Saturday, September 7, 2019

Ethiopia Essay Example for Free

Ethiopia Essay Ethiopia is one of the oldest nations of this world, dating back to almost 3000 years BC. The recent history of Ethiopia proves that it is a land which is cursed with natural and human miseries. Its geographic position also underlies the miserable state of affairs that this country has been through in the recent past. Taking inspiration from the air of human freedom which blew over the world in the twentieth century, Ethiopia has witnessed a change from the Marxist form of authoritarian governance to a free, emocratic form. The penetration of western concepts of education, science and technology, which was very fast in other third world countries like India and South Korea, is very slow over here. Ethiopia is highly underdeveloped and one of the poorest country on this world because of its geographic position, natural circumstances and human mistakes. Ethiopia is the land where the oldest human ancestors, dating back to almost 5 million years, used to exist. Today, it is a land-locked nation surrounded by countries like Sudan n the west, Kenya in the south, Somalia in the east and Eritrea in the north. With a total land area of about 43. 5 thousand square miles, it has a population of about 75 million people, in 2005. Islam is the major religion followed by 45 to 50 percent of the population which has almost 9 ethnic groups and speaks more than 75 different languages. The literacy rate was 43% in 2003 and the GDP stood at $ 60. 34 billion. The per capita income was a meager $ 80 in 2005. Only 11% of the total land is arable, and Platinum, Potash, Copper, natural gas and some traces of gold are its natural resources. Its exports touched $ 612 million in 2005 against a huge import bill of $ 2. 72 billion in 2005. The major industries of Ethiopia are cement, textiles, beverages, chemicals, and metal processing. In telecommunications, Ethiopia has 435 thousand main line users, followed by about 97 thousand cell phone users and 75 thousand internet users in 2003. The total rail network was of 681 kms in 2004, and the total distance covered by the highways was bout 33 thousand kms. in 2002 ( Ethiopia ) The progress of any nation is dependent on its agriculture, industrial output, infrastructure development and education. A strong economy is the biggest sign of a healthy nation. The current status of Ethiopia, as revealed by the figures in the above paragraph, is really poor. This necessitates investigation of the recent past history of the nation, to judge upon the parameters which contributed to the current state of affairs. The recent history of Ethiopia reveals the political transition from a military uthoritarian rule to a democratic republic nation. It tells about the devastating famines and the wars with Eritrea and the prolonged border dispute with it, and the military confrontation with Somalia. In addition, Ethiopia witnessed frequent rebellions from within the country, demonstrating the high level of dissatisfaction of the people with the military ruler and his policies. The famine, the wars and the rebellions have resulted in loss of lives for millions of Ethiopians. This is the darkest spot on the recent history of Ethiopia. The major events in the recent history are briefly described in the following paragraphs. Famines : Ethiopia witnessed two devastating famines in 1984 and 2002. BBC cites the words of Prime Minister Zenavi, â€Å" If the famine of 1984 was a nightmare, then this will be too ghastly to contemplate†. The 1984 famine killed nearly one million people. Another famine, much worse than that of 1984, struck the nation in 2002. Zenavi revealed to the BBC that nearly 15 million people faced starvation, and the international Red cross estimated that $ 11 million were needed to aid the suffering people of Ethiopia in 2002. This BBC report also cites Georgia Shaver, the World Food Program Director in Ethiopia, saying that about 14 million people needed food across the six countries in South Africa, the same number needs food in just one country, Ethiopia. Prime Minister Zenavi admits that they do not have any system to store the rain water. In the same report, BBC also cites Andrew Pendleton, Advisor to Christian aid to Ethiopia, s saying that Ethiopia’s continuing foreign debt, which is almost 10% of the state’s revenues, is the biggest hurdle in its efforts to cope with the famines. ( Massive famine stalks Ethiopia) Ethiopia and Eritrea have been fighting for the past many decades. Eritrea gained its independence from Ethiopia in 1993, after a long guerrilla warfare. At this juncture, the border lines were never identified, marked or mapped. The dispute about the border resulted in frequent clashes, which heightened in 1998, resulting into a full fledged war or almost two years, till a peace treaty was signed between the two nations in 2000. This long, armed confrontation has claimed hundreds of thousands of lives on wither side, and ruptured the economies of both the nations. Almost 40 thousand soldiers have been killed in this war and armed troops to the number of 300 thousand remain engaged in guarding the 800 km border. All the civilians residing in the affected areas have fled, and both the armies are guarding empty villages. ( Pike John ) On the other hand, the warring factions of the Islamic fundamentalists have drawn attention from both Ethiopia and Eritrea. While Eritrea supports one faction with arms and troops, with an intention to prompt them to attack Ethiopia from its south east border, Ethiopia supports the other faction in all ways possible, to counter the move. (Pike John ) Such never ending warlike situations have taken a very heavy toll on the development of Ethiopia. The political status of Ethiopia has also undergone a sea-change in the recent past. In 1974, the Emperor was overthrown by a military coup, and Col. Mengistu Haile Mariam became country’s ruler in 1977. The policies of the military rule were widely unpopular and many rebellion groups became active in the country. These forces formed a coalition known as Ethiopian People’s Revolutionary Democratic Front (EPRDF) which took control over the capital city of Addis Ababa on 28 May 1991. A transitional charter was approved in 1991, and since then Ethiopia is a democratic republic country. (History, politics, administration) The events of the recent history of Ethiopia prove that the country is hit with chronic problems, and options before the government are very few. The complexity of the situation created by these problems is so complex that a permanent solution seems impossible. The government is faced with political, military, geographic, and economic problems, the magnitude of which is mind blowing. The situation is not only tough, but seems to be so grim that only downward trend can be perceived with little or no hopes or improvement for a better future. The multiple characteristics of the problems, has almost ruptured the nation. It is beyond the scope of the government to handle the situation single handed. Ethiopia has been lucky to get the required aid from foreign countries, and international agencies. As a matter of fact, Ethiopia has been able to counter the problems , largely due to these foreign aid, which very often is generous also. Many agencies are functional in Ethiopia to help the local government and the local population. The military rule during the 1970s and 80s tried to revamp the economy by declaring radical measures. These measures vested total control of the economy in the hands of the state. Nationalization of all major industrial, financial and commercial companies took place in 1975. Villagization† was one more, most unpopular directive from the military ruler, under which people were compelled to move away from highland to lowland areas. The policy had to be abandoned in 1986. The democratic rulers were more sensible in their approach. Ever since it came into existence in 1991, it has been facing many serious challenges. Its first success is in offering political stability and forming strategies which appeal to the foreign help agencies. While no tangible results are seen at the ground level so far, the democratic government has demonstrated its resolve to fight with the chronic problems, and pursue the helping hands to get help. Today, many agencies are working in close co-ordination with the government to help implement the various strategies. The economy is still very ragile, and weak, the condition of people is still miserable, but the efforts put in by the government and the foreign agencies in the recent years, is likely to bring better results in the future. For example the schools and colleges established in the last ten years will present educated adults to the society after another 10 or 20 years. Strong development is not seen in any area not because the government or the people lack the will, but because of the enormity and complexity of the situation and the lack of resources to ackle them. The areas that need to be addressed on topmost priority are : 1. Food : Ethiopia needs to feed the millions of hungry people 2. Increase agricultural output: maybe by improvement in ways of farming. 3. Health care : Increase health care facilities to reach the remote areas also. 4. Water and irrigation : Water is a scarce commodity here, and technological advances have to be brought in to preserve water and utilize it appropriately. This is a very crucial sector which will help in fighting the devastating famines. 5. Reduction of poverty: In 2003, about 44% of the estimated 67 million people of Ethiopia lived below the poverty line, according to a World Bank report. ( Ethiopia) 6.  Strengthen the economy: By devising and effective implementation of schemes to increase the GDP and the Per Capita Income and decrease the huge gap between export and import bills. These are the areas where the state has been lacking, to a great extent. It has only made a beginning by devising plans and schemes in conjunction with foreign agencies. The role of the state in the development of Ethiopia is very limited, because the state treasury is always burdened with other issues, and has little or nothing to spare for the development projects. The UNDP example, cited below proves this point. One of the many sectors in which UNDP works in Ethiopia is poverty reduction. Agricultural development is a priority area in this program. It targets at : 1. Promotion of access and utilization of technological improvements in farming and up gradation of facilities for result oriented research. 2. Use of ICT for agricultural information management by establishing connectivity between federal and regional states. 3. Implement use of small scale irrigation. 4. Provide service to rural communities by effective implementation of small scale finance institutions. The following results were achieved : 1. Nearly 10,000 farmers and 4,000 farmers were trained on how to use the technologies in farming. On a national scale nearly 3. million farmers benefited and the agricultural yields were almost doubled in areas where the rainfall was adequate. 2. A study on national computerized agricultural system was conducted and its pilot phase is started in 2001. This is likely to benefit the sector by giving timely information. ( Agricultural development program ) Ethiopia faces many impediments which tend to strangle its development. In an interview, Michael Glantz, a political scientist working with the National Center for Atmospheric Research, says that if he had the liberty to add one more word to the title page of â€Å"Time’ magazine issue on Africa in 1984, he would say, â€Å" coup, corruption , onflict and climate’, are the main obstacles to development in Africa. Glantz Michael ) The same holds true for Ethiopia also. She is land locked in the horns of the African continent with two chronic enemies as her neighbors. Only 45% of the total land is arable and a meager 3% is irrigated. She does not have a port of her own, and the rainfall is totally unpredictable. There is no access to the vast seas or oceans. She is connected to the Red Sea through a neighboring country. The geographic position and the climate of Ethiopia is surely one of he biggest obstacles to the development of Ethiopia. Geography) Military aggressions have hit Ethiopia very hard. Ethiopia has to face it on two fronts, Eritrea in north and Somalia in south. Prolonged warfare with these nations, for many decades, has made a severe dent in the economy of the nation. Perhaps, this dent is permanent and irreparable. The country is already under immense debt pressure and there seems to be no end to the disputes with Eritrea. A report of International Monetary Fund suggests that if Ethiopia needs to maintain a growth level of 7% . Given the current state of affairs, this report raises serious doubts whether this is an achievable target or not. ( Andrews David, Erasmus Lodewyk Powell Robert ) Human mistakes, especially by the political leadership account for the third obstacle to the development of Ethiopia. The denial to accept the peace treaty with Eritrea, after signing it, is one example which proves this point. ( Ethiopia and Eritrea) All the attention, energy and finances have been focused on fights, coups and confrontations. The leadership as not advocated the uselessness of war, and concentrating on socio-economic issues instead. Conclusively it can be said that Ethiopia is cursed country in true sense, facing problems of famines, military confrontations geographic conditions and natural forces, which are colossal. This has already crippled the nations economy, and there seems to be no end to the misery of this nation. Elevation of Ethiopia from one of the poorest country to a middle level economy seems an uphill task. Will she be able to perform this task? Only time can tell. References http://www.infoplease.com/ipa/A0107505.html http://news.bbc.co.uk/2/hi/africa/2440093.stm http://www.globalsecurity.org/military/world/war/eritrea.htm http://www.et.undp.org/ethiopia/intro.htm#History http://www.et.undp.org/poverty/poverty.htm http://www.africa.upenn.edu/Articles_Gen/Obstacles_Development.html http://www.globalpolicy.org/security/issues/ethindex.htm

