Wednesday, January 29, 2020
How does the USA Today Function as Civic Culture Essay Example for Free
How does the USA Today Function as Civic Culture Essay The family is the basic unit of any particular society or community. It is therefore imperative that for the society to exist the family has to be there to produce members into the community. The community or national character any particular country is basically determined by the nature of the family values. An individual is shaped in the early ages by the family. In the contemporary society there are increased diversity changes in the family a characteristic of the many changes in culture, political, economic, social, and psychological and even the environment. The content definition of has not been agreed upon because of the great changes that are so accommodating. In the previous many years the family was considered as the people who are related by blood. This definition based on the kinship ties has been revoked due to the influence of many forms of families which has stripped off the family its actual definition. For instance there can husband and wife who do not have any kinship ties and they go ahead to adopt children. Another case that has changed such a definition of the family based on kinship ties is the increasing number of intermarriage within the context of race or ethnicity. This brings out a mixture of offspring and therefore it is difficult to trace the family bonds based on kinship ties. The issue of who is next to kin is no longer important in the current families. The most common aspect in the current families is the bonding based on mutual understanding. The many changes of husband and wife have been changed by the introduction of lesbianism and gay. These try to go against the grain of opposite gender type of marriage. The concept of marriage has changed from opposite gender type of marriage to a mixture of gay, lesbianism and opposite gender marriages. These are some of the dynamisms that are facing the contemporary families. This paper shall give an indebt analysis of the family, the changes in roles and functions of the families and the general effects of such changes to the contemporary families. A close reference and examples shall be drawn from the US and Mexico, the countries that border each other geographically. The contrasting differences I n family issues shall be pointed out clearly. Family life in the United States The family relationship in the United States has undergone several transformations due to the effect of globalization. Race and ethnicity are the most significant factors in shaping the variety of values, attitudes and behaviour amongst the families in the United States. There are a number of changes in families in the United States. These changes range from political, social, economic, and psychological to spiritual. The social dislocations have given rise to new ideas and values especially there is increased individualism among the members of the community. In the US there increased diversity in the organizational structures. There are many cases of divorce and separation in the United Stated which has grabbed the family the unity and love that is supposed to be enjoyed. Most the single families that are common in the US are as a result of divorce and remarriage due to greater democratization. (Hines Morrison, 2005) Cultural diversity in the US is accounting for the many different types of families that have emerged in the recent past. The United States constitutes almost all races and ethnic groups in the world. For this reason there are diverse cultural values as a resulting of this contact. The factor that there are free intermarriages between these diverse races and ethnic groups has made the US to have diverse cultural values which transcend the native culture. The immigrants who move to the United State try to maintain their native language despite the fact that they are forced to learn the official language of the United States, which is English. The immigrants from Spanish speaking countries (Hispanic) when they move to the United States they try to maintain their languages. The culture of the people is usually transmitted through language and due to the numerous languages in the United States there exists different cultures. This means that there are very many family clusters formed through the sharing of the languages. For instance most of the Hispanic immigrants have formed family clusters in the sides of Florida. The black American speaks a variety of English as they identify themselves as belonging or originating from one family. These disparities have affected the notion of the family because these people are allowed to mix freely with people from different cultures. The concept of the family in the United States is changing even the more during the advent of the green card where people from different pasts acquire citizenship. Many people from different races and ethnic groups have found their way to the US and as such most of them are allowed to move with their families. The nuclear family still remains an ideal source of the society in the United States. The United States families are characterized by the great social stratification. In the United the families are organized according to different classes. Among these classes there are great disparities in terms of economic value. The choice of families has not taken shift from mutual understanding to materials and resources. This has affected relationships from a sociological point of view. This issue of the class is a dominant phenomenon among the families in the United States as those who are rich wants to maintain the status quo. This is done through the inheritance that is passed within the nuclear families. The nuclear families in the United States are created and broken up and then reconstituted. This has led to the decline of family values which consequently affects the family patterns. This diversity in family pattern has been identified as