues that this revolution encompassed the growth in construction of vast country estates specifically designed to cater for comfort and the increased availability of luxury goods aimed at a growing market. Such luxury goods included sugar, tobacco, tea and coffee; these were increasingly grown on vast plantations (historically by slave labor) in the Caribbean as demand steadily rose. In particular, sugar consumption in Britain during the course of the 18th century increased by a factor of 20.


title: Consumerism

text: Critics argue that colonialism did indeed help drive consumerism, but they would place the emphasis on the supply rather than the demand as the motivating factor. An increasing mass of exotic imports as well as domestic manufactures had to be consumed by the same number of people who had been consuming far less than was becoming necessary. Historically, the notion that high levels of consumption of consumer goods is the same thing as achieving success or even freedom did not precede large-scale capitalist production and colonial imports. That idea was produced later, more or less strategically, to intensify consumption domestically and to make resistant cultures more flexible to extend its reach.


title: Consumerism

text: The pattern of intensified consumption became particularly visible in the 17th century in London, where the gentry and prosperous merchants took up residence and promoted a culture of luxury and consumption that slowly extended across socio-economic boundaries. Marketplaces expanded as shopping centres, such as the New Exchange, opened in 1609 by Robert Cecil in the Strand. Shops started to become important as places for Londoners to meet and socialise and became popular destinations alongside the theatre. From 1660, Restoration London also saw the growth of luxury buildings as advertisements for social position, with speculative architects like Nicholas Barbon and Lionel Cranfield operating. This then-scandalous line of thought caused great controversy with the publication of the influential work "Fable of the Bees" in 1714, in which Bernard Mandeville argued that a country's prosperity ultimately lay in the self-interest of the consumer.


title: Consumerism

text: The pottery entrepreneur and inventor, Josiah Wedgwood, noticed the way that aristocratic fashions, themselves subject to periodic changes in direction, slowly filtered down through different classes of society. He pioneered the use of marketing techniques to influence and manipulate the movement of prevailing tastes and preferences to cause the aristocracy to accept his goods; it was only a matter of time before the middle classes also rapidly bought up his goods. Other producers of a wide range of other products followed his example, and the spread and importance of consumption fashions became steadily more important. Since then, advertising has played a major role in fostering a consumerist society, marketing goods through various platforms in nearly all aspects of human life, and pushing the message that the potential customer's personal life requires some product.


title: Consumerism

text: The Industrial Revolution dramatically increased the availability of consumer goods, although it was still primarily focused on the capital goods sector and industrial infrastructure (i.e., mining, steel, oil, transportation networks, communications networks, industrial cities, financial centers, etc.). The advent of the department store represented a paradigm shift in the experience of shopping. Customers could now buy an astonishing variety of goods, all in one place, and shopping became a popular leisure activity. While previously the norm had been the scarcity of resources, the industrial era created an unprecedented economic situation. For the first time in history, products were available in outstanding quantities, at outstandingly low prices, being thus available to virtually everyone in the industrialized West.


title: Consumerism

text: By the turn of the 20th century, the average worker in Western Europe or the United States still spent approximately 80–90% of their income on food and other necessities. What was needed to propel consumerism, was a system of mass production and consumption, exemplified by Henry Ford, an American car manufacturer. After observing the assembly lines in the meat-packing industry, Frederick Winslow Taylor brought his theory of scientific management to the organization of the assembly line in other industries; this unleashed incredible productivity and reduced the costs of commodities produced on assembly lines around the world.


title: Consumerism

text: Consumerism has long had intentional underpinnings, rather than just developing out of capitalism. As an example, Earnest Elmo Calkins noted to fellow advertising executives in 1932 that "consumer engineering must see to it that we use up the kind of goods we now merely use", while the domestic theorist Christine Frederick observed in 1929 that "the way to break the vicious deadlock of a low standard of living is to spend freely, and even waste creatively".


title: Consumerism

text: The older term and concept of "conspicuous consumption" originated at the turn of the 20th century in the writings of sociologist and economist, Thorstein Veblen. The term describes an apparently irrational and confounding form of economic behaviour. Veblen's scathing proposal that this unnecessary consumption is a form of status display is made in darkly humorous observations like the following:


title: Consumerism

text: The term "conspicuous consumption" spread to describe consumerism in the United States in the 1960s, but was soon linked to debates about media theory, culture jamming, and its corollary productivism.


title: Consumerism

text: The advent of the television in the 1950s proved to be an attractive opportunity for advertisers, who could reach potential consumers in the home using lifelike images and sound. The introduction of mass commercial television positively impacted retail sales. The television motivated consumers to purchase more products and upgrade whatever they currently had. In the United States, a new consumer culture developed centered around buying products, especially automobiles and other durable goods, to increase their social status. Woojin Kim of the University of California, Berkeley, argues that sitcoms of this era also helped to promote the suburbia.


title: Consumerism

text: According to Woojin, the attraction of television advertising has brought an improvement in Americans' social status. Watching television programs has become an important part of people's cultural life. Television advertising can enrich and change the content of advertising from hearing and vision and make people in contact with it. The image of television advertising is realistic, and it is easy to have an interest and desire to buy advertising goods, At the same time, the audience intentionally or unintentionally compares and comments on the advertising goods while appreciating the TV advertisements, arouses the interest of the audience by attracting attention, and forms a buying idea, which is conducive to enhancing the buying confidence. Therefore, TV can be used as a media way to accelerate and affect people's desire to buy products.


title: Consumerism

text: Madeline Levine criticized what she saw as a large change in American culture – "a shift away from values of community, spirituality, and integrity, and toward competition, materialism and disconnection."


title: Consumerism

text: Businesses have realized that wealthy consumers are the most attractive targets of marketing. The upper class's tastes, lifestyles, and preferences trickle down to become the standard for all consumers. The not-so-wealthy consumers can "purchase something new that will speak of their place in the tradition of affluence". A consumer can have the instant gratification of purchasing an expensive item to improve social status.


title: Consumerism

text: Emulation is also a core component of 21st century consumerism. As a general trend, regular consumers seek to emulate those who are above them in the social hierarchy. The poor strive to imitate the wealthy and the wealthy imitate celebrities and other icons. The celebrity endorsement of products can be seen as evidence of the desire of modern consumers to purchase products partly or solely to emulate people of higher social status. This purchasing behavior may co-exist in the mind of a consumer with an image of oneself as being an individualist.


title: Consumerism

text: Cultural capital, the intangible social value of goods, is not solely generated by cultural pollution. Subcultures also manipulate the value and prevalence of certain commodities through the process of bricolage. Bricolage is the process by which mainstream products are adopted and transformed by subcultures. These items develop a function and meaning that differs from their corporate producer's intent. In many cases, commodities that have undergone bricolage often develop political meanings. For example, Doc Martens, originally marketed as workers boots, gained popularity with the punk movement and AIDs activism groups and became symbols of an individual's place in that social group. When corporate America recognized the growing popularity of Doc Martens they underwent another change in cultural meaning through counter-bricolage. The widespread sale and marketing of Doc Martens brought the boots back into the mainstream. While corporate America reaped the ever-growing profits of the increasingly expensive boot and those modeled after its style, Doc Martens lost their original political association. Mainstream consumers used Doc Martens and similar items to create an "individualized" sense identity by appropriating statement items from subcultures they admired.


title: Consumerism

text: When consumerism is considered as a movement to improve rights and powers of buyers in relation to sellers, there are certain traditional rights and powers of sellers and buyers.


title: Consumerism

text: American Dream has long been associated with consumerism. According to Sierra Club's Dave Tilford, "With less than 5 percent of world population, the U.S. uses one-third of the world's paper, a quarter of the world's oil, 23 percent of the coal, 27 percent of the aluminum, and 19 percent of the copper."


