Once a Schizophrenic, Always a Schizophrenic free essay sample

There is an estimated 2. 5million Americans diagnosed with schizophrenia (McGuire, 2000). The disease takes many forms but general symptoms of schizophrenia are the hearing of voices, delusions, hallucinations, disorganized speech, and confused thinking. People with schizophrenia become disengaged from society. They are unable to function in the expected roles of student, worker, or spouse. The concept of the disease is generally agreed upon by experts, what differs, however, is the prognosis. Is it possible for those with schizophrenia to recover, can they return to society and live full productive, independent lives? There are two differing views on this subject presented in Patrick A. McGuire’s 2000 article â€Å"New Hope for People with Schizophrenia. According to McGuire there is a movement of psychologists who disagree with the traditional medical model and are now supporting a new recovery philosophy known as psychosocial rehabilitation. The old treatment models viewed patients with schizophrenia as hopeless cases who needed to be stabilized with hospitalization and maintained with medications. We will write a custom essay sample on Once a Schizophrenic, Always a Schizophrenic? or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It was believed that these people would have schizophrenia for the rest of their lives with no chance of recovery. The traditional medical model defined a â€Å"good outcome† for people with schizophrenia as a total cessation of symptoms with no further hospitalization. This â€Å"good outcome† was obtained with the use of tranquilizers such as Thorazine, which made the management of patients easier, but only hid the disease. Within the older model very little attention was paid to the individual patient and their different needs. The old medical model’s â€Å"one-size-fits-all† approach was to medicate and if the patient did not get well immediately they were â€Å"deemed forever chronic† (McGuire, 2000, p211). The traditional treatment paradigm reports that only about 10 to 20 percent of those with schizophrenia might achieve recovery. In contrast to the medical model of treatment, there is now a new take on how to treat people with schizophrenia. The emphasis is put on the potential for growth in the individual rather than merely the pathological aspect of the disease. The potential is then developed by integrating medical, psychological, and social interventions. Those who embrace the new recovery model define recovery very differently than those who embrace the old medical model. For example, William A. Anthony, PhD, executive director of Boston University’s Center for Psychiatric Rehabilitation, views recovery as â€Å"the development of new meaning and purpose as one grows beyond the catastrophe of mental illness† (McGuire, 2000 p212). Psychologist Courtenay M. Harding, PhD, a professor of psychiatry at the University of Colorado, defines recovery as â€Å"reconstituted social and work behaviors, no need for meds, no symptoms, no need for compensation† (McGuire, 2000 p212). To obtain these goals psychosocial rehabilitation programs provide patients with work and social skills training, education about their disease and why medications are important, symptom management and therapy for dealing with the trauma of having schizophrenia. Patients are taught how to access resources such as health services and housing, and to regain independent functioning. These programs have shown that as high as 68 percent of patients have recovered and shown significant improvement. Despite ongoing symptoms patients have been able to move on to live fulfilling lives. One such example is Ronald Bassman, PhD, who was diagnosed with schizophrenia as a young man recovered, earned his doctorate and is now involved in patient empowerment programs in the New York State Office of Mental Health. Psychiatrist and researcher Nancy Andreasen cites that a â€Å"self-fulfilling prophecy† contributes to the lack of recovery of many patients. A self-fulfilling prophecy is the process by which one’s expectations about a person eventually lead that person to behave in ways that confirm those expectations. In other words by telling patients with schizophrenia that they have no chance of recovery the patient basically gives in to that idea and makes it true, they don’t recover. This may be one reason for the low percentage of patients who recover or significantly improve with the traditional treatment methods. In the new treatment methods however, patients are given support and confidence that they can overcome their disease and are far more likely to improve. All people deserve to have every opportunity possible to live full lives. Drug addicts, alcoholics, criminals, those with handicaps, and those with diseases or medical conditions are all capable, with the right support system and self motivation, to become independent, fulfilled and productive members of society. They just need to be given a chance and perhaps a helping hand.

