Postpartum Depression and Crime The Case of Andrea...

On July 27, 2006, the New York Times published an article on the findings of the retrial of Andrea Yates and her not guilty due to insanity over the drowning deaths of her five children. (Woman Not Guilty, 2006). The court decided to commit her to a state mental hospital until medical experts decide she is not a threat to herself or anyone else. In 2002, an earlier jury rejected her claims she was psychotic and found her guilty. Yates alleged by murdering her children she actually saved them. (Woman Not Guilty, 2006). The appeals court overturned the decision because of â€Å"erroneous testimony from a prosecution witness.† (Woman Not Guilty, 2006). Yate’s lead lawyer, George Parnham, remarked that the verdict was a â€Å"watershed for mental†¦show more content†¦The onset of this illness is very quick and â€Å"symptoms include hallucinations, delusions, mood swings, confused thinking, and disorganized behavior.† (McGarth, p. 3). However, this article did not mention a concern relating to violence. In The Conflicted Treatment of Postpartum Psychosis Under Criminal Law, Christie L. March wrote that although the illness may â€Å"impair a woman’s mental stability while not rising to the level of an irresistible impulse, thereby not meeting a volitional test should it apply and still not meeting the cognitive test required under most states to qualify as an insanity defense. Nearly all postpartum psychosis sufferers understand the moral wrongness of killing their child(ren). â€Å"(p. 255). Although, March did mention generally there is no doubt about the mental instability of mothers who murder their children while suffering from postpartum psychosis or depression. Current research is undecided on the link between psychosis and increased criminal behavior in the population. Illness and Association with the Crime The case of Andrea Yates raised numerous questions and debates in relation to mental health, postpartum psychosis, and the amount of responsibility Yates played in the murder of her children. After the first trial of Yates, as mentioned through Laura March’s Article, the four jurors interviewed mentioned Yates’ confessionShow MoreRelatedEssay about CJA 314 biological criminal behavior1492 Words   |  6 PagesCriminal Behavior Andrea Yates had battled with postpartum depression for years and on June 20, 2001, she drowned all five children in the bathtub of her home. Ultimately the underlining cause of her actions was caused by postpartum psychosis that was triggered by Andrea’s improper use of her medication, failure to adhere to her doctor’s advice after treatment, and her lack of knowledge of coping techniques commonly used by women who suffer from postpartum depression. Postpartum depression can take upRead MoreBiological Criminal Behavior Essay1855 Words   |  8 PagesBiological Criminal Behavior Jordan Miller, Amy Showers, Sarah Wilson, Myron Reynolds, Cristine Saldate, Aisha Peeples CJA 314 May 14, 2012 Alonzo Medina Biological Criminal Behavior People perceive that crime, primarily violent crimes, such as murder, is the most serious crime society faces in modern times. This has led to efforts by many research groups to attempt to find the cause of such criminal behavior. The focus of such research is biological issues with the belief that a biologicalRead MoreEssay on Andrea Yates: the Hand That Rocked the Cradle1034 Words   |  5 PagesAndrea Yates: The Hand That Rocked The Cradle Noble Woods III PSY 303 Abnormal Psychology Julie  Bruno 19 September 2011 In 1964 Andrea Yates was born into a Roman Catholic family. She had had a normal upbringing. Andrea graduated valedictorian of her class in 1982. After high school Andrea continued her education and became a Registered Nurse. In 1984 Andrea met Russell â€Å"Rusty† Yates. The couple dated and eventually fell in love. They married in 1993, and started a family. AndreaRead MoreDid Andrea Yates Have Schizophrenia?878 Words   |  4 PagesDid Andrea Yates have schizophrenia? On July 30, 2001, Andrea was indicted on two counts of capital murder for the deaths of Noah (seven), John (five), and Mary (six months),but not for the deaths of her other two children, Luke (three) and Paul (two). In this paper we will discuss Andrea Yates behaviors, treatments and court case where she was found not guilty by reason of insanity. After Andreas first pregnancy, in 1994, she started experiencing postpartum depression. She experienced hallucinationsRead MorePost Partum Depression Essay999 Words   |  4 Pagestearfulness, irritability, hypochondriasis, sleeplessness, impairment of concentration, isolation and headache. (Andrea Yates) Women are given time off work and are instructed to do minimal physical activities, they do this in the US so that the woman’s body may recover. Recovery takes a long time and there is an 80% chance that post pregnant woman will become diagnosed with depression, which is when a person feels sad or down for a long period of time. But are these women getting all the help theyRead MoreThe Postpartum Depression And Crime Essay1920 Words   |  8 Pagesessay explores postpartum depression and crime. Form intensive research, readers should be able to educate themselves on the actual disorder itself, and how it is linked to crime. In fact, more than half of the cases that involve infant fatality in the United States, have resulted from unawareness of mental illness’s such as PPD. Discussed in the essay, is the Andrea Yates cases, which involve a Houston, Texas mother, suffering from postpartum psychosis. However, the outcome of Yates cases, resulted inRead MoreCase Analysis : Andrea Yates Trial1061 Words   |  5 PagesJune 20, 2001, Andrea Yates committed one of the evil act in society. She drowned her five children after claiming that a voice told her to do it. Andrea Yates defense attorney enters a plea of not guilty by reason of insanity. The conviction in 2001 was overturned on appeal. First Court of Appeals reverses Yates capital murder conviction and remands it to trial court and found her guilty by reason of insanity in 2006. This paper will relate the facts of the trial and the case study, argumentRead MoreCase Analysis of Andrea Yates Essay1372 Words   |  6 Pages XXJUN2012 PS208 Case Analysis of Andrea Yates After close review and careful analysis of the case of Andrea Yates and the circumstances which led to the drowning death and murder of her five children, I first would like to state my personal opinion on the conclusion of the case which was the majority consensus at the time of her trial and sentencing. She was guilty of a horrible murder and althoughRead MoreAndrea Yates Essay968 Words   |  4 PagesAndrea Yates Arguement Last June in 2001, a 37-year-old lady by the name of Andrea Yates, was arrested for killing her five children. Most people like me would agree that she was sane, and the death penalty would have been the right punishment for Mrs. Andrea Yates. The punishment in the State of Texas for committing two capital crimes is life in jail or the death penalty. Andrea’s lawyer tried to show her innocence by protesting that she was insane at the time of the killingsRead MoreThe Andre Yates Case : Crime And Delinquency1602 Words   |  7 PagesBeatrice Benjamin Crime and Delinquency SO209 12/03/14 The Andre Yates Case On June 20th 2001, Andrea Yates drowned her five children in the bathtub of her small suburban home in Clear Lake Texas. The subsequent trial and conviction caused a gargantuan amount of controversy. Jurors found Andrea guilty and sentenced her to life in prison despite the fact that there was an abundance of evidence to suggest that Andrea was legally insane at the time of the killings. In fact, 63% of the