title: Consumerism

text: China is the world's fastest-growing consumer market. According to biologist Paul R. Ehrlich, "If everyone consumed resources at the US level, you will need another four or five Earths."


title: Consumerism

text: With the development of the economy, consumers' awareness of protecting their rights and interests is growing, and consumer demand is growing. Online commerce has expanded the consumer market and enhanced consumer information and market transparency. Digital fields not only bring advantages and convenience but also cause many problems and increase the opportunities for consumers to suffer damage. Under the virtual network environment, on the one hand, consumers' privacy protection is vulnerable to infringement, driven by the development of hacker technology and the Internet, on the other hand, consumers' right to know is the basic right of consumers. When purchasing goods and receiving services, we need the real situation of institutional services. Finally, in the Internet era, consumers' demand is increasing, and we also need to protect consumers' rights and interests to improve consumers' rights and interests and promote the operation of the economic market.


title: Consumerism

text: Today's society has entered the era of entertainment and the Internet. Most people spend more time browsing on mobile phones than face-to-face. The convenience of social media has a subtle impact on the public and unconsciously changes people's consumption habits. The socialized Internet is gradually developing, such as Twitter, websites, news and social media, with sharing and participation as the core, consumers share product information and opinions through social media. At the same time, by understanding the reputation of the brand on social media, consumers are easy change their original attitude towards the brand. The information provided by social media helps consumers shorten the time of thinking about products and decision-making, so as to improve consumers' initiative in purchase decision-making and improve consumers' shopping and decision-making quality to a certain extent.


title: Consumerism

text: In many critical contexts, "consumerism" is used to describe the tendency of people to identify strongly with products or services they consume, especially those with commercial brand-names and perceived status-symbolism appeal, e.g. a luxury car, designer clothing, or expensive jewelry. A main criticism of consumerism is that it exists to progress capitalism. Consumerism can take extreme forms – such that consumers sacrifice significant time and income not only to purchase but also to actively support a certain firm or brand. As stated by Gary Cross in his book "All Consuming Century: Why Consumerism Won in Modern America", he states "consumerism succeeded where other ideologies failed because it concretely expressed the cardinal political ideals of the century – liberty and democracy – and with relatively little self-destructive behavior or personal humiliation." He discusses how consumerism won in its forms of expression. However, many people are skeptical of this over-romanticised outlook.


title: Consumerism

text: Opponents of consumerism argue that many luxuries and unnecessary consumer-products may act as a social mechanism allowing people to identify like-minded individuals through the display of similar products, again utilizing aspects of status-symbolism to judge socioeconomic status and social stratification. Some people believe relationships with a product or brand name are substitutes for healthy human relationships lacking in societies, and along with consumerism, create a cultural hegemony, and are part of a general process of social control in modern society.


title: Consumerism

text: Figures who arguably do not wholly buy into consumerism include Pope Emeritus Benedict XVI, German historian Oswald Spengler (1880–1936), who said: "Life in America is exclusively economic in structure and lacks depth"), and French writer Georges Duhamel (1884–1966), who held American materialism up as "a beacon of mediocrity that threatened to eclipse French civilization". Francis Fukuyama blames consumerism for moral compromises.


title: Consumerism

text: Furthermore, some theorists have concerns with the place commodity takes in the definition of one's self. Media theorists Straut Ewen coined the term "commodity self" to describe an identity built by the goods we consume. For example, people often identify as PC or Mac users, or define themselves as a Coke drinker rather than Pepsi. The ability to choose one product out of an apparent mass of others allows a person to build a sense "unique" individuality, despite the prevalence of Mac users or the nearly identical tastes of Coke and Pepsi. By owning a product from a certain brand, one's ownership becomes a vehicle of presenting an identity that is associated with the attitude of the brand. The idea of individual choice is exploited by corporations that claim to sell "uniqueness" and the building blocks of an identity. The invention of the commodity self is a driving force of consumerist societies, preying upon the deep human need to build a sense of self.


title: Consumerism

text: Critics of consumerism point out that consumerist societies are more prone to damage the environment, contribute to global warming and use resources at a higher rate than other societies. Dr. Jorge Majfud says that "Trying to reduce environmental pollution without reducing consumerism is like combatting drug trafficking without reducing the drug addiction."


title: Consumerism

text: Pope Francis also critiques consumerism in his encyclical "Laudato Si': On Care For Our Common Home". He critiques the harm consumerism does to the environment and states, "The analysis of environmental problems cannot be separated from the analysis of human, family, work-related and urban contexts, nor from how individuals relate to themselves, which leads in turn to how they relate to others and to the environment." Pope Francis believes obsession with consumerism leads individuals further away from their humanity and obscures the interrelated nature between humans and the environment.


title: Consumerism

text: Another critic is James Gustave Speth. He argues that the growth imperative represents the main goal of capitalistic consumerism. In his book "The Bridge at the Edge of the World" he notes, "Basically, the economic system does not work when it comes to protecting environmental resources, and the political system does not work when it comes to correcting the economic system".


title: Consumerism

text: In an opinion segment of "New Scientist" magazine published in August 2009, reporter Andy Coghlan cited William Rees of the University of British Columbia and epidemiologist Warren Hern of the University of Colorado at Boulder saying that human beings, despite considering themselves civilized thinkers, are "subconsciously still driven by an impulse for survival, domination and expansion ... an impulse which now finds expression in the idea that inexorable economic growth is the answer to everything, and, given time, will redress all the world's existing inequalities." According to figures presented by Rees at the annual meeting of the Ecological Society of America, human society is in a "global overshoot", consuming 30% more material than is sustainable from the world's resources. Rees went on to state that at present, 85 countries are exceeding their domestic "bio-capacities", and compensate for their lack of local material by depleting the stocks of other countries, which have a material surplus due to their lower consumption. Not only that, but McCraken indicates that the ways in which consumer goods and services are bought, created and used should be taken under consideration when studying consumption.


title: Consumerism

text: Not all anti-consumerists oppose consumption in itself, but they argue against increasing the consumption of resources beyond what is environmentally sustainable. Jonathan Porritt writes that consumers are often unaware of the negative environmental impacts of producing many modern goods and services, and that the extensive advertising-industry only serves to reinforce increasing consumption.


title: Consumerism

text: Likewise, other ecological economists such as Herman Daly and Tim Jackson recognize the inherent conflict between consumer-driven consumption and planet-wide ecological degradation.


title: Consumerism

text: In the 21st century's globalized economy, consumerism has become a noticeable part of the culture. Critics of the phenomenon not only criticized it against what is environmentally sustainable, but also the spread of consumerism in cultural aspects. However, several scholars have written about the intersection of consumer culture and the environment.


title: Consumerism

text: Discussions of the environmental implications of consumerist ideologies in works by economists James Gustave Speth and Naomi Klein, and consumer cultural historian Gary Cross. Leslie Sklair proposes the criticism through the idea of culture-ideology of consumerism in his works. He says that,


title: Consumerism

text: Today, people are universally and continuously being exposed to mass consumerism and product placement in the media or even in their daily lives. The line between information, entertainment, and promotion of products has been blurred, thus explaining how people have become more reformulated into consumerist behaviours. Shopping centers are a representative example of a place where people are explicitly exposed to an environment that welcomes and encourages consumption. For example, in 1993, Goss wrote that the shopping center designers "strive to present an alternative rationale for the shopping center's existence, manipulate shoppers' behavior through the configuration of space, and consciously design a symbolic landscape that provokes associative moods and dispositions in the shopper". On the prevalence of consumerism in daily life, Historian Gary Cross says that "The endless variation of clothing, travel, and entertainment provided opportunity for practically everyone to find a personal niche, no matter their race, age, gender or class."