Essay on Maladaptive Behavior and Psychopathology

Essay on Maladaptive Behavior and Psychopathology Essay on Maladaptive Behavior and Psychopathology Essay on Maladaptive Behavior and PsychopathologyCase VignetteJoanne is a 26-year-old single African American female of the Pentecostal faith, who recently moved to the Chicago Area to take a job in the publishing business. Joanne is requesting medication because she fills â€Å"unstable†.   The history she describes seems to have begun about four years ago when she was in college, getting As in most of her classes, and having a wide circle of friends. During a particularly stressful period of final exams, she began to feel depressed, had difficulty sleeping and eating, and lost about fifteen pounds.Although she completed her exams satisfactorily, her symptoms continued for about the next two months, and during that time she became more isolated socially. After she graduated, she felt much better, got a job, and felt increasingly energized. She began feeling so energized she didnt seem to need much sleep and would wake up after 3 or 4 hours  feeling wide awake and could pu t in 10 and 11 hour days of work.She would feel her thoughts racing with new ideas and seemed to come up with creative ideas, although she often did not carry through on these, or other people didnt seem to understand them. Although she denies the use of drugs or excessive use of alcohol, she does admit that she was partying and socializing a great deal. She said that at this time she found herself preoccupied with sexual thoughts and found sexual implications in whatever people said to her or what she saw on TV.She was also very talkative and felt euphoric except at those times when she became extremely irritable and cranky towards people. She found herself striking up conversations with complete strangers. She began to feel like she could hear people that actually werent there talking to her, and she began to think that her apartment could be haunted. These voices would sometimes tell her to do things, like line objects up in a certain order, or take a different route home, or sta rt saying certain words aloud. She also felt like she could read other peoples thoughts and was sure they could read hers and that they would answer her thoughts even when she didnt say them out loud. Im sure Ive always been psychic, she said, but it just really took off. I could sense all kinds of things.She said her friends became concerned and took her to an emergency room. She was hospitalized for several days and put on lithium. Most of her symptoms seemed to abate. Although she felt more fatigued and slowed down, her sleeping pattern improved, and her appetite increased. In the course of the move to the Chicago land Area, she had discontinued her use of the medication shed been given- the prescription had run out, and she had lost contact with the prescribing psychiatrist. She has been noticing that she has been having difficulty sleeping, feels jittery, has been getting concerned about what other people are thinking, and is having difficulty focusing on work projects because her thoughts are racing.DiagnosticI would diagnose Joanne with major depressive disorder. To be diagnosed with major depression disorder Joanne must have five of the nine symptoms listed in the DSM-5 present during the same two week period. These systems can last for a week, a month, or several years. It started four years ago while Joanne was in college during a particularly stressful period of final exams. (1) Joanne reported having a major depressive episodes exceeding a two week period, in fact lasting two months, where she has felt depressed. (2) Joanne has reported having insomnia where she will sleep 3 to 4 hours a night and work 10 to 11 hours. (3)Joanne’s appetite changed causing a significant loss of weight, 15 pounds without dieting. (5) Joanne who has many friends but she has become socially isolated.I suspect Joanne to have an Alcohol- Related Disorder.   Although she denies the use of drugs or excessive use of alcohol, she does admit that she parties and socia lizes a great deal.   Joanne’s thoughts raced with new and creative ideas, although she fails to carry through on these ideas. Joanne’s parting has created a physical hazard and interpersonal problems. Joanne finds herself preoccupied with sexual thoughts and sexual implications in whatever people say to her and with what she watches on TV.   There are times when Joanne is very talkative and feels euphoric, and times when she is extremely irritable and cranky towards people. Because Joanne suffers from major depressive disorder and Alcohol-Related Disorder, She finds herself striking up conversations with complete strangers. The alcohol is allowing her to relax and let down her barriers. Joanne reported hearing people that actually werent there talking to her, and she began to think that her apartment could be haunted. The voices that Joanne is hearing are probably due to the severity of the depression.Looking at the diagnostic criteria for Alcohol-Related Disorder s, I’m going to have to change my mind about diagnosing Joanne with alcohol-related disorder, because I don’t see where she has used alcohol to the point where it has become a clinical significant impairment.I still believe Joanne to have Major Depressive Disorder along with Bipolar I Disorder.   In order to diagnose Joanne with bipolar I disorder criteria must be meet for current or past hypomanic episodes plus criteria must be met for major depressive episode. (1) Joanne has lived a normal life and has moved to Chicago to start a career. She is now displaying hypomania, which is consistent of a person with bipolar I disorder. (2) Joanne’s thoughts race with new and creative ideas, although she fails to carry through on these ideas, and other people dont seem to understand them. Joanne flies from one idea to the next.   (3) Joanne is displaying hyperactivity and a (4) decreased need for sleep. She began feeling so energized she didn’t seem to need mu ch sleep and would wake up after 3 or 4 hours  feeling wide awake and could put in 10 and 11 hour days of work.Essay on Maladaptive Behavior and Psychopathology part 2

Content and Function Words in English

Content and Function Words in English Each word in English belongs to one of the eight parts of speech. Each word is also either a content word  or a function word. Lets think about what these two types mean: Content Words vs. Function Words Content information, meaningFunction necessary words for grammar In other words, content words give us the most important information while function words are used to stitch those words together. Content Word Types Content words are usually nouns, verbs, adjectives, and adverbs. A noun tells us which object, a verb tells us about the action happening, or the state. Adjectives give us details about objects and people and adverbs tell us how, when or where something is done. Nouns, verbs, adjectives and adverbs give us important information required for understanding. Noun person, place or thingVerb action, stateAdjective describes an object, person, place or thingAdverb tells us how, where or when something happens Examples: Nouns Verbs house enjoy computer purchase student visit lake understand Peter believe science look forward to Adjectives Adverbs heavy slowly difficult carefully careful sometimes expensive thoughtfully soft often fast suddenly Other Content Words While nouns, verbs, adjectives and adverbs are the most important content words, there are a few other words that are also key to understanding. These include negatives like no, not and never; demonstrative pronouns including this, that, these and those;  and question words like what, where, when, how and why. Function Word Types Function words help us connect important information. Function words are important for understanding, but they add little meaning beyond defining the relationship between two words. Function words include auxiliary verbs, prepositions, articles, conjunctions, and pronouns. Auxiliary verbs are used to establish the tense, prepositions show relationships in time and space, articles show us something that is specific or one of many, and pronouns refer to other nouns. Auxiliary verbs do, be, have (help with conjugation of tense)Prepositions show relationships in time and spaceArticles used to indicate specific or non-specific nounsConjunctions words that connectPronouns refer to other nouns Examples: Auxiliary Verbs Prepositions do in has at will though is over has been between did under    Articles Conjunctions Pronouns a and I an but you the for him so us since ours as she Knowing the difference between content and functions words is important because content words are stressed in conversation in English. Function words are non-stressed. In other words, function words are not emphasized in speech, while content words are highlighted. Knowing the difference between content and function words can help you in understanding, and, most importantly, in pronunciation skills. Exercise Decide which words are function and content words in the following sentences. Mary has lived in England for ten years.Hes going to fly to Chicago next week.I dont understand this chapter of the book.The children will be swimming in the ocean this time next week.John had eaten lunch before his colleague arrived.The best time to study is early in the morning or late in the evening.The trees along the river are beginning to blossom.Our friends called us yesterday and asked if wed like to visit them next month.Youll be happy to know that shes decided to take the position.I wont give away your secret. Check your answers below: Exercise Answers Content words are in bold. Mary has lived in England for ten years.Hes going to fly to Chicago next week.I dont understand this chapter of the book.The children will be swimming in the ocean at five oclock.John had eaten lunch before his colleague arrived.The best time to study is early in the morning or late in the evening.The trees along the river are beginning to blossom.Our friends called us yesterday and asked if wed like to visit them next month.Youll be happy to know that shes decided to take the position.I wont give away your secret.