the cause of problems such as violence, crime and drug use in the united state. The parents are usually very busy with their duties (United States, Congress, 1992). The increasing cases of divorce and separation in the United States have a negative effect on maintaining the ideal norms of the nuclear family value. The families that are exposed to values outside the parental domain are likely to deviate from norms. The human rights in the United States are considered fundamental. There is protection of the universal human right which is a recipe to the process of democratization. This the reason why the US government invest huge amount of money in education health and other basic sectors so as to enhance the promotion of the human rights among the citizens. The Family Life in Mexico Most people have preferred to live in Mexico for a variety of reasons such as social, political, economic and even good climatic reasons. Living in Mexico requires one to learn the Spanish language so as to increase effective communication. This is because the families are socialized in the Spanish language. The Mexican people are extremely warm and friendly as they are organized in smaller communities that come from the mutually intelligible families. This means that the socialization process is high since there tow much contact between the families. The family bonds are tightly held together and for this reason there is cultural uniformity. The society per se is integrated under common cultural values through the common language shared. Piped water is relatively inexpensive, but not always potable (drinkable). Decades of under-investment, combined with an attitude of impertinence towards paying water bills, has left Mexicos mains water system in poor condition. As a result, most people purchase bottled water, often in 20L containers. Bottled water is very expensive. Rents in Mexico can be higher than in equivalent-sized US towns or cities if the place is popular or fashionable, particularly places within easy reach of the US border. Mexico has a centralized economy: that is, most of the countrys economic activity revolves around. The Mexican pace of life is relatively slower than in the US Especially when the life in major cities is given consideration. The families in Mexico are closely tied as most of the families have time to attend to their families. There is a high degree of parental responsibility among the families. This transcends to greater heights of good values that the society enjoys. Mexicoââ¬â¢s culture has a rich history in a consolidated family religion, people and tradition. The Mexican people are proud of their culture that they keep on passing from one generation to another. This is because there is little infusion of the foreign cultures. The family is the basic unit in Mexico and a cornerstone to the maintenance of the culture. The rate of socialization and interaction among these people is too high. It is a usual phenomenon to meet two or more families meeting for a common interest or for a special event. This part of the family function in Mexico, people in Mexico have free time to visit resort centers for the purpose of relaxation which is not a common phenomenon in the United States, where people are too busy. (Heymann, 2006) The Mexican People are too religious which is a big contrast with the United States where people feel that they are in control; of their own life. A large number of people are Christian and they are usually committed to going to church. When you walk in the Mexican homes it is easy for you to see the religious images. In America people stay a non-religious life thus an effect of religious intermingling that has made it difficult for the people to which religious practice to adopt. Thus they resign from subscribing to any of the religious practice. The social stratification is not prevalent in the Mexican family as it is in the United States; people are seeking for money the Mexican people strive for titles. The professionals in Mexico prefer to be addressed with the titles that they deserve. This is as a result of the traditional emphasis given to the tittles within the family domain. The economic living standards in Mexico are slightly lower than in the United State. There are many poor people in Mexico than in the United States. The impact of these high levels of poverty in Mexico has necessitated the immigration of most Mexican families to the United States in search of better jobs and pay of most illegal immigrants from Mexico have gotten their way into the United States through the Mexican borders. These immigrants have settled in cities such as Florida. Working in the United States gives them better pay. This aspect of brain drain is lowering the general development of the families in Mexico as most of the people move leaving behind other family members Basically the cost of living in Mexico is lower than that of the US particularly for agricultural produce. Other sectors such as transport and communication are also lower in Mexico than I n the United States. Other utilities as electricity are more expensive compared to the United State. Working families in the United States, observing how parents struggled to find a balance between caring for children and earning a decent income. When parents split and one of the parents went from Mexico to the United States and was no longer available to give the necessary care, families suffer. What significantly exacerbates the problem is when the borders are so tight that they prevent families from reuniting. This has been a common phenomenon when the immigrants are not given the opportunity by the America to even visit their families in back home in Mexico. (Poole M. et al, 1993) Globalization of the economy created increased pressure for workers to accept lower labor standards, accept lower wages, longer hours, fewer benefits, and less paid leave. Both Nations likewise feel pressure from economic globalization not to implement family-friendly