Analyzing Experimental Research Studies Essay Example | Topics and Well Written Essays - 500 words

Analyzing Experimental Research Studies - Essay Example But the reality is, the healthy breakfast that makes our child healthy consists of According to the American Dietetic Association, these can include: The Castrol (3) brand speaks for itself and the performance is acknowledged world over. But when they borrow Cristiano Ronaldo, the highest paid footballer under the Sun, the sale might have been surged northwards but the finer contents and the subtle technicalities somehow have been thwarted or compromised. The ace footballer may know the game but the ultimate seven point advantage which the EDGE brand has been provided including protection against wear, long lasting oil and cleaner engine to name a few has not been uttered in proper manner. The â€Å"expert† here has a very little role to play to describe the superior parts of the lubricant since his expertise pertains to a different field. The only common lining in John McCain has copiously used Paris Hilton who says few words against the â€Å"Biggest Celebrity† Barak Obama. Her rhetoric was a curious mix over some topics like â€Å"Offshore Dealing†, Higher Taxes â€Å"and so on. Again here the ad content platters out a hollow massage. A socialite like Hilton is best suited for her comments on latest trend of fashions or foot wares. She is welcome to share her recent experience in a luxury cruise but her political acumens are not a proper topic to discuss. Leave aside the title â€Å"expert† she is a non grata persona in political field. Naturally when she shares her concern over these topics which perhaps were uttered for the first time in her life, it hardly cracks any ice. (4) 1. Paris Hilton has not given a second thought about his limitation as a political commentator. It is not a realistic approach from the part of the ad managers to use her political ‘acumen’ as the USP to fetch more voting percentage. 2. Her testimony as an expert was contradicted with a much cleaver ad where a battery of bright faces

Therapies Order Essay Example for Free

Therapies Order Essay What is the major point/hypothesis? If there are any subthemes, list them. This section is a roadmap for you and the reader. It tells where you are going and what you are going to discuss. Make sure you discuss the article very well as though I have not read it.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   When we study human behavior, specifically focusing on the development of personality and crucial to how a person or individual conducts him/herself, psychology offers a variety of dimensions. The concept of personality is central to our attempt to understand ourselves and others and is part of the way in which we account for the differences that contribute to our individuality. Psychologists have been particularly concerned with shaping of the personality in relation to genetic and environmental influences. We have been fortunate that the study of human personality has been thriving and fruitful. We can choose from as many models we can to help us see ourselves better and maintain good relationships.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     For the thrust that this paper is taking, I wish to mention then my views individually, on Behavioral, Cognitive-Behavioral, Psychoanalytic, Existential, Humanistic, and   Family Systems therapies.. -The Behavioral   model utilizes what is termed as the learning theory posited by Skinner and Watson and the rest of the Behaviorism school. It assumes that the principles in learning i.e., conditioning (Associative and Operant) are effective means to effect change in an individual. Generally, the thrust of this theoretical perspective is focused on the symptoms that a person is experiencing. Just as many of the errors of the patterns of behavior come from learning from the environment, it is also assumed that an individual will be able to unlearn some if not all these by using the techniques as applied based on the learning principles. To a certain extent I believe that this still works: reinforcements are effective to some extent and in some or many people hence I am incorporating this stance separate or distinct from the Cognitive-Behavioral approach.   In behavior therapy therefore, thoughts, feelings and all those â€Å"malfunctioning† and unwanted manifestations revealed in one’s activities can be unlearned and the work of a behavior therapist. The basic concepts include â€Å"extinguishing† – utilized when maladaptive patterns are then weakened and removed and in their place habits that are healthy are established (developed and strengthened) in a series or progressive approach called â€Å"successive approximations. When these (factors) are reinforced such as through rewards in intrinsic and extrinsic means, the potential of a more secure and steady change in behavior is developed and firmly established (Rubinstein et al., 20074; Corey, 2004). Cognitive-Behavioral therapy. In the cognitive approach alone, the therapist understands that a client or patient comes into the healing relationship and the former’s role is to change or modify the latter’s maladjusted or error-filled thinking patterns. These patterns may include wishful thinking, unrealistic expectations, constant reliving and living in the past or even beyond the present and into the future, and overgeneralizing. These habits lead to confusion, frustration and eventual constant disappointment. This therapeutic approach stresses or accentuates the rational or logical and positive worldview: a viewpoint that takes into consideration that we are problem-solvers, have options in life and not that we are always left with no choice as many people think. It also looks into the fact that because we do have options then there are many things that await someone who have had bad choices in the past, and therefore can look positively into the future. Cognitive-Behavioral Therapy postulated primarily by Ellis and Beck â€Å"facilitates a collaborative relationship between the patient and therapist.