Communication theory related to a famous song Research Paper

Communication theory related to a famous song - Research Paper Example Songs such as â€Å"Now I’m that Chick† reinforces the complexity of the female psyche and their views on self-identity versus emotions on soured romantic relationships. This song best fits the profile of symbolic interactionism, which is best defined as a direct response that occurs not as a product of their views on another’s personal actions, but on the significance they give to the action itself (uregina.ca, 2000). Under this theory, meaning is created based on the direct social interaction that occurs with others in society and then meaning is further interpreted using various coping strategies or direct emotional outburst; whether negative or positive. Symbolic interactionism describes the various cultural symbols that help to shape both identity and a person’s reaction to various social stimuli (McClelland, 2000) such as the termination or hopeful renewal of what might have been a bad romantic relationship. The social norm for handling this situation might have been reinforced on the individual through various media formats or experience with peer reactions in similar situations and the individual develops their own symbolic meaning about these situations and then applies what they believe to be appropriate action. One line from â€Å"Now I’m that Chick† states, Cause you thought that I was pure as snow, guess you didn’t know, which is a form of self-reinforcement to another party, in this case an old romance, that the individual is emotionally strong and largely defiant. The lyrics seem to point toward the return of an old flame that wants to renew this poor romance and Franc identifies that such a thing would be impossible for her to endure based on the symbolism she attached to the experience. Another line states, Now I’m that Chick, and you’re just a clown, in a further effort to either create her own defense mechanism (a psychological view) or to stab cruelly at the receiver’s

Cross cultural management Essay Example | Topics and Well Written Essays - 1500 words

Cross cultural management - Essay Example Studies of the ancient china are useful in the understanding of the leadership models in modern china. Research on Chinese leadership is accredited to a scholar known as Misumi, who was Japanese. According to his research, he categorized Chinese leadership into two major classifications notably the model of performance and the maintenance. Maintenance factor is the step taken towards improvement of the human labour force. An interesting close examination of the leadership style adopted in China reveals that leadership characteristics are spread along the organizations with close similarity. For example, according to Mobley, Wang and Li, the survey conducted on state owned enterprises and the private owned enterprises shows that the managers are more sensitive to the environment, are less authoritarian, and encourage a lot of moral behaviors. In particular, the traditional cultural values have more often shaped the styles of leadership and mode of management in china. According to Bod en, leadership in china originates from various qualities as compared to other nations; leaders are created on the basis of knowledge and attitude. The advantage that the ruler has is that the Chinese are very loyal to their leaders and are always ready to take up the responsibility whenever a need arises. The current leaders in china are more linked to the olden traditional rulers because they share certain traditional similarities. According to Boden (2008), these values are Confucian approach, legalistic approach, naturalistic approach, as well as the strategic approach. The Confucian approach, which is also known as the humanistic leadership requires a leader to have moral character and proper conduct. He is also expected to be a lifelong learner. The legalistic approach demands that a leader undergoes punishment whenever he goes wrong; it articulates for stricter codes of conduct. This leader is also expected to have the skills of attracting skilled and knowledgeable followers, rather than them having to display their skills. In this case, the leader is expected to be wise, and at all times, avoid getting into trouble. The delegated duties should be accompanied by rewards if a worker performs well. China is a unique nation with a different cultural setup compared to other nations in the West; this has led to its unique ways of leadership styles that do not conform so much to those of the Western countries. The methods of leadership practiced in other nations have to be greatly modified if they are to fit the nation of China and the vice versa. Gallo points out that â€Å"in fact many of them will never work well here† (2011, p. 5), meaning in China. There are cultural differences that exist between China and the countries from the west. There is also difference in which expectations are laid between the workers and the leaders. Another contributing factor to these differences in leadership styles are the societal values that do vary; some of the values from other nations that may be seen as good can be perceived differently in China. Challenges of leadership are complicated and harder especially when members of an organization come from different cultural setups from that of their leader. The naturalistic appr