Essay about Security in peer to peer networks - 1808 Words

Thesis statement: Users of Peer to Peer networks must be aware of the security and how to deal with the attacks. Introduction Technologies are getting more advance each day, in this assignment will be sharing and discuss about the security in peer to peer networks. Security run an important role in every network applications because this is the place where people and the systems are all link up together and can access each other data and also programs. According to Madron (1992) points out that: One of the primary objectives of computer networks (and especially of local area networks) is to provide easy and convenient access to computer systems within an organizations, and it is that same ease of use that can sometimes conflict with†¦show more content†¦When everyone is accessible to remote peers, the host becomes more open for all kinds of attacks. In addition, as clients, peers may download different forms of files or get their process executed by different remote systems, which may prove to be hostile. The best things to do to prevent all this things to happen, is to stay out from peer to peer network. But with this kind of solution will depose us of all P2P computing or network privileges. P2P systems example like Gnutella, Wired:P2P pages and Groove Networks are here to stay. â€Å"Gnutella A free software application using peer-to-peer technology for sharing MP3 and video files. Wired: P2P Pages This global file-sharing guide lists 240-plus downloads, services, and information resources - most of them free - designed for experienced P2Pers and novices alike. Technical specs are provided for software developers to build many of these services. Groove Networks Develops Internet-based software for people to collaborate with one another.† ( http://www.business2.com/webguide/0,,26518,00.html ) If P2P are going to be used widely or commercially, the requirements of security of the hosts should make their transactions secure and applications endanger the security of the host. The Peer-to-Peer networks threat nbsp;nbsp;nbsp;nbsp;nbsp;Peer-to-peer networks software or files are available for free in the network itself, because of this there are threats in P2P networks. During transferring files or loadingShow MoreRelatedComputer Network Platforms And Network Operating Systems935 Words   |  4 Pagesbetween two or more computers is called a computer network. The most common computer network architectures are peer-to-peer, client-server, and virtualisation. As programming and software, advancement has enhanced in the course of recent decades, so have computers turned out to be better at communicating on a network system. Network operating systems are designed primarily to support user administration, security of all resources in the network, system maintenance activities and tasks related withRead MoreComparison Between P2p, Client And Server And Virtualization Networks1088 Words   |  5 PagesVirtualization Networks A comparison is made between the three models comparing different attributes to show which setup would be best feasible for a small business unit. The network models that are compared are, Peer to Peer network, Client/Server Model and Virtualization Models. The comparison between P2P, Client/server and Virtualization is tabulated below. P2P Client/Server Virtualization Administration No Cost Less expensive when compared to virtualization Very Expensive Security Less secureRead MoreA Brief Note On P2p Vs. P2p1651 Words   |  7 PagesDescription: A peer-to-peer (P2P) network is created when two or more PCs are connected and share resources without going through a separate server computer. A P2P network can be an ad hoc connection—a couple of computers connected via a Universal Serial Bus to transfer files. Peer-to-peer (P2P) networking is the networking between the same type of devices. Peers are equally privileged. P2P is an alternative network model to that provided by traditional client-server architecture. In a P2P network, everyRead MoreA Brief Note On Peer And Peer Networks994 Words   |  4 Pages Peer to Peer networks are one of the most popular of all social media platforms. A peer to peer network also called p2p, which we will use throughout this investigation, â€Å"is a distributed application architecture that partitions tasks or workloads between peers† (Peer-to-peer, 2014.)[2] The interest in p2p has steadily been growing since the introduction of Napster in 1999. There are several different types of p2p networks, platforms and architectures which we will discuss. The p2p networks whileRead MoreHow Lan Can Use A Specific Lan For Essay1563 Words   |  7 Pages Describe what the user will mainly use a specific LAN for: LAN is a local-area network which covers a relatively small area. Most LAN’s are restricted to a single building or groups of buildings. One LAN can be connected to other LANs for any distance through telephone lines and radio waves. LAN connects the computer hardware in a localized area for example in an office or home. Furthermore, LANs use wired connections to link the computers to each other and to a variety of peripheral devices suchRead MoreHow The Implementation Of A Client Server743 Words   |  3 PagesCollege† is very challenging . I will have to implement their system based on one of the following architecture : Client server or peer to peer.In my decision I will have to keep in mind the following Client server is based on a powerful computer , a central network and less powerful computers which are called clients. One of the options we have is client server or peer to peer. Client server is centralisation of control and the resources the will be controlled by a dedicated server. In client base serverRead MoreApplication Of Structured Query Language1251 Words   |  6 Pagesaspects and also transparency in network services depict that similar data is being shared among users. †¢ Integration of Services: Every client is given the opportunity to access corporate information via the desktop interface eliminating the necessity to log into a terminal mode or another processor. Desktop tools like spreadsheet, power point presentations etc can be used to deal with corporate data with the help of database and application servers resident on the network to produce meaningful informationRead MoreIt 240 Week 3 Checkpoint Essay626 Words   |  3 PagesGuide to Networking Essentials. After determining if a client-based or client/server model will be used, substantively justify your choice in 200 to 300 words. Case Project 3-1 What changes in equipment are required to bring this company’s network up to date to solve the shared-bandwidth problem? The star topology would change to an extended star topology; I would upgrade the cables to Cat 5e or Cat 6 UTP. I would upgrade the Hubs to 1000 BaseT Switches, upgrade the 5 extra computers withRead MoreNetwork Operating Systems (NOS) Essay827 Words   |  4 PagesNetwork Operating Systems, abbreviated NOS, are programs that are designed to work with numerous computers on a network, allowing for communication amongst them, but â€Å"the term network operating system, however, is generally reserved for software that enhances a basic operating system by adding networking features† [5]. The NOS provides structure to the network as it controls the hardware and software within a network. The network operating system allows for the ability to include all the componentsRead MoreAccounting Case Study744 Words   |  3 Pagesemployees to help you, I would like to give you some advices on choosing a network. There are two main network choices. First one is Peer to Peer networking , and second one is Client/Server. They are both networks that connects computers so that files and document can be shared. The pros of Peer to Peer are, low cost, easy setup, little training, you will not need a server and it’s ideal for small business. In this network, each user on a computer is the administrator of that computer. Each user

Logic and Logically Consistent Manner Free Essays

1. What is logic? Is it beneficial for you to think in a logically consistent manner? â€Å"The inherent ability to mentally compare and weigh two or more perceptions and to mentally conclude accurately what is the differences and/or similarities between each perception. † â€Å"Logic is the science or art of exact reasoning, or of pure and formal thoughts, or of the laws according to which the processes of pure thinking should be conducted and formation and application of general notion. We will write a custom essay sample on Logic and Logically Consistent Manner or any similar topic only for you Order Now † Logic is the study of information encoded in the form of logical sentences. 2. What if†¦ if the basic laws of logic such as below is not available to us? a. ) Law of Identity: A is A b. ) Law of excluded middle: A or not A c. ) Law of non-contradiction: A and not A both doesn’t follow. 3. Why symbols are important in the domain of mathematics and in the growth of scientific knowledge? Symbols, in the most fundamental sense of the word, can refer to anything which stands for something else (the signified). There could be a natural relation which immediately suggests the relation between a sign and signified or the relation could be arbitrary and chosen through some convention such as words in a language. Process of symbolization: It is the replacement of something by a symbol for example; one can replace ‘Mass’ by ‘m’, a number by ‘n’. In almost all cases such replacement or naming is conventional and arbitrary. The process of symbolization should not and does not modify or distort that which it stands for. 4. Is communication effective without the logical connectives such as or, and, implies, not, if and only if? 5. Why we treat mathematical truth as certain? Why logic emphasizes on â€Å"tautologies† rather than contradictions? Logic is non-contingent, in the sense that they do not depend on any particular accidental features of the world. Physics and the other empirical sciences investigate the way the world actually is. That no signal can travel faster than the speed of light is depends upon the law of physics. If the laws were different, perhaps this would not have been true. While the principles of logic are derived using reasoning only and their validity does not depends on any contingent features of the world. How to cite Logic and Logically Consistent Manner, Essay examples