policies, such as paid leave for illness or when a child is sick, or paid parental leave. And that leaves working families struggling to balance work and their care-giving duties. The globalization process has affected families in both Mexico and United States economy was transforming the relationship between work and care-giving in similar ways everywhere. Globalization has forcing both countries to at a very high pace as far as labor standards and social policies are concerned hence leaving working parents with less and less time to raise their children. Parents work has shifted markedly around the world and that goes for every region. The child rearing process has been left in the hands of maids who offer supportive care while the parents are away working till late hours of the day. Men in particular have been moving away from one place to another in search of better jobs especially in various industries. Globalization has made men and women to work day and night and this has made them move away from their homes to go work in various places. A good example is that of outsourcing where people work in shifts where some work during the day and others at night. Women, likewise, have moved into the paid labor force and away from the home. From the period between 1960 and 2000 the number of women in the labor force went from 26 to 38 percent in America. The percentage of women in the workplace has increased both in the United States and Mexico. This has adversely affected the family care services that were provided by the women while their men were working in various sectors. This is a result of civilization which been brought about by the factors such as education, religion, work, urbanization among others. These factors have changed the various roles that were supposed to be executed by the family so as to prepare an individual to be a responsible member of the society. (Cecil, 1992) What has happened is that the world has seen women get better job opportunities which has assisted then them raise income to cater for their families. The increased number of single parent families has made it possible for the women to struggle to get money for rearing their families. While this is was going on there is also massive urbanization occurring all across the world. Thats not necessarily a bad thing, as people who move from very poor rural areas to urban areas often get better jobs, and become less dependent on, for instance, a good rain to feed their families. (Rowntree, Lewis, Price Wyckoff, 2006). References Hines D. A. , Morrison K. (2005) Family Violence in the United States: Defining, Understanding, and Combating. Sage Publisher. Heymann J. (2006) Forgotten Families: Ending the Growing Crisis Confronting Children and Working Parents in the Global Economy. Oxford University Press Poole M. et al (1993) Family: Changing Families, Changing Times. Allen Unwin publisher. Robinson, Cecil. (1992). No short journeys: The interplay of cultures in the history and Literature of the borderlands. Tucson: University of Arizona Press. Rowntree L. , Lewis M. , Price M. and Wyckoff W. (2006). Diversity amid Globalization: World Regions, Environment, Development. United States, Congress. House Americaââ¬â¢s (1992) Families: Conditions, Trends, Hopes, and Fears: Family policy. United States, Congress, House publisher.
Tuesday, January 21, 2020
Utopia by Thomas More and The Prince by Machiavelli Essay -- More Utop
Utopia by Thomas More and The Prince by Machiavelli Thomas Moreââ¬â¢s Utopia and Machiavelliââ¬â¢s The Prince both concern themselves with the fundamental issues of how a society works and maintains itself. The goals behind the two works, however, differ considerably. The goal of Utopia is to illustrate the maintenance of an ââ¬Å"idealâ⬠society and the goal of The Prince is to instruct a prince, or ruler, on how to maintain his state. On the surface these two goals may seem similar but the difference lies in the way the authors handle the subject of power. As a manual, or handbook if you will, Prince treats power as a necessity, a goal, to be worked towards and maintained, almost at all costs. Utopia, a fantasy, treats power as something all individuals have; rather, they are empowered. By comparing the way both works use and treat point of view and form, governmental systems and ideals the differences in perspective on power becomes clearer. Ideas are brought forth differently in both works through narrative point of view and style. These two different ways reflect the views of power the authors hold. The Prince is told in a matter of fact tone, its purpose being to inform a prince on how to run his kingdom. Inherent in this purpose is a key to Machââ¬â¢s view of power. Because it was written for the use of one man to dominate over and control his kingdom/state, it was obviously not meant for lesser mortals. It in itself is a tool of power which could be used for only the good of the prince who uses it. Whether or not the people are empowered does not matter, it is irrelevant. It only matters that the prince uses it to maintain his own power. In contrast, Utopia is a fanta... ... word ââ¬Ëvirtuââ¬â¢ over and over again, it is made clear that his virtue is not that of Moreââ¬â¢s. Power is implied in the very essence of Machiavelliââ¬â¢s writing. It is tied in with the greed, selfishness, and his ââ¬Å"do anything to maintain the stateâ⬠attitude. Even though Machiavelli passionately invokes the idea of his Italy brought back to life in the Exhortation, his motives are still selfish in nature; to look at an even broader term, his motives are nationalistic which is the idea of a nation being egocentric. In this respect he is also contradictory to More in that Moreââ¬â¢s ideas are for the good of human kind, not just for one nation. Ideals like justice and truth, which are the basis for Moreââ¬â¢s invention, make it impossible for him to do anything but claim power as the source of corruption in society while Machiavelli praises it.