Movie One Flew Over the Cuckoos Nest Essay Example for Free

Movie One Flew Over the Cuckoos Nest Essay Nurse Ratched: Thats okay, Nurse Pilbo. If Mr. McMurphy does not want to take his medicine, we will just have to arrange for him to have it some other way, although I dont think hed like it very much. In the movie, although most of the patients are not chronics (committed forcibly), nobody ever leaves to establish their autonomy. Nurse Ratched, under the guise of a counselor interested in helping them to overcome their problems and establish independence, actually uses implicit and explicit measures to oppress them and keep them captive in a de facto dictatorship. One of the ways to keep the patients docile and puerile is exemplified in the foregoing dialogue. The ingestion of pills indicates an oral fixation and an inability to progress to the proper phallic stage. Even if the pills are not the catalyst of the arrested development, and their neuroses are the result of arrested development that preceded their admission to the hospital, the pills preclude any possibility of ameliorating their problems. McMurphy, who is the quintessential representation of democracy and rugged individualism, has no such problems. However, in an attempt to control him, Ratched threatens to forcibly insert the pill into his body rectally. Such an action, if completed, would symbolize a regress to the anal stage,  successfully removing him from the world writ large and the Law of the Father. Luckily, McMurphy feigns swallowing the pill to appease her, and then spits in out. Two incidents that support psychoanalytic reading Billy Bibbitt is a stuttering, virginal, thirty-year old boy child. His inability to establish solidarity with anyone, especially of the opposite sex, and his profound difficulty articulating himself, show an inability to successfully enter the Symbolic realm and establish a name for himself. He is strikingly similar, in many ways, to the monster in Frankenstein. However, towards the end of the movie, he is wheeled in a wheelchair into an isolated room, where he has sex with a strumpet. As he sits in the wheelchair, he is ill, malignant to society, a cancer who has been successfully removed.However, after coitus, he becomes confident, holding his head high, laughing, and most importantly, he does not stutter. Nurse Ratched asks him if he is ashamed of what he did. He says, No, Im not as articulately as an ambassador. Unfortunately, Ratched threatens to tell his mother, which once again removes him from the Symbolic realm, forcing him to stutter again, losing the linguistic facility h e required. It is too much for him to bear. He kills himself. Charlie Cheswick, an insecure neurotic, becomes enraged, overtly challenging Nurse Ratched when she hides his cigarettes. Inspired by McMurphy and his democratic, paternalistic ideals, he begins to see the cigarettes as a phallic symbol, his absent father, desperately attempting to return to the imaginary stage so that he can accept his fathers dominance, disabuse himself of an overwhelming need for his mother, and enter the Symbolic realm, thereby gaining his autonomy. Unfortunately, Ratched and the sadistic orderlies put an end to his fustian ranting, and he is led away, crying, to receive electro-shock therapy. L Interpretation of one character using psychoanalysis Martini, played by Danny Devito, not only has a childlike physicality, but  has a puerile affect as well. He does not speak throughout the entire film, except for non-sequiturs and sibilant and monosyllabic utterances in response to McMurphys remarks and always has an innocent smile on his face, oblivious to the meaning of language (he cannot understand McMurphys explanations of how to play cards). This shows an inability to escape the imaginary realm, as he is not able to successfully construct meaning with others. However, towards the end of the movie, after all of the patients reveled in bacchanalian bliss, Nurse Ratched asks him to pick up her soiled cap, which lay on the floor. He understands her and, smiling, carries out her order. He may not be able to understand the Law of the Father, but he can understand Ratcheds language (the signifier) and the thing that it signifies (oppression that relegates him to eternal childhood). Themes and Issues ** McMurphy (Law of the Father) versus Ratched (the maternal thing and object a which the patients are seeking, but can never recover. However, the faà §ade of possibly grasping it Ratched strings them along- keeps them hostage). ** Taciturnity versus fluency Symbols ** Cigarettes are symbolic of the phallus ** Pornographic playing cards, which can possibly be symbolic of a mother figure, are here used (I believe) to stimulate sexual desire in an attempt to draw the patients towards the Symbolic realm). ** Pills are symbolic of an oral fixation. ** Wheelchair is symbolic of paralysis (stifled by Ratcheds dictates), but when Billy Bibbitt falls out of the wheelchair, into the arms of a woman, Ratcheds control is vitiated. Why I believe in this reading Because mental illness, or the perception of mental illness, is the focus of the movie, psychoanalytic criticism is perhaps the best critical theory to analyze the themes and characters. The aberrant behavior manifested by the patients can easily be explained using the imaginary and symbolic realms, and metaphoric connections can be drawn, as the heading symbols shows. This is not only an easy and productive theory to use for this movie, but one which yields (I believe) truthful explanations. Reader Response Textual Passage But Doc, she was fifteen years old, going on thirty-five, Doc, and, uh, she told me she was eighteen and she was, uh, very willing, you know what I meanI practically had to take to sewin my pants shut. But, uh between you and me, uh, she might have been fifteen, but when you get that little red beaver right up there in front of ya, I dont think its crazy at all now and I dont think you do eitherNo man alive could resist that, and thats why I got into jail to begin with. And now theyre telling me Im crazy over here because I dont sit there like a goddamn vegetable. Dont make a bit of sense to me. If thats whats bein crazy is, then Im senseless, out of it, gone-down-the-road, wacko. But no more, no less, thats it. In the foregoing passage, McMurphy defends his sanity with an apology that would be difficult for anyone in society to disagree with. He portrays the female as the lascivious one, so interested in satisfying her sexual desires that she prevaricates about her age to copulate with the unsuspecting McMurphy. He portrays himself as the all-American male, respectful of women, yet having a strong libido, ready, willing, and able to cleave the beaver at a moments notice. J He becomes the victim when he ascertains her true age, and derides the system for questioning his mental health for acting as any other man would in his situation. He concludes his defense with verbal  irony, acerbically vociferating that if such behavior is abnormal, then he is indeed the king of craziness. Two incidents that support reader-response McMurphy knows that the others are not crazy, and although he may not be able to articulate it, knows that they are all being governed by an autocrat with no interest but self-interest. In an effort to overcome the totalitarian regime, he knows he must win the other patients over to his side. To become victorious over Nurse Ratched, he feigns watching the World Series, creating his own game, a game which is a foundation of democratic ideals, as American as apple-pie. Nurse Ratched looks on in disbelief and rage as the patients, usually reticent and phlegmatic, become excited and happy, buying into McMurphys ideals. She immediately importunes them to stop, but as the scene ends, they continue their revelry. It appears that McMurphy has the upper- hand. The movie takes place in the 1960s, when racism was still prevalent. It is important to note that all of the patients are white, yet powerless, and all of the orderlies, a menial job, are black, yet dominate the patients throughout the movie. Not only do they physically control the patients, but also are mentally and emotionally healthier, and they have more freedom (they listen to the World Series, while the patients cannot). Perhaps even implicitly, the