Internet Addiction Essay Example for Free

Internet Addiction Essay Abstract Problematic computer use is a growing social issue which is being debated worldwide. Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and 8.2% [1]. There are several reviews addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and some reviews [6-8] addressing the treatment of IAD. The aim of this paper is to give a preferably brief overview of research on IAD and theoretical considerations from a practical perspective based on years of daily work with clients suffering from Internet addiction. Furthermore, with this paper we intend to bring in practical experience in the debate about the eventual inclusion of IAD in the next version of the Diagnostic and Statistical Manual of Mental Disorders (DSM).Problematic computer use is a growing social issue which is being debated worldwide. Internet Addiction Disorder (IAD) ruins lives by causing neurological complications, psychological disturbances, and social problems. Surveys in the United States and Europe have indicated alarming prevalence rates between 1.5 and 8.2% [1]. There are several reviews addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and some reviews [6-8] addressing the treatment of IAD. The aim of this paper is to give a preferably brief overview of research on IAD and theoretical considerations from a practical perspective based on years of daily work with clients suffering from Internet addiction. Furthermore, with this paper we intend to bring in practical experience in the debate about the eventual inclusion of IAD in the next version of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Keywords: Addiction, Computer, Internet, reSTART, Treatment. INTRODUCTION The idea that problematic computer use meets criteria for an addiction, and therefore should be included in the next iteration of the Diagnostic and Statistical Manual of Mental Disorders (DSM), 4th ed. Text Revision [9] was first proposed by Kimberly Young, PhD in her seminal 1996 paper [10]. Since  that time IAD has been extensively studied and is indeed, currently under consideration for inclusion in the DSM-V [11]. Meanwhile, both China and South Korea have identified Internet addiction as a significant public health threat and both countries support education, research and treatment [12]. In the United States, despite a growing body of research, and treatment for the disorder available in out-patient and in-patient settings, there has been no formal governmental response to the issue of Internet addiction. While the debate goes on about whether or not the DSM-V should designate Internet addiction a mental disorder [12-14] people currently suffering from Internet addiction are seeking treatment. Because of our experience we support the development of uniform diagnostic criteria and the inclusion of IAD in the DSM-V [11] in order to advance public education, diagnosis and treatment of this important disorder. CLASSIFICATION There is ongoing debate about how best to classify the behavior which is characterized by many hours spent in non-work technology-related computer/Internet/video game activities [15]. It is accompanied by changes in mood, preoccupation with the Internet and digital media, the inability to control the amount of time spent interfacing with digital technology, the need for more time or a new game to achieve a desired mood, withdrawal symptoms when not engaged, and a continuation of the behavior despite family conflict, a diminishing social life and adverse work or academic consequences [2, 16, 17]. Some researchers and mental health practitioners see excessive Internet use as a symptom of another disorder such as anxiety or depression rather than a separate entity [e.g. 18]. Internet addiction could be considered an Impulse control disorder (not otherwise specified). Yet there is a growing consensus that this constellation of symptoms is an addiction [e.g. 19]. The American Society of Addiction Medicine (ASAM) recently released a new definition of addiction as a chronic brain disorder, officially proposing for the first time that addiction is not limited to substance use [20]. All addictions, whether chemical or behavioral, share certain characteristics including salience, compulsive use (loss of control), mood modification and the alleviation of distress, tolerance and withdrawal, and the continuation despite negative consequences. DIAGNOSTIC CRITERIA FOR IAD The first serious proposal for diagnostic criteria was advanced in 1996 by Dr. Young, modifying the DSM-IV criteria for pathological gambling [10]. Since then variations in both name and criteria have been put forward to capture the problem, which is now most popularly known as Internet Addiction Disorder. Problematic Internet Use (PIU) [21], computer addiction, Internet dependence [22], compulsive Internet use, pathological Internet use [23], and many other labels can be found in the literature. Likewise a variety of often overlapping criteria have been proposed and studied, some of which have been validated. However, empirical studies provide an inconsistent set of criteria to define Internet addiction [24]. For an overview see Byun et al. [25]. Beard [2] recommends that the following five diagnostic criteria are required for a diagnosis of Internet addiction: (1) Is preoccupied with the Internet (thinks about previous online activity or anticipate next online session); (2) Needs t o use the Internet with increased amounts of time in order to achieve satisfaction; (3) Has made unsuccessful efforts to control, cut back, or stop Internet use; (4) Is restless, moody, depressed, or irritable when attempting to cut down or stop Internet use; (5) Has stayed online longer than originally intended. Additionally, at least one of the following must be present: (6) Has jeopardized or risked the loss of a significant relationship, job, educational or career opportunity because of the Internet; (7) Has lied to family members, therapist, or others to conceal the extent of involvement with the Internet; (8) Uses the Internet as a way of escaping from problems or of relieving a dysphoric mood (e.g., feelings of helplessness, guilt, anxiety, depression) [2]. There has been also been a variety of assessment tools used in evaluation. Young’s Internet Addiction Test [16], the Problematic Internet Use Questionnaire (PIUQ) developed by Demetrovics, Szeredi, and Pozsa [26] and the Compulsive Internet Use Scale (CIUS) [27] are all examples of instruments to assess for this disorder. PREVALENCE The considerable variance of the prevalence rates reported for IAD (between 0.3% and 38%) [28] may be attributable to the fact that diagnostic criteria and assessment questionnaires used for diagnosis vary between countries and studies often use highly selective samples of online surveys [7]. In their  review Weinstein and Lejoyeux [1] report that surveys in the United States and Europe have indicated prevalence rates varying between 1.5% and 8.2%. Other reports place the rates between 6% and 18.5% [29]. â€Å"Some obvious differences with respect to the methodologies, cultural factors, outcomes and assessment tools forming the basis for these prevalence rates notwithstanding, the rates we encountered were generally high and sometimes alarming.