Monday, January 13, 2020
Veterans and Ptsd
Veterans and PTSD Toni L. Enemy Hunter Psychiatric Rehabilitation/REHA 425 Professor McDermott October 29, 2011 Abstract The United States is seeing an increasing number of Veterans coming back from Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) being diagnosed with Post-Traumatic Stress Disorder (PTSD). PTSD is affecting the lives of men and women, their family and those closest to them. The goal of this paper is to give some general information for women and their families experiencing PTSD. It will give symptoms and treatment options available to women veterans.Women Vets and PTSD According to the 2009 and 2010 National Survey on Drug Use and Health, Substance Abuse and Mental Health Services Administration (SAMHSA), nearly 600,000 veterans aged 18 or older experienced a co-occurring substance use disorder and mental illness in the past 12 months. Post-Traumatic Stress Disorder (PTSD) is now becoming more prevalent with men and women in the military. How can th e families of the veteran better understand what to expect and how to deal with their loved ones suffering from PTSD? DefinitionAccording to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR; APA, 2000) the diagnostic criteria for PTSD include a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyper-arousal symptoms (Appendix 2). Challenges The British Medical Journal reported that veterans do not experience trauma or disabling symptoms until they return from the war (Gabriel & Neal, 2002).Friedman said PTSD symptoms appear when they return home trying to readjust to civilian life. When a person is on active duty in the military, if one does not have a physical injury then psychological symptoms are seen as a weakness and being a coward (Friedman, 2004). Those that did seek help found it difficult to be diagnosed bec ause they were not exposed to direct combat (i. e. hostile fire, returning fire, or seeing others injured). The veterans that do have PTSD from military trauma are from non-combative events such as sexual trauma.They may feel alone and worry about their families. PTDS is comorbid with traumatic brain injuries and other psychiatric disorders such as depression, social phobia, panic disorder, substance abuse, and mood and anxiety disorders (Feczer, 2009). [W]e deny that war changes its participants forever- â⬠¦America claims innocence and goodness as fundamental traits. We believe that our young men and women should be able to go to war, get the job done, and return home blameless and well. (Tick, 2005) InterventionThe Readjustment Counseling Service is available for veterans who served in war zones, Vietnam Era Veterans, veterans that experienced sexual trauma while in the military, and for family members that have lost loved ones while on duty. At a Veteran Center, the services that are provided are: individual counseling, group counseling, marital and family counseling, addiction counseling, benefits assistance and referral, employment referral and counseling, community education, liaison with VA facilities, referral to community agencies, contracts with area counselors and Mobile Vet Center Outreach.The client first has to go through assessments to figure out the best therapeutic approach. They need to be screened for victimization, suicidal potential, addictive behaviors, differential diagnosis, comorbidity, and family assessment (Meichenbaum, 1995). Medications, along with therapy, have been the most helpful types of treatment for PTSD. The medications used are antidepressant medications, anti-anxiety medications, mood stabilizing medications, and other medications to ease nightmares, irritability, sleeplessness, depression, and anxiety (Feczer, 2009). It is important when interviewing the client to find out their childhood history.Many times trauma du ring childhood will not come out until later in life and it can be the underlying issue to their problems (Feczer, 2009). Therapy Modalities PET After a traumatic event, many individuals experience distress and signs of PTSD. The veteran may experience suffering when dealing with the recollections related to the trauma. This type of therapy helps by approaching those thoughts, feelings, and events that the client has been avoiding because of the stress they cause. By repeated exposure to the emotions it helps the veteran reduce the power thoughts have over the client.However, during the assessment, it is important to discuss with the veteran the main event(s) that causes the stress. By doing this at a comfortable pace, the exposure to that trauma can be dealt with accordingly (Creamer & Forbes, 2004). The first part of the therapy is education. The counselor will explain the treatment, the common trauma reactions and symptoms of PTSD. PET helps the veteran understand what the go als are for the treatment and what to expect for the duration of the upcoming sessions. Teaching methods of breathing techniques will help the veteran to relax.Breathing changes when a person becomes anxious or fearful. This