Human Capital Management Essay

InterClean has merged with EnviroTech in order to evolve with the industry and providing not only cleaning products, but also solutions and services. This merger is an opportunity for InterClean to reposition itself and expand their understanding of the marketplace, customer’s needs, and to break through into new markets. The company’s goal is to provide a full spectrum of cleaning services and solutions that will become our major avenue for sales. In order to do that the focus needs to be on attracting, retaining and motivating the best talent, which can be done by establishing a superior training plan and offering competitive benefits and compensation packages. Pay System In order to control costs InterClean’s pay system should channel more dollars into incentive awards rather than fixed salaries. â€Å"Such variable-pay systems almost guarantee cost control† (Cascio, p. 417). The pay system for employees will be a pay-for-performance theme with bonus payouts. Not only will this pay plan keep costs lower than other pay plans, but it will also help to encourage healthy competition among employees and increase productivity. â€Å"Almost a third of American workers whose pay is not tied in some way to their performance believe they would be more productive if they had a greater interest in the companies that employ them through benefits such as profit sharing, according to a survey from temporary staffing and outsourcing firm Kelly Services. (Miller, p. 1)† Three Components of the Reward Package Compensation packages include both financial and nonfinancial rewards. The base pay with the bonus payouts would cover the financial rewards. â€Å"Nonfinancial rewards include everything in a work environment that enhances a worker’s sense of self-respect and esteem by others (e.g., work environments that are physically, socially, and mentally healthy; opportunities for training and personal development; effective supervision; recognition) (Cascio, p. 418).† The nonfinancial benefits that will be offered to motivate employees to reach peak performance are a wellness plan (including gym membership), on-site dependent care and flex time. A wellness plan plays an important role into keeping health care expenses down and decreasing the amount of sick leave taken. â€Å"Studies have found that employees that take care of themselves live longer and don’t become sick as easily as their un-fit co-workers. When a company has a healthy staff, they are more productive and their appearance presents a positive image to the consumers (Unknown, p. 1).† InterClean can encourage employees to use gym membership by allowing extra time during their lunch hour for employees to exercise and have enough time to shower, change and get back to the office. Dependent care on-site will decrease employee absences and increase productivity and morale. â€Å"Data from national random sample indicate that providing family benefits promotes a dedicated, loyal workforce among people who benefit directly from the policies, as well as those who do not (Cascio, p. 381).† When a company had loyal and dedicated employees they will have a lower turnover rate, which in the long run will save large amounts of money. â€Å"A study done by Cynthia Ransom and Sandra Burud at the Union Bank in Pasadena, California showed that the bank saved between $138,000 and $232,000 annually in operations due to a reduction in turnover and absenteeism from their on-site daycare program. (Murdock, p. 1)† Flex time References: 1. Unknown, 2010. Gym Memberships as Part of Your Wellness Program. http://www.businessknowledgesource.com/health/gym_memberships_as_part_of_your_wellness_program_028931.html 2. Murdock, K. Februrary 13, 2006. On-Site Childcare. http://www.allbusiness.com/specialty-businesses/women-owned-businesses/387737

How to Right a Paper

ppendix D: Individual Skills Assessment Questionnaire for the Instructor Directions: The following questionnaire contains the Individual Skills Assessment that must be administered to each student individually as a panel interview. Print enough copies of the ISA Questionnaire so that each interviewer has one copy per student before the panel interview begins. Please see the Instructor Guide section of this courseware for complete instructions on how to conduct the interviews. For each topic, start with Learning Level 3. Circle each of the response criteria that the student successfully includes in his or her response.You may use the scoring table at the end of the questionnaire to tally the student’s score. Note: Each topic includes questions at three levels: o Level 3: Synthesis/Evaluation (Most-challenging questions) o Level 2: Application/Analysis (Medium-level questions) o Level 1: Knowledge/Comprehension (Least-difficult questions) Appendix D: Individual Skills Assessment Questionnaire for the Instructor  ©ITT Educational Services, Inc. 104 Date: 01/12/2010 Individual Assessment Skills Questions with Correct Response Criteria Topic 1: HardwareLearning Level 3: Synthesis/Evaluation Question: 1. You are building a LAN in a company that develops insurance management software. What hardware requirements should be taken into consideration? (TB143, IT1220) Correct Response Criteria: The student addresses why each is important: PC resources needed: Memory, disk drive size, processor size Networking resources: Category 5e cable, hub, switch, bridge, router Learning Level 2: Application/Analysis Question: 1. Describe how the memory manager divides up and allocates memory. (TB143, IT103) Correct Response Criteria:The student identifies the following memory concepts and describes how each works: Virtual memory Shared memory Paged memory Contiguous memory Non-contiguous memory Multi-programming Learning Level 1: Knowledge/Comprehension Question: 1. Identify a ll of the different types of input ports is available on a modern computer? (TB143) Correct Response Criteria: The student identifies the following ports: USB Serial Parallel Video /audio RJ45 FireWire Appendix D: Individual Skills Assessment Questionnaire for the Instructor  ©ITT Educational Services, Inc. 05 Date: 01/12/2010 SCSI Topic 2: Programming Learning Level 3: Synthesis/Evaluation Question: 1. Explain the difference between passing a piece of data â€Å"by value† and passing a piece of data â€Å"by reference. † (IT104) Correct Response Criteria: The student identifies the following data types and describes how each piece of data is passed: Parameter Argument Parameter list Data type Compatibility Reference address Learning Level 2: Application/Analysis Question: 1. Explain the â€Å"scope† of a data statement. 2. What are the implications of misidentifying a l

How have certain modern conflicts been described as ‘New Wars?’ Essay

Whilst ‘old’ wars have sometimes been referred to as ‘interstate industrial warfare’ which involve wars between states being fought by armed forces in uniform, with decisive encounters being decided on one battlefield, ‘new’ wars have been described by Mary Kaldor as ‘intra-state’ wars. In the last 20 years we have seen a paradigm shift; from armies with comparable forces doing battle on a field to strategic confrontation between a range of combatants using different types of weapons .These so-called ‘new’ wars which involve the use of civilians as both targets and objectives to be won, have been said to have been led by globalisation, due to the fact that the integration created has led to â€Å"fragmentation,† as seen in the Yugoslav wars with these wars being wars on identity. An identity war is a conflict in which the quest for cultural regeneration, expressed through the demand that a people’s collective identity is publicly and politically recognised, is a primary motivation for conflict. These ‘new’ wars have constructed new sectarian identities (religious, ethical or tribal) that undermine the sense of a shared political community. They recreate the sense of political community along the new lines through purpose of fear and hate. These ‘intra-state’ identity conflicts have been prominent in many recent conflicts, with the Iraq war and The Arab Spring seeing the recurrence of tensions between the Shia and Shiite Muslims. Furthermore, conflicts in the Congo, Rwanda and Sudan were also fought on the lines of ethnicity, with ethnicity also being a real cause in the Yugoslav wars with Slavic Christians being pitted against Bosnian Muslims. Furthermore, ‘new’ wars have differing characteristics to ‘old’ wars. As mentioned earlier, ‘old’ wars traditionally saw conventional armies fighting against each other, however with ‘new’ wars, we have seen a blurring between civilians and soldiers. This can be seen through the feminization of war, which has been seen in conflicts such as Rwanda, and the use of child soldiers in conflicts throughout Africa including Rwanda, Sierra Leone and Congo. This change has meant that women and children have become the main targets and victims of war and armed conflict in today’s conflicts. It estimated that 75% of all African wars are fought by children, and whilst rape has traditionally been a by-product of war for many centuries, it is now thought that War Rape is genuine military tactic. War Rape has been seen primarily in Rwanda where it is thought that 1 million women were raped and in the Yugoslavian Wars where ‘Rape Camps’ were set up. As one UN peacekeeper working in Africa put it, â€Å"It has probably become more dangerous to be a woman than a soldier in an armed conflict.† ‘New’ conflicts have also seen new tactics come in to play aside from ‘War Rape.’ Often’ ‘new’ conflicts have seen the occurrence of ‘Asymmetrical’ wars. Asymmetric warfare exists when two combatants are so different in their characters, and in their areas of comparative advantage, that a confrontation between them comes to turn one side’s ability to force the other side to fight on their own terms. Tactics used in these conflicts are often Guerrilla warfare and low-intensity hit and run conflict. An obvious example of this is seen in the conflict in Afghanistan through the use of IEDS and roadside bombs. Essentially such strategies used in the ‘war of the flea’ involve inflicting pain over time without suffering unbearable retaliation in return. Lastly, ‘new’ conflicts differ from ‘old’ conflicts through their funding. Whilst ‘old’ conflicts were funded through the state, as seen in the WW2 and the entrance into ‘total war’, ‘new’ wars are characterised by funding through the criminality of war. This illegal funding has been seen in Sierra Leone, where funding was acquired through the selling of blood diamonds, in Afghanistan where the Taliban are funded through the selling of opium, and finally in the Bosnian war, where counterfeit cigarettes funded Para-military groups involved in ethnic cleansing. To conclude, recent modern conflicts have been classified as ‘new’ conflicts as they differ through their legitimacy, funding and tactics.