title: Consumerism

text: Arguably, the success of the consumerist cultural ideology can be witnessed all around the world. People who rush to the mall to buy products and end up spending money with their credit cards can easily become entrenched in the financial system of capitalist globalization.


title: Consumerism

text: Since consumerism began, various individuals and groups have consciously sought an alternative lifestyle. These movements range on a spectrum from moderate "simple living", "eco-conscious shopping", and "localvore"/"buying local", to Freeganism on the extreme end. Building on these movements, the discipline of ecological economics addresses the macro-economic, social and ecological implications of a primarily consumer-driven economy.


title: Autonomy

text: In developmental psychology and moral, political, and bioethical philosophy, autonomy is the capacity to make an informed, uncoerced decision. Autonomous organizations or institutions are independent or self-governing. Autonomy can also be defined from a human resources perspective, where it denotes a (relatively high) level of discretion granted to an employee in his or her work. In such cases, autonomy is known to generally increase job satisfaction. Self-actualized individuals are thought to operate autonomously of external expectations. In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine.


title: Autonomy

text: In the sociology of knowledge, a controversy over the boundaries of autonomy inhibited analysis of any concept beyond relative autonomy, until a typology of autonomy was created and developed within science and technology studies. According to it, the institution of science's existing autonomy is "reflexive autonomy": actors and structures within the scientific field are able to translate or to reflect diverse themes presented by social and political fields, as well as influence them regarding the thematic choices on research projects.


title: Autonomy

text: Institutional autonomy is having the capacity as a legislator to be able to implant and pursue official goals. Autonomous institutions are responsible for finding sufficient resources or modifying their plans, programs, courses, responsibilities, and services accordingly. But in doing so, they must contend with any obstacles that can occur, such as social pressure against cut-backs or socioeconomic difficulties. From a legislator's point of view, to increase institutional autonomy, conditions of self-management and institutional self-governance must be put in place. An increase in leadership and a redistribution of decision-making responsibilities would be beneficial to the research of resources.


title: Autonomy

text: Institutional autonomy was often seen as a synonym for self-determination, and many governments feared that it would lead institutions to an irredentist or secessionist region. But autonomy should be seen as a solution to self-determination struggles. Self-determination is a movement toward independence, whereas autonomy is a way to accommodate the distinct regions/groups within a country. Institutional autonomy can diffuse conflicts regarding minorities and ethnic groups in a society. Allowing more autonomy to groups and institutions helps create diplomatic relationships between them and the central government.


title: Autonomy

text: In governmental parlance, autonomy refers to self-governance. An example of an autonomous jurisdiction was the former United States governance of the Philippine Islands. The "Philippine Autonomy Act of 1916" provided the framework for the creation of an autonomous government under which the Filipino people had broader domestic autonomy than previously, although it reserved certain privileges to the United States to protect its sovereign rights and interests. Other examples include Kosovo (as the Socialist Autonomous Province of Kosovo) under the former Yugoslav government of Marshal Tito and Puntland Autonomous Region within Federal Republic of Somalia.


title: Autonomy

text: Autonomy is a key concept that has a broad impact on different fields of philosophy. In metaphysical philosophy, the concept of autonomy is referenced in discussions about free will, fatalism, determinism, and agency. In moral philosophy, autonomy refers to subjecting oneself to objective moral law.


title: Autonomy

text: Immanuel Kant (1724–1804) defined autonomy by three themes regarding contemporary ethics. Firstly, autonomy as the right for one to make their own decisions excluding any interference from others. Secondly, autonomy as the capacity to make such decisions through one's own independence of mind and after personal reflection. Thirdly, as an ideal way of living life autonomously. In summary, autonomy is the moral right one possesses, or the capacity we have in order to think and make decisions for oneself providing some degree of control or power over the events that unfold within one's everyday life.


title: Autonomy

text: The context in which Kant addresses autonomy is in regards to moral theory, asking both foundational and abstract questions. He believed that in order for there to be morality, there must be autonomy. "Autonomous" is derived from the Greek word "autonomos" where 'auto' means self and 'nomos' means to govern ("nomos": as can be seen in its usage in "nomárchēs" which means chief of the province). Kantian autonomy also provides a sense of rational autonomy, simply meaning one rationally possesses the motivation to govern their own life. Rational autonomy entails making your own decisions but it cannot be done solely in isolation. Cooperative rational interactions are required to both develop and exercise our ability to live in a world with others.


title: Autonomy

text: Kant argued that morality presupposes this autonomy () in moral agents, since moral requirements are expressed in categorical imperatives. An imperative is categorical if it issues a valid command independent of personal desires or interests that would provide a reason for obeying the command. It is hypothetical if the validity of its command, if the reason why one can be expected to obey it, is the fact that one desires or is interested in something further that obedience to the command would entail. "Don't speed on the freeway if you don't want to be stopped by the police" is a hypothetical imperative. "It is wrong to break the law, so don't speed on the freeway" is a categorical imperative. The hypothetical command not to speed on the freeway is not valid for you if you do not care whether you are stopped by the police. The categorical command is valid for you either way. Autonomous moral agents can be expected to obey the command of a categorical imperative even if they lack a personal desire or interest in doing so. It remains an open question whether they will, however.


title: Autonomy

text: The Kantian concept of autonomy is often misconstrued, leaving out the important point about the autonomous agent's self-subjection to the moral law. It is thought that autonomy is fully explained as the ability to obey a categorical command independently of a personal desire or interest in doing so—or worse, that autonomy is "obeying" a categorical command independently of a natural desire or interest; and that heteronomy, its opposite, is acting instead on personal motives of the kind referenced in hypothetical imperatives.


title: Autonomy

text: In his "Groundwork of the Metaphysic of Morals", Kant applied the concept of autonomy also to define the concept of personhood and human dignity. Autonomy, along with rationality, are seen by Kant as the two criteria for a meaningful life. Kant would consider a life lived without these not worth living; it would be a life of value equal to that of a plant or insect. According to Kant autonomy is part of the reason that we hold others morally accountable for their actions. Human actions are morally praise- or blame-worthy in virtue of our autonomy. Non- autonomous beings such as plants or animals are not blameworthy due to their actions being non-autonomous. Kant's position on crime and punishment is influenced by his views on autonomy. Brainwashing or drugging criminals into being law-abiding citizens would be immoral as it would not be respecting their autonomy. Rehabilitation must be sought in a way that respects their autonomy and dignity as human beings.


title: Autonomy

text: Friedrich Nietzsche wrote about autonomy and the moral fight. Autonomy in this sense is referred to as the free self and entails several aspects of the self, including self-respect and even self-love. This can be interpreted as influenced by Kant (self-respect) and Aristotle (self-love). For Nietzsche, valuing ethical autonomy can dissolve the conflict between love (self-love) and law (self-respect) which can then translate into reality through experiences of being self-responsible. Because Nietzsche defines having a sense of freedom with being responsible for one's own life, freedom and self-responsibility can be very much linked to autonomy.


title: Autonomy

text: The Swiss philosopher Jean Piaget (1896-1980) believed that autonomy comes from within and results from a "free decision". It is of intrinsic value and the morality of autonomy is not only accepted but obligatory. When an attempt at social interchange occurs, it is reciprocal, ideal and natural for there to be autonomy regardless of why the collaboration with others has taken place. For Piaget, the term autonomous can be used to explain the idea that rules are self-chosen. By choosing which rules to follow or not, we are in turn determining our own behaviour.