is a short-term technique to assist in managing sudden distress. The third aspect of PET is in vivo exposure where the client has exposure to real world situations or events that may be anxiety-producing. This is safely done by approaching the situation that has been avoided because of the stress it causes. PET uses imaginal exposure where the veteran talks through the trauma(s) with the counselor. By talking, it helps the client to gain control over the traumatic events and realize that he or she does not have to be afraid of his or her memories.The overall goal is to work through the events from least to most traumatic events and what is comfortable for the client. This type of therapy is usually eight to fifteen sessions that last about ninety minutes (Resick , Nishith, Weaver, Astin,& Feuer, 2002). CPT Many times those with PTSD have problems dealing with their thoughts and memories of the trauma they have been though. They may get ââ¬Å"stuckâ⬠in their thoughts and have a hard time making sense of what has happened or is happening to them. CPT helps in giving clients a new way of dealing with their thoughts and to gain an understanding of the events that haunt them.There are four parts to CPT: learning about PTSD symptoms, becoming aware of thoughts and feelings, learning skills and understanding changes in beliefs. CPT requires educating the client about PTSD and what to expect from the disorder. The veterans can ask questions and find out how the skills are going to help them. In this modality, the client needs to become aware of their thoughts and feelings. When bad things happen we want to know why they happen. Clients can get stuck in their thought process and not be able to let it go.However, with CPT a person learns t o pay attention to these thoughts that the trauma has caused and discuss how they make one feel. Then he or she can take a step back and see how it affects the person now. This will hopefully help the veteran think of the trauma in a different way. This can be done by writing about it or talking to the counselor. Next, the veterans need to begin learning the skills to help challenge their thoughts and question them as well. This is done by doing worksheets (appendix 1). These worksheets will help veterans decide the way they want to think and feel about their traumatic situations.These skills will eventually help in dealing with every day issues. Finally, there is trying to understand the changes in beliefs. There are common changes that happen after going through a trauma. There are going to be changes in the way a person thinks about safety, trust, control, self-esteem, other people and relationships. By talking about these beliefs, hopefully they can find a balance with the belie fs before and after the trauma. The approximate time for this type of therapy is twelve sessions. EMDR The final type of therapy is Eye Movement Desensitization and Reprocessing or EMDR.Clients that are involved in EMDR use imaginal exposure of their trauma and at the same time the counselor uses their index finger for them to follow back and forth. EMDR therapy seems to directly affect the brain by unlocking the traumatic memories, allowing clients to resolve them. Veterans work through the upsetting memory, beliefs, feelings, sensations until they are able to think about the event without reliving it. The memory is still there, but not as upsetting. It is like detaching oneself and watching a movie but relieving the trauma at the same time (Barton, Smith, Corcoran, 2011).Case Management, Employment and Vocational Rehabilitation According to the Vocational Rehabilitation and Employment Program that Congress prepared, case managers work closely with Vocational Rehabilitation Counsel ors (VRC) to create a rehabilitation plan. This plan consists of evaluation and planning for the future goals of the veteran. The veteran is evaluated to see if he or she is capable of independent living or will need rehabilitation services. The VRC is responsible to see that referrals for medical, eye care and dental are taken care of for the client.The vocational-education counselor will be able to assist the veteran in acquiring education, training, equipment, and financial aid if the client needs to develop new skills for employment. The President of the United States is also giving great tax breaks to employees for hiring veterans. The Counselor and Support Systems The downfall to helping veterans with PTSD is that there are not many counselors have the experience with this type of client. Counselors in this field are few, especially in the rural and underserved geographic areas.The VA resources are overwhelmed with clients so there is a backlog, which creates frustration with veterans. There are many that have contemplated or have committed suicide because they did not receive the help they needed. According to the National Center for PTSD, some may have had past mental health issues and may not have good support systems in addition to what was mentioned earlier. So that is why it is important