Characters in This Boy’s Life Essay

Each character in This Boy’s Life demonstrates the struggle to find a sense of identity.’ Discuss. Young people are most often guided by their parents and guardians of what they should or shouldn’t do. However, some unfortunate ones are left alone to find their own paths. In their search of making their own identity, some young people choose to fight against all obstacles to reach goals that will lead to a successful fortune, while some will walk an uneasy way and repeat themselves in the misery of self-destructiveness and self-sabotaging behaviors. In Tobias Wolff’s memoir This Boy’s Life, the author presents a life that is built up on continuous self-destructive decisions, making himself his own worst enemy and causing all kinds of situations which he hopes to change and evolve into a better self, only to once again find him fallen into the very trap set up by no one but himself. Some of Toby’s situations is due to his background. He was raised by a single divorced mother, Rosemary, and her failing to take a father’s place to become a powerful guardian to correct and care for Toby’s early mischievous ways. Rosemary is a victim of domestic violence herself. Jack and Rosemary are constantly on the move, which adds to this struggle. When they do settle down, they choose environments that are a disaster. Toby is placed with characters that work to break his self-confidence and pride, therefore making it impossible for Toby to really identify himself. Revision for Romeo and Juliet Year 10 English Exam Friday 8th June, 9.00am to 11.10am 2 hours writing time, with an additional 10 minutes reading time. Two Sections: Section A: Text Response Essay Section B: Persuasive Language Analysis REVISION FOR SECTION A Revise the key characters and key themes in Romeo and Juliet: Reread both the synopsis of the play and some of the most important scenes in the play.  Create a mindmap for each of the major themes: Love, Hate and Fate. Create brief character profiles for each of the major characters. Create (and try to memorise) a list of at least 20 key quotes. Revise how to write a text response essay. Complete a text response essay on a practice question. â€Å"Poor sacrifices of your enmity.† (V.iii.303) ‘Romeo and Juliet explores the consequences of blinding hatred.’ Discuss. ‘Romeo and Juliet: the greatest love story ever told’. What does Shakespeare’s play tell us about the nature and power of love? ‘Romeo and Juliet are both victims of fate, having little control over their destiny.’ Do you agree? Romeo and Juliet is a play more about hate than love. Discuss. REVISION FOR SECTION B Revise your knowledge of the key persuasive language techniques using your flash cards. Complete a practice persuasive language analysis task. (See me for a newspaper article.)

Criticism of Quitak’s Child observation Essay

Quitak first explains that she is â€Å"working on the assumption that the problematic aspects of our experience contain the maximum potential†. However I think it is important to clarify from the outset, how she reached this assumption, as the reader does not know whether she went into the observation with this belief or whether these assumptions were developed as a result of her observation. There is another important omission relating to who the author actually is. She hasn’t positively stated that she is a Social Work student, although this is implied when she states that her observations had â€Å"implications for social work.† Therefore it is difficult to ascertain her purpose for carrying out the observations. Furthermore Quitak fails to mention how she came to select the child included in her observations, how many observation sessions took place and the length of the sessions. Therefore the reader is unable to assess whether there were any issues of bias involved in her selection process. The fact that she is the product of English middle class parents means she may be going into the study with particular assumptions, as she is observing a child who has a Palestinian parent. A significant area which was lacking in her observations was her inability to â€Å"tune in to Selena’s inner world† (pg 250), although Quitak does acknowledge this omission. She didn’t really try to question and understand Selena’s behaviour or how she might be feeling when she demonstrated behaviour she didn’t like, which meant her observation suffered as a result. King (2010) stresses the importance of â€Å"to access the child’s emotional world†.

Jewish Temple Sections

Sections of the Jewish TempleMrs. McCurdy Mostly From Icons, p. 10-11 The Outer Court is also known as the Court of Gentiles Gentiles or non-Jews were not allowed beyond this court. Traders could be found here selling birds and animals to be used for sacrifices. It was also a place to change Roman money into Temple money (money-changers). [When Jesus got angry with these people and threw them out of â€Å"His Father’s House† he did this because they were giving the people a very poor exchange rate, and so were make lots of money at their expense, after all, they had to buy the sacrifices with Temple money! The Court of Women Women and children were not allowed to beyond this area. It was a favourite meeting place for families when they came to Jerusalem on pilgrimage. [This was probably where Mary would have been looking for Jesus when he was 12 years old. ] The Court of Israelites Only Jewish men were allowed to enter here. They would see the altar of sacrifice and the offers being made to God. At the time of Jesus, animal sacrifices were an important part Temple worship. The Court of Priests This was exclusively reserved for priests. In this area was the altar on which the birds and animals were sacrificed. Only domestic animals would be sacrificed. This included pigeons and doves, the offerings of poor people. The Holy of Holies This was the innermost and most sacred part of the Tempe. A large veil covered its entrance. Only the high priest was allowed to enter, and he only went in once a year, on the Day of Atonement, Yom Kippur. He offered sacrifices and asked God’s forgiveness in the name of all the people. On this day only he spoke aloud, in full, the name of God. [You will learn much later from the Gospel of Jesus’ trial that during this trial, before the High Priest, when asked, Jesus said he was the Son of the â€Å"Blessed One†. The Jewish authorities were then able to accuse Jesus of blasphem, because only the High Priest was allowed to speak out aloud the name of God, so under Jewish law, Jesus was committing a grave sin. ] This day marked a new start, a renewal of faithfulness to the laws of God.

Earned Interest on My Savings Account Essay Example | Topics and Well Written Essays - 250 words

Earned Interest on My Savings Account - Essay Example Although the interest earned with certificate of deposit is higher than for a savings accounts, my decision for choosing the saving instrument would also be driven by some other factors. In a certificate of deposit, the money will remain locked for 5 years whereas in a savings account, I can withdraw and use the money whenever I need. Secondly, if at a certain time, the inflation starts increasing, the real value of the investment in the CD would become significantly lower than the money at hand in the savings account. For example, if after 2 years, the inflation reaches say more than 5% and remains there for the next 3 years, then the real value of the final amount I would receive from the CD would be much less than the actual balance at the end of 2 years in the savings account that I may have used already. On the other hand, if I expect the inflation to drop in the coming years, CD would be a more attractive option.

Global Logistics Coursework Example | Topics and Well Written Essays - 2250 words

Global Logistics - Coursework Example Third party logistics are often used for global supply chain executions. The reason why the Japanese company needs to outsource logistics is to reduce the cost, improve distribution service and concentration on its core competencies. The company strategy largely determines how formulation, evaluation and execution of third party logistics will take place. (John E Mello) Factors that primarily effect third party logistics outsourcing are cost and quality of service provided. Since the company requires multiple services, the first thing this company will consider is the ability of the logistics provider to provide all these services efficiently. The company will look at the logistics providers resources because the services required here go beyond typical storage and distribution and also include assembling and receiving orders. To satisfy all these needs, the third party logistics should have the technical expertise and the manpower besides a transportation system and storage place. The first step in outsourcing will be the research and evaluation of all service providers. The company will analyze service providers and look at their experience. The company should have meaningful experience and a clear track record without being involved in any deceptive activities or maintaining low standards of service. Any such findings will immediately disregard that 3PL company as it will risk damaging the company reputation. The service provider who has prior experience of custom clearance activities, storage, assembly and distribution of electronics will be given the top priority. The second thing to consider is the cost and the added value outsourcing will be bringing to the company. Price is a major factor as the reduction of cost and responsibility is what the company is looking for. Therefore the company will choose from companies which provide their services well within the going market rate but not below that without compromising

Behavior Management Plan Essay Example | Topics and Well Written Essays - 500 words

Behavior Management Plan - Essay Example The main features or basic strategy of a behavior management plan may not always remain the same it can be altered and changed as per circumstances as every children has different behavioral requirements. Behavior plans are basically formulated to help the child in getting rid of certain attributes that can have unfavorable effects on his/her personality. Moreover these plans also work on the traits that act as a hindrance blocks in a child’s way when he\she is trying to learn new skills. While composing a behavior management plan, a fundamental behavior analysis should be carried out. Fundamental Behavior Analysis (FBA) is an appraisal or consideration that points out or estimates the basic behavioral traits that should be eliminated from a child’s personality. Behavior management plan has five basic steps through which it is constructed. These steps are: (1) analysis or estimation of the behavior that needs to be changed (2) Information assembling that is when, where and how does the inappropriate behavior arise and how often does it occur. This information is important because it helps one to take suitable and appropriate steps and decisions. (3) Analysis and Interpretation of gathered information that is go through the information thoroughly and keep each minute point in your concern.

Writing Report Essay Example | Topics and Well Written Essays - 1500 words

Writing Report - Essay Example As an accounts executive of a PR consultancy, I would like to stress upon the fact that Public Relation trends have been experiencing serious changes and technological advancements. ICT has grown inevitably throughout the past few years. It has seeped into other industries other than the field of information technology. ICT is one of the sectors driving the new economy and also the public relations sector. It is also one of the sectors most directly affected by the recent trends in globalization. The rapid growth in Internet usage and rapid growth of mobile usage with broadband networks all point towards the fact that this technology is impacting every moment of our day to day lives and businesses. But how precisely does ICT affect economic growth and the efficiency of firms? In many studies and recent surveys it has been proved that even in this recession, ICT has kept a steady growth and has no doubt contributed to the GDP and economic growth. The introduction ICT to small medium enterprises has allowed them to compete with larger competitors. ICT is a very dynamic area. The tools and frameworks of ICT expand and advance continuously; these expansions demonstrate the usage and improvements. If we take a broader look at advanced technologies, satellites, mobile phones video news releases etc are the latest tools of ICT that are used by PR agencies and influence public relations policies and practices. Twitter, mash-up media and blogging are the publics eyes and ears nowadays, this latest trend has created more implications and has definitely raised the bar for public relations. In other words, it has raised the bar for public relation practitioners. The Internet and World Wide Web have created mediums for the public to accesses information, whether in the form of blogs, podcasts or videos from YouTube. The traditional role of media is constantly changing with regular upgrading. If we take a quick briefing of