Child Abuse and Neglect free essay sample

The New York State Educational Department (SED) oversees the training requirements for mandated reporters. Some examples of fields that require this training to obtain there license is Medical professionals, teachers, and social workers. As a child care provider in New York State we are required to report abuse when there is a reasonable cause, such as Maltreatment or if the child is being placed in imminent danger. Some indications of abuse or maltreatment are: frequent bruises cuts or burns Fear or going home Inappropriate sexual behaviors Sexual victimization of other children Obvious malnourishment Frequent absences Stealing or begging for food When any concerns are suspected they must telephoned immediately to the New York Statewide Central Register of Child Abuse and Maltreatment (SCR) which is open 24 hrs a day seven days a week. Immediate Notification is required so that immediate intervention can be provided by the department of social services. The Mandated reporters are not to notify the parents before or after it has been reported. Child Abuse and Neglect A Review of the Literature Between 1,460 and 2,555 children die every year due to child abuse and neglect; meaning that on average, between four and seven children die daily. In a classroom of 20 children, 13 will have been abused or neglected (Childhelp, 2013). These statistics should be shocking to anyone. Child abuse and neglect is an extremely understated problem in American society. The federal definition of child abuse and neglect is â€Å"any recent act or failure to act on the part of a parent or caretaker that results in death, serious physical or emotional harm, sexual abuse, or exploitation† or â€Å"an act or failure to act that presents an imminent risk of serious harm† (Gosselin, 2009, p. 93). Although this is the set definition, there can be different variations of it depending on specific state laws. Child abuse and neglect occur in many varying forms and do not always appear in the same manner. Some types of abuse and neglect include emotional abuse, psychological abuse, physical abuse, sexual abuse, educational neglect, medical neglect, emotional neglect, and physical neglect. This paper will discuss the signs of these various forms of child abuse and neglect as well as provide insight to the effects on children. Emotional Abuse Emotional and psychological abuse of children is one of the most commonly overlooked forms of abuse (American Humane Association, 2013). This may be due to the fact that there is no physical abuse occurring for people to notice. Also, not as many people know that emotional and psychological child abuse is happening. One of the biggest problems with forms of emotional and psychological abuse it that it is almost impossible to detect while it is occurring. Often times, it is not noticed until much later in a child’s life. Emotional abuse is something that most people have experienced in their lifetime, but not to an extreme extent. Some examples of emotional abuse include â€Å"constant belittling, shaming, and humiliating a child, name calling, making negative comparisons to others, frequent yelling, threatening, or bullying, ignoring or rejecting a child as a punishment, and limited physical contact (hugs or kisses)† (Smith, 2013). Parents discipline their children in different ways and have varying methods of punishment, but to constantly belittle or threaten one’s child is something much different. This type of abuse is a very painful one for children to experience because they often blame themselves and wonder why their parents are treating them this way. Emotional abuse can lead to impairments in children’s emotional development and their sense of well-being. Psychological Abuse Along with emotional abuse, psychological abuse can be just as harmful. Psychological abuse is more of a game of power, where parents control their children and make them believe, for example, that they are worthless. This leads to serious psychological problems and can cause many disorders such as â€Å"anxiety, depression, withdrawal, or aggressive behavior† (Gosselin, 2009, p. 96). To some parents, using the old saying, â€Å"sticks and stones may break my bones but words can never hurt me† is justification enough for this type of abuse. Most parents do not understand that their children are not able to handle ridicule and harassment as well as adults. To children, having their parents make comments to them can affect their psyche for the rest of their lives. In at least one study, â€Å"about 80% of 21 year olds that were abused as children met criteria for at least one psychological disorder† (Childhelp, 2013). Many parents who do abuse their children emotionally or psychologically believe that it is not abuse because they are making them stronger and preparing them for people who will be mean and hurtful to them in the future. However, these parents are leaving their children with damaged mental health and social development problems that can leave lifelong scars on their children. Physical Abuse Physical and sexual abuse of a child can leave these same psychological scars, but are also accompanied by physical scars as well. It is estimated that â€Å"more than 90% of juvenile sexual abuse victims know their perpetrator in some way† (Childhelp, 2013). Children are vulnerable to this type of abuse because they trust the people who are supposed to take care of them and look after them, making it extremely easy for their caretakers to take advantage of them. Physical abuse is generally defined as â€Å"any non-accidental physical injury to the child and can include striking, stabbing, kicking, burning, or biting the child, or any action that results in a physical impairment or death of a child such as shaking or throwing† (Gosselin, 2009, p. 100). Regarding physical abuse, many parents defend their abuse and claim that it is a form of discipline for the child. These parents do not understand the difference between discipline and abuse, which can often indicate that they were disciplined the same way. Some signs of physical abuse in children are: â€Å"frequent injuries or unexplained bruises, welts, or cuts; injuries that have a pattern, such as a belt or hand; shies away from touch; seems afraid to go home; flinches at sudden movements; and a child who is always on alert for something bad to happen† (Smith, 2013). Physical abuse can go unnoticed for long periods of time because children can cover up their scars or hide their injuries, but most of the time, it is bound to be discovered. Sexual Abuse Sexual abuse, however, is not as noticeable as physical abuse. Sexual abuse can be defined as â€Å"the employment, use, persuasion, inducement, enticement, or coercion of any child to engage in, or assist any other person to engage in, any sexually explicit conduct or simulation of such conduct for the purpose of producing a visual deception of such conduct† (Gosselin, 2009, p. 101). This type of abuse is not as much about love and intimacy, but more about power and control. Children who are sexually abused are often under the control of their attacker and have trouble finding a way out of the abusive situation. Some signs to look for in children who are sexually abused are: â€Å"trouble walking or sitting; displaying knowledge or interest in sexual acts inappropriate to his/her age, or even seductive behavior; making strong efforts to avoid a specific person; not wanting to change clothes in front of others or participate in physical activities; having an STD or being pregnant; or a child running away from home† (Smith, 2013). Most children who are sexual abused are abused by someone they know and love and often times, they do not know that this type of abuse is wrong. The abusers in the situation will brainwash the children and make the abuse seem normal, or they will threaten the child into submission and make them keep the abuse a secret. Sexual abuse in children can lead to significant psychological and physical problems for them later in life, and these children often suffer from guilt and shame throughout their life as a result of this abuse. Educational Neglect Cases of child neglect differ from cases of abuse, but only in their execution, not their outcome for the child. According to the National Child Abuse and Neglect Data System â€Å"of the approximately 899,000 children in the United States who were victims of abuse and neglect in 2005, 62. 8 percent (564,765 children) suffered from neglect alone, including medical neglect† (American Humane Association, 2013). A fact that many people do not know it that educational neglect is one of the fastest growing types of child neglect and is punishable by law. This neglect is not referring to parents who cannot get their children to go to school because they run away or lies about going, this neglect is referring to the parents who do not make any effort to enroll their children in school or give them the mean to stay in school. This neglect can include â€Å"permitted chronic truancy, failure to enroll or other truancy, and inattention to special education need† (Gosselin, 2009, p. 98). One important aspect of this type of neglect are the parents who fail to accept that their child has an educational special need and should be placed in alternative classrooms or children who have learning disabilities. Education is important for children in their growth and development, and it is required by law that they must attend school until the age of 16 (public, private, homeschooled, or otherwise). Those parents who do not make education a part of their children lives are hurting them just as much as if they were physically abusing or neglecting them. Education can predict the outcome of children’s lives. Medical Neglect Another common form of neglect is medical neglect which can be characterized as â€Å"failing to provide any special medical treatment or mental health care need by the child† or â€Å"the withholding of medical treatment or nutrition from disabled infants with life-threatening conditions† (Gosselin, 2013, p. 99). This is a very serious form of neglect and is often seen in parents who do not take their children to the hospital or doctors when they are feeling ill or have broken bones. Some parents believe that time will heal wounds, or they think that herbal medicines can cure diseases just as well as other medicines. There are, however, cases of parents who do not take their children to receive medical attention because they are the ones who inflicted the pain on their children. That case would turn into a form of abuse and neglect and is often seen together. Concerning medical neglect, it is important to understand that children need to receive yearly check-ups by doctors to get immunizations and tests done to ensure that the child is healthy. Parents who refuse to, or think they do not have the means to take their children to the doctors, hospital or urgent care facility are at risk for possibly killing their own children. It is seen more often in medical neglect cases that parents who did not take their children to these facilities were afraid of going to jail because they causes the injuries to the child. Emotional Neglect Others forms of neglect include emotional and physical neglect. Emotional neglect can be categorized under circumstances including: â€Å"exposure to chronic or extreme intimate partner violence, permitting drug or alcohol use, or having a delay in psychological care† (Gosselin, 2009, p. 98). Emotional neglect to a child is one of the most painful aspects of neglect. When a parent ignores and terrorizes a child or does not want him or her anymore, they are neglecting the child and leaving him or her with emotional walls. It is not easy for children to understand why their parents are doing this, or what they did to deserve this type of punishment. If parents cannot provide their children with adequate care such as psychological help or counseling and instead are encouraging them to drink alcohol and smoke illegal substances, then these people should not be parents. Regarding emotional neglect, it is important to understand that not emotionally supporting children can make them unable to form proper relationships later in life. Physical Neglect In addition to emotional neglect, children face a great deal of physical neglect from their parents. Physical neglect accounts for the majority of cases of maltreatment (Healy, 2013). Maltreatment occurs when children injure themselves or are faced with severe malnutrition as a result of a parent or caretaker. Physical neglect involves: â€Å"the failure to provide adequate food, clothing, shelter, hygiene, protection, or supervision† (Gosselin, 2009, p. 99). It can also include â€Å"child abandonment, inadequate supervision, rejection of a child leading to expulsion from the home and failure to adequately provide for the child’s safety and physical and emotional needs† (Healy, 2013). Physical neglect is different from physical abuse because instead of people inflicting pain on children, they are causing pain by ignoring them or not giving them everything they need to survive. These forms of neglect can harm children just as much as the forms of abuse can, and all of them leave lasting scars. With physical neglect, parents often do not provide their children with their basic needs. Children not only need love and support, they also need food, clothing, and shelter. The main aspect lacking in child care regarding all of these forms of abuse and neglect are reporting programs and parental education. If there were more enhanced programs for people to report these forms of abuse and neglect, the statistics would most likely decrease significantly. Children do not know how to report abuse or neglect can often just keep quiet, and the people they do report to do not always know the correct measures to take. It is important to educate not only our children, teachers, and the general public, but also parents. If parents were more educated in how to care for a child, or what is acceptable and not acceptable to do, these forms of abuse and neglect would also decrease. Parents who exhibit abuse or neglect on their children often claim that they did not know what they were doing was wrong and they did not think there was a problem with their forms of discipline. Everyone needs to be more educated on this topic and it is important to catch this abuse and neglect at the earliest stage possible to decrease the lasting effects on the child.

Semiconductors The Silicon Chip Essays - , Term Papers

Semiconductors : The Silicon Chip Silicon is the raw material most often used in integrated circuit (IC) fabrication. It is the second most abundant substance on the earth. It is extracted from rocks and common beach sand and put through an exhaustive purification process. In this form, silicon is the purist industrial substance that man produces, with impurities comprising less than one part in a billion. That is the equivalent of one tennis ball in a string of golf balls stretching from the earth to the moon. Semiconductors are usually materials which have energy-band gaps smaller than 2eV. An important property of semiconductors is the ability to change their resistivity over several orders of magnitude by doping. Semiconductors have electrical resistivities between 10-5 and 107 ohms. Semiconductors can be crystalline or amorphous. Elemental semiconductors are simple- element semiconductor materials such as silicon or germanium. Silicon is the most common semiconductor material used today. It is used for diodes, transistors, integrated circuits, memories, infrared detection and lenses, light-emitting diodes (LED), photosensors, strain gages, solar cells, charge transfer devices, radiation detectors and a variety of other devices. Silicon belongs to the group IV in the periodic table. It is a grey brittle material with a diamond cubic structure. Silicon is conventionally doped with Phosphorus, Arsenic and Antimony and Boron, Aluminum, and Gallium acceptors. The energy gap of silicon is 1.1 eV. This value permits the operation of silicon semiconductors devices at higher temperatures than germanium. Now I will give you some brief history of the evolution of electronics which will help you understand more about semiconductors and the silicon chip. In the early 1900's before integrated circuits and silicon chips were invented, computers and radios were made with vacuum tubes. The vacuum tube was invented in 1906 by Dr.Lee DeForest. Throughout the first half of the 20th century, vacuum tubes were used to conduct, modulate and amplify electrical signals. They made possible a variety of new products including the radio and the computer. However vacuum tubes had some inherent problems. They were bulky, delicate and expensive, consumed a great deal of power, took time to warm up, got very hot, and eventually burned out. The first digital computer contained 18,000 vacuum tubes, weighed 50 tins, and required 140 kilowatts of power. By the 1930's, researchers at the Bell Telephone Laboratories were looking for a replacement for the vacuum tube. They began studying the electrical properties of semiconductors which are non-metallic substances, such as silicon, that are neither conductors of electricity, like metal, nor insulators like wood, but whose electrical properties lie between these extremes. By 1947 the transistor was invented. The Bell Labs research team sought a way of directly altering the electrical properties of semiconductor material. They learned they could change and control these properties by "doping" the semiconductor, or infusing it with selected elements, heated to a gaseous phase. When the semiconductor was also heated, atoms from the gases would seep into it and modify its pure, crystal structure by displacing some atoms. Because these dopant atoms had different amount of electrons than the semiconductor atoms, they formed conductive paths. If the dopant atoms had more electrons than the semiconductor atoms, the doped regions were called n-type to signify and excess of negative charge. Less electrons, or an excess of positive charge, created p-type regions. By allowing this dopant to take place in carefully delineated areas on the surface of the semiconductor, p-type regions could be created within n-type regions, and vice-versa. The transistor was much smaller than the vacuum tube, did not get very hot, and did not require a headed filament that would eventually burn out. Finally in 1958, integrated circuits were invented. By the mid 1950's, the first commercial transistors were being shipped. However research continued. The scientist began to think that if one transistor could be built within one solid piece of semiconductor material, why not multiple transistors or even an entire circuit. With in a few years this speculation became one solid piece of material. These integrated circuits(ICs) reduced the number of electrical interconnections required in a piece of electronic equipment, thus increasing reliability and speed. In contrast, the first digital electronic computer built with 18,000 vacuum tubes and weighed 50 tons, cost about 1 million, required 140 kilowatts of power, and occupied an entire room. Today, a complete computer, fabricated within a single piece of silicon the size of a child's fingernail, cost only about $10.00. Now I will tell you the method of how the integrated circuits and the silicon chip is formed. Before the IC is actually created a large scale drawing, about 400 times larger than the actual