† With the idea that the counselor and patient together cooperate to attain a trusting relationship and agree which problems or issues need to come first in the course of the therapy. For the Cognitive Behaviorist Therapist, the immediate and presenting problem that the client is suffering and complaining from takes precedence and must be addressed and focused in the treatment. There is instantaneous relief from the symptoms, and may be encouraged or spurred on to pursue in-depth treatment and reduction of the ailments where possible (Rubinstein et al., 2007; Corey, 2004). Psychoanalytic therapy. The Psychodynamic perspective is based on the work of Sigmund Freud. He created both a theory to explain personality and mental disorders, and the form of therapy known as psychoanalysis. The psychodynamic approach assumes that all behavior and mental processes reflect constant and often unconscious struggles within the person. These usually involved conflicts between our need to satisfy basic biological instincts, for example, for food, sex or aggression, and the restrictions imposed by society. Not all of those who take a psychodynamic approach accept all of Freud’s original ideas, but most would view abnormal or problematic behavior as the result of a failure to resolve conflicts adequately. Many of the disorders or mental illnesses recognized today without a doubt have their psychodynamic explanation aside from other viewpoints like that of the behaviourist, or the cognitivists. From simple childhood developmental diseases to Schizophrenia, there is a rationale that from Freud’s camp is able to explain (Kaplan et al, 1994). The Existential approach, as put forward by Nietzsche, Kierkegaard, Sartre, Heidegger, Rollo May, and Frankl, believes that the individual’s potential may lie dormant but that it is there waiting to be ushered in time. It recognizes that man is able to achieve great heights and that these are just waiting to be tapped not only by him/herself but that also when helped by a practitioner who is persuaded of this notion. It examines such major issues as free will and the challenges of exercising this free will, the issue of mortality, loneliness and in general, the meaning of life. The Therapy is effective when the practitioner works with elderly care and death and dying issues. It focuses on the individual needs but takes into consideration the significant relationships and the meanings they bring into the person’s life. Transcending the issues and problems are primary intentions of the therapist at the same time being realistic that certain limitations do exist and may hinder the process of recovery (Rubinstein et al., 2007; Corey, 2004). Humanistic therapy. Allport, Bugental, Buhler, Maslow Rollo May, Murphy, Murray, Fritz Perls and Rogers are those that helped usher in the Humanistic theory and consequent therapy. It holds in view the individual as possessing the options or freedom to choose, creativity, and the capability to attain a state where he/she is more aware, freer, responsible and worthy of trust. Because the human mind has immense potential, the approach assesses as well that forces from the environment bear on with the individual and depending on the interplay that occurs within the individual person, the result will either be destructive or constructive to the person. In sum, humanism takes into the perspective that essentially humans are good and not evil, and that the therapy facilitates by harnessing on the human potential through the development of interpersonal skills. This results to an enhanced quality life and the individual becomes an asset rather than a liability to the society where he revolves in (Rubinstein et al., 2007; Corey, 2004). Family-Systems therapy. This theoretical viewpoint has been the by-product of the works of Bateson, Minuchin, Bowen, Ackerman and many others. Usually done in pairs or by a team of practitioners, family systems therapy has its roots in behavioral and psychoanalytic principles. This model understands that the family is a unit and its members or any of its members with an issue or a problem must be addressed in the context of the family as a unit. It puts its emphasis on the relationships among the family members, their patterns of communication more than their individual traits and/or symptoms. The systems theory portion of the therapy indicates that whatever is occurring or happening is not isolated but is a working part of a bigger context. In the family systems approach then, no individual person can be understood when removed from his relationships whether in the present or past, and this is specially focused on the family he belongs to (Rubinstein et al., 2007; Corey, 2004). How does this essay relate to the chapter being studied and the class? Identify the portions of the text, that it relates to and explain how it is relevant. This means relate it to as many chapters in the text that are appropriate and explain.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   This essay essentially facilitates reflection by the student and enhances the understanding and comprehension of the material. The absorption of the concepts is crucial and the fundamental method or approach is to enlighten the student by digesting the topics through explaining in their own words, interpreting these into their contexts. 3. Why is this topic important to the chapter and to psychology? Use examples from the chapter to back-up your response(s). I do not want to know your opinions. I want you to have evidence for whatever it is you are proposing. How can you relate this to your everyday life?   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The therapies are the crucial aspects to the successful reduction or elimination of the illnesses suffered by human individuals. These are the interventions devised and posited by man to address not only the symptoms that are indicative of the problems. The evidence-based researches point to their effectiveness (i.e., cognitive behavioral therapy or CBT by Beck and Ellis’ RBT) to various disorders. Psychology cannot advance when the interventions are not discussed or even discovered. One of the goals of psychology is the modification or control of the behavior which may be detrimental to the client and here is where the therapies come in to try to satisfy this goal.

Anorexia Nervosa: Symptoms, Treatment and Impact

Anorexia Nervosa: Symptoms, Treatment and Impact Circulatory system is made up of the vessels and the muscles that help and control the flow of the blood around the body. Blood contains antigens and antibodies to protect us from infectious and non-infectious diseases which called the immune system. Whenever antigen and antibody interlock, the antibody marks the antigen for destruction. Everyone would want to have the ideal body. They will do everything so that their bodies could be perfect form, especially female. Approximately 95% of those affected by anorexia are female, but males can develop the disorder as well. Anorexia nervosa is a non-infectious disease. Anorexia nervosa or usually called anorexia is an eating disorder or loss of desire for food (appetite). When people have this disease, they are called to be anorexic. The process of too much limiting the amount of food into the body is likely to result a person experiencing anorexia. People with anorexia nervosa behave to be very high achievers, performing very well in many activities. Professionals for instance athletes, model or superstar are easily got anorexic, because of their professional requirement. Anorexia is mostly resulted from one maintaining an extremely low weight, and formed as a result of changes in ones behavior, emotions, thinking, perceptions, and social interactions. When people called to be anorexic, they dont have any nutrition in their body and thus anorexias antigen could attack antibodies. When antibodies failed to prevent anorexias antigens, our