Model answer Essay Example | Topics and Well Written Essays - 500 words

Model answer - Essay Example Welfare of people is often ignored while trading internationally as the major focus is on profits. A minority section gains maximum profit through the procedure who is not even citizens of the exploited nation. This is observed mainly in third world countries where people need to work under unfair conditions, with low wages or in unhealthy work environments, demonstrating the negative aspects of international trade (Stephen, 2011). The other negative issues are exhaustion and destruction of natural resources. It can also be stated that international trade increases dependencies amongst nations and enables supplying nation to exercise more power and impose trade restrictions on other nation, simply to achieve financial gains. Logistics can be defined as an effective management of the procedure through which resources are acquired, moved to different locations or stored as and when required. Logistics management encompasses identification of potential distributors and suppliers, and even evaluation of their effectiveness and accessibility so as to establish healthy relationships (Maloni and Benton, 2000). A logistic system comprises of various components such as customer service, transportation, inventory management, materials handling, storage, information processing, packaging, production planning, production planning, demand forecasting, facility location, purchasing and other related activities. These other activities for an organization can comprise of service support, effective handling of goods returned, maintenance functions and recycling operations (Fawcett and Magnan, 2002). A particular firm might not require all of the components to accomplish specific tasks. For instance, a service firm such as airlines encompasses elements such as maintenance, customer service, information processing, demand forecasting and purchasing functions so as to reach to the

The Ku Klux Klan Essay Example | Topics and Well Written Essays - 1500 words

The Ku Klux Klan - Essay Example Much of their activities included horse riding during the night while wearing costumes such as masks. As these innocent night expeditions continued, the society, especially former slaves, begun exhibiting fear since they did not know the real intentions of the group, which they thought was out to cause trouble for them (Parsons 814). Young people enjoy being in control and this has been noted as one of the major motivation factors behind gang formation and membership. It is therefore not a wonder to find that after realizing the effects they were having on the surrounding community, the group begun recruiting more people and expanding their territories to the neighboring towns thereby leading to the emergence of numerous factions, which did not have an agenda or any formal leadership to promote a unified course. The lack of leadership and direction especially after the expansion of the group necessitated the group members to come up with a strategy to exercise control over the operat ions of the group so as to facilitate harmony, which was necessary in strengthening the organization. As a result, a meeting was called in 1867, in which General Nathan Bedford Forrest was appointed as the commander (Parsons 817). Bedford was a former confederate soldier, who had a lot of experience owing to his involvement in the American Civil War from 1861 to 1865. Although he never had formal military training, Bedford had natural talent in war planning and this impressed his superiors as well as his colleagues, and soon he was promoted to the rank of Lieutenant Colonel and was given the role of training and recruiting new soldiers into the army. This means that with him on the helm, KKK was bound to reach great heights to become one of the most influential in the American society. Other members were elected as leaders of smaller groups in order to establish a chain of command similar to that of the army and which was to facilitate discipline and unity among the different factio ns (Artoletti 22). The American Civil War ended in 1865 and paved way for the reconstruction era. Among the policies, which were to be adopted in order to facilitate reconstruction of the country was to promote the rights of black people and former slaves by allowing them to vote and vie for various political offices (McVeigh 16). They were also to be allowed to compete with the white Americans in the job market. In general, all Americans were to be accorded equal rights and privileges irrespective of their color, ethnicity or religion. However, majority of the whites did not take this positively as they felt that this would have created a lot of competition for resources and job opportunities, which were scarce especially within localities where the Ku Klux Klan operated. KKK members were not happy with this and as a result, members started becoming suspicious towards the non-whites, whom they perceived as inferior. Indeed, KKK started approaching the blacks trying to convince them to give up their quest for political offices because they were better off living as second class citizens and that they stood to benefit more if they agreed to remain as slaves, which did not bear any fruits (McVeigh 21). Instead, the blacks continued to demand their rights through activism. A widespread hatred towards the blacks and former slaves especially in the south boosted the membership of KKK as it provided an informal avenue for the

Performance Management Essay Example | Topics and Well Written Essays - 1000 words - 1

Performance Management - Essay Example Therefore, apart from overcoming the barriers such as language, cultural differences and influence of the trade unions, the management needs to concentrate on the matters relating to recruitment of staff, training to the employees, system for appraisal of performance, compensation to employees and maintaining cordial relationship with the employees, because these are the areas where the scope of the management significantly differs with the domestic HRM based on the corporate policies of the company. The paper seeks to study and analyse the international operations and expansion strategies of Mega Widgets, with the ambition of planning to list its company in Australian Stock Exchange in 2014 or 2015, for suggesting improvements in performance management. Organisation Structure The corporate culture at Mega-Widgets has been influenced by the founding family members. The structure of the organization plays an important role in the implementation of its strategies and controls. The deci sion making process is influenced by the structure of the organization which remains very centralized presently. All expatriate assignments have been individually negotiated by the Newcastle Plant Manager. The company has manufacturing plants and sales offices in Indonesia and India with senior management positions filled by Australian expatriates. The structure of the organization hampers decision making process and affects performance. The function of integration of the whole organization spread all over the world on day to day basis saps the energy of the management team located at the head office. Under such circumstances, the coordination of the corporate activities becomes very difficult. McGuire (2011) states â€Å"To treat organizations as singular entities devoid of diversity is to ignore the richness of employee backgrounds and experience. If organizations are to prioritise creativity and innovation, then it is imperative that unique perspectives are valued and appreciate d.† (p. 179). There have been changes introduced in the organization in the wake of expansions proposed in China and US. The company has created a new post Executive Director Human Resources. This appointment combined with the efforts of the Project Control Groups established by him will enable the Board to consider proposals for international resource management programs. These programs are expected to facilitate current operational requirements and impact the future strategic direction of Mega-Widgets by improving its performance in the long run. Management Policy The management follows progressive policies for its growth strategies and is highly professional in its attitude. This reflects in the management policy: The family relatives are not guaranteed of a job – they must prove themselves like everyone else.   The Executive Director Human Resources, with the full support of the Board, has established international human resources management project control groups to lend support to the expansion strategies of the company for effectively implementing the expansion strategies. Garavan & Garbery (2012) state, â€Å"Strategic HRD (SHRD) is premised on the view that HRD practitioners possess the competence to assume the role of strategic partners, strategic players and players in the business rather than simply

Instructions on how to hypnotise a person Essay Example | Topics and Well Written Essays - 500 words

Instructions on how to hypnotise a person - Essay Example Hypnosis is a condition that is linked with the psychological behaviors where it affects the lives of the people on which it is acted upon in a manner that shows clearly the marked distinctions in their thinking mindsets and behavioral patterns. There seems to be an altered state of consciousness at certain times within this whole hypnotic activity but the same holds true for only a small fraction of people. The hypnotic indications as well as the subjective alterations within the human mind can be achieved with hypnosis. However there a number of controversies that goes in line with the art of hypnosis the world over. Without a shadow of a doubt, hypnosis is a form of hysteria and the people who experience hysteria can be hypnotizable. However this is just a solitary claim and with the recent research it has been proven time and again that nearly all human beings can be hypnotized. The manner in which a person can be hypnotized rests largely with the act of inducting a hypnotic state within him/her. We cannot just fathom a single basis on which we can rest our claim that the same is the proper way of inducing a hypnotic state however for this act to be effective, a number of practitioners have started to employ the calming verbal methodologies, usage of difficult triggers and lastly the inclusion of devices which are mechanical in nature. Hypnotherapy is the term which is used for the description of hypnosis within a therapeutic setting. A number of these hypnotherapists refer to this act as the practice related with â€Å"clinical work†.

Police Brutality Essay Example for Free

Police Brutality Essay Most of us have seen the videotape of police officers savagely beating Rodney King. But how typical was this behavior? The Rodney King incident is not representative of most police officers around the country. Television shows, newscasts, and written media exacerbate the problem when they do not focus on the criminal as the root of the problem. [C]urrent images of the police are drawn largely from television programs bearing little resemblance to reality (Delattre 29). Police brutality is a matter of serious concern, but it is not as prevalent as the media would have us believe. Police brutality is not a national crisis. Rodney King has become synonymous with police brutality. But what is police brutality? Bornstein states that [p]olice brutality is the use of excessive force by police officers (39). Most police are trained to use only the minimum amount of force necessary to control a given situation. The decision to use force is often made on a split second basis usually under difficult circumstances. The boundaries between justified and excessive force can sometimes be blurred under these circumstances. Under one set of circumstances, a particular action might be considered justified, but under differing circumstances, the same action might be considered brutality. Most cops do not like to hurt people; cops sometimes use unnecessary force. They also use extraordinary restraint (Sulc 80). Many police officers feel anguish after using fully justified force; few take pleasure in it. There are great strains on individual police officers: competing responsibilities, values, temptations, fears, and expectations. Police officers are called on to be patient mediators, skilled therapists, effective admonishers, daring crime fighters, obedient members of paramilitary agencies, etc. In the midst of these requirements is the violence inherent in police work. Police officers often witness women battered by husbands and boyfriends, children burned and broken by parents, pedestrians maimed by drunk drivers, teachers raped by students, and innocent strangers savaged by predators in  our streets. Even so, most police do not have a bunker mentality. They go on the force knowing what they will have to encounter. They like their jobs and are ready and able to stand the pressureusually. Some police adjust poorly to the pressures of police work. They become cynical from the danger, the perceived failure of the system, and the repetitiveness of their work. Some police officers despair over the violence, suffering, hopelessness, and ignorance they encounter every day. Even so, the majority of police officers continue the performance of their duties without resorting to brutality. In spite of the seriousness of the publicized incidents, far more serious than police brutalit y is the frequency of assault and murder perpetrated against the police. According to the U.S. Department of Justices Police Use of Force, 44.6 million people, or 21% of the population had face to face contact with police during 1996. Police contacts that resulted in the use of force or the threat of force totaled only five hundred thousand, or one percent of the total. Often times the use of force was preceded by some provocative action. Criminals often threaten the officer, assault the officer, argue or interfere with an arrest, posses a weapon, try to escape, elude, or resist arrest. After accounting for justified use of force, which is inherent in police work, less than one quarter of one percent of police contacts resulted in questionable use of force. This is hardly an epidemic. Given the small number of cases, a preliminary conclusion that could be drawn is that use of force is rare in police-citizen contacts and it is often accompaniedby some possibly provocative behavior (Police 14). On the flip side, if the media cares to report the flip side, 46,695 police officers were assaulted in 1996 (United States 65), resulting in 14,985 injuries and 55 deaths (United States 3). The statistics show that police officers are brutalized three thousand seven hundred and sixty times more frequently than criminals are. Americans are well served with professional dedication and with frequent instances of physical courage. The people who stand between violence and the public are the police. Sometimes criminals do not want to cooperate, but police are still expected to arrest them. Most police officers abhor  violence and despise fellow officers who use excessive force. Police brutality is not the epidemic we are led to believe it is. Let police do their job, if they violate the law, prosecute them as individuals without condemning every police officer in the country. Works Cited Borenstein, Jerry. Police Brutality. New Jersey: Enslow, 1993. Delattre, Edwin J. Character and Cops: Ethics in Policing. Washington, DC: American Enterprise Institute of Public Policy Research, 1989. Police Use of Force Bureau of Justice Statistics Website. 22 November 1998. Sulc, Lawrence. Police Brutality Is Not a Widespread Problem. Policing the Police. Ed. Paul A. Winters. San Diego: 1995. 79. United States. Department of Justice Federal Bureau of Investigation, Criminal Justice Information Services Division. Law Enforcement Officers Killed and Assaulted. Washington, DC: GPO, 1997