Workbook Summary for Individualized Education Programs Coursework - 1

Workbook Summary for Individualized Education Programs - Coursework Example The level of disability must be able to influence the learning ability. The eligibility test requires the statement on the current academic performance of the child indicating the effect of the disability on the learning 0progress of the child. IDEA 2002 emphasizes on the need for education providers to develop an IEP that conforms to the needs of every student who has specific needs  within  the eligibility tests and regulations of the state with regard to disability (Weishaar, 2001). All areas of suspected disability are evaluated by the school to see if they meet the threshold under the IDEA guidelines. After the evaluation, the school meets the respective parents to undertake the review of the collected disability results and influence the students’ learning. It is the collective responsibility of the school, and parents to determine whether the student requires significant education services. Thereafter, a team is constituted to develop the IEP plan. The team will use the results obtained in the evaluation stage to draft a relevant IEP that responds to the needs (Weishaar, 2001) of the  intended  students. The team developing the IEP should be made up of the student’s parents or guardians, case manager or exceptional education teacher, the student. In addition, at least of the regular education teachers, a person with knowledge about the availability of the school resources can support the intended learning (Weishaar, 2001). The team then drafts the plan by initially identifying the student’s personal information. The team then uses the full individual evaluation (FIE), in order to establish the current level of the student’s academic performance and specific academic services needed by the student. The evaluation information is significant in identifying the academic strength of the student. The functional needs of the student must be

Consultant report Assignment Example | Topics and Well Written Essays - 2500 words

Consultant report - Assignment Example ive management of time, all necessary activities are most likely to finally come to a halt and thus, result in increasing work stress (Hosseini, Nourbakhsh & Sepasi, 2013). Specifically, in cases of present world business scenarios, time is given a premium priority. In this context, the ‘Pareto Principle’ comes into the picture. This principle was mainly implemented with the intention of improvising the studies related to management principles and techniques (Backhaus, 1980). Multiple managers of big business organizations find this principle very effective in terms of problem identification and controlling the functional factors, which directly or indirectly contribute towards the effective utilization of resources. As per this particular principle, effective allocation of input resources significantly helps in bringing about improvements in the quality of output (Huffstutter & Smith, 1989). There are various other models and theories that have been developed gradually and even chronically in pursuit to manage time more efficiently and minimize the level of stress amid the workforce to the desirable extent (Bickford, 2005). Few of the most prominent theories and models will be assessed in the discussion henceforth, providing effective consulting to the organization involved in offering financial services and functionalities in to a substantial volume of customers. As the organization has been witnessing rising demand from its customers’ end, greater work pressure is burdened over the employees, which in turn increases their stress making it more challenging for them to manage their time efficiently. Hence, this consultation paper will aim at assisting the organization with certain remedial strategies to manage the stress level amid the existing workforce. Time management can be described as a process of effectively managing and scheduling time for successful completion of projects or activities. Depending on the functional complexity of this financial

Strategy Implementation for Coca-Cola Company Research Paper

Strategy Implementation for Coca-Cola Company - Research Paper Example However, Coca-Cola Company cannot take anything for granted and ignore competition from its main rival and other increasing localized competitions. The company makes use of its key resources in the most efficient and productive way, a situation that has enabled the company to serve its customers with exceptional quality and satisfaction. As a result, the company has constantly strived to maintain growth, perform excellently, and increase shareholders’ value through constant adoption of strategic management policies, which further should be implemented effectively. Strategy Implementation Coca-Cola’s strategic management has for a long time been facilitated through resource-based strategy. Through this strategy, the company perceives its success to lie largely through effective use of key resources such as brands, systems, capital, and people (Pearce and Robinson, 2009). The understanding of the company is that, by utilizing these resources, Coca-Cola has been able to cr eate competitive advantage and edge over its competitors. Strategic management at Coca-Cola Company remains one of the tenets the company has been able to navigate challenging environments and realize its objectives and vision. Such strategic decisions include initiating goals for fair returns on shareholders’ value and serving the community. At the same time, Coca-Cola Company has been able to realize its objectives through innovation and diversification of products to different markets around the world. Implementation of strategy in an organization is a multi-layered process that incorporates multiple strategic initiatives (Heracleous, 2003). In this way, no particular single method can be adopted to implement strategy and succeed successful. At the same time, strategy implementation in an organization should involve multi-disciplinary team guided by efficient management team. Organizational Design In order to implement a strategy more effectively, an organization cannot ig nore critical aspects of organizational structure, people, culture, and control systems (Hill and Jones, 2009). A successful strategy that has ability to achieve goals and objectives set has to integrate these aspects. For example, there has to be the right people in an organization to implement the strategy, from the management perspective and employee perspective (Hill and Jones, 2009). At the same time, a supportive culture has to be in place to facilitate strategy implementation, which has to provide the right environment for the success of the strategy. Moreover, critical structures must be present to support and enhance strategy implementation (Hill and Jones, 2009). Structures are particularly effective in coordinating and ensuring goals of the strategic process are realized. Lastly, efficient systems must be present to measure the progress and success of the strategy (Hitt, Ireland and Hoskisson, 2010). The people Coca-Cola Company has a mission, which facilitates the desire of the company to provide unique refreshment to the world thorough its diversified beverages, and at the same time to inspire moments of optimisms by promoting its brands and actions, and lastly, to create unique and exceptional value in the market all the time (Coca Cola, 2011). To achieve this exemplary position, Coca-Cola Compan

Essay on lapham's paper FIGURES OF SPEECH Example | Topics and Well Written Essays - 500 words

On lapham's paper FIGURES OF SPEECH - Essay Example Some of these structures are extremely itemized, making inquiries that oblige data from once in a while got to memory banks. Why does a specialist pose these questions? The specialist is attempting to build a precise picture of your state of wellbeing. Your wellbeing is intensely affected by the past. Your heredity, past practices, past encounters is exceptionally paramount determinants and pieces of information to your current condition. At whatever point you come back to the specialist, he or she hauls out a record which holds all the notes from past visits. This record is a history of your wellbeing. Lapham see plainly that the past matters because this is one of the motivations behind why history is exceptionally vital. Lapham asserts that writing is very significant in learning. He argues that our mind, thoughts and considerations exist in shorthand or schematic structure. Until we illuminate those considerations in their intelligent and syntactic connections. What term could be an exact equivalent word for that idea?), we can undoubtedly miss imperative refinements and associations in knowledge acquisition. Scholars can come to distinguish what they dont yet comprehend when they understand that theyre striving to compose a concise synopsis, and this can help them to bring valuable inquiries up in class. Information technology is progressively influencing our lives in a way which has gotten mundane. The year 2000 has in length been depicted by researchers and storytellers as a time of whats to come, where engineering and innovation might encroach upon our lives significantly more than we could ever have envisioned. As we remained very nearly the new thousand years, this period of electronic enhancement appears to have sneaked up on us without our being completely mindful of any material change. In addition, Lapham argues that â€Å"technology has caused major revolutions in

Socialization Essay Example | Topics and Well Written Essays - 750 words

Socialization - Essay Example The U.S. has, in the space of five years, become a nation that ignores the very precepts of its founding and international law as well. Young persons that do not fully understand what freedoms they are losing and what this country originally stood for will believe that this type of activity by the government is considered acceptable. That is a frightening prospect as their generation will be more willing to continue the present trend of giving away freedoms for the sake of security until they no longer enjoy the freedoms that their forefathers intended for them and their fathers and grandfathers fought and gave their lives for. In addition, young persons in the U.S. will never have the pride in their country as did their fore-bearers because the country has lost its respect throughout the world and rightfully so. President George Bush characterized the ‘War on Terrorism’ as a prolonged battle against those that would employ terrorist actions along with the nations that enabled them. In addition, the U.S. Congress gave formal authorization to the president on September 18, 2001 to â€Å"use all necessary and appropriate force against those nations, organizations, or persons he determines planned, authorized, committed, or aided the terrorist attacks that occurred on September 11, 2001, or harbored such organizations or persons, in order to prevent any future acts of international terrorism against the United States by such nations, organizations or persons† (U.S. Code Collection, 2002). The ultimate culmination of the rhetoric and selective legal reasoning regarding the ‘War on Terror’ was Bush’s order of the U.S. military to invade both Iraq and Afghanistan, an illegal act on many fronts. According to the United States Constitution Article One, Section Eight, only Congress has the exclusive authority to declare war. Presidents do not have this authority (U.S. Constitution). However,

The Children of Heaven Film Analysis Essay Example | Topics and Well Written Essays - 750 words

The Children of Heaven Film Analysis - Essay Example For example, the designing of houses in areas lived by the poor is different from the ones lived by the rich. The houses in areas lived by the poor families are crowded leaving a small area between one house to the next. In the case of the areas lived by the rich, the buildings are scattered leaving a large space from one building to the next building (Children of Heaven). The road network in the urban area depends with the individuals living in the area. There are narrow streets in the areas of residence of the poor; since the common mode of transport is either by foot or using bicycles. However, in areas occupied by the rich, the roads are wide to accommodate even parking for vehicles. There is good utilization of land in the area since, if a land is not occupied by a building, then there would be trees, fish ponds, or flowers occupying the space. For example, in the school compound, it is either the land is occupied by trees or buildings. The roads connecting to other areas are we ll constructed with trees on either side. The design of houses differs in the area. There are small houses and big houses depending on the area. The small, affordable houses are found in areas occupied by the poor while enormous buildings are found in the areas occupied by the rich (Children of Heaven). ... There is no water problem in the areas of residence. The area is well served with a sewerage system, which keeps the urban area clean. For example, this is well depicted when one of the shoes of Ali’s sister falls in sewage water. The sewage is not stagnant but flowing. The urban area is well covered with street lights that provide lighting during the night. The urban area where the rich reside is well covered with trees, which gives an aspect of a well preserved environment. The urban area is not overpopulated, and finding traffic jams is not possible. The urban environment is clean with no duping. Planting of trees on either sides of the roads provide a serene environment. The urban environment is well suited for agriculture in some areas. This is seen where Ali’s father gets a gardening job in the rich city area. The environment supports rearing of fish, which is depicted by the presence of fish ponds in the movie (Children of Heaven). Most vehicles are found in the rich city, but the roads are wide thus, eliminating the possibility of traffic jams. From the movie, it is evident that the people in the urban area have a culture. The schools in the area seem to be dominated by Muslims. Hence, the people practice Islamic culture. There are less childcare practices; this is evident where Ali and her sister are left alone to attend their homework. The people of the area seek medical assistance from qualified doctors. This is seen when Ali’s mother attends hospital for treatment. The people in the area have a culture of being educated (Children of Heaven). This is evidenced by the presence of a school that children of the area attend. The people have different ways of constructing their houses. The presence of fish ponds indicates that the