director is advocating equal rights for African Americans, or perhaps even insinuating that blacks are superior to whites. However, since they must answer to those in charge (who are also white) the latter theory does not seem plausible. The director most likely wants to show how powerless the mentally ill truly are, to be controlled by people who were subjugated and kept in bondage for hundreds of years. They are truly the dregs of society. Interpretation of one character using reader-response Although Chief Bromden seems to be more powerless than McMurphy throughout most of the film, it is he who survives and escapes into the world writ  large at the movies end. Bromden has intrinsic strength, but is unable to find it throughout most of the movie because it is concealed by a hatred for the world (fostered by his fathers alcoholism). However, he buys into McMurphys democratic ideals, his vision of freedom, and desires to break free from the bondage and begin a life full of promise. Unfortunately, he is forced to do it alone because McMurphy, who appears to be so powerful throughout the entire film, is only affecting interest in freedom. He knows that he is a pariah, and desires to be incarcerated to escape the pain of the world. He lies to himself and to others when he spreads his vision of autonomy. He has several chances to escape to freedom during the movie, but forsakes them in favor of wild antics. However, intractability and totalitarianism do not mix. His obstreperous antics and unwillingness to escape from his subjugation cause his demise. After he is lobotomized, and Bromden understands McMurphy will never be free, he knows that he can never be free unless he escapes from the institution. Hanging on to the ideals of democracy, which he now firmly believes in, he knows he must be strong enough to accomplish the dream that McMurphy could not fulfill. He suffocates McMurphy so that he can enjoy freedom after all, and then uses brute strength to experience a freedom of his own as he throws the fountain, which McMurphy could not lift, through the window). It appears that Bromden is the stronger of the two after all, and McMurphys strength was always artificial. He was not able to change any of the other patients with his worldview, but it appears verisimilitude can have posit ive effects after all. Where is Chief Bromden now, I wonder? Themes/Issues ** Democracy versus totalitarianism **Perception versus reality ** Black versus white ** Femininity versus masculinity **Criminality versus insanity ** Nature versus nurture ** Social constructs and identity formation Symbols ** Music symbolizes regimentation and control ** Sex symbolizes freedom ** Race, affect, cognitive development, gender, and mental stability symbolize stratification. ** Mental facility symbolizes a microcosm with the macrocosm, which is directly antithetical to the ideals the macrocosm embraces rationing of personal effects, bedtimes, facilitated and monitored conversations, etc. ** Choice symbolizes the taboo. Why I believe in this reading Without reader response, subjectivity cannot exist. When myriad ways of looking at the world do not exist, provincialism ensues, and eventually a maniac like Nurse Ratched may govern us all. J To preclude myopia and societal malignancies (racism, classism, chauvinism, and other biases), it is necessary to view texts, and by texts I mean everything society that can be analyzed, as objectively as possibly, analyzing them from many perspectives. I am grateful to have the ability to use my mind to attempt to develop solutions to the ills of the world, because some people live in worlds that preclude them from using their minds to seek justice for themselves and others. Nurse Ratcheds must be thwarted before they establish power! Feminist Approach Textual Passage Nurse Ratched: Why did you ask that girl to marry you Billy? Billy: I, I, I, loved her Nurse Ratched. Nurse Ratched: Why didnt you tell your mother about it? Your mother told me you didnt tell her. Billy Bibbitt: ( He is silent and hangs his head in shame). Charlie Cheswick: (Fearfully and hesitantly) Nurse Ratched, let me ask you a question. Nurse Ratched: (Angered, with fire in her eyes, affecting concern) Go ahead, Mr. Cheswick. Charlie Cheswick: Nurse Ratched, cant you see hes uncomfortable. I mean, if he doesnt want to talk, cant we just go on to some new business. Nurse Ratched: ( Impatiently and caustically, verging on a diatribe) The business of this meeting, Mr. Cheswick, is therapy! While it might appear that Nurse Ratched is genuinely concerned about Billy at first glance, after further examination it is apparent, from this discourse and other interlocution throughout the movie, that she has deep seated sexual problems and loathes men, hatred that may be the product of inequalities or abuse that she has experienced at the hands of men. While adult men should not have to apprise their parents of relationships with the opposite sex, Nurse Ratched thinks it is imperative. She is remembering promises of fidelity from sweet-talking Lotharios, men who proposed marriage, but did so clandestinely, all in an effort to use her for sexual pleasure! She loves Billys inability to articulate himself, because he  cannot flatter women with lies, and break their hearts, as men broke hers. She values men who are close to their mothers because such relationships are built on trust and innocence. Those who keep secrets can conspire to hurt others for their own selfish gain. Mothers hate that! When she attempts to counsel Billy, she does so from a personal bias, even if she does not see it. In an effort to assuage her own pain, and the oppression of all women in society, she destroys Billys self-image, emasculating him, making him as powerless as she is. Interpretation of Mildred Ratched using feminist criticism Mildred Ratched shows a desire, a compulsion really, to completely control every man on the ward throughout the entire movie. She knows she cannot establish such power with completely healthy men, so she cherishes her time at the ward (if one is on the qui vive during the movie, it is apparent that she comes when the sun just rises and leaves when it is dark shes a fanatic!). She is attempting to create her own world, one where she is completely in charge, and the oppressive ideologies of a patriarchal society become a de facto fiction. Almost all of the men are taciturn, or when they do speak, the language is fragmented and uncertain. Her language is omnipresent and omnipotent, superseding and threatening to completely obliterate the language of the outside world. When McMurphy, an intractable democratic ideologue with glib on his tongue and subversion on his mind comes to the facility, her own suppression becomes a reality once again, and she knows she must fight until she tames t his wild beast. Although McMurphy proves to be a formidable foe, she defeats him in the end, proving that a womans language can defeat the oppressive language of men when the two collide, and that others will still accept it after the battle is over. It is interesting that a male, Chief Bromden, who is thoroughly emasculated throughout the entire movie, has to generate the strength to escape from feminine language to enter the masculine language of the world writ large. It is NO LONGER the world writ large. Nurse Ratcheds world has turned into the macrocosm, and everywhere else is just a microcosm, only tangentially connected to reality proper, a reality that the virtuous Nurse Ratched creates. Two incidents that support this kind of reading I have already covered a lot, so I will give two brief examples. Randall McMurphy says: Theyve been giving me ten-thousand volts a day and I/ hot to trot. The next woman to take me ons gonna light up like a pinball machine and pay off in silver dollars. Nurse Ratched shows anger at first, and then affects amusement before changing the subject. She in sickened by his objectification of women, but then understands that she has him under her control. He wont be gettin any nookie if she can help it! J Earlier in the film, she hides the patients cigarettes as punishment for gambling. The cigarettes represent phalluses, which she has complete control of. She emasculates them, and will only give their members back if they are good boys and follow her rules.