body will get tired, weak and other symptoms of anorexia will occur. Even though there have been many anorexia cases, at the end of the millennium, people health will be better and anorexics will decrease because of the technology improvement. This essay will discuss the causes, symptoms, prevention methods, and treatment methods towards anorexia disease. Anorexia is a very dangerous disease because it is happening in all over the world. A record has been made in 2004 by world health organization statistical information system to prove how harmful is this eating disorder. There are approximately 20 countries counted for the people death caused by anorexics. Below is the diagram of the record. Anorexics might cause by having troubled relationships or being teased about their size or weight at their past. When being teased, person felt of not good enough, low self-esteem, and even anger. Thus this will affects their social life. According to a research suggests that a combination of certain personality traits, emotions and thinking patterns, as well as cultural and environmental factors might be responsible. People who have anorexia are behaving to deny that they have a problem. Due to people with anorexia often hide their condition symptoms are not easy to see. But as time goes by, as anorexia progresses symptoms may be seen and its start to be difficult for them to deny. The symptoms are: Anorexics read food labels to measures and weighs the calories of the food that they will eat. Anorexics will pretend that they had eaten before when someone ask them to or throw the food away. They preoccupy with food. By collecting recipes, reading food magazines or cooking for friends may make other think that they are normal and forgotten about their previous thought of (he/she) getting anorexia. Anorexics will cut food into small pieces and chewing every bite a certain number of times. The affected person uses various methods such as vomiting or laxative abuse to prevent weight gain. Most individuals with anorexia nervosa do not recognize that they have an eating disorder. And usually hide their feelings, thoughts, intentions and actions from other people (secretive). They may easily get tired, weak, and most of the time dizzy because of low blood pressure. Have purplish skin color on their arms and legs from poor blood flow. They also happen to have yellow skin and dry mouth. Patient of anorexia nervosa are easily getting confused and slow thinking. Not all of cases involving this type of non-infectious disease can be prevented. Despite that, there may be some ways to be done to prevent some cases to happen. What can be done are: teaching and encouraging healthy eating habits and realistic attitudes about food and body image to people that are suspected might experience anorexia. The role of parents in a family is also important. In particular, mothers should create a healthy lifestyle in order to show her children how important to consume particular amount of food, and fathers should not criticize too much on his children body shape and weight. In addition, parents should promote a healthy and supporting environment for their children. On the other hand, the media can also be used to promote healthier lifestyle. It must represent the society, as the basic characteristic of an individual is that they may tend to follow others lifestyle. The media can also display programs that are created to prevent eating disorder. Many of anorexics died before they could get a well treatment. Anorexics that are in a very underweight condition, must be treated carefully, or hospitalized. After anorexics get the medical treatment, they need to get psychological counseling in order for them learn about healthy foods and lifestyle. The psychological counseling may includes nutritional counseling, individual counseling and group counseling. Nutritional counseling will teaches anorexics to count calories of body needed in comfortable method. And to help with weight gain, doctors usually use liquid food supplements. Anorexics may also need some therapies such as cognitive-behavioral therapy or known as CBT in the individual counseling. CBT teachers will help anorexics to change their attitudes and behaviors about eating. Group counseling is also needed for anorexics, to share their experiences and to encourage their friends (who also experience anorexia) to recover. Family therapy is very helpful, especially for teen with anorexics. Parents and siblings could support the anorexics during treatment emotionally and physically. Another effort to help anorexics recover is by letting them expressing their feelings and doing something enjoyable for them for instance doing their hobbies. Then, doing relaxation is also important. By having yoga, massage and the traditional Chinese relaxation exercises will build a healthy relationship with their body. Bibliography ThinkQuest, ThinkQuest. Circulatory System. 30-11-09 . National Cancer Institute, USA, National Cancer Institute, USA . Antigens and Antibodies. 29-12-09 . Stoppler, Melissa. Anorexia nervosa. medecinenet.com. 29-11-09 . ehealthMD, ehealthMD. Anorexia nervosa. 30-11-09. NationMaster.com, NationMaster.com. Mortality Statistics > Eating disorders (most recent) by country . 1-12-09 . Cleveland Clinic, Cleveland Clinic. Anorexia nervosa. 1-11-09 . Depression and Anxiety in Older Adults: Knowledge Gaps Depression and Anxiety in Older Adults: Knowledge Gaps Depression and Anxiety in Older Adults:  Are there gaps in current knowledge regarding diagnosis and treatment? Introduction Mental health problems in older adults can cause a massive social impact, often bringing about poor quality of life, isolation and exclusion. Depression is one of the most debilitating mental health disorders worldwide, affecting approximately 7% of the elderly population (Global Health Data Exchange, 2010). Despite this, it is also one of the most underdiagnosed and undertreated conditions in the primary care setting. Even with estimates of approximately 25% of over 65’s living in the community having depressive symptoms severe enough to warrant medical intervention, only one third discuss their symptoms with their GP. Of those that do, only 50% receive treatment as symptoms of depression within this population often coincide with other later life problems ( IAPT, 2009; World Health Organisation (WHO), 2004). Chapter 2: Literature Review 2.1: Depression and Anxiety in older adults Many misconceptions surround ageing including the fact that depression is a normal part of the ageing process. Actual evidence indicates that other physical health issues often supersede the presentation of depressive symptoms in older adults which may suggest that the development of depression is influenced by deteriorating physical health (Baldwin, 2008; Baldwin et al, 2002). Depression may present differently in older adults in comparison to adolescents or even working age adults. Although the same disorder may be present throughout different stages