Origanum Majorana Essential oil Research Paper Example | Topics and Well Written Essays - 2000 words

Origanum Majorana Essential oil - Research Paper Example Therefore some essential oils are used in order to fasten the overall recovery process of patients. Origanum Majorana Essential Oil is one of the them which is extracted from herbs; possessing relatively higher sedative, analgesic, anti-spasmodic, anti-fungal, anti-viral, expectorant, stimulant, disinfectant and calming effects (Marjoran, 2011). In this paper only one essential oil is discussed i.e. Origanum Majorana Oil with respect to the treatment of surgical ICU patients. Origanum Majorana is a Latin name for Marjoram which means ‘greater’ not because of some physical or chemical compositions but due to the ancient perception that the use of Origanum Majorana oil can increase lifespan of humans (Marjoram, 2012). This herb belongs to the family Lamiaceae. It has penetrating smell, slightly spicy taste and overall warm nature. Its chemical components include Thymol, Caryacrol, Pinenel, Camphor, Origanol, etc. The Origanum Majorana oil is extracted from its flowers. It is yellow in color and turns brown as it decomposes. It has some distinctive properties which makes it highly applicable for the treatment of surgical patients. These include (Marjoram, 2012): The oil has soothing and calming effect when consumed internally or when applied externally over the body. Its distinctive chemical composition helps in reducing stress. It provides relief to the muscle pain and throbbing. The oil has an ability to deal with the miseries of congestion and common cold. The warm and woody smell of the oil provides relaxation to human senses. Massage of Origanum Majorana releases pain during menstruation. It is also recommended for the treatment of insomnia as it regulates the functioning of nervous system. The oil is extensively used in body massage after sports. It provides warm effect to the body when used in hot bath. Description The Romans have categorized Origanum Majorana as the ‘herb of happiness’ and for the Greeks it was a key source of â⠂¬Ëœjoy to the mountains’ due to its sedative properties and an ability to reduce tension. Surgical patients experience tension before and after the surgery which is a natural phenomenon. However, the tension and emotional imbalance might lead to high blood pressure which can cause problems particularly during and after the surgery. Therefore it is the prime concern of medical professionals to reduce tension and mental stress of these patients. For this purpose several medicines and therapies are used. The application of Origanum Majorana essential oil

4four Case Study Example | Topics and Well Written Essays - 500 words

4four - Case Study Example Moreover, a student has disabilities and need special attendance. It is also the responsibility of the teacher in charge to ensure that the student receive special consideration. However, there are some factors that hinder successful learning amongst the students, and the same time there are some factors that promote real learning. Therefore, the teacher should ensure that the students receive supportive environment towards their learning activities (Bacon). Moreover, there are also some activities that make the student active in his or her daily activities. Therefore, the tutor needs to ensure that students play to break monotony or boredom. Class discussion is one of the most dangerous strategies to the learning career of the student Alex. Ales are a student who has asthma, cannot participate in-group activities and prefer to be alone. Therefore, through the application of class discussion learning strategy, the student will not be able to participate and thus feeling as if he is not part of that particular category. In addition, the student will also not respond appropriately to game presentations as well as group work and discussions. The student is asthmatic and could be having a problem to speak loudly. That will make the student to lack self-esteem and there contributing to discouragement. In addition, the student also has the characteristics of enjoying his company. That makes the student with a disability not be free with class or group discussion. The process involved in learning by students requires personal input. Therefore, the teacher needs to ensure that he attends to the student mostly in private session. It will enable the tutor and the student to be good friends, and that might cause the student to open up to the teacher. Once the student will be friendly with the teacher, he will also be able to accommodate other students. However, the student will be able to share an idea with fellow students and play with them. Once

An Open Letter to Black Parents Essay Example for Free

An Open Letter to Black Parents Essay In renowned sports figure, Arthur Ashe’s, â€Å"An Open Letter to Black Parents: Send Your Children to Libraries,† he talks about the fact that a college education is more important than the perks of becoming a professional athlete. While attending UCLA, Ashe came to the conclusion that African Americans were more caught up in the hype of one day becoming a professional athlete, rather than obtaining a lasting college education/diploma. Ashe believes that African Americans should â€Å"re-write† their persona into one of profoundness and professionalism. Arthur Ashe states that the role models of the African American society are primarily composed of athletes. Therefore, the young children in that society tend to model themselves after those people. Instead, Ashe wants to have those role models spread a message that a college education is far more important than being a professional athlete. For example, Ashe has stated many times to high school students that, â€Å"For every hour you spend on the athletic field, spend two in the library.† These words are a very powerful message, especially to young adults still searching for their call in this world. In conclusion, although Arthur Ashe may be recognized as one of the greatest tennis players of his generation, his college diploma from UCLA is his proudest moment in life.   In Richard Rodriguez’s â€Å"Complexion† he talks about the racism he experienced as a child. Rodriguez places a lot of emphasis on rhetorical devices throughout his essay. The rhetorical devices that Rodriguez primarily uses is, description and symbolism. Through using these two rhetorical devices, Rodriguez is able to relate to the reader in a more personal level, in my opinion. Through description, Rodriguez is able to elaborate on certain details. Through using symbolism, he expresses the  emotions and feelings that he feels. Richard Rodriguez writes this essay in order to inform people of the racism that he has experienced. Since Rodriguez was the one experiencing the racism, his essay coincides nicely with the rhetorical devices that he chose. Rodriguez is of the Mexican culture and he recalls times when he was a kid where he was being discriminated. Rodriguez writes that as a young child he was insulted and name called for being of the Mexican culture. He writes how he would never retaliate with another insult back because he would be so embarrassed. The reason as to why Rodriguez was being discriminated was because of his â€Å"complexion.† Through reading this story, it is just another example of how ignorant people are. There are many stories about how people have been discriminated against just due to the fact that they are from a different culture. Richard Rodriguez did the right thing in not retaliating or doing something stupid, in order to not suffer any consequences. Summary: â€Å"Don’t let Stereotypes Warp Your Judgments† In Robert Heilbroner’s, â€Å"Don’t let Stereotypes Warp Your Judgments,† he talks about the affects of stereotyping. Heilbroner discusses that stereotyping is evident in just about everywhere we are. The affects that stereotyping has on a person, as stated by Heilbroner, is it makes us lazy thinkers, and is harmful to those whom we are stereotyping. Heilbroner’s suggests that people who stereotype, do it â€Å"because it helps make sense out of a highly confusing world† (Heilbroner 373). This makes sense because we try to come up with answers to things we do not understand. Another theory that Heilbroner suggests as to why people stereotype, is because we are raised with a certain mindset about people. In his story Heilbroner gives the reader three ways to get rid of stereotyping. His first suggestion is to â€Å"become aware of the standardized pictures in our heads, in other people’s heads, in the world around us† (Heilbroner 374). The second suggestion is that â€Å"we can become suspicious of all judgments that we allow exceptions to prove† (Heilbroner 374). And lastly Heilbroner  suggests that â€Å"we can learn to be chary of generalizations of people† (Heilbroner 375). After reading Robert Heilbroner’s essay, I became more aware to the large amounts of stereotyping that occurs in today’s society. Although I was already aware, stereotyping not only has a negative effect on the person stereotyping, but on the person that is being stereotyped. Through stereotyping, one opens up a path that encourages horrible things such as racism and ignorance.