† [24] ETIOLOGY There are different models available for the development and maintenance of IAD like the cognitive-behavioral model of problematic Internet use [21], the anonymity, convenience and escape (ACE) model [30], the access, affordability, anonymity (Triple-A) engine [31], a phases model of pathological Internet use by Grohol [32], and a comprehensive model of the development and maintenance of Internet addiction by Winkler Dà ¶rsing [24], which takes into account socio-cultural factors (e.g., demographic factors, access to and acceptance of the Internet), biological vulnerabilities (e.g., genetic factors, abnormalities in neurochemical processes), psychological predispositions (e.g., personality characteristics, negative affects), and specific attributes of the Internet to explain â€Å"excessive engagement in Internet activities† [24]. NEUROBIOLOGICAL VULNERABILITIES It is known that addictions activate a combination of sites in the brain associated with pleasure, known together as the â€Å"reward center† or â€Å"pleasure pathway† of the brain [33, 34]. When activated, dopamine release is increased, along with opiates and other neurochemicals. Over time, the associated receptors may be affected, producing tolerance or the need for increasing stimulation of the reward center to produce a â€Å"high† and the subsequent characteristic behavior patterns needed to avoid withdrawal. Internet use may also lead specifically to dopamine release in the nucleus accumbens [35, 36], one of the reward structures of the brain specifically involved in other addictions [20]. An example of the rewarding nature of digital technology use may be captured in the following statement by a 21 year-old male in treatment for IAD: â€Å"I feel technology has brought so much joy into my life. No other activity relaxes me or stimulates me like technolo gy. However, when depression hits, I tend to use technology as a way  of retreating and isolating.† REINFORCEMENT/REWARD What is so rewarding about Internet and video game use that it could become an addiction? The theory is that digital technology users experience multiple layers of reward when they use various computer applications. The Internet functions on a variable ratio reinforcement schedule (VRRS), as does gambling [29]. Whatever the application (general surfing, pornography, chat rooms, message boards, social networking sites, video games, email, texting, cloud applications and games, etc.), these activities support unpredictable and variable reward structures. The reward experienced is intensified when combined with mood enhancing/stimulating content. Examples of this would be pornography (sexual stimulation), video games (e.g. various social rewards, identification with a hero, immersive graphics), dating sites (romantic fantasy), online poker (financial) and special interest chat rooms or message boards (sense of belonging) [29, 37]. BIOLOGICAL PREDISPOSITION There is increasing evidence that there can be a genetic predisposition to addictive behaviors [38, 39]. The theory is that individuals with this predisposition do not have an adequate number of dopamine receptors or have an insufficient amount of serotonin/dopamine [2], thereby having difficulty experiencing normal levels of pleasure in activities that most people would find rewarding. To increase pleasure, these individuals are more likely to seek greater than average engagement in behaviors that stimulate an increase in dopamine, effectively giving them more reward but placing them at higher risk for addiction. MENTAL HEALTH VULNERABILITIES Many researchers and clinicians have noted that a variety of mental disorders co-occur with IAD. There is debate about which came first, the addiction or the co-occurring disorder [18, 40]. The study by Dong et al. [40] had at least the potential to clarify this question, reporting that higher scores for depression, anxiety, hostility, interpersonal sensitivity, and psychoticism were consequences of IAD. But due to the limitations of the study further research is necessary. THE TREATMENT OF INTERNET ADDICTION There is a general consensus that total abstinence from the Internet should not be the goal of the interventions and that instead, an abstinence from problematic applications and a controlled and balanced Internet usage should be achieved [6]. The following paragraphs illustrate the various treatment options for IAD that exist today. Unless studies examining the efficacy of the illustrated treatments are not available, findings on the efficacy of the presented treatments are also provided. Unfortunately, most of the treatment studies were of low methodological quality and used an intra-group design. The general lack of treatment studies notwithstanding, there are treatment guidelines reported by clinicians working in the field of IAD. In her book â€Å"Internet Addiction: Symptoms, Evaluation, and Treatment†, Young [41] offers some treatment strategies which are already known from the cognitive-behavioral approach: (a) practice opposite time of Internet use (discover patientâ €™s patterns of Internet use and disrupt these patterns by suggesting new schedules), (b) use external stoppers (real events or activities prompting the patient to log off), (c) set goals (with regard to the amount of time), (d) abstain from a particular application (that the client is unable to control), (e) use reminder cards (cues that remind the patient of the costs of IAD and benefits of breaking it), (f) develop a personal inventory (shows all the activities that the patient used to engage in or can’t find the time due to IAD), (g) enter a support group (compensates for a lack of social support), and (h) engage in family therapy (addresses relational problems in the family) [41]. Unfortunately, clinical evidence for the efficacy of these strategies is not mentioned. Non-psychological Approaches Some authors examine pharmacological interventions for IAD, perhaps due to the fact that clinicians use psychopharmacology to treat IAD despite the lack of treatment studies addressing the efficacy of pharmacological treatments. In particular, selective serotonin-reuptake inhibitors (SSRIs) have been used because of the co-morbid psychiatric symptoms of IAD (e.g. depression and anxiety) for which SSRIs have been found to be effective [42-46]. Escitalopram (a SSRI) was used by Dell’Osso et al. [47] to treat 14 subjects with impulsive-compulsive Internet usage disorder. Internet usage  decreased significantly from a mean of 36.8 hours/week to a baseline of 16.5 hours/week. In another study Han, Hwang, and Renshaw [48] used bupropion (a non-tricyclic antidepressant) and found a decrease of craving for Internet video game play, total game play time, and cue-induced brain activity in dorsolateral prefrontal cortex after a six week period of bupropion sustained release treatment. Methylphenidate (a psycho stimulant drug) was used