to have a good support system and education is essential for the families when the veteran returns home. They will more than likely not be the same person as they were before they were deployed.Conclusion Veterans do so much for the United States citizens and we need to be thankful for the job they do for our freedom. The veterans put their lives in danger so we can live the life as Americans. Veterans deserve the respect and assistance when they return home to us. So it is my opinion that we do our best to ensure they can become productive citizens once again. I would like to be part of that team to assist in helping veterans adjust back into civilian life. I woul d like to see more citizens do the same by helping the veterans any way possible.Where would the United States be if we did not have such a great military team? References American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed. ). Washington, DC: Author. Feczer, D. A. (2009). Forever changed: Posttraumatic Stress Disorder in female military veterans, A Case Report. Perspectives in Psychiatric Care. Friedman, M. (2004). Acknowledging the psychiatric cost of war. New England Journal of Medicine, pp 351, 75-77. Gabriel, R. A. (2002). Post-traumatic stress disorder or somatic dysfunction after military conflict may hide posttraumatic disorder.British Medical Journal, pp 324, 340-342. Tick, E. (2005). War and the soul: Healing our nation's veterans from post-traumatic stress disorder. Wheaton, IL: Quest Books. Masson, N. (2010). Mindful Cognitive Processing Worksheet. Retrieved from http://drnataliemasson. com/images/Mindful%20Cogn itive%20Processing%20Worksheet. pdf Creamer, M. , Forbes D. (2004). Treatment of Posttraumatic Stress Disorder in Military and Veteran Populations, Psychotherapy: Theory, Research, Practice, Training, (Vol. 41, pp. 388-398). Resick, P. , Nishith, P. , Weaver, T. , Astin, M. , Feuer, C. 2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, (Vol. 70, pp. 867-879). Bartson, S. , Smith. , M. , Corcoran, C. (2011). Help Guide. EMDR Therapy. Retrieved from http://www. helpguide. org/mental/pdf/emdr. pdf Meichenbaum, D. (1995). A clinical handbook/practical therapist manual for assessing and treating adults with post-traumatic stress disorder (PTSD) book. Florida: Institute Press. Appendix 1Mindful Cognitive Processing Worksheet 1. Describe situation briefly 2. List emotions (single words) and rate the intensity (0-1 00%) 3. List automatic thoughts. Circle ââ¬Å"hot thoughtâ⬠. (For deeper work, identify the ââ¬Å"core belief. â⬠) 4. Observe breathing and body sensations. Describe these briefly. 5. Practice acceptance and validation. List thoughts that promote acceptance, non-judgment, validation. Take a few moments to practice breathing in an attitude of allowing things to be as they are without judging or trying to change/fix things. 6. List objective evidence that supports your automatic thoughts. . List objective evidence that counters your automatic thoughts. 8. Identify any distortions involved in your automatic thoughts. 9. Consider a more balanced thought. 10. Describe the outcome. List emotions, rate intensity. List any other reactions, observations. Bonusâ⬠¦ 11. Identify any core beliefs that could use revisingâ⬠¦. and a more adaptive belief. 12. Consider behavioral experiments to disprove the core beliefs and support a new belief. Summary of some common cognitive di stortions: 1. Probability overestimations ââ¬â overestimating the likelihood of a negative event 2.Mind reading ââ¬â assuming what others will think about you Appendix 1 Cont. 3. Personalization ââ¬â taking too much responsibility for a negative situation 4. Should statements ââ¬â incorrect/exaggerated statements about how things should be 5. Catastrophic thinking ââ¬â assuming that a negative event would be catastrophic 6. All-or-nothing thinking (Black ; White Thinking) 7. Selective attention and memory ââ¬âattend to negative information, discount positive 8. Overgeneralization ââ¬â a single event is taken as a sign of a global pattern 9. Fortune telling ââ¬â predicting the future with absolute certainty 10.Negative core beliefs ââ¬â negative assumptions about oneself. Taking an event and turning it into a core characteristic. (ââ¬Å"I made a mistakeâ⬠vs. ââ¬Å"I am a loserâ⬠) 11. Emotional reasoning ââ¬â believing that if you f eel as if something is true, that makes it true (Masson, 2010) Appendix 2 DSM-IV-TR criteria for PTSD In 2000, the American Psychiatric Association revised the PTSD diagnostic criteria in the fourth edition of its Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (1). The diagnostic criteria (A-F) are specified below.Diagnostic criteria for PTSD include a history of exposure to a traumatic event meeting two criteria and symptoms from each of three symptom clusters: intrusive recollections, avoidant/numbing symptoms, and hyper-arousal symptoms. A fifth criterion concerns duration of symptoms and a sixth assesses functioning. Criterion A: stressor The person has been exposed to a traumatic event in which both of the following have been present: 1. The person has experienced, witnessed, or been confronted with an event or events that involve actual or threatened death or serious injury, or a threat to the physical integrity of oneself or others. . The person's response involved intense fear, helplessness, or horror. Note: in children, it may be expressed instead by disorganized or agitated behavior. Criterion B: intrusive recollection The traumatic event is persistently re-experienced in at least one of the following ways: 1. Recurrent and intrusive distressing recollections of the event, including images, thoughts, or perceptions. Note: in young children, repetitive play may occur in which themes or aspects of the trauma are expressed. 