Claudio and Heros Relationship vs. Beatrice and Benedicks :: Much Ado About Nothing Shakespeare Love Essays

Claudio and Hero's Relationship vs. Beatrice and Benedick's The main topic of discussion is based around the relationships of Claudio and Hero and how their relationship differs from Beatrice’s and Benedick’s. The idea of marriage is an important factor. In Shakespeares time marriage was seen as an obligation and your wife would be ‘chosen’ for you. The decision making was made by the men. It was a very patriarchal society. Beatrice is a prime example of one of Shakespeare’s strong characters. She refuses to marry because she has not found the perfect equal partner and is unwilling to eschew her liberty to the will of a controlling husband. In her frustration and rage about Hero’s mistreatment, Beatrice rebels against the unequal status of women in Renaissance society. â€Å"O that I were a man for his sake! Or that I had any friend would be a man for my sake!† she passionately exclaims. â€Å"I cannot be a man with wishing, therefore I will die a woman with grieving†. Beatrice relates to women in a modern society because of her attitude towards society’s norms at that time. Benedick is the wilful lord who vows never to marry. He engages with Beatrice in a competition to outwit and outsmart each other, but to his observant friends he seems to feel some deeper emotions below the surface. Beatrice and Benedick have a more modern idea of a relationship. In Shakespeare’s time the idea of marriage was very different from today. Women had no freedom to marry for love, whereas today women have a lot more freedom and power to make their own choices. Love and marriage are the two most striking ideas in Much Ado About Nothing. The play ends with the union between a fair young woman and a

Ethics and Law in Cyps

Te Tohu Paetahi Nga Poutoko Whakarara Oranga Bachelor of Social Work (Biculturalism in Practice) YEAR ONE COVER SHEET Please complete ALL parts of this form and submit with each assignment. Akonga Names| Sanjida Pathan| Akonga IDs| 200021986| Paper Code| WHASW 513. 2| Paper Title| Te Whakakoha Rangatiratanga: Te Ture (Social Work and Law)| Markers| Glenys Daley, Olive Leonard and Huhana Reihana|I hereby declare the following: * I wrote the assignment myself * I researched the material myself * I sourced the material legitimately * I understood the due date * I understand the policy of resubmission * I understand that my work may be used for moderation * I have taken responsibility for keeping a copy of my work * I accept the consequences of non-compliance of all the above| Akonga Signature: Sanjida Pathan Date: 29. 9. 12 Electronic Signature is acceptable Te Whakakoha Rangatiratanga: Te Ture (516. 2) Social Work and Law Assignment Two Define the ethical and legal frameworks that fash ion the practice of the organisation you have researched. Explain whether or not these frameworks link with takepu. Name: Sanjida Pathan| | Excellence| Merit| Achieved| NYA|Nga Rarangi KoreroContent| 17 – 20 * A systematic, detailed & reasoned assessment * Substantive exploration of issues and strengths * Some critical analysis * Principled theoretical analysis shown * Effective questioning * Effective listening skills | 14 – 17 * A reasonably balanced assessment * Main issues explored * Adequate content * Some points not adequately developed * Some good questions * Some good listening| 10 – 13 * Kaupapa not fully covered * Some points confused or not adequately developed * Overuse of quotes * Adequate but with flaws * Adequate communication |