title: Autonomy

text: Piaget studied the cognitive development of children by analyzing them during their games and through interviews, establishing (among other principles) that the children's moral maturation process occurred in two phases, the first of heteronomy and the second of autonomy:


title: Autonomy

text: The American psychologist Lawrence Kohlberg (1927–1987) continues the studies of Piaget. His studies collected information from different latitudes to eliminate the cultural variability, and focused on the moral reasoning, and not so much in the behavior or its consequences. Through interviews with adolescent and teenage boys, who were to try and solve "moral dilemmas," Kohlberg went on to further develop the stages of moral development. The answers they provided could be one of two things. Either they choose to obey a given law, authority figure or rule of some sort or they chose to take actions that would serve a human need but in turn break this given rule or command.


title: Autonomy

text: The most popular moral dilemma asked involved the wife of a man approaching death due to a special type of cancer. Because the drug was too expensive to obtain on his own, and because the pharmacist who discovered and sold the drug had no compassion for him and only wanted profits, he stole it. Kohlberg asks these adolescent and teenage boys (10-, 13- and 16-year-olds) if they think that is what the husband should have done or not. Therefore, depending on their decisions, they provided answers to Kohlberg about deeper rationales and thoughts and determined what they value as important. This value then determined the "structure" of their moral reasoning.


title: Autonomy

text: Kohlberg established three stages of morality, each of which is subdivided into two levels. They are read in progressive sense, that is, higher levels indicate greater autonomy.


title: Autonomy

text: Robert Audi characterizes autonomy as the self-governing power to bring reasons to bear in directing one's conduct and influencing one's propositional attitudes. Traditionally, autonomy is only concerned with practical matters. But, as Audi's definition suggests, autonomy may be applied to responding to reasons at large, not just to practical reasons. Autonomy is closely related to freedom but the two can come apart. An example would be a political prisoner who is forced to make a statement in favor of his opponents in order to ensure that his loved ones are not harmed. As Audi points out, the prisoner lacks freedom but still has autonomy since his statement, though not reflecting his political ideals, is still an expression of his commitment to his loved ones.


title: Autonomy

text: Autonomy is often equated with self-legislation in the Kantian tradition. Self-legislation may be interpreted as laying down laws or principles that are to be followed. Audi agrees with this school in the sense that we should bring reasons to bear in a principled way. Responding to reasons by mere whim may still be considered free but not autonomous. A commitment to principles and projects, on the other hand, provides autonomous agents with an identity over time and gives them a sense of the kind of persons they want to be. But autonomy is neutral as to which principles or projects the agent endorses. So different autonomous agents may follow very different principles. But, as Audi points out, self-legislation is not sufficient for autonomy since laws that don't have any practical impact don't constitute autonomy. Some form of motivational force or executive power is necessary in order to get from mere self-legislation to self-government. This motivation may be inherent in the corresponding practical judgment itself, a position known as "motivational internalism", or may come to the practical judgment externally in the form of some desire independent of the judgment, as "motivational externalism" holds.


title: Autonomy

text: In the Humean tradition, intrinsic desires are the reasons the autonomous agent should respond to. This theory is called "instrumentalism". Audi rejects instrumentalism and suggests that we should adopt a position known as "axiological objectivism". The central idea of this outlook is that objective values, and not subjective desires, are the sources of normativity and therefore determine what autonomous agents should do.


title: Autonomy

text: Autonomy in childhood and adolescence is when one strives to gain a sense of oneself as a separate, self-governing individual. Between ages 1–3, during the second stage of Erikson's and Freud's stages of development, the psychosocial crisis that occurs is autonomy versus shame and doubt. The significant event that occurs during this stage is that children must learn to be autonomous, and failure to do so may lead to the child doubting their own abilities and feel ashamed. When a child becomes autonomous it allows them to explore and acquire new skills. Autonomy has two vital aspects wherein there is an emotional component where one relies more on themselves rather than their parents and a behavioural component where one makes decisions independently by using their judgement. The styles of child rearing affect the development of a child's autonomy. Autonomy in adolescence is closely related to their quest for identity. In adolescence parents and peers act as agents of influence. Peer influence in early adolescence may help the process of an adolescent to gradually become more autonomous by being less susceptible to parental or peer influence as they get older. In adolescence the most important developmental task is to develop a healthy sense of autonomy.


title: Autonomy

text: In Christianity, autonomy is manifested as a partial self-governance on various levels of church administration. During the history of Christianity, there were two basic types of autonomy. Some important parishes and monasteries have been given special autonomous rights and privileges, and the best known example of monastic autonomy is the famous Eastern Orthodox monastic community on Mount Athos in Greece. On the other hand, administrative autonomy of entire ecclesiastical provinces has throughout history included various degrees of internal self-governance.


title: Autonomy

text: In ecclesiology of Eastern Orthodox Churches, there is a clear distinction between autonomy and autocephaly, since autocephalous churches have full self-governance and independence, while every autonomous church is subject to some autocephalous church, having a certain degree of internal self-governance. Since every autonomous church had its own historical path to ecclesiastical autonomy, there are significant differences between various autonomous churches in respect of their particular degrees of self-governance. For example, churches that are autonomous can have their highest-ranking bishops, such as an archbishop or metropolitan, appointed or confirmed by the patriarch of the mother church from which it was granted its autonomy, but generally they remain self-governing in many other respects.


title: Autonomy

text: In the history of Western Christianity the question of ecclesiastical autonomy was also one of the most important questions, especially during the first centuries of Christianity, since various archbishops and metropolitans in Western Europe have often opposed centralizing tendencies of the Church of Rome. , the Catholic Church comprises 24 autonomous ("sui iuris") Churches in communion with the Holy See. Various denominations of Protestant churches usually have more decentralized power, and churches may be autonomous, thus having their own rules or laws of government, at the national, local, or even individual level.


title: Autonomy

text: Sartre brings the concept of the Cartesian god being totally free and autonomous. He states that existence precedes essence with god being the creator of the essences, eternal truths and divine will. This pure freedom of god relates to human freedom and autonomy; where a human is not subjected to pre-existing ideas and values.


title: Autonomy

text: According to the first amendment, In the United States of America, the federal government is restricted in building a national church. This is due to the first amendment's recognizing people's freedom's to worship their faith according to their own belief's. For example, the American government has removed the church from their "sphere of authority" due to the churches' historical impact on politics and their authority on the public. This was the beginning of the disestablishment process. The Protestant churches in the United States had a significant impact on American culture in the nineteenth century, when they organized the establishment of schools, hospitals, orphanages, colleges, magazines, and so forth. This has brought up the famous, however, misinterpreted term of the separation of church and state. These churches lost the legislative and financial support from the state.


title: Autonomy

text: The first disestablishment began with the introduction of the bill of rights. In the twentieth century, due to the great depression of the 1930s and the completion of the second world war, the American churches were revived. Specifically the Protestant churches. This was the beginning of the second disestablishment when churches had become popular again but held no legislative power. One of the reasons why the churches gained attendance and popularity was due to the baby boom, when soldiers came back from the second world war and started their families. The large influx of newborns gave the churches a new wave of followers. However, these followers did not hold the same beliefs as their parents and brought about the political, and religious revolutions of the 1960s.


title: Autonomy

text: During the 1960s, the collapse of religious and cultural middle brought upon the third disestablishment. Religion became more important to the individual and less so to the community. The changes brought from these revolutions significantly increased the personal autonomy of individuals due to the lack of structural restraints giving them added freedom of choice. This concept is known as "new voluntarism" where individuals have free choice on how to be religious and the free choice whether to be religious or not.