Friday, September 6, 2019

Heredity, the Environment and Development Essay Example for Free

Heredity, the Environment and Development Essay The study of genetics has grown out of a desire to understand how exactly the individual comes to be just that, an individual different from its peers. In order to comprehend the scope of possible outcomes and how they came to be behavioral genetics looks at a number of variables; these include the impact of our genes (nature), and our environment (nurture). A countless number of hypotheses were put to the test through research to analyze the degree of influence of each. In this paper, team A will discuss the methods of behavioral genetics, the various research techniques used, their testing populations and why used, along with proposed answers and explanations. Behavioral GeneticsBehavioral geneticists uses family, twin and adoption studies as a basis for their argument of individual differences (Lerner, Bearer, Garcia, Coll, 2004). A significant contributor to studies in behavioral genetics, provides this definition: Behavioral genetics is the genetic study of behavior, which includes quantitative genetics (twin and adoption studies) as well as molecular genetics (DNA studies) of human and animal behavior broadly defined to include responses of the organism from responses measured in the brain such as functional neuro-imaging to self-report questionnaires (Plomin,2004). Read more:  Influences that affect childrens development essay One of the first twin studies was conducted by Bouchard in 1979 when he found a set of monozygotic twins, babies from a fertilized egg that splits into two. The babies were separated at a few weeks old. The babies had many physiological and psychological similarities. Since Bouchards initial study it has been proven that, while monozygotic twins raised together have many similarities, those separated at an early age have an even greater likeness. Since twins being raised together are more likely to highlight their differences in order to maintain some element of independence, behavioral geneticists argue that this indicates a strong genetic underpinning in human development (Plomin, 2004). Research conducted by Grilo and Pogue-Geile (1991) correlated the familial relationships with extroversion. The study included monozygotic twins reared together and apart, dizygote twins reared together and apart, biological parents and children, biological siblings, adoptive parents and children and  unrelated siblings reared together. The results reflected that the highest correlation was between monozygotic twins raised together and apart. The lowest correlation was between unrelated siblings raised together. For behavioral geneticists, these results conclude that genetics are at work in determining the extroversion of a person. Behavioral geneticists suggest reasonable doubt in assuming connections between psychological environments and developmental results may be genetically arbitrated and that the environment a person is in responds to the genetically influenced characteristics (Plomin, 2004). The genetic association between parent and child is useful to examine. For example, †¦differences in parenting can be the genetic effect rather than the environmental cause of childrens psychopathology (Plomin, 2004, p. 345). The results of the twin, adoption and family studies support these assumptions. The Correlation of Heredity and EnvironmentThe nature versus nurture controversy exists because some people believe that a persons genetics has the greatest impact on their personality, intelligence and behavior. On the flipside, some people believe that the environment has more of an impact. Behavior geneticists assume that behavior is influenced by the relations of heredity and environment. With the help of twin studies, and adoption studies researchers are working on understanding what molds a person into the individual he or she is today. Twin studies, using identical twins, are conducted to understand how biology influences traits and psychopathology in humans whose genotypes are the same (Haimowitz, n.d.).Twin studies also use fraternal twins who share half of the genes they acquire at conception which helps to compare the degrees of genetic influence such as intelligence and personality. Adoption studies take a look to see if adoptive children exhibit the behavioral and psychological traits of their adoptive parents, or those of their biological parents (Haimowitz). Any links to biological parents can be attributed to genetics, and any connection to adoptive parents can be  attributed to environment. Heredity-Environment correlations can be shown in three ways. One is the passive genotype-environment correlations. Passive genotype-environment correlation exists when a childs biological parents are raising him or her (MacDonald, n.d.). An example of this situation could be Anas parents having the genetic predisposition to be intelligent and read skillfully leading one to believe that Ana will more than likely share these skills. Evocative Genotype-Environment Correlation occurs when a childs genotype provokes a specific type of physical or social environment (MacDonald, n.d.). An example of this type of correlation: Andrew is artistic, and outgoing, he will elicit encouragement to try out for plays. Sheena is very athletic and competitive; she will be encouraged to go out for sports. Active genotype-Environment Correlations emerge when a child seeks out environments he or she will find compatible and stimulating (MacDonald, n.d.). An example could be that a child like Matilda, who has a gift of music, will seek a musical environment where she can expand on her talent. Scientist researching how genetics influences academic achievements show three ways heredity and environment could possibly be correlated. The three ways in which Meredith Phillips and a team of colleagues found genetics and environment to be correlated are passive correlation, active correlation, and reactive correlation. Passive correlation: genes influence both a childs environment and heredity (Phillips, Brooks-Gunn, Crane, Duncan, Klebanov, n.d.,  ¶ 3). Active correlation: genes influence the environments that a child seeks out (Phillips et al.,  ¶ 3). Reactive correlation: environments react differently to people with different genetic profiles (Phillips et al.,  ¶ 3). In passive correlation if a parent is the type of person whom enjoys reading, the love for reading could be transferred to the child from the parent reading to the child frequently. The child will already have the genetics from the parents. My son enjoys music I would like to think he received that from me because of my interest in music. He hears a great deal of music when at home therefore, the music rich environment my son is placed in has an influence on his musical achievements. Combined with the genetic aspect of my love for music and his fathers love for music the affect of his music rich environment causes a stronger influential desire to be involved in music. In active correlation, the child has genetic influences from the parent reading to him or her. When the child voices the desires for the parent to read to him or her, the parent enjoying the reading ultimately influences the child by reading to the child. The child requesting stories to be read is the incentive the parent has to continue the process along with the parents love for reading. Reactive correlation was described as genetics affecting the childs physical features with the childs features being judged by peers. The views of the childs peers are voiced and in the process the childs academic achievements are effected. The childs environment can put him or her under a certain labels. In this situation genetics affects the views of the childs peers and the environment combined with genetics can have a negative affect on the childs academics. Definition of Shared and Non-shared Environmental ExperiencesBeyond genetics, each individual has a unique personality that is based on a blending of their shared and non-shared experiences in life. Shared environmental experiences are those which the majority of the world encounters. Shared experiences can occur differently by culture, but generally adhere to a specific social clock or a set of age norms that defines a sequence of normal life experiences (Boyd Bee, p. 10). For American culture think of the traditions of school, watching a baseball game, having a BBQ, getting married, having children, working and retiring as relative shared norms that all, or most of us, encounter. Of course, non-shared experiences are different for each of us; these are categorized as individual experiences. Individual or non-shared experiences  can be influenced by race, socioeconomic status, and other social factors (Boyd Bee, 2006, p. 36). These individual differences can also be related to school, relationships, marriage and childbirth and the unique perspective that each person has. Each individual thinks much differently and so the way that they perceive and interact in the world will make their experiences, shared and non-shared, unique to them. Role Played by Shared and Non-shared Environmental Experiences DevelopmentThe importance that shared and non-shared experiences have in development is that they help shape our personal development as well as our social development. If in fact, each person encounters shared experiences in accordance with the norm expected, they are more likely to fit in culturally and have a higher understanding of appropriate and healthy relationships. Likewise, with non-shared experiences if interactions each person has with their parents and peers, and in his or her independent life, is healthy they will know themselves internally and process environmental factors that occur around them in a healthy manner. If the shared and non shared experiences of an individual do not go according to the norms of society it will be more difficult for them to develop into healthy adults who function both independently and interdependently at appropriate levels. (Boyd Bee, 2006, p. 36) In conclusion, behavioral geneticists have used a wide array of approaches to their research in developmental theories. Through the use of identical twins a great deal of information has been acquired on the basis of both genetics and environment. The strongest proponent of this argument was shown to be the case of identical twins separated at birth exhibiting very similar characteristics even though they had not been raised in the same environment. Corresponding research which also strengthens this argument shows that adoptive children exhibit very few of the characteristics of their adoptive parents. It seems safe to say that genetics lay the foundation of behavior with environment and individual experience capable of exhibiting some influence beyond that. References Boyd, D., Bee, H. (2006). Lifespan Development. Retrieved from http://ecampus.phoenix.eduGrilo, C. M., Pogrue-Geile, M. F. (1991). The Nature of Environmental Influences on Weight and Obesity: A Behavior Genetic  Analysis [White paper]. Retrieved from National Institute of Health: http://www.pubmedcentral.nih.govHaimowitz, A. G. (n.d.). Heredity versus Environment: Twin, Adoption, and Family. Retrieved April 21, 2009, from http://www.personalityresearch.org/papers/haimowitz.htmlLerner, R. M., Bearer, E. L., Garcia, , Coll, C. G. (2004). Nature and Nurture: the Complex Intereplay if Genetic and Environmental Influences on Human Behavior and Development. . Retrieved from http://books.google.com/books?id=iFriCJCTsx4Cprintsec=frontcoverMacDonald, K. (n.d.). PSYCHOLOGY 361: BEHAVIOR GENETICS. Retrieved April 21, 2009 , from http://www.csulb.edu/~kmacd/361Notes2.htmlPhillips, M., Brooks-Gunn, J., Crane, J., Duncan, G. J., Klebanov, P. (n.d.). How Might Genetic Influences on Academic Achievement Masquerade as Environmental Influences?. Retrieved April 22, 2009, from http://www.children.smartlibrary.org/NewInterface/segment.cfm?segment=2606Plomin, R. (2004). Genetic and Developmental Psychology. Merrill-Palmer Quarterly, 50(3), 341-352. Retrieved from http://muse.jhu.edu/login?uri=/journals/merrill-palmer_quarterly/v050/50.3polmin.html