of the lifespan, in older adults certain symptoms of depression may be accentuated, such as somatic or psychotic symptoms and memory complaints, or suppressed, such as the feelings of sadness, in comparison to younger people with the same disorder (Baldwin, 2008; Chiu, Tam Chiu, 2008). O’Connor et al (2001) carried out a study into ‘the influence of age on the response of major depression to electroconvulsive therapy†™ and found that when confounding variables are controlled (age at the beginning of a study), there is no difference in the remission rates for depression in both younger and older adults, however, relapse rates remain higher for older adults. Backing this up, Brodaty et al (1993) conducted a qualitative naturalistic study into the prognosis of depression in older adults in comparison to younger adults and again confirmed that the prognosis and remission for depression in older adults is not significantly worse than for younger adults. However, the rigor of a qualitative naturalistic study is argued by proponents as being value-laden in nature, while criticisms of this study approach highlight it as being subjective, anecdotal and subject to researcher bias (Koch, 2006). In addition to depression, anxiety disorders are also common among older adults, often presenting as a comorbid condition. In 2007, 2.28 million people were diagnosed as having an anxiety disorder in the UK, with 13% of those individuals aged 65 and over. By 2026, the projected number of people diagnosed with an anxiety disorder is expected to rise by 12.7% to 2.56 million with the greatest increase expected to be seen in the older adult population (King’s Fund, 2008). Despite the prevalence rate, anxiety is poorly researched in comparison to other psychiatric disorders in older people (Wetherell et al, 2005). Of the anxiety disorders, phobic disorders and generalised anxiety disorder (GAD) are the two most common in older people (Bryant et al, 2008). It wasn’t until 1980 that the American Psychiatric Association (APA) published the Diagnostic and Statistical Manual of Mental Disorders (DSM) 3rd Edition which introduced Generalised Anxiety Disorder (GAD) into the psychi atric nomenclature, distinguishing it from other anxiety disorders for the first time (APA, 1980). MCManus et al (2009) estimate that in England alone, as many as 4.4% of people suffer with GAD with prevalence rates between 1.2 and 2.5 times higher for women than men (Prajapati, 2012). Post-Traumatic Stress Disorder (PTSD) continues to gain increased recognition and has received more clinical interest lately, correlating with individuals from the Second World War, Holocaust and Vietnam Veterans reaching or being well into old age. Despite this, data relating to prevalence rates still remains limited with research tending to focus on specific populations as opposed to community figures, for example, with regards to UK war veterans, approximately 30% will develop PTSD (pickingupthepieces.org.au, 2014). Unfortunately, stigma tends to misrepresent PTSD statistics as sufferers tend not to seek diagnosis or researcher bias is present. Britt (2000) found that many service personal within the military stated that admitting to a mental health problem was not only more stigmatising that admitting to a physical health problem but they also believed it would have a more detrimental impact on their career prospects. Furthermore, Mueller (2009) conducted a study into disclosure attitudes in which it was concluded that these attitudes can strongly predict symptom severity. With this in mind, it is important to stress the importance of practicing within the limits of NMC (2008) code of conduct in which unconditional positive regard must be shown by all nursing staff whilst incorporating a non-bias attitude in practice. Anxiety and depression comorbidity is well established. A longitudinal study, noted for its beneficial adaptability in enabling the researcher to look at changes over time, conducted by Balkom et al (2000) found that in a random community sample of adults (55 and older), who were diagnosed as having an anxiety disorder, 13% also met the criteria of major depressive disorder (MDD). Adding weight to the evidence of anxiety and depression comorbidity in older adults, Schaub (2000) who also conducted a longitudinal study, found that 29.4% of a sample of older adults in a German community diagnosed with an anxiety disorder also met the criteria for a depressive disorder. Longitudinal studies are thought to vary in their validity due to the attrition of randomly assigned participants during the course of the study, thus producing a final sample that is not a true representation of the population sampled (Rivet-Amico, 2009). King-Kallimanis, Gum and Kohn (2009) examined current and lifetime comorbidity of anxiety with depression. Within a 12 month period they found 51.8% of older adults with MDD in the United States also met the diagnostic criteria for an anxiety disorder. There is evidence to suggest that the first presentation of anxiety symptoms in older adults suggests an underlying depressive disorder (Chiu et al, 2008). Unfortunately, comorbid anxiety and depression in older adults is associated with much higher risks of suicidal symptoms (Bartels et al, 2002; Lenze et al, 2000) in addition to increased reports of more severe psychiatric and somatic symptoms and poorer social functioning when compared to depression alone (Lenze et al, 2000; Schoevers et al, 2003). 2.2 Diagnosis and Screening Tools The U.S. Preventive Services Task Force (USPSTF) (2009) states that screening for depression and anxiety in older adults allows GPs and mental health practitioners to look for these conditions despite the service user not reporting the symptoms. However, recommendations on the use of screening tools should be limited to services where there are adequate systems in place to refer service users on for in-depth assessment and treatment as screening without adequate treatment and follow-up is highly ineffective as highlighted by O’Conner (2009) and USPSTF (2009) in separate research reviews. Snowden et al (2009) further stipulates that screening should only be carried out in appropriate settings using approved depression screening tools designed specifically for older adults. Some of these specific screening tools include the Geriatric Depression Scale (GDS) and the 2 –item and 9-item Patient Health Questionnaire (PHQ-2 /PHQ-9). It is necessary to be mindful of the fact tha t screening tools are not diagnostic assessments, they merely identify the likelihood of someone have depression/anxiety (Snowden et al, 2009) and should be used in conjunction with a clinical examination to aid diagnosis (Chie et al, 2008). The self-administered Geriatric Depression Scale is the most widely accepted screening tool for depression in older adults, first developed by Yesavage et al in 1983. It is available in both a ‘long form’ and’ short form’. The ‘long form’ consists of a 30-item questionnaire, which asks