Neolithic Revolution essays

Neolithic Revolution essays The Neolithic revolution, also known as the agricultural revolution, was a change in the way of life of our ancestors. This period was a full transition from a food gathering to a food producing society. It took place about eight thousand years ago among various tribes in Asia and the Middle East. It included a transition from foraging and hunting to the domestication of animals (mostly the dog) and to farming. Tribes settled in fertile areas and formed agricultural communities many of which grew into villages and cities. This relatively stable way of life and the more reliable food supply and surplus led to the development of new professions, to labor specialization and ultimately to the stratification of these societies. Improved conditions of life led to somewhat longer life spans. Nevertheless population growth remained low due to high infant mortality rates. The social impact of the Neolithic revolution was not as much on immediate population growth, even though it did have a long-term impact on population growth, as on the material and spiritual development of the human race. It is widely regarded as the beginning of civilization. Attempts to control environment in order to produce more food brought about the idea of people working and socializing together as a society. More social changes were brought about in the creation of larger and more complex settlements. This showed people that in order to thrive in their society, they were going to need to expand and explore further possibilities of how to make their lives more advanced. This led into the innovations of agriculture, which were first formed in Shandidar, what is now known today as Palestine. Following the changes of agriculture came the invention of pottery and sun-dried bricks. This made it possible for the people to make art and build more developed housing quarters. Finally came the invention of writing and the invention of the wheel ...

The Importance of Quality in Health Records Essay

The Importance of Quality in Health Records - Essay Example Notably, there are strict laws that guarantee the confidentiality of the information processed in the health records. Moreover, quality matters in health records. Indeed, accurate and complete clinical documentation of health records define the quality of health records. A quality audit of health records refers to the process of conducting internal or external reviews of all the tools, policies, procedures, and techniques used in healthcare institutions to ensure that the health records are up-to-date, accurate, efficient (Holmboe, n.y), liability-free, and compliant with the federal and the Department of Health standards. A quality audit seeks to improve clinical documentation with an aim of promoting better delivery of health care as well as ensuring efficiency and accuracy in documentation. Moreover, it establishes the medical areas that need improvements and corrections (Sharma & Mahajan, 1999). The conduct of a quality audit follows various steps. It can adopt an explicit or an implicit approach. However, the explicit approach is highly recommended (Holmboe, n.y). An understanding of the audit process is fundamental in assessing the quality of medical records. Notably, quality audits focus on and evaluate the procedural and diagnosis code selection adopted by a health practitioner. Firstly, the reviewer determines the educational and evaluation purpose of the audit. He then chooses and defines the quality measures in application. Additionally, he describes the audit process with well-defined inclusion and exclusion criteria. Then, he establishes the areas of weakness, presents the audit findings, and establishes the areas of improvement and corrections in collection and processing health records. Most assuredly, the steps in the audit process determine the quality of the audit (Holmboe, n.y). The quality of documents in healthcare is very important. Various methods assure quality in documents. They include the requirement for authorization to

Franklin D. Roosevelt Research Paper Example | Topics and Well Written Essays - 2000 words

Franklin D. Roosevelt - Research Paper Example Throughout his career, Roosevelt gained immense success in all the positions he held; this made him one of the most celebrated leaders America has ever had. Born on January 30th, 1882 in New York to James Roosevelt and Sara Delano Roosevelt, Franklin Roosevelt was the only child from this wealthy family. During his younger days, he received home training from home tutors until he was 14 years when he joined Groton school in Massachusetts (Coker 11). After his studies in Groton school, he went to study a bachelor’s degree in history in Harvard University for three years. Roosevelt later joined Columbia University to study law. In 1907, he exited from the university after passing the bar examination, which allowed him to practice law for three years in New York (Renshaw 15). During his studies in Columbia University, Roosevelt had married Anna Eleanor Roosevelt in 1905. Roosevelt and Anna got six children, and Roosevelt spent most of his time with his children (Black 266). In 1910, Roosevelt made his first attempt in politics where he vied for the New York City senator through the Democratic Party. Roosevelt emerged the winner and became the New York senator; he held this position till 1914 after his re-election in 1912. In the senate, he served under the Wilson administration as the assistant secretary of the navy. Roosevelt gained immense experience from this position after closely working with Josephus Daniels who was the secretary of the navy at the time (Renshaw 16). Roosevelt demonstrated exemplary leadership skills while working as the assistant secretary to the navy, something which was noted by democrat leaders. By the time America was getting into World War I, Roosevelt had already put America’s naval plant into its most efficient way to fight the battle. Roosevelt was also hugely instrumental in advising the United States on the best war plan on the battle of the North Sea that helped in weakening the

Smoking Assignment Example | Topics and Well Written Essays - 3750 words

Smoking - Assignment Example risks of strokes by 2 to 4 time; coronary heart complication by 2 to 4 times; risks of cancer in women by 13 times, risk of cancer in men by 23 times and death from chronic, lung obstructive diseases by 12 to 13 times. To this end, it is pertinent for both smokers and non smokers to be enlightened on the risks factor of smoking, the benefits of not smoking as well as the intervention mechanisms for quitting smoking. It is a lifestyle habit whereby individuals engage in the inhaling of tobacco cigarettes. Evidently, smoking is a pertinent social and health problem due to a host of reasons. Foremost, tobacco smoking is a leading cause of preventable disease and death. Second, the longer an individual smokes during his or her lifetime; there is an increased level of damage to the health. Third, all tobacco smoke does not contain any risk-free level. Consequently, there is an immediate damage from tobacco smoking. Fourth, all cigarettes are pose critical health risks. To this end, there are no safe cigarettes. Evidently, smoking is a problem that affects the health of both smokers and non-smokers. This is due to the secondhand and thirdhand smoke which can be detrimental to the health of both smokers and non-smokers in society. Evidently, secondhand smokes emanates from two forms. These are sidestream smoke and mainstream smoke. In this regard, sidestream smokes emanates from the scorching end of a cigarette. On the other hand, mainstream smoke refers to the exhaled smoke by the smoker. To this end, both mainstream and sidestream smokes reside in the air as small particles for longer periods of time stretching into hours and days. Consequently, exposure to such particles for even such brief periods is enough to trigger health complications such as chest pains and heart pains. In this regard, there is concoction of chemicals present in tobacco smoke which are harmful to the non smokers and smokers. Evidently, there are at 69 chemical components of tobacco smoke