Literature Review: Treatment and Management of Pain

Literature Review: Treatment and Management of Pain INTRODUCTION The aim of the wise is not to secure pleasure  but to avoid pain -Aristotle The word pain is derived from the Greek word poine, which means penalty or punishment. Pain is a sensory experience associated with actual or potential damage of tissue,with physiological and psychological responses. Pain is a personal experience and varies from person to person. It is manifested in verbal and nonverbal behaviours, physiological responses like pulse rate, respiratory rate, blood pressure, emotional and spiritual reactions(Nursing clinics of America,2002). Inadequate treatment of both acute and chronic pain is widespread throughout medical surgical wards, intensive care units, emergency departments and in general practice. This neglect is extended to all age groups, from neonates to the elderly. In September 2008, the World Health Organization estimated that nearly eighty percentage of the population in the world has either insufficient or no access to treatment for severe and moderate pain. Every year millions of people around the world, suffer from pain without treatment. Reasons for proper pain management failure include cultural, religious, societal, and political attitudes, including acceptance of torture(Taylor et al.,2008). When surveyed 21% to 90% of adults expressed some about the pain associated with the needle based procedures. Up to 90% of young children shows serious distress during vaccination. This general level of anxiety can be severe, and is termed as injection phobia. This phobia can result in syncopal attacks with significant clinical impact (Yael et al.,2003). In hospital practice intravascular lines are used for various purposes like recording pressure and to administer drugs, fluids and to draw out blood. Pain inflicted by the insertion of cannula into the skin is a significant concern. Effort should be made to assess and manage acute pain. As, by doing so, nurses can reduce pain, increase patient comfort , satisfaction and improve patient outcomes (Jacobson, 1999). Research evidence shows that cutaneous stimulation is an independent nursing intervention to minimize patients pain. Gate control theory clearly explains the effect of cutaneous stimulation. Cutaneous stimulation modalities can be clubbed with acupressure to increase its effectiveness in pain management. Research studies have highlighted the fact that cryotherapy is equally effective and important in alleviating or minimizing pain as a cutaneous stimulation technique (Sabitha P.B, et al.,2008). The analgesic effects of cutaneous stimulation (pressure, massage, vibration, heat, cold) are thought to be caused by activation of large A-beta fibers and inhibition of smaller A-delta and C fibers, thus closing the gate to pain impulses. The exact mechanism by which this gating occurs has not been established, but it may be through endorphin release (Ruth,2009). NEED FOR THE STUDY Research Studies reveals that, among nursing diagnosis pain constantly ranks the highest position. Nurses often have the closest contact with patients on a daily basis. They are the health care providers most directly responsible for the overall management of pain. Nurses play a pivotal role in pain assessment, pain intervention, monitoring the effects of treatment and communication of information about pain management (Keela A.Herr, et al.,1992). The complementary therapies are used to relieve the symptoms of pain. These include relaxation technique, visual imagery, cryotherapy, massage, aromatherapy etc. Increasingly complementary therapies are attracting attention in contemporary nursing practice. These interventions are suitable for procedures like injections, venepuncture, that cause acute transitory pain (Barbara, 2000). Cold application relaxes muscle and muscle contractility, vasoconstriction decreases capillary permeability, decreases blood flow, slows cellular metabolism, decreases pain by slowing nerve conduction rate and blocking nerve impulses, decreases edema by reducing capillary permeability (Barbara kozier, 2006). The pain related to minor invasive nursing procedures can be dealt with non-pharmacological measures than pharmacological measure. The pharmacologic measures like local anesthetic spray, eutectic mixture of local anesthetic (EMLA) have long term effects, which is undesirable. Also its cost effect should be kept in mind, as these simple but essential procedures are repeated for the same person for many times. Hence non-pharmacological measures can be the choice for relieving or preventing such minor invasive pain, like venepuncture pain (Saju T.P,2009). A study conducted to find out the effects of two non-pharmacological pain management measures for IM injection pain recommended to use cold therapy and distraction to decrease pain intensity. The first group received local cold therapy, the second group received distraction and the control group received only routine care. The results shows that average pain intensity in local cold therapy, distraction and control groups was 26.3, 34.3 and 83.3 respectively. The findings indicate that pain intensity was significantly higher in the non-interventional group than the interventional groups. This study supports the efficacy of non-pharmacologic pain management methods (Hasanpour M et.al.,2005). The large intestine energy meridian is an acupressure point located on the backside of the hand between index finger and the thumb. Largeintestine energy meridian point can be used for relieving pain in the scapula, arm and shoulder, rigidity of the neck, eye diseases and also in the treatment of other disorders like constipation. The large intestine energy meridian pathway is bilateral. Considering the anxiety due to painful procedures such as venepuncture, as well as the unpleasant feelings, the investigator felt that application of cryotherapy to the skin would decrease the pain-related responses associated with venepuncture. This study was therefore undertaken to asses the effect of cryotherapy on the large intestine energy meridian point (li4), during intracath insertion to reduce the perception of pain and variation in physiological responses like pulse rate, respiratory rate and blood pressure. CHAPTER II REVIEW OF LITERATURE Review of literature is a key step in research process. It refers to an extensive, exhaustive and systematic examination of publications relevant to the research project. Nursing research may be considered as a continuing process in which knowledge gained from earlier studies is an integral part of research in general. Literature review refers to the activities involved in searching for information on a topic and developing a comprehensive picture of the state as knowledge on that topic (Polit and Hungler,1993 ). Therefore the investigator studied and reviewed the related literature to broaden the understandings about the topic to gain insight into the selected problem under study. The literature has been reviewed under the following headings: SECTION A: Literature regarding pain and changes in physiological parameters during venepuncture. SECTION B: Literature regarding large intestine energy meridian point and pain. SECTION C: Literature regarding effectiveness of cryotherapy on pain and physiological parameters. A quasi experimental pre test post test control group study was conducted to assess the effectiveness of vibratory audio visual stimulation to reduce acute evoked procedural pain experienced by the individuals, during invasive procedures in a selected health centre. Convenient sampling technique was used to select 80 persons who were receiving IM injection. Among the participants 95% expressed a reduction in pain due to vibratory audio visual stimulation,15% said that they had not experienced any reduction in pain. Results of the study suggested that vibratory audio visual stimulation was effective in reducing acute evoked procedural pain (Saju T.P,2009). A randomized, controlled study, in a convenience sample of 92 patients in the emergency department who required peripheral cannulation as part of their evaluation were enrolled in the study. All the subjects answered questionnaires pre and post IV placement and rated pain intensity during procedure on a 100 millimeter visual analogue scale. Participants in the study included 47(51.1%)of patients received the anesthetic spray and 45(48.9%) were randomly assigned to control group and had their IV line placed in a standard method. The mean pain score in the study group was 27 millimeter and 28 millimeter in the control group (p=0.934). Results revealed that anesthetic spray was an effective intervention in reducing pain during intravenous insertion (Hartstein B.H,et al.,2007). A crossover single blind experimental study conducted on  effectiveness of acupressure to reduce pain in IM injection. Each  subject received an injection with acupressure applied to one buttock and an injection without acupressure to the other buttock or vice versa. The perception of pain was measured on a visual analog scale. Among 64 patients, 32(50%) were female. The mean score for perceived pain intensity for acupressure injection was 3+-2 and the mean score for the injection without acupressure was 5+-2. Results revealed that acupressure was effective in reducing IM injection pain (Alavi N.M,2006). A prospective randomized clinical trial to evaluate the effect of a Valsalva manoeuver, which stimulates the vagus nerve, on perception of pain during peripheral venous cannulation in adult patients. Among 110 patients scheduled for elective surgery, half of them underwent venepuncture during a Valsalva manoeuvre and the other half underwent venepuncture without performing a Valsalva manoeuvre. The numerical rating scale score was 1.5+/-1.2 for Group A and 3.1+/-1.9 for Group B, the difference being statistically significant (P Pain management is in the purview of all health professionals, specially nurses and is an important component of comprehensive nursing care, since it is the patient and nurse who faces the pain alone. Although most of the nurses have a commitment in pain reduction, far fewer work for alleviation. Ignoring patients pain may be causing harm. Unrelieved Pain can cause cell, tissue damage and even death. Health education on pain management for health professionals at all department levels have been noticed as an important measure towards changing ineffective pain management practices (Holleran R.S,2006). Needle phobia is a term used to describe an anticipatory fear of needle insertion. If pain and anxiety are poorly managed, there can be significant negative consequences. The memory of traumatic venepuncture experiences can lead to extreme anxiety and physiological responses such as venous constriction . Some children and young people may have been conditioned by the fears of relatives or friends concerning needle procedures(Thurgate C. Heppell S, 2005). A quasi experimental design was adopted to obtain data from 86 younger (between the age group of 25-55) and 89 older (between the age group of 65-94) volunteer samples. Subjects responses to experimentally induced thermal stimuli were measured with following pain scales: vertical visual analog scale,21-point numerical rating scale, verbal descriptor scale,11- point verbal rating scale and faces pain scale. For discriminating different levels of pain sensation all the five scales were effective. The most preferred scale to represent pain intensity in both cohorts was the numerical rating scale, followed by verbal descriptor scale (Frana Benini,M.D,2004). Pain is a phenomenon that we experience to a greater or lesser extent, and the associations between blood pressure and pain are potentially of great interest . It is well recognized that pain can raise blood pressure acutely. Acute pain leads to generalized arousal and increased sympathetic nerve activity. Blood pressure increase during the application of physical pressure to the nail beds or the skin of the cheek, or during electrical stimulation of a digital nerve. Various studies found that inflated cuff leads to forearm ischemia and increases the degree of pain, which correlates with the