by Han et al. [49] to treat 62 Internet video game-playing children diagnosed with attention-deficit hyperactivity disorder. After eight weeks of treatment, the YIAS-K scores and Internet usage times were significantly reduced and the authors cautiously suggest that methylphenidate might be evaluated as a potential treatment of IAD. According to a study by Shapira et al. [50], mood stabilizers might also improve the symptoms of IAD. In addition to these studies, there are some case reports of patients treated with escitalopram [45], citalopram (SSRI)- quetiapine (antipsychotic) combination [43] and naltrexone (an opioid receptor antagonist) [51]. A few authors mentioned that physical exercise could compensate the decrease of the dopamine level due to decreased online usage [52]. In addition, sports exercise prescriptions used in the course of cognitive behavioral group therapy may enhance the effect of the intervention for IAD [53]. Psychological Approaches Motivational interviewing (MI) is a client-centered yet directive method for enhancing intrinsic motivation to change by exploring and resolving client ambivalence [54]. It was developed to help individuals give up addictive behaviors and learn new behavioral skills, using techniques such as open-ended questions, reflective listening, affirmation, and summarization to help individuals express their concerns about change [55]. Unfortunately, there are currently no studies addressing the efficacy of MI in treating IAD, but MI seems to be moderately effective in the areas of alcohol, drug addiction, and diet/exercise problems [56]. Peukert et al. [7] suggest that interventions with family members or other relatives like â€Å"Community Reinforcement and Family Training† [57] could be useful in enhancing the motivation of an addict to cut back on Internet use, although the reviewers remark that control studies with relatives do not exist to date. Reality therapy (RT) is supposed t o encourage individuals to choose to improve their  lives by committing to change their behavior. It includes sessions to show clients that addiction is a choice and to give them training in time management; it also introduces alternative activities to the problematic behavior [58]. According to Kim [58], RT is a core addiction recovery tool that offers a wide variety of uses as a treatment for addictive disorders such as drugs, sex, food, and works as well for the Internet. In his RT group counseling program treatment study, Kim [59] found that the treatment program effectively reduced addiction level and improved self-esteem of 25 Internet-addicted university students in Korea. Twohig and Crosby [60] used an Acceptance Commitment Therapy (ACT) protocol including several exercises adjusted to better fit the issues with which the sample struggles to treat six adult males suffering from problematic Internet pornography viewing. The treatment resulted in an 85% reduction in viewing at post-treatment with results being maintained at the three month follow-up (83% reduction in viewing pornography). Widyanto and Griffith [8] report that most of the treatments employed so far had utilized a cognitive-behavioral approach. The case for using cognitive-behavioral therap y (CBT) is justified due to the good results in the treatment of other behavioral addictions/impulse-control disorders, such as pathological gambling, compulsive shopping, bulimia nervosa, and binge eating-disorders [61]. Wà ¶lfling [5] described a predominantly behavioral group treatment including identification of sustaining conditions, establishing of intrinsic motivation to reduce the amount of time being online, learning alternative behaviors, engagement in new social real-life contacts, psycho-education and exposure therapy, but unfortunately clinical evidence for the efficacy of these strategies is not mentioned. In her study, Young [62] used CBT to treat 114 clients suffering from IAD and found that participants were better able to manage their presenting problems post-treatment, showing improved motivation to stop abusing the Internet, improved ability to control their computer use, improved ability to function in offline relationships, improved ability to abstain from sexually explicit online material, improved ability to engage in offline activities, and improved ability to achieve sobriety from problematic applications. Cao, Su and Gao [63] investigated the effect of group CBT on 29 middl e school students with IAD and found that IAD scores of the experimental group were lower than of the control group  after treatment. The authors also reported improvement in psychological function. Thirty-eight adolescents with IAD were treated with CBT designed particularly for addicted adolescents by Li and Dai [64]. They found that CBT has good effects on the adolescents with IAD (CIAS scores in the therapy group were significant lower than that in the control group). In the experimental group the scores of depression, anxiety, compulsiveness, self-blame, illusion, and retreat were significantly decreased after treatment. Zhu, Jin, and Zhong [65] compared CBT and electro acupuncture (EA) plus CBT assigning forty-seven patients with IAD to one of the two groups respectively. The authors found that CBT alone or combined with EA can significantly reduce the score of IAD and anxiety on a self-rating scale and improve self-conscious health status in patients with IAD, but the effect obtained by the combined therapy was better. Multimodal Treatments A multimodal treatment approach is characterized by the implementation of several different types of treatment in some cases even from different disciplines such as pharmacology, psychotherapy and family counseling simultaneously or sequentially. Orzack and Orzack [66] mentioned that treatments for IAD need to be multidisciplinary including CBT, psychotropic medication, family therapy, and case managers, because of the complexity of these patients’ problems. In their treatment study, Du, Jiang, and Vance [67] found that multimodal school-based group CBT (including parent training, teacher education, and group CBT) was effective for adolescents with IAD (n = 23), particularly in improving emotional state and regulation ability, behavioral and self-management style. The effect of another multimodal intervention consisting of solution-focused brief therapy (SFBT), family therapy, and CT was investigated among 52 adolescents with IAD in China. After three months of treatment, the scores on an IAD scale (IAD-DQ), the scores on the SCL-90, and the amount of time spent online decreased significantly [68]. Orzack et al. [69] used a psychoeducational program, which combines psychodynamic and cognitive-behavioral theoretical perspectives, using a combination of Readiness to Change (RtC), CBT and MI interventions to treat a group of 35 men involved in problematic Internet-enabled sexual behavior (IESB). In this group treatment, the quality of life increased and the level of depressive symptoms decreased  after 16 (weekly) treatment sessions, but the level of problematic Internet use failed to