2. Recurrent distressing dreams of the event.Note: in children, there may be frightening dreams without recognizable content 3. Acting or feeling as if the traumatic event were recurring (includes a sense of reliving the experience, illusions, hallucinations, and dissociative flashback episodes, including those that occur upon awakening or when intoxicated). Note: in children, trauma-specific reenactment may occur. 4. Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event. 5.Physiologic reactivity upon exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Criterion C: avoidant/numbing Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by at least three of the following: 1. Efforts to avoid thoughts, feelings, or conversations associated with the trauma 2. Efforts to avoid activities, places, or people that arouse recollections of the trauma 3. Inability to recall an important aspect of the trauma 4.Markedly diminished interest or participation in significant activities 5. Feeling of detachment or estrangement from others 6. Restricted range of affect (e. g. , unable to have loving feelings) 7. Sense of foreshortened future (e. g. , does not expect to have a career, marriage, children, or a normal life span) Criterion D: hyper-arousal Persistent symptoms of increasing arousal (not pre sent before the trauma), indicated by at least two of the following: 1. Difficulty falling or staying asleep 2. Irritability or outbursts of anger 3. Difficulty concentrating 4.Hyper-vigilance 5. Exaggerated startle response Criterion E: duration Duration of the disturbance (symptoms in B, C, and D) is more than one month. Criterion F: functional significance The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Specify if: Acute: if duration of symptoms is less than three months Chronic: if duration of symptoms is three months or more Specify if: With or without delay onset: Onset of symptoms at least six months after the stressor (American Psychiatric Association, 2000)
Saturday, January 4, 2020
A Christmas Carol By Charles Dickens - 1293 Words
Charles Dickens presents many short stories and novels. He is greatly known for his short fiction and later theater play, ââ¬Å"A Christmas Carolâ⬠. In one short story, a reader could describe it as Charles ââ¬Å"otherâ⬠Christmas story, an elderly narrator reminisce of holiday past. There is a range of appeal in the story itself from comforting memories of loved toys to leaving the reader with an eerie feeling of various childhood haunts. The readerââ¬â¢s analysis of Dickens use of vivid detail together with his use of the literary elements are reflected from his short story, ââ¬Å"A Christmas treeâ⬠. He was born February 7, 1812; Portsmouth, Hampshire, England (Marks). His father, John Dickens, was an official in the Navy Pay Office. In his early years, Dickens lived an easy life. In 1824 his father was arrested forcing Dickens to work and help support his family. For a long time, he worked in a small factory that manufactured shoe polish, where his job was to label the bottles of shoe polish. Young Dickens was traumatized by his fatherââ¬â¢s financial ruin and decided he wanted to control his life (Murphy 1) Life eventually improved for the Dickens family, and Charles was not destined for life in the workshop that he would later use for his fiction. He explored a rang for jobs early in his life: he clerked in a law office, court reporter, dallied with the theater, and later found success in as a newspaperman covering Parliament and politics. It was his career in journalism that later set DickensShow MoreRelatedCharles Dickens and A Christmas Carol1613 Words à |à 7 PagesCharles Dickens and A Christmas Carol: Famed British author, Charles Dickens was born on February 7, 1812, in Portsmouth, England. He was the second of eight children, living in a poor neighborhood in London. His parents were John Dickens, a naval clerk, who always lived beyond his means. Married to his mother Elizabeth Dickens, who aspired to be a teacher and a school director. Dickens went to William Gilesââ¬â¢ school in Chatham, Kent, for approximately one year before his fatherââ¬â¢s money habitsRead MoreA Christmas Carol By Charles Dickens1139 Words à |à 5 Pages The book I have chosen is A Christmas Carol by Charles Dickens. It has been rewrote