title: Autonomy

text: In a medical context, respect for a patient's personal autonomy is considered one of many fundamental ethical principles in medicine. Autonomy can be defined as the ability of the person to make his or her own decisions. This faith in autonomy is the central premise of the concept of informed consent and shared decision making. This idea, while considered essential to today's practice of medicine, was developed in the last 50 years. According to Tom Beauchamp and James Childress (in "Principles of Biomedical Ethics"), the Nuremberg trials detailed accounts of horrifyingly exploitative medical "experiments" which violated the subjects' physical integrity and personal autonomy. These incidences prompted calls for safeguards in medical research, such as the Nuremberg Code which stressed the importance of voluntary participation in medical research. It is believed that the Nuremberg Code served as the premise for many current documents regarding research ethics.


title: Autonomy

text: Respect for autonomy became incorporated in health care and patients could be allowed to make personal decisions about the health care services that they receive. Notably, autonomy has several aspects as well as challenges that affect health care operations. The manner in which a patient is handled may undermine or support the autonomy of a patient and for this reason, the way a patient is communicated to becomes very crucial. A good relationship between a patient and a health care practitioner needs to be well defined to ensure that autonomy of a patient is respected. Just like in any other life situation, a patient would not like to be under the control of another person. The move to emphasize respect for patient's autonomy rose from the vulnerabilities that were pointed out in regards to autonomy.


title: Autonomy

text: However, autonomy does not only apply in a research context. Users of the health care system have the right to be treated with respect for their autonomy, instead of being dominated by the physician. This is referred to as paternalism. While paternalism is meant to be overall good for the patient, this can very easily interfere with autonomy. Through the therapeutic relationship, a thoughtful dialogue between the client and the physician may lead to better outcomes for the client, as he or she is more of a participant in decision-making.


title: Autonomy

text: There are many different definitions of autonomy, many of which place the individual in a social context. Relational autonomy, which suggests that a person is defined through their relationships with others, is increasingly considered in medicine and particularly in critical and end-of-life care. Supported autonomy suggests instead that in specific circumstances it may be necessary to temporarily compromise the autonomy of the person in the short term in order to preserve their autonomy in the long-term. Other definitions of the autonomy imagine the person as a contained and self-sufficient being whose rights should not be compromised under any circumstance.


title: Autonomy

text: There are also differing views with regard to whether modern health care systems should be shifting to greater patient autonomy or a more paternalistic approach. For example, there are such arguments that suggest the current patient autonomy practiced is plagued by flaws such as misconceptions of treatment and cultural differences, and that health care systems should be shifting to greater paternalism on the part of the physician given their expertise.  On the other hand, other approaches suggest that there simply needs to be an increase in relational understanding between patients and health practitioners to improve patient autonomy.


title: Autonomy

text: One argument in favor of greater patient autonomy and its benefits is by Dave deBronkart, who believes that in the technological advancement age, patients are capable of doing a lot of their research on medical issues from their home. According to deBronkart, this helps to promote better discussions between patients and physicians during hospital visits, ultimately easing up the workload of physicians. deBronkart argues that this leads to greater patient empowerment and a more educative health care system. In opposition to this view, technological advancements can sometimes be viewed as an unfavorable way of promoting patient autonomy. For example, self-testing medical procedures which have become increasingly common are argued by Greaney et al. to increase patient autonomy, however, may not be promoting what is best for the patient. In this argument, contrary to deBronkart, the current perceptions of patient autonomy are excessively over-selling the benefits of individual autonomy, and is not the most suitable way to go about treating patients. Instead, a more inclusive form of autonomy should be implemented, relational autonomy, which factors into consideration those close to the patient as well as the physician. These different concepts of autonomy can be troublesome as the acting physician is faced with deciding which concept he/she will implement into their clinical practice.


title: Autonomy

text: Autonomy varies and some patients find it overwhelming especially the minors when faced with emergency situations. Issues arise in emergency room situations where there may not be time to consider the principle of patient autonomy. Various ethical challenges are faced in these situations when time is critical, and patient consciousness may be limited. However, in such settings where informed consent may be compromised, the working physician evaluates each individual case to make the most professional and ethically sound decision. For example, it is believed that neurosurgeons in such situations, should generally do everything they can to respect patient autonomy. In the situation in which a patient is unable to make an autonomous decision, the neurosurgeon should discuss with the surrogate decision maker in order to aid in the decision-making process. Performing surgery on a patient without informed consent is in general thought to only be ethically justified when the neurosurgeon and his/her team render the patient to not have the capacity to make autonomous decisions. If the patient is capable of making an autonomous decision, these situations are generally less ethically strenuous as the decision is typically respected.


title: Autonomy

text: It is important to note that not every patient is capable of making an autonomous decision. For example, a commonly proposed question is at what age children should be partaking in treatment decisions. This question arises as children develop differently, therefore making it difficult to establish a standard age at which children should become more autonomous. Those who are unable to make the decisions prompt a challenge to medical practitioners since it becomes difficult to determine the ability of a patient to make a decision. To some extent, it has been said that emphasis of autonomy in health care has undermined the practice of health care practitioners to improve the health of their patient as necessary. The scenario has led to tension in the relationship between a patient and a health care practitioner. This is because as much as a physician wants to prevent a patient from suffering, they still have to respect autonomy. Beneficence is a principle allowing physicians to act responsibly in their practice and in the best interests of their patients, which may involve overlooking autonomy. However, the gap between a patient and a physician has led to problems because in other cases, the patients have complained of not being adequately informed.


title: Autonomy

text: The seven elements of informed consent (as defined by Beauchamp and Childress) include threshold elements (competence and voluntariness), information elements (disclosure, recommendation, and understanding) and consent elements (decision and authorization). Some philosophers such as Harry Frankfurt consider Beauchamp and Childress criteria insufficient. They claim that an action can only be considered autonomous if it involves the exercise of the capacity to form higher-order values about desires when acting intentionally. What this means is that patients may understand their situation and choices but would not be autonomous unless the patient is able to form value judgements about their reasons for choosing treatment options they would not be acting autonomously.


title: Autonomy

text: In certain unique circumstances, government may have the right to temporarily override the right to bodily integrity in order to preserve the life and well-being of the person. Such action can be described using the principle of "supported autonomy", a concept that was developed to describe unique situations in mental health (examples include the forced feeding of a person dying from the eating disorder anorexia nervosa, or the temporary treatment of a person living with a psychotic disorder with antipsychotic medication). While controversial, the principle of supported autonomy aligns with the role of government to protect the life and liberty of its citizens. Terrence F. Ackerman has highlighted problems with these situations, he claims that by undertaking this course of action physician or governments run the risk of misinterpreting a conflict of values as a constraining effect of illness on a patient's autonomy.


title: Autonomy

text: Since the 1960s, there have been attempts to increase patient autonomy including the requirement that physician's take bioethics courses during their time in medical school. Despite large-scale commitment to promoting patient autonomy, public mistrust of medicine in developed countries has remained. Onora O'Neill has ascribed this lack of trust to medical institutions and professionals introducing measures that benefit themselves, not the patient. O'Neill claims that this focus on autonomy promotion has been at the expense of issues like distribution of healthcare resources and public health.


title: Autonomy

text: One proposal to increase patient autonomy is through the use of support staff. The use of support staff including medical assistants, physician assistants, nurse practitioners, nurses, and other staff that can promote patient interests and better patient care. Nurses especially can learn about patient beliefs and values in order to increase informed consent and possibly persuade the patient through logic and reason to entertain a certain treatment plan. This would promote both autonomy and beneficence, while keeping the physician's integrity intact. Furthermore, Humphreys asserts that nurses should have professional autonomy within their scope of practice (35-37). Humphreys argues that if nurses exercise their professional autonomy more, then there will be an increase in patient autonomy (35-37).


title: Autonomy

text: After the Second World War there was a push for international human rights that came in many waves. Autonomy as a basic human right started the building block in the beginning of these layers alongside liberty. The Universal declarations of Human rights of 1948 has made mention of autonomy or the legal protected right to individual self-determination in article 22.