decrease significantly [69]. Internet addiction related symptom scores significantly decreased after a group of 23 middle school students with IAD were treated with Behavioral Therapy (BT) or CT, detoxification treatment, psychosocial rehabilitation, personality modeling and parent training [70]. Therefore, the authors concluded that psychotherapy, in particular CT and BT were effective in treating middle school students with IAD. Shek, Tang, and Lo [71] described a multi-level counseling program designed for young people with IAD based on the responses of 59 clients. Findings of this study suggest this multi-level counseling program (including counseling, MI, family perspective, case work and group work) is promising to help young people with IAD. Internet addiction symptom scores significantly decreased, but the program failed to increase psychological well-being significantly. A six-week group counseling program (including CBT, social competence training, training of self-control strategies and training of communication skills) was shown to be effective on 24 Internet-addicted college students in China [72]. The authors reported that the adapted CIAS-R scores of the experimental group were significantly lower than those of the control group post-treatment. The reSTART Program The authors of this article are currently, or have been, affiliated with the reSTART: Internet Addiction Recovery Program [73] in Fall City, Washington. The reSTART program is an inpatient Internet addiction recovery program which integrates technology detoxification (no technology for 45 to 90 days), drug and alcohol treatment, 12 step work, cognitive behavioral therapy (CBT), experiential adventure based therapy, Acceptance and Commitment therapy (ACT), brain enhancing interventions, animal assisted therapy, motivational interviewing (MI), mindfulness based relapse prevention (MBRP), Mindfulness based stress reduction (MBSR), interpersonal group psychotherapy, individual psychotherapy, individualized treatments for co-occurring disorders, psycho- educational groups (life visioning, addiction education, communication and assertiveness training, social skills, life skills, Life balance plan), aftercare treatments (monitoring of technology use, ongoing psychotherapy and group work), a nd continuing care (outpatient treatment) in an individualized, holistic approach. The first  results from an ongoing OQ45.2 [74] study (a self-reported measurement of subjective discomfort, interpersonal relationships and social role performance assessed on a weekly basis) of the short-term impact on 19 adults who complete the 45+ days program showed an improved score after treatment. Seventy-four percent of participants showed significant clinical improvement, 21% of participants showed no reliable change, and 5% deteriorated. The results have to be regarded as preliminary due to the small study sample, the self-report measurement and the lack of a control group. Despite these limitations, there is evidence that the program is responsible for most of the improvements demonstrated. CONCLUSION As can be seen from this brief review, the field of Internet addiction is advancing rapidly even without its official recognition as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The ongoing debate whether IAD should be classified as an (behavioral) addiction, an impulse-control disorder or even an obsessive compulsive disorder cannot be satisfactorily resolved in this paper. But the symptoms we observed in clinical practice show a great deal of overlap with the symptoms commonly associated with (behavioral) addictions. Also it remains unclear to this day whether the underlying mechanisms responsible for the addictive behavior are the same in different types of IAD (e.g., online sexual addiction, online gaming, and excessive surfing). From our practical perspective the different shapes of IAD fit in one category, due to various Internet specific commonalities (e.g., anonymity, riskless interaction), commonalities in the underlying behavior (e.g., avoidance, fear, pleasure, entertainment) and overlapping symptoms (e.g., the increased amount of time spent online, preoccupation and other signs of addiction). Nevertheless more research has to be done to substantiate our clinical impression. Despite several methodological limitations, the strength of this work in comparison to other reviews in the international body of literature addressing the definition, classification, assessment, epidemiology, and co-morbidity of IAD [2-5], and to reviews [6-8] addressing the treatment of IAD, is that it connects theoretical considerations with the clinical practice of interdisciplinary mental health experts working for years in the field of Internet addiction. Furthermore, the current work gives a good  overview of the current state of research in the field of internet addiction treatment. Despite the limitations stated above this work gives a brief overview of the current state of research on IAD from a practical perspective and can therefore be seen as an important and helpful paper for further research as well as for clinical practice in particular.

Sophocles :: essays research papers

Sophocles was born in Colonus, near Athens, c.497 B.C. Sophocles father was a wealthy armorer named Sophillus. When he reached adulthood he was already established as a great tragic playwright, and the citizens of Athens loved him. He was nicknamed Attic-bee by the Athenians because he could take pure honey from words. Sophocles was born in Colonus, near Athens, c. 497 B.C. Sophocles father was a wealthy armorer named Sophillus. Sophocles had a good childhood. Sophocles, at age sixteen, led a boy's chorus for the victory celebration over defeat of the Persians at Salamis. When he was twenty-eight, he beat Aeschylus in a dramatic contest. Already Sophocles was showing true talent in play writing. At this time he also wrote poetry, none of which has been recovered. As a young man Sophocles was popular, handsome, a good athlete, and a great writer. When he reached adulthood he was already established as a great tragic playwright, and the citizens of Athens loved him. He was nicknamed Attic-bee by the Athenians because he could take pure honey from words. Sophocles had many friends, one of which was the historian Herodotus. This friendship may be a reason that we know so much about Sophocles. After a long and prosperous career, he died of old age in Athens at the age of ninety. Sophocles wrote 123 plays, and won 24 dramatic victories for Athens. Of his 123 plays, only seven are preserved in entirety. However, there still remains a large portion of his satyr Ichbeutae that remains intact. His seven plays are Ajax, Antigone, Electra, Trachiniae, Philoctetes, Oedipus at Colonus, and Oedipus Rex. Sophocles went through three artistic periods. The first, his earliest years, were influenced greatly by Aeschylus. Ajax was produced in this period. The second was in a "harsh, contrived" style. Antigone was produced during this period. He produced all his other plays in his mature years, or his third period.