Thursday, September 5, 2019

Substance Abuse And Addiction Psychology Essay

Substance Abuse And Addiction Psychology Essay To gather information on substance abuse and addiction, a literature review was conducted of online informational sources, including federal agencies, and numerous electronic databases for scholarly articles including (CINAHL, PubMed, Medscape, and Medline) published between 1999 and 2012. Categorical search terms employed included addiction, substance abuse, opioids, alcohol, prescription drugs, impaired nurse, cost of drug use, treatment of drugs use, and others. The U.S. Department of Health and Human Services has selected substance abuse as one of the countries ten leading health indicator (Hutchison and Blakely, 2010). Reducing substance abuse is one of the Healthy People 2010 goals (Healthy People 2010, n.d.). Alcoholics Anonymous defines the chronic, relapsing brain disorder known as addiction as powerful, cunning, and baffling (ASBN, 2012). Society lacks the understanding that this disease is not a lack of willpower or morals but is an obsessive, compulsive, and complex disease that destroys the lives of families, friends, and individual users (NIDA, 2011). People are most likely to use when drugs and alcohol are easily accessible, convenient, and inexpensive leading to an impact on society that cost millions (Birckmayer et.al, 200; Goulding and Hudson, 2010). Overview Terminology Definition The use of certain terms when discussing addiction and substance abuse provides a means for all that are involved to understand. The DSM-IV is the current version of the Diagnostic and Statistical Manual of Mental Disorders a set of standards for professional to make a formal diagnosis for dependence of substance abuse (DSM Library, n.d.). Substance abuse and addiction has been used interchangeable for persons addicted to drugs (Kranzler, H. Li, T., 2008; Maddux, J. Desmond, D., 2000; ASBN, 2012). Although addiction involves physical dependence and tolerance, the physical dependence and tolerance does not involve the drug seeing and compulsive behavior of addiction making it difficult for physicians to identify the real issue (Shurtleff, 201; Maddux, J. Desmond, D., 2000;). Substance abuse means using any type of illicit drug and intoxication, enhancement of the end result occurs with multiple drug use (Substance Abuse Prevention Curriculum Guide, n.d.). Substance The mind and mood altering drugs or chemicals of abuse are the substances that are referred to in a substance abuse or dependence (Bennett and McNeese, n.d.; Mosbys Medical Dictionary, 2009). Tolerance Tolerance is the bodys need for larger quantities of drug for the same effect (Bennett and McNeese, n.d.; Mosbys Medical Dictionary, 2009). Abuse vs. Dependence Substance abuse is when the improper use of substance is affecting a persons life in a negative manner, such as decrease job function, poor parenting skills, and problems with law enforcement (Bennett and McNeese, n.d.; The American Heritage Dictionary of the English Language, 2003). Substance dependence is the beyond abuse where a person relies or dependents on a drug including increased tolerance, withdrawal, in ability to stop, devotion to using, and neglecting responsibilities (Bennett and McNeese, n.d.; The American Heritage Dictionary of the English Language, 2003). Addiction Addiction is a compulsive and maladaptive dependence with resulting in psychological, physiological, sociological, and legal consequences (Bennett and McNeese, n.d.; American Heritage Dictionary of the English Language, 2003; Goulding and Hudson, 2010). Risk factors There is no individual risk factor that can predict whether a person will become an addict. That is based on the vulnerability of each individual in the area of genetics, demographics, family, social, and psychological (ASBN, 2012). The early age of initial use along with the combination of risk factors leads to a greater chance of addiction (ASBN, 2012; NIDA, 2011) Drugs of Abuse Alcohol Alcohol is legal, socially acceptable, and has the least stigma of all drugs in the United States and worldwide (Alcohol Answers, 2009; Bennett and McNeese, n.d.). It is addictive and depresses the central nervous system (Bennett and McNeese, n.d.). Alcohol is a legal, addictive drug that depresses the central nervous system (Bennett and McNeese, n.d.). One drink causes impairment and driving while intoxicated is illegal in the United States (Bennett and McNeese, n.d.). The social impact of the intoxicated person affects the drinker and all involved (Kelly, 2011; Chan, 2011; Harrington, et.al, 2010). Drinking alcohol is associated with child abuse and neglect, absenteeism from work, and violence (Kelly, 2011; Chan, 2011; Harrington, et.al, 2010). More than 30 conditions with alcohol as an underlying factor are listed in the World Health Organizations 10th Edition of International Classification of diseases (Rehm, 2011). Chronic alcohol use is a poisoning that weakens the immune system and results damage to the neurological and physical systems that are irreversible (Bennett and McNeese, n.d.; Kelly, 2011; Chan, 2011; Harrington, et.al, 2010; Rehm, 201; Dawson, 2011). Scheduled Drugs Depressants are the illicit drugs that depresses the central nervous system(CNS)causing decrease pulse, respiration, and blood pressure (UNODC, 2012). The CNS system effect relaxes the person and decreases anxiety and tension (UNODC, 2011; NIDA, 2011). The drugs include alcohol and narcotics (UNODC, 2012). Narcotics or opiates are derived from the opium poppy or may be synthetically manufactured includes codeine, oxycodone, heroin, fentanyl, and methadone (Goulding and Hudson, 2010; UNODC, 2012; Hall, 2009). The drugs are pain killers, anesthetics, and cough suppressants, used medically except heroin (UNODC, 2012; Hall, 2009). The route used is oral, nasal, intravenous, and transdermal (UNODC, 2003). Users experience constipation, dilation of blood vessels, constricted pupils, and decreased respiration that may lead to an overdose with produces shallow breathing, coma, clammy skin, respiratory failure, and possible death (UNODC, 2012;UNODC, 2003; Hall, 2009). Sedative- hypnotics, referred to as sedatives, sleeping pills, or tranquilizers, are another type of CNS depressants (UNODC, 2003; Goulding and Hudson, 2010). The purpose is to decrease anxiety, relax, or promote sleep. These drugs categories include barbiturates (Seconal and Nembutal) and benzodiazepines (Valium and Librium) (UNODC, 2003; Goulding and Hudson, 2010). Symptoms associated with withdrawal from these drugs are seizures, convulsion, heart attack, or death (UNODC, 2003; Goulding and Hudson, 2010). Overdose is common when used with alcohol (Goulding and Hudson, 2010). Heroin Heroin is a very addictive drug processed from morphine, a substance extracted from the seedpod of the Asian poppy plant. Heroin produces a feeling of euphoria (a rush) and often a warm flushing of the skin, dry mouth, and heavy feelings in the arms and legs. After the initial euphoria the user may go into an alternately wakeful and drowsy state. Heroin is the second most frequent cause of drug-related deaths. Prescription Drugs The abuse of prescription pain medications and sedative hypnotics, such as, Klonopin and Xanax, prevalence rate has increase in the United States for persons 12 and over higher than any other illicit drug, surpassing even marijuana (Holmes, 2011). The Centers for Disease Control and prevention has identified these drugs as an epidemic due to the rate of increase of use. United States is the epicenter for prescription drug use with 80% of Americans using drugs for the first time that were prescribed for someone else. The increase in these drugs has shown a decline in