Percy Jackson and the Lightning Thief | Analysis

Percy Jackson and the Lightning Thief | Analysis Percy Jackson the Olympians book 1 The Lightning Thief is an interesting novel which becomes the foundation of this study. The demigod Percy who is created from authors imagination becomes the main subject in this study. Percy is described as someone who starts from zero to hero. His struggle, adventure and the way he learns to be a hero in connection with his maturity will be the very concern of the study. Therefore, this study concerns the individuation process of Percy. The Greek mythology is the part of western civilization. In the novel, the use of mythological elements can be seen in, for example, Percy Jackson as he discovers he is a demigod, the son of a mortal woman and the Greek god Poseidon. Percy sinks in confusing situation when the world put him on the position of a hero. Percy and his friends go on a quest to prevent a war between the Greek gods Zeus, Poseidon and Hades. Meanwhile, he just begins to learn how to be a hero the responsibility to save the world is on his shoulder. There are many psychological problems faced by Percy. Percy leaves his messy life as a naughty student in his school where he is popular as a freak student who has dyslexia and hyperactive (ADHD) problem. Percy is not good at all lessons but Latin. He is supported by Mr. Brunner the only teacher that cares about him to learn Latin. Days in school are always disturbed by Nancy Bobofit. The only one who has the same problem is Grover. Grover is Percys best friend who always hides behind Percy. His trouble is complicated by Mrs. Dodds who has personal vengeance on him. Because of these things, Percy becomes the saddest student in Yancy Academy, North New York. Percys terrible days in school continues when he stays at home. His step father Gabe Ugliano is his immortal enemy. Gabe never wants to work. He always plays poker and drinks beer with his friends at home. It makes the house full of trashes and smell. One thing he cares about is to ask some money from Percy as he never wins the poker game. He never respects Percy. Instead, he always insults and undermines any things Percy has done. Therefore, Percy never feels the love from his step father, Gabe Ugliano. The only one who cares about and loves him is his mother, Sally Jackson. She is the one who makes Percy survive in such terrible condition. She is the one who supports Percy to go on his terrible days. When Percy remembers his mother, he always feels happy and peaceful. With regard to the fact above, we can see terrible psychological conditions in Percys life. Moreover, he has to survive and to face all of those terrible situations. Therefore, the maturity process that Percy undergoes is therefore worth studying. Percys maturity process will be analyzed in this study by using the theory of individuation process from Carl Gustav Jung. Then, the writer proposes a study entitled Percy Jackson The Olympians The Lightning Thief: The Individuation Process of the Demigod Percy FIELD OF THE STUDY The field of this study is literature, especially novel. SCOPE OF THE STUDY The paper will only be focused on the demigod Percy Jackson, his experiences and adventures, which have connection with his maturity process preparing him to be a hero. In this study, his maturity process will be analyzed using the theory of individuation process of Carl Gustav Jung. PROBLEM FORMULATION How does a twelve year old boy become a hero in this story? To what extend is Percys maturity described in the novel based on Jungian analysis? 1.5. OBJECTIVES OF THE STUDY To explain how the twelve year old boy becomes a hero in this study. To explain to what extent Percys maturity is described in the novel based on Jungian analysis. SIGNIFICANCE OF THE STUDY In this study, the writer hopes that readers can understand the individuation process that happens in the story. This paper can also give an opportunity for scholars such as students of Faculty of Letters to analyze this novel using Jungian theory or alike. DEFINITION OF TERMS There are some terms throughout the study which must be known to better understand the issue in this paper, such as: Twelve Olympians The Greeks didnt have a Top Ten list of deities but they did have the Top Twelve those lucky Greek gods and goddesses living on top of Mount Olympus. (Regula, 2008,  ¶ 2). Demigod Demigod is an official terms of half God and half mortal human (Riordan, 2006, p.72). Individuation Process The individuation process is a term created by the famous psychologist Carl Gustav Jung to describe the process of becoming aware of oneself, of ones make-up, and the way to discover ones true, inner self (Blake, 2012,  ¶ 1) Maturity The quality of becoming more developed mentally and emotionally and behaving in a responsible way (Good, 2008, p.885). CHAPTER II REVIEW OF LITERATURE 2.1. The Theory of individuation process by Carl Gustav Jung The main topic of the theory of individuation process is about psyche. Human always try to fulfill his psyche satisfying. Human behavior influenced by his psyche character. Jung called it the individuation process in which the potential of a persons psyche is seeking fulfillment (Mitchell, 2010,  ¶ 14). From the text above Jung tries to explore the psyche character and divided it into 2 parts: Conscious Conscious is adjustment to the outside world (Suryabrata, 1983, p. 184). Means that Conscious adapted and formed by outside world or social environment. Unconscious Unconscious is adjustment to the inside world (Suryabrata, 1983, p. 184). Means that Unconscious is the part of psyche that rules the relationship between human and his own self. The border between conscious and unconscious is not fixed. It can changed anytime depends on the change of persons psychology. Conscious and unconscious cannot separate because they influence each other. They have different characteristic. Jung explores more to know it and explain it through its structure. 2.1.1. Conscious Structure There are two parts of psyche which build our consciousness. First is Psyche Function and second is Psyche Attitude. Both of them have relation which determining the classification of persons conscious structure. Kesadaran mempunyai dua komponen pokok, yaitu fungsi jiwa dan sikap jiwa, yang masing-masing mempunyai peranan penting dalam orientasi manusia dalam dunianya (Suryabrata, 1983, p. 185) Translation: Consciousness has two main components, that is psyche function and psyche attitude, which both of them have important role in the human orientation and his world (Suryabrata, 1983, p. 185) 2.1.1.1. Psyche Function According to Suryabrata (1983, p. 185) the conscious structure by Jung is a psyche activity which in theory is unchanged in different environment. Furthermore Jung divided it into four main functions, two of them are rational, that is thinking and feeling, and irrational, that is sensing and intuitive. The rational functions work with judgment. Thinking is judging on the basis of right or wrong and feeling is judging on the basis of pleasant and unpleasant condition. Whereas the irrational functions do not work with judgment, how over they just get observation. Sensing gets observation by using sense and intuitive gets observation using instinct. Basically, human have all of that function, but usually just one of them that would be the most dominant. In addition, the ideal destination from Individuation process is to bring it into balance, with the result to achieve a rounded human or a perfect human. 2.1.1.2. Psyche Attitude Jung (1921/1971) defined an attitude as a predisposition to act or react in a characteristic direction (Feist and Feist, 2009, p. 115). The direction of the activity of psychological can go outside or inside and similarly happen with the orientation. Everybody does the orientation with the world around him, however they have different way to do that. For example, there is some one who will directly close the window if cold wind blowing, but probably the others will not close the window because they do not care about it or are not afraid to be cold because of it. There are people who care about what happens outside himself, but there are also people who are not too concerned with what happens outside himself. In conclusion, from the psyche attitude, human can be divided into two types that are extravert and introvert. One of the most widely used psychological typologies, which of the psychiatrist Carl Gustav Jung refers to individuals are introvert and extraverts (Munn 1962, p. 235). Extravert Human An extrovert human influenced by objective opinions, which come from world outside himself or society. His thinking, feeling and also his actions mainly determined by his social society as well as his non-social society. He will act positively with society. Consequently, he is more easily accepted in society. Introvert Human An introvert human is influenced by his own subjective world. He does not care enough to the issues in his outside world. Introverts are tuned in to their inner world with all his biases, fantasies, dreams, and individual perception (Feist and Feist, 2009, p. 116). These people perceive the external world but they do it selectively with their own subjective view. Consequently, usually an introvert is being antisocial and hard to build a relationship. 2.1.1.3. Jungs Typology Based on two components of human psyche, Jung created Jung Typology (Suryabrata (1983, p.191) Psyche Attitude Psyche Function Type Unconscious Extravert Thinking Thinking Extravert Feeling Introvert Feeling Feeling Extravert Thinking Introvert Sensing Sensing Extravert Intuitive Introvert Intuitive Intuitive Extravert Sensing Introvert Introvert Thinking Thinking Introvert Feeling Extravert Feeling Feeling Introvert Thinking Extravert Sensing Sensing Introvert Intuitive Extravert Intuitive Intuitive Introvert Sensing Extravert He insisted that each person has both of an introverted and extraverted attitude, although one may be conscious while the other is unconscious (Feist and Feist, 2009, p. 115). Unconscious life is contrary with the conscious, so one whose conscious is thinking his unconscious is feeling, next, one whose conscious is extrovert his unconscious is introvert, so the next. 2.1.1.4. Persona The explanations above about conscious are the real condition of conscious, but there still have one problem. The problem is how person consciously show or bring his personality to socialize with outside world or society. The persona, according to Swiss psychiatrist Carl Jung, is the mask that individuals wear to hide their true selves from society (Maverick, 2010,  ¶ 1). So, can be concluded that persona is the way of the people to show his personality to his society based on what he wants other people see of him. 2.1.2. Unconscious Structure Suryabrata (1983, p. 193) said that Jung has divided unconscious into two circles. The first one is personal unconscious and the other is collective unconscious. 2.1.2.1. Personal Unconscious Continued from Suryabrata (1983, p. 193),states that personal unconscious contains things that are acquired by individuals during their lives. This includes things that are forced or distressed (recessive complex) and forgotten things (memory materials) as well as things that are observed, thought about and felt below the threshold of consciousness. So, whole personal life experiences create the personal unconscious. 2.1.2.2. Collective Unconscious The collective unconscious is the foundation of personality (Morgan and King and Robinson 1984, p. 523). Collective unconscious term introduced by psychiatrist Carl Jung to represent a form of the unconscious (that part of the mind containing memories and impulses of which the individual is not aware) common to mankind as a whole and originating in the inherited structure of the brain. It is contrast from the personal unconscious, which arises from the experience of the individual. The collective unconscious is beliefs or acts or ideas which are trusted and done by ancestor such as concept of god, manner of behavior, myths, legend, unspoken rules, etc. The physical contents of the collective unconscious are inherited and pass from generation to the next as physical potential (Feist and Feist, 2009, p. 104) Unconscious is the things that unawareness. Then, how can we recognize or know our unconscious. Adopted from Suryabrata (1983, p. 194), acknowledge about unconscious found not directly, that is belong the manifestation from the contents of consciousness. The unconscious manifestation can be form such as symptom and complex, dream, and archetypes. 2.1.2.3. Unconscious Manifestation Symptom and Complexes Symptom and complex are the indications which can be realized. Symtom adalah tanda bahaya yang memberitahu bahwa ada sesuatu dalam kesadaran yang kurang, dan karenanya perlu perlu perluasan ke alam tak sadar. Kompleks-kompleks adalah bagian kejiwaan kepribadian yang terpecah dan lepas dari penilikan (control) kesadaran dan kemudian mempunyai kehidupan sendiri dalam kegelapan alam ketidaksadaran, yang selalu dapat menghambat atau memajukan prestasi-prestasi kesadaran (Suryabrata 1983, p. 196). (Symptom is a dangerous sign that tells that there is something in less consciousness, and therefore need to have an extension to the unconscious. These complexes are parts of a split personality and mental escape from viewing (control) and then have the awareness of his own life in the natural darkness of the unconscious, which always can inhibit or promote the achievements of consciousness) (Suryabrata 1983, p. 196). Complexes not always being a weaknesses of personality because it is just a part of individual which can not unity and complexes can be a stimulant too, which push us to work harder and increase the possibility to being success. Jung adds in Suryabrata (1983, p. 197) that complexes are traumatic experiences such as the apparent impossibility to accept our self condition in life. So, traumatic experience can make people down and being hopeless or pessimistic but also can make people struggle to stand up again and improve his life better then being an optimistic person. Dream, Fantasy, Imagination Some people believe that dream is a secret message from life. The other believed that dream just a desire or will which can not be realized then enter to our mind when we sleep. Dream has his own rule and his own language. In a dream causality and time and space is can not applied. So, dream always being a mystery which hard to interpret. Based on Suryabrata (1983, p. 197) Jungs opinion about dream is that dream has constructive function, that is to compensate the objection side by side from conflict. Dream is manifestation of complexes unconscious. Beside of that Jung also said that fantasy and imagination are kind of complexes manifestation. Archetypes Jung adopted word archetypes from Agustinus that Archetypes is form of instinctive opinion and instinctive reaction to certain situation in outside consciousness. In addition, Archetypes are carried since people are born and grow in collective unconscious during human development and not defend from one person (Suryabrata 1983, p. 198). 