Disadvantages of Early Marriage

Marriage can provide a great deal of stability in a relationship, giving spouses certain legal and monetary advantages, as well as bringing them closer together emotionally. But marriage isn't the best option for everyone, and has certain disadvantages for younger couples. The average age for a first marriage in the US is 27 for women and 29 for men — roughly six to seven years older than first marriages of previous decades. However some couples still choose to get married much younger — sometimes right out of high school. Related Searches: Marriage Divorce LawMarriage and RelationshipMarriage Divorce LawMarriage and Relationship Sense of Self One disadvantage of early marriage is that younger people haven't had the opportunity to explore themselves much beyond their families, or small groups of friends. In order to develop a keen sense of self, one that is capable of contributing fully to a relationship, some discovery is needed about interests and goals. Giving each other several years to uncover these likes and dislikes will go a long way in bringing together more mature partners in a marriage. Goals When it comes to goals, you may know what you want to do right after high school. In fact, you may have your entire career mapped out — right down to retirement. But funny things can happen when you go to college or start your chosen career. You may find that the path you chose doesn't suit you at all. Instead of a 9-to-5 job, you may want one that allows you to travel the world, for example. If your spouse isn't keen on going with you, it may spell trouble for your marriage. Commonalities It's easy to have things in common when you attend the same school, have the same friends, and live in the same town. Unfortunately, this can create a false picture of all the aspects of life that you share with your spouse, or future spouse. You may find that when you are alone together — without the benefit of common pursuits — that your true interests or perspectives just on't mesh. Finances Meager finances are a major pitfall of marrying too early. If you want a nice wedding, the average cost is $25,000. Then there are student loans to consider, relocating costs, and even possible child care expenses. Younger people aren't likely to be at the point in their career when they can easily shoulder such burdens. This can cause fighting and tension that leads young married couples to divorce. Wu

Pride and Prejudice - 1906 Words

Pride and Prejudice tells a story of a young girl in the midst of a very materialistic society. Jane Austen uses the setting to dramatize the restraints women had to endure in society. As the novel develops, we see how women have to act in a way according to their gender, social class, and family lineage. Elizabeth Bennet’s sisters represent the proper societal lady while Lizzy is the rebel. Through her characters Austen shows how a women’s happiness came second to the comfort of wealth. As the plot develops, events are laid out to illustrate how true love is unattainable when women marry for intentions of wealth. Women have very specific and limited roles in a society where men are the superior. In Pride and Prejudice, Jane Austen†¦show more content†¦While moral Jane remains an invalid, captive at the Bingleys, her satirical sister Elizabeth walks two miles along muddy roads to help nurse her†¦While Jane remains at home, lovesick but uncomplaining, Eliza beth accompanies the Gardiners on a walking tour of Derbyshire. Jane’s docility, gentleness, and benevolence are remarkable, for she suffers silently throughout the entire plot†¦ (Jane Austen’s Pride and Prejudice, 65) Austen compares Elizabeth and Jane to show how differently they are viewed by society. Austin shows that simply being pretty, patient and kind does not guarantee happiness. While Jane was tortured awaiting Mr. Bingely, Elizabeth was chasing her own happiness. Elizabeth wasn’t the prettiest or the sweetest, but certainly was no damsel in distress. Lizzy broke through the restraints of a proper, societal woman in which her sister followed to a tee. Austen opens the novel by telling us, â€Å"It is a truth universally acknowledge, that a single man in possession of a good fortune must be in want of a wife.†(7) The act of marriage during this time period an act of comfort rather than love. A woman married a man when it was ensured she would live a prosperous and wealthy life. Affection was not enough for women to marry; however, Elizabeth knew that in order for her to be happy, love must be there. In Pride and Prejudice, Elizabeth was promised of a comfortable life by three gentlemen but turning all three down because her affection wasShow MoreRelated Essay on Prejudice and Pride in Pride and Prejudice1535 Words   |  7 PagesPrejudice and Pride in Pride and Prejudice      Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   In any literary work the title and introduction make at least some allusion to the important events of the novel. 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Although she does eventually fall for him, Elizabeth’s feelings towards Darcy for the first half of the story are vehemently negative, with no detectable amount of affection. Her unequivocal distaste for him plays a major part in her character arc as it slowly gives wa y to fondness. But in Simon Langston’s film adaption of

Stem Cells Essay - 1034 Words

Mesenchymal stem cells go on to develop into: connective tissue, like adipocytes, stromal cells or tenocytes; muscle tissues, from myoblasts into skeletal, cardiac and smooth muscle types; cartilage, which is created when an osteochondral progenitor cell develops into a chondroblast then a chondrocyte; or bone tissue, which is also developed from an osteochondral progenitor cell, into an osteoblast, then an osteocyte. Hematopoietic stem cells are what create all the different components of blood. They develop into Myeloid Progenitor cells, which then go on to develop into erythroblasts (create erythrocytes, or red blood cells), megakaryoblasts (create megakaryocytes and thrombocytes, which are platelets), and also myeloblasts.