increase in blood pressure (Pickering G.Thomas,2003). SECTION B:Literatures regarding large intestine energy meridian point and pain. The large intestine energy meridian point is referred to as LI4 or Hoku. The energy meridian pathway is bilateral and begins in the surface of the skin at the root of the index fingernail. It courses through the arm and hand , and the outward end of the shoulder blade is crossed. Then the meridian leaves the skin surface to connect with the lower part of the lung and transverse colon. It then returns to the skin surface at a point under the chin. From that point, the meridian is again buried deep within the area referred to as the double chin. It follows the lower row of dental roots, passing then to the upper line of teeth roots, crossing the front of the mouth to emerge on the skin surface and the facial point next to the nostrils (Chandramita Bora,2009). A randomized controlled trial was conducted on 60 primiparous women who were randomly assigned in two groups (n = 30): ice massage (treatment) and sand bag group (control). The severity of the basal pain was measured at the beginning of active phase (4 cm cervical dilation) based on Visual Analogue Scale (VAS). Then, after two groups received intervention, the severity of the labor pain in 4, 6, 8 and 10 cm cervical dilation was measured. In the case group, the crushed ice twisted in a terry bag was rocked on the web of skin between thumb and forefinger. The massage was carried out in large intestine energy meridian point throughout three contractions. The sand bag tactile massage in large intestine energy meridian point was served in the control group. The data were analyzed using SPSS software and descriptive analysis using Mann- Whitney, à Ã¢â‚¬ ¡ 2, paired and independent t tests and P A one-group, pre test, post test study conducted to evaluate the the use of ice massage on acupressure energy meridian point large intestine 4 (LI4) to reduce the labor pain. The pain was measured using McGill Pain Questionnaire (MPQ) and 100-mm Visual Analog Scales (VAS). Participants noted a pain reduction mean on the VAS of 28.22 mm on the left hand and 11.93 mm on the right hand. The post delivery ranked McGill Pain Questionnaire dropped from distressing to discomforting. The study results suggest that ice massage is a safe, noninvasive, nonpharmacological method of reducing labor pain (Waters L.Bette, et al.,2003). A study using ice massage for reducing labor pain was carried out by a researcher among twenty women on their admission to the labor and delivery unit at Florida. Ice massage of the energy meridian LI4 was performed during each contraction and was carried out over a 30-minute period. Data from the Visual Analog Scale (VAS) showed a mean reduction in pain of 25.15. The reduction of pain was statistically significant despite the small number of participants. The study results suggest that ice massage is a safe method of reducing labor pain (Naomi lester, et al., 2003). A one group repeated measurement post test study was aimed at identifying the effect of cutaneous stimulation in large intestine energy meridian point on reduction of arteriovenous fistula puncture pain among forty five hemodialysis patient. First the arteriovenous fistula puncture pain of control group was measured, and then the arteriovenous fistula puncture pain of experimental group (with cutaneous stimulation) was measured using visual analogue scale and objective pain behaviour checklist. Analysis of data was done by use of paired t-test, t-test, ANOVA and Pearson correlation coefficient. The results concluded that the subjective pain score of arterial line (paired t = -0.28, p = 0.77) and the subjective pain score of venous line (paired t = 2.61, p = 0.01). The cardiopulmonary signs of arteriovenous fistula puncture pain in experimental period was (pulse paired t = -0.8, p = 0.42; systolic BP paired t = 0.98, p = 0.33; diastolic BP paired t = 0.43, p = 0.66).Results revealed t hat cutaneous stimulation in large intestine energy meridian point was effective in reducing arteriovenous fistula puncture pain(Kanho Taehan,2001). A study in which patients having acute dental pain were treated with ice application on largeintestine energy meridian point of the hand on the same side of the painful region. Ice massage was administered by inserting ice cubes into wet gauze pad and gently massaging the skin around the large intestine energy meridian point. When the patient stated that the area is felt numb or after a period of 7 minutes whichever, occurred first, the massage was stopped. Control group received tactile massage alone. McGill pain questionnaire was used to measure the pain intensity of the patients.. Ice massage reduced the intensity of dental pain by fifty percentage or more in most of the patients, and reduction in pain were significantly greater than those produced by tactile massage alone (Melzack Ronald, et al.,2000). SECTION C : Literatures regarding effectiveness of cryotherapy on pain and physiological parameters. A study was conducted to determine the effectiveness of cryotherapy on arteriovenous fistula puncture pain in hemodialysis patients. A convenient sample of 60 patients (30 in experimental and 30 in control group) who had undergone hemodialysis through AVF, was assessed using randomized control trial. Both the objective and subjective pain scoring was performed on two consecutive days of hemodialysis. The tools used were a questionnaire assessing demographic data, an observation checklist for monitoring objective pain behaviour, and a numerical pain intensity scale for subjective pain assessment. The objective and subjective pain scores were significantly (p=0.001) reduced within the treatment group than the control group. Results revealed that cryotherapy was effective in reducing arterivenous fistula puncture pain in hemodialysis patients (Mahajan S, et al.,2008). A quasi experimental study to assess the effectiveness of hot fomentation versus cold compress for decreasing intravenous infiltration in patients admitted in a selected hospital in Pune . The sample size was 60 and data collected with an observational checklist and behavioral pain scale. The pre treatment mean score of degree of infiltration was decreased from 7.1667 to 0.7071 in hot fomentation and from 6.9333 to 0.7571 in cold fomentation. The findings indicate that the hot fomentation and cold compress both are effective in treatment of intravenous therapy related infiltration (Anjum shabana,2007). A quasi-experimental study to determine the effect of local refrigeration applied to skin prior to venepuncture on pain-related responses in 80 school-age children who got admitted in the emergency ward in the pediatrics center in Iran. Subjects were selected by purposive sampling and were divided into two equal groups: test and control. In the test group the physiological responses were measured prior to venepuncture. Then the skin on the area of venepuncture was refrigerated by an ice bag for 3 minutes and the procedure is performed immediately. After five minutes of the procedure the physiological responses, behavioural responses and subjective responses were measured. In terms of the physiological responses before and after the procedure in the experimental and control group, there was no significant difference (p=0.07) between the two groups. There was a significant difference (p=0.0011) between the test and control groups with regard to the behavioural responses to the painful procedure.There was also a significant difference (p=0.0097) in the subjective data in the two groups after venepuncture.Results revealed that the local refrigeration was effective in reducing venepuncture pain (Movahedi Fakhar Ali,et al.,2006). An experimental study to assess the effectiveness of ice application on the treatment zone prior to type -A botulinum toxin treatment on the pain during injections . Totally, twenty four patients who underwent botulinum type-A toxin in upper face for esthetic purposes were undertaken in the study. Ice application was done five minutes prior the injections on the right lateral orbital zones of the patients, and on their left sides, toxin were injected without applying ice. The average visual analog scale values indicating the pain that the subjects felt in their right and left sides were found as 1.1 and 5.9, respectively. Results revealed that ice application is effective in reducing pain during injections (Sarifakioglu N,2004). A study was conducted to evaluate the effect of the application of cold or hot on the pricking pain sensation based on autonomic responses. Electrical stimulations were applied to subjects arms as an artificial pricking pain, the skin blood flow and skin conductance level at the tip of the finger were measured. Pain was assessed using visual analog scale. Pain stimulation produced a significant rise in skin conductance level and a significant decrease in blood flow. Cold application to the stimulation site using an ice-water pack decreased blood flow and skin conductance responses and sensation of pain. Application of heat, by hot water bottle resulted in a significant rise in pain sensation . The results suggested that cold application promotes relief of pricking pain sensation and suppress the autonomic responses, and the application of heat has no such effect (Saeki Y,2002). A one group pre test post test experimental study to evaluate the effect of cutaneous stimulation (cryotherapy) on pain reduction in Emergency Department patients . Second objective was to identify the effect of cutaneous stimulation on blood pressure and heart rate. Potential factors that could influence the dependent variables such as age, gender, educational level, location of pain, and site of cutaneous stimulation were tested. All 50 samples were treated with cutaneous stimulation to relieve pain. After cutaneous stimulation, subjects reported significant reduction in pain, and demonstrated decrease in heart rate, and blood pressure readings. The most effective site of cutaneous stimulation was contralateral to the pain. Age, gender and educational level had no significant effect. The results of this study provide empirical evidence that cutaneous stimulation effectively reduces pain, heart rate, and blood pressure (Sylvia M. Kubsch,2002). A study was conducted to evaluate the effectiveness of local dry cold application on the bruising, haematoma and pain at the subcutaneous low molecular weight heparin injections site. The researcher selected sixty three patients who had received 2 x 20 milligram enoxaparine and divided the samples into four groups. In the first group, cold therapy was not given. Cold was applied to the injection site for five minutes before the injection in the second group, and in the third group five minutes after the injection. In the fourth group, it was applied to the injection site for five minutes pre and post injection.After each injection, the patients pain intensity and duration were measured, and the occurance of bruise and haematoma were monitered at 48 and 72 hours after the injection. Results showed that haematoma was absent at the injection site of all subjects. The subjects pain perception was significantly reduced with the application of ice (Kuzu N, et al.,2001). In a paired clinical trial, the effectiveness of ice in reducing the pain of intravenous catheter placement was assessed in 28 adult volunteers. An ice pack was placed over one arm for 10 minutes, followed by insertion of an 18-gauge angio catheter in both arms. Patients recorded their pain assessment after each venepuncture on a previously validated 100-mm visual analog scale and identified their preferred method for the procedure (pretreatment with ice or no pretreatment). The mean pain score for catheter placement on arms pretreated with ice was 27.5  ± 15.9 mm; the mean pain score for the control arms was 34.2  ± 21.6 mm (P = 0.17).Results revealed that application of icepack was an effective method in reducing pain of intravenous catheter placement. Future studies should examine whether ice is effective at reducing pain from other more painful procedures and whether the response to ice is gender-related (Richman P B, et al.,2000).