Evaluation of Cognitive Behavioural Therapy Experience

Evaluation of Cognitive Behavioural Therapy Experience Critically analyse and evaluate your experience of using a cognitive behavioural approach to work on a project of a personal challenge or change, integrating commentary on theory, research and practice. Introduction This work discusses in an analytical and evaluative way my experience of the use of a cognitive behavioural approach towards addressing the personal challenge of being extremely anxious when using personal computers. Firstly, a project summary provides an overview of the situation with references to relevant theory and research. Then the process of cognitive behavioural assessment is illustrated. Next is a discussion of the rationale of the planned interventions and an overall evaluation of the approach. Finally, the application of cognitive behavioural approaches in my work as a psychologist at an NHS psychology centre for adults is provided with some concluding remarks. Project summary My personal challenge is to control my anxiety and dread whenever I have to use a computer. I tend to think of myself as a generally relaxed person unless I have to use a computer, then I become anxious with clammy hands and feel my heart throbbing in my chest. Although I understand that the use of computers is world wide and that using the computer is essential at most workplaces I feel anxious and sometimes sheer panic if I have to use a computer therefore at most times I avoid using a computer. This problem is affecting negatively my work and it is embarrassing to feel computer anxiety in a world full of computers. Literature review Howard Smith (1986) defined computer anxiety as the fear felt towards interacting with a computer that is disproportionate to the actual threat presented by a computer. Tseng, Tiplady, Macleod Wright (1997) observed that approximately 30% 40% of the population is too anxious to use a computer. Recent research by Smith Caputi (2001) emphasises that there is a link between computer anxiety in undergraduate psychology students and debilitating thoughts suggesting further research is needed in order to develop more thorough cognitive models of anxiety. What is anxiety or stress? There is a growing body of knowledge about stress, which has been accumulating since Dr. Hans Selye (Szabo, 1985) who has spent most of his life in anxiety stress research first developed a theory of stress. Many other physicians and psychologists are conducting research on stress, contributing to our understanding and developing promising methods of stress management. The stress researchers are beginning to provide insights into how mind and body work together to produce psychosomatic illness and how this knowledge can be used for prevention. Definition of Stress the General Adaptation Syndrome (in relation to my computer anxiety) As a result of his stress research (Szabo, 1985), Selye developed a definition of stress suggesting that stress is the bodys non-specific response to any demand placed on it whether that demand is pleasant or not and this definition is relevant to my personal challenge of being stressed about using computers. This definition means that the body has a three-stage reaction to stress: (1) alarm, (2) resistance and (3) exhaustion. This three ­-stage response is the stress syndrome called the General Adaptation Syndrome (GAS). (1) In the alarm stage, the body recognises the stressor, which for me is the computer and prepares for fight or flight. My body achieves this state by sending messages from the hypothalamus section of the brain, which stimulates the pituitary gland to release its hormones, which then trigger the adrenal glands to pour out adrenaline. As a result, the rate of my breathing and my heartbeat are quickened, my blood sugar level is raised, my rate of perspiration is increased, my pupils become dilated, and the digestive processes are slowed down. These factors create a huge burst of energy, an increase in muscular strength, and a heightening of vision and hearing natural aids to fight or flight. (2) In the resistance stage, the body must remain alert, leading to the stage of exhaustion. (3) The exhaustion stage means much more than being physically and mentally tired out. When somebody is tired in body and mind, a little extra rest or a change of scene will often quickly restore the person to full vigour; then the person has not reached physiological depletion. When somebody is physiologically exhausted, the body has lost its ability to continue to resist the continuing stress. It has used up its supply of adaptive energy and its defence mechanisms, such as its immune response, are no longer functional. The body is now vulnerable to the stress diseases, including high blood pressure, arteriosclerosis, migraine headaches, gastrointestinal disorders, rheumatoid arthritis, and asthma. The body may even give up during this stage and die. Most physical or emotional stressors do not last long and produce changes in somebody from being in the first and second stage. Usually people go through the first two stages frequently during the course of our lives, as part of our successful adaptation to the many demands of living. I tend to feel alarmed and pressurised to not use a computer being anxious about using the computer and sometimes I get headaches thinking that I should be using computers like everybody else. Positive Stress Versus Distress From what has been outlined above one might think that stress of any king is bad, but that is not the case. According to Selye (1974) there is a need to experience some stress all the time. Even when somebody is asleep our dreams produce stress. I have woken up from nightmares being in front of a huge computer unable to go back to sleep. Thinking about stressors (the computer) and situations I have experienced when my father tried to teach me how to use a computer made me realise that those were the first times I experienced stress to use a computer. This type of stressor is classified by Selye (Szabo, 1985) as damaging and liable to distress, while other stressors such as horse riding I find pleasurable. Situations then are subject to different interpretations. For example using computers is stressful for me, but a delight for others. A key idea that Selye (1974) presents is that what matters is not so much what happens to us, but the way we take it. Herein lays the key to stress ma nagement, which will be considered further later on. Selye (1974) calls the stress that we need for our survival and well-being positive stress. Examples of positive stress include those times when our bodies stress-response mechanisms stimulate us enough to produce a peak performance for an important job or to come through despite a bad cold or a lack of energy. At times, we have performed feats of strength in emergency situations even the seemingly impossible, like single handily moving a huge weight, such as getting a stalled car to the side of the road. Other examples of life situations generating positive stress are going on a first date, taking an examination, and when we are infants, learning to walk. We also get excited and enjoy watching our favourite team in a match. Pleasurable emotions produce positive feelings of exhilaration. For reasons not yet understood, these positive stresses energise us produce healthy relaxation. I would like to be able to feel positive stress and enjoy using computers instead of being distressed. A medium level of pressure and stress leads to peak performance. The performance curve (please see next page) shows that as tension and pressure increase, so our performance increases to a certain point. If pressure continues to increase to a level that is beyond our ability to cope then it soon becomes unhealthy and it can lead to exhaustion and breakdown. It is important to recognise that stress and pressure are different. Pressure is the demands that are placed upon an individual. Pressure itself is not a bad thing and can help to motivate individuals. Stress is the negative experience that results when individuals feel unable to meet the demands upon them. Performance anxiety curve The kind of stress that is bad for us and can be harmful is called distress. Distress results when the stress continues so that we need to keep adapting to it. If the distress continues long enough, it can result in exhaustion. Exhaustion usually affects only parts of the body, a runner in a marathon produces severe stress on her muscles and cardiovascular system which leads to the exhaustion stage, but after a good rest she is back to normal and looking forward to the next race (Malmo, 1959). Computer anxiety Having reviewed the types of stress and the stage responses to stress in terms of neurophysiologic responses, behaviours, thoughts and feelings I find Selye’s (1974) description of the negative stressors best describes my reaction towards using computers. Furthermore, Rosen and Weil claim that one third of college student population feel some anxiety towards using computers (DeLoughry, 1993). Although the literature suggests that I’m not the only one being anxious towards the use of computers I often feel anxious about it and this has a negative influence on how I feel about myself. Assessment What is CBT in relation to assessment and therapy of computer anxiety or stress? Cognitive behavioural assessment is a continuous process of evaluation and monitoring during the length of therapy. According to Kirk (1994) there is a clearly set process to follow aiming to reach agreement with the client about what is the target problem; then to obtain enough detailed information about what factors are responsible for the continuity of the problem and then a process of change with high client involvement. Often clients come for a CBT assessment without any prior knowledge and it is useful to illustrate the main aspects of CBT. Primarily cognitive behavioural therapy assumes that a person’s feelings and behaviour are influenced by his thinking therefore emotional problems are the outcome of debilitating, negative and unrealistic thinking and therapy starts by increasing the person’s awareness of their debilitating thoughts and changing them. CBT is a combination of cognitive therapy, behaviour therapy and learning in way that explains thoughts, feelings and behaviours as the outcome of learning. This learning can be changed so people can change their old learning and gain new ways of thinking, feeling and behaving. Social learning is one approach to learning that postulates people learn by observing what others (role models) do and say (Bandura, 1986). Social learning theory attributes my computer anxiety and stress to when my father was teaching me how to use a computer and he wasn’t patient with my progress. Taking into account that in social learning theory rewards reinforce behaviou r for me then the absence of rewards and the punishment received for not learning by my father to use the computer made me computer averse and anxious. Datttilio Padesky (1990) showed how CBT is a holistic approach because it considers thoughts, feelings, behaviour, social environment, personal history and physiology that influence my computer anxiety – stress. Further, Beck (1995) described CBT as a procedure of guided discovery where the client discovers methods and techniques that will help them to identify and address their debilitating thoughts. The guided discovery works by the client having certain ‘homework’ to complete between CBT sessions in order that he understands which of his thoughts are based on reality he experiments by behaving in different ways that test the reality of his thoughts and he can discover which thoughts are true based on experience instead of mere assumptions. While discovering true thoughts based on his experiential learning the client is encouraged to learn new skills and behave differently in order that his behaviour matches his true thoughts. The assessment of my computer anxiety and stress was done by a behavioural interview and a stress assessment questionnaire (see appendix 1) followed by self-monitoring information. According to Kirk’s (1989) cognitive behavioural assessment framework during the first stage of assessment in the interview the questions I was asked aimed to capture exactly what I feel, think and how I behave when I suffer from computer anxiety – stress. A list of typical situations in which I became anxious and stressed at various degrees was made (see appendix 2). Having discussed my problem then the onset of my anxiety and my stress towards using computers was investigated taking into account the first time I remember being anxious towards using the computer, how it continued and the predisposition to anxiety. My anxiety was measured as a general anxiety – stress concept on Selye’s (1974) classic questionnaire (see appendix 1). I said how my anxiety to use computers started since my father tried to teach me as a teenager with strict rules and impatience. Since then I always felt apprehensive, anxious and sometimes stressed out when having to use a computer especially of others are looking to see how I’m getting on. Aiming to gain enough detail about the content of a problem, cognitive behavioural assessment focuses on the interaction of four ways of responding to a situation: cognitive; emotional; behavioural and physiological (Kirk, 1989). I was asked to remember a recent situation that I felt anxious and/or stressed when having to use a computer and describe what I was thinking (cognitive), feeling (emotional), did or said (behavioural) and any changes on how my body felt. I remember how two days ago I was asked by my tutor to attend a computer class because he thinks if I get to practice using computers I will feel less anxious about them. I became stressed out when the whole class looked at me because my computer was making a loud noise tha t wouldn’t stop because I pressed something. I discovered that although I could remember what I felt (emotional) what I did (behavioural) and how sweaty my hands were (physiological) it was difficult to remember what I was thinking. Because of that my ‘homework’ was to start using a self-monitoring anxiety diary. Self-monitoring information is often used to enhance the effect of behavioural interviewing because it provides the opportunity to describe a problem (my computer anxiety) over time getting specific information about every time I experienced computer anxiety. That makes it also possible to see how often I have computer anxiety. I was asked to record the situation that provoked my anxiety, when it happened and my response using the four systems (thoughts; emotions; behaviour; physiology) as soon as possible after the event for a week. A 0-10 rating scale was also used to measure the intensity of my anxiety (see appendix 3). Beck (1995) describes homework as an essential part of cognitive behavioural therapy and as a way to emphasise its collaborative and self-help principles. This anxiety diary was useful in examining my problem with sufficient detail becoming able to point out what might be holding my problem in place using two ways: a cognitive ABC (Antecedent-Belief-Consequence) model and a behavioural ABC (Antecedent-Behaviour-Consequence) model. Trower et al., (1988) illustrated the cognitive ABC model explaining behaviour in terms of processes that take place between an environmental stimulus and behaviour. According to this model something happens and then the client focuses his attention on it and this is called Antecedent (A). Then the interpretation of what happened occurs in the form of a belief (B) and a consequence (C) which may involve a behaviour and feeling(s) (see appendix 4). On appendix 3 a number of trigger situations are listed during the week of self-monitoring. The analysis of these situations using a cognitive ABC model identified a pattern of common thought processes linking the triggering event and my anxious-stressful consequence (see appendix 4). I also used the behavioural ABC model, based on operant conditioning (Skinner 1974 in Glassman, 2000) to examine why I repeatedly get computer anxiety (see appendix 5). Similarly to the cognitive model there is an antecedent (A) then the behaviour (B) response to the event and the consequence (C) is the outcome of the behaviour. The negative reinforcer I noticed is avoiding the use of computers when asked to use them which then follow negative self-talk about not being able to master the use of a computer. I found this model less useful because of its superficially descriptive nature it does not account for thoughts. Motivation to change Miller (1983) claims that a clients motivation to change is represented as a comparison between the advantages and the disadvantages of changing because both continuing and changing a behaviour is a choice having pros and cons. I’ve done that (see appendix 6). Then I considered Prochaska. DiClemente’s (1986) model of behavioural change where the client develops from an initial precontemplation stage (with no thoughts of change) to contemplation (where the client evaluates advantages and disadvantages of changing); to preparation (where planning and commitment occur) leading to taking action towards behavioural change. If the client takes action(s) to change their behaviour then they progress to maintenance (where efforts focus on long-term change). I discovered that I’m in the contemplation stage having done the comparison between the advantages and the disadvantages of eliminating my computer anxiety it is obvious that advantages are more than the disadvantages. Plan of interventions for eliminating computer anxiety I considered several possible solutions to eliminate my computer anxiety and have discussed with my doctor the possibility of taking medication to free myself from anxiety symptoms (e.g. palpitations) when thinking of computers and when addressing them. I will do: 1. Controlled breathing technique 2. Deep muscle relaxation 3. Set smart goals in order that I get one-to-one help with learning to use computers 4. Progressive relaxation 5. Self-monitoring Evaluation CBT is a very useful approach for dealing with stress because it offers clear methods to support clients by observing, analysing and learning coping skills to deal with anxiety. The use of medication to provide relief from anxiety symptoms can be combined with CBT in order to maximise the short-term outcome. Essential for CBT is the therapeutic relationship to have empathy, trust and respect so that the client does homework between sessions and feels empowered to help themselves. It is beyond the scope of this project to evaluate the therapeutic relationship. However, I certainly developed a self-help attitude and became more aware of my thought, behaviours, feelings and physiology during computer anxiety events having progressed through the Cycle for Change. I need to develop further my motivation in terms of smart goal setting with times, milestone, have a support network and reward myself for achieving milestones and the goal of eliminating computer anxiety. Conclusion Having implemented self-monitoring I discovered that by dominant behaviour is to avoid the use of computers but that does not eliminate my computer anxiety. This is a valuable insight also about the key role my thought processes have in suffering from computer anxiety. The plan to use relaxation techniques; design of smart goals and have one-to-one supportive advice when dealing with computers is what I’ll do in addition to self-monitoring in order to conquer my challenge of computer anxiety. This project provided me with more thorough understanding of CBT assessment and therapy which I will use in my life and at my clinical practice. References Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall. Beck, J. S. (1995). Cognitive Therapy: Basics and Beyond. New York: Guildford Press. Datttilio, F.M. Padesky, C. (1990). Cognitive Therapy With Couples. New York: Guilford Press. DeLoughry, T. J. (1993). Researchers Say ‘Technophobia May Afflict Millions of Students’, The Chronicle of Higher Education, 28 April, 25-26. Howard, G. S. Smith, R. D. (1986). Computer Anxiety in Management: Myth or Reality? Communications of the ACM, 29, 611-615. Kirk J. (1989). Cognitive behavioural assessment. In Hawton, K. Salkovskis, P. M. Kirk, J. and Clarke, D. M. (1989) editors. Cognitive Behaviour Therapy for Psychiatric Problems. Oxford: Oxford University Press, 13-51. Kirk J. (1994). Cognitive Behavioural Therapy for Psychiatric Problems. Oxford: Oxford medical publications. Malmo, R. B. (1959). Activation: a Neurophysiological Dimension. Psychological Review, 66, 367-386. Miller, W. R. (1983). Motivational Interviewing with Problem Drinkers. Behavioural Psychotherapy, 11, 147-172. Prochaska, J. O. DiClemente, C. C. (1986). Towards a comprehensive model of change. In Miller, W. R. Rollnick, S. Motivational Interviewing: Preparing People for Change. New York: Guilford Press. Selye, H. (1974). The Stress of Life. New York: McGraw-Hill. Skinner, B. F. (1974). About Behaviourism. London: Cape. In Glassman, (2000) Approaches to Psychology. London: Open University Press, 25-47. Smith, B. Caputi, P. (2001). Behaviour and Information Technology, 20,Number 4, 1 July, 9, 265-273. Szabo, S. (1985). The Creative and Productive Life of Hans Selye: a Review of his Major Scientific Discoveries, Experientia, 41, 564–567. Tseng, H. M., Macleod, H. A. Wright, P. (1997). Computer Anxiety and Computerised Versus Paper and Pencil Assessment of Induced Mood Change. Computers and Human Behaviour 13, 305-316. Appendices Contents Appendix 1: Danger Signs and Symptoms of Stress, Selye (1974) Appendix 2: Typical situations that I’m anxious – stressed when using a computer Appendix 3: Anxiety diary Appendix 4: Cognitive ABC model Appendix 5: Behavioural ABC model Appendix 6: Motivational change – advantages disadvantages Appendix 1: Danger Signs and Symptoms of Stress, Selye (1974) The following checklists are not precise enough to provide an accurate assessment of you but they can be a beginning point for reflection. If you have more than two of these physical signs, you may be placing your body under high risk from excessive stress. More than four of the following mental symptoms (or a total of four physical and mental symptoms) also indicate that you are a high-risk candidate from excessive stress. Summary scores Appendix 2: Typical situations that I’m anxious – stressed when using a computer When I: Try to navigate through different programs Have to do something (I don’t know what) because the computer crashes Try to use the keyboard Place the cursor on a program icon to open it Should write an essay on Word Have to use the computer in front of others Attend a class to learn to use the computer Appendix 3: Anxiety diary Appendix 4: Cognitive ABC model Appendix 5: Behavioural ABC model Appendix 6: Motivational change – advantages disadva