the older adult to answer ‘yes’ or ‘no’ to specific questions in reference to how they have been feeling over the past week. The ‘shorter form’ (see appendix 1) was developed in 1986 following validation studies of the ‘long form’ and takes approximately 5 minutes to complete. This is often the more suitable screening tool as it can be more easily used by individuals who are physically unwell and those suffering from mild to moderate cognitive impairments such as dementia who may have relatively short concentration spans. It comprises of 15 specific questions from the ‘long form’ that generated the highest association with depressive symptoms. Scores of 0-4 on the GDS ‘short form’ are considered normal; 5-8 indicate mild depression; 9-11 indicate moderate depression; and 12-15 indicate severe depression (Yesavage et al, 1983; 1986). The GDS have proven to a highly reliable and valid screening tool. One study carried out by Paradela et al (2005) found that the GDS had 81% sensitivity and 71% specificity when evaluated against diagnostic criteria in the DSM-IV. In a validation study completed Sheikh and Yesavage (1986) comparing the GDS Long and Short Forms, both were successful in distinguishing depressed from non-depressed older adults with a high correlation. Within the NHS, several screening tools are more widely used than the GDS. These include the PHQ-9 (Spitzer et al, 1999), PHQ-2 (see appendix 2) (Kroenke et al, 2003) and ‘Whooley questions’ (see appendix 3) (Whooley et al, 1997). Both the PHQ-2 and PHQ-9 use a psychometric Likert scale format while the ‘Whooley questions’ uses simple yes/no answers. The PHQ-2 and ‘Whooley questions’ fall into the category of ‘ultra-short’ questionnaires comprising of as little as three, two or one single detection questions. Despite the use of these ultra-short questionnaires being used in practice, evidence from Mitchell and Coyne (2007) suggests that ‘one-question’ screening tools identify as little as one third of patients with depression making them unacceptable and unreliable screening tools if exclusively relied upon. Despite this, there is still support for the use of two and three question screening tools, specifically the PHQ-2 which has been found to identify as many as 80% of individuals with depression in primary care settings (Ross, 2010; Mitchell and Coyne, 2007). As with all good practice, caution should be used when utilising these screening tools are they can present false-positive results (Mitchell and Coyne, 2007). By comparison, the PHQ-9 is a self-administered 9-item questionnaire aimed at the detection of depression (Kroenke et al, 2001). It value within mental health screening is well known due to the robust evidence surrounding it validity and excellent levels of sensitivity (91.7%) and specificity (78.3%) (Kroenke et al, 2010). Chapter 3: Application to Nursing Practice Dementia, along with depression and other priority mental disorders are included in the WHO Mental Health Gap Action Programme (mhGAP). This programme aims to improve care for mental, neurological and substance use disorders through providing guidance and tools to develop health services in resource poor areas. Synthesis and utilization of empirical research is an important aspect of evidence-based care. Only within the context of the holistic assessment, can the highest quality of care be achieved. References: Baldwin, R., Chiu, E., Katona, C., and Graham, N. 2002. Guidelines on depression in older people: Practising the evidence. London: Martin Dunitz Ltd. Baldwin, R. 2008. Mood disorders: depressive disorders. In: Jacob R et al, Oxford Textbook of Older Age Psychiatry. Oxford: Oxford University Press. Balkom, V., Beekman , A., de Beurs, E., et al. Comorbidity of the anxiety disorders in a community-based older population in the Netherlands [Online]. Acta Psychiatrica Scandinavica 101(-). Pp 37–45. Available at: https://www-swetswise-com.abc.cardiff.ac.uk/FullTextProxy/swproxy?url=http://onlinelibrary.wiley.coc/resolve/doi/pdf?DOI=10.1034/j.1600-0447.2000.101001037.xts=1409279416128cs=1533436201userName=0000884.ipdireciemCondId=884articleID=25446758yevoID=1585273titleID=2498remoteAddr=131.251.137.64hostType=PRO [Accessed: 29th August 2014]. Bartels, S., Coakley, E., Oxman, T., et al. 2002. Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry.159(10) pp.417–427. Brodaty, H., Harris, L., Peters, K., Wilhelm, K., Hickie, I., Boyce, P., Mitchell, P., Parker, G., and Eyers, K. 1993. Prognosis of depression in the elderly. A comparison with younger patients [Online]. The British Journal of Psychiatry 163(-) pp589-596. Available at: http://bjp.rcpsych.org/content/163/5/589#BIBL [Accessed 27th August 2014]. Chiu, H., Tam,W., and Chiu, E. 2008. WPA educational program on depressive  disorders: Depressive disorders in older persons. World Psychiatric Association (WPA). King’s Fund. 2008. Paying the price: The cost of mental health care in England to 2026 [Online]. London: King’s Fund. Available at: http://www.kingsfund.org.uk/sites/files/kf/Paying-the-Price-the-cost-of-mental-health-care-England-2026-McCrone-Dhanasiri-Patel-Knapp-Lawton-Smith-Kings-Fund-May-2008_0.pdf [Accessed: 17th August 2014]. Koch, T. 2006. Establishing rigour in qualitative research: the decision trail. Journal of Advanced Nursing 53(1) pp. 91-100 Lenze, E., Mulsant, B., Shear M, et al. 2000. Comorbid anxiety disorders in depressed elderly patients [Online]. American Journal of Psychiatry. 157(-): pp.722–728. Available at: http://ajp.psychiatryonline.org.abc.cardiff.ac.uk/data/Journals/AJP/3712/722.pdf?resultClick=3 [Accessed: 29th August 2014]. O’Conner, A. 2009. Screening for depression in adult patients in primary care settings: a systematic evidence review [Online]. Annals of Internal Medicine. 151(11). Pp.784-793. Available at: http://annals.org.abc.cardiff.ac.uk/article.aspx?articleid=745314resultClick=3 [Accessed: 22nd August 2014]. O’Connor, M., Knapp, R., Husain, M., et al. 2001. The influence of age on the response of major depression to electroconvulsive therapy: a CORE report. American Journal of Geriatric Psychiatry. 9(-): pp. 382–390 Rivet-Amico, K. 2009. Percent Total Attrition: A Poor Metric for Study Rigor in Hosted Intervention Designs [Online]. American Journal of Public Health 99(9): pp 1567-1575. Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2724469/ [Accessed 22nd August 2014]. Schaub, R., Linden, M. 2000. Anxiety and anxiety disorders in the old and very old—results from the Berlin Aging Study (BASE) [Online]. Comprehensive Psychiatry. 41(-) pp 48–54. Available at: http://ac.els-cdn.com.abc.cardiff.ac.uk/S0010440X00800085/1-s2.0-S0010440X00800085-main.pdf?_tid=25fb884e-2f25-11e4-ae4a-00000aab0f6bacdnat=1409279912_0012d28347b6791e31a8b5199f3daaa1 [Accessed: 29th August 2014]. Schoevers, R., Beekman, A., Deeg, D., et al. 2003. The natural history of late-life depression: results from the Amsterdam Study of the Elderly (AMSTEL) [Online]. Journal of Affective Disorders.76(1): pp 5–14. Available at: http://ac.els-cdn.com.abc.cardiff.ac.uk/S0165032702000605/1-s2.0-S0165032702000605-main.pdf?