Does substance abuse cause mental disorders?

Does substance abuse cause mental disorders? Dual diagnosis between drug abuse and mental illness is very common. The two problems affect and interact with each other. The number of people diagnosed with a mental illness and substance went from 210,000 to 800,000 between the years of 1998-2003. (Druss MD, Bornemann, Fry-Johnson MD, McCombs PhD, Politzer, Rust MD, 2006) Substance abuse is the most common and clinically important dual disorder among adults with severe mental illness. Studies show that fifty percent of people with mental illness also have a substance abuse problem. (Saisan, Smith, Segal, 2010) And more than half the persons with a substance abuse diagnosis also have a diagnosable mental illness. (Saisan, Smith, Segal, 2010) Clinicians believe that mental illness and substance abuse are biologically and physiologically based. Although substance abuse and mental health disorders like depression and anxiety are closely linked, one does not directly cause the other. (Saisan, Smith, Segal, 2010) Both conditions can mirror each. PROBLEM STATEMENT: More and more people are suffering from a combination of substance abuse and mental health problems. Alcohol and/or drugs are often used to relieve the symptoms of a mental illness, side effects from their medications or just to cure symptoms they are having at the time. Alcohol and drug abuse can increase original risk for mental disorders and can make symptoms of a mental health problem worse. Substance abuse and mental illness commonly co-occur due to genetic factors, environmental factors, a brain disorder and/or a development disorders. Co-occurring disorders, two disorders or illnesses occur simultaneously in the same person, they are called dual diagnosis or co morbidity. (Topics in Brief, 2007) Treatment for this dual diagnosis has not been well designed. Clients have to go a treatment facility for mental health treatment and a different facility for substance abuse treatment. This kind of treat is not successful because this leaves the client trying to cope/manger a disorder on their own. It is almost impossible for them to manger the other disorder because if they could quit on their own they would not need treatment. It can be hard to diagnose a person with a dual diagnosis of mental illness and substance abuse. One of the things that makes diagnose hard is denial by the patient. Substance abuse and mental disorders commonly co-occur because of overlapping genetic vulnerabilities, overlapping environmental triggers like stress, involvement of similar brain regions, and drug abuse and mental illness are developmental disorders. (Topics in Brief, 2007) Having a dual diagnosis put a person at greater risk for relapse. Violence and suicide attempts are also more prevalent among the dually diagnosed population.http://www.onlinerecoverysupport.com/wp-content/uploads/borderline.jpg BACKGROUND: The problem of dual diagnosis became clinically clear in the early 1980s. (Drake R. P., 2001) Substance abuse and mental illness hinders your ability to function, handle life and have a healthy social life. Mental illnesses are mental conditions that disrupt a persons thinking, feeling, mood, ability to relate to others and daily functioning. The World Health Organization has reported that four of the 10 leading causes of disability in the US are mental disorders. (National Alliance on Mental Illness, 2010) Some of the major and the most common mental illness that occur with substance abuse are manic depression, schizophrenia, bipolar disorder, attention deficit hyperactivity disorder, obsessive compulsive disorder, panic disorder, post traumatic stress disorder, generalize anxiety disorder and antisocial personality disorder. It is reported that about 57.7 million Americans experience a mental health disorder in a given year. (National Alliance on Mental Illness, 2010) Substance abuse, also known as drug abuse, refers to a maladaptive pattern of use of a substance that is not need to sustain life or to make it better. One in four US deaths can be attributed to alcohol, tobacco, or illicit drug use. (Innovatory Combating Substance Abuse, 2010) The commonly abused drugs by people with a mental illness are alcohol, cocaine and/or marijuana. Substance abuse complicates some aspect of care for a person with a mental disorder. It provides challenges for the counselor to engage the individual in treatment.http://t0.gstatic.com/images?q=tbn:HOCEVK5RjjC51M:http://i206.photobucket.com/albums/bb156/elgangster214/marijuana-2.jpg About 50% of individuals with severe mental disorders are affected by substance abuse. (Saisan, Smith, Segal, 2010) Thirty-seven percent of alcohol abusers and 53% of drug abusers also have at least on serious mental illness. (Saisan, Smith, Segal, 2010) See the chart below. The risk of developing a drug abuse problem while having a disorder goes as high as 15.5% for antisocial personality disorder and as low as 02.1% for phobias. The mental health problems that most commonly co-occur with substance abuse are depression, anxiety disorders, and bipolar disorder. (Saisan, Smith, Segal, 2010) When a person has a dual diagnosis of substance abuse and mental illness the clinician has to determine what are the symptoms/signs of the substance abuse and what are the symptoms/signs are from the mental illness. Disorders with Increased Risk of Drug Abuse Disorder Risk Antisocial personality disorder 15.5% Manic episode 14.5% Schizophrenia 10.1% Panic disorder 04. 3% Major depressive episode 04.1% Obsessive-compulsive disorder 03.4% Phobias 02.1% Source: National Institute of Mental Health. (Drug Abuse and Mental Illness Fast Facts, 2006) At least 60% of people fighting substance abuse or mental illness are fighting both at the same time. (Bouchex, 2007) Patients with mood, anxiety or drug disorders are about twice as likely to be diagnosed with the other as well. Figure 1 (Topics in Brief, 2007) The prevalence of these dual diagnoses does not mean that one condition caused the other, even if one appeared first. The high rates show the need for better treatment and treatment centers able to deal with both at the same time. http://www.nida.nih.gov/tib/images/tib_large_images/comorbid02.jpg WORKING DIAGNOSIS: Substance abuse can cause mental disorders due to the fact that, drug abuse can cause a mental illness, mental illness can lead to drug abuse, drug abuse and mental disorders are both caused by other common risk factors all three can contribute to the establishment of specific dual diagnosis of mental disorders and addiction. (Topics in Brief, 2007) FRAMEWORK/METHOD OF ANALYSIS: I began my search using Google and searched using the terms Substance abuse and Mental Illness. This resulted in nine articles that were relevant to my topic all of which I used as references. I then went to the Pub Med Central database and searched using the term substance abuse and mental illness and found many articles. I used four of those articles as references. The other references were found on website such as National Institute on Drug Abuse and the National Drug Intelligence Center. ADDITIONAL INFORMATION (LITERATURE REVIEW): This review looks at progress made in understanding the relation between drug abuse and mental illness. Volkow found that the relationship between substance abuse and mental illness is likely to reflect common contributing factors and brain substrates. (Volkow, 2001) One of the main factors substance abuse and mental illness have in common is stress. A question that still remains is the role that drug abuse has on causing psychosis in individuals with no previous psychiatric histories. Stimulant drugs induce psychosis because they increase extracellular dopamine concentration in the brain. However it does not explain why psychosis can continue after the stimulant drug is no longer present in the brain.brain image Regier, et al, broke his study down into specific mental disorders. This review found that of people with schizophrenia forty-seven percent has some form of substance abuse problem. People diagnosed with schizophrenia have a 4 times as likely then people who do not have schizophrenia to have a substance abuse problem. (Regier, et al., 1990) The odds for people diagnosed with anxiety disorders to have a substance abuse proplem were more than fourteen percent. It is believe that substance abuse may trigger mental illness in vulnerable individuals. Evidence show a complex explanation in which well-known risk factors- such as poor cognitive function, anxiety, deficient interpersonal skills, social isolation, poverty, and lack of structured activities combined to render people with mental illnesses particularly vulnerable to alcohol and drug abuse. (Drake, 2009) People that already have a mental disorder probably appear to be extremely sensitive to the effects of alcohol and other drugs, due to having a form of brain disorder. Drake, et al, explains the term dual diagnosis as misleading because people with a dual diagnosis are diverse and tend to have multiple illnesses rather than just two illnesses. Drake discusses how researchers have established some identical finding. First, co-occurrence is common. Second, dual diagnosis is associated with a variety of negative outcomes, including higher rates of relapse, hospitalization, violence, incarceration, homeless and serious infections such as HIV and hepatitis. (Drake R. P., 2001) Third, the mental health and substance abuse treatment system delivers fragmented and ineffective care. RESTATEMENT OF WORKING DIAGNOSIS (Hypothesis): There is evidence that substance abuse can lead to a mental disorder but also a mental disorder can also lead to a substance abuse, it is not known which comes first. Like the saying which comes first the chicken or the egg. It is said that having one of the diagnosis makes you vulnerable to the other. http://t0.gstatic.com/images?q=tbn:2wcgJmOO5cR8aM:http://deepwarriors.com/wp-content/uploads/2010/07/chicken-egg.jpg MANAGERIAL/POLICY RECOMMENDATIONS: Why people who are having a mental disorder are so prone to drug abuse raises a lot of questions due to the limited research done on the topic. The research so far is inconsistent and has failed to address a number of issues. There is a need for more research as well as more treatment center that are equipped to deal with dual diagnosis. The patient has two brain diseases that influence one another, and which both need treatment, at the same time. This is when dual diagnosis treatment is need. It is an approach used by clinicians to treat individuals affected by two co-occurring or coexisting conditions simultaneously. Dual diagnosis affects a person physically, mentally, spiritually, emotionally and socially. There is a need for an all-inclusive approach that identifies both disorders, evaluates both disorders, and at the same time treats both disorders. Many treatment centers now only treat one or the other. Substance abuse treatment are not recommended or designed to handle a ment al illness and vice versa. Awareness about the problem needs to be made public, so that people know the signs to look for and how to approach the person about their disorder correctly. Patients also need to be aware of the help that is available to them and support groups like Dual recovery Anonymous. There also needs to be better training for the counselors and physicians so that they will be able to better and accurately diagnosis patients. For recovery to be successful you must treats a clients addiction and mental health problem. http://www.bghealth.org/images/support%20group%20gif.gif Was Che Guevara a Successful Revolutionary? Was Che Guevara a Successful Revolutionary? The principal subject of historical debate surrounding Che Guevara is whether or not he succeeded as a revolutionary. The debate can become quite implausible as some regard him as a folk hero of mythical proportions. There is a sense of irony in that Guevara has become worldwide fascination as a commercial product, although Guevaras motive for the revolutionary uprising was to conquer capitalism. This thesis will argue the ways in which Guevaras legacy has been received and interpreted (listed below), as well as identifying the origins of his profound popularity. Description of Preliminary Research and Research Intentions: Main areas or issues you plan to discuss in your essay The overall focus is the interpretation of Che Guevara and his legacy over time. With this, the main topics of the debate are: The life of Che Guevara was one of controversy and thereby one must place emphasis into questioning the significance he holds in the pantheon of international revolutionary heroes and ideals. Herewith, the historian must evaluate Guevaras success from a political/empiricist perspective. The complete commitment to the revolutionary struggle to create a new man and a just/social order that continues to inspire those who struggle against social injustice. With this, one must investigate how these ideals impact on the post-Guevara population of modern-day society. To do this the historian must evaluate Guevaras success from a social perspective. Guevara has become a popular symbol while his image is too often dissociated from the legend that built it. With this, one must evaluate how and why his image has become a dominant face of contemporary popular culture. In relation to this debate, Guevara has ironically become an important image for money-wielding capitalists. Therefore, the historian must evaluate Guevaras success from a determinist/economic perspective. Project Synopsis The thesis explores specifically whether or not Che Guevara succeeded as a political revolutionary and a powerful icon in contemporary popular culture after his death. Guevaras life provides a significant historical debate as Guevara has often been criticised as a murderer, a hypocrite and a failure. His attempt to unite several Latin-American nations under a communist rule was unsuccessful, although he is often regarded as a hero to many of the inhabitants of these countries. The precise thesis question to be focused on is Evaluate the changing views on Ernesto Che Guevaras success and legacy following his death in 1967 to the present day. This question was developed as an investigation into how and why Guevara obtained an iconic status in society, and whether or not he is regarded as being a success or a failure. Originally, this question focused only on Guevaras failed attempt of uniting Latin-American nations and placed an inquiry into why Guevara became so popular. Through thorough research and academic critique, it was discovered that there were more sophisticated elements to the thesis question. The life of Che Guevara was one of controversy and thereby one must place emphasis into questioning the significance he holds in the pantheon of international revolutionary heroes and ideals. Guevara made a complete commitment to the revolutionary struggle to create a new man and a just/social order that continues to inspire those who struggle against social injustice. Herewith, one must investigate how these ideals impact on the post-Guevara population of modern-day society. Guevara has also become a popular symbol while his image is too often dissociated from the legend that built it. With this, one must evaluate how and why his image has become a dominant face of contemporary popular culture, as well as the face of marketisation. Different historians have produced varying answers to the specific question. In the thesis, the strength of these claims is explored in an attempt to resolve the issue of whether Guevara succeeded or not, but the sources themselves their motivation, influences and perspective are also explored to ensure that the different historical perspectives are not simply described, but evaluated. This focus question is resultantly a mix of history and historiography. Project Essay Ernesto Che Guevara remains a potent iconic presence in society, with his life the subject of new biographies, his visage on T-shirts, and his highly-regarded influence in the political spectrum. The Argentinean-born guerilla leader who helped Fidel Castro seize power in Cuba in 1959 remains one of the few unsullied heroes available to the political left. His thoughts (as evidenced in his book, Guerilla Warfare) on revolutionary strategy, bureaucracy, education, economics, the role of the party, internationalism, attitude to work and democratic centralism have been regarded as the force behind the Latin-American Revolutions. Guevara had an indomitable belief in the worth of education and was self-taught in economics and Marxism. Marxs concept that it is not enough to interpret the world, it must be transformed was at the heart of Guevaras life. Guevara strongly believed that key analytical concepts must be adapted and modified by practice. Guevara felt that the struggle against capitalism and the construction of a new socialist society required a new type of human being who would be willing to make personal sacrifices for the well-being of others. Historian Richard Harris states, His life as a revolutionary was a success as evidenced by the continuing significance he holds in the pantheon of international revolutionary heroes and ideals. The example he set of complete commitment to the revolutionary struggle to create a new man, freed from his alienation, educated and ready to struggle every day for his liberty and a just social/international order continues to inspire those who struggle against social injustice and oppression and seek to create a new social order based on the ideals of socialism. In this context, Che has in death succeeded more than he ever could have imagined. Historian Siles del Valle argues rather convincingly that Guevaras views on the new man motivated him, his comrades and the young Bolivian rev olutionaries who followed in their footsteps a few years later to sacrifice their lives for a new society and a new kind of human being. Many of the adherents of this theology of the new man established close links with popular revolutionary movements throughout the region. In Bolivia, after the failure of Guerillas guerilla movement, and in other countries such as Chile, Brazil and Peru, the most progressive sectors of the church, influenced by the ideals of liberation theology, associated themselves with Marxist and neo-Marxist revolutionary movements. In Bolivia, this tendency resulted in the participation of certain younger members of the Christian Democratic Party in a revolutionary guerilla movement that attempted to establish a base of operations in 1970 around the mining town of Teoponte, north of the capital of La Paz. Although the idea of guerilla warfare was no longer accepted as a viable form of resistance to the military regime at the time, important elements within the Bolivian people began to idealize and even venerate the guerillas. Historian Siles de Valle illustrates the importance of how Guevaras death, his concept of the new man, the ideals of liberation theology, and the political movements inspired by Guevaras example have influenced Bolivian popular literature and politics right up to the present. This influence is evident in that the first indigenous president of Bolivia, Evo Morales, is said to be re-launching Guevaras project of a peasants revolution in the country. Morales stated that he admires Guevara because, he fought for equality and for justice. He did not just care for ordinary people; he made their struggle his own. The Deputy Assistant Secretary of Defense for Western Hemisphere affairs, Roger Pardo-Maurer IV, states, You have a revolution going on in Bolivia, a revolution that potentially could have consequences as far-reaching as the Cuban revolution of 1959. What is going on in Bolivia today could have repercussions in Latin America and elsewhere that you could be dealing with for the rest of your lives. Che Guevara sought to ignite a war based on igniting a peasant revolutionà ¢Ã¢â€š ¬Ã‚ ¦ This project is back. Herewith, Evo Morales could become the countrys first authentically politically leftist president. In contrast, Historian Jay Mallin provides the argument that Guevaras influence was ineffective in Bolivia. He states that, charisma is never enough when it comes to leftist movements. The fate of Che Guevara, who failed to foment a Latin American revolution and left no coherent societal model behind for his followers, should have taught us that already. Mallin also believes that Guevara had no purpose to be in Bolivia. Mallin affirms that, the peasants displayed little or no interest in aiding him [Guevara]. During the 1950s, Bolivia had undertaken agrarian reform, and most of the peasants now owned their own land. A high-ranking Bolivian official commented: What could Che offer them? Cabinet posts? Mallins comment indicates that although Guevara was attempting to eradicate the alienation of the individuals on behalf of the population, the peasant majority perceived him as worthless as they had already been benefiting from the capitalists agrarian reform schemes. Mallin considers Guevara to be a failure due to the fact that he was a leading theoretician and advocate of guerilla warfare, but he failed in an attempt to apply his own doctrines. Since Castro came to power in 1959, he and Guevara had launched or encouraged more than a dozen guerilla operations throughout Latin America. Not one of these has succeeded in overthrowing a government; several have been wiped out completely; and some still splutter along. Although much criticism of Guevara and his legacy emanates from the political center and right, there has also been criticism from other political groups such as anarchists and civil libertarians, Bolivian officials and right-wing conservatives, some of whom considered Guevara an authoritarian, anti-working-class Stalinist, whose goal was the creation of a more bureaucratic state-Stalinist regime. Mallins irrefutable argument is that Guevara was a man of considerable capabilities, but he chose to employ these talents in pursuit of violence as a means to a political end. A doctor by profession, Guevara chose not to serve humanity selflessly, but rather to serve communism selflessly. And this indeed he did, relinquishing power and position in order to begin, literally, from scratch once again, to risk his life a new time in obedience to his tortured ideas. Therefore, Guevara can be considered a failure when evaluating his legacy within a political context. Although his attempt at unifying the Latin American nations provided him with an iconic status, the contemporary effort by politicians to follow in Guevaras footsteps has been deemed unsuccessful (except for Cuba as it still survives and was a critical reason for the Bay of Pigs Invasion in 1961), especially with the Bolivian president Evo Morales, who has little hope of fulfilling the expectations of his followers. Called the most complete human being of our age by the French philosopher Jean-Paul Sartre, Guevaras supporters believe he may yet prove to be the most important thinker and activist in Latin America since Simon Bolivar. The most important factor of Guevaras legacy after his death was his status as a popular icon, symbolizing revolution and left-wing political ideals among youngsters in Western and Middle Eastern Cultures. A dramatic photograph of Guevara taken by photographer Alberto Korda soon became one of the centurys most recognizable images, and the portrait was simplified and reproduced on a vast array of merchandise, such as T-shirts, posters, coffee mugs and baseball caps. When Guevara died, millions mourned his passing. Poets and philosophers wrote impassioned eulogies to him, musicians composed tributes, and painters rendered his portrait in a myriad of heroic poses. Marxist guerillas in Asia, Africa and Latin America anxious to revolutionize their societies held his banner aloft as they went into battle. And, as the youth in the United States and Western Europe rose up against the established order over the Vietnam War, racial prejudice, and social orthodoxy, Guevaras defiant visage became the ultimate icon of their fervent protest on influencing government policies. Guevaras body might have vanished, but his spirit has lived on; Guevara was nowhere and everywhere at once. As Jorge Castaneda so aptly states in his evaluation of Guevara, Many of us today owe the few attractive and redeeming features of our daily existence to the sixties, and Che Guevara personifies the era, if not the traits, better than anyone. Latin-American Historians Castaneda, Anderson and Taibo examine the extent to which Guevara was committed to both fomenting socialist revolution on a truly international scale and personally putting into practice his thesis that it was possible for a small but committed guerrilla fighting force to ignite a full-scale popular revolution in Latin-American nations saddled by oppressive regimes and U.S. imperialism. His commitment to these beliefs was shared by most of his closest friends and comrades as well as many admirers and sympathizers around the world. Guevara exemplified the principles of individual sacrifice, honesty, dedication to cause, and personal conviction in his beliefs. In fact, the example he created by the way he lived his life and met his death has transcended time and ideology to nurture and inspire new generations of fighters and dreamers. Guevaras defiant visage, as Anderson believes, has become the ultimate icon of revolutionary spirit and commitment in the late twentieth century. Guevara was truly a man who died for his beliefs, and because of his almost mythical self-sacrifice for his revolutionary ideals he has been the single most important figure of veneration for revolutionaries and guerilla fighters around the world. Historian Castaneda links Guevaras legacy to what he sees as the legacy of the international youth revolt that took place in the 1960s: à ¢Ã¢â€š ¬Ã‚ ¦This is the lasting legacy of that decade. It is also what made Guevara the perfect fit, the supreme emblem of that cultural revolt a man whose politics were conventional but whose attitude toward power and politics attained epic and unique dimensionsà ¢Ã¢â€š ¬Ã‚ ¦ This component of Guevaras legacy can be evidenced through the increased involvement of the New Left youth revolts during the 1960s. The New Left sought to modify, rather than overthrow capitalism. It sought to make capitalism more inclusive and better share the massive wealth the United States enjoyed in the postwar period making the New Left relevant as this was a constituent of Guevaras ideologies. Castaneda supports his argument by stating that Che can be foundà ¢Ã¢â€š ¬Ã‚ ¦in the niches reserved for cultural icons, for symbols of social uprisings that filter down de ep into the soil of society, but while there is truth in this assertion it is also clear that Guevaras legacy is greater than this. Bolivian literature, as exemplified by Harris, is testimony to the influence on Bolivian society of Ches guerilla mission and death. Though he is seen by many as a hero, opponents of Guevara, including Cuban exiles, think of him as a killer and terrorist. They point to what they see as the less savoury aspects of Guevaras life, taking the viewpoint that he was enthusiastic about executing opponents of the Cuban Revolution. Some of Guevaras writing is cited as evidence of this tendency, as quoted in an article by Alvaro Vargas Llosa. In his Message to the Tricontinental, Llosa writes of hatred as an element of struggle; unbending hatred for the enemy, which pushes a human being beyond his natural limitations, making him into an effective, violent, selective, and cold-blooded killing machine. Critics in the United States assert that Che Guevara was responsible for the torture and execution of hundreds of people in Cuban prisons, and the murder of many more peasants in the regions controlled or visited by his guerilla forces. Contrary to Guevara supporters, these critics also argue that Guevara was a blundering tactician with no recorded combat victories. While supporters point to the Battle of Santa Clara as a major victory of Guevara, historian Alvaro Vargas Llosa writes, his greatest military achievement in the fight against Batista taking the city of Santa Clara after ambushing a train with heavy reinforcements is seriously disputed. Numerous testimonies indicate that the commander of the train surrendered in advance, perhaps after taking bribes. They believe that Guevara murdered individuals on dubious grounds and took their property, seized private manors for himself, and distributed property among communist bureaucrats rather than the peasants. The critics also st ate that he helped institute forced labour camps when communist volunteerism had failed. Herewith, his social legacy has proven to be notorious as early followers of Guevara have had to transcend hate in order to be attain freedom. A corresponding element of Guevaras legacy is his success and veneration within an economic context. Guevara believed that the revolutionary regime needed to promote the development among Cubas working class of a new communist consciousness based on moral rather than material incentives. He also believed strongly that the regime needed to adopt a centralised budgetary system for the equitable allocation of resources between different sectors of the economy in order to build socialism in Cubas corrupt and underdeveloped economy. He was vehemently opposed to what has today become the market strategy in the remaining few socialist countries marketisation, material incentives, and enterprise financial self-management. Anderson believes that Guevaras image is lionised by commercial profiteers around the world. Entrepreneurs have used and abused Guevaras visage in a variety of ways including ice-cream flavours, revolutionary tacos and is even the public face of Cuba in relation to tourism . Although Guevaras Marxist and economic ideologies were systematic and meticulous, he failed at managing the Cuban economy, as he oversaw the near-collapse of sugar production, the failure of industrialisation, and the introduction of rationing. In a broader sense, some critics, such as Che-Mart (author unknown), have merchandised their dislike of Guevara by marketing burlesque T-shirts at both Guevara and his supporters, casting aspersions, for example, on what they perceive as an irony. The irony can be evidenced in that Guevara was a motivated communist who lived the last years of his life as a revolutionary figure, in order to abolish American capitalism throughout Latin America, but is now one of capitalisms hottest selling images. The creator of Che-mart.com has written, Che has marketed his brand name brilliantly over the years, selling to specific niche in the market: young people who have no clue what Che has done or what he stands for. The cash continues to flow as most coll ege dorms world-wide are being adorned with his face. This comment eradicates Guevaras initial purpose and ideals of a world free of capitalism. Herewith, Guevaras legacy in an economic context is an ironic one, as what he fought against for so many years has allowed market oligopolies to take advantage and use his well-known visage to achieve what entrepreneurs love most: large profit margins from effective market capitalism. The complex facets of Che Guevaras revolutionary movement have created a mixture of interpretations through the passage of time, causing a distortion in the Guevara legend. He is singled out from other revolutionaries by many young people in the West because he rejected a comfortable bourgeois background to fight for those who were deprived of political power and economic stability. However, as evidenced in the thesis, Guevara was unsuccessful in his fight against peasant exploitation and Western capitalism. It is for this reason that Guevaras legacy is considered as rather disproportionate and can be regarded as a failure, when evaluating his political and economic success as a revolutionary. Paradoxically, Guevara can be considered a success as he has become a popular symbol while his image is too often dissociated from the philosophy that built it. It is the vulnerability of Guevaras spirit that makes him a contemporary hero although he might have failed as a revolutionary, he ha s somehow retained a powerful hold on the popular imagination, seeming to transcend time and place; his legacy continues to influence not only those who were inspired by him then but also those who are discovering him today.