title: Autonomy

text: Documents such as the United Nations Declaration on the Rights of Indigenous Peoples reconfirm international law in the aspect of human rights because those laws were already there, but it is also responsible for making sure that the laws highlighted when it comes to autonomy, cultural and integrity and land rights are made within an indigenous context by taking special attention to their historical and contemporary events


title: Autonomy

text: The United Nations Declaration on the Rights of Indigenous Peoples article 3 also through international law provides Human rights for Indigenous individuals through its third article by giving them a right to self-determination meaning they have all the liberties to choose their political status, and are capable to go and improve their economics social, and cultural statuses in society by developing it. Another example of this is article 4 of the same document which gives them autonomous rights when it comes to their internal or local affairs and how they can fund themselves in order to be able to self govern themselves.


title: Autonomy

text: Minorities in countries are also protected as well by international law; the 27th article of the United Nations International covenant on Civil and Political rights or the ICCPR does so by allowing these individuals to be able to enjoy their own culture or use their language. Minorities in that manner are people from ethnic religious or linguistic groups according to the document.


title: Autonomy

text: The European Court of Human rights, is an international court that has been created on behalf of the European Conventions of Human rights. However, when it comes to autonomy they did not explicitly state it when it comes to the rights that individuals have. The current article 8 has remedied to that when the case of "Pretty v the United Nations", a case in 2002 involving assisted suicide, where autonomy was used as a legal right in law. It was where Autonomy was distinguished and its reach into law was marked as well making it the foundations for legal precedent in making case law originating from the European Court of Human rights


title: Autonomy

text: The Yogyakarta Principles, a document with no binding effect in international human rights law, contend that "self-determination" used as meaning of autonomy on one's own matters including informed consent or sexual and reproductive rights, is integral for one's self-defined or gender identity and refused any medical procedures as a requirement for legal recognition of the gender identity of transgender. If eventually accepted by the international community in a treaty, this would make these ideas human rights in the law. The Convention on the Rights of Persons with Disabilities also defines autonomy as principles of rights of a person with disability including "the freedom to make one's own choices, and independence of persons".


title: Autonomy

text: A study conducted by David C. Giles and John Maltby conveyed that after age-affecting factors were removed, a high emotional autonomy was a significant predictor of celebrity interest, as well as high attachment to peers with a low attachment to parents. Patterns of intense personal interest in celebrities was found to be conjunction with low levels of closeness and security. Furthermore, the results suggested that adults with a secondary group of pseudo-friends during development from parental attachment, usually focus solely on one particular celebrity, which could be due to difficulties in making this transition.


title: Autonomy

text: Autonomy can be limited. For instance, by disabilities, civil society organizations may achieve a degree of autonomy albeit nested within––and relative to––formal bureaucratic and administrative regimes. Community partners can therefore assume a hybridity of capture and autonomy––or a mutuality––that is rather nuanced.


title: Autonomy

text: The term "semi-autonomy" (coined with prefix semi- / "half") designates partial or limited autonomy. As a relative term, it is usually applied to various semi-autonomous entities or processes that are substantially or functionally limited, in comparison to other fully autonomous entities or processes.


title: Autonomy

text: The term "quasi-autonomy" (coined with prefix quasi- / "resembling" or "appearing") designates formally acquired or proclaimed, but functionally limited or constrained autonomy. As a descriptive term, it is usually applied to various quasi-autonomous entities or processes that are formally designated or labeled as autonomous, but in reality remain functionally dependent or influenced by some other entity or process. An example for such use of the term can be seen in common designation for quasi-autonomous non-governmental organizations.


title: Gangtok

text: Gangtok is a city, municipality, the capital and the largest populated place of the Indian state of Sikkim. It is also the headquarters of the Gangtok District. Gangtok is in the eastern Himalayan range, at an elevation of . The city's population of 100,000 are from different ethnicities of Sikkimese people such as Indian Gorkhas, Bhutia and Lepchas. Within the higher peaks of the Himalayas and with a year-round mild temperate climate, Gangtok is at the centre of Sikkim's tourism industry.


title: Gangtok

text: Gangtok rose to prominence as a popular Buddhist pilgrimage site after the construction of the Enchey Monastery in 1840. In 1894, the ruling Sikkimese Chogyal, Thutob Namgyal, transferred the capital to Gangtok. In the early 20th century, Gangtok became a major stopover on the trade route between Lhasa in Tibet and cities such as Kolkata (then Calcutta) in British India. After India won its independence from the British Empire in 1947, Sikkim chose to remain an independent monarchy, with Gangtok as its capital. After Sikkim's merger with India in 1975, Gangtok continued as the state capital.


title: Gangtok

text: Like the rest of Sikkim, not much is known about the early history of Gangtok. The earliest records date from the construction of the hermitic Gangtok monastery in 1716. Gangtok remained a small hamlet until the construction of the Enchey Monastery in 1840 made it a pilgrimage centre. It became the capital of what was left of Sikkim after an English conquest in the mid-19th century in response to a hostage crisis. After the defeat of the Tibetans by the British, Gangtok became a major stopover in the trade between Tibet and British India at the end of the 19th century. Most of the roads and the telegraph in the area were built during this time.


title: Gangtok

text: In 1894, Thutob Namgyal, the Sikkimese monarch under British rule, shifted the capital from Tumlong to Gangtok, increasing the city's importance. A new grand palace along with other state buildings was built in the new capital. Following India's independence in 1947, Sikkim became a nation-state with Gangtok as its capital. Sikkim came under the suzerainty of India, with the condition that it would retain its independence, by the treaty signed between the Chogyal and the then Indian Prime Minister Jawaharlal Nehru. This pact gave the Indians control of external affairs on behalf of Sikkimese. Trade between India and Tibet flourished through the Nathula and Jelepla passes, benefiting Gangtok. Trade declined with the Chinese crackdown in Tibet in 1959 and the passes were sealed after the Sino-Indian War in 1962. The Nathula pass was finally opened for limited trade in 2006, fuelling hopes of economic boom.


title: Gangtok

text: In 1975, after years of political uncertainty and struggle, including riots, the monarchy was abrogated and Sikkim became India's twenty-second state, with Gangtok as its capital after a referendum. Gangtok has witnessed annual landslides, resulting in loss of life and damage to property. The largest disaster occurred in June 1997, when 38 were killed and hundreds of buildings were destroyed.


title: Gangtok

text: Gangtok is located at (coordinates of Gangtok head post office). It is in the lower Himalayas at an elevation of . The town is on one side of a hill, with "The Ridge", a promenade housing the Raj Bhawan, the governor's residence, at one end and the palace, at an altitude of about , at the other. The city is flanked on east and west by two streams, namely Roro Chu and Ranikhola, respectively. These two rivers divide the natural drainage into two parts, the eastern and western parts. Both the streams meet the Ranipul and flow south as the main Ranikhola before it joins the Teesta at Singtam. Most of the roads are steep, with the buildings built on compacted ground alongside them.


title: Gangtok

text: Most of Sikkim, including Gangtok, is underlain by Precambrian rocks which contain foliated phyllites and schists; slopes are therefore prone to frequent landslides. Surface runoff of water by natural streams ("jhora") and man-made drains has contributed to the risk of landslides. According to the Bureau of Indian Standards, the town falls under seismic zone-IV (on a scale of I to V, in order of increasing seismic activity), near the convergent boundary of the Indian and the Eurasian tectonic plates and is subject to frequent earthquakes. The hills are nestled within higher peaks and the snow-clad Himalayan ranges tower over the town from the distance. Mount Kanchenjunga (8,598 m or 28,208 ft)—the world's third-highest peak—is visible to the west of the city. The existence of steep slopes, vulnerability to landslides, large forest cover and inadequate access to most areas have been a major impediment to the natural and balanced growth of the city.