2.1.2.4. Special Form of Unconscious Shadows Shadow is the dark side and unacceptable side from someone personality-motive and embarrassing desire, we better not show them to other person (Friedman and Schustack 2008, p. 130). Inside the personality exists the shadow. Shadow is the dark side of personality. Shadows are unrealized weaknesses. Shadows bring his own opinions which are entered into his unconscious because it cannot match or accepted by his conscious. The shadow archetype is also responsible for the appearance in consciousness and behavior unpleasant and socially reprehensible thoughts, feelings, and actions. These then may either be hidden from public view by the persona or repressed into the personal unconscious (Hall and Lindzey, 1978, p. 123). Projection : Imago Adopting information from Suryabrata (1983, p. 200), Jung named the content of psyche which projected to other people are imago. So that, imago is a judgment which unconsciously we addressed to the objects outside our self. Anima and Animus Two important archetypes are anima which represents the feminine side of human nature and the animus which represents the masculine side of human nature. Jung taught that all persons have the masculine and feminine archetypes in their collective unconscious (Larsen and Buss, 2005, p. 278). Every person has both of anima and animus. For example: A man who chose cooking as a hobby is show that his anima stronger than his animus but still has both of them. Otherwise, if a man is prefer to choose basketball than cooking as his hobby that is show that his animus stronger than animus and the same things goes to women. CHAPTER III RESEARCH METHODOLOGY 3.1. Method of data collection Reading and understanding the novel is the first step that the writer takes. After the first reading, the writer tries to read the novel for the second time. The method of the second reading is very helpful for making the understanding of the writer about the novel, especially for knowing its intrinsic elements better than the first reading. The writer makes a note of the novel for making him easy to remember the information he got from reading the novel. After that, the writer chose the temporary title and topic which will be highlighted. In studying the novel and in writing this thesis, the writer also conducted a library research to collect the data and information, which includes the use of the internet resources. In the beginning, the writer searched the materials after deciding what study to do and which approach to use. The next step was searching and collecting the individuation process theory of Carl Gustav Jung used to analyze the book, from the book in library or observed from the internet. In a library, usually the writer spends about two hours to search for the right materials needed for the study. Then, the writer borrowed the books home. In analyzing the literary work, the writer needs a material to use as the entity of the writers analysis. The primary data, that becomes the object of the writers study, is the novel. The novel used in this analysis is: Genre : Adventure Title : Percy Jackson The Olympians The Lightning Thief Author : Rick Riordan Publisher : Miramax Books City : New York Year : 2006 Pages : 453 3.2. Method of Data analysis In analyzing the study, especially in answering the first research questions, the writer explores the intrinsic elements of novel. Next, collects all of factors that support the first research question from intrinsic elements. Especially, plot and the character are explored more to find the strength of Percy character. Beside that, the writer will get the evidents that prove the capability of Percy which support him to be a hero. Finally, the writer connects it with the first research question to find the answer. To find the answer from the second research question the writer uses the psychological approach by choosing Jungs individuation process theory. The writer finds that individuation process theory of Jung is suitable and very useful to connect and explain the idea about the maturity process of Percy. In the way to search it, firstly, the writer tries to learn the behaviors of Percy in the novel and his psyche characteristic. Next, analyze Percys conscious structure and unconscious structure. Compare his experience with the points of conscious structure and unconscious structure. Find the superior psyche function of Percy. Then, classify Percy in Jungs Typology. After that, the writer decide that Percys individuation process can prove that Percy is mature enough to make twelve years old boy become a hero and save the world to answer the second question. Remember, if someone can make psyche function being balance it means that he is the perfect one. CHAPTER IV DATA ANALYSIS AND INTERPRETATION Individuation Process Analysis The maturity of Percy will be described by the Jungian Individuation process theory. Individuation process of Percy was shown by his psyche condition. In the way to know it, we should explore two main element of psyche which is conscious and unconscious. Percys conscious and unconscious will analyze thoroughly in this chapter. 4.1.1. Conscious Conscious element of Percy will be dividing into two main groups which is psyche function and psyche attitude. The writer will find evident from Percys novel to support the classification of this two main groups. Next, it will be classified into Jung typology. After find Percys conscious type in Jung typology, the writer will analyze Percys persona in order to find his way to show his consciousness in social interaction. Finally the writer will definitely conclude the Percys conscious type and condition. Psyche Function Percy psyche function dominated with rational thinking. Percy judging something with based of rational things. Percy usually calculates one thing and make conclusion based on his logic. He is hard to belief something which out of his logical. It shows in quotations below. All year long, Id gotten fights, keeping bullies from him. Id lost sleep worrying that hed get beaten up next year without me. And here he was acting like he was the one who defended me (Riordan, 2006, p. 19). This paragraph showing us that Percy is hard to belief when Grover said that he was the one who always protect him because he thinks that Grover is the one he always protects and Grover cannot pass a single day without his protection. But theyre stories, I said. Theyre myths, to explain lightning and the seasons and stuff. Theyre what people belief before there was science (Riordan, 2006, p. 51). When Chiron told Percy that Greek Gods truly existed, Percy denied it. Percy has no imagination that it could be happened in real life. Again, he rejects to belief something which out of his calculates. Percy has lack of imagination. He always stuck with usual condition which he usually faces. He always tries to get rational reason for every fact he faces. It makes him hard to belief illogical things happen to him. Based on psyche function theory Percy include in rational thinking categories. 4.1.1.2. Psyche Attitude Percy is an introvert person. He usually hides his true feeling. He hides his fears. He always tries to look strong and brave. He hides his sadness but in deep of his heart he suffers. He always tries to look confident even he fell not sure will be success. He does not care about his mission, about god, indeed world. He just cares about his mother because he thinks that mother is the only person he has. Next, the writer will analyze deeply and shows the evident which show Percy as an introvert person. First is the fact that Percy admires his mother. My mother can make me feel good just by walking into the room (Riordan, 2006, p. 24). Even he loves her very much, Percy still hides his feeling that he feels so happy because his mother is so careful to him. I told her that she was smothering me, and to lay off and all that, but secretly, I was really, really glad to see her (Riordan, 2006, p.25). Its become habit of Percy to hide his true feeling so he can be looked as a mature, a tough, a brave and a strong person. For her sake, I tried to sound upbeat about my last days at Yancy Academy (Riordan, 2006, p. 25). Again he hides his true suffer in his school to his mother because he does not want make his mother worried about him. He also hides his last sentence from Oracles prophecy that told that he will fail to save what matters most, in the end, in page 106 because he does not want if every one have doubt of him to done his mission successfully. The other reason why Percy is included in Introvert categorize is shown when he declare to Grover his true purpose that he go to underworld not to complete his task to find the master bolt but just for personal reason to save his mother life by bringing out her from underworld. What lay ahead of me was worse than petrification. I havent straight with you, I told Grover. I dont care about the master bolt. I agreed to go to the underworld so I could bring back my mother (Riordan, 2006, p. 144). Percy does not care about what will happen to the world if he fails to complete his mission. It does not matter for him if Zeus and Poseidon drag into a battle because the most important thing for Percy is his beloved mother. He blinds by his passion to save his mother, just like an introvert who do not care with world outside himself. 4.1.1.3. Jung Typologies Psyche Attitude Psyche Function Type Unconscious Extravert Thinking Thinking Extravert Feeling Introvert Feeling Feeling Extravert Thinking Introvert Sensing Sensing Extravert Intuitive Introvert Intuitive Intuitive Extravert Sensing Introvert Introvert Thinking Thinking Introvert Feeling Extravert Feeling Feeling Introvert Thinking Extravert Sensing Sensing Introvert Intuitive Extravert Intuitive Intuitive Introvert Sensing Extravert Based on Jung Typology, Percy can be categorized as a thinking introvert person. 4.1.1.4. Persona Percys persona will be going to be analyzed based on his social interaction in the novel. In socialize, even though has less of ability Percy always tries to protect his friend. He always shows no fear in his face. In social interaction he is being the person who care about all of his friends problems meanwhile actually he has a lot of personal problem which waiting to solve. Percy tries to be a steadfast person. He pushes and hides his sadness, fears and weakness to be a strong person whom never surrenders to any of hard condition. There are some texts in the novel which show Percys persona. I was alone. An orphan. I would have to live with à ¢Ã¢â€š ¬Ã‚ ¦ Smelly Gabe? No. That would never happen. I would live in the streets first. I would pretend I was seventeen and join the army. Id do something (Riordan, 2006, p. 45). In the text above we can see that Percy is a steadfast person. After his mother died he refuses to surrender to live. He will stand on his own foot to trough his rest of live. He shows his steadfast face to the Grover. Grover was still sniffling. The poor kid-the poor goat, satyr, whatever-looked as if he expected to be hit. I said, It wasnt your fault (Riordan, 2006, p. 45). Although Percy feels sad when his mother died he does not blaming Grover. He refuse that his friend Grover is responsible to his mothers death whereas Grover ordered to protect him and his mother. He is belief that he should be the one who protecting his mother and his friends. Next text, Percy pushes his fear and shows his courage in front of his admired girl Annabeth Case. He rejects Annabeths help because he want to shows that he is a gentleman and a brave person. Stay out of it, wise girl. Annabeth looked pained, but she did stay out of it, and I didnt really want her help. I was the new kid. I had to earn my own rep (Riordan, 2006, p. 68). 4.1.2. Unconscious The next analyze is to find out two points of unconscious which is personal and collective unconscious and see how it manifested based on information get from novel. For addition, the writer also analyzes the special form of unconscious to complete the unconscious element of Percy. 4.1.2.1. Personal Unconscious In his journey in the novel, there are some personal experiences which give deep impression and influence his maturity development in relation with Percys personal unconscious. First fight versus monster (Riordan, 2006, p. 10). Percys first experience facing monster is in Metropolitan Museum of Art. His mathematic teacher Mrs. Dodds turning into a Fury and attack him. Then the weirdest thing happened. Her eyes began to glow like barbeque coals. Her fingers stretched, turning into talon. Her jacket melted into large, leathery wings. She wasnt human. She was a shriveled hag with bat wings and claws and mouth full of yellow fangs, and she was about to slice me to ribbons (Riordan, 2006, p. 10). This time Percy firstly consider that monster is real and they go after him for some reason. Death of his mother and battle versus Minotaur (Riordan, 2006, p. 40, 41). Then, with an angry roar, the monster closed his fist around my mothers neck, and she dissolved before my eyes, melting into light, a shimmering golden form, as if she were a holographic projection. A blinding flash and she was simply gone (Riordan, 2006, p. 40). Death of his mother gave him deep impression. Without knowing the reason why, Percy saw his mother killed by Minotaur. He does nothing to save her because he too afraid. But, this accident is waking up his courage to revenge and fight the Minotaur or any others monster. Anger replaced my fear, newfound strength burned in my limbs (Riordan, 2006, p. 41). Met the Oracle and got his first mission (Riordan, 2006, p. 106). You shall go west, and face the god who has turned. You shall find what was stolen, and see it safely returned. You shall be betrayed by one who calls you a friend. And you shall fail to save what matters most, in the end (Riordan, 2006, p. 106). The Oracle read him the prophecy. It will become the guide to complete his mission. But, Percy feels desperate because two last sentences told that he will betrayed by his friend and will failed in the end. Even he thought that it is suicide mission his courage pushes him to keep straight to do the quest. Gotten ambush by 3 Furies (Riordan, 2006, p. 121-125). They are the first challenge Percys face in the mission. At this time Percy learn to work together with his two friends to defeat the monsters. Both of his friend ready to sacrifice so Percy can escape from that monster. But, after his mothers death Percy promise not to escape anymore and even should be death he will stay to save everything important in his life. I looked at the open doorway, I was free to go, but I couldnt leave my friends (Riordan, 2006, p. 124).