_tid=1814aa80-2f34-11e4-a381-00000aab0f27acdnat=1409286331_4cb7efb58af9c004b37dc4825f8831d5 [Accessed 19th August 2014]. Sheikh, J., and Yesavage, A. 1986. Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. In T.L. Brink (Ed.), Clinical Gerontology: A Guide to Assessment and Intervention .pp. 165-173. New York: The Haworth Press. Snowden, M., Steinman, L., Frederick, J., and Wilson, N. 2009. Screening for depression in older adults: recommended instruments and considerations for community-based practice [Online] Clinical Geriatrics. 17(9). Pp 26-32. Available at: http://www.consultant360.com/articles/screening-depression-older-adults-recommended-instruments-and-considerations-community [Accessed: 19th August 2014]. USPSTF. 2009. U.S. Preventive Services Task Force. Screening for depression in adults: U.S. preventive services task force recommendation statement [Online]. Annals of Internal Medicine: 151 (11). Pp 784-792. Available at: http://annals.org/article.aspx?articleid=745304 [Accessed: 19th August 2014]. Yesavage, A., Brink, L., Rose, L., Lum, O., Huang, V., Adey, M., and Leirer, O. 1983. Development and validation of a geriatric depression screening scale: A preliminary report [Online]. Journal of Psychiatric Research, 17(1). pp 37-49. Available at: http://ac.els-cdn.com.abc.cardiff.ac.uk/0022395682900334/1-s2.0-0022395682900334-main.pdf?_tid=3e351376-2f84-11e4-80c4-00000aab0f02acdnat=1409320755_7707825345e33994a5a5539c953dac90 [Accessed 29th August 2014]. Appendix 1.

Jorge Borges Life Seen In The Secret Miracle Essay -- Jorge Luis Borg

In 1944, Jorge Luis Borges published â€Å"The Secret Miracle†, a short story describing Jaromir Hladik, a Jew living in the Second World War. Jaromir Hladik is taken away by the Germans to a jail by the Germans to be executed shortly after. While in jail, he ponders on all the ways he could be killed and later realizes that he still has yet to finish his play â€Å"The Enemies†. He prays to God, begging for a year to be granted to him so that he can complete his last masterpiece. In a dream, he is granted that year. When the Germans pull the trigger, the world freezes for a full year so he can finish his play. At a first glance, â€Å"The Secret Miracle† appears to be merely a fictioness story. However, Borges included so much of his own life in the character of Jaromir Hladik that the story no longer seems to be so made up. â€Å"Borges writing was impelled and shaped by experience† (Williamson 296). Borges grew up loving books from the very start of hi s life. His father was always a reader, so he had a room set up like a library that housed hundreds of books. Borges also grew up in a family with colorful war history, which allowed him to be introduced to interesting stories early on. At the age of 56, he was completely blind, causing him to see literature in a different way. He no longer thought literature was a reality. For instance, he believed that although an apple is called an â€Å"apple†, it may not actually have that name. Yet he continues to write in this unreality for he feels that it is a writer’s duty to speak out against Juan Peron through literature. In spite of Borges’ belief that literature is not reality, there is evidence of Borges’ life embedded in it which clearly shape the issues and concerns of his work. Borges was always one ... ...ss, which is difficult and requires strategy to succeed. This would fit in with Borges struggle to succeed in his work. In addition, Borges states that, â€Å"No one could any longer describe the forgotten prize, but it was rumored that it was enormous and perhaps infinite† (Borges 166). This could be referring to the prize of life. Many speak of life as being grand, yet no one actually knows whether life on Earth is a prize or not. It goes on to say that Hladik does â€Å"not remember the chessmen or the rules of chess† (Borges 166). In other words, Borges no longer remembers how to live his own life. Borges was first introduced to the game of chess by his father who â€Å"presented him with mathematical theories and philosophical puzzles† (Sickels 4) while teaching him how to become a better chess player. Perhaps this was Borges’ first encounter with the philosophy of life. Jorge Borges' Life Seen In The Secret Miracle Essay -- Jorge Luis Borg In 1944, Jorge Luis Borges published â€Å"The Secret Miracle†, a short story describing Jaromir Hladik, a Jew living in the Second World War. Jaromir Hladik is taken away by the Germans to a jail by the Germans to be executed shortly after. While in jail, he ponders on all the ways he could be killed and later realizes that he still has yet to finish his play â€Å"The Enemies†. He prays to God, begging for a year to be granted to him so that he can complete his last masterpiece. In a dream, he is granted that year. When the Germans pull the trigger, the world freezes for a full year so he can finish his play. At a first glance, â€Å"The Secret Miracle† appears to be merely a fictioness story. However, Borges included so much of his own life in the character of Jaromir Hladik that the story no longer seems to be so made up. â€Å"Borges writing was impelled and shaped by experience† (Williamson 296). Borges grew up loving books from the very start of hi s life. His father was always a reader, so he had a room set up like a library that housed hundreds of books. Borges also grew up in a family with colorful war history, which allowed him to be introduced to interesting stories early on. At the age of 56, he was completely blind, causing him to see literature in a different way. He no longer thought literature was a reality. For instance, he believed that although an apple is called an â€Å"apple†, it may not actually have that name. Yet he continues to write in this unreality for he feels that it is a writer’s duty to speak out against Juan Peron through literature. In spite of Borges’ belief that literature is not reality, there is evidence of Borges’ life embedded in it which clearly shape the issues and concerns of his work. Borges was always one ... ...ss, which is difficult and requires strategy to succeed. This would fit in with Borges struggle to succeed in his work. In addition, Borges states that, â€Å"No one could any longer describe the forgotten prize, but it was rumored that it was enormous and perhaps infinite† (Borges 166). This could be referring to the prize of life. Many speak of life as being grand, yet no one actually knows whether life on Earth is a prize or not. It goes on to say that Hladik does â€Å"not remember the chessmen or the rules of chess† (Borges 166). In other words, Borges no longer remembers how to live his own life. Borges was first introduced to the game of chess by his father who â€Å"presented him with mathematical theories and philosophical puzzles† (Sickels 4) while teaching him how to become a better chess player. Perhaps this was Borges’ first encounter with the philosophy of life.