title: Gangtok

text: There are densely forested regions around Gangtok, consisting of temperate, deciduous forests of poplar, birch, oak and elm, as well as evergreen, coniferous trees of the wet alpine zone. Orchids are common and rare varieties of orchids are featured in flower shows in the city. Bamboos are also abundant. In the lower reaches of the town, the vegetation gradually changes from alpine to temperate deciduous and subtropical. Flowers such as sunflower, marigold, poinsettia and others bloom, especially in November and December.


title: Gangtok

text: Gangtok features a monsoon-influenced subtropical highland climate (Köppen: "Cwb"). Because of its elevation and sheltered environment, Gangtok enjoys a mild, temperate climate all year round. Like most Himalayan towns, Gangtok has five seasons: summer, monsoons, autumn, winter and spring. Temperatures range from an average maximum of in summer to an average minimum of in winter. Summers (lasting from late April to May) are mild, with maximum temperatures rarely crossing . The monsoon season from June to September is characterised by intense torrential rains often causing landslides that block Gangtok's land access to the rest of the country. Rainfall starts to rise from pre-monsoon in May and peaks during the monsoon, with July recording the highest monthly average of . In winter temperature averages between and . Snowfall is rare and in recent times, Gangtok has received snow only in 1990, 2004, 2005 and 2020. Temperatures below freezing are also rare. During this season the weather can be unstable and change abruptly from bright sunshine and clear skies to heavy rain within a couple of hours. During spring and autumn the weather is generally sunny and mild. Owing to its elevation, Gangtok is often enveloped in fog during the monsoon and winter months.


title: Gangtok

text: Gangtok is the main base for Sikkim tourism. Summer and spring seasons are the most popular tourist seasons. Many of Gangtok's residents are employed directly and indirectly in the tourism industry, with many residents owning and working in hotels and restaurants.


title: Gangtok

text: Ecotourism has emerged as an important economic activity in the region which includes trekking, mountaineering, river rafting and other nature oriented activities. An estimated 351,000 tourists visited Sikkim in 2007, generating revenue of about .


title: Gangtok

text: The Nathula Pass, located about from Gangtok, used to be the primary route of the wool, fur and spice trade with Tibet and spurred economic growth for Gangtok till the mid-20th century. In 1962, after the border was closed during the Sino-Indian War, Gangtok fell into recession. The pass was reopened in 2006 and trade through the pass is expected to boost the economy of Gangtok. The Sikkim government is keen to open a Lhasa–Gangtok bus service via Nathula pass. Sikkim's mountainous terrain results in the lack of train or air links, limiting the area's potential for rapid industrial development. The government is the largest employer in the city, both directly and as contractors.


title: Gangtok

text: Gangtok's economy does not have a large manufacturing base, but has a thriving Cottage industry in watch-making, country-made alcohol and handicrafts. Among the handicrafts are the handmade paper industry made from various vegetable fibres or cotton rags. The main market in Gangtok provides many of the state's rural residents a place to offer their produce during the harvest seasons. The majority of the private business community is made up of Marwaris and Biharis. As part of Sikkim, Gangtok enjoys the status of being an income-tax free region as per the state's 1948 Income tax law. As Sikkim is a frontier state, the Indian army maintains a large presence in the vicinity of Gangtok. This leads to a population of semi-permanent residents who bring money into the local economy. The Sikkim government started India's first online lottery "Playwin" to boost government income, but this was later closed by a ruling from the Sikkim High Court.


title: Gangtok

text: Agriculture is a large employer in Sikkim and in 2003 the Sikkim state government declared the goal of converting the whole sector to organic production. The goal of 100% organic was achieved in 2016. This achievement offers new export opportunities to grow the agriculture sector, to achieve premium prices and new opportunities for agritourism.


title: Gangtok

text: Gangtok is administered by the Gangtok Municipal Corporation (GMC) along with the various departments of the Government of Sikkim, particularly the Urban Development and Housing Department (UDHD) and the Public Health Engineering Department (PHED). These departments provide municipal functions such as garbage disposal, water supply, tax collection, licence allotments, and civic infrastructure. An administrator appointed by the state government heads the UDHD.


title: Gangtok

text: As the headquarters of East Sikkim district, Gangtok houses the offices of the district collector, an administrator appointed by the Union Government of India. Gangtok is also the seat of the Sikkim High Court, which is India's smallest High Court in terms of area and population of jurisdiction. Gangtok does not have its own police commissionerate like other major cities in India. Instead, it comes under the jurisdiction of the state police, which is headed by a Director General of Police, although an Inspector General of Police oversees the town. Sikkim is known for its very low crime rate. Rongyek jail in Gangtok is Sikkim's only central jail.


title: Gangtok

text: Gangtok is within the Sikkim Lok Sabha constituency that elects a member to the Lok Sabha (Lower House) of the Indian Parliament. The city elects one member in the Sikkim state legislative assembly, the Vidhan Sabha. The Sikkim Democratic Front (SDF) won both the parliamentary election in 2009 and the state assembly seat in the 2009 state assembly polls.


title: Gangtok

text: Electricity is supplied by the power department of the Government of Sikkim. Gangtok has a nearly uninterrupted electricity supply due to Sikkim's numerous hydroelectric power stations. The rural roads around Gangtok are maintained by the Border Roads Organisation, a division of the Indian army. Several roads in Gangtok are reported to be in a poor condition, whereas building construction activities continue almost unrestrained in this city lacking proper land infrastructure. Most households are supplied by the central water system maintained and operated by the PHED. The main source of PHED water supply is the Rateychu River, located about from the city, at an altitude of . Its water treatment plant is located at Selep. The river Rateychu is snow-fed and has perennial streams. Since there is no habitation in the catchment area except for a small army settlement, there is little environmental degradation and the water is of very good quality. 40 seasonal local springs are used by the Rural Management and Development Department of Sikkim Government to supply water to outlying rural areas.


title: Gangtok

text: Around 40% of the population has access to sewers. However, only the toilet waste is connected to the sewer while sullage is discharged into the drains. Without a proper sanitation system, the practice of disposing sewage through septic tanks and directly discharging into "Jhora"s and open drains is prevalent. The entire city drains into the two rivers, Ranikhola and Roro Chu, through numerous small streams and Jhoras. Ranikhola and Roro Chu rivers confluence with Teesta River, the major source of drinking water to the population downstream. The densely populated urban area of Gangtok does not have a combined drainage system to drain out the stormwater and wastewater from the buildings. The estimated solid waste generated in Gangtok city is approximately 45 tonnes. Only around 40% of this is collected by UDHD, while the remainder is indiscriminately thrown into "Jhora", streets and valleys. The collected waste is disposed in a dump located about from the city. There is no waste collection from inaccessible areas where vehicles cannot reach, nor does any system of collection of waste exist in the adjoining rural areas. The city is under a statewide ban on the use of polythene bags.


title: Gangtok

text: Taxis are the most widely available public transport within Gangtok. Most of the residents stay within a few kilometres of the town centre and many have their own vehicles such as two-wheelers and cars. The share of personal vehicles and taxis combined is 98% of Gangtok's total vehicles, a high percentage when compared to other Indian cities. City buses comprise less than one per cent of vehicles. Those travelling longer distances generally make use of share-jeeps, a kind of public taxis. Four wheel drives are used to easily navigate the steep slopes of the roads. The long cable car with three stops connects lower Gangtok suburbs with Sikkim Legislative assembly in central Gangtok and the upper suburbs.