Reflection in Nursing Essay

This assignment is a reflective account of events that arose for a nursing student during their first clinical placement in a community hospital. A brief definition of reflection will be given, with emphasis placed on communication. This reflection has been chosen to highlight the need for nurses to have therapeutic communication skills, to provide holistic care for those diagnosed with dysphasia or speech loss and the scope of learning opportunities it has provided to improve practice in this area. All names in this text have been changed, to respect the confidentiality of the patient and other healthcare professionals (NMC 2002). Reflection, in this instance, is a way of analysing past incidents to promote learning and improve safety, in the delivery of health care in practice. The Gibbs reflective cycle has been chosen as a framework for reflection (see appendix 1). Mr. Comer was admitted to his local community hospital for respite care. He has suffered multiple, acute strokes in the past, which has left him with severe disabilities. These include paralysis rendering him immobile, aphasia (speech loss) and dysphagia (swallowing difficulties). He relies on carers for all normal activities required for daily living (Roper et al 1996) and is advised to have a pureed diet and thickened fluids. My mentor asked me to observe her feeding Mr Comer. She had prepared my learning the week previously by providing literature on the subject of feeding elderly patients and discussion on safe practice for feeding patients with dysphagia. I was alarmed and unprepared for the physical sight of this patient, who was coughing noisily and laboriously and a thick, green stream of mucus was exuding from his mouth. I observed Mr. Comer being fed and noticed he was coughing more than normal during his meal, but was informed that this was quite normal for him. I was asked to feed him the next day. When I uncovered Mr Comer’s meal he started to cough in the same manner that I had witnessed before, but this time he evaded all eye contact. I was feeling extremely anxious, but proceeded to load a spoon with his meal. His coughing increased in intensity accompanied by rapid eye blinking, turning his head away from me and throaty groans that I can only describe as distressed vocal growling. I was terrified at this point and called for assistance, thinking Mr. Comer was having some kind of seizure. I discovered very quickly from another health carer who knew Mr. Comer well, that he was protesting profusely about the pureed dinner I was going to give him which he dislikes immensely. On the previous day, he had received an ordinary meal, mashed to a smooth consistency, which is what his carers provided for him at home. This experience left me feeling very uncomfortable and inadequate in my role. I tried to understand why he reacted so alarmingly by putting myself in his position. I felt anger and frustration, but more importantly the feeling of helplessness. Not being able to voice my dislike to the meal offered exacerbated the urgency of hunger or thirst. Although this experience was very frightening for me and frustrating for the patient, it has highlighted the need for me to improve my communication skills. NMC (2002) outlines that we must not add extra stress or discomfort to a patient by our actions and we must use our professional skills to identify patient’s â€Å"preferences regarding care†¦and the goals of the therapeutic relationshipâ€Å". Severtseen (1990) cited by Duxbury (2000) applies the term ‘therapeutic communication’ as the dialogue between nurse and patient to achieve goals tailored exclusively to the patients needs. In this case dialogue is used by Mr. Comer in the form of body language and noise to communicate his needs because of speech loss. Nelson-Jones (1990) states that facial expressions are an intrinsic way to express emotions and eye contact is one way to show interest. The avoidance in eye contact displayed by Mr. Comer showed his distinct lack of interest. Compounding these factors was his facial paralysis, which made it especially difficult for me to ascertain the exact nature of his feelings. The nurse must be the sender and more importantly the receiver of clear information. Patients with speech impairment or loss have a more difficult task sending the messages they want and are sometimes unsuccessful in making themselves understood. (Arnold & Boggs 1995). It appeared to me that Mr. Comer’s cough was not only a physiological disorder caused by his condition, but a way for him to communicate, in this case, his displeasure. Critical analysis of this experience has pointed to the fact that I have inadequacies in my skills, to identify covert and overt clues provided by Mr. Comer to his needs. I had focussed too much on the presenting task to feed him, with my mind occupied on his safety due to the nature of his swallowing problems. I had not considered his other needs like his wishes or desires and I had not gathered enough personal information about him beforehand to know this (Davis & Fallowfield 1991). I had been unsure about what to say or do to alleviate Mr. Comer’s apparent anxieties and had adopted what Watson & Wilkinson (2001) describe as the blocking technique. By continuing my actions to carry on with the meal, I was cutting short the patients need to communicate a problem. I was influenced in this decision because I felt obliged to be seen to reduce his anxieties, knowing my actions would be judged by an audience of other care workers and patients on the ward. I did not respond efficiently to reduce his distress and this pressure led me to deal with the situation inadequately and for that I felt guilty (Nichols 1993). I should have allowed more time to understand what Mr. Comer was thinking and feeling by putting words to his vocal sounds and actions. I could have shown more empathy in the form of my own body language to promote active listening (Egan 2002) and not worried about other peoples views on my decisions and beliefs to act in a way I felt comfortable with and thought was best for my patient. Gould (1990) cited by Chauhan & Long (2000) have suggested that â€Å"many of the non verbal behaviours we use to reassure patients, such as close proximity, prolonged eye contact, clarification, validation, touch, a calm and soothing voice, the effective use of questions, paraphrasing and reflecting thoughts and feelings and summarising are all sub skills with the totality of empathy†. There is an abundance of information about communication, especially for nurses because it is considered by many as the core component to all nursing actions and interventions. Lack of effective communication is a problem that still exists because the learning process that leads to a skilled level of ability may take years of experience to develop (Watson and Wilkinson 2001). It has been quite difficult for me to admit my inadequacies in communication, but Rowe (1999) explains that a person must identify their weaknesses as an initiative for becoming self-aware. Only with acceptance of ones self, can a person begin to acknowledge another persons uniqueness and build upon this to provide holistic care.