Reviews in Evidence-based Practice

Reviews in Evidence-based Practice In an era of evidence-based nursing, care providers need to base their clinical decisions on the preferences of patients, their clinical expertise, as well as the current best available research evidence relevant for practice (Beaven and McHugh, 2003; Mulhall, 1998; Sackett and Rosenberg, 1995). EBP, as a decision-making process which integrates the best available research, clinical expertise and patients characteristics (Sackett et al., 1997), is believed to be a valuable practice which lead to progress in peoples *psychosocial experiences of illness and healthcare as well as in nursing professional development (Hamer, 2005). Muir-Gray (1996) highlights that it bridges the gap between the discovery of knowledge and the time the knowledge is applied in practice, and Thompson (1998) believes it is a guarantee for doing the right things right. On this basis, systematic reviews has been found as the cornerstone of EBP, stem from Cochranes work on evidence based medicine in the late 1970s. It has been considered the gold standard for measuring the effectiveness of an intervention (NHS Centre for Reviews and Dissemination, 2001). As a secondary research method, it collates the best evidence about the clinical problem so that conclusions can be drawn about effective practices considering the potential benefits and harm (Hamer, 2005). In fact, with SR being a process for systematically identifying, scrutinising, tabulating and perhaps integrating all relevant studies, thus allowing for a more objective appraisal thatn single studies (Sackett et al., 1997), it has become an indispensable aiding tool in improving practice and quality of care particularly for busy health professionals who do not have enough time for keeping up to date with all the newest research (Greenhalgh, 1997). Obviously, SRs are important in nursing in order to discover areas where reviews and research are needed and minimise unnecessary duplication of nursing research (Sackett et al., 1997). Thus, there is a requirement to build up a process to provide the results of research findings in a concise way (Mulrow and Cook, 1997). SRs play a vital role in providing fast access to condensed up to date knowledge and offering a new opportunity for EBP in nursing (Muri-Gray, 1996). Meanwhile, SRs in EBP has a key value as it offer the best approach to determining the highest quality evidence in order to answer clinical questions or solve any conflicting findings (Roberts and Yeager, 2004). And, by adhering closely to scientific procedures, which delimit these biases, according to Schlosser (2006), then SR remains the best vehicle for practitioners to gain access to wide-ranging evidence to aid their practice. For healthcare professionals, the most important concern in the various debates surrounding EBP is what should establish the evidence for clinical practice (Egger et al., 2001). Thus, in the early 1990s, the term review of effectiveness emerged and the hierarchy of evidence based on the quality of evidence rating was headed by randomised controlled trials (RCTs)(Cooke et al., 1992). RCT is a considered a quantitative study design, which aims to reduce the bias of confusing issues, manipulate a definite intervention and inspect a possible cause-effect relationship between variables by contrasting different interventions between study groups (Cook et al., 1992). Besides RCTs, there have been additional cohort studies, case series (either post-test or pre-test), well-designed pseudorandomised controlled trials and case-control studies (Cook et al., 1992). SRs of high-quality RCTs with consistent results are considered to be top of the hierarchy of evidence, the most trustworthy evidence for studying the effects of interventions, contrasting with single RCTs which may derive a false conclusion (Kunz et al., 1998). Thornley and Adams (1998) confirmed that a single study is sometimes inadequate to detect the certainty of an intervention, differentiate between the effects of one, or to recognise the causal relationship between variables of treatments because of the small sample size of patients, which may inhibit the formation of true conclusions. This could be a medical hazard if healthcare decision makers base policies on erroneous data from single trials (Jadad and Enkin, 2007). Based on the foregoing, SR can integrate more than one study and facilitate the drawing of more real, objective, transparent conclusion to support the evidence in making clinical decisions (Sackett and Wennberg, 1998). From this standpoint, the tendency was to concentrate on SRs of RCTs and exclude other quantitative, qualitative or economic evaluation study designs (Dixon-Woods et al., 2004). On the otherhand, it has been debated that RCTs are not suitable for all circumstances (Dixon-Woods et al., 2004). For instance, if we want to explore the lived experiences of listening to music as a postoperative pain management intervention, the appropriate method to study that is through a qualitative design (phenomenology) (Greenland, 1987). Clearly, the worth of other reviews cannot be neglected because, they have a great influence in discovering the essential features of findings, which can direct future research design and clarify current levels of knowledge (Sackett and Wennberg, 1998). A closer look at the above will reveal that there are two main approaches of quantitative systematic reviews. The first is the SR of a single study design, which includes primary studies having the same study design (eg. RCTs). The second type is the systematic review, which summarises and combines the results from more than one study using statistical techniques and can sum up the outcomes of similar, but independent studies, to produce a single estimate of treatment effects (eg. Cohort studies) (Jadad and Enkin, 2007). This technique is called meta-analysis, which can provide a quantitative synthesis of the research. One of the purposes of meta-analysis is to reduce the uncertainty or controversy, and to reduce the bias and increase precision of the conclusions of a review (Sackett and Wennberg, 1998). However, the use of meta-analysis method is not necessary in every single systematic review. For instance, if the characteristics of the included studies are dissimilar or questionable, it may be inappropriate or even misleading to statistically pool results to give a meaningless summary; in this case, a narrative summary should be presented (Jadad and Enkin, 2007). A systematic review is considered to be a process to locate all studies for a specific purposeful question (drawn from research and other resources), critically appraise the methods of the studies, summarise the outcomes, present key findings, identify reasons for varied outcomes across the studies, and identify limitations of existing knowledge (Khan et al., 2003). In other words, it is a tool to collect and assess all relevant research evidence giving informative, experimental answers to scientific research questions (Evans, 2001). Systematic reviews are different from traditional literature/ narrative/ critical reviews (Khan et al., 2003). Despite often being very helpful as background reading, they have a number of disadvantages. They differ from the systematic reviews in that they are subjective, and not guided by a peer-reviewed protocol, and as such cannot be replicated; moreover, those studies that support the authors point of view are more likely to be selected (*Ravnskov, 1992). In addition, traditional narrative reviews may make different reviewers reach dissimilar conclusions from the same research bases (Teagarden, 1989). Thus, they appear lacking in rigorous scientific design to minimise the risk of biases or ensure reliability (Khan et al., 2003). The systematic review overcomes the problems which traditional narrative reviews have, through making the review process obvious. In this way, it is possible for the reader to replicate the process of the review and establish the generality and transparency of scientific findings (Egger et al., 2001). Moreover, it also provides objectivity for information by summarising the results of otherwise unmanageable quantities of research (*Ravnnskov, 1992). The rationale for undertaking a systematic review in the field of healthcare has been well established, according to Torgerson (1998) and is firmly embedded in the scientific paradigm. As the importance of EBP continues to be promoted, the profile and acceptability of systematic reviews prosper, and a constantly expanding volume of data needs to be considered by practitioners and researchers. However, it is impossible to read, critically evaluate and synthesise the state of knowledge, let alone update this regularly (Egger et al., 2001). Thus, the systematic review has become an essential tool for keeping up to date with the new evidence accumulating in a field of study. While reducing the ever-increasing torrent of published and unpublished research into manageable portions, Clarkson et al. (2003) explains that the systematic review also reduces both systematic errors (biases) and random errors (those occurring by chance). It provides a more objective, comprehensive view of the literature, which is of high quality and relevant to specific clinical practice. Yet clearly, this rationale does not exclusively apply to healthcare research. Systematic reviews can also provide raw material for establishing clinical guidelines and help plan new research by identifying existing gaps (Pearson et al., 2005). Clarkson et al. (2003) add that it can be used to formulate policy and develop guidelines on healthcare organisation and delivery. They are of particular benefit in areas of clinical uncertainty or where there is a wide variation in practice. Thus, healthcare providers, researchers and policy-makers can use systematic reviews to efficiently integrate existing information, providing data for rational decision-making. Systematic reviews not only inform clinical decision-making, but also inform the research agenda. The comprehensive searching, appraising and synthesising of research literature does not guarantee a definitive answer to a scientific research question (Clarkson and Ismail, 2003). By identifying questions for which, at present, there is insufficient good quality evidence upon which to base clinical decisions, systematic reviews highlight areas requiring further research. Conversely, the authors also point out that the results of systematic review may provide strong evidence regarding the benefits or harms of a particular intervention, and may actually preclude a new study from being conducted. Based on the foregoing Cochranes work on evidence-based medicine (NHS Centre for Reviews and Dissemination, 2001), conducting a systematic review is a gold-standard procedure for assessing the effectiveness of music as a postoperative pain management intervention. A systematic review is a piece of work / research that identifies relevant articles and synthesises the results obtained from the studies , critiquing them for their quality using a framework, possibly using a meta-analysis to help summarise the findings (Khan et al., 2003; Egger et al., 2001). They are vital tools for the