few times but I wanted to pick the author that started it all. Charles John Huffman Dickens lived from February 7th,1812 ââ¬â June 9th,1970 making him 58 when he died. He was buried Westminster Abbey. His mother and father were John and Elizabeth Dickens. He had seven siblings four brothers and three sisters. During his life he was married to his wife Catherine Dickens from 1836 to the day he died. Together they hadRead MoreA Christmas Carol (Charles Dickens)1144 Words à |à 5 PagesCharles Dickens believed it was up to him to inform the people of Britain of the social problems occurring around Britain. While Dickens was a young man, he suffered from poverty along with his mother and father. His father was imprisoned for dept and Charles wanted to become a social reformer. Dickens used these problems as themes for his book ÃâA Christmas Carol. These themes involve poverty, pollution and a c hanging of ways. Dickens used Scrooge, the main character in the book at first to showRead MoreA Christmas Carol By Charles Dickens1160 Words à |à 5 PagesCharles Dickens began writing the famous story ââ¬Å"A Christmas Carolâ⬠in October 1843 and wrote excitedly during the next six weeks. He completed the narrative at the end of November so that it could be published by the time it was Christmas. It came out on December 17, 1843 and sold out in only three days (Molly Oldfield). The expression ââ¬Å"Bah! Humbugâ⬠, a line repeated many times in the story by its main character, a miserable and bitter fellow by the name of Ebenezer Scrooge, has become a well-knownRead MoreCharles Dickens A Christmas Carol Essay922 Words à |à 4 Pages ââ¬Å"Bah, humbug!â⬠This well-known phrase is popular thanks to Charles Dickensââ¬â¢ A Christmas Carol. In this literary classic, Dickens tells the story of Ebenezer Scrooge, a ââ¬Å"tight fisted...covetous old sinnerâ⬠(12). Through a series of hauntings by various Christmas ghosts, Scrooge realizes the error of his ways and changes completely into a warm-hearted, generous man. Scroogeââ¬â¢s tale is a familiar one; countless movies have been filmed, plays have been produced, and references made in other storiesRead MoreCharles Dickens A Christmas Carol1316 Words à |à 6 PagesIt can be easily depicted that Christmas is a time of the year to share joyfulness. In Charles Dickensââ¬â¢ A Christmas Carol, Ebenezer Scrooge is a character that is effortlessly described as a hardheaded cold man. It is simple to judge the character of Scrooge in this manner, but it is important to recognize the change in his personality throughout the story. Scroogeââ¬â¢s transformation happens very quickly, but he becomes generous and caring only when he is forced to see himself through a strangerââ¬â¢sRead MoreA Christmas Carol By Charles Dickens1331 Words à |à 6 PagesChristy Mak 12/21/15 Peri od three Scrooge Changes In the story, A Christmas Carol, by Charles Dickens, Scrooge is the main character. In the beginning of the story, he is shown as an old miser counting and gripping his money in the counting house. Later on, Scroogeââ¬â¢s dead business partner, Marley, has visited Scrooge from the grave while being bounded in chains to warn Scrooge to change his ways or suffer the same fate. Soon, three ghosts are sent to visit Scrooge to show him scenes thatRead MoreA Christmas Carol By Charles Dickens914 Words à |à 4 PagesFew characters in Christmas literature personify the antithesis of the season like Ebenezer Scrooge. Penned in 1843, Charles Dickens classic, A Christmas Carol has been told and retold. It has become a fixture of the season. So ingrained in our culture, is this story, that everyone knows the name Scrooge and the negative connotation that accompanies it. But what if, instead of just a cranky old miser, Ol Ebenezer Scrooge was more of a rather observant social commenta tor? In order to defendRead MoreThe Life Of Charles Dickens A Christmas Carol1062 Words à |à 5 Pageslasted from 1832 to 1901 under Queen Victoriaââ¬â¢s reign. The culture revealed in this era was a time of rapid change, social inequality, industrialization, supernatural and religious beliefs, and was accurately reflected in the works of Charles Dickens, A Christmas Carol. Roles of men and women were strictly defined, as were economic statuses. The hustle and bustle of the streets led to illnesses. Working conditions were destitute and unsanitary. Children often had little to no education, unless veryRead More A Christmas Carol By Charles Dickens Essay1877 Words à |à 8 PagesA Christmas Carol By Charles Dickens In this essay I intend to write about Ebenezer Scrooge who is the key character of the astonishing novel written by Charles Dickens one of greatest English novelist of he Victorian period. He wrote and published ââ¬Ëa Christmas carolââ¬â¢ in 1843. Charles Dickensââ¬â¢s also well know stories such as ââ¬ËOliver twistââ¬â¢. Dickens was born on the 2nd February 1812 in London port Hampshire. He moved from his birth place to Chatham where he received little education
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