cocaine, cannabis, and heroin causing more persons to die from opioid overdose than motor vehicle accidents (UNODC, 2012; Holmes, 2012). Using a prescription drug in a manner other than the intended prescription constitutes drug abuse. Some of the more commonly abused prescription drugs are: Pain-relieving narcotics (Percodan, Codeine, Vicodin, Percocet) Tranquilizers and sedatives (Halcion, Xanax, Ativan, Valium, Phenobarbital) Muscle relaxants (Soma) Prescription amphetamines (Ritalin, Cylert, Adderall) OxyContin Cocaine Cocaine was considered a safe recreational drug in the 1980s and 1990s with declining use with the turn of the century (NIDA, 2006; SAMHSA, 2001; The Harvard Mental Health Letter, 1999). Cocaine is a powerful and addictive drug that approximately 21 percent of persons eventually become addicted after the first use (Prevention Handbook, n.d.; The Harvard Mental Health Letter, 1999; NHSDA, 2000. The route of use for cocaine is nasal, smoke, or intravenous. At small amount the drug can produce increased energy, alertness, and euphoria (Prevention Handbook, n.d.; The Harvard Mental Health Letter, 1999; NHSDA, 2000). The central nervous properties of dilates pupils, constricts blood vessels, increases blood pressure, body temperature, decrease appetite, loss of sleep, and increased pulse (Prevention Handbook, n.d.; The Harvard Mental Health Letter, 1999; NHSDA, 2000) . Although the use has declined, the drug is still the most frequently encountered illicit drug with the following medical complications: cardiac arrest, stroke, and respiratory failure (Prevention Handbook, n.d.; The Harvard Mental Health Letter, 1999; NHSDA, 2000). Cannabis Cannabis or marijuana is one of the most used drugs in the United States and considered a gateway drug (NIDA, 2012). Chronic use cause respiratory issues of cancer, asthma, or other lung diseases. The prevalence of marijuana use has increased among all populations from 13.7 percent in 2009 to 14.1 per cent in 2010 (36,37 ). Long term effects includes loss of ambition, apathy,, difficulty concentrating, and decrease in school and work performance. Marijuana (weed, or cannabis) is one of the most common drugs of abuse . Marijuana looks like a dry, shredded green/brown blend of flowers, stems, seeds, and leaves of a particular hemp plant. It usually is smoked as a cigarette, pipe, or in blunts, which are cigars that have been emptied of tobacco and refilled with marijuana. The main active chemical in marijuana is THC (delta-9-tetrahydrocannabinol), which quickly passes from the lungs into the bloodstream, and on to organs throughout the body, including the brain. Some of the short-term effects of marijuana use include problems with memory and learning; bizarre or distorted perceptions; difficulty in problem solving; loss of coordination; and increased heart rate. A study has suggested that a users risk of heart attack more than quadruples in the first hour after smoking marijuana. Manufactured Drugs The amphetamine like drug, methamphetamine rate has doubled from 1990-2002; 71 percent of new users of inhalants in 2002 were under the age of 18; Club drugs MDMA and GHB have leveled off but are not just used in the club culture; Ecstasy use has risen and has been associated with brain damage , kidney failure, and elevated body temperature; Rohypnol association with sexual assault has led to legislature that has made it the least available club drug. From 1998 to 2000 the number of the easily overdosed drug GHB emergency room visits quadrupled to approximately 5000 (Brown University Health Education, n.d.). Methamphetamine Methamphetamine (meth)is made in illegal laboratories and has a high potential for abuse and dependence. It is often taken orally, snuffed, or injected. Methamphetamine hydrochloride, clear crystals resembling ice, can be inhaled by smoking, and is referred to as ice, crystal, and glass.Use of methamphetamine produces a fast euphoria, and often, fast addiction. Chronic, heavy use of methamphetamine can produce a psychotic disorder which is hard to tell apart from schizophrenia (methamphetamine induced psychosis). The drug also causes increased heart rate and irreversible damage to blood vessels. Ecstasy Ecstasy (MDMA)is the so-called party drug, It has both stimulant (like cocaine) and hallucinogenic (like LSD) effects. Ecstasy is neurotoxic (poisonous to brain cells), and in high doses it causes a steep increases in body temperature leading to muscle breakdown, and possible organ failure. Side effects may last for weeks after use, and including high blood pressure, faintness, confusion, depression, sleep problems, anxiety, Hallucinogens Hallucinogens have existed for years. the drugs includes LSD, PCP, ketamine, and amphetamine variants(MDA,MDMA, and ecstasy). The use of these drugs takes you on a trip leading to pleasurable or a terrifying experience. The drugs are not always distinguishable by their color, odor, or taste. The CNS effects increases heat rate, respiration, pulse, blood pressure , and temperature leading to possible stroke, convulsions, heart attack, respiratory failure, or coma. Ketamine has been used as a date rape drug due to the dissociative anesthetic properties. Hallucinogens may lead to insanity or mental health disorders. and paranoia. Acid Acid (LSD)LSD, also called acid, is sold in the street in tablets, capsules, or even liquid form. It is clear and odorless, and is usually takenby mouth. Often LSD is added to pieces of absorbent paper divided into small decorated squares, each containing one dose. LSD is a hallucinogen and a very powerful mood-altering chemical. Over the Counter Drugs Many different types of over-the-counter drugs and other substances can be abused. Just a few examples include: Inhalants (paint thinners, nitrous oxide, model glue, magic marker fluid, spray paints, propane, butane, etc.)Dramamine, Mouthwashes, Diet aids Cough and cold medications (especially those containing DXM, like Drixoral Cough Liquid Caps, Robitussin AC, Dectuss, Phenergan etc.) Inhalants Inhalants are common household products that are huffed or sniffed that give a high or head rush. Included in this category of drugs are insecticides, paints, and aerosols products that when consumed causes lightheadedness. The drunken high is usually not long but due to the nature of the vapors may cause headaches, unconsciousness, suffocation, violent behavior, and death. Replacing the oxygen with inhalants depresses the CNS and may lead to the user to stop breathing. Long term use of inhalants causes brain damage, weight loss, and fatigue. Adolescent believe inhalants are safer. Concepts of Substance Abuse Four Dimensions of Addiction Chronic A disorder that is chronic continues for a long time. The opposite of chronic is acute, which means relatively sudden and short. Lets look at other examples of chronic vs. acute disorders Chronic: diabetes, hypertension, epilepsy Acute: flu, food poisoning, concussion Notice that acute disorders are treated once and theyre gone. Chronic disorders are managed, not cured. Primary A disorder that is primary means that it is not the result of something else. It is a disorder in its own right, requiring specific treatment. For example, a man may start drinking to control the painful feelings of depression. However, when that man becomes an alcoholic (addicted to alcohol), he now has a separate and primary disorder that needs treatment. Treating the depression does not mean the alcoholism will also go away. Progressive A disorder that is progressive tends to get worse over time. With drug addiction, we see that the consequences of the addiction tend to worsen over time. One important mechanism of this progressive quality is tolerance, which weve discussed. The