†¦show more content†¦It then develops into a polychromatophilic normoblast. At this stage, the cytoplasm begins to create haemoglobin, changing the colour to dark grey-blue, and the chromatin in the nucleus becomes more condensed and knotted. Then, the nuclei completely shrink, forming a orthochromatic normoblast, which then develops into a reticulocyte, an immature red blood cell. Neutrophils Neutrophils are also created from myeloid Progenitor cells, but they then develop into myeloblasts, which create the three types of granulocyte, including neutrophils. Stem Cells in Medicine There are many potential benefits of stem cell research, however, there is a lot more intensive stem cell research that needs to be done to bridge the gap between the promise of stem cells and the actual reality of these uses. There are many areas of medicine where stem cells could be applied, and range from the development of new drugs, possibly for conditions that have no treatments or cures, to cell therapies, where stem cells are used to replace failing or damaged tissue. Together, cardiovascular diseases, such as heart disease, and cancers are the top two causes of death. Regenerative medicine, using stem cells, has the potential to be able to repair heart damage and perhaps improve cancer treatments. Heart Disease At the moment, the aim of heart disease research is to understand in better detail what is involved in heartShow MoreRelatedStem Cells Essay1699 Words   |  7 Pageshas provided us with a hope for these diseases. This essay will address the issue of controversial research in stem cells. This technology offers hope to millions who are victims of a multitude of diseases and disorders. It can be used to regrow limbs, create organs, attack genetic diseases, treat malfunctioning bladders, etc. However, this same technology is also one of the most controversial debates in science today. If you type â€Å"stem cells research† into your Google search bar, you will most likelyRead MoreStem Cells Essay1530 Words   |  7 Pages Stem cells are used every day throughout the United States to help cure diseases and save lives. Stem cells can also be used to study labor defects so that future birth deficiencies can be prevented or reversed. Although as a college student starting a family may not be on your mind yet, it is always beneficial to educate yourself on current trends and new discoveries in stem cell research. Andres Travino and his wife were excited when their son Andy was born ten years ago. Andy prayed and hopedRead MoreStem Cell Essay939 Words   |  4 PagesInduced Pluripotent Stem Cells and their use in Cardiac Regeneration Introduction Myocardial infarction (MI) is the leading causes of mortality and morbidity in the world. Ischemic heart disease, where the oxygen supply to the myocardium is restricted, is a common cause of an MI. Myocardial injury results in loss of cardiomyocytes (cardiac muscle cells) due to apoptosis, and the development of necrotic myocardium, eventually leading to heart failure. The formation of the necrotic myocardium causesRead MoreStem Cell Essay1061 Words   |  5 Pagestreated with the use of embryonic stem cells. Embryonic stem cells are cells derived from the undifferentiated inner mass cells of human embryo. In simpler terms, these cells have the ability of developing into any of the two hundred different cell types in our bodies. Unlike most of the cells in our bodies, such as heart cells or skin cells, which conduct a specific function, a stem cell does not have a specific function until it is specialized (Hogan). A stem cell that is becoming specialized willRead More Stem Cells Es say1128 Words   |  5 PagesEmbryonic Stem Cells â€Å"Embryonic stem cells...are in effect, a human self-repair kit,† (Christopher Reeve, activist – Larry King show). For the advancement of science, stem cells are infinitely valuable, especially when considering all the potential applications in the field of medicine. Stem cell usage is a very controversial topic, because most people think of abortions, cloning, and other negative topics when they hear the term stem cell. However I think those thoughts are because they don’tRead More Stem Cells Essay4600 Words   |  19 Pages Stem cells are a large focus of study in today’s biomedical world. They are cells that exist in an undifferentiated state, and transform into differing tissue types depending on what the cells surrounding them are. The different types of stem cells have the ability to repair many classes of damaged human tissue. However, only one type of stem cell promises to regenerate virtually any class of tissue. This is the highly controversial embryonic stem cell (ESC). Unfortunately, there is a dark sideRead MoreEssay on Stem Cells2760 Words   |  12 Pagesof the most recent advances in stem cell research. 2.nbsp;nbsp;nbsp;nbsp;nbsp;Stem cells should be defined by their ability to renew themselves and diversify into other cell types. 3.nbsp;nbsp;nbsp;nbsp;nbsp;There are several readily accessible sources of stem cells. Strict criteria apply to the use of these sources in medical research. 4.nbsp;nbsp;nbsp;nbsp;nbsp;Stem cells have wide potential application in medicine. quot;Adultquot; stem cells have already been used in the worldsRead MoreStem Cell Research: The Benefits of Stem Cells Essay723 Words   |  3 Pagesextracted the adult stem cells from it and formed an osteoblast, which is a bone forming cell. Six months after the osteoblast was injected, it started forming new bone material which filled the gaps (NIH Stem Cells). Stem cells could be a genius way to treat many diseases and disorders and it should be supported by everyone. Stem cells get their name from the fact that they are basic cells that other cells develop from. They are capable of developing into a wide range of cells. Stem cells could potentiallyRead MoreEssay on Stem Cells2831 Words   |  12 Pages What is a stem cell? nbsp;nbsp;nbsp;nbsp;nbsp;Stem cells have the ability to divide for indefinite periods in culture and to give rise to specialized cells. They are best described in the context of normal human development. Human development begins when a sperm fertilizes an egg and creates a single cell that has the potential to form an entire organism. This fertilized egg is totipotent, meaning that its potential is total. In the first hours after fertilization, this cell divides intoRead More Stem Cell Essay1406 Words   |  6 Pagesothers. Research in the use of stem cells holds limitless possibilities in the medical field. Stem cells are the cells in our bodies that are in their primitive form. These cells have not yet become the type of cell they are destined to be, whether it be nervous tissue or another. However, even though stem cell research is a great new field, its progress is being limited by moral concerns and ethical questions. In order to let medicine reach its full potential, stem cell research should be legalized

Npm And Performance Management Related Literatures