Deception Point Page 35

The tourists laughed. Gabrielle followed past the stairway through a series of ropes and barricades into a more private section of the building. Here they entered a room Gabrielle had only seen in books and on television. Her breath grew short. My God, this is the Map Room! No tour ever came in here. The room's paneled walls could swing outward to reveal layer upon layer of world maps. This was the place where Roosevelt had charted the course of World War II. Unsettlingly, it was also the room from which Clinton had admitted his affair with Monica Lewinsky. Gabrielle pushed that particular thought from her mind. Most important, the Map Room was a passageway into the West Wing-the area inside the White House where the true powerbrokers worked. This was the last place Gabrielle Ashe had expected to be going. She had imagined her e-mail was coming from some enterprising young intern or secretary working in one of the complex's more mundane offices. Apparently not. I'm going into the West Wing†¦ The Secret Serviceman marched her to the very end of a carpeted hallway and stopped at an unmarked door. He knocked. Gabrielle's heart was pounding. â€Å"It's open,† someone called from inside. The man opened the door and motioned for Gabrielle to enter. Gabrielle stepped in. The shades were down, and the room was dim. She could see the faint outline of a person sitting at a desk in the darkness. â€Å"Ms. Ashe?† The voice came from behind a cloud of cigarette smoke. â€Å"Welcome.† As Gabrielle's eyes accustomed to the dark, she began to make out an unsettlingly familiar face, and her muscles went taut with surprise. THIS is who has been sending me e-mail? â€Å"Thank you for coming,† Marjorie Tench said, her voice cold. â€Å"Ms†¦. Tench?† Gabrielle stammered, suddenly unable to breathe. â€Å"Call me Marjorie.† The hideous woman stood up, blowing smoke out of her nose like a dragon. â€Å"You and I are about to become best friends.† 41 Norah Mangor stood at the extraction shaft beside Tolland, Rachel, and Corky and stared into the pitch-black meteorite hole. â€Å"Mike,† she said, â€Å"you're cute, but you're insane. There's no bioluminescence here.† Tolland now wished he'd thought to take some video; while Corky had gone to find Norah and Ming, the bioluminescence had begun fading rapidly. Within a couple of minutes, all the twinkling had simply stopped. Tolland threw another piece of ice into the water, but nothing happened. No green splash. â€Å"Where did they go?† Corky asked. Tolland had a fairly good idea. Bioluminescence-one of nature's most ingenious defense mechanisms-was a natural response for plankton in distress. A plankton sensing it was about to be consumed by larger organisms would begin flashing in hopes of attracting much larger predators that would scare off the original attackers. In this case, the plankton, having entered the shaft through a crack, suddenly found themselves in a primarily freshwater environment and bioluminesced in panic as the freshwater slowly killed them. â€Å"I think they died.† â€Å"They were murdered,† Norah scoffed. â€Å"The Easter Bunny swam in and ate them.† Corky glared at her. â€Å"I saw the luminescence too, Norah.† â€Å"Was it before or after you took LSD?† â€Å"Why would we lie about this?† Corky demanded. â€Å"Men lie.† â€Å"Yeah, about sleeping with other women, but never about bioluminescent plankton.† Tolland sighed. â€Å"Norah, certainly you're aware that plankton do live in the oceans beneath the ice.† â€Å"Mike,† she replied with a glare, â€Å"please don't tell me my business. For the record, there are over two hundred species of diatoms that thrive under Arctic ice shelves. Fourteen species of autotrophic nannoflagellates, twenty heterotrophic flagellates, forty heterotrophic dinoflagellates, and several metazoans, including polychaetes, amphipods, copepods, euphausids, and fish. Any questions?† Tolland frowned. â€Å"Clearly you know more about Arctic fauna than I do, and you agree there's plenty of life underneath us. So why are you so skeptical that we saw bioluminescent plankton?† â€Å"Because, Mike, this shaft is sealed. It's a closed, freshwater environment. No ocean plankton could possibly get in here!† â€Å"I tasted salt in the water,† Tolland insisted. â€Å"Very faint, but present. Saltwater is getting in here somehow.† â€Å"Right,† Norah said skeptically. â€Å"You tasted salt. You licked the sleeve of an old sweaty parka, and now you've decided that the PODS density scans and fifteen separate core samples are inaccurate.† Tolland held out the wet sleeve of his parka as proof. â€Å"Mike, I'm not licking your damn jacket.† She looked into the hole. â€Å"Might I ask why droves of alleged plankton decided to swim into this alleged crack?† â€Å"Heat?† Tolland ventured. â€Å"A lot of sea creatures are attracted by heat. When we extracted the meteorite, we heated it. The plankton may have been drawn instinctively toward the temporarily warmer environment in the shaft.† Corky nodded. â€Å"Sounds logical.† â€Å"Logical?† Norah rolled her eyes. â€Å"You know, for a prize-winning physicist and a world-famous oceanographer, you're a couple of pretty dense specimens. Has it occurred to you that even if there is a crack-which I can assure you there is not-it is physically impossible for any sea-water to be flowing into this shaft.† She stared at both of them with pathetic disdain. â€Å"But, Norah†¦,† Corky began. â€Å"Gentlemen! We're standing above sea level here.† She stamped her foot on the ice. â€Å"Hello? This ice sheet rises a hundred feet above the sea. You might recall the big cliff at the end of this shelf? We're higher than the ocean. If there were a fissure into this shaft, the water would be flowing out of this shaft, not into it. It's called gravity.