development of tolerance tends to ensure that a person has to get more, spend more, hide more, and use more over time. Later well look at some of the particular consequences of progression, including medical problems. Incurable We say that addiction is incurable because the biological changes involved in addiction tend to be permanent. As a result, an addict will never be able to safely use the drug of abuse (or any other drugs of abuse). An alcoholic will never be able to drink normally. Likewise, a cocaine addict will never be safe using stimulating drugs (for example, ephedra, which is an over-the-counter stimulant). A person addicted to one drug can easily switch over the another drug and still be an addict. This is called cross-addiction(more on this later). We said incurable not untreatable. Remember the comparison with diabetes? We dont cure diabetes, we manage it with proper diet, blood sugar monitoring, and other acts of discipline. Unfortunately, the addict rarely wants discipline. Thats what makes it so hard. By definition, an addict wants to keep using! Stages of Change In order to determine the proper intervention the stages of change model is a means of describing the process to overcome addiction (Hartney, 2013 ; Norcross, J. C., Krebs, P. M. and Prochaska, J. O., 2011), The stages suggest that a person will go through the changes in sequence, but realistically they jump between stages and the stages will be different for everyone (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O., 2011). Precontemplation This is the first phase of change where the persons has not had any negative consequences and does not see the addiction as problem (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O, 2011). The experience is still pleasurable and leaves the person close-minded to any conversation on any negative consequences (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O., 2011). During this stage the person needs encouragement to see the personal risk and self-awareness Contemplation Contemplation is the stage where the person thinks or contemplates changing the addictive behaviors by quitting, moderating use, or cutting down (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011),). A person in this stage requires being give encouragement on the analysis of the pros and cons of the addictive behavior to promote a new goal (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011),). Preparation After a person has contemplated a person makes preparation to follow through on the changes that were contemplated (Hartney, 2013Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011). At this phase a person is trying to make decisions on how to proceed forward (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011),). The stage is a time for encouraging the need for social support and taking small steps. Action The action stage is a time for following through on the preparations made by possible entering treatment for detox (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011),). Living without the drugs and the drama of addiction is a strange feeling with the change of lifestyle(Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011), ). This is a real change of addictive behaviors which needs reinforcement and support to handle feelings and self-efficacy. Maintenance The maintenance phase is the time to seeks changing addictive behaviors through abstinence and changing behaviors (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011), ). The person learns how to cope and not return to old behaviors when there is a resurfacing of addictive behavior (Hartney, 2013; Norcross, J. C., Krebs, P. M. and Prochaska, J. O. (2011),). Helping the person via support, encouragement, and internal reward reinforcement is required. Biological Bases of Addiction Addiction is associated with permanent changes in the brains neurochemistry. The addict is biologically programmed to need the drug in order to feel normal. This point that addicts just want to keep using brings us to an important point about addiction and its biological roots. Lets take a quick look at what happens in the brain of an addict (without getting too technical). Weve seen now how repeated drug use causes permanent biological changes in the brain. An important implication of these changes is this: An addict can never assume its safe to resume using addictive drugs. Using even once will get the addict back to Square One. 12-Step programs call this waking the tiger. In 12-step programs, a person commemorates the beginning of sobriety with a sobriety date. If a person relapses, he or she starts with a new sobriety date. This tradition emphasizes the fact that addiction never goes away. Reward Center First lets take a look at a part of the human brain which has been called the reward center deep in the brain. This area includes specialized neural pathways which process experience of pleasure. The reward center seems to process many experiences of pleasure, such as eating and sex. Experimental rats trained to stimulate their own reward centers with electric switches have been known to press on the switches thousands of times per hour! They neglect all other activities in order to keep stimulating themselves. (11) ). Cocaine is a central nervous system stimulant that causes the distribution of the chemical dopamine that is affects the brains pleasure center by causing constant signals of pleasure creating the intense cocaine high(The Science of Mental Health, 2003) Now, you may not be surprised to learn that many drugs of abuse stimulate the reward centers. As a result, using mind-altering drugs is pleasurable. The addict is almost like one of those experimental rats, stimulating itself again and again, neglecting anything else. Repeated use of certain drugs of abuse can result in depletion of brain chemicals that allow the experience of pleasure. What happens next is this: more and more of the drug becomes necessary to generate pleasure, and other sources of pleasure lose their effects. Eventually, the addict cant even feel just normal without the drug. As a result, the addict needs the drug to feel normal, and without it, they feel bad! Its no longer a matter of pleasureà ¢Ã¢â€š ¬Ã‚ ¦its a matter of avoiding pain. This is the mechanism for tolerance. Dopamine The brain chemicals that help generate pleasure are called dopamine, a brain chemical belonging to a group called neurotransmitters. For example, both alcohol and heroin result in a build-up of dopamine, resulting in (temporary) pleasure. ). Cocaine is a central nervous system stimulant that causes the distribution of the chemical dopamine that is affects the brains pleasure center by causing constant signals of pleasure creating the intense cocaine high(The Science of Mental Health, 2003) As we discussed above, the brain adapts to this higher level of dopamine in the system. Its almost as if the body tries to normalize the new levels of pleasure by raising the bar to experience pleasure. These changes are referred to as neuroadaptation. In other words, neuroadaptation means that it gets harder and harder to experience pleasure as you use more drugs. Addicts get the point that only their drugà ¢Ã¢â€š ¬Ã‚ ¦.in ever-increasing amountsà ¢Ã¢â€š ¬Ã‚ ¦makes them feel good. Trap of addiction In a sense, addicts get trapped by their own drug. They started using it to feel good, but end up needing it just to avoid feeling bad. Addicts can learn to experience pleasure in ways other than using. Unfortunately, research and clinical experience shows that the biological changes are permanent. This is why addiction is considered incurable, as we discussed before. Cravings Giving up drugs isnt just a matter of giving up on the pleasure. It can