American Foreign Policy in the 1890s Essay -- essays papers

American Foreign Policy in the 1890s American foreign policy during the 1890s was based on many factors that each acted as an individual justification for our country’s behavior as a whole. Racism, nationalism, commercialism, and humanitarianism each had its own role in the actions America took against other nations. Most Americans were extremely racist during this time period. The predominant culture in the country was white, Anglo-Saxon, Protestants, aka WASPs. They scorned the now free black people and all European immigrants that came to our nation. They gave anyone with the slightest differences a very hard time, whether they were citizens of America or not. If they did such things to their fellow countrymen, their reactions to foreigners was considerably magnified. They criticized Europeans on their foreign practices, especially when it came to Imperialism. But when they caught on to the European’s ideas, they twisted the concept to adjust it to their own needs. That’s when the other major justifications to their foreign policy come in. Humanitarianism was the major justification that Americans used when they established their territories. Americans may have shunned the Europeans’ actions to gain colonies solely for power and prestige, but they certainly weren’t going to let the Europeans be the only ones who practiced what they considered to be a pretty good idea. That’s when Americans twisted their racism around to suit their needs. They felt, as the white race, ...

Fight Club - Conformity vs Rebellion Essay -- Fight Club David Fincher

Fight Club - Conformity vs Rebellion The conflict between conformity and rebellion has always been a struggle in our society. Fight Club is a movie that depicts just that. The movie portrays the polarity between traditionalism and an anti-social revolt. It is the story of man who is subconsciously fed up with the materialism and monotony of everyday life and thereafter creates a new persona inside his mind to contrast and counteract his repetitive lifestyle.   Ã‚  Ã‚  Ã‚  Ã‚  The main character is actually unnamed, but sometimes is referred to as Jack, which comes from a medical book he reads in the Tyler’s house perhaps. He is the normal, everyday, worker bee that carries on his overly boring life day in and day out because he is the typical conformist that society tells us to be. Jack is the everyday common workingman to which the audience can sympathize with and relate to. His character portrays the struggles and longevity of the American dream. He is constantly rating his life and his lifestyle by his furniture. The designer furniture that he orders out of mail catalogues defines his personality and self worth. This is due to the fact that he is constantly trying to improve and complete his lifestyle by buying certain pieces of furniture to create a modern but still simple and traditional household. His house is beyond perfection but yet he still tries to further its flawlessness, which relates to his dream of the typical Am erican. But as he constantly tries to improve himself with his furniture and work habits to define his personality, he actually fails miserably and does quite the opposite. When Jack buys his furniture he destroys every attempt that he has made to improve himself. He only falls deeper into the hole that he digs himself. Every piece of furniture that he buys, he loses another part of his identity. Jack’s conformity follows him to work as he becomes a doormat. His socialization is confined to the limits of his cubicle with the only exception being when he is on business trips. During flights he develops relationships with the passengers around him. This is not done out of a real honesty for a conversation, but out of a need to fill a void, a loneliness, a lack of self-worth. His life is full of â€Å"single serving friends†, car crashes, and wishes of an eventful death because the monotony of his life gives him strict boundaries to live by. His... ...rkingman, as Tyler is the man everyone wants to be. Fight Club shows a man that everyone wants to be but can’t because of laws and in most cases common courtesy. The movie states that there is basically a Tyler in all of us, wanting and waiting to come out. None of us will let him out though because we don’t have the courage, or maybe stupidity to do it, although Jack does. For a while in the movie Jack did get everything he wanted. He had no care in the world and couldn’t have felt better about himself as a whole. Not until later does the final message come in, without any control there is chaos. When Tyler ran rampant and did what he pleased things began to get out of hand. For instance his final act of defiance towards society was the blowing up of credit card companies in order to erase the debt record so that everyone’s debt would go back to zero. This is only to create total chaos and embody Tyler’s world without rules. Tyler sums up the m ovie in his own terms, â€Å"You are not your job. You are not how much you have in the bank. You are not the contents of your wallet. You are not your khakis. You are not a beautiful and unique snowflake. The things you own end up owning you.†

Abortion and Ethics Essay -- Life Pregnancy Fetus Papers

Abortion and Ethics According to the Websterà ¢s New World Dictionary, the first definition of abortion is the spontaneous act in which the body expels an embryo or fetus before it is able to survive, miscarriage (Neufeldt & Guralnik, 4). Yet others define abortion as à £the termination of a pregnancy with resulting death of the human fetus,à ¤ relating more to the planned procedures to produce this specific response (Ashley & Oà ¢Rourke, 141). In our society we have taken on this second view of the meaning, rather than abortion being a spontaneous act, it is a deliberate procedure sought by the mother that removes an embryo or fetus. This deliberate act has arisen throughout a controversial history. Before the procedures were made legal, women used many primitive methods. Some of these methods include jumping from great heights, having others jump on the pregnant womanà ¢s abdomen, ingestion of toxic substances, and the use of invasive probes such as sticks, knitting needles, or wire hangers (Callahan, 252). Although these primitive procedures might result in an abortion, they were unsafe for the women who endured them. Abortion in the United States was illegal until the early 1970s. Once legalized, abortions were localized to the coastal densely populated cities, such as in the states California and New York. Abortion was legalized nation wide on January 22, 1973 due to the efforts the key court cases of Roe v. Wade, and Doe v. Botton. Roe was an unmarried woman from Texas that wanted to challenge the abortion laws because she herself wanted to have the procedure to relieve the unborn child she carried. The second case, Doe v. Botton had a different outlook on the justification for abortion. Doe, a married... ...cities.com/ourlady_dal/abortion2.htm Knight, James, Joan Callahan. Preventing Birth: Contemporary Methods and Related Moral Controversies. University of Utah Press: Salt Lake City, 1989. Kushner, Thomasine, David C. Thomasma. Birth to Death. Cambridge University Press: Cambridge, 1996. National Institute of Neurological Disorders and Stroke National Institutes of Health. 26 Nov. 2002. http://www.ninds.nih.gov/health_and_medical/disorders/taysachs_doc.htm Neufeldt, Victoria, David B. Guralnik. Webster's New World Dictionary 3rd ed. Prentice Hall/Macmillan Company: New York, 1994. Robinson. 26 Nov. 2002. http://www.religioustolerance.org/abortion.htm Shannon, Thomas. Bioethics, 3rd edition. Paulist Press: Mahwah, 1987. The Abortion Law Homepage. 26 Nov. 2002. http://members.aol.com/abtrbng/pbal.htm