healthcare practitioner/ worker/ clinician because research accumulates quickly and systematic reviews summarise large amounts of research, helping to make the information more accessible and easier to understand and use (Egger et al., Parahoo, 1997). Systematic reviews provide a reliable summary of the available evidence and this helps make clinical decisions (Lancaster et al., 1997). Reviews are a way of informing readers of patterns, strengths and limitations of the methodology used and this helps to make recommendations for future research (Parahoo, 1997). All available evidence on a specific topic is collected, analysed and synthesised (Parahoo, 1997) and by combining the information and assessing them together it is hoped that a clear conclusion can be formed (Davies and Crombie, 2003; Lancaster et al., 1997). Meta-analysis is often employed to collate primary research data from various critiqued articles and this can give an overall summary statistic or pooled estimate effect (Chalmers and Altman, 1995). Combining data from several primary studies increases the power of the result and hence allows readers to be more aware of the efficacy of the intervention (Chalmers and Altman, 1995; Lancaster et al., 1997). Systematic reviews permit a more objective view/ appraisal of the research than narrative reviews and this helps to sort out disputes between different articles (Egger et al., 2001). Narrative reviews are said to have lower quality than systematic reviews and several reasons are given for this by Egger et al., 2001. Classical reviews are subjective so are susceptible to bias and error. Systematic reviews have strict protocols whereas classical reviews do not necessarily have formal rules/ structure which may lead to error. Once studies have been identified, the author may only include studies that support their view rather than systematically looking at the evidence and the characteristicis of the study to help form a conclusion. This explains why reviewers using the classical (traditional) methods may obtain different answers and miss small but potentially significant differences. This in turn may lead to conclusions from a reviewer being associated more with the qualification and specialty of the author/ researcher/ reviewer than the presented data particularly in controversial areas. Systematic reviews are therefore more objective because all potentially relevant studies are gathered using a specific protocol, the results cna be tabulated and analysed, possibly using meta-analysis leading to a more objective appraisal which can help resolve uncertainties when study conclusions differ. Systematic reviews can highlight any conflicts or inconsistencies in the research and this can be studied (Chalmers and Altman, 1995), hence, systematic reviews have been described as being at the top of the hierarchy of evidence (Davies and Crombie, 2003). Implications from the ever expanding volumes of healthcare literature (Beaven and McHugh, 2003) means that, it is impossible for a clinician to access, let alone understand, the primary evidence that informs practice (Glasziou, Irwig and Colditz, 2001; Handoll et al., 2008). As a result of this, useful research studies and valuable findings are concealed and abandoned as a whole (Beaven and McHugh, 2003). Systematic reviews of primary studies are therefore an essential aspect of evidence-based healthcare for practitioners who want to keep up to date with evidence in making informed clinical decisions (Lipp, 2005; Glasziou et al., 2001; Handoll et al., 2008; Schlosser/ FOCUS, 2010). Commencing with a well-defined research question, such reviews utilise explicit methods to systematically identify, select, critically appraise, extract, analyse and synthesise data from relevant studies on a particular topic (Handoll et al., 2008; Petticrew and Roberts, 2006; Wright et al., 2007; Sackett et al., 2000). This process helps to minimise bias (Cook, Mulrow and Haynes, 1997), eliminate poorly conducted studies, confers power to the results that may not be given to individual studies (Lipp, 2005) and thus provide practitioners with reliable, valid and condensed evidence (Glasziou et al., 2001) in a considerably shorter period of time (Mulrow, Langhorne, and Grimshaw, 1997). Systematic reviews may involve the use of statistical methods (meta-analysis) (Handoll et al., 2008) in estimating the precision of treatment effects (Egger, Smith and ORourke, 2001). Unlike traditional narrative reviews, systematic reviews allow for a more objective appraisal of the evidence and may thus contribute to resolving uncertainty when original research, and reviews disagree (Egger et al., 2001). By using an efficient scientific technique, systematic reviews also can counteract the need for further research studies and stimulate the timelier implementation of findings into practice (Lipp, 2005). They can also inform the research agenda by identifying gaps in the evidence and generating research questions that will shape future research (Eagly and Wood, 1994; Handoll et al., 2008; Lipp, 2005). In spite of the numerous benefits of systematic reviews, they are not without challenges. Apart from being laborious (Petticrew Roberts, 2006), they require expertise in the subject matter as well as the review process (Manchikanti, 2008). Despite it being a rigorous, transparent methodology of search, appraisal, data extraction, retrieval, data synthesis and interpretation of the evidence from primary studies, there are limitations of early forms of SR methodology (associated with the hierarchy of evidence approach and advocated by the Cochrane movement) that are increasingly well recognised (Cooke et al., 1992). One of these limitations is that SR is a time-consuming process and it needs appropriate understanding of the research designs and methods together with knowledge of techniques for analysis, including statistical test (Gerrish and Lacey, 2006). Although the intention is to be systematic in the identification of studies and extraction of data, the systematic review process inherently has biases: of included studies, from poor search as well as publication related (Evans, 2001). In the same vein, language bias which exclude studies in languages other than English in the appraisal, in some way weaken the review as well (Evans, 2001). It is important to identify the most appropriate research design to fit the question. A systematic review was chosen since the research aim is to summarise lots of data collected in primary studies, which requires a systematic approach.

Documents Reflect History :: History

Documents Reflect History Written documents reflect what has happened. Actions that may have happened in history, give historical documents a reason to be. Although actions may not have occurred to cause documents to be written, they may have been just to prevent them from happening. The Declaration of Independence clearly states that the American colonists felt that having a political break with Great Britain would be needed. This was stated because the American colonists were getting tired of the high taxes and having their government ruled by a king living across an ocean. The Constitution of the United States became a document because the people who formatted the Constitution wanted to make a government strong enough to secure the rights of citizens and fight back with the country against its enemies. They wanted this because they wanted to be able to stand up against anyone or anything that came against the government. One of the purposes for the Constitution being written was to make laws and establish courts that are fair. This purpose was stated because if courts are not fair and laws are not just, then it will be as if we were still under the tyrannical rule of the King of England. The Martin Luther King Jr. â€Å"I Have A Dream† speech is a historical document. This document is known to be a new phase of the civil rights movement beginning in 1960, initiated by a new generation of African Americans and extremely supported by young liberal Caucasians. Many events occurred to give reasoning for this document to be written. Segregation took place and Martin Luther King Jr. stood up for what he believed in. He stated that the African Americans were not free and were not treated equal, as they should be. He specifically states, â€Å"There will be neither rest nor tranquility in America until the Negro is granted his citizenship rights.† This document was written because Martin Luther King Jr. felt the same as many other African Americans, hoping that someday all the racism will vanish and the racist will realize that everyone should get a chance at being treated equally. Of Civil Government by John Locke (1932-1704) became a document stating that we, the people, should take only what we deserve and to not depend on someone else to help you get what you want. Also, we being equal means that we should not hart or harm another in their life, health, liberty, or possessions.

All My Sons :: All My Sons by Arthur Miller

1. In the play â€Å"All My Sons,† by Arthur Miller, the word ‘father’ means the personification of goodness and infallibility to Chris Keller. There was a strong relationship between Chris and his father, Joe. Everything Joe had done in his life was for Chris. His entire factory was intended for Chris once he retired. 2. Throughout the play, there was question of Joe’s innocence in the death of twenty-one pilots, who were flying planes that had parts from Joe’s factory. Chris strongly believed that his father played no part in those deaths and that the blame lay solely on Joe’s partner, Herbert Deever. At the end of the play, Chris’ realization that his father was guilty brings about anger and then remorse, when Joe commits suicide due to his guilty conscience. Joe has done everything in his life for his sons. 3. Once his elder son Larry died in the war, Joe devoted his life to his younger son Chris. â€Å"KELLER. †¦Because what the hell did I work for? That’s only for you, Chris, the whole shootin’-match is for you.† Many businesses are handed down from generation to generation. Joe felt his role in life was to build a business that his son could take over once he got too old to run it. His love and hope for Chris blinded Joe’s ability to make a thoughtful and rational decision regarding faulty parts from his factory. This resulted in the death of the pilots’. Joe completely disregarded the lives that his parts would be affecting because all he cared about was his son. The love that Joe displayed to his son was returned in the love and respect that Chris had for his father. â€Å"GEORGE. †¦But you know him. You know in your heart Joe did it. CHRIS. Lower your voice or I’ll throw you out of here.† George Deever’s confrontati on with Chris about his father’s guilt demonstrated Chris’ belief that his father was not guilty of any crime. He refused to believe that his father played a role in shipping the defective parts to the government. This only reinforced the idea that there was a strong father son bond between Joe and Chris. 4. The moral values that were instilled in Chris blocked him from believing that his father was capable of anything else but good. These values prove to be the eventual down fall of Joe.