† Tolland and Corky looked at each other. â€Å"Shit,† Corky said. â€Å"I didn't think of that.† Norah pointed into the water-filled shaft. â€Å"You may also have noticed that the water level isn't changing?† Tolland felt like an idiot. Norah was absolutely right. If there had been a crack, the water would be flowing out, not in. Tolland stood in silence a long moment, wondering what to do next. â€Å"Okay.† Tolland sighed. â€Å"Apparently, the fissure theory makes no sense. But we saw bioluminescence in the water. The only conclusion is that this is not a closed environment after all. I realize much of your icedating data is built on the premise that the glacier is a solid block, but-â€Å" â€Å"Premise?† Norah was obviously getting agitated. â€Å"Remember, this was not just my data, Mike. NASA made the same findings. We all confirmed this glacier is solid. No cracks.† Tolland glanced across the dome toward the crowd gathered around the press conference area. â€Å"Whatever is going on, I think, in good faith, we need to inform the administrator and-â€Å" â€Å"This is bullshit!† Norah hissed. â€Å"I'm telling you this glacial matrix is pristine. I'm not about to have my core data questioned by a salt lick and some absurd hallucinations.† She stormed over to a nearby supply area and began collecting some tools. â€Å"I'll take a proper water sample, and show you this water contains no saltwater plankton-living or dead!† Rachel and the others looked on as Norah used a sterile pipette on a string to harvest a water sample from the melt pool. Norah placed several drops in a tiny device that resembled a miniature telescope. Then she peered through the oculus, pointing the device toward the light emanating from the other side of the dome. Within seconds she was cursing.

Free Essays on Measure For Measure

In Shakespeare’s play, Measure for Measure, Isabella is faced with a very difficult decision. She is propositioned by Lord Angelo to have sex with him in order to save her brother’s life. This goes against all her values since she is planning to join the convent, and she is a very virtuous and chaste woman by nature. Her brother is in trouble from the beginning because he impregnated Juliet before they were married. Therefore, Isabella must either let go of her values or lose her brother. At the end of the play, she remains virtuous, and Claudio, her brother, does not get executed. However, we cannot help but wonder if losing her virginity to save the life of her brother or keeping it for the sake of chastity is more virtuous. Reading the play from a modern standpoint, one would probably think, ‘Why won’t she save her brother’s life? – It’s just sex’. One would think that she is quite selfish not to give a little of herself to save the life of her brother. Not only is Claudio her brother, but his fiancà ©e is expecting a baby, and there is no need for the baby to grow up fatherless, is there? On the other hand, sex in Elizabethan times was not just sex. It was viewed very differently than it is today. Being pure and virginal was the ultimate quality for a woman to possess. Isabella even says that she will die for her brother, but she will not succumb to Angelo’s greedy desires. â€Å"Sir, believe this. I had rather give my body than my soul† (II.iv.55). Her dilemma is a prime example of how times have changed since the days of Shakespeare. Thankfully, everything works out for the characters in the play. If the same situation took place in modern times, Isabella probably would have quickly slept with the villain in order to save Claudio’s life. The virtuous thing to do in present times would be to save her brother’s life, while in Elizabethan times preserving her virginity was considered to be a m... Free Essays on Measure For Measure Free Essays on Measure For Measure In Shakespeare’s play, Measure for Measure, Isabella is faced with a very difficult decision. She is propositioned by Lord Angelo to have sex with him in order to save her brother’s life. This goes against all her values since she is planning to join the convent, and she is a very virtuous and chaste woman by nature. Her brother is in trouble from the beginning because he impregnated Juliet before they were married. Therefore, Isabella must either let go of her values or lose her brother. At the end of the play, she remains virtuous, and Claudio, her brother, does not get executed. However, we cannot help but wonder if losing her virginity to save the life of her brother or keeping it for the sake of chastity is more virtuous. Reading the play from a modern standpoint, one would probably think, ‘Why won’t she save her brother’s life? – It’s just sex’. One would think that she is quite selfish not to give a little of herself to save the life of her brother. Not only is Claudio her brother, but his fiancà ©e is expecting a baby, and there is no need for the baby to grow up fatherless, is there? On the other hand, sex in Elizabethan times was not just sex. It was viewed very differently than it is today. Being pure and virginal was the ultimate quality for a woman to possess. Isabella even says that she will die for her brother, but she will not succumb to Angelo’s greedy desires. â€Å"Sir, believe this. I had rather give my body than my soul† (II.iv.55). Her dilemma is a prime example of how times have changed since the days of Shakespeare. Thankfully, everything works out for the characters in the play. If the same situation took place in modern times, Isabella probably would have quickly slept with the villain in order to save Claudio’s life. The virtuous thing to do in present times would be to save her brother’s life, while in Elizabethan times preserving her virginity was considered to be a m...