be a very painful experience because of cravings. As weve discussed, the brain becomes used tothe drugs of abuse after repeated use. If an addict stops using, the brain (and the mind) will put pressure on the person to start againà ¢Ã¢â€š ¬Ã‚ ¦to restore the balance. This pressure is experienced as cravings. Cravings can be very painful and difficult to resist. Managing and resisting cravings are an important aspect of treatment. Cravings are painful but manageable with training and discipline. A helpful thing to remember with cravings is that they come and go like a wave: they approach, get stronger, reach a crescendo, and then taper off. Knowing this, a person can ride outthe cravings by several means: Distract herself with something interesting (movie, game, etc) Contact someone else for support (sponsor, supportive friend) Go to a safe place where giving in is less likely Disease Model In many different treatment models, addiction is seen as a disease. It may be hard to appreciate why at first, because it seems different from other types of diseases like cancer or bronchitis. One of the reasons for defining addiction as a disease is in order to ensure that addiction is treated as a healthcare problem, thus allowing addicts access to the healthcare system. (13)Addiction is widely considered a disease, by such organizations as the World Health Organization (WHO), American Medical Association (AMA), and American Psychiatric Association (APA). Defining addiction as a disease carries several implications which tend to increase the healthcare available to addicts: it follows a predictable course of development, it causes disorder of bodily functions (affecting not only the brain but typically the liver, pancreas, and other organs), it causes significant mortality and morbidity (alcoholism is one of the leading causes of death in the U.S.),it can be tracked and measured by epidemiological research, it has a significant genetic loading . We wont settle the question of the Disease Model here. However, now you are familiar with the idea and some of the arguments on both sides. At any rate, the Disease Model is so prevalent today that most treatment programs you are likely to encounter in the State of Nebraska use the model. Whats more, the Disease Model is supported by the worlds largest organization devoted to helping people with addictionà ¢Ã¢â€š ¬Ã‚ ¦Alcoholics Anonymous (and other 12-step programs such as Narcotics Anonymous). Psychology of Addiction Progression of addiction Weve already discussed how addiction is a progressive disorder (getting worse over time). As such, we can identify certain characteristics of early stageand late stageaddiction. However, its important to keep in mind that some people progress quickly to more serious problems, while others follow along progression. Early Stages A person uses drugs of abuse to achieve a feeling of euphoria or to relieve stress. Using is escapist, sociable, and fun. However, the person begins to need more and more. The fun begins to go out of the situation as the person realizes she cannot feel normal without her drug. The person begins to feel guilty and ashamed, and increasingly uses denial.There may be the first damaging consequences (problems at work, in the family, etc). (16) Late Stages Using drugs feels more like a necessity of survival than a form of recreation. The problems often begin tomount, and the person becomes increasingly unable to function. The addict loses interest in anything besides using. If the addict has been able to hide her using, this becomes more and more difficult as the addiction progresses.Typically, the later stages of addiction are characterized by increasing physical problems and illness. For example, an alcoholic may experience liver failure or hepatitis. Defense Mechanism Defense Mechanisms are psychological strategies for dealing with stress. These strategies are used by the mind (often unconsciously) to keep us from being overwhelmed with stress. Defense mechanisms are normal and necessary. We cant worry about everything at once, or we couldnt function! There has to be some filterfor keeping things from becoming too intense or too painful. However, sometimes defense mechanisms become so rigid that we lose our flexibility, and we find it hard to changeà ¢Ã¢â€š ¬Ã‚ ¦even when change would be good. (17) All defense mechanisms distort reality to some extent, because they tailorreality to feel a little more comfortable. The question becomes, just how much distortion is safe?In addiction, defense mechanisms often distort reality to a dangerous extent. It gets harder to cover up the truth when the consequences start to pile upà ¢Ã¢â€š ¬Ã‚ ¦broken families, legal charges, ruined careers .Also, the defense mechanisms in addiction can harm the addicts loved onesà ¢Ã¢â€š ¬Ã‚ ¦some of them start to wonder if they are the crazy ones, because the addict is so adamant that they have no problems. Lets look at a list of some of the defense mechanisms that are commonly used to promote addictive behavior. Denial Denial is an example of a defense mechanism that is often seen with addiction. The defense of denial is to deny the truth. Denial is useful to an addict because it serves to cover up the extent of the problem, and allow the using to continue.Remember that in addiction, people become biologically programmedto need their drug at all costs. Denial is a powerful way of keeping the pressure offso the addict can continue to use. Rationalization is another example of a defense mechanism that is often seen with addiction. The purpose is to make the irrational sound rational through the uses of justification and excuses. Many addicts have a ready supply of rationalizations to use on themselves and others, such as:à ¢Ã¢â€š ¬Ã‚ ¢Im not hurting anybody.à ¢Ã¢â€š ¬Ã‚ ¢I can stop anytime I want (I just dont want to yet).à ¢Ã¢â€š ¬Ã‚ ¢I had a hard day today. I deserve a drink.à ¢Ã¢â€š ¬Ã‚ ¢It relaxes me. Isolating is a behavior that also serves to protect the addiction. Although drug use may start out as a social behavior, addiction ends up driving a wedge between the addict and others. Efforts to hide and maintain the addiction distances them from loved ones, and the company of non-addicts becomes too intrusive and painful. As a result, some addicts end up shooting themselves up in dark rooms, or drinking alone, far from others. Others sink into a drug subculture,in which there are no true friendships, but only alliances of convenience in the continuing drive for self-gratification. Blaming It can be very convenient to point the finger at someone else, when we want to avoid notice! Blaming takes the heat off by putting it on someone else. Naturally, this is painful and frustrating for others, and self-defeating to the addict.à ¢Ã¢â€š ¬Ã‚ ¢If my husband had fixed that tail-light, I wouldnt have gotten this DUI.à ¢Ã¢â€š ¬Ã‚ ¢If you lived here, youd drink too.à ¢Ã¢â€š ¬Ã‚ ¢If my wife/husband treated me right, I wouldnt have to do this. Minimizing involves watering downthe problem by acting cavalier about the consequences, or dismissive of the wreckage caused by addiction.à ¢Ã¢â€š ¬Ã‚ ¢All my DUIsare five years apart.à ¢Ã¢â€š ¬Ã‚ ¢I never drink before noon, I cant be an alcoholic.à ¢Ã¢â€š ¬Ã‚ ¢At least I dont use as much as X.à ¢Ã¢â€š ¬Ã‚ ¢I may miss some work, but I still get more work done than all those other slobs. Relapse The disease model of addiction, discussed above, encourages us to think of relapsesin addictive behavior. A relapse is a return to a previously abusive level of using or drinking. The very idea of relapse suggests the idea of the disease model, because it describes addiction as a chronic condition that never goes away, but can only lay dormant. Relapse is a very important concept