title: Gangtok

text: Gangtok is connected to the rest of India by an all-weather metalled highway, National Highway 10, earlier known as National Highway 31A, which links Gangtok to Siliguri, located away in the neighbouring state of West Bengal. The highway also provides a link to the neighbouring hill station towns of Darjeeling and Kalimpong, which are the nearest urban areas. Regular jeep, van and bus services link these towns to Gangtok. Gangtok is a linear city that has developed along the arterial roads, especially National Highway 31A. Most of the road length in Gangtok is of two lane undivided carriageway with footpath on one side of the road and drain on the other. The steep gradient of the different road stretches coupled with a spiral road configuration constrain the smooth flow of vehicular as well as pedestrian traffic.


title: Gangtok

text: The nearest railhead connected to the rest of India is New Jalpaiguri Junction railway station in Siliguri, from Gangtok via NH10. Work has begun on a broad-gauge railway link from Sevoke in West Bengal to Rangpo in Sikkim, which is planned for extension to Gangtok.


title: Gangtok

text: Pakyong Airport is spread over at Pakyong, about 35 km (22 mi) south of Gangtok. At , it is one of the five highest airports in India, and also the first greenfield airport to be constructed in the Northeastern Region of India, the 100th operational airport in India, and the only airport in the state of Sikkim.


title: Gangtok

text: The airport was inaugurated by India's Prime Minister Narendra Modi on 24 September 2018 and the first commercial flights from the airport began on 4 October 2018 between Pakyong and Kolkata.


title: Gangtok

text: According to the Provisional Population Totals 2011 census of India, the population of Gangtok Municipal Corporation has been estimated to be 98,658. Males constituted 53% of the population and females 47%. The Gangtok subdivision of the East Sikkim district had a population of 281,293, Gangtok has an average literacy rate of 82.17%, higher than the national average of 74%: male literacy is 85.33%, and female literacy is 78.68. About 8% of Gangtok's population live in the nine notified slums and squatter settlements, all on Government land. More people live in areas that depict slum-like characteristics but have not been notified as slums yet because they have developed on private land. Of the total urban population of Sikkim, Gangtok Municipal Corporation has a share of 55.5%. Including Gangtok, East District has a share of 88% of the total urban population. The quality of life, the pace of development and availability of basic infrastructure and employment prospects has been the major cause for rapid migration to the city. With this migration, the urban services are under pressure, intensified by the lack of availability of suitable land for infrastructure development.


title: Gangtok

text: Ethnic Nepalis, who settled in the region during British rule, comprise the majority of Gangtok's residents. Lepchas, native to the land, and Bhutias also constitute a sizeable portion of the populace. Additionally, a large number of Tibetans have immigrated to the town. Immigrant resident communities not native to the region include the Marwaris, Biharis and Bengalis.


title: Gangtok

text: Hinduism and Buddhism are the most significant religions in Gangtok. Gangtok also has a sizeable Christian population and a small Muslim minority. The North East Presbyterian Church, Roman Catholic Church and Anjuman Mosque in Gangtok are places of worship for the religious minorities. The town has not been communalised, having never witnessed any sort of inter-religious strife in its history. Nepali is the most widely spoken language in Sikkim as well as Gangtok. English and Hindi being the official language of Sikkim and India respectively, are also widely spoken and understood in most of Sikkim, particularly in Gangtok. Other languages spoken in Gangtok include Bhutia (Sikkimese), Tibetan and Lepcha.


title: Gangtok

text: Apart from the major religious festivals of Dashain, Tihar, Christmas, Holi etc., the diverse ethnic populace of the town celebrates several local festivals. The Lepchas and Bhutias celebrate new year in January, while Tibetans celebrate the new year ("Losar") with "Devil Dance" in January–February. The "Maghe sankranti", "Ram Navami" are some of the important Nepalese festivals. "Chotrul Duchen", "Buddha Jayanti", the birthday of the Dalai Lama, Loosong, Bhumchu, Saga Dawa, Lhabab Duechen and Drupka Teshi are some other festivals, some distinct to local culture and others shared with the rest of India, Nepal, Bhutan and Tibet.


title: Gangtok

text: A popular food in Gangtok is the "momo", a steamed dumpling containing pork, beef and vegetables cooked in a doughy wrapping and served with watery soup. Wai-Wai is a packaged snack consisting of noodles which are eaten either dry or in soup form. A form of noodle called "thukpa", served in soup form is also popular in Gangtok. Other noodle-based foods such as the chowmein, thenthuk, fakthu, gyathuk and wonton are available. Other traditional Sikkimese cuisine include shah-phaley (Sikkimese patties with spiced minced meat in a crisp samosa-like case) and Gack-ko soup. Restaurants offer a wide variety of traditional Indian, continental and Chinese cuisines to cater to the tourists. "Churpee", a kind of hard cheese made from cow's or yak's milk is sometimes chewed. "Chhang" is a local frothy millet beer traditionally served in bamboo tankards and drunk through bamboo or cane straws.


title: Gangtok

text: Football (soccer), cricket and archery are the most popular sports in Gangtok. The Paljor Stadium, which hosts football matches, is the sole sporting ground in the city. Thangka—a notable handicraft—is an elaborately hand-painted religious scroll in brilliant colours drawn on fabric hung in a monastery or a family altar and occasionally carried by monks in ceremonial processions. "Chhaams" are vividly costumed monastic dances performed on ceremonial and festive occasions, especially in the monasteries during the Tibetan new year.


title: Gangtok

text: A centre of Buddhist learning and culture, Gangtok's most notable Buddhist institutions are the Enchey monastery, the Do-drul Chorten stupa complex and the Rumtek Monastery. The Enchey monastery is the city's oldest monastery and is the seat of the Nyingma order. The two-hundred-year-old baroque monastery houses images of gods, goddesses, and other religious artefacts. In the month of January, the "Chaam", or masked dance, is performed with great fanfare. The Do-drul Chorten is a stupa which was constructed in 1945 by Trulshik Rimpoché, head of the Nyingma order of Tibetan Buddhism. Inside this stupa are complete set of relics, holy books, and "mantras". Surrounding the edifice are 108 "Mani Lhakor", or prayer wheels. The complex also houses a religious school.


title: Gangtok

text: The Rumtek Monastery on the outskirts of the town is one of Buddhism's most sacred monasteries. The monastery is the seat of the Kagyu order, one of the major Tibetan sects, and houses some of the world's most sacred and rare Tibetan Buddhist scriptures and religious objects in its reliquary. Constructed in the 1960s, the building is modelled after a similar monastery in Lhasa, Tibet. Rumtek was the focus of international media attention in 2000 after the seventeenth Karmapa, one of the four holiest lamas, fled Lhasa and sought refuge in the monastery.


title: Gangtok

text: The Namgyal Institute of Tibetology, better known as the Tibetology Museum, houses a huge collection of masks, Buddhist scriptures, statues, and tapestries. It has over two hundred Buddhist icons, and is a centre of study of Buddhist philosophy.


title: Gangtok

text: The Thakurbari Temple, located in the heart of the city, established in 1935 on a prime piece of land donated by the then Maharaja of Sikkim, is one of the oldest and best-known Hindu temples in the city. The Ganesh Tok and the Hanuman Tok, dedicated to the Hindu gods Ganpati and Hanuman and housing important Hindu deities, are located in the upper reaches of the city.


title: Gangtok

text: The Himalayan Zoological Park exhibits the fauna of the Himalayas in their natural habitats. The zoo features the Himalayan black bear, red pandas, the barking deer, the snow leopard, the leopard cat, Tibetan wolf, masked palm civet and the spotted deer, amongst the others. Jawaharlal Nehru Botanical Gardens, near Rumtek, houses many species of orchid and as many as fifty different species of tree, including many oaks.