Political Geography and Sovereignty of Palestine

Political Geography and Sovereignty of Palestine There are eight criteria accepted by the international community used to determine whether an entity is an independent country or not. A country need only fail on one of the eight criteria to not meet the definition of independent country status. Palestine (and I shall consider either or both the Gaza Strip and the West Bank in this analysis) does not meet all eight criteria to be a country; it fails somewhat on one of the eight criteria. Does Palestine Meet the 8 Criteria to Be a Country? 1. Has space or territory that has internationally recognized boundaries (boundary disputes are OK). Somewhat. Both the Gaza Strip and the West Bank have internationally recognized boundaries. However, these boundaries are not legally fixed. 2. Has people who live there on an ongoing basis. Yes, the Gaza Strips population is 1,710,257 and the population of the West Bank is 2,622,544 (as of mid-2012). 3. Has economic activity and an organized economy. A country regulates foreign and domestic trade and issues money. Somewhat. The economies of both the Gaza Strip and the West Bank are disrupted by conflict, especially in Hamas-controlled Gaza only limited industry and economic activity is possible. Both regions have exports of agricultural products and the West Bank exports stone. Both entities utilize the new Israeli shekel as their currency. 4. Has the power of social engineering, such as education. Somewhat. The Palestinian Authority does have social engineering power in fields such as education and healthcare. Hamas in Gaza also provides social services. 5. Has a transportation system for moving goods and people. Yes; both entities have roads and other transportation systems. 6. Has a government that provides public services and police or military power. Somewhat. While the Palestinian Authority is permitted to provide local law enforcement, Palestine does not have its own military. Nonetheless, as can be seen in the latest conflict, Hamas in Gaza does have control of an extensive militia. 7. Has sovereignty. No other State should have power over the countrys territory. Somewhat. The West Bank and Gaza Strip do not yet have full sovereignty and control over their own territory. 8. Has external recognition. A country has been voted into the club by other countries. No. Despite the super-majority of United Nations members approving United Nations General Assembly resolution 67/19 on November 29, 2012, giving Palestine non-member state observer status, Palestine is not yet eligible to join the United Nations as an independent country. While dozens of countries recognize Palestine as independent, it has not yet attained full independent status, despite the UN resolution. If the UN resolution had allowed Palestine to join the United Nations as a full member state, it would have immediately been recognized as an independent country. Thus, Palestine (nor the Gaza Strip nor the West Bank) is not yet an independent country. The two parts of Palestine are entities that, in the eyes of the international community, have yet to obtain full have international recognition.

Strategic Marketing Management of Nintendo Assignment

Strategic Marketing Management of Nintendo - Assignment Example Furthermore, members of this club have access to limited edition products that are not available to non members. Finally, the company sells video games that are segmented by games for Nintendo Wii, Wii U, DS and 3DS. Although majority of the games are sold through retailers, some are available for download on the company’s e-shop website. Current market/s including customer behavior issues, demand and trends The company uses differentiated positioning for its offerings. While the company has historically targeted the segment of gamers, it has recently shifted its attention to incorporate non-gamers. This segment comprises of families, women as well as individuals who are ‘not’ hard-core gamers. In other words, Nintendo now targets individuals who want quick-fix gaming solutions in addition to serious gamers (MaRS, 2012). This has been matched by a shift in the company’s value proposition which has evolved from the delivery of intensely realistic gaming expe riences to providing fun-filled family entertainment. The company soon realized the changing customer demographics and saw a large potential in the market for women and pensioners. As of 2010, Wii was presented by 90% of primary console female players (ESRB, 2010). Overall, women account for 40% of video game players (ESRB, 2010). This has opened up new markets for Nintendo, thereby reducing reliance on the market for hard-core gamers which has become highly competitive. While price and performance plays a key role in determining customer response to the company’s products, emotional attachment to the product is just as important in order to capture customer value. Furthermore, the company’s use... The researcher of this essay focuses on the analysis of the current business products and product lines that the Nintendo uses to gain benefits today. Nintendo seems to have used the latter with majority of its products carrying the â€Å"Nintendo† label. The product lines include the Nintendo Wii U, Wii, Nintendo 3DS as well as services such as Club Nintendo and Video Games. The Nintendo Wii comprises is a hardware – game box that is motion controlled and allows users to play games on it. The researcher presents tdifferent products of the company and states that the company also sells video games, that are segmented by games for Nintendo Wii, Wii U, DS and 3DS. Although majority of the games are sold through retailers, some are available for download on the company’s e-shop website. Current markets including customer behavior issues, demand and trends are later discussed in the essay. The researcher also describes how the Nintendo company uses differentiated pos itioning for its offerings, where price and performance plays a key role in determining customer response. Nintendo outsources its production, that is, it makes limited term contracts with various companies that manufacture its products in their factories. This is because the company had initiated a blue ocean strategy whereby it attempted at broadening its customer base. The researcher then concluds that Nintendo can capitalize on its core competency of being the pioneer in the video gaming industry - a competency which is both valuable and rare.

Artificial Intelligence in Health Care Delivery System Essay

Artificial Intelligence in Health Care Delivery System - Essay Example In the market-driven health system, consumers or people decide what goods (health module) to buy and at what cost. Therefore, the prices and the level of services become the crucial factor in the exchange of goods or the healthcare services. In the last few decades, United State has seen a marked shift in the healthcare which has moved from public driven policies to market funded paradigms. Healthcare is funded by private agencies and insurers and not by the government. Health insurance purchased by individuals and employers are the primary source of funding for healthcare delivery. The healthcare-related websites offer huge information about the healthcare services that may satisfy the needs of individuals, the family and the businesses. The websites of private insurance players promoting a wide range of healthcare products have become the main tools of market strategy. AIG is one of the world’s leading insurance and financial services with operations in more than 130 countri es across the globe (aig.com). The company offers a huge range of healthcare products in the insurance area for individuals and businesses. It facilitates options and premium calculations, including providing the people to customise products to suit their affordability, requirement and general welfare. Overall this link broadly gives the information so they are able to query in detail about the diseases and health plans with their service providers. Yes, using information technology in the insurance field greatly promotes artificial intelligence in healthcare. AI can be broadly defined as ‘the study of ideas which enable computers to do the things that make people seem intelligent ... The central goals of Artificial Intelligence are to make computers more useful.