Problem Based Learning Essay

Students do not learn much just sitting in classes listening to teachers, memorizing pre-packaged assignments, and spitting out answers. They must talk about what they are learning, write about it, relate it to past experiences, and apply it to their daily lives. They must make what they learn part of themselves. † Explain how you will conceptualise this principle in your classroom? | There is a saying that goes: â€Å"Give a man a fish; you’ll feed him for a day. Teach a man how to fish; you’ll feed him for a lifetime. † As an educator, I hold on firmly to saying above. When I first started teaching, I told myself that I can either be a teacher who is only concerned about what need to be taught or I can be a teacher who is concerned about what and how something is supposed to be taught. I chose the latter. Why? Students had spent more than 12 years of learning in schools where most of the time, they sit and listen to what the teacher is teaching. Little or less participation on their behalf is incorporated during those 12 years. The main objective is to pass 3 ‘big and important’ examinations in 12 years. Sad to say, they soon forget a big chunk of what they had been learning for the past 12 years immediately after they finish their last paper for SPM. This is because students are only made to remember what they are taught; not to retain them. You can remember information for a specific length of time before you forget about it; but if you can retain that information, you’ll remember it forever. Let’s take mathematic as an example. We were taught how to do simple calculations such as addition since we were 6 years old. We not only learn how to add numbers in class, we also use it in our daily lives too. In a much simple terms, we practice what we learn in school and incorporate it into our daily lives. We retain the skills to do additions by doing and practicing. What about additional mathematics? Frankly speaking, if I was given a set of additional mathematics questions today, I would not be able to solve even the simplest question. Why? Because I did not use any of the formulas I was taught in school in my daily lives. I did not retain the information. Students are unique. They might not have the same way of learning. Lecturers and educators must be aware of their student’s ability in order to make the teaching and learning process a success. â€Å"Students have different levels of motivation, different attitudes about teaching and learning, and different responses to specific classroom environments and instructional practices. † (Brent and Felder, 2005) That is why, students learn best when they are incorporated and is actively involved during the learning process. The traditional method of teaching is more concerned on what the student should learn rather than how the student should be learning. In my class, I use Problem Based Learning (PBL) method. PBL is a new method of learning where there is a balance between what the students should learn and how they should be learning. â€Å"This new approach to learning is bringing about new ways in which students are involved in the learning process. Teachers know that students do not learn at their highest potential when they are in a classroom where the teacher stands at the front of the room and gives them knowledge. † (Utecht, 2003) During class, I encourage my students to speak and share information that they have on the topic. Before I start my lecture, I would first brainstorm the idea of the topic with my students. Initially, students would be reluctant to participate because they are afraid of saying the wrong answer. I encourage them saying that â€Å"if it is an opinion, there is no right or wrong answer†. Students in universities are andragogy learners; they are adult learners. As an adult, they would like to have more control of their own learning. â€Å"Andragogy reorients adult educators from educating people to helping them learn. The methods used may range from isolated instruction within a curriculum or integrated instruction. It may also encompass intentional and unintentional learning situations. † (Crawford, 2004) This type of students would be more interested to learn if they are given more power and control in the learning process. There are six assumptions on andragogy learners: 1. Adults need to know the reason for learning something (Need to Know) 2. Experience  (including  error) provides the basis for learning activities (Foundation). 3. Adults need to be responsible for their decisions on education; involvement in the  planning  and  evaluation  of their instruction (Self-concept). 4. Adults are most interested in learning subjects having immediate  relevance  to their work and/or personal lives (Readiness). 5. Adult learning is  problem-centred rather than content-oriented (Orientation). 6. Adults respond better to internal versus external motivators (Motivation). (Malcom Knowles, 1977) I planned and carry out my teaching and learning process using the 6 assumptions as my main guidance. Most of the time during class, I allow my students to voice out their opinion and share what they have to say on certain topics. I also let them know the objective of the learning and what they will acquire at the end of the class. If they feel that they did not achieve what they should at the end of the lesson, I encourage them to share their problems with their classmates so that they can come up with the solutions together. During my lecturer, I use simple examples which they can easily connect with in their daily lives. I usually share my experience and ask them to share theirs with the class. It takes the seriousness out of the learning process and students felt more comfortable sharing their problems and experience. For me, a relaxed and simple learning environment will encourage the students to be more active and not be reluctant to join in the discussions. A rigid classroom will make the students as cold as ice. Before I started teaching, I told myself to be the teacher that u have never had; the teacher I want to have but did not. I want my students to them around me and to not be ashamed to tell what they have in mind, because I believe the most valuable knowledge is the knowledge that we shared. References Brent. R, & Felder M. R. (2005). Understanding students’ differences. Journal of Engineering Education, 94(1), 57-72 Crawford S. R (2004). Andragogy – Malcolm Knowles. Retrieved March 21 from http://academic. regis. edu/ed205/Knowles. pdf Knowles, M. S. (1973). The Adult Learner: A Neglected Species. Houston:  Gulf Publishing Company. Utecht R. J. (2003). Problem Based Learning in Student Centred Classroom. Retrieved March 21 from http://www. jeffutecht. com/docs/PBL. pdf