Wednesday, September 4, 2019

Writing a Personal Narrative :: Personal Reflection

A narrative is a story. In writing a narrative essay, you share with the reader some personal experience of your own in order to make a point or convey a message. You may choose to tell how your grandfather influenced your desire to become an orthodontist, or perhaps you’ll relate the story of the time you didn’t make the cut for the basketball team. Whatever story you tell, your purpose is to share with others some experience that has taught you something or changed you somehow. Remember that narration is more than just description. Your essay should be descriptive, but it should also emphasize the significance of a particular event, object, or person. There are several components of an effective narrative. The following are some things to keep in mind when writing your essay: Focus Narrative effect is the main point of your story—the moral, the message, the insight you offer. Without a specific narrative effect, your essay is merely a series of unconnected events. If you are unsure what your main point is, you might ask yourself, â€Å"Why am I telling this story? Why should someone else be interested in reading about my experience?† In addition, you must decide whether to reveal your point explicitly (stated directly) or implicitly (suggested but not stated). Development Details add depth and color to your narrative. If your essay consists merely of dry facts, readers quickly grow uninterested. You can describe things through the methods of scene and summary. In the scene method, use very detailed, evocative description to immerse the reader in the situation or place you describe. Your goal is to make the scene come alive for the reader. Usually narratives are based on one or two key scenes. Reserve in-depth detail for these key scenes, and fill in the rest of the story using the method of summary (giving a brief synopsis of events). Organization and Coherence The narrative consists of three basic parts: The orientation, at the beginning of the essay, establishes the setting, characters, and other essential elements of the story. The complication involves rising conflict that leads up to the climax (the point of highest action in the story). Then, in the resolution, the conflict is resolved and the narrative effect is revealed or suggested. Your narrative also needs a time structure. You must decide whether chronological time or psychological time best suits your story. In chronological time, events are described in the order in which they

Tuesday, September 3, 2019

border line personalities :: essays research papers

A person with a borderline personality disorder often experiences a repetitive pattern of disorganization and instability in self-image, mood, behavior and close personal relationships. This can cause significant distress or impairment in friendships and work. A person with this disorder can often be bright and intelligent, and appear warm, friendly and competent. They sometimes can maintain this appearance for a number of years until their defense structure crumbles, usually around a stressful situation like the breakup of a romantic relationship or the death of a parent. Relationships with others are intense but stormy and unstable with marked shifts of feelings and difficulties in maintaining intimate, close connections. The person may manipulate others and often has difficulty with trusting others. There is also emotional instability with marked and frequent shifts to an empty lonely depression to irritability and anxiety. There may be unpredictable and impulsive behavior which might include excessive spending, promiscuity, drug or alcohol abuse, shoplifting, overeating or physically self-damaging actions such as suicide. The person may show inappropriate and intense anger or rage with temper tantrums, constant brooding and resentment, feelings of deprivation, and a loss of control or fear of loss of control over angry feelings. There are also identity disturbances with confusion and uncertainty about self-identity, sexuality, life goals and values, career choices, friendships. There is a deep-seated feeling that one is flawed, defective, damaged o r bad in some way, with a tendency to go to extremes in thinking, feeling or behavior. Under extreme stress or in severe cases there can be brief psychotic episodes with loss of contact with reality or bizarre behavior or symptoms. Even in less severe instances, there is often significant disruption of relationships and work performance. The depression which accompanies this disorder can cause much suffering and can lead to serious suicide attempts. It is a common disorder with estimates running as high as 10-14% of the general population. The frequency in women is two to three times greater than men. This may be related to genetic or hormonal influences. An association between this disorder and severe cases of premenstrual tension has been postulated. Women commonly suffer from depression more often than men. The increased frequency of borderline disorders among women may also be a consequence of the greater incidence of incestuous experiences during their childhood. This is believed to occur ten times more often in women than in men, with estimates running to up to one-fourth of all women.

Monday, September 2, 2019

Fraudelence Personified :: essays research papers

Fraudulence Personified   Ã‚  Ã‚  Ã‚  Ã‚  The Pardoner is the best representation of an allegorical character in â€Å"The Prologue† of Geoffrey Chaucer’s The Canterbury Tales. The Pardoner is the perfect personification of fraudulence. He shows this in three basic ways: his appearance, speech, and actions. If one just glances through the reading of the Pardoner than one will think that he is a good religious man, but if one look further into it than he will find the small double meanings that he is the exact opposite. Chaucer likes to use an allegorical style to add some comedy and sophistication to his writings.   Ã‚  Ã‚  Ã‚  Ã‚  The comedy is most heavily used in the Pardoner’s description than in any other part of The Canterbury Tales. For example (page 135, line 712) â€Å"There was no pardoner of equal grace/ For in his trunk he had a pillow case.† When the words â€Å"no pardoner of equal grace† are used you are lead to believe that the Pardoner is a great man, but if you look back in the reading you will find totally different things. He is a dirty, immoral man that really does not have much grace. Another example of the sarcastic comedy is (page 135, line 727) â€Å"In church he was a noble ecclesiast. How well he read a lesson or told a story! But best of all he sang an Offertory, For well he knew that when that song was sung He’d have to preach and tune his honey-tongue That’s why he sang so merrily and loud.† Again the text seems to be saying he is a â€Å"noble ecclesiast† and that he likes to preach the word of God to others. If one looks at it closer one will find out that calling him a noble ecclesiast is a joke and that he only preaches and sings so that he can take the tithes for himself.   Ã‚  Ã‚  Ã‚  Ã‚  There are quite a few examples of the Pardoner’s actions being the personification of fraudulence throughout lines 608-734. For instance (page 135, line 705) â€Å"He’d sewed a holy relic on his cap:/ His wallet lay before him on his lap,/ Brimful of pardon come from Rome all hot.† The relic sewed on his hat showed that he thought of himself as a righteous holy man, and that is one thing he was not. The wallet and the pardons was the most disturbing of his acts. Since he was holding his wallet on his lap, it shows that he is very interested in money.

Sunday, September 1, 2019

Panera Bread Case

These locations enable them to service both the shopping customer base, but also the equines base co-located In these high traffic areas. Their vision is one that their customers will love freshness of their products and the tastiness of their offerings to the degree that they will be driven to visit their stores repeatedly and often. Pander believes that the values they provide their customers are: creating wholesome healthy foods, maintaining affordable prices, to always innovate, and respect for both customers and employees.Bread is a staple of life and Pander believes that by them enhancing the flavors menu offerings around bread, then they will increase their ease market for baked goods served by Pander outlets and franchises. As a customer of Pander, I can tell you that their product offerings are so flavors that they are a strength to their business. There are two areas where the slogan or vision appear to deviate from the text; 1) overly broad language; and 2) rather generic. That said, we are talking about bread; and bread is the single most important staple for human life, next to rice.It works. One of Pander's strategic objectives is to expand their product line, creating further distance between them and their rivals, and to increase heir sales In foreign markets. They will achieve that strategic objective as a result of continued Investment and focus In five key business areas: 1) the quality of their food, 2) their increased marketing expenditures, 3) the roller of their Napery loyalty program, 4) the growth of their catering business, and 5) the quality of their operations and their people.We believe that success in these five areas will place Pander at the top of the list of the very best companies in our industry; and are a direct result of continued Investment in the quality of our customers' experience to alp drive product differentiation and thus provide Pander a completive advantage among Its peers. The Investments that were made over the l ast three years have driven Pander's results in 2011 and they believe the investments that were made in 2011 position them well for the future. Item 2: The company financial objective is to have long-term operating earnings growth target of 12-17% per year.In 2011, Pander had a very good year. Their Earnings per Share (PEPS) grew 28%. This was their fourth consecutive year that their PEPS has rowan 24% or greater; which Is above the upper end of their long-term earnings growth target. Their performance in 2011 was driven both by their strong operating performance as well as their ability to generate PEPS growth through deployment of their excess capital. Earnings growth of approximately 20% was driven by core operations, which was above their long-term operating earnings growth target of 12-17%.Additionally, an Incremental 8% earnings growth was driven by the more their ability to grow their bakery-cafe sales. In 2011, their Company-owned bakery- cafe sales increased 4. % vs.. 2010, and rose to 12. 4% on a two-year basis. They also celebrated the opening of their 1,50th store, nationwide. This, coupled with their debt free position, they believe these results will put them among the very best in their industry and are a direct result of continued investment in the quality of their customers' experience to drive product differentiation and competitive advantage.The investments that they have made over the last few years drove their results in 2011 and they believe the investments that they made in 2011 position them well for the future. Item 3 & 4 NOT SHOWN Item 5: This is a good example of sales, earnings and balance sheet analysis. It is missing the same store analysis and franchise versus owned stores analysis The net income for Pander Bread has increased from the third quarter of 2011 to the third quarter of 2012 by 22% or $36. MM. The Administration expense is up $MM. This is something we will continue to manage along with their asset growth.Total assets a re up by $MM in 2011. Return on Equity was 20%, which is 3% above the high end of their range of 12-17%. The Return on Invested Capital (ROCCO) is 5. % which is up from 4. 8% from the previous year. Inventory turnover when compared to the industry is really tremendous. Their inventory turnover ratio was 95. 5 as compared to the industry 6. 5. The sales growth has grown from 2010 being 6. 29% quarterly to 15. 79% quarterly in 2012. This shows a very strong growth in sales year over year and ties well to their strategy of growing sales within their market areas. It shows a strong demand for their product.The balance sheet for Pander is solid, in that they have 1,027,322 in total assets and only 372,246 million in total liabilities. They are basically debt free. They are showing year over year improvement in assets, liabilities, stockholder equity, revenues, and both company operated and franchise stores as well as the number of company owned and franchised Pander's opening every year. Earnings per share have risen from 0. 98 to 1. 25 over the last 12 months. Although system statewide revenue has increased every year since 2002 their sales growth has been erratic. For 2006-2007 there was an 18. 17% growth in sales revenue.From 2007-2008 revenue slowed to 16. 34% growth, before falling all the way to 5. 45%. It should be noted between 2009-2010 sales growth picked up to 1 1. 8%, indicating a possible upward trajectory after faltering during the recession. This is evidence off well-run, well-managed company. From all indications, their strategy appears to be working in quarter over quarter sales improvements. Items 6 and 7: Pander Bread's Value Chain consists of Inbound Logistics – Pander Dough Supplier, Other Supplier Management, Manufacturing – Franchise and Store-owned Cafes, Catering, R&D – Product Research and Development and Marketing.Each franchisee purchases dough directly from Pander Bread. Pander has an interest in each of the franchi sed stores succeeding because the company received 4%-5% royalties from sales continually. This means that Pander, as the supplier, has an interest to keep prices of dough as low as possible to maintain viable franchise operations. Outbound logistics – each franchisee purchases dough directly from The fresh dough is sold to both company-owned and franchised bakery-cafes at a delivered cost not to exceed 27% of the retail value of the product.These costs margins are achieved by producing the dough at central locations while employing economies of scale. Pander provides comprehensive house training, market analysis, and bakery-cafe certification. This corporate level tactic impacts the company's franchised and company owned stores by enabling Pander to develop systems used by all the cafes thus applying operational economies of scale. Since each cafe-bakery does not have to develop its own operations structure this reduces costs for each store. All the cafes offered an assortme nt of 20-plus varieties of bread baked daily and as of 2006 at least 22 types of sandwiches.Each of these breads and indices were regularly reviewed by the Marketing group to determine whether the products matched regular customer needs, new consumer trends, and seasonal relevance. The complexity of the product line enables Pander to match menu items with a variety of customer needs. This process ensured that weak selling items would be removed thus limiting excess inventory. Pander's Marketing is using focus groups to determine customer food and drink preferences, and price points. This work is done by only a few individuals at the corporate level and scaled to the rest of he cafes.The existing company and franchise owned cafes would be able to take advantage of this market information and subsequently reduce costs associated with sales and marketing information. Involving Pander's research and development new menu items were rolled out in limited cafes and developed in test kitche ns prior to nationwide release. This process addressed two cost drivers. First, by employing economies of scale, individual cafes will not have to spend resources and capital investing in the development of new menu items.Second, through the expertise of he advanced research and development department Pander ensures both quality of product and process. This will result in less product waste and increased customer satisfaction and in turn lowered costs. Pander Bread utilizes both structural and execution cost drivers to lower costs on the value chain particularly in inbound logistics, operations, outbound logistics, sales and marketing, and research and development. Their cost reduction across their value chain gives Pander a strong competitive advantage. Pander pursues continuous quality improvements in separate ways.They are well known for their after sale service. They are known for contacting customers who leave complaints offering them anything from coupons to free meals when th eir service is not up to par. Their high customer retention rate lends one to believe that they are also making improvements based on customer reviews. Their emphasis on marketing allows them to introduce new products that succeed because they are attached to the brand. An example of this would be their recent success with parfaits. They have also redesigned their stores over the years to make them more aesthetically pleasing, further building their own brand.