CHAPTER 2 LITERATURE REVIEW â€Å"The NPM Model has focused on delivering market-inspired results and was primarily concerned with efficiency and performance.† (Jarrar and Schiuma, 2007) 2.1. INTRODUCTION Efficiency and performance become two key words for the reform that held by countries in the world. Started in the developed countries, namely United Kingdom and United States under their leader, Margaret Thatcher and Ronald Reagan era, this doctrine then spread to Australia, New Zealand, Europe, Africa, Latin America and Asia. NPM spread and breadth expand globally. Inevitably, this so-called doctrine or paradigm is delivering market-based which one’s country like or dislike diffuse theirs governance in order to well implement it. This movement also inevitably followed as one of the pressure of country’s exogenous factors. The main purpose of this Chapter is to address NPM and Performance Management related literatures. First, the definition of NPM, its objectives and characteristic is clarified in Section 2.2.1. Section 2.3 expands on the explanation of NPM in developing countries. The Chapter progresses with elaborating Performance Management themes in Section 2.4 encompassing definition, essences and challenges, before concluding in Section 2.5. 2.2. NPM AND PERFORMANCE MANAGEMENT ISSUE This section pertains NPM and performance management issues, NPM definition, objectives and elements; how the performance management as main elements of NPM, relevancies ofShow MoreRelatedThe New Public Management ( Npm ) Essay3668 Words   |  15 Pages NPM is a reality. NPM has come to stay and as a conception it will continue to dominate as long as market remains our focus of attention. Inception New public management (NPM) is basically management techniques and practices come from private sector. Now it is a global phenomenon. NPM emphasizes actually on shifting the traditional public administration to new public management. The key elements of NPM including various forms of decentralization within the public sector, the creation of autonomousRead MoreNew Public Management Essay2564 Words   |  11 PagesNew Public Management Public sector reforms adopted in a number of countries such as USA, UK and New Zealand in the last fifteen years and characterised by efficiency units, performance management, contracting out, market type mechanisms, and agency status have come to be known as the New Public Management or NPM. Appearance of the NPM as shifting the paradigm from the old traditional model of administration has been promoted by a remarkable degree of consensus among the political leadership ofRead MoreComparative Analysis of Financial Performance of Public and Private Banks(Case Study)15686 Words   |  63 PagesCOMPARATIVE ANALYSIS OF FINANCIAL PERFORMANCE OF PUBLIC AND PRIVATE BANKS [IN THE CASE OF SELECTED PRIVATE AND PUBLIC BANKS] A SENIOR ESSAY SUBMITTED TO DEPARTMENT OF ACCOUNTING AND FINANCE, IN PARTIAL FULFILLMENT OF THE REQUIREMENT OF BACHELOR OF ARTS DEGREE IN ACCOUNTING AND FINANCE. Prepared by: Ruth Alemayehu ADDIS ABABA UNIVERSITY COLLEGE OF MANAGEMENT, INFORMATICS AND ECONOMIC SCIENCE SCHOOL OF BUSINESS AND PUBLIC ADMINSTRATION DEPARTMENT OF ACCOUNTINGRead MoreThe Role Of Information And Communication Technology On The Performance Of An Organization Essay1973 Words   |  8 PagesVarious numbers of researches have been conducted on the relationships and impact of information and communication technology on the performance of an organization using different techniques of analysis, different countries and sector as well. This chapter presents numerous studies conducted on the subject matter, methods applied, period of coverage, country in which research carried out and the outcome obtained from the study. According to Langdon and Langdon, (2006) IT including computer basedRead MoreThe Impact of the Public Service Reform Programme on Human Resource Development11627 Words   |  47 Pagesgovernment was under performing. The poor performance of the Public Sector was eroding the confidence in the ability of government and state owned enterprises to provide the necessary goods and services. The financial performance of government services and enterprises was economically inefficient just as the operational performance was functionally ineffective. From the early 1970s, Zambia has experienced an outcry against, and criticism of the performance of the Public Sector with most of it beingRead MoreRatio Analysis for the Hospitality Industry- a Cross Sector Compa7085 Words   |  29 PagesJournal of Hospitality Financial Management The Professional Refereed Journal of the Association of Hospitality Financial Management Educators Volume 13 | Issue 1 Article 26 1-1-2005 Ratio Analysis for the Hospitality Industry: A cross Sector Comparison of Financial Trends in the Lodging, Restaurant, Airline and Amusement Sectors Woo Gon Kim Baker Ayoun Recommended Citation Kim, Woo Gon and Ayoun, Baker (2005) Ratio Analysis for the Hospitality Industry: A cross Sector Comparison ofRead MorePerformance-Analysis-of-Top-5-Banks-in-India13126 Words   |  53 PagesTable of content Chapter No. Content List of Tables List of Figures Executive summary Page No 1. Introduction Overview of Banking Objective of study Research methodology Limitation of study 2. Review of literature CAMELS Framework 3. Company profile HDFC BANK SBI AXIS BANK IDBI ICICI BANK 4. 5. Findings and conclusion Bibliography Email: - satishpgoyal@gmail.com PUNE 2010 1|Page List of Tables Table No. 3.1 3.2 3.3 3.4 3.5 3.6 3.7 Table Content Capital Adequacy ratio Earnings Per ShareRead MoreEvaluating Performance Of Commercial Banks10074 Words   |  41 PagesEVALUATING PERFORMANCE OF COMMERCIAL BANKS IN PAKISTAN: â€Å"AN APPLICATION OF CAMEL MODEL† Adnan Zaheer MB-F11-200025 Abdul Karim MB-F11-200023 Abdul Basit Ishaq MB-F11-200017 Sohail Ahmed MB-F11-200028 MBA-20A (2011-2014) ARMY PUBLIC COLLEGE OF MANAGEMENT SCIENCES (APCOMS) KHADIM HUSSAIN ROAD RAWALPINDI AFFILIATED WITH UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA Acknowledgement Essential and foremost, all praises for the Almighty Allah, the generousRead MoreOrigins And Developments Of Quality Assurance9850 Words   |  40 PagesCH3 Origins and Developments in Quality: QA, TQM in HEI 3.1 Introduction In this chapter the research questions and aims will be addressed through the existing research literature. The chapter discusses educational management and leadership, followed by the literature on Quality Assurance (QA), Total Quality Management (TQM) generally and internationally, including its birth and evolution. The pioneering gurus of TQM are presented. The chapter also discusses QA implementation, followed by commonRead MoreRole of Hr in Organization10279 Words   |  42 PagesFunction in the Modern Public Sector Continuity and Change: The Role of the HR Function in the Modern Public Sector ABSTRACT As the public sector has modernised and sought to become more efficient and cost-effective, the effective and strategic management of people has received increasing prominence and there have been calls for the HR function to play a more strategic role. However, not much is known about whether the role of the HR function has changed substantively. In this paper, we present empirical

Managing Diversity in South Africa free essay sample

Introduction In the workplace, diversity in terms of ethnicity, locality, education and skills, age, and gender exist. Managers or employers therefore require innovative ideas to successfully manage employees in the workplace. Diversity management is a relatively new field in the South African business environment. Managing employees and the work environment involves different aspects and is influenced by the internal environment such as in the mission, vision and goals of the organisation as well as the external environment. These aspects include areas where diversity management is important. Managers have various roles to carry out in an organisation in order to provide effective management and deal with the ethical issues. Factors such as changing structures and polices, providing diversity skills training, creating cross functional teams and employee network groups, building relationships, and providing complete managerial support are all factors that contribute towards effective diversity management. A successful diversity management approach must be more accommodating and more capable of promoting the diversity within an organization to bring everyone together and generate effective participation. This means that employees should be regarded as an organized whole that brings meaningful contributions from their social, political, economic, and geographical experiences. 2. Diversity Diversity can be defined as all the ways people differ, that is the different influences to approaching the workplace, communication between employees, satisfaction achieved from performance and identification in the workplace (Daft, Kendrick, amp; Vershinina, 2010). It is a commitment to distinguishing and appreciating the range of characteristics that make individuals unique in an atmosphere that supports and celebrates individual and collective achievement (Tennessee, 2003). Diversity â€Å"represents the multitude of individual differences and similarities that exist among people (Kreitner, 2001). According to Erasmus, diversity applies to all employees and does not only encompass certain differences but rather the entire spectrum of individual differences that make people unique. Therefore diversity cannot be viewed as only racial or religious differentiation but s all differences combined. The notion of diversity describes differences among people as well as similarities. The discipline of managing diversity requires that these two aspects are managed simultaneously. He further suggests that managers are expected to integrate the collective mixture of similarities and differences between workers into the organisation (Erasmus, 2007). Diver sity is more than being politically correct; it is about nurturing a culture that values individuals and their wide assortment of needs and contributions Diversity management is a moderately new field in the South African business environment. Diversity management is ensuring that the necessary factors are in place to provide for and to encourage the continuous development of diversity in the workplace, by incorporating actual and perceived differences to achieve the utmost efficiency (Bandyopadhyay, Hazra, amp; Goswami, 2007). Diversity management can also be defined as the commitment on the part of the organisations to recruit, retain, reward and promote a heterogeneous mix of productive, motivated and committed workers, including people of colour, whites, females and the disabled (Inancevich amp; Gilbert, 2000). The two areas where diversity management are particularly important include: * Workplace diversity. * Global diversity. Workplace diversity refers to the array of distinctions between people in an organisation. Some of the benefits of implementing workplace diversity are; increased adaptability which supplies a variety of solutions to problems in service, sourcing, and allocation of resources, various opinions which include ideas and experiences, and effectiveness in terms of employee performance to attain goals (Greenberg, 2005). Furthermore, enhanced use of employee capacity is encouraged. This involves competitive advantage over other organisations along with prospects and development of employees for retention purposes. Diversity initiatives retain a competitive advantage by improving employee confidence, decreasing interpersonal conflict, facilitating development in new markets and increasing creativity. It also includes the understanding of the marketplace in terms of the changing needs of consumers. Building workplace diversity will also result in the improved extent of understanding in leadership positions that encompasses a variety of skills. Better quality of team problem solving to bring in different perspectives resulting in creativity of ideas and solutions and lastly reduction of costs induce lower turnover, absenteeism and lawsuits (Daft, Kendrick, amp; Vershinina, 2010). Global diversity is more than just demographical factors (such as age, race, gender, ethnicity, disability and sexual orientation), it is about thinking, leadership, skills and style which integrates peoples differences to achieve all the goals planned and is acceptable universally, that is by breaking though barriers through globalisation (Dell, 2011). Globalisation refers to standardisation of products plan and marketing strategy throughout the world by assuming a homogeneous global market of consumers and industrial products (Daft, Kendrick, amp; Vershinina, 2010). A benefit of global diversity is broader services through customer satisfaction and product availability. By managing diversity, managers access a range of skills which the organisation has never had before and thus a broader array of individual strengths, experiences and perspectives. There is also a wider legitimacy and organisational image across a wider audience. Managers however should realise that managing diversity is fairly tough and cannot be implemented immediately. It is instead a long-term strategy in order to correct the imbalances in the workplace. 3. Mission, Vision and Goals A mission is defined as the organisations’ reason for existence. A mission statement is a broadly stated definition of the purpose of the company. Well designed mission statements can enhance employee motivation and organisational performance.