The Future of Biopsychology-Obesity

NORTHCENTRAL UNIVERSITY ASSIGNMENT notice SHEET Learner Consuela Kelly-Crisler THIS FORM mustiness BE COMPLETELY FILLED IN Please Follow These Procedures If requested by your mentor, use an naming c all told over sheet as the first page of the enounce processor file. Use headers to indicate your grade code, assignment issuance, and your name on each page of the assignment/homework including this assignment cover sheet. . Keep a xerox or Electronic Copy Of Your Assignments You whitethorn need to re-submit assignments if your mentor has indicated that you may or must do so.Academic Integrity all in all work submitted in each stock must be the Learners own. This includes all assignments, exams, term papers, and whatsoever opposite projects require by the faculty mentor. The knowing leniency of some former(a) persons work represented as that of the Learners with aside properly citing the etymon of the work will be retrieveed plagiarism and will result in an dissat is accompanimentory grade for the work submitted or for the integral course, and may result in schoolman dismissal. PSY5106Dr. Nicol Moreland BiopsychologyAssignment 8 Faculty Use scarce The Future of Biopsychology- fleshiness Consuela Kelly-CrislerNorthcentral University Biopsychology PSY5106 Dr. Nicol Moreland December 9, 2012 A person is considered corpulent when his or her heaviness is 20% or to a gr go througher extent to a higher place normal weight. The more or less common pass judgment of corpulency is the form mass big businessman or BMI. A person is considered big(p) if his or her BMI is among 25 and 29. 9 a person is considered round if his or her BMI is over 30. Morbid fleshiness performer that a person is either 50%- coke% over normal weight, to a greater extent than 100 pounds over normal weight, has a BMI of 40 or high, or is sufficiently adiposis to repellantly interfere with wellness or normal function (What is corpulency? 2012). corpulency oc curs when a person brings more calories than he or she ignores. For more battalion this boils down to go for excessively much and exercising too little. But there ar other factors that comparablely play a contri providedion in corpulency. People slope to exculpate weight as they get older, fifty-fifty if they dont alter their feeding habits. This is be beat the human metabolism slows down as we age. We dont need to spot in as many calories as we employ to in erect to produce the same weight. Therefore, we store more of the nutrient we take in as avoirdupois weight. Women tend to be overweight more practically than men be compositors case men tend to burn calories at a higher mark (What is Obesity? 012). Obesity and rationaliseness seems to hurt a shake a record versus nurture comp atomic number 53 and exactly(a)nt. If a patient ofs biological mother is heavy as an adult, there is approximately a 75% fall come out of the c drowse offt that she will be heavy. Likewise, the barbarianren of thin p bents stick a 75% jeopardy of being thin (What is Obesity? 2012). This doesnt mean that the child of rotund p arnts has to be heavy, though. Many find slipway to keep the weight off. Genetics argon important, but lookstyle prizes such(prenominal) as down and utilization habits be, too. Less active throng tend to require slight calories than more active nation they dont need as much kindle because theyre doing less work.Physical activity as well causes the body to burn calories faster on average, and decreases appetite. People exercising less is ruling to be a blow overing cause of corpulency over the last 20 years. Psychological factors in addition influence take in habits and corpulency. Many sight eat in response to negative emotions such as boredom, sadness, or anger. People who extradite obstacle with weight management may be facing more emotional and psychological emergences about 30% of people who look for cherishment for skilful weight problems take hold difficulties with binge consume.During a binge- consume episode, people eat large amounts of food enchantment expression they great dealt maneuver how much they atomic number 18 eating. (Obesity Facts, 2012) Obesity bay window be ca apply by disorder, though people blame more cases of fleshiness on illness than is actually true. Illnesses several(prenominal) times responsible for corpulency include hypothyroidism (poorly acting thyroid slows metabolism), depression, and some rare diseases of the virtuoso that can lead to overeating. Social factors, including distress and a lower level of rearing, have been coupled to fleshiness.One reason for this may be that high-calorie processed foods cost less and are easier to find and prepare than healthier foods, such as fresh vegetables and fruits. However, the link between low socioeconomic status and obesity has not been conclusively established, and recent obesity research shows that childhood obesity, for instance, is overly increase among high-income groups. The best methods of obesity hold dearment are foddering and physical exercise. Obese people should adjust their fodder to reduce fat and sugar consumption, and increase dietary fiber.Anti-obesity drugs can as well as be effective in conjunction with a sun-loving diet, lessen ones appetite and/or fat absorption. close to obese people require stomach or bowel reduction surgery in order to lose weight. The wasteder stomach allows them to consume less food and still find out full. Obesity is a leading ecumenical cause of baffleable death, and authorities imagine it as one of the most serious health problems of this century. eyepatch in some cultures, obesity is a sign of prosperity and childbearing, in the western world, it is frequently viewed negatively.While whether to consider obesity as its own go disease is a matter of some debate, it is certainly a factor in many p hysical and cordial ailments. Obesity is associated with angina, myocardial infarction and between 21 and 34% of ischemic heart disease, depending on which research you read. Body-mass index levels associated with obesity overly double a persons jeopardize of heart failure and deep-vein thrombosis and cause over 85% of cases of hypertension (five times the normal risk). Obesity is also associated with higher levels of LDL cholesterol and lower levels of HDL.Obesity also has a compartmentalization of dermatological affects, including lade marks, acanthosis nigricans, lymphedema, cellulitis, hirsutis and intertrigo (Bray, 2004). Obesity has also been shown to be cerebrate with type 2 diabetes in 64% of cases in men and 77% of womens. cardinal percent of patients diagnosed with polycystic ovarian syndrome are obese, as are six percent of the infertile. Obesity is related to many complications in pregancy, including hemorrhage, infection, potpourri magnitude hospital stays for the mother and increase NICU requirements for the infant.Obese women are twice as wishly to require a caesarian delivery section and are at a high risk of preterm sustains and low birth weight infants. Children born of obese women have a greater risk of anencephaly and spina bifida, cardiovascular anomalies, including septal anomalies, cleft mouthpiece and palate, anorectal malformation, limb reduction anomalies, and hydrocephalus (Haslam, 2005). Obese women have a to the highest degree double risk of stroke pard to normal-weight women, temporary hookup men have twice as great a chance. Those who are obese have a rate of craziness 1. times greater than those of normal weight. Women obese at the age of eighteen have a greater than double chance of contracting multiple sclerosis. Obesity has also been shown to cause approximately five percent of cancers, including breast, ovarian, esophageal, colorectal, liver, pancreatic, gallbladder, stomach, endometrial, cervical, prostate , kidney, non-Hodgkins lymphoma and multiple myeloma (Bray, 2004). In addition to these physical effects, obese people are less likely to get married and contribute thousands less than their normal-weight counterparts, on average.Depression is also joined to obesity, though an increase in BMI has been linked to a decrease in the risk of suicide. Several studies suggest that many atomic number 101s treat obese patients other than. In a 1969 adopt of physicians, obese patients were described as weak-willed, ugly, awkward, and self-indulgent. In a more recent physician survey, one of three doctors said they respond negatively to obesity, behind three other diagnostic/social categories drug addiction, alcoholism, and mental illness. A comparable study name that two-thirds of doctors believe obese patients lack self-control, and 39 percent feel they are lazy.Two studies of nurses showed similar results. These attitudes carry over into the work world, where a job or a onward motio n is often denied simply because of how much one weighs. Obesity research and discussion is a very provocative subject. A 2011 phrase in the Journal of the American medical checkup Association proposes that states consider removing obese children above the 99th percentile from their homes. The author views temporary foster like as part of the reform for childhood obesity by providing an surroundings where the children would be exposed to proper commissariat and activity levels.During the separation period, the parents could also be better on the best slipway to assist their child in make do with their issue. Due to the relationship between obesity and low income (low income families cant substantially afford nutritious food, and low earners are often distracted from their family issues, whether by a second job, or by concerns like drug or alcohol abuse) and education (low income families usually arent as educated, which bleeds over into health issues like obesity) this solution seems severe but grounded in science.Detractors point out that the home environment is only one contributing factor to obesity, and that a childs obesity isnt mechanically considered abuse under the law. They cite studies present that children get more of their food absent from home, limiting the influence of even educated and snarled parents. Also, neither the potential authorisation of the proposal in terms of simplification obesity or the potential slander to the family unit caused by the removal have been substantiated. Psychological injury could in fact be inflicted, both(prenominal) to the parents and child, by do them to feel at fault for the obesity.This could lead to self-esteem issues, depression and more. This is without even pickings into affection the harm done by taking a child extraneous from his or her parents, even on a temporary basis. Another treatment, as original as the last if not as heavy-handed, is the potential for virtual- humankind trea tment of obesity. Virtual reality, also being used to treat psychological disorders like anxiety and addiction, allows clinicians to offer mental picture therapy in the comforts of their own offices without the problems sometimes posed by actual exposure.The clear to the patient comes from being in a safe environment where they can allow themselves connect emotionally with the treatment. Virtual reality has already been shown to induce a variety of controlled changes in the body, to include the sensation of a fake limb or an out of body experience. Researchers have even used virtual reality to give masculine subjects the feeling of being in a female body. From this point, its only a small leap to giving an obese person the sensation of being in a a normal-weight body.In one experiment, scientists discovered the anxious systems impressd in VR improvement of body image. This, combined with an adaptation of therapy used to treat post-traumatic stress disorder, is being used the dish up patients identify and change habits contributing to eating disorders and obesity. The first twenty transactions of the VR sessions are used for the therapist to get an intelligence of the patients concerns and experiences related to food. The patient does most of the talking, while the therapist guides the session. The second twenty proceeding are devoted to the actual VR session.The role ride can create a number of environments, like a classroom, apartment, or pub, to liven up some of the experiences the patient detailed to the therapist. The simulation also includes a body-image room, where the patient can create an ideal VR body and compare it to their real one. The last twenty minutes are used to discuss the patients VR experience. In terms of respectable considerations, the first needfully to be how much the government, communities and families are obligate to ensuring obese people get the treatment they need.It is very easy to dismiss obese people as having do ne it to themselves, since many cases could simply be prevented by eating better and exercising more. Mental illnesses are, by and large, viewed differently by much of the worldly concern than physical ailments. A person who forked in surface payable to a war injury that prevented them from exercising, for instance, would likely cumulate more sympathy than a person who simply doubled in size because they went to McDonalds four times a week. This, of course, influences the discussion on how much the government should be obligated to pay for medical care of the obese.Much like the arguments against smokers being covered by public assistance against the effects of their badness habit, a case can be made for whether tax dollars should pay for an obese persons weight-reduction surgery or triple bypass. While the legitimacy of these concerns can probably neer be agreed upon yet by the majority, the governments right to educate people on pre-emptive measures and healthy choices ca nnot be lessend, and the effects of those programs should not be overlooked.Some scientists acknowledge the righteousness of the obese for their conditions, but believe that it should only be a treatment point if it did not harm the patients mental health. Those scientists also take issue with the public thought process stigma against obese people, due to the additive burden it places on patients. In the westbound world especially, obese people are often considered lazy, overeaters or both. It is not estimable to assume this is true in all cases, those researchers say, and not ethical to create insurance or legislation based on those assumptions, either.Those assumptions can only be used positively in the shaping of preventative suggestions (anyone will benefit from more exercise and better eating, obese or not, so its acceptable to suggest them to everyone). Another consideration is what obese patients themselves consider acceptable in terms of treatment. Studies sow that ob ese adults choose intercessions that are non-commercial, dont fall back on common stereotypes and promote lifestyle changes (health initiatives and exercise) likeably than simple weight loss (dieting, bariatric surgery).Care should be taken to ensure that treatment of obese patients does not impact their mental health negatively, by reinforcing social stigmas, negative self-image, transfuse disregard for the positive social and pagan prognosiss of eating, disregarding the patients privacy and personal exemption in decision-making. One pretence, the Nuffield Council on Bioethics stewardship model of public health, recommends public programs that do not attempt to coerce adults to lead healthy lives, minimize introduction of interventions with-out consent and minimize interventions that are unduly intrusive and in con? ct with personal values. The stewardship model also incorporates an intervention ladder, ranging from no intervention to eliminating choice altogether. Eliminati ng choice, under this model, would be close for serious public health issues, such as an infectious patient requiring insulate in order to ensure the galosh of the general populationsomething obviously more serious than an obese patient. Restricting choice would take the form of removing unhealthy ingredients or foods from stores and restaurants (as in the recent limit on the size of fountain drinks in novel York City).Guiding through disincentives or incentives is on another level of the spectrum, by making it not worth a persons effort to do something, or vice versahigher medical insurance premiums for obese people who are doing it to themselves, for example. It is a model that clearly illustrates ways in which the government can financial support public health without becoming tyrannic and infringing on peoples rights. In summary, obesity is a major public health issue with far authoriseing consequences to a clean-living majority of the population. It is detrimental to th ose who suffer from it, both mentally and physically.Its physical effects are literally a head-to-toe list of increases risks of illness and injuries. Its mental effects include damage to patients self-image, which can bleed over into how the patient deals with work, social situations, parenting and every other aspect of life. There are numerous factors involved in an obese persons condition genetics, upbringing, ethnic values and mores, living environment and socio-economics. Some people expire obese due to pre-existing medical concerns, while others get to the condition by eating the revile things and not exercising enough.Once they do reach an obesity-qualifying body-mass index level, they can expect (in the Western world, at least), they can be judge to be held responsible for their condition no matter how it was reached, and to be treated differently simply because theyre not at a normal weight. Treatments for obesity range from the tried-and-true to the newfangled and from therapeutic to overbearing, with vary degrees of efficacy. Some involve the government, while others simply a life coach, dietician or trainer. Opinions on how to supervise obesity fall at varying points on a wide spectrum.The most logical source of study on how obese people should be treatedobese people themselvestend to prefer an admission that helps them change their lives as a whole in order to lose weight and prevent harmful behaviors, kinda than one that consists merely of a change in diet with no measures against reverse obese again at a later date. The ethical concerns in treating obesity include how to best treat obesity without making the patient feel worse about their problem and how much responsibility should be borne by someone other than the obese person themselves (i. . , the government). Future treatments for obesity may very well take a more holistic approach rather than simply tackling the separate components of diet and exercise. Scientists have taken steps toward subprogram the areas of the brain involved with impulse control and self-image, and developing ways of modifying behaviors using this information may prove useful in stemming the tide. Similar discoveries may fuel new ways of educating people on how to prevent obesity in the future as well, rather than only ways of reversing it afterward the fact.And of course, the more understanding we have of obesity and its causes, the more tolerant and accepting we should become as a whole towards people suffering from it. References What is Obesity? (2012) Retrieved December 7, 2012, from http//www. webmd. com/diet/what-is-obesity Bray GA (2004). Medical consequences of obesity. J. Clin. Endocrinol. Metab. Haslam DW, crowd WP (2005). Obesity. Lancet Childhood Obesity Prevention. (2012). In Root Cause. Retrieved October 14, 2012, from http//rootcause. org/childhood-obesity-preventionObesity Facts, Causes, Emotional Aspects and When to Seek Help. (2012). In WebMD. Retrieved Octobe r 14, 2012, from http//www. webmd. com/diet/what-is-obesity? page=2 Pinel, J. P. J. (2009). Biopsychology (7th ed. ). Boston, MA Allyn and Bacon Hahler B (June 2006). An overview of dermatological conditions commonly associated with the obese patient. Arendas K, Qiu Q, Gruslin A (June 2008). Obesity in motherliness pre-conceptional to postpartum consequences. Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (April 2003). Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U. S. adults. race Between Poverty and Overweight or Obesity. Retrieved December 7, 2012, from http//frac. org/initiatives/hunger-and-obesity/are-low-income-people-at-greater-risk-for-overweight-or-obesity/ Meetoo D. The imperative of human obesity an ethical reflection. Br J Nurs 2010 19 5638. Nuffield Council on Bioethics. Public health ethical issues. London Nuffield Council on Bioethics 2007. Available at http//www. nuffieldbioethics. org/public-health (Cited 9 December 2011).