Zero Tolerance Essay -- essays research papers

Zero Tolerance: Doubtful Indeed Many schools around the country have been faced with violence and even actual deaths. Take the incident at Columbine, for example. Many schools for this very reason have proposed and in some cases even imposed a policy called, The Zero Tolerance Policy. The article, †Taking Zero Tolerance to the Limit† by Jesse Katz, is about the absolute ban of drugs and weapons in schools. It doesn’t work. It doesn’t work because it punishes everyone for the problems of few, it’s too extreme and there is still no clear line between what is a drug and what is a weapon.   Ã‚  Ã‚  Ã‚  Ã‚  First of all, the zero tolerance policy is very unfair because it punishes everyone for the problems of few. Even if you’re the best student in the school and have never taken any drugs or used any weapons except for the butter knife, you still have to feel uncomfortable as if you really have used drugs or weapons. For example, in the article by Jesse Katz, when it talks about the girl who got Midol to school and shared it with another girl with the sole purpose of easing menstrual cramps. Kimberly, the girl who had gotten the drug along with Erica, the girl that received the drug got a ten-day suspension. The parents of Kimberly got the district later on with a federal lawsuit for racial discrimination because the school suspended Kimberly, who is black, for 80 more days because she had the drug.   Ã‚  Ã‚  Ã‚  Ã‚  Another example from the article of t...

“Necessity Is Something in the Mind, Not in Objects”

Hume believed that the common notion of cause and effect is wrong. This conviction on his part stemmed directly from the assumptions he made earlier on when creating his philosophical system. He divided human perception into two: â€Å"impressions† were supposed to be instant, strong feelings or perceptions, whereas â€Å"ideas† are those that have already faded away, leaving us with only a partial knowledge of what we felt.Ideas have their source in impressions; therefore if there exists a rational idea of necessity, it has to come from an earlier impression. Yet no impression coming from our external environment can give us any idea about necessity. Nor can we find it in ourselves, because even if we see our body move a hand, how can we be sure it is us who moves it? As it inevitably turns out, according to Hume, because we have no experience of necessity, it is our mind that creates these connections we are so sure about.It is our habit to look for cause and effect, because that’s the way to easily explain how world functions to ourselves. We are assuming that certain causes will create equal effects as in the past not because we can prove it, but because it has been this way before. A good example of this is how we expect the Sun to rise every morning – using the mathematical method of induction we assume that what has been true in the past, will be true in the future as well.Of course, something might stop the Sun from rising in the morning, so the right thing would be to say that it is highly probable that it will rise, but there is no certainty. We skip all of this, because it’s more convenient, and it lies in human nature to take advantage of it. Of course, Hume does not say, that causality/necessity doesn’t in fact exist, he only points to the fact that we are unable to derive its existence from hard facts and are instead using a very defective method of reasoning.

Winstons

Winston Lavendier October 13th, 2010 Advertisement essay This essay is on an advertisement for Nolan's Cheddar Cheese â€Å"seriously strong†. This video had won the two thousand ten best television advertisement award. Basically this video is a mouse coming out of its mouse hole to encounter a rat trap with the Nolan's Cheddar Cheese on it. So the mouse starts to eat the cheese, and after being about halfway done with the cheese, the rat climbs on top of the rat trap like it is on top of the world and the rat trap snaps.Then the video pans and it seems like the rat is going to die but all of a sudden the mouse starts to bench press the rat trap bar then the screen fades away and it says Nolan's Cheddar Cheese â€Å"seriously strong†. What my point is in this essay is that two things that sell products and make good commercials is sex and funny. If you have one or more of these in your commercials then it will turn out good. But now a days most commercials sell on sex.B ecause if they deceive the viewer into to thinking they can get some then they will win them over and buy their product. This commercial that I am writing about is not about sex. But it does deceive the viewer like any other good commercial. By showing the viewer that if you eat Nolan's Cheddar Cheese then you will be incredibly strong. And get your self out of death by using the muscle you just gained from eating Nolan's Cheddar Cheese.With the way all of these television commercials have been going lately they all advertise about sex from deodorant to shampoo to alcohol to any kind of product. Bottom line is that they all try and do one thing and one thing only. That is to device the viewer into buying their products. What I like about this commercial is that it does not have anything to do with sex in it but yet it can still sell a product and win the two thousand ten best television advertisement award and yet get the job done of deceiving the viewer.

Markist essays

Markist essays The Power is in the People Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the government for a redress of grievances. (The United States Constitution: The First Amendment). By the action taken on December 12, 1791 (when the Bill of Rights was adopted), the United States of America granted its people a power that would prove extremely potent one-hundred and twenty-nine years later. During the era of Prohibition (1920-1933), people took whatever action necessary to get their way, and did so through the rights afforded to them in the First Amendment. Individuals in favor of Prohibition, seeing the benefits of the institution, worked together to sustain it. Those against Prohibition, feeling a violation of their rights, acted just as intensely, if not even more so, to stop the movement. The government, ignori ng the voice of the people, was primarily concerned with keeping Prohibition alive. However, the right to individual voice, a principle upon which the United States was founded, made it impossible for an institution such as Prohibition to exist successfully. In the years prior to and during Prohibition, many people did everything within their power to keep the nation free of alcohol. Numerous committees were formed for the purpose of pursuing the enactment and continuation of Prohibition. Church and religion also played a large part in the fight to keep the nation dry. Some individuals even entered politics and took office in the government in an effort to be heard. People made an united effort to reveal the virtues of Prohibition to the nation. The Anti-Saloon League of America was founded in 1893 at Oberlin, Ohio. Throughout Prohibition, its members went from town to town speaking out against saloons and alcohol (Merz 8). On January 16, 1920, ...

Money cannot buy happiness Essay Example | Topics and Well Written Essays - 500 words

Money cannot buy happiness - Essay Example But, this is paradoxical as money can’t really buy happiness. It is written in many spiritual texts that money can only buy the source but not true content of happiness. For example, money can buy a house but not a home filled with love and affection; it can buy a bed but not sleep; it can buy companions but not friends. Money is required for satisfaction of material wants, and there is no end to human wants. In the race of achieving more and more material needs, man tends to forget to be happy. Man is a social animal and cannot live in isolation. Rich men attract people, but hardly have any friends; or, tend to lose friends in due course because their focus is towards making more money rather than to give time to their beloved ones and value their affection (Jet, 15). As a result, men having money become lonely with no people to care for by the end. Such life is certainly not a happy one. Happiness lies in being cared for and caring for others. Money cannot prevent one from losing his/her life; only love and affection can be cherished even after the loss. Jet Magazine quotes that the psychologist, Dr. Lewis-Jack believes that real happiness is ‘peace of mind, good health and being content with yourself and where you are at this point in your life; having goals and a willingness to work toward achieving those goals’ (p.18). This is very true because chasing after money will affect one’s health in the due course of time, which will necessitate treatment and care. For this, the person will have to rush to health care where he will receive care upon paying money; but, this care will not be original and true to his/her internal satisfaction. Secondly, chasing after money causes mental and emotional stress; this will manifest in the form of quarrels, misunderstandings, depression, anxiety and fear. Greed for money will also

Nurse management in the hospital setting Assignment

Nurse management in the hospital setting - Assignment Example With diversity in ideas, there is assurance that the final decision will be brainstormed upon and will be the best. Team works also add the value of improving communication among the employees as well as getting them to know each other (West, 2012). The first strategy to create a positive team climate is to provide the team members with freedom to be creative and work without maximum supervision. This will not only allow creativity but will facilitate more ideas to be provided and more brainstorming without members being nervous or afraid. The other strategy is to mix the team members according to their differing abilities and personality. These strategies are bound to ensure to teams spend less time addressing personal issues or arguing and more doing their assignments. Finally the other strategy to a positive team outcome is to set deadline on the assignment or project. The deadline will ensure that they do not engage in unnecessary activities but rather just focus on the work at hand (West, 2012). The first strategy is accommodation. This involves one party in the conflict allowing the other party to satisfy their concerns and neglect their own as a way to end the conflict peacefully. This is a selfless conflict management strategy. The other strategy to manage conflict is avoidance. This involves avoiding taking any action at all about the conflict or even paying any attention to the conflict at hand. Compromising is another conflict management strategy which involves attempt to solve the conflict by finding ways to partially solve the conflict and satisfy both parties but without completely satisfying any party. This only manages in quelling the conflict for a while. Lastly is collaboration which involves trying to make each party understand the concerns of the other party in question as way to find mutual solution and promote understanding. If this technique succeeds, then the conflict is managed for longer periods or even ended

Homework Coursework Example | Topics and Well Written Essays - 250 words - 7

Homework - Coursework Example The four aspects holistically helped shape the American culture. For example, marriage and female domesticity were depicted as primary goal for the American woman in conjunction with intense religious renewal. The media provided a platform through which the various aspects were spread. Religious leaders were also crucial in the American society. For example, Evangelist Billy Graham was a spiritual adviser to several United States’ Presidents (Kutler 96) The promises that were made by Kennedy were an attack on poverty, as well as growing the economy. The promises were all geared towards economic reconstruction. He promised to move legislations to see to it that he achieved these goals and was moved especially by the desperate conditions he saw when he campaigned in Appalachia, in 1960. Upon clinching the presidency, he helped push poverty onto the national agenda where he won a $2 billion urban-rural renewal program (Kutler 77). He was assassinated in 1963 and his promises were realized by his successor by the name of Lyndon B. Johnson who moved for the enactment of the Civil Rights of 1964 and the Economic Opportunity Act that emphasized on unconditional war on

Cohabitation Before Marriage Essay Example for Free

Cohabitation Before Marriage Essay Does living together before marriage help or hurt relationships? This question has plagued couples for the last few decades, as both the numbers of those living together without being married and the rate of divorce has grown. I think living together before marriage can only help people avoid divorce, as they are given the chance to see what it is like to live with either the specific person, or a person for the first time. This also brings up the questions of why divorce rates are up and whether it has anything to do with living together before marriage. I bring certain prejudices about it, believing that living together before marriage does not negatively impact couples’ ability to stay together after marriage, as I have seen it work many times. In the end, I will attempt to make the connection between the two, if there is one, or explain why people think there may be. SOURCES: Hurley, D. (2005, April 19). Divorce Rate: Its Not as High as You Think. The New York Times. Divorce Statistics Collection. Retrieved August 9, 2008, from http://www. divorcereform. org/nyt05. html Knadler, J. (2005, December). Is Five Years the New Forever? Cosmopolitan. Vol. 239, Iss. 6; pg. 149-152. Kramer, E. (2004, October). COHABITATION: JUST A PHASE? Psychology Today. Vol. 37, Iss. 5; pg. 28-29. Whether because of the instinct to procreate, emotional desire, or compulsion to follow social norms, human pair-bonding leads often to marriage. Defined as a social institution, religious sacrament, and personal commitment, marriage continues to evolve, growing to include a more relaxed attitude to divorce and the practice of cohabitation before marriage. Both of these subjects have sparked heated debates, with the issue of cohabitation before marriage being the latest movement in the realm of matrimony. While many opponents of cohabitation before marriage cite a lack of core family and moral values that have sanctified union through marriage for millennia, recent studies have shown that cohabitation before marriage is not only increasing in popularity, but may be beneficial compared to marriage first, as evidenced by the increasing divorce rate among married couples, the decrease of overall marriages, and the ever-changing landscape of marriage throughout history. Marriage between a man and a woman has long been the backbone of social cooperation and society itself. Marriage offered greater economic stability, the opportunity to produce heirs, and was often utilized as a tool to strengthen alliances between groups. Marriage echoed the foundational desire for societal regulations and norms, and like society, marriage continuously evolved, redefining itself and its purpose. From the days ancient Mesopotamia to Greece and Rome, marriage was largely a civic obligation. However, the proliferation of polytheistic religions as ultimate moral authorities transformed marriage into an expression of faith. Until the emergence of modern nation-states, most marriages were conducted under one or another religious regime. Starting with the Protestant Reformation, â€Å"most states took over their dominant religion’s marriage laws; debate has ensued ever since whenever a nation deviates from the still powerful religious rules that sanctify marriage† (Miller, 1999). Despite these dogmatic rules, outlawed actions such as unmarried cohabitation and divorce have become commonplace among couples, and the cause and effects are mixed. According to an analysis of new census figures by The New York Times, married couples, whose numbers have been declining for decades as a proportion of American households, have slipped into a minority in the United States. The American Community Survey, released in October by the Census Bureau, found that â€Å"49. 7 percent, or 55. 2 million, of the nation’s 111. 1 million households in 2005 were made up of married couples — with and without children — just shy of a majority and down from more than 52 percent five years earlier† (Hurley, 2005). This trend shows that less and less heterosexual couples are choosing to get married, instead preferring to cohabitate and have children without marriage. Cohabitation can have many important benefits that marriage cannot, even if it comes with no religious sanctification or government protection. Cohabitation before marriage can be for a variety of reasons. Some couples may use it to see if they can live with the person, while others may do it simply out of convenience, and still others may do it for more practical reasons such as to save money. Susan Sassler, a sociology professor at Ohio State University, interviewed undergraduate and graduate students who had been living with a romantic partner for at least three months and asked them why they decided to move in with their partners. Fewer than a third of interviewees reported discussing their ideas for the future before making the move, and even fewer had mentioned marriage in their discussions with their partners; nearly a fifth specifically stated that they weren’t using cohabitation as a trial for marriage, and the most commonly cited reasons for moving in together were â€Å"saving money, convenience and the need for housing† (Kramer, 2004). This study helps show that cohabitation before marriage is not necessarily anything more than a practical move on the part of the couple. Whether or not the couple gets married seems to be secondary to the mutually beneficial arrangement that can allow many young couples to pursue personal and professional goals more easily with the support system offered by such a thing as marriage, with the freedom offered by being single. In the United States, it is widely believed that one in two marriages will end in divorce, so while many couples live together out of sheer practicality, cohabitation may be a good way to avoid the increasing divorce rate. The rate of divorce today is considered to be roughly 43% by the National Center for Health Statistics but was moved back up to around 50% by the Census Bureau in 2002. Most recently, according to the New York Times, it has been revised downward to just over 40%. (Crouch, 2005) This lower figure could be due to the fact that less people are getting married and choosing instead to cohabitate, but it cannot be denied that less people are getting and staying married than ever before. The proliferation of cohabitation before marriage could be for a great number of reasons, including the increasingly fast pace of society, a more cynical view of traditional morality, or even the more evolved view that couples do not have to sanctify their union through religion or law. Studies on successful cohabitation are difficult to perform, and no concrete statistics such as divorce rates offer clear-cut answers to its ultimate success or failure. However, moving past religious and social dogma that often frowns upon cohabitation before marriage, it would seem to be preferential for young couples to do before getting married, and many have. According to Jessie Knadler of Cosmopolitan Magazine, â€Å"many couples today live together before they marry, roughly 70 percent versus less than 5 percent 40 years ago† (Knadler, 2005). While this number suggests that virtually all couples that marry live together first, it also leads to a pitfall that cohabitating couples must avoid, namely seeing marriage as the next logical step in the relationship. As evidenced in the Sassler study, many of these cohabitating couples are doing it out of practical reasons, sharing money, bank accounts, bills, and such; to move this arrangement into marriage without a strong foundation is a risky mistake that ends in divorce nearly half of the time. The casual acceptance of divorce in today’s society seems to offer couples an easy way out whenever they so choose, unlike a few short decades ago when divorce was considered taboo. Divorce ultimately costs not only the couple, but also society as a whole, in legal fees and wasted court time. While breakups are rarely pleasant, they can prevent many of these personal fights from entering the public arena. The success of any marriage, relationship, or partnership depends on the trust and commitment of those who enter into it. Cohabitation can be a good way to lead to marriage, but it takes work and honesty between both partners. If the partners see a future with each other, marriage is the next logical step. However, if they are living together out of convenience, perhaps marriage is a bad idea. And, while marriage continues to evolve and to some degree evaporate, human relationships will always be too complex and diverse to generalize. REFERENCES Crouch, J. (2005). Divorce Rates. Divorce Reform Page. Americans for Divorce. Retrieved August 9, 2008, from http://www. divorcereform. org/rates. html Hurley, D. (2005, April 19). Divorce Rate: Its Not as High as You Think. The New York Times. Divorce Statistics Collection. Retrieved August 9, 2008, from http://www. divorcereform. org/nyt05. html Knadler, J. (2005, December). Is Five Years the New Forever? Cosmopolitan. Vol. 239, Iss. 6; pg. 149-152. Kramer, E. (2004, October). COHABITATION: JUST A PHASE? Psychology Today. Vol. 37, Iss. 5; pg. 28-29. Miller, M. (1999, March/April). What is Marriage For? : A Conversation with E. J. Graff. UU World Magazine. 37 pars. Retrieved August 9, 2008, from http://www. uua. org/world/0399feat3. html

A Reaction Paper On A Country Doctor English Literature Essay

A Reaction Paper On A Country Doctor English Literature Essay Franz Kafkas A country doctor is a story about a doctor who is called upon in the middle of the night to attend to a seriously ill young man .Hampered by lack of transport means and extreme weather conditions, the doctor is at pains to come up with solutions to his problems. This essay paper will attempt to systematically examine the challenges and frustrations that the doctor encounters as the story unfolds. This essay will also answer the questions as to why the story may be referred to as a nightmare as well as explore the major themes brought out in this artistic tale that is indeed a replica of Franz Kafkas generation and the current modern society. Challenges and Frustrations The doctor is in a dilemma He is challenged by the fact that he has no means of transport to take him to the home of the gravely ill young man, ten miles away. The doctors horse had died due to the icy winter. My own horse had died the previous night as a result of overexertion in this icy winter. The doctor is frustrated at this point because no one in  Ã‚   the village was willing to assist him. My servant girl was at that very moment running around the village to see if she could borrow a horse but it was hopeless-I knew that. Out of frustration the doctor risks hurting himself by kicking the pigstys door. I kicked my foot against the cracked door of the pigsty which had not been used for years. The severe weather conditions pose a challenge to the doctor too. He has to endure the chilly snowstorm to go and attend to a patient. The doctor says, A severe snowstorm filled the space between him and me. The doctor does not hide his dilemma when he says, I stood there useless ,increasingly covered by snow , becoming all the time immobile. After treating the sick young man the doctor attempts to make his way home but the once strong and fat horses are old and tired, they move at a slow rate at which the doctor feels he will never reach home. Consider, We dragged slowly through the snowy desert like old men. The doctor is evidently frustrated when he says, Ill never come home at this rate. He becomes sad when he thinks of his home which was occupied by the Groom. In my house the disgusting groom is wreaking havoc, Rosa is his victim. The third challenge that the doctor encounters is the Groom. The doctor does not know how to deal with this stranger. First, when the groom brutally bites Rosa on her cheeks, the doctor only threatens the groom with words and calms down at once because he wanted to borrow a horse from the groom. At that moment, the doctor is almost the grooms slave. The groom eventually offers his horses to the doctor but decides to stay with Rosa instead of traveling with the doctor.   The doctor is therefore at crossroads. He does not know whether he should stay and protect Rosa from the brutal groom or go ahead and attend to the seriously ill Youngman. The doctor chose the later. However, as the story unfolds the frustrations of the doctor concerning this decision become apparent. Consider, I had to sacrifice Rosa as well, this beautiful girl, who lives in my house all year long and whom I scarcely notice-this sacrifice is too great. The doctor is challenged by poverty and too much work. He has dedicated his life to serving the district but is poorly paid. Consider, I am employed by the district and my duty do my duty to the full, right to the point where it is almost too much. Badly paid, but I am generous and ready to help the poor. The doctor has only one horse, when the horse dies the doctor lacks means of transport to enable him perform his duties efficiently. The doctor is evidently overworked. He is called at midnight to attend to patients. It seems he rarely sleeps since his night bell was always rung by villagers. When performing his duties the doctor is under pressure from the villagers. They want him to instantly cure their patients. The doctor is frustrated by this when he says. I am not a world improver. Themes The first theme that has been well brought out is the theme of suffering. At the beginning of the story, the doctor suffers psychologically because he has no means of transport to enable him reach the home of a seriously ill man. I was in great difficulty. An urgent journey was facing me.A seriously ill man was waiting for me in a village ten miles distant. The doctors horse had died and he was worried because no villager would lend him a horse. Of course, who is now going to lend his horse for such a journey? The extreme icy winter made the doctor to suffer. First his horse dies in the winter leaving him without means of transport and secondly the doctor has to endure the chilly weather to attend to  Ã‚   the patient. I stood there useless, increasingly covered by snow, becoming all the time more immobile. Rosa suffers when the groom bites her on the cheeks. On the girls cheeks are red marks from two rows of teeth. Rosa further suffers when the doctor leaves her to stay with the evil groom against her will. No, screams Rosa and runs into the house with an accurate premonition of the inevitability of her fate. The sick young man suffers too. The young man suffers from a deadly wound that is infested with worms. Consider, On his right side, in the region of the hip, a wound the size of the palm of ones hand had opened up. The young man having lost hope of living tells the doctor, Doctor let me die. The second theme found in this story is blame. The doctor blames his failure to attend t o a seriously ill patient on his lack of a horse. Consider, But the horse was missing- the horse. The doctor further blames the villagers for unnecessarily summoning him to attend patients who according to the doctor were just feigning illness. He blames the villagers further for not assisting him in time of need. Consider, My servant girl was at that very moment running around the village to see if she could borrow a horse but it was hopeless. The country doctor as a narrative constantly places blame for his failure on others, on the lack of horses, on the groom, on the villagers, on the young man. His narrative attitude is one of; if I have failed it is not my fault, but rather the fault of others (Gray 2009) Exploitation is another theme found in this story. Exploitation is unfair treatment of someone or use of a situation in a way that is wrong in order to get some benefit (Wikipedia, 2009) the groom appears at a time when the doctor is need of transport means and takes advantage of the situation to take Rosa against her will. I see how in addition she chases down the room putting all the lights in order to make herself   impossible to find. The theme of betrayal is also evident in this short  Ã‚   story. The doctor betrays his house help when he leaves he in the hands of the brutal groom. I had to sacrifice Rosa as well ,this beautiful girl who lives in my house all year long and whom I scarcely notice-this sacrifice is too great. He witnesses the bachelor force himself upon the house maid but rather than stay to access and disarm the stranger, the doctor allows the steeds to carry him off as the screams of his housemaid echo through the winter night. (Hemphill 2009) This short story may be called a nightmare. The doctor concludes that the sick young man is feigning illness after a brief examination. The doctor only observed the heartbeat of the patient. In his reasoning the patient was only seeking attention that he was not sick. The doctor in this story does not operate the way doctors in real world operate. Alex Hemphill observed that Franz Kafkas A country doctor is written in a stream of consciousness and includes all the making of a nightmare (2009) When the doctor kicked the door of the pigsty there emerged the groom and the two horses mysteriously. This is absolute fantasy and cannot happen in a real world.. Two horses, powerful animals with strong flanks shoved their way one behind the other. A country doctor can be read as fulfillment fantasy motivated by self exculpation (Gray 2009) Conclusion The doctor in Franz Kafkas -A country doctor is a reflection of some people in the society who sacrifice their lives to serve everyone but their efforts are hardly noticed by anyone. They are the unseen heroes of national development who would rather die than fail duty. Though frustrated by environment and a society that does not appreciate them, such people do not fear to encounter the challenges that lie ahead of them. Perhaps the doctor sums everything in his story by asserting